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Home My WebLink AboutPermit Building 1990-10-12/ PECTION LINE -3769 CITY OF SPRINGFIELD COMBI NATION APPLICATION/PERMIT 7 Job Address Legal Description r) Ran l,later Heater EIIERGY SOURCES: Hea t 0wner "50.'ffha . Access.-- . 0ther Ftg FtgSq Sq. Address ( e 'I ) ,e., Build Singletlo rk Ga raq, t,(;D?l) Cons tructi on nder Addres s Phone \ a) aS name exDl res ohone no- Pri ma Structura I El ectri ca I l''lec ha n i ca I :TORS name 'I ics. no.ohone no. El '| PLUIlBI NG ELECTR I CAL T,IECHAN I CAL N0.FFF CHARGE NO FFF CHARGF I'lr FFF r.HA PC F Each single fixture Residence of FTSQ furnace/burner to BTU' s Relocated building (new fix. additional ) New circuits alts. or extensions Floor furnace and vent S. F. Res'i dence ( I bath)SERV I CES Recessed wal I Soace heat-er and vent Duplex (l bath) each t/'|/<./4?t Additional bath Temporary Constructi on Apol iance vent seoa rate [.later servi ce Change in existing res i dence Stationary evap. cool er Sewer multifamily, comm. or Industrial /Vent fan with single duct ve Storm Sewer Vent systern apart from heatino or A.C. coMr'r./IND. FEEDERS Mechanical exhaust hood and duct I ns ta l I /a l ter/re l ocate distrib- feedprs [,Jood stove/heater 0f s. D.r.)A/z*/ec,4,r-* *2,Sn *t*zr*4'.D lztr /f. oaISSUANCF OF PFRIlIT TOTAL CHARGES TOTAL CHARGES TOTAL CHARGES /7.n S IGNATURE DATE l,lAl'lE(please pr lhe^inil Done td i? s- LAI.I REQU iC until t,/H EER TESTA RESI hat t the 'IE rlect ica kwor donbe e Ean ecI ctri Iaby raCon t ctor the Ie ec tr cI Ia rt onI of 'Ith s tp0perm'ihavaIbetnoIIIIabethebeenhas'Is ned an IE caectrr'SI 'Igby sor reand rntu edupe to Buthe 'I'|Id Di vl Is onng app and any rd permi ffect exempt 055 wi l I UL L eI tedcomp frmiforoncaDE hereb.y hat at II n fo rma'I 'It no reonhe s'I truendaaIndcorrec t efurth certr 'I hattfy a II kwor rfo rmed 'Isha I n'IonedbeDE accordanc tWI h the 10rd sna nce of the 'IC tyfr1'If I anddSpn9 Lawsthe of any oftheteSta 'Irta 'In toonpe workthe crIdes bed0regng herei n thaand t NC CUPAI'ICY0c Iwl I be demaoruturectwlstthoutheIsonthfBeIut1dnD'I s'I I n I hefurt cer Irt t tha ts ra ,lfyt 0n thV/T Buthe IIreg im.y der sBoasIn1Ifulforcndae'Isa g 0 0551red0Rs7 tha 'It freq u by ba Is fors 1 0ntheexempt 'I ns heoted reon nda tthaonstrubcon'acIy to rs nda I s wh 1areempoyee n 'IIc0mD wlance ORSth 170 be 0nused thiI s tpro,j Load /l sq. Ftg. Access x va Group V-Z sq. Fts. nrn""@ru ue?-eAt fu 4lffun: Sto 0c c.y l Zo n e _,/L/A/__:t yDel Co n s t ts So. Ftg. lilai ValueFire Zone Bedrooms luFlood Plain rr es t*(TOTAL VALUATION Plan Ck. Conln/Ina 65%/B1dq Per Fee .57 terns opmenBUILDING PERI.IIT Charges and Surcha rges --/2..ft---723 Plan Ck. Res 30%/81dg Per Fee \ FencePLUI4BING PERMIT Charges and Surc ha rges D6no Si dewal k ELECTRICAL PERIlIT Charges and Surcha rges Tota'l Comb. PermitA/C Pavi ng Curb Cut I,IECHANICAL PERMIT Charges and Surc harges ___/2._-__ TOTAL /b77& r#n nnr0r 0f amps '*rz q\ 33d,Y,i'Yi- COMBINATION APPLICATION/PERMIT (CAP) I. Applicant to furnishA. Job AddressB. Legal Description1. example- Tax Lot 100, Lane County Map Reference 17 03 432. example- Lot 1. Block 3, Znd Addition to SpFi-ngfield EstatesC. Name, etc. of owner and construction lenderD. Energy Sources 1. 2. 5q 1. 2. exampl e- examp I e- uare footag heat/electrica l cei 'I or forced air gas wa ea ter,e EC or soTaF E e or valuation, example- 1250 sq. foot house, 500 sq. foot garage example-'if new project, check new - if addition, check add, etc. II F. Buiiding permit fnformation:1. example - construct single family house with an attached garage ?. example - remodel existing garage into family room3. example - convert single family residence into restaurant (change of use)G. Value of work as defined in Section 303 (a) of theStructural Specialty CodeH. DESIGN TEAM AND CONTRACTORS To avoid design or construction delays, Building Division Staff must be able to contact appropriate persons regarding design information or job sitecorrections, etc. Abbreviated Plumbing, Mechanical, & Electrical SchedulesA. Except where blank spaces occur in the descriptionportion of the Mechanical and Electrical Schedules, the applicant need fill-in only the No. Boxes adjacentto the appropriate item(s) to be installedB. Full PIumbing, Mechanical, and Electrical Schedules are available at the Building Division1. To conserve space on the permit form the schedules have been abbreviated2. If the item(s) to be installed are not covered on the abbreviated schedules you should consult thefull schedulesC. BUILDING DIVISION STAFF WILL FILL OUT ALL FEES AND CHARGES ON THE SCHEDULESD. As noted.on the CAP, the label must be delivered to theelectrical contractor for signature by his electricalsupervisor. The general contractor is not authorizedto sign the eiectrica'l iabel Applicant to sign and date lJhenever possible, the initial application will be used as a worksheet only. Where possible, Bui lding Division Staffwill prepare a type written copy and return it to the applicant at the time the actual permit is issued for his s i gnature. Fees and Charges Plan check fees are due and payable at the time of theappiication, 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. FOR OFFICE USE ONLY III IV v PERMIT VALIDATION 0t { ,qT t[''flSp,v ,*w Permit Clerk PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPAI{CY: Permit applicant exempt from registration with the Builder's Board because: Additi.onal Project Information: PLANS REVIEI^IED BY: name s'l g nature date 225 PTYTII STREEf, SPRINGPIBLD, OREGON 97477 INSPECIION RB0t BSTT 726-3769 oPPTCB: 726-3759 I IJGAL DESCRIPTION 5 2. COI|TRACTOR INSTALI.ATION EIec t ri Address cal Contract ci Phone Supervlsor cense Number Expiratlon Date Constr Contr. Number Explration Da Ovne Name Address ci Phone OgNER TNSTALI.ATION The installation is belng made onproperty I ovn vhlch ls not lntendedfor sale, Iease or rent. Oeners Signature: DATE: SPF'IN IELO EI.BCTRICAL PEh}fiT APPLICATION City Job Nunber U 3. COHPI.ETE PEB SCBEDUIA BELOU A. Nev Resldential-Single orHuItl-Farnlly per dvelllng unlt. Servlce Included: ftems Cost 1500 sq.ft. or less Each additlonal 500 sq. ft or portion thereof Each Hanufrd Home or -Hodular DveIIing Servlce or Feeder s 8s.00 $ 15.00 $ 3s.00 B. c. D. D Servlces or Feeders (10 Branch Clrcultslncluded). Installatlon, Alterations or.Relocatlon: 100 amps or less 101 amps to 400 anps -401 arnps to 600 amps -601 amps to 10oo anps- Over 1000 amps/volts Reconnect 0nly Sum Permits are non-transferable and explreif vork is not started vlthin 180 dlysof issuance or if vork is. suspended ior 180 days. s 3s.00 $ 60.00 s 90.00 sl30.00 s300.00 $ 3s.00 Temporary Servlces or FeedersInstallatlon, Alteratlon or Relocation 201 amps to 400 anps - g 4o.oo 0ver 401 to'600 amps - S gO.O0 Over 600 amps or'1000GTfs see xBr aE6E Branch Circults New, Alteratlon or Extenslon per panel Each Addtrl ten orportionthereof + S15.OO Hlscellaneous (Servlce/feedir not lncluded) -Each lnstallatlon Pump or irrlgatlon Stgn/outline Llghtlns- Signal Clrcult or s I limlted energy panel $ 36.00 STIBTOTAL OP ABOVB 5Z Stdte Surcharge TOTAL 36.00 BRECEIVBD A\c 5 .oc) l