HomeMy WebLinkAboutPermit Electrical 1996-8-22
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225 FIFTH STREET Aulhonzed Slgnaturo
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759 JOB:203-7436
1. LOCATION OF INSTALLATION
2656 OLYMPI(t:A;W'! ST.
LEGAL DESCRIPTION 110 1:J2F7 tr 0 ~ 1.D U
QUESTIONS? CONTACT KEN READ
JOB DESCRIPTION
SPRINT MICROWAVE TOWERS
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Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical ContractorCHRISTENSON ELECTRIC,INC
Add III SW COLUMBIA, SUITE 480
ress
City PORTLAND, OR Phone 503 241-4812
Supervisor License Number 8738
Expira'tion Date
'i>>'l ELEC'l1UCAL PERMIT APPLICATION
Ci ty Job Number q00,~/ 7
3. COMPLETE FEE SCHEDULE BELOII
A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular 'Dwelling
Service or Feeder
.B.
Services or Feeders
Installation, Alterations
or Relocation:
Items Cos t
Sum
200 amps or less 1
201 amps to 400 amps
401 amI's to 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
$ 85.00
$ 15.00
$ 40.00
.'
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
50.00
Constr Contr. Number
26-34C
C. Temporary Services or Feeders
Installation, Alteration or Relocation
Expiration Date
10-1-96
Signature of Supervising Electrician
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, "" Jl.l.,Jl;,.L_. . ~ _
, I. I I le._ I 8-16-96
Owners Name.~Clr(OM---1l1li1illIt1 t0rfl1iJ;Y<it,i.p
Addressl;<n31 SG JIIIl'VX S1-
City~
Phone
.--:--
01lNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Ovners' Signature:
~~ii~-------~:11~Cf~----
RECEIPT #: 1 Qhl
RECEIVED BY: W~
200 amps' 'or less
201 amps to'400 amps
Over 401 to 600 amps
Over 600 amps or 1000
. ,,.~
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
volts see I'BI' above
New, Alteration or Extension Per Panel
.'
One Circuit
Each Addi tional
Circuit or wfth Service
or Feeder Permit
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 35.00
$ 2.00
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
50.00
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54.00
SPRINQFIELD
Page 1
COMMERCIAL/INDUSTRIAL PERMIT APPLICATION
CITY OF SPRINGFIELD Job Number: 960817
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 2656 OLYMPIC ST
Assessors Map #: 17032541
Tax Lot #: 00200
Owner: WARREN/HOWARD PTNRSH
Address: 12031 SE MARX STREET
Phone #:
City/State/Zip: PORTLAND, OREGON 97220
Description Of Work: COMMUNICATION TOWER
NEW
Value:
0.00
Name
Architect: FRALEY STRICKER
Address
7510 NE VANCOUVER MALL, VANCOU
Phone
360-891-1402
HANDICAP ACCESS: N
u OFFICE USE
QUAD AREA: 2 CNW
LAND USE: 5300
Item
COMMUNICATION TOWER
Square Feet
x
$/Square Feet
= Value
137,743.00
TOTAL VALUE OF PROJECT
137,743.00
Plan Check Fee: 331.18 Rec #: 22079 Date: 06/18/96
Rec By: LORNE PLEGER
BUILDING
Surcharge/Admin
MECHANICAL
Surcharge/Admin
PLUMBING
Surcharge/Admin
FENCE VALUE 3,000.00
ADDIT. PLAN REVIEW
518.50
41.49
0.00
0.00
0.00
0.00
5.00
5.85
SUBTOTAL PERMITS
570.84
TOTAL PERMIT FEES EXCLUDING ELECTRICAL
570.84
SPRINQFIELD
~~
Job Number: 960817
Page 2
REQUIRED INSPECTIONS
It is the responsibility of the permit holder to see that all inspections are
made at the proper time. To request an inspection, call 726-3769
(recorder), state your City designated job number, job address, type of
inspection requested and when you will be ready for inspection. Requests
received before 7:00 a.m. will be made the same working day, requests made after
7:00 a.m will be made the following work day.
Special Inspections: In accordance with
a special inspector shall be employed by
construction of any following 11*" work.
shall be furnished to Building Safety.
Section 306 of the State Specialty Code
the Owner/Contractor during
A copy of the special testing reports
In addition to the inspections specified, the Building Official may make or
require other inspections of any construction work to ensure compliance with
the Building, City or Development Code.
HIGH STRENGTH BOLTING - To be done during constr by State Certified
Special Inspector. Results provided to City Building Division.
STRUCTURAL CONCRETE in excess of 2500 psi. To be done during constr.
by State Cert. Insp. Results to City Building Inspector
PILING, DRILLED PIERS/CAISSIONS - To be done during construction by
State Certified Special Inspector employeed by owner/contractor.
BOLTS INSTALLED IN CONCRETE - To be done by State Certified Special
Inspector. Provide inspection/test reports to City Building Inspector
FOOTING - After trenches are excavated.
UNDERGROUND ELECTRICAL - Prior to Cover,
ELECTRICAL SERVICE - Must be approved to obtain permanent power.
FINAL ELECTRICAL - When all electrical work is complete.
FINAL SITE PLAN - After all requirements have been met for Minimum
Development Standards or from the Development Agreement.
FINAL BUILDING - When all required inspections have been approved and
the building is complete.
- - - ADDITIONAL COMMENTS
DRC 96-05-106, PLANNER IS SARAH SUMMERS
JOURNAL NUMBER 96-05-106, SARAH SUMMERS
Plans Reviewed By: LORNE PLEGER
Building Site Reviewed By: LISA HOPPER
Date: 08/08/96
By signature, I state and agree, that I have carefully examined the completed
application and do hereby certify that all information hereon is true and
correct, and I further certify that any and all work performed shall be done
in accordance with the Ordinances of the City of Springfield, and the Laws
of the State of Oregon pertaining to the work described herein, and that
NO OCCUPANCY will be made of any structure without permission of the
Community Services Division, Building Safety. I further certify that only
contractors and employees who are in compliance with ORS 701.055 will be
used on this project.
I further agree to ensure that all required inspections are requested at the
proper time, that project address is readable from the street, that the
permit card is located at the front of the property, and the approved set
of plans will remain on the site at all times during construction.
s1ie/\ ~UL
g/., llib
Date
--r:.+~ J s. SI,t.II..~,
Job Number: 960817
-- - VALIDATION
Receipt Number: 22":J'V2
Date Paid: :6-Z/-~
Amount Received: ~.I?~
Received By: d~....
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