The URL can be used to link to this page

Home My WebLink AboutPermit Electrical 1990-06-20CTTY OF SPRINGFIELD C()MBI NATI ON APPL ICATION/PERMI T 726-3753 Job Address 635 So . 41nd l-egal Description J.6- >7 boo EIIERGY SOURCES: tlater Heater Ran Sq. Ftg l'la i n Sq. Ftg. Access.-. Sq. Ftg. Other__ J'lew_Add AI ter_Rep. _Fence_Demo_Cha nge/ U s e 0ther DD fValue of l,lork Owner Spri ngf i el d Ut'il i ty Board Address 250 N. "A"Phone726_23c 5 Buildin Farni I y q Pernrit Info: Describe Work(' Residence llith Attached Garaqe' :e., Buiid Single Springfiel d, 0R Install circuits for litino- fan Construction Lender heater and stat- Addres s Phone DES IGN TEAI.I name addre s s lics. no.exDl res ohone no- Pri ma ry Structura l E l ectri cal Mechan i ca I CONTRACTORS name addres s lics. no.exDt res nhone no. Genera I P l umbi nq Erectr.icat L.R. Brabham, Inc., l0-D West "Q" Street, Sprinqfield. 0R 97477 ZO-87c. 1o/1/qo 7L7-66' l.'lechanical PLUIlB I NG ELECTR I CAL MECHAN I CAL FEF CHARGF NO FFF . HA PAF N0.FFF TIIAAGF Each single fixture Residence of SQ FT furnace/burner to BTL| ' s Relocated building (new fix. additional) New ci rcui ts a l ts. or^extensionsz 0r more ckts.22.5C Floor furnace and vent S. F. Residence(l bath)SERV I CES Recessed wal I Soace heater and vent- Duplex (1 bath) each Additional bath Temporary Constructi on Apol iance vent sPoa ratP [.later servi ce Chan rps i ge i n exi sti ng dencp Stationary evap. cool er Sewer multifamily, comm. or I ndus tri a I Vent fan with sinole duct Storm Sewer 0f amps.Vent system apart from heatinq or A.C. cor'4r.r. /rND. FEEDERS Mechanical exhaust hood and duct Instal I /al terlrel ocatedistrib. feeders l.lood stove/heater 0f amp s. 5% state surcharc e I t3 ISSUANCF OF PFRI1IT TOTAL CHARGES TOTAL CHARGES 23.63 TOTAL CHARGES WHERE STATE L.ll,l REQUIRES that the Electrical work be done by an Electrical Contractor, the electrical portion of this pernit shall not be vali,l until the Iabel has been signed by an Electrical Supervisor and returned to the Bui)ding Division i HAVE CAREFULLY EXAMINED the completed application for permit, and do hereb.y certif.y that all information hereon is true and correct, and I further certify that any and all work rrerformed sha'll be done in accordance with the 0rdinances of the Cityof Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that N0 OCCUPAI'ICY will be made of any structure without the permission of the Building Division. I further certify that m.y reqistration vrith the Builder's Board is in full force and effect as required by ORS 701.055, that if exempt the basis for exenption is noted hereon, and that only subcontractors and empioyees who are in comp)iance with 0l?S 701.055 will be used on this pro.ject. TIM LANTZ DAIE61Z0190I,lAl.'lE( pl ease pri nt)S I GNATURE Zone e/ Cons t.t q. Ftg. l{ain_ x q. Ftg. Access x Val ue Fire Zone Bedrooms Load S Val Flood Plain Stori Occ.y Group.Sq. FtS x Val ue TOTAL VALUATION ,0ther BUILDING PERI'IIT Charges and Surcharges PIan Ck. Conm/Ind 65%/Bldo Ppr Fpc Svs Cha teris Deve rqe (1. S.Z opment Plan Ck. Res 30%/Bldq Per Fee PLUI4BING PERMIT Charges and Surcha rges Fence DBmo ELECTRICAL PERI,IIT Charges and Surcha rges :2 SO Sidewal k A/C Pavi ng Curb Cut Total Comb. Permit I,IECHAN I CAL PERMIT Charges and Surcha rges TOTAL ,-3,b3 ue_ PERMIT VALIDATION Permit Clerk w t. fl#1 ?b'4'o COI'IBINATION APPLICATION/PERMIT (CAP) Applicant to furnishA. Job AddressB. Legal DescriPtionf.- gx-ggP.Lg- Tax Lot 100, Lane County Map Reference 17 03 43?. example- Lot 1. Block 3' Znd Addition to SErr'n-gTi et a Esta tes C. Name, etc. of owner and construction lender D. EnergY Sources I ceili or forced air gas r solarexample- heat, example- wate re footage or /el ectrj a ter o E. Squa valuat on, examole- 1250 s @ lr new check add, etc. q foot house, 500 sq. foot ga 'i t ra9e 2 project, check- new - if add lon, II F. Building Pernrit information: 1. exafrpie - construct single farrrily house with an attached garage 2. example --remodel existing garage into family room 3. examFIA - convert single fanlily residence into reiTiuFant (change of use) G. Va'lue of work as defined in Section 303 (a) of the Structural SPecialtY Code H. DESIGN TEAI4 AND CONTRACTORS To avoid design or construction delays' Bui)ding Division Stafi must be able to contact appropriate persons regarding design information or iob site corrections, etc. Abbreviated Plumbing, Mechanical, & Electrical Schedules A. Except vrhere blink spaces occur in the description portion of the Mechanical and Electrical Schedules' ihe appticant need fill-in only the No. Boxes adjacent to the appropriate itenr(s) to be installed B. Full Plumbinb, 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 shou)d consult the ful l schedul es C. BUILDING DIVISION STAFF I^IILL FILL OUT ALL FEES AND CHARGES ON THt SCHEDULES D. As noted on the CAP, the label must be delivered to the eiectrical contractor for signature by his electrical supervisor. The general contractor is not authorized to sign the electrical label. Applicant to sign and date Whenever possibie, the initial application will be used as a worksheet only. Where possible, Building Division Staff will prepare a type written copy and return it to the applitant at the tinre the actual permit is issued for his signature. Fees and Charges Plan check feis are due and payable at the time of the application, and no plans wi ll be processed until these flbs are paid. All other fees and charges are due and payable when the permit is issued. FOR OFFICE USE ONLY III IV, l, PROJECTCONDITIONSTOBESATISFIEDBEFOREOCCUPAI{CY: Permit applicant exempt from regjstration with the Builder's Board because Additjonal Project Informatjon: PLANS REVIEWED BY date name s'ig nature /SPECTION LINE !6-37 69 ob Address 635 South 42nd St. .egal DescriPtion NW 1/4 Sec5 T. 185 . 0wner S Address 1001 Main COMBI Phone 726-239s 7 EIIERGY SOURCES: HeatElectrica'l Sp:no llater HeatertrU[=_- So. Fto. Access. Ftg. I,la n Val d) ili€. t ng erknDesc taFami a newBuild for Substation Constructi on Lender Phone name 726-2395 Tom WelPri ma Struc tura l El ectri cal Mechanical I i ectr MECHAN I CALELECTR I CALPLUI,IB I NG furnace/burner to BTLI' sRxxidolcx>of 1,1 6z.rcEach sinqle fixture? >-\z, Floor furnace and ventci rcui ts al ts exten s i ons ingReoca ted il (new fix. additional ) /r. .tD?SERV I CE S1 Duplex (l bath) each I i ance vent Temporary Constructi onAdditional bath Stat onary evap.n exi sti ngCha n l,later servi ce wi thVentormutifamily, comm?a-DSewer 4-%1zeVent sYstem aPart from>Lamps.0f 225 SewerS exhau s thanca coMil./lND. FEEDERS tJood stove/heaterInstal1/alter /rel ocate distrib. feeders amp s.0f 5/;A issuANCE 0F pFRllIT TOTAL CHARGES TOTAL CHARGES TOTAL CHARGES thi s Permi t LAi.I oncaportctrtheContractorrItcaecEI onberkDiscawoBuditrElecngtothetthetharnedtuRESndareREQUsorSTATEl^,HERE Supervnasbyhasbeengnedbeanttheva,J Unotbesha Thomas Weller llAl.lE (Pl ease Pri nt) DINE,Y ert fycfu rtherandtco rrecand thefoLawsthedandfirlSpngrmlthepethou tt^l1retufstrucany tfecfrceandfofunsrdBoa nda oyeesemptoacrsubcontrv Oregon the Bui nq 701 exemPt t55 wi l truesheonreonntformatathacertrehendarfoCtanotyfthecanances0rdthepphtecompaccordancnedonbeshamadebeIwork,AI,ICYUPndaapeOCCH0tandtthanythanahere ibedscrldeworkntothe sartBudernqvrlththefpet0nostraStateatthregm.ycertfyfurt.he r atv1sonndthDinadhereonotedsnofnossxemptforebassthettha055ORSredectbyassrequrojpth0nu5beed0701ht0r?snceawhocompare S I GNATURI d Load SQ eroup E-Z--sq Zone c.y Val lueconst. V-d' vnits Bedrooms 0ccYFire Stori esFlood Plain lue TOTAL VALUATI Ftg. l'lain 4#. /4 , Ftg. Access x Ftg. 0ther Va OopmentSvstems Deve Charge (1.57 . Resan__/38_-Z?- 6 BUILDING PERNIT Cltarges and Surcharges {-z'*-..?,Z-/3PLUI,IBING PT.RMIT Charges and Surcharges -4= // Pav Demo 7term'lPComb ELECTRiCAL PERIlII Charges and Surcharges Curb Cut -iOIAL $\.P?4--I1TPERMCALI,lECHAIIl andCharges Surcharges Address SQ. FT. 7.SO H-gst"*Hanrt vpnt-S.F. P.esidence ( I bath) - done b.y an E l ectri cal el Fence Applicant to furnish A. Job Address B. Legal DescriPtion l. example- Tax Lot 100, Lane County Map Reference 17 03 432. example- Lot 1. Block 3, 2nd Addition to SIiin-ETield Estates C. Name, etc. of owner and construction lender D. Energy Sources 1. example- 1250 sq. foot house, 500 sq. foot garage 2. exalrple- if new project, check new - if addition, check add, etc.F. Building permit information:1. example - construct single family house with an attached garage ?, example - remodel existing garage into family room3. example - convert single family residence into restauiant (change of use)G. Value of work as defined in Section 303 (a) of the Structural Specialty CodeH. DESIGN TEAM AND CONTRACTORS To avo'id design or construction delays, Building Division Staff must be able to contact appropriate persons regarding design information or job site corrections, etc.II. 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 adjacent to the appropriate item(s) to be instal'ledB. FulI PIumbing, Mechanical, and Electrical Schedules are available at the Bui)ding Division1. To conserve space on the permit form the schedules have been abbreviated2. If the item(s) to be installed ane not covered on the abbreviated schedules you should consult the ful I schedulesC. BUILDING DIVISION STAFF l.llLL FILL OUT ALL FEES AND CHARGES ON THE SCHEDULES0. As noted on the CAP, the label must be delivered to theelectrical contractor. for signature by his electrical supervisor. The general contractor is not authorized to sign the electrical label.III. Applicant to sign and date Whenever possible, the initial application will be, used as a worksheet only. 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 his signature.IV. Fees and Charges Plan check fees are due and payable at the time of theapplication, and no plans wi1) be processed until thesefees are paid. All other fees and charges are due andpayable when the permit is issued. va l uat oll , ceili or fojgeq_q1! gas r COMBINATION APPLI CATION/PERMIT (CAP) el ectri V. FOR OFFICE USE ONLY I . exampl e- heat/?. Exami-l-e- waterE. Square footage or or solar +f \lotaA. PERMIT VALIDATION &nl,(qq Permit Clerk il PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPAI.ICY: Permit applicant exempt from registration with the Builder's Board because: Additional Project Information: PLANS REVIEWED BY: name i gna tu ?-7adate 3-