The URL can be used to link to this page

Home My WebLink AboutPermit Electrical 1990-11-21,ctw oF 225 FIr[g, smEEf, SPRTNGEBLD, oRBGoN 97477 INSPBGE0N REQIIBST: 726-3769 oFPICE: 726-3759 0r EI.ECIRTCAL PBR}TTT APPIJCATION city Job Nunber ?OtZ Z/ COHPI.ETE PEB SCEBDT'I.B BBLOU Nev Resldential-Slng1e orHultl-Famlly per dvelllng unlt. Service fncluded: Items Cost 1500 sq.ft. or 1ess Each addltlonal 500sq. ft or portion thereof s 8s.oo $ 15.00 $ 3s.00 SPRll...-ilELO SI,BTOTAL OP ABOVB5f Stite Surcharge TOIAL ,% 3. fie. c/ooo JOB 2. CONMACTOR INSTALIATION ONLI Permits are non-transferable and explreif vork ls not started vlthin 180 diysof issuance or if vork is, suspen{ed ior 180 days Each l,lanuf ,d Home or -Modular Dvelling Service or Feeder B. Servlces or Feeders (10 Branch Circultslncluded). Instal1atlon, Alteratlons or .Relocatlon: 100 amps or less 101 amps to 400 amps -401 anps to 600 anps -601 aarps to 1000 amps Over 1000 amps/volts Reconnect only Sum Address 0 Electrical Contract cityJ,n-.1-[nL . pho n" ,l4l-a13urT- Supervisor License Number It8 6S Expiratlon Date lO- I -9L- Constr Contr. Number Explratlon Date lO - Slgnature of rvlslng Electrl "" O tS PUo ntirf I Onn, l+gL,$ 3s.00 $ 60.00 $ 90.00 s130.00 $300.00 s 3s.00 Temporary Servlces or FeedersInstallatlon, Alteratlon or Relocation 201 amps to 400 arnps - S 4o.oo Over 401 to'600 amps - S SO.0O0ver 600 amps or f6OOl6'Iis see nBr aE6E Branch Circults Nev, Alteratlon or Extenslon per panel Ovners Name Address o cttv-=xltll-t cl,. Phone 'tAb - ++o I-r u OUNBR INSTALIATTON The installation is belng made onproperty.I ovn vhlch ls not lntendedfor sale, Iease or rent. Osners Signature: DATE: t: a D tt*fl t 5 RECEIVBD 5o. oo ?,.50-.iX..<o I Two to ten circuits T $ 5o.oo fuoEach Addtrl ten orportlonthereof + S15.OO Hiscellaneous (Servlce/feedir not lncluded) -Each lnstallatlon Pump or irrlgatlon S 36.00slgn/outltne-Ltghttns- S 36.00Signa1 Clrcult orIimited energy panel_ $ 36.00 L L(L-/ rrE COI{B I APPL ICATI ERMIT 7?6-37 Job Address Bldg "Mr' , 2gg MiIl Street EIIERGY SOURCES: Hea t l',ater Heater Ranqe Ftg 5q. Ftg. Access.--- Sq. Fto. Other_ _t'lew_Add x AI ter_Pep. _Fence_Demo_Cha ngel Us e 0ther ID E P l-eqa1 Description Island park prof esslonal_ Center 0wner McKenzie Willamette Hos ta1 Value of tlork: s 16 ,000 .00 Address 1460 "G' street, sprinqfierd P\26-aaot Builciinq Pernit Info: Describe l,lork( Farnily Residence l,lith Attached Garaqe ,€., Euiid Single Commercial Tenant Remodel Construction Lender Addre s s Phone DESIGN TEAI4 name addre s s pxot req phone no primary The Aniundson Associates 200 South Mill Street, Springfield, Oregon 7 46-823L St ruc tura I Electricai l''lec ha n i ca I RA n ame add res s l ics- no- )ex0r res ohone no. General Meili Construction, 10 VanBuren, Eugene, Oregon 974O2 A 485-L4L7 P l umbi no El ectrical PLUI,IB I NG ELECTR I CAL MECHAN I CAL N0.FFF CHARGE NO FFF CHARGF NO FFF CHA RGF4.7f Eath si nol e fi xturertdza Residence of sQ FT furnace/burner to BTLI' s Relocated buildino (new fix. additional ) New circuits altsor extensions Floor furnace and vent 5. F, Res i dence(l bath)SERVICES Recessed wal I Soace heatpr end vpni Duplex (1 bath) each Addi ti onal bath Temporary Construct i on Apol iance vent seDa ra te [.later servi ce Change in existing res'i dence Stationar-v evap. coo l er Sewer multifamily,cornm, or Industnia l Vent fan with sinole duct Storm Sewer 0f s.Vent system a heatinq or A. part from c. cor4r.r. / IND. FEEoERS Mechanical exhaust hood and duct Insta l I /a I ter/rel ocate di stri b. fcpdprs I'lood stove/heater 0f ampr Ez ez/fr/4< 4-,?;7-rz aa 4z /z< fuzrv.4<z *2r-ISSUANCT OF PFRIIIT TOTAL CHARGES tZ.v. /r.*TOTAL CHARGES TOTAL CHARGES WHERE STATE L.1II REQUIRES thshall not be valid until the la a t the I work be done by an Electr Electrical Superv ,l ca '|Con t ra c to r t he e I ec tri c a I p0 t 'I f t hi permi tbeIhasbeen'I ned by r on ssgan'I sor a nd re tu rn ed to the Bu 'I .I d 'I n I D I I s 'I I FU LL E the compl te ap!')ca ti on work De rta ding s 701 ance fo r 0erm ,l t an d do he reb.y cer ti fy tha t I 'I I fo 1and correct, and I further certif-v that a ny and all a n rma t on he reon 'I s t rue o f Sori anyrdi ysu ng f I e I d a nd th La ws of the the permis d effect a Sta te performed shall be don e 1 n a cc0r da nc e w1 th t he 0rd 'I na nc es of the CityI be madetf 0reoon ining to th work des crl bed herei n a nd th at NC OCCUPAI,IC wl I5ructurethOUtsjon0ftheBuII'I ,l fu rtBoas in full force an s he r ce rt ,I fy tha t m.y reg I tra t I 0n t,l th t he Bu I I de r s onl s re qu I red by 0n 0s5,that if exempt the ba 1 s for exemp t .I on I s noted he nd tha tbcontractors and ernpl oyees who are in compli wl th ons 70 055 'I reon a l^, I I us ed on t h 'l s r)ect llAtlE(please print) Linn West S IGiIATU 19 Sept'90 Zone yo e/Const. fu,/ Units . l4ain / Fire Zone Bedrooms .0ccy lue Loa d Ftg Access x Value,rnu"4z'.r-n@aur@-Flood PIain torjes 2 eroup 7Z__sq. Ftg. TOTAL VALUATIOII BUILOING PERI.IIT Charges anC Surcharges __//6="?_Pian Ck. Conm/Ina-- 65%/B1dq Per Fee /)3 lo$%Systems Deve' Charoe (1.57, opment Ptan ct<. nei- 30%/81dq Per Fee PLUI4E ING PERI'4IT Charges and Su rc ha rges 1>e 7 Fence D6mo ELECIRICAL PERI:IT Charges and Surcha rges Sidewal k Total Comb. Permit I,IECHANICAL PERMIT Charges and S urc ha rge s TOTAL / 7g"D€i A/C Paving Curb Cut t'1ec ha n i ca 'l Electrica COMBINATION APPLICATION/PERMIT (CAP) I. Applicant to furnishA. Job AddressB. Legal Description1. .ggg!.lS. Tax Lot 100, Lane County Map Reference17 03 432. exaTple- Lot l. Block 3, 2nd Addition toSpringfield Estatesq. Name, etc. of owner and construction lenderD. Energy Sources exampl e- examp i e- re foota example- 1250 sq example- if new check add, etc. hea t/e l ectr i ca I wa ea ter,eE. Squa ge or va)uation, e F I L. I 2 1 1 forced air qas or solar foot proj ect house, 500 sq. foot garage,, check new - if addition, Building permit information :- construct single family house with an garage exampl e a ttached 1L III. IV. ?. examp]e - remodel existing garage into family roomJ. exampte - convert single family residence intorestaurant (change of use)G. Value of work ai defined in Section 303 (a) of theStructural Specialty CodeH. DESIGN TEAM AND CONTRACTORS To avoid design or construction delays, BuildingDivision Staff must be ab'le to contatt appropriitepersons.regarding design information or job sitecorrections, etc. Abbreviated Plumbing, Mechanical, & Electrical SchedulesA. Lxcept where blank spaces occur in the descriptionportion of the Mechanical and Electrical Schedules,the applicant need fill-in only the No. Boxes adjacent _ to the appropriate item(s) to be installedB. Full Plumbing, Mechanical, and Electrical Schedulesare available at the Building Divisionl. To conserve space on the permit form the schedules have been abbreviated?. If the item(s) to be installed are not covered onthe abbreviated schedules you should consult thefulI schedulesC. BUILDING DIVISION STAFF l.llLL FILL OUT ALL FEES AND CHARGES ON THE SCHEDULESD. As noted on the CAP, the jabel must be delivered to theelectrical contractor for signature by his electricalsupervisor. The general contractor is not authorizedto sign the electrical label. Applicant to sign and date Hhenever possibie, the initial application will be. used asa worksheet only. Where possible, Building Division Staffwill prepare a type written copy and return it to theapplicant at the time the actual permit is issued for his s i gna ture. Fees and Charges Plan check fees are due and payable at the time of theapplication, and no plans will be processed until thesefees are paid. All other fees and charges are due andpayable when the permit is issued. FOR OFFICE USE ONLY PERMIT VALIDATION Permit Clerk I *w d qDt,$Fo PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPAI{CY: Permit appl icant exempt from registration with the Bu'ilder's Board because: Additional Project Information: PLANS REVIEWED BY: date 2/29anameS'I g nature