The URL can be used to link to this page

Home My WebLink AboutPermit Building 1991-02-07INSPECTION LINE 7?5-37 69 CITY OF SPRINGFIELD C()Ii6I IIATI Oii APPI- I CATI ON/PERM IT Job Address l-egal Descri ption EIIERGY SOURCES Hea t llater Heater Ran qe Sq . Ftq . l'1a i Sq. Ftg. Access._ Sq. Ftq. 0ther__-_ _t{ ew___.A.d d_-_.A I t e r_Pe p . _Fence_Demo_C ha n ge/ U se 0ther N \N \ \ Owner I Address Construction Lender Vaiue of l,lork: Ma Bu n Descr .e.,ing Farn i r,ti the Addres s Phone name address 1CS. nO.exot res phone no Pri mary Structura l EI ectri cal l''1ec han i ca I CONTRACTORS name add res s (lics. no.'exn l rtrs ohone no. Genera I 4a>f a)v) t f- Pl umbi nq El ectri cal I'lechanical ( PLUI{B I NG ELECTRI CAL MECHAN I CAL FFF CHARGF NO FFF CHARGF NO FFF Each single fixture Residence of SQ. FT furnace/burner to BTLI' s Relocated building (new fix. additional) New ci rcui ts al ts. or extensions Floor furnace and vent S. F. Residence(l bath)SERV I CES Recessed wal I Snacp heatpr end vpnt Duplex (l bath) each Additional bath Temporary Construction Apol iance vent seDa rate [,later servi ce C han ge in existing dpncprpq l Stati onary evap cool er Sewer multifami1y, comm. or Industrial Vent fan with sinole duct Storm Sewer 0f amps,Vent system apart from heatino or A.C. c0t1t''1. /IND. FEEDERS Mechanical exhaust hood and duct Instal I /al ter/re1 ocate di cfri h fcpdprs l'Jood stove/heater 0f S L V.1@ r*RS 600 /2lo /H&,1 4fg A)r).5o ISSUANCE OF PFRIIIT /o.oo TOTAL CHARGES TOTAL CHARGES TOTAL CHARGES 22!? WHERE STATE LAl'l REQUIRES that the Electricai work be done by an Electrical Contractor, the electrica) portion of this permit shall not be vaiiC until the label has been signed by an Electrical Supervisor and returned to the Building Division I HAVE CAREFULLY EXAHINED the completed application for oermit, and do hereb.y certify that all inforrnation hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the Cityof Springfield and the Laws of the State of 0regon oertaining to the work described herein, and that NC OCCUPANCY will be madeof any structure without the permission of the Building Division. I further certify that my registration vrith the Builder's Board is in full force and effect as required by ORS 701.055, that if exempt the basis for exemption is noted hereon, and that only subcontractors and enployees who are in comcliance with 0l?S 701.055 will be used on this oro,ject. llAt'!E(please prin Lr't IGNATU rE r/zh/ Zone______Tyoe/ Con s t Fire Zone Bedrooms its Ftg . l'lain x Value Load Sq.FtS . Access x Val ue Fl ood Pl a.in Stori es 0cc.y Gro x lu ToTAL VALUATI0N__-.-- Ftg .0ther BUILDING PERI'IIT Charges and Surc ha rge s Plan Ck. Comm/Ind 65%/Bldo Per Fee Svs Cha terns Deve rqe ( 1.52 o pmen t Plan Ck. Res 30%/81dq Per Fee PLUI4BING PERMIT Charges and Surc ha rges Fence D6mo ELECTRICA,L PERt|IT Charges and Surcha rges Sidewal k A/C Paving Total Comb. Permit IIECHANICAL PERMIT Charges and Surc ha rge s 22-,ro /,/3 Curb Cut TOTAL 23,G" UL5 I LAI.1 FOP OFF COMBINATION APPLICATION/PERMIT (CAP) I. Applicant to furnishA. Job AddressB. Legal Descriptionl. example- Tax Lot 100, Lane County Map Reference 17 03 432. example- Lot 1. Block 3, 2nd Addition toSIFTnlTieid EstatesC. Name, etc. of owner and construct.ion lenderD. Energy Sources 1 2 E. Sr . examp_le- heat/electricaI ceiI ing/. example- waterheater/eleLtilcal/o quare f ootage or val uat id,-ETc. or forced air gasr solai - II i. example- 1250 sq. foot house, 500 sq. foot garage2. example- if new project, check new - if addit.ion, check add, etc,F. Building permit information:1. example - construct singie family house with anattached garage ?. examp_le - remodel existing garage into fami)y room3. exampie - convert single family residence intorestaurant (change of use)G. Value of work as defined in Section 303 (a) of theStructural Specialty CodeH. DESIGN TEAI,,I AND CONTRACTORS To avoid design or construction delays, BuildingDivision Staff must be able to contact appropriitepersons 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 adjaient - t0 the appropriate item(s) to be instal ledB. Full PIumbing, Mechanical, and Electrical Schedulesare avai Iable at the Building Divisionl. To conserve space on the permit form the scheduleshave been abbreviated2. If the item(s) to be installed are not covered onthe abbreviated scheduies you should consult theful'l schedulesC. BUILDING DIVISION STAFF I,IILL 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 electricai'-supervisor. The general contractor ii not authorizedto sign the electrical label Appf icant to sign and date l,Jhenever possible, the initial application wil.l be used asa.worksheet oniy. Where possible, Building D.ivision Staiiwill 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 thesetees are paid. All other fees and charges are due andpayable when the permit is issued. FOR OFFICE USE ONLY III. IV V PERMIT VALIDATION * ftz-t7 Permit Clerk ll Ll 236;- PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPAIICY: Permit applicant exempt from reg'istration with the Builder's Board because: Additional Project Information : PLANS REVIEWED BY: datenames'l gnature CITY OF SPRINGFIELD COMBI NATI ON APPLICATION/PERMIT l-ega1 Description Job Address qffibJ It"l,later Hea Ranqe EIIERGY Hea t h^ a t; 0wn r//.s "gc,w).D Sq. Fto. tlain_ Sq. Ftg. Access._ Sq. Ftc. 0ther__ _l{ew_AddJl ter_Rep. _Fe n c e_Demo_C ha n gel U s e 0ther t\" mfifrtMa,l'i1 n n sc l,lo rk ng e (Q4.r (1Construction [.r\r Addre s s Phone v\_/I DESIGN TEAI.{name address n exDt res ohone no. Pri ma ry Structura l El ectri ca I Mechanical name,addrpsc I ics. no.exnl rFs nhonp no iuq),,(, Pl umbi no -7;t y111 (5'ft E1 rt ll.e PLUI,IB I NG u ELECTR I CAL MECHAN I CAL FEE CHARGE NN FFF CHAPGF l.li FFF CHARG F 2x6Each single fixture /d Residence of FTSQ furnace/burner to BTU' s Relocated building (new fix. additional) New circuits alts. or extensions Fioor furnace and vent S. F. Residence(l bath)SERV I CES Recessed wal l SnaaF heatpr and vpnf Duplex (l bath) each Additional bath Temporary Constructi on Apol i ance vent sepa rate Change in existing rps i dpnrpl.later servi ce Stationary evap cool er Sewer I ndustri a I multifamily, cornm. or 2 Vent fan with sinole duct 7 ,da 0f amps.Vent systern apart from heatino or A-C.Storm Sewer COMI.I./IND. FEEDERS Mechanical exhaust hood and duct I n sta I I /a I terl rel ocate di sfri h fecdprs trJood stove/heater 0f \t\\)p0 I 6.o ?4 R? ISSUANCF OF PFRIlIT TOTAL CHARGES ?4.o-TOTAL CHARGES &-t-TOTAL CHARGES WHERE STATE LAIJ REQUIRES that the Electrical work be done by an Electrical Contractor, the electrical portion of this permit shall not be valiC until the label has been signed by an Electrical Supervisor and returned to the Building Division I HAVE CAREFULLY EXAI'IINED the completed apnlication for oermit, and do hereb.y certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the 0rdinances of the Cityof Springfield and the Laws of the State of Oreqon oertaining to the work described herein, and that NC 0CCUPAI'ICY will be made'certify that my registration with the Builder's the basis for exemption is noted hereon, and that'I be used on this Droject. t,,lAtlE(please pri nt) f exemp .055 wi tI structure without the permission of the Building Divis I furtherof any Board i s in full force and effect as required by ORS 701.055, ion. that only subcontractors and er,'rployees who are in comoliance with ORS 701 Ftg. Access_ x Value,rn.*n:.r@@ t3-c(D$\Q'1?A Tor^L 'ALUATI.N Zone 4/ type/Const Load 0cc.y Group F-2Flood Plain S tori es (l- Fire Zone Bedrooms xFtg. l'lain Val ue Plan Ck. Comm/Ind 65%/81dq Per Fee s opment {fa.*BUILDING PERT.IIT Charges and Surcha rges t_?2-a2 Plan Ck. Res 31%/Bldq Per Fee \ FencePLUI4BiNG PERMIT Charges and Su rcha rges -__Ge--_?__ D6mo Sidewal kELECTRICAL PERI|IT Charges and Surcha rges A/C Pavi ng Total Comb. Permit 2?2.?S Curb Cut 7/2.?{I,IECHANICAL PERMIT Charges and Surc harges ____?_4 aa 7a TOTAL 'JIl lt)0ri I ,.!-J VUt COMBINATION APPLICATION/PERHIT (CAP) i. Applicant to furnishA. Job AddressB. Legal Description 1. example- Tax Lot 100, Lane County Map Reference 17 03 432. example- Lot 1. Block 3, Znd Addition toSFilnlField EstatesC. Name, etc. of owner and construction lenderD. Energy Sources I 2 5r I 2 . exampl e-. exampl e- quare foota hea t,/e I ectri ca I or forced qir gas wa ea solar E ge or valuation,. example- 1250 sq. foot house, 500 sq. foot garage. example- if new project, check new - if addition, check add, etc. II. F. Bui lding permit information:1. example - construct single family house with an attached garage2. 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, Bui)ding Division Staff must be ab'le to contact appropriate persons regarding design information or job s.itecorrections, etc. Abbreviated Plumbing, Mechanical, & Electrical Schedu'lesA. Except where blank spaces occur in the descriptionportion of the Mechan'ical and Electrical Schedules,the applicant need fjll-in only the No. Boxes adjacentto the appropriate item(s) to be installedB. Ful I Plumbing, 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 onthe abbreviated schedules you should consult theful I 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 electrical label Applicant to sign and date Whenever possib1e, the initial application will be used asa $/orksheet oniy, l.lhere possible, Building Division Staffwill prepare a type written copy and return it to theapplicant at the time the actual permit is issued for h.issignature. 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 III IV. V PERMIT VALIDATION Permit Clerk I g11b\\- PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPAI{CY:F L 1- Permit appf icant exempt from registrat'ion w'ith the BuiIder's Board because: Additional Project Information : PLANS REVIEWED BY: name dates1gna tu re qc ir actw oFFl 225 FImn. STREBf, SPRINGTIBLD, oREGoN 97477 INSPBCTI0N RE0t BSTz 726-3769 OPPTCE: 726-3759 1 OF Electrical Contractor Address L ctt ay'7->>/] Supervlsor License Number Expiratlon Date Constr Contr. Number Explration Dat Slgnature o Supervi Electrlclan Name Address ci Phone OIINBR INSTALI.ATION The installation is belng nade onproperty I ovn vhlch ls not lntendedfor sale, lease or rent. Ovners Signature: DATE: SPR -:IELO EIJCTAICAL PER}(rT APPLICATION Clty Job Nunber 3 COI{PI.RTE TEB SCEEDUI,E BELOIT A lSnrq Nev Resldential-Slngle orHultl-Famtly per dvelllng unit. Servlce Included: ftems 1500 sq.ft. or less Each addltlonal 500sq. ft or portion thereof Each Hanufrd Home or -Hodular Dvelling Servlce or Feeder STTBTOTAL OP ABOVB 5Z stdte Surcharge TOTAL One Clrcult $ 35.00Tvo to ten Circuits S 5O.OO -E-Each Addtrl ten or .-T- portion thereof 4_ S 15.00 60 Hlscellaneous (Servlce/feedir not included) -Each lnstallatlon Pump or irrlgatlon S 36.00Stgn/outline Ltghtins- S 36.00Signal Circult orIlmlted energy panel_ S 36.00 Cost $ 8s.00 $ 15.00 $ 3s.00 Sum Permits are non-transferable and expireif vork ls not started vlthin 180 daysof issuance or if vork ls. suspended ior 180 days. 2. CONTRAGTOR INSTALIATION ONLY B. Services or Feeders (10 Branch Circultslncluded). Installation, Alteratlons or .Relocation: 100 amps or less $ 35.00 101 amps to 400 amps l- S 60.00 7401 amps to 600 amps - $ 9o.oo : 601 anps to looo amps- S13o.oo Temporary Servlces or FeedersInstallation, Alteratlon or Relocation 201 amps to 400 amps - S 40.00 Over 401 to'600 amps - S 8O.OO 0ver 600 amps or'1000Efts see trntr aEiE- Branch Circults Nev, Alteratlon or Extenslon per panel D. c. E. 5 RECEIVED BY: aD t, h'S