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Home My WebLink AboutPermit Building 1990-10-12INS 726 0 L INE COI,IBI NATION APPLICATION/PERMIT Legal Description Job Address EIIERGY SOURCES: Hea t Ran llater Heater Val r ro,n (L . Access._ . 0ther nce_Demo_Change/ Use her -Fe-0t l,ler.r Add A Iter Rep .l.1aiSq. Fto Sq. Ftg Sq. Ftg Phone I,li th 'lo F ,e., Build SingleAddress "e,a I /11Cons1 € 0) -A Addre s s Phone name exli res lhone no. Primary Structura I EI ectri cal {rn {/weMl''lechanicaI CONTRACTORS name (lics. no.exD I res I ohone no- Genera I -5 \ P l umbi nq , El ectrical l'lechani cal ELECTR I CAL MECHAN I CALPLUI{B I NG FFF CHARGF NO FFF CHARGF NO FFF CHARGFN0. Residence of FTSQ furnace/burner to BTU' sEach single fixture Floor furnace and vent Relocated building (new fix. , additional ) New circuits alts or extensions EnSERV I CES Z *eees*ed-.ualL Soace heater and vent 6S.F. Residence(l bath) Duplex (l bath) each Temporary Constructi on Apol i ance vent sPDa ratpAdditional bath Stationary evap cno l er[.later servi ce Cha res nge in existing i dence multifami1y, comm. or I ndu stri a l Vent fan with si nol e ductSewer /2.'o 0f amps.Vent systern apart from heatinq or A.C,/ro'Storm Sewer coMr'r./IND. FEEDERS Mechanical exhaust hood and duct ['lood stove/heaterI n sta I I /a I ter/ rel ocatedistrib. feeders z.to0fS"-fus?zrtm Dfu z'aa€<frlZz:fz ,4,,n 'Zzz bZ/2v,,45z43/,,7-ISSUANCF OF PFRI1IT /2,* TOTAL CHARGES ?/ onTOTAL CHARGESTOTAL CHARGES /2,'o I"'HERE STATE LAN REQU shall not be val iC until IRES that the Electrical work the label has been signed by be done by an Electri an Electrical Contractor, the electrica) portion of this permit ca1 Supervisor and returned to the Building Division the completed apolication for permit, and do hereb.v 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 City of Springfield and the Laws of the State of 0reqon oertaining to the work described herein, and that l,l0 OCCUPAI,ICY will be made of 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 employees who are in comcliance with 0l?S 701.055 will be used on this project. -1 z-?oI'lAtlE ( p1 ease pri nt C^I I HAVE CAREFULLY EXAMINED FOP, Fire Zone Bedrooms 0ccy Load Sq. Ftg. Access x 2,st,kt,rn- kE,y'zzaz* 7a z€.:ff; lD,Z-qD r.r^L ,ALUATI.N ' ZfZone Va lu Grou Ftg 0the r Ftg l'la i nt. ?aY units 1ue 7Z=38. * Val ueFlood Plain Stories. \qFrbndor Svstems Deve Charqe (1.51 opment /152 72Plan Ck. Comm/Ind 65%/B1dq Per Fee Plan Ck. Res 30%/Bldq Per Fee I BUILDING PERI'IIT Clrarges and Surcha rges 7-6-2-=:- %azlarza'aFence 72.*Demo E€ PLUI4BING PERMIT Charges and Surcha rge s - 4ia Sidewal k Total Comb. Permit 49ztr ELECTRICAL PERIIiT Charges and Surcha rges A/C Pav.i ng Curb Cut /6 f7. az 14ECHANICAL PERMIT Charges and Surc ha rge s TOTAL.?o lr'n_ u1 am re t^lork ( I Garaqe \\ OCID.N L r I lLAtl ( ____fu,_ ___za-_-_ coMBrNATr0N AppLrcATroN/pERMiT (CAp) I. App)icant to furnishA. Job AddressB. Legal Description 1. example- Tax Lot 100, Lane County Map Reference 17 03 432. example- Lot 1. Biock 3, 2nd Addit.ion toSpringfield EstatesC. Name, etc. of owner and construction lenderD. Energy Sources PERMIT VALIDATION krrr /sfqa 1. examol e- heat/2. eGmi-T-e- water Square footage or ir gas E II. l. example- 1250 sq. foot house, 500 sq. foot garage2. exampiE r'f n-ew project, check-new - if additio;, check add, etc.F. Bui)ding permit information:1. example - construct singie family house with anattached garage 2^. examp_le - remodel existing garage into family room3. example - convert single family residence iniorestaurant (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, Bu.ildingDivision Staff must be able to contact appropriitepersons regarding design information or job sitecorrections, etc. Abbreviated PIumbing, 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 adjaientto the appropriate item(s) to be installedB. Full Plumbing, Mechanical, and Electrical Schedulesare available at the BuiJd.ing 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 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 theelectricai contractor for signature by his electricalsupervisor. The general contractor ii not authorizedto sign the electrical IabelApplicant to sign and date Whenever possible, the initial application will be used asa.worksheet oniy. Where possible, Build.ing Division Staffwill.prepare a type written copy and returi it to theapplicant at the time the actuai permit is issued for hissignature. Fees and Charges Plan check fees are due and payable at the time of theappiication, and no pians wi ll be processed until thesetees are paid. All other fees and charges are due andpayable when the permit is issued. FOR OFFICE USE ONLY *6foo' o72 III IV V Permit Cler PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPANCY t Permit applicant exempt from reg'istration w'ith the Builder's Board because:l Additional Project Information : PLANS REVIEWED BY: name s i gnature date./4^lz-?a CITY ff :;Pi ,FiELC , ,fr, 1 LOCATION OP INSTALIATION 4 0 Sorr th 2nd IJGAL DBSCRIPTION Borden Chemical JOB DESCRTPTION I,Jire new maintenance sho p. Addressl0-D tdest "Q" Street City SPringfield Supervisor License Number Expiration Date 10/1 /92 I 473S Constr Contr. Number 20-87C Explration Date 10/1 /91 Signa of Supervislng Electrlclan 0vners Borden Chemical 225 FITTII STREM SPRTNGPTEID, oRBcoN 97477 TNSPECIION REOIESaz 126_3769oPPICE: 726-3159 gilu Be1 I evue, WA-...r ^*^oa Ph OIINER INSTALIATION The installation is belng made onproperty I ovn vhlch is not lntendedfor sale, lease or rent. Ovners Signature: COI{PI^ErE PEE SCEEDI'I^E BELOS Nev Resldentlal-Slngle orFlultl-Fanlly per avEtttng unlt.Service Included: EIJCTRICAL PERTT:T APPLICATION Ctty Job Nunber f tems Cos t $ 8s.00 $ 1s.00 s 3s.00 3. A B. c. D. E Sum Permifs are non-transferable and explreif vork is not started vfthin igO daysof issuance or if vork is. "u"p"ni"a fo,180 days. Z. COT{I?ACrOR INSAALI^ATTON ONLT Electrical ContraetorL.R. Brabham, Inc. 1500 sq.ft. or less Each additional 500sq. ft or portion thereof Each Hanufrd Home or - Hodular Dvellinn Service or FeedIr Servlces or Feeders (10 Branch Circultsinc-luded ) . rns tal1a t ion, -eitli"lio"" or.Relocation: 100 amps or less 101 amps to 400 amps T401 amps to 600 amps601 amps to looo amps-Over 1000 amps/volt Reeonnect Only 60r'0 s 3s.00 $ 60.00 s 90.00 s130.00 $300.00 s 3s.00 s s $ $i s 3s.00 s s0.00 s 1s.00 Temporary Servlces or FeedersInstallatlon, Alteratlon or ielocation 200 anps or less 201 anps to 400 anps - 0ver 401 to.600 arps - Over 600 amps or fbOOE'Iis Branch Circults 35.00 40.00 80.00 ee xBtr aEE one (206)455-4400 Nev, {lteration or Extenslon per panel One Circuit Tvo to ten Circuits Each Addtrl ten or .-- portlon thereof 60. 00 -3rOO-- Hiscellaneous (Service/feedir not included)-Each lnstallation lYtp.g" _irrigation S 36.00 Iimited energy panel_ S 36.00 5DATE: RECEIVED SUBTOTAL OP ABOVE5f Stdte Surcharge TOTAL b3 Phone 747-6638 - AddressP.0. Box 3626 .UU