HomeMy WebLinkAboutPermit Electrical 1990-6-29
06/29/90
!INSPECTION LINE
726-3769
~.
Job Address 3270 GATEWAY
I.egal Dmrfptfon I, ~/..J:-:J()
Owner
BETTER BODIES PLUS
3270 GATEWAY, SPFD.
AtlJrcss
Constru~tion lender
Address
OESllirl It^'''
lnamel
Primary
Structural
Electrical
Hechanical
CONTRACTORS
{namel
Genera 1
Plumbina
.'.. .J
T
I
Phone 726-
~uu
INFOR/1ATlON LINE
726-3753
Sq. Ftq. I.fain
~,q. Ftg. Access.
Sq. Ftq. Other
Ilew Add Alter Rep.
Ranf'Je~ -Fence Demo ChanCje/Use
ValU'(\ \.rcJ.--l . Other- -
Bui]{;;nQ ijermit Info: Descr,be Work(;.,e. t Build Single
Familv ~esidence Hith Attached Garaoe~
~
3
~.
(Y
CITY UF SPRINGrIEI.D
COHBIIIATlON APPLICATION/PERMIT
EIlERGY SOURCES:
Heat
( B~ Hater Ileater
-
{;Iee~ .
Phone
(address 1
(nhone no. ,\
(l ics. no.'
fexnires)
(addrps~l
nino no.'
(~xniresl
(ohone no.l
10/01/90
461-0291
Electrical
BEACDN ELECI'RIC 2585 ROOSEVELT BLVD.. EUGENE 20-53C
~'echan1cal
PLUlIBING
....lli'.
FfF ,H'IF&L ,NO
Each single fixture
Relocated building
(new fix. additional)
S.F. Residence
(1 bath)
Duplex (1 bath) each
Add; tienal bath
~la ter servi ce
Sewer
Storm Sewer
ELECTRICAL
MECHANICAL
err rH~ NO,
(r
nJARliE..
Residence of
furnace/burner to
BTU's
SQ. F1.
New circuits alts.
or extensions
Floor furnace
and vent
:2.50 22.5C
SERVICES
Recessed wall
~o~r.p hp~tpr nnd vpnt
Temporary Construction
Change in eXisting
resj~e.rce
multifamily, cor.'OTl. 01.
Industrial
Appliance vent
SF'oarate
Stationary evap.
cooler
Vent fan ...it:,
sinole duct
Vent system apart from
heatinq or A.C.
Mechanical exhaust
hood tlnd duct
Wood stove/heater
Of
amps.
C0I11.I./INO. FEEDERS
Install/alter/relocate
di~trih. fppdpr~
Of
amps.
5% State Surchara,,'." ,."
ISSUANCF OF PFRIHT
TOTAL CHARGES
WHERE STATE L\H REQUI RES
shall not be vali1 until the
TOTAL CHARGES
that tile Electr;cal work be done by an
label has been signed by an Electrical
?,. h~ TOTAL CHARGES
Electrical Contractor, the electrical rortion of this permit
SUl1ervisor and returned to the Building Division
I HAVE CAREFULLY EXAtllNEO the completed applicat;on for permit. and do hereby certify that all information hereon is true
and correct, and I further certify that any and all work nerformed shall be done in accordance with the Ordinances of the City
of Spri nq fi e I d and the Laws of the Sta te of Oregon perta in i ng to the work descri bed herei n, and tha t 110 OCCUPAIICY w; 11 be made
of any structure without the permission of the lluilding Division. I further certify that m'y registration \olith the Builder's
Board is in full force and effect as required by ons 701.055. that if exempt the basis for exemption is noted hereon. and that
only subcontractors and empl.oyees who are in compliance with OP.S 701.055 \olill be used on"this project.
HAl-IE(please print) GARY E. JOHNSEN SIGIIATURE ~
FOr. orFICE lISE miL Y
Sq.
Sq.
Sq.
Zone Tvoe/Cons t. Units
Fire Zone Bedrooms Occy Load
Flood Plain Stories Occ,y Group
BUILDING PERfIIT Plan Ck. COIrmlI nd
Charges and ------------ 65%1Blda PF'r Fee
Surcharges Plan Ck. lies
30%/Bldn Per Fee
PLU'1BING PERMIT Fence
Charges and ------------
Surcharges Demo
ELECTRICAL PERlHT 6(~~ Sidewalk
Charges and ---c- . {-::<,
Surcharges A/C Paving
/1ECHANICAL PERMIT I Curb Cut
Charges and ------------
Surcharges I
.
---
DATE
06/29/90
I
x
Value
Value
Value
,
x
TOTAL VALUATIOII
Systems Development
Charqe (!.5~)
Total Comb. Permit
.1
TOTAL
~5,tg3
-
.
..
COMBINATION APPLICATION/PERMIT (CAP)
\.. .
PERMIT VALIDATION
I I I.
I. Applicant to furnish
A. Job Address
B. Legal Description
1. example- Tax lot 100. lane County ~lap Reference
JI 03 43
2. examele- Lot 1. Block 3. 2nd Addition to
sprlngtield Estates
C. Name, etc. of owner and construction lender
D. Energy Sources
1. example-.heat/electrical ceiling/or forced air Qas
2. example- waterheater/electrical/or solar
E. Square footage or valuation, etc.
1. example- 1250 sq. foot house. 500 sq. foot garage
2. example- if new project. checknew - if addition.
checl:. add, etc.
F. Building permit information:
1. examPle ~ construct single family house with an
attached garage
2. examplp. - remodel ~)';n;"!J garilge int'J family rO(l[l!
3. example - convert single family residence into
restaurant (change of use)
G. Value of work as defined in Section 303 (a) of the
Structural Specialty Code
H. DESIGN TEN.! AllO CONTRACTORS
To avoid design or construction delays, Building
Division Staff must be able to contact appropriate
per'sons regarding design information or job site
corrections. etc.
II. Abbreviated Plumbing. Mechanical. & Electrical Schedules
A. Except where blank spaces occur in the description
portion of the ~lechanical and Electrical Schedules.
the applicant need fill-in only the No. Boxes adjacent
to the appropriate item{s) to be installed
B. Full Plumbing. Mechanical. and Electrical Schedules
are available at the" Building Division
1. To conserve space on the permit form the SChedules
have been abbreviated
2. If the item(s) to be installed are not covered on
the abbreviated SChedules you should consult the
full schedules
C. BUILDING DIVISION STAFF WILL FILL OUT ALL FEES ANO
CHARGES ON THE SCHEDULES
D. As noted on the CAP, the label must be delivered to the
electrical contractor for signature by his electrical
supervisor. The general contractor is not authorized
to sign the electrical label. ---
Applicant to sion and date
Whenever possible, 'the initial application will be used as
a worksheet only. Where possibJe. Building Oivision Staff
will prepare a type written copy and return it to the
applicant at the time the actual permit is issued for his
signature.
IV. Fees and Charges
Plan check fees are due and payable at the time of the
application, and no plans will be processed until these
fees are paid. All other fees and charges are due and
payable when the permit is issued.
pJ-&
J/~/!{)
tJ;( Fi=-/7S 2r0
V. FOR OFFICE USE ONLY
P,noit Cl'~~
J
PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPANCY:
.Permit applicant exempt from registration with the Builder's Board because:
Additional Project Information:
l
PLANS REVIEWED BY:
name
signature
date
n
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