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HomeMy WebLinkAboutPermit Electrical 1981-04-01 (2)INSPECTION I.INE t2('3769 CIIY OF SPRINGTIETD COI'IEINAII ON APPTICAII ON / PERAAII INFORIAAIION tINE ,2(}i753 o Addre Legol De:cription Addrerr Phone Sq. Flg. Orhcr -New -Add-Alter--ReP. - -Fence--Demo-Chonge/ Ura --Olhcr - Building Permit lnfo: Dercribe Worl (i.e.,8ui Single Ron Volue of Workr 5q. Ftg. Accctt. Reridence wirh Attoched Sq. Frg. Moin Addre rr Phone OESIGN TEAM (nome)(oddre:s)no.)no.) Primqr Struclurol A{echo nicol ddre no. Plum 4+Electricol l'{echonicol PTUMBING EIECTR ICAt MECHANICAL No. l i FEE CHARGE NO. I FEE CHARGE NO.FEE I CHARGE I Eoch rinqle fixtura I Reridence of --sq: fi. furnocefburner to --BTU'S New <ircuirs, slterolions or exlensionr Applionce vent seporoteI I Rclocoted building (new fix. odditionol) SERVICES Stoiionory evop. cooler S.F. Reridence (l borh) Temporory Conriruclion Vent fon with sinqle duclDuolex (l both) eoch I I Additionol bolh Ampr. Vent system oport from heoting or A.C. Mechonicol exhoust hood ond ducrWoler:ervice Wood stovel'heoterSewer FEEDERS Heot PumpSlorm Sewer Ampr. Air hqndler ro 't0,000 cFM Air hondler over t0,000 cFM ISSUANCE OT PERMIT WHERE STATE tAW REQUIRES rhot thc Elsctricol work be rione by lha Elsctricsl Conlroclot, thc alettricol portion of thir permit sholl not ba valid until o lqbcl hor bmn rigncd by on Elcctricol Contrqctor and qttachsd to tha electricol pcnel. I HAVE CAREtUttY EXAI{INED the ompleted opplicotion for permit, ond do heraby certify ,hot oll informotion hereon is lrue ond correcl, ond I further certify thot ony ood qll work pertormed sholl be done in occordoncE with ihe OrCinqnces of rhe Ciiy of Springfield ond the lowc of lhe Slote oi Oregon perroining ro rhe work described herin, ond thot NO OCCUPANCY will be mode of ony siruclure withou, lhe permirsion of the Euilding Division, lfurther ertlfy thlt my regitforion wirh the Builder's Eoqrd is in full {oro ond effect os reguired by ORS 70L055, thot if eremPt the bosis for exemption is'noted heron, ond thot only 3ubcontroctors ond employrer who ore in complione wiih ORS 701.055 will be used on lhis proiect. Zonc -Typc/ Const. -_Unit: ---Sq. Ftg. }{oin tlood Ploin -Stori.3--Occy Group-Sq. ttg. Olher " TOTAT CHARGES DATE Y tire TOTAT CHARGES TOTAT CHARGE5 Eorir for Builder's Boord exemption: NAlr\E (pleore prinr) FOn OrHCE UsE SIGNATURE x ----------Volua x -[6lys x -Volue TOTAT YATUATION. Bedrooms occy Lood Sq. Ftg. Accerr Systems Developmcnt Chorqe ( I .5?'o) PIon Ck. Comm/lnd 65?e/Bldq Per tee Plon Ck. Rer 3oo,'o/Bldq Per Fee BUITDING PERMIT Chorger ond Surchorges ECFence Totol Comb. PermitDemo PTUMBING PERA{IT Chorger ond Surchorges Sidewolk (n A/ C Povinq ELE TRICAT PERMII Chorge: ond Surcho rgcr Curb Cut rOTAT (pMECHANICAT PERMIT Chorger ond Surchorge r ENERGY SOURCES: Heot - Wolcr l{eolet TCT*.RRqLII CoMBTNATION AppLtcATtON,,'pE. _,lT (CAp) Applicoru. ro furnish A. Job Address B. Legol DescriptionI. exomple-tox lot .l 00, Lone County Moo Referer2. exEmilE-Lot l. Block 3, 2nd Addition to SpringfiC. Nome, etc. of owner ond construction lender D. Energy Sources exomple-heot,/electricol ceili 2 exornole-woter eoter.,eci V. FOR OFFICE USE ONLY PTANS REVIEWED BY: PERMIT VATIDATICN OF SPRINGFIELD CirY Holl Springfield, Oregon Deporlment of Public Works OFFICIAT RECEIPT No. B 56200 CITY E. Sguore fooroge o. roluotiof]Il-l. exompjs-.l,2Ig rq. foor house, 500 sg. foot gorog2. exomole-if new proiecf, check-new_if oddition, ciaEe.;?c: F. Building permit informorion:l. exomple-construc, single fomily house with on olgoroge 2. exomple-remodel existing goroge into fomily rooJ. exomple-convert single fomily residence into resrouront (chonge of use) G. Volue of work os defined in Secrion 303 (o) of theStrucrurol Speciotry Code H. DESIGN TEATA AND CONTR.ACTORS To ovoid design or construciion deloys, Building DivisStoff mus, be oble to contqct oppropriole p".rJn, ."gdesign informction or iob site correclions, etc. ll. ,Abbrevioted Plumbing, Mechonicol & Elecrricol SchedulesA. Except where blonk spoces occur in fhe description poof the Mechonicol ond Electricol Schedules, rh. ";pi;;need fill-in only the No. Boxes odiocent to the oppropitem(s) to be instolled 8. Full Plumbino, Alechonicol, ond Elecfricol Scheciulesore ovoiloble ot the Buiiding Divisionl. To conserve spcce on the permit form the scheduleshove been cbbrevioted2. lf the item(s) ro be instolled ore not covered on the ,. oted schedules you should consult the fuil schedulesC. BUILDING DIVISION STAFF WILL FILt OUT ALL FEES ANCHARGES ON THE SCHEDULES lll. Aoplicont to sign onci dote Whenever possible, rhe initiol opplicorion will be used os cworksheet oniy. Where possible, 'Builciing Division Stoff wilprepore o rypewritten copy oncj return it to the opplicont othe time the octuol permit is issued for his signotuie. lV. Fees cnd Chorges r9 Rec''d From IK Add Received Fotr (, c ( L reI (l (f Amount Received i,EY ZEO SIGNATURE SHELTOT'TUii'uLL ltltlEi3' EU6IX' or t"ol l!!tl_' Permit Clerk ( +- Plon check fees ore due ond poyoble of the time of the opplicotion,ond no plons will be processed unril rhese f"";;.; p;U. iTl"--"'other fees ond chorges ore due ond poyobl" ;;"; ii"l.r-rtis issued. PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPANCY: Additionol Proiec lnformotion: nclme a signoture dote (- \ ( (r il