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Home My WebLink AboutPermit Electrical 1995-8-18 \ 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{ , . I 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 \ . OVNER IN ALLATION The installation is being made on property I own which is not intended for sale, lease or. rent. ~ers Signature: \ '~~:~~T~r;~S----~lS- ~.~ . QSJ31Q " 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 / "'''?/'' \ . c ~ ~ALlDATION: . AMOUNT RECEIVE['l' d( n - 9(J DATE PAID: --c:: - / RECEIPT #: l~loCfO/ RECEIVED BY: -lb-q;) - I f