HomeMy WebLinkAboutPermit Electrical 1995-8-18
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The. following proJect as submitted.ha~ tQflloJJ~ii1
225 FIFTH STREET zonmg, and does not require spe-cific laff~LU.@;AL PERMIT APPLICATION
SPlUNGFIELD, OREGON 97477 approval. . .
INSPECTION REQUEST: 726-3769 Zoni~o ct" Ci ty Job Number
OFFICE: 726-3759 ,. Q' ..- .
. , D/!!e ()"- 1'6 /[? 3.. . COMPLETE FEE SCHEDULE BELOV
1. ~lT,IPN!J..~ J~~AL~ONut~ed Signature <Ill! A,-- - .... . .
'" JhJ~ \ \~, ~\ \0 o.J. ~~vNc;; ~,~ald9nt.J..al-Slngle or
-. - - . Mul ti-Family per dwelling uni t.
Service Included:
I
I~EGALrPESCRIPTION '0 \
f JO--:r.:._~ C<3 2- () \ \ .
f\. JOB DEr\CRIPTIO~ _ . ~ (\ . r\ ~ ..fI-:-'.,..-
~() J ~ll(\ .J~),""^"'J \.(\'\'{\ q lV{
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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 Jor' -
180 days.
2. CONTRACTOR INSTALLATIO~ O~~13
Electrical Contractor ~ ~ ~
Address 'P.O. 6cJx 1+F!:>"2-
Ci ty ~FD Phone74/ - 22.~Cp
Supervisor License Number /~ ~ 5.
Expiration Date io/ I / ~+
I
Cons tr Con tr. Number .' .~~.,! ~
Expiration Date_ ~~/~~~
, . ,
D~:;L~,r~ectr,ician
. ./ .
Owners Name ~~ tn\, 3CJt08t.s
Address & t )~ ~\~~
Ci ty ~ ~ Phone
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OVNER IN ALLATION
The installation is being made on
property I own which is not intended
for sale, lease or. rent.
~ers Signature:
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'~~:~~T~r;~S----~lS-
~.~ .
QSJ31Q
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Items Cost Sum
1000 sq. ft. or less $ 85.00
Each additional 500
sq. ft or' portion
thereof $ 15.00
Each Manuf'd Home or
.Modular Dwelling _ __ . h. _ .
Service or Feeder $ 40.00
B.
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less
201 amps to 400 amps
401 amps to 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
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "B" above
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.-00 ~590
$ 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
~~r;D
L .-1 ~
DtiJ
40.00
40.00
20.00
CO M M ERC IALII N DUST RIAL
PERMIT APPLICATION
--./OB NUMBER
qS\3\~
225 Fifth Street, Springfield, Oregon 97477
INSPECTION LINE: 726.3769
OFFICE: 726-3759
LOCATION OF PROPOSED WORK: 525 Mill Street - Computer Room
ASSESSORS MAP: \\\)'2:)..:)~~ TAX LOT ()\ \C\\
,.t;
OWNER: Springfield School District
ADDRi=~~.525 Mi 11 Street
CITY: Sprinqfield
PHONE: (503) 726-:-3331
STATE: ()rpqnn ZIP: Q7/177
DESCRIPTION OF WORK:. ~:r.NS1'l\L.i;J' AIDpITIONAL UNIT, TO' EXISTtNG UNIT
NEW REMODEL x ADDITION DEMOLISH OTHER
VALUE: ? 1913'd-.-OO
CONTRACTOR'S NAME
ADDRESS
ADDRESS PHONE
525 Mill St Springfield
CONST.
CONTRACTOR # EXPIRES
PHONE
NAME
ARCHITECT: Spr ing field School Di str i ct
GENERAL:
PLUMBING:
MECHANICAL: FM Sheet Metal, Inc. 544 Conger St, .89710 3/15/96
(503)344-6002
ELECTRICAl'
PLUMBING
MECHANICAL
NO.
FEE
CHARGE
NO
I I"F=F= I r.HARr.1"
Single Fixture
Relocated Bldg.
(new fix. addtl)
Water Service
Furnace/burner & vent
< 100,000 BTUs
Furnace/burner & vent
> 100.000 BTUs
ft.
Floor furnace and vent
Suspended wall or floor
mounted unit heater
Appliance Vent
separate
Stationaryevap.
cooler
Vent Fan/Single
duct .
Vent System apart
from AC or htg.
Mechanical exhaust
hood and duct
Sanitary Sewer
ft..
ft.
Storm Sewer
Backflow Device
:!
":en1'ilIISS1:iciri'C;'
$10.00
26.60
I TOTAL PERMIT
TOTAL PERMIT
- OFFICE USE -
HANDICAP ACCESS:
FLOOD-PLAIN:
ZONING'
LIGHTING POWER BUDGET:
QUAD AREA:
LAND USE:
# OF BLDGS'
#. OF UNITS:
OCCY GROUP'
CONSTR. TYPE:
# OF STORIES'
HEAT SOURCE:
WATER HEATER:
SQ. FTG MAIN
SQ. FT.
UO
$/SQ. FT.
VALUE
X
SQ. FTG ACCESS
;os
X
SQ. FTG OTHER
TOTAL VALUE OF.PROJECT
PLAN CHECK FEf:
RCPP
DATE:
BY
I BUILDING PERMIT
15% State
Surcharge
I MECHANICAL_
15% State-\-:3!)
Surcharge
~yt Jf'.!'rL.
PLUMBING
I DEMOLITION
I
I~~
l,~
I \ () pU
5% State
Surcharge
I FENCE
VALUE $
I SIDEWALK
I CURBCUT
FT.
SUBTOTAL
PERMITS
I SYSTEMS'
DEVELOPMENT
I
I
I
iltJ .~
FT.
TOTAL PERMIT FEES
EXCLUDING ELECTRICAl
.~
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 wUI 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, , /
SITE INSPECTION: To be L/ ROUGH LUM lNG, PAVING: After gravel is in
made after excavation, but ~T""}';.~ place but prior to placing
prior to setup of forms. MECHANI : No work is to asphalt or concrete.
be co d until these
pections have been made
and approved.
UNDERSLAB PLUMBING,
. ELECTRICAL &
MECHANICAL: To be made
before any work is covered.
ATTIC DRAFT STOPS &
CURTAIN WALLS
FOOTINGS & FOUNDATIONS:
To be made after trenches are
excavated and forms are
erected, all steel in place, 'but
prior to placing concrete.
FIREPLACE: Prior to placing
facing materials and before
framing Inspec;:tiol1.~
SPECIAL INSPECTIONS: In accordance
Section 306 of the State Specialty Code
a special inspector shall be employed
by the Owner I Contractor du ri ng
construction of the following work. A
copy of the special testing reports shall
be furnished to the Building Division..
CONCRETE SLAB: To be
made after all inslab building
t;ervice equipment, conduit,
pi pi ng, accessories and other
ancillary equipment items are
in place but before any
concrete is placed.
FRAMING: To be made after
the roof, all framing, fire
blocking and bracing are in
place and all pipes, chimneys
and vents are complete and
the rough electrical, plumbing
and mechanical are approved.
STRUCTURAL CONCRETE: In
excess of 2500 P.S.1. (306 a.1)
STRUCTURAL WELDS:
Performed on the job. (2722 f)
UNDERGROUND: Plumbing,
electrical, gas, sanitary sewer,
storm sewer, water and
drainage lines. To be made
prior to covering or filling
trenches. -
INSULATION & VAPOR
BARRIER: To be made after all
insulation and required vapor
barriers are in place but
before any lath or gypsum
board interior wall covering is
applied.
HIGH STRENGTH BOLTING:
During all bolt installation and
tightening operations. (306
a.6)
SPRAYED ON
FIREPROOFING: U.B.C,
Standards 43-8.
UNDERFLOOR: Plumbing,
electrical, mechanical. To be
made prior to installation of
floor insulation, decking or
floor sheathing.
FIRE & SEPARATION WALL:
Located and constructed
according to plans.
SPECIAL GRADING,
EXCAVATION AND FILLING:
During earthwork. (306 a.11 &
Chapter 29)
POST & BEAM: To be made
prior to installation of floor
insulation, decking or floor
sheathing.
LATH AND/OR GYPSUM
BOARD: To be made after all
lathing and gypsum board,
interior and exterior, Is in
place but before any
plastering is applied or before
gypsum board joints and
fasteners are taped and
finished.
GLU.LAM BEAMS: Inspection
Certificate by an approved
agency, furnished to the City's
Building Division before
beams are placed. (2501 U.B.c.
STDS. 25-10,11).
FLOOR INSULATION &
VAPOR BARRIERS: To be
made prior to installation of
decking or floor sheathing.
STRUCTURAL MASONRY: (306
a.7) .
MASONRY: Steel location,
bond beams grouting or
verticals in accordance with
UBC 2415.
SIDEWALK & DRIVEWAY:
Required for all concrete
paving within street right of
way, to be made after all
excavating complete and form
work and sub-base material in
place.
'In addition to the inspec-
tions specified, the Building
Official may make or require
other inspections of any
construction work to ensure
compliance. with the Building, .
City or Development Code.
ROOF SHEATHING AND
NAILING: Prior to installing
any roof covering.
CURB AND APPROACH
APRONS: After forms are
erected but prior to placing
concrete. '
----------.---------------------------------------------
FINAL PLUMB'ING
SITE PLAN REVIEW BOARD: Must be requested 2 days in advance
of the date you wish inspection. All project conditions such as
landscaping, parking lot striping, etc. must be completed before
requesting this inspection.
FINAL BUILDING: Requested after the final plumbing, electrical,
mechanical and Fire Department inspections are made and
approved. No occupancy of the premises can be made until a
Certificate of Occupancy has been issued by the Building Division
and posted on the premises.
/AL ELECTRICAL
FINAL MECHANICAL
FINAL FIRE DEPARTMENT
ADDITIONAL COMMENTS:
PLANS REVIEWED BY
DATE'
By.signature, I state and agree, that I have carefully examined the completed application and do hereby certify thp.t all information
herein 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 Building Safety Division. 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 locate~at the fr t of the property, and the approved set of plans will remain on the site at all
~mes d_Uring ctst~/7 /7~ .
,-~ -. - ~ ~~~ h j/ //r ~ Date
z..~ J _ ,g!ur.e / "'''?/''
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~ALlDATION: . AMOUNT RECEIVE['l' d( n - 9(J DATE PAID: --c:: -
/ RECEIPT #: l~loCfO/ RECEIVED BY: -lb-q;)
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