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Home My WebLink AboutPermit Electrical 1999-3-29 DEVELOPMENT SERVICES DitPA9ltIp~ftflPl"oject as sUbmItted has the fol/owing lonrng, and does not require specific land use approval. Zoning 4/L t./ ~-~ -0 ., ~ 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 Date 974Qll1or;zed Signature 726-3769 1. LOCATION OF INSTALLATION 5 ~.=> mill SoT. LEGAL DESCRIPTION 'II 0'3 3 t; 1,3 ADM\I~i'S~Tlo~ ~\j~LU~A)9 6~7iD JOB DESCRIPTION \-\ \J:A ~ t\ <:"U':>UAJ\\ ~.jq ! P A 1 ~ 0 \\ Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for .. _c___.._180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor Address City Phone Supervisor License Number I (),73 PS Expiration Date Constr Contr. Number Expiration Date \D/n\/O \ I ( ~:: 04 :=::Electrician ~e --S ':)/''' '4 \::'i:. \\\ <; c1.""L'" Address 15\ q () 1\1. 4 '1. f'I) Ci ty.s..pUJJ1~'l...~ Phone ~y <{- 1o?>75 OVNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owne~s Signature: JLo).~ 'vel. ...- ,- ~~- ~---f----~----~------------------- 'JAT .0-10 -0'1 ' . IPT #:(').s?~XI . RECEIVED BY: n . I na CIA t... d () 225 FIFTH STREET SPRINGFIELD. OR 97477 (541) 726-3753 FAX (541) 726-3689 -ELECTRICAL PERMIT APPLICATION (,'1 ty Job Number q <1 -0 '3 3.b 3. COKPLETEFEE SCHEDULE BELOV A. New Residential-Single or Multi-Family per dwelling unit. . Service Included: Items Cost Sum 1000 sq.ft. or less $ 85.00 Each additional 500 sq. ft or portion thereof $ 15.00 Eac~ Manuf'd Home or Modular Dwelling Service or Feeder. $.-40.00 B. Services or Feeders Installation, Alterations or Relocation: 200 amps or less 201 amps to 400 amps 401 amps tp 600 amps 601 amps to 1000 amps Over 1000 amps/volts Reconnect Only $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 C. Temporary Services or Feeders Installation, Alteration or Relocation 200 amps or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts $ 40.00 $ 55.00 $ 80.00 see "B" above D. Branch Circuits New, Alteration or Extension Per Panel / 3 -- 00 One Circuit $ 35.00 ')- Each Additional Circuit or with Service 4{- (?O or Feeder Permit rL $ 2.00 Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm E. 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL not included) $ $ $ $ 36.00 <~~ ~ /.95 leJ '7 L./.J " / :J. ---, . - 40.00 40.00 20.00 CO M M ERCIALI I N DUST RIAL PERMIT APPLICATION I~". ~;; \~ [ . ,~- 225 Fifth Street. Springfield, Oregon 97477 LOCATION OF PROPOSED WORK: S i ('" /7 (j 3 35";z.-3 ' OWNER: ;;t?~f'rP ':::;6~ ADDRESS: 5;).)/ 111ft? S;/ s ~(;'J/ / / (2 ) ASSESSORS MAP: CITY: NEW DESCRIPTION OF WORK: REMODEL ARCHITECT: NAME CONTRACTOR'S NAME GENERAL' PLUMBING' Ii f' .' MECHANICAL: I 'urnro ({: 'Ptow ELECTRICAL: NO. jb,..! ADDITION ADDRESS SPRINGFIELD ~~ f/1 ( II IJ STATE: ,P't1 Mj?( DEMOLISH ADDRESS JOB NUMBE~ 111 '3 51, INSPECTION LINE: 726-3769 OFFICE: 726.3759 ~ TAX LOT: iJ'f)Zl6 PHONF' ? u.- 32- 'I if PLUMBING I FEE CHARGE I Single Fixture Ch.~ _ ,~~ p" Relocated Bldg. ,,\y..Y;,-' I ':...~O'\ (new fix. addtl) ~t: \~ A \~) Water Service ft. \ ,~~~'\<': <)<.v~~~, ~O~ Sanitary Sewer G', !,\>-\,'v' ,'\y..\'O' ('~~V ..,\.f:.ATAt..-< ~ _<'.<.;\ .,\\:).J Storm Sewec...,O \. GQ,..~\' I \ \\~\)V' ';O'(>-\~ ,~ r- <;lvft. _....~ ~ v .~ ,c r" Backflow Devi~(\\~<,)()~~;,I0''iO~~~\?; c V'- ..\\~"*' \'\.'\ ~ ~ I r' ~QP "; .li'\~ . ~~\ TOTAL PERMIT QUAD AREA: II OF BLDGS: OCCY GROUP: II OF STORIES' SQ. FTG MAIN SQ. FT. SQ. FTG ACCESS SQ. FTG OTHER PLAN CHECK FE!: I BUILDING PERMIT \5% State Su rcharge I MECHANICAL , 15% State Surcharge I PAVING ------' Oil. ZIP: q 7'f77 OTHER VA LU E: PHONE CO NST. CONTRACTOR II EXPIRES PHONE lq5/ ]1)rJ 3. i 5Ie- b '. tufWJ LAND USE: 'II OF UNITS' - OFFICE USE - CONSTR. TYPE: HEAT SOURCE' x X X RCPTII I PLUMBING 15% State Surcharge I FENCE VALUE $ SIDEWALK CURBCUT $/SQ. FT. DATF FT. FT. 6 c:r; qcf 7 Zh-DltD MECHANICAL NO I I"FF I r.HARr:F Furnace/burner & vent < 100,000 BTUs Furnace/burner & vent >100,000 BTUs Floor furnace and vent Suspended wall or floor mounted unit heater Appliance Vent separate Stationary evap. cooler Vent Fan / Single duct Vent System apart from AC or htg. Mechanical exhaust hood and duct L /JeJ- ItA 1YV(! f Permit Issuance /stol $10.00 'U.1-t) TOTAL PERMIT HANDICAP ACCESS' FLOOD PLAIN: ZONING: LIGHTING POWER BUDGET: WATER HEATER' VALUE TOTAL VALUE OF PROJECT BY DEMOLITION SUBTOTAL PERMITS SYSTEMS . , DEVELOPMENT TOTAL\ PERMIT FEES EXCLUDING ELECTRICAl REQUIRED INSPECTIONS It is the respansibility af the permit halder to. see that allinspectians are made at the praper time. To. request an inspectian, call 726-3769 (recarder), state yaur City designated jab number, jab address, type af inspectian requested and when yau will be ready far inspectian. Requests received befare 7:g.9..z..F:1. '.C.' ade the same warking day, requests made after 7:00 a.m. will be made the fallawing wark day. <--' SITE INSPECTION: To. be .. I ROUG PLUMBING, PAVING: After gravel is in made after excavatian, but E RICAL & place but priar to. placing priar to. setup o.f forms. ECHANICAL: No. wark is to. asphalt ar can crete. be cavered until these i nspectians have been made and appraved. UNDERSLAB PLUMBING, ELECT'RICAL & '. MECHANICAL: To. be made befare any wark is cavered. ATTIC DRAFT STOPS & CURTAIN WALLS \ FOOTINGS & FOUNDATIONS: To. be made after trenches are excavated and forms are erected, all steel in place, but priar to. placing cancrete. FIREPLACE: Priar to. placing facing materials and befare framing inspectian. SPECIAL INSPECTIONS: In accardance Sectian 306 afthe State Specialty Cade a special inspectar shall be emplayed by the .Owner/ Cantractar during canstructian af the fallawing wark. A capy af the speci.al testing reparts shall be furnished to. the Building Divisian. CONCRETE SLAB: To. be made after all inslab building service equipment, conduit, pi pi ng, accessaries and ather ancillary equipment items are in place but befare any cancrete is placed. FRAMING: To. be made after the raaf, all framing, fire blacking and bracing are in place and all pipes, Chimneys and vents are camplete and the raugh electrical, plumbing and mechanical are appraved. STRUCTURAL CONCRETE: In excess af 2500 P.S.1. (306 a.1) STRUCTURAL WELDS: Perfarmed an the jab. (2722 f) UNDERGROUND: Plumbing, electrical, gas, sanitary sewer, starm sewer, water and drainage lines. To. be made priar to. cavering ar filling trenches. INSULATION & VAPOR BARRIER: To. be made after all insulatian and required vapar barriers are in place but befare any lath ar gypsum baard interiar wall cavering is applied. HIGH STRENGTH BOLTING: During all bait installatian and tightening aperatians. (306 a.6) SPRAYED ON FIREPROOFING: U.B.G. Standards 43.8. UNDERFLOOR: Plumbing, electrical, mechanical. To. be made priar to. installatian af flaar insulatian, decking ar flaar sheathing. FIRE & SEPARATION WALL: Lacated and canstructed accarding to. plans. SPECIAL GRADING, EXCAVATION AND FILLING: During earthwark. (306 a.11 & Chapter 29) POST & BEAM: To. be made priar to. installatian af flaar insulatian, decking ar flaar sheathing. LATH AND/OR GYPSUM BOARD: To. be made ,after all lathing 'and gypsum baard, interiar and exteriar, is in . place but befare any plastering is applied ar befare gypsum baard jaints and fasteners are taped and finished. GLU~LAM BEAMS: Inspectian Certificate by an appraved 'agency, furnished to. the City's Building Divisian befare beams are placed. (2501 U.B.C. STDS. 25-10,11). FLOOR INSULATION & VAPOR BARRIERS: To. be made priar to. installatian af decking ar flaar sheathing. STRUCTURAL MASONRY: (306 a.7) MASONRY: Steel lacatian, band beams grouting ar verticals in accardance with UBC 2415. SIDEWALK & DRIVEWAY: Required far all cancrete paving within street right af way, to. be made after all excavating camplete and farm wark and sub-base material in place. .In additian .to. the inspec- tians specified,the Building Official may make ar require ather inspectians af any canstructian wark to. ensure campliance with the Building, City ar Develapment Cade. ROOF SHEATHING AND NAILING: Priar to. installing any raaf caveri ng. CURB AND APPROACH APRONS: After farms are erected but priar to. placing cancrete. FINAL PLUMBING SITE PLAN REVIEW BOARD: Must be requested 2 days in advance af the date yau wish .inspectian. All praject canditians such as landscaping, parking lat striping, etc. must be campleted befare requesti ng this i nspectian. FINAL ELECTRICAL (?MECHANICAL FINAL FIRE DEPARTMENT ADDITIONAL COMMENTS: FINAL BUILDING: Requested after the final plumbing, electrical, mechanical and Fire Department inspectians are made and appraved. No. accupancy af the premises can be made until a Certificate af Occupancy has been issued by the Building Divisian and posted an the premises. PLANS REVIEWED BY DATE By signature, I state.and agree, that I have carefully examined the campleted applicatian and do. hereby certify thi"t all infarmatian herein is true and carrect, and I further certify that any and all wark perfarmed shall be dane in accardance with the Ordinances af the City af Springfield, and the Laws af the State af Oregan pertaining to. the wark described herein, and that NO OCCUPANCY will be made af any structure withaut permissian af the Building Safety Divisian. I further certify that anly cantractars and emplayees who. are in campliance with ORS 701.055 will be used on this praject. sure that all required inspectians are requested at the proper time, that praject address Is readable from the street that he rmlt card is lacated at the frant af the praperty, and the appraved set af plans will remain an the site at all ::::::~k&;non 1Q)~~/ . Date .3//:;41 "- AMOUNT RECEIVED: ~, 2--tJ rJ ~ S I LfL( RECEIPT #: DATE PAID: 71tl. jf 1'" /) RECEIVED BY:_~f' W~~ VALIDATION: