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Home My WebLink AboutPermit Electrical 1980-09-09PECTION LIIIE -37 69 CITY COIIB I iIATI ON OF SPRI|IGFiELD -APPL I CATION/PERMIT Addres s 4 z P zsrJ ta l Description ner 'i*Jt dress (7 zBrb lnstructi on Lender rt ma ,tructural e ^le,. r.L-t Phone E33 Phone tir )d llork:v 7 tc o,c)C)It-^ lJater Heater Val ue of Ranqe EIIERGY SOURCES Hea t to. l4ain_ Sq. Ftg. Access._ Sq. Ftc. 0ther_ _l{ew-Ad6 41 ter_Rep. _Fence_Demo Change/Use 0ther in tI ukC I G ng ernfo: Desc lli th Attac t q lics. no.exo i resaddressname ho no : I ectri ca i r4echani ca I Cenera I Pl umb'i El ectri cal PLUIlB I NG ELECTR I CAL MECHAN I CAL }:F F I^ HARCF NOFEECHARGENO Residence of SQ. FT. New ci rcui ts al ts or extens i ons N,D i I-{-It I furnace/burner to BTU' S Floor furnace and vent Each single fixture Relocated building (new fix, additional) ; 5. F. Residence(l bath)SERV I CE S Recessed wal I r Soace heater and ventf i Duplex (l bath) each Temporary Construcli on Apol iance vent seDa ra t-eAddi ti onal bath Stati onary evap cool erl.later servi ce res i dence Change in existing Industrial multifami1y, comrn. or Vent fan with sinole ductSewer 0f -amps. Vent systern apart from heatino or A.C.Storm Sewer COI4I1./IND. FEEDERS Mechan i cal exhaust hood and duct Instal I /al ter/rel ocate distrih- fpeders l'lood stove/heater I ) //t/A 0f amps. i14,,'/l/ l-l i ISSUAI.ICE OF PFRIlIT TOTAL CHARGES TOTAL CHARGES /O-K) ' an Electrical Contractor, the electrical portion of this permit cal Supervisor and returned to the Building Division TOTAL CHARGES I^IHERE STATE LAI,J REQU shall not be valil unti l IRES that the Electrical work the 'label has been signed by be done by an Electri I HAVE CAREFULLY EXAI1INED the completed apnlication for oermit, 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 Ordinances of the Cityof Springfield and the Laws of the State of 0regon oertaining to the work descnibed herein, and that NC 0CCUPANCY will be made of any structure without the permission of the Building Division, I further certify that n.y 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 enrployees who are in comcliance with 0l?S 701.055 vrill be used on this nro,ject z/,y/co llAt'lE(please print),TEB fL-.^ k o-?\ SJGi.ATLIRE l_A &-_,--_J,L F( Val ue Flood P'l ain V'2' Stories TOTAL VALUAT x x roN 7,+)31ril lln its 0cc.y Group Const. '€ -{ q Loa d ivl'( s Val ue Value Fire Zone Zone Ftg. Acces Ftg.0ther Ftg. l'lainSq SqBedrooms og*,bo Pd, Svstems Devel ocment Charqe (1.51)Plan Ck. Comm/ind 65r/,/8ldq Per Fee f 5q41{ BUILDING PERMIT Charges and Surcharges -Moc- /2 Plan Ck. Res 30ii/B1dq Per Fee FencePLUI4BING PERMIT Charges and Su rcha rges ,/it Demo 5idewaIkELECTRICP.L PERI1IT Charges and Surcha rges /Q-Qa- A/C Paving/TotaI Comb. Permit ,SO,IG Curb Cut.I,lECHANICAL PERMIT Charges and Surc harges \TOTAL Fs6,ru Jdre s s n ame ( addres s FFF I COMBINATION APPLICATION/PERMIT (CAP) I. Applicant to furnishA. Job AddressB. Legal Description 1. example- Tax Lot 100, Lane County r 7Rt17-03-43 - I' 2. example- Lot l. Block 3, 2nd Addit' SlII-n-gFi et d Esta tesC. Name, etc. of owner and construction l€ lr0. Energy Sources PERMIT VALI DATION CITY OF SPRINGFIELD CirY Holl Springfield, Oregon o"oo-irn"-nt of Public Works--brFlclAL REcEIPT (, 1. 2.E. sq 1. ?. exampl e- heat examo'l e- wa te uare footage or ,/el ectrical i I in ortertrca0re B 54518r valuat on, etc (^example- 1250 sq. foot house,500 stexample- if new project, check-new _ check add, etc. ding permit in.i,ormatron : le L (F. Bui l - construct single fami'ly ho (.,d i. examp l e 3 remodel ex'i stin garage in res taura -.converl sint (change of use) n91e ami l-v resir eG. Value of w oi^k as de f i ned in Section 303 (Structural Special ty Code lt DESIGi.I TTAi.,i AiJD C ONTRACTORS or' construction delays, B 6 ?_ a ltached gara ge E}!IP-I9 e)i(rmo I e f For: To avoid des'ign Division Staff m persons regarding-design in.iormaiion orcorrections, etc.reviaied PIunbinq, Except where blin Lrst be able to contar:.t a pt J( I I. Abb A. l'lechanical, & Elsr:trica lk spaces occur in the desportion of the Mechanicai aird Elect;.ical Sthe app l icant need fii l..in onl y the No. Bo.to the appropriate item s).to be installedFull Plumbing, Mecnani cal, and Electricalare ava i I ahl e at th e Building Division1. To corrserve s pace on the permi i: focm th will prepare a return i t toapplicant at t i t is issued s i gnature type written copy andhe time the aclual perm -() I\hc {4 have beerr abb rev i a ted2. If the item(s) to be installed;ai-e notthe abbreviated schedules you shouid cotfui I schedul es BUILDIiic DIVISION STAFF I,JILL FILL OUT ALL Fi ',.AIr' CHARGES ON THE SC}iEDUL ESD. As noted on the rAp, t he i ahel mus t be de l r'velectrical contractor for signature by his esupervisor. The gene ral contractor. label is not a or,' Amou nt Rec eivedto sign the electiicalIII. Appl icant to sign and date l,lhen ever possible, the initial a ppl icat ion wi l l ta worksheet onl y. Where possible, Buildin g Divis (i (' c SIGNAIURE EUGEni oF 97'ol IV Fees and Charges Plan.check fees are due and payable at the time oiapplication, and no plans rviit-0" p.oiuiiea untittees are paid. AII other fees and charqes are duepayable when the permit is issued. FOR OFF I CE USE Oi{LY : { and V -. ^ Pernri L Cl erk ( ( PROJECT CONDiTIONS TO BE SATISFIED BEFORE OCCUPAI{CY: cant exempt from registration with the Builderls Boar,cl because: Additiona'l' Project Information : Permit appf i PLANS REVIEWED BY: signature dut" ?e- tAname ( (. (, Ji ., Job Address a tyil lmtrptlm COIIBI AP ICAT ERMIT n ner tdress ddre s s Phone rri mary itructura I ll ectri ca l llechan icaI Gen ri cal o ai .+ !y'a ter Hea ter Ran qe EIIERCY SOURCES: Heat sq. Ftq. oth." - l{eu/ Add ,Al ter Rep. -0t-Fe nce Demo Chan 9el Use her Ftg. l.Ia nSq. Ftg Access. Va l ue of l,lork uild SingleeI nfo Farn i I n ttached noname exD l res (ohone no. )addres s )(lic s. no. )iACTORS name -tb MECHAN i CALELECTR I CAL LI2.7 PLUIlB i IIG CHARGF l'r0NNFEECHARGE furnace/burner to BTLI' s Residence of FTSQEacn single fixtureI Floor furnace and vent New ci rcu i ts al ts or extensions Relocated bui.lding (new fix. additional ) Recessed wal I Snace heatpr and ventSERV I C ES h S.F I Dup)ex (1 bath) each Apol iance vent s eoa ratgTemporary Constructi onAddi tional bath Stationary evap. cool er ge in existing dence Chan rps iI,later service Vent fan with sinole ductTndrrstrial multifamily, comm. or Sewer Vent systern apart from heatino or A.C,0f amPs.Storm Sewer Mechanical exhaust hnod and ductc01,fi.1. / IND. FEEDERS l'lood stove/heaterInstal I /al ter/re1 ocate di s,tri h- feeciers ) fl.a504amps.0f ISSUANCE OF PFRIIIT TOTAL CHARGESTOTAL CHARGESTOTAL CHARGES shall not be vaii,l until the label has been si al work be done by an Electrical Contractor, the electrical portion of this permit gned by an Electrlcal Supervisor and returned to the Building DivisionI^IHERE STATE Llll REQUIRiS that tlte Electric and correct, and I further certif-v that any and all work oerformed shall be done in accor, of Springfield anci the Laws of the State of 0regon oertaining to the work described hereir of any siructure without the permission of the Building Division. I further certify that Board-is 'in full force and effect as required by ORS 701.055, that if exempt the basis fo only subcontractors and ernpioyees nho are in comcliance with OPS 701.055 rlt'ill be used on that all information hereon is true dance with the Ordinances of the City n, and that NC 0CCUPAI'ICY will be made my registration with the Bu'ilder's r exemntion is noted hereon, and that thi s pro,ject. DArE //3/-f)llAl'lE(please pri nt)S I GitATURE oermit, and do hereb.y certiI HAVE CAREFULLY E completed appl cati on Uni ts F.lood Pl ai n _ Stori es Occ.Y Group TOTAL VALUATION T'ype/ Con s t Load UCFtg0the r Bed rooms 0ccy X Va1 Val ue Val ueFire Zone Zone Ftq. l'!ain Ftg. Access x Svstems Deve Charqe (1.57 opmentPlan Ck. Comm/Ind 65%/B1dq Per Fee Plan Ck. Res 30%/81dq Per Fee BUILDING PERI'lIT Charges and Su rcharges Fence Dgrno PLUI'4BING PERMI T Charges and Su rcha rges SidewalkELECTRICP,L PERIlIT Charges and Surcha rges ___&- A/C Pav i ng Curb Cut 5& 00TOTAL MECHANICAL PEP.MIT Charges and Surcharges onstruction Lender -t Work ( Ga ra oe E ( nhonp no -FXn I res( addres s F;F Tota'l Comb. Permit I) \ ii , \ COMBINATION APPLICATIONi PERHIT (CAP) I AoPlicant to furnish A Job AddTCSS[: Lesal Descripll:n.o. r00, Lane county Map Reference 1 example- lax4^ 2. ll.Hi,l: Lot 1' Block 3' Znd Addition to SiiTngTield Estates ...- 1C. Name, etc. or o,ntr-ina construction lender electrical ceili or forced qir gas e EC ca or sol ar E valuat OD, 1 exampl e- examp I e- check add 1250 s q. foot house, 500 sq. foot garageproject, ci'eck-new - lf aOOition,2 lT new , etc II F. Building permit informationl1. efgg!-]S- - construct single family house yrith anattached qarage2. examole --.eo6del existing garage into family room3. ;xarlEle - convert singie iariify""esioence into - reslaurant (change of use)G. Value of work as defined in Section 303 (a) of theStructural Specialty CodeH. DESIGN TEAI4 AND CON1RACTORS To avoid design or construction delays, Bui)dingDivision Staff must be able to contalt approprijtepersons.regard.ing design information or jbO iitecorrecti ons , etc. Abbreviated P)umbing, Mechan.ical, & Electr.ical SchedulesA. ixcept y/here blank spaces occur in the descript.ionportion of the Mechanical and Electrical Scheiules,the applicant need fill-jn only the No. Boxes adjaient_ !0_!hg appropriate item(s) to te installedu. rut I plumbing, Mechanical, and Electrical Schedulesare avajlable at the Bui lding Division1. To conserve space on the permit form the scheduleshave been abbreviated2. If the item(s) to be installed are not covered onthe abbreviated schedules you should consult theful I schedulesC. BUILDING DIVISION STAFF hIILL FILL OUT ALL FEES AND CHARGES ON THE SCHEDULESD. As noted on lhe CAp, the ]abel must be delivered to theelectrical contractor for signature by his ele;triaai - supervisor. The generat coniractor ii not authorizedto sign the electrical labelApplicant to sign and date Whenever possible, the initiai application will be used asa.worksheet only. Where possibti, Aullding Division staiiwiil.prepare a type written copy and ""tr"n it to theapplicant at the t.ime the actuai permit.is issued ioi niss i gna tu re. Fees and Charges Pian check fees are due and payabie at the t.ime of theapplication. and no plans wiit-Oe procesied until theserees are paid. All other fees and charges are due andpayable wnen the perm.it .is issued. FOR OFFICE USE ONLY III IV PERMIT VALIDATION Permi t Cl erk PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPAI,ICY: Permit applicant exempt from r:egistrat'ion with the Builder,s Board because Additional Project Information : PLANS REVIEWED BY: name da teSIgnatu re DEPARTI'1TNT OF PUBL I C l,l0RKS BUILDIIJG DIVISION CITY OF SPRTIIGFIELD APPLICATION FOR ELECTRICAL INSIALLATIOII LABELS PH-20 F,EV. 12-77 346 Main Street Sprin_cfield,0regon 97,17 7 K?/,+n/€ (Nanre or firm - Please Print) H0l4E Ol,^lNER'S - I herebY certi ropose to mak (t'taiiing address) fv that I am the outner of e an electrical installati (City or town) (ZiP code) (CountY) the property described below, at whjch location I on fb. my o*n use and this property is not be'ing onstrucLed for sale, lease or rent I ELECTRICAL CONTRACTOR - Enclosed find $62 f,or IS THIS BEING SUBI4ITTID TO COVIR ONT ELICTRICAL JOB? p c electrical installation labels r x YES _--_N0 No RESIDENTIAL Residence wiring less than 1000 sq' ft" ' " Residence vliring less than 2000 sq' ft" "' Residence wirinq over 2000 sq. ft. ': " " "' Electric heat installatjon .in existing residence' ' LaOe I llo Amount Received S0b 00 00 00 00 00 00 00 10 10 15 tx ,/f"+ n feeders I (? $ 10.00 @ s 15.00 @ $ 2s.00 0 $ 30.00 @ $ 40.00 00 00 00 00 0c 00 $ io $10 s10 5to $10 $10 5 s G 0 (a 0 (i 0 v e e S S 5 S 15 25 35 10 ...@ 6 ...0 ...G S S S SERV I CES Temoorarv Construction Service. Service ihunqe only in an existing residence" Multjfarnily l'lith Central Service,commercial or Service not over 100 amPeres Service over 100 amperes but not more than 200 Service over 200 anlperes but not more than 400 Service over 400 anlperes but not more than 600 Service over 60C amperes. Service over 600 volts-. COI4MERCIAL AND lNDUSTRIAL FEEDERS Installation of Alterations or Relocation of Distributio Not more than 100 amperes. 0ver 100 anperes but not more than 200 amperes 0ver 200 amperes but not more than 400 amperes' Over 400 amperes. Feeder over 600 volts. ' MI SCELLANEOUS for the follow.ing installations S $ s $ $ 0 at: @ @ @ @ 0 @ S s lndustria anrpe r e s ampe res ampe res s S 0050 ) S 5 S A $10.00A. Each B. Each C. Each D. Each E. Each F. Each Label shal 1 aPP trailer or mobi supply for mob.i farm building o irrigation PttmPeli:ctric sign o residential swi 5honre space home...... ther than residence. ,r outline lighting.. rnni ng pool 5 S J S st, 'l<--._\6U-s-5 a '.-' BRANCH CIRCUITS One new circuit; alteration or extens'ion ' 'c $ 10'00 TOTAL ADD SIJRCHARGE H0l.1E OWNIR - The actual installation will be nrade by me ---- or by (Name and address) who is a mernber of nrY f amilY RelationshiP s 5 SUBTOTAL 4i1 of Subtotal TITAL ectri ca :ontrac (Signatrrre of SuPervisor)(Home Owner's Aulhorl zed Signa ture fl ec t l i CilIT:c-en se I'IimbAi w a-- -<_ CITY OI- SPH,II$GI-IEI-D DEPARTMENT OF PUBLIC WORKS SPRINGFIELD. OREGON 97 477 May 23, 1978 346 MAIN STREET 726-3753 Mr. Steve Pfaff, Admin'istrator Springfield Community Chapel, Inc. 942 Nroth 28th Street Springfield, 0regon 97477 Dear Mr. Pfaff: At your request the Building Divisjon of the City of Springfield made an occupancy inspection on May 11, 1978, at the structure located at 942 I'lorth 28th Street. The building is presently used as a church. It'is our under- standing that you now also wish to use the building as a school. It is this additjonal use which prompted the inspection. l*lhen occupancy of the build'ing was originally qranted it was agreed that the parking facil'ities, fencing and landscaping would be completed at the earliest convenience of the chapel staff. Due to a shortage of funds at that tjme the City qranted a temporary occupancy of the building with the assurance that these items would be completed jn a short period of time. Since that t'ime additions to the buil<ling have been made but the above items have not been completed. Since several years have now passed, we feel that before further permits can be'issued you should address the items that have not been completed. Enclosedjs the original plot plan showing the parkjng lot wjth catch bas'ins for cont- rolling surface water, fencing and landscaping. Should you desire to make any changes in the design we would be willjnq to consider the changes. The required parking spaces, considerjng the amount of pews al'lowable in the buildjng, would be 30. Feelinq confident that these items will be taken careof, and when approval by the Plannjng Commiss'ion is granted for a school, the maximum occupant load for a school will be 50. If an approved fire alarm system is installed the maximum occupancy load may be'increased to 150. Please djrect all inquiries to the Sprinqfield Bur'1ding Divisjon, at 726-3753. Sincerely, Dan Smi th Bu'ilding Inspector Encl osure DS/ct Ua, "/<4-1.- dot, ffi; *At . ,S-r,--'- *< a- -r* o+x-a&,v fu*>rdu-- vid-, dz A -j"r,€_*_ U) ag-Ue,<0 <rr*+Ul0 :)'r<'* r4',eAEZArHl*- /so. J^4 -Ur.,Zl- dJZ/. /A>a*-aaf'a *e- 9.tar>O*4;r4,e aez-z-cZr*e a<_ .-"L -fu .;rak r"8 J+il, -!,pl6z16 l/*.- 72c-77r3 "a.*+fifu _<A_*E/. /3^Ur^" '4-"f, ru-*^4*,,ls">L atl 44-4- Gu, ( d rl.ob^;LW a-jl^--"A4-,t^-Ar1 6.?Crl/b.&a4+/,- il,-bd^ o.*".i-ea- t* cs9",-wi0 *{ fr)!'/r.^<-4J-",Ar ,lr.a" il/-* -fr-;rra o4& <*r-*/a ^At*. l1r- a6a=* )2444-a fu-44" t-fuu*t, a, /.--d4 -lu; /&e. t '/' k zL.{. i')ffi U ?ri//. P/a-* *-/rA / 7-z4-t *;ae 4/P4: ?: t-Z c a*4 fu4.e4 &tdu-%r,zta*^ tu^i e/-'tJ142L N-v z^>422r1^a' Fa//{ 4-ha---r4-)tuP*rt --t-fu-ot;h ZAt * *r+*oatnu SO Crru|,*6 P94 U-&L I 3fufu*244 -41-=*r"74 ,re ,& ,4--a sA-u(o /{o- I OCCUPANCY II-S?ECTION A?PLICATION EXISTING BUILDINCS CITY O}' S}ITINGL'IIiLD BUI]'DING D].JPAR'I}TI|N'T a Date i flAY t q)8 Job Addrcss:q +L N ZB *A ST No. of Units: Orvner:INGf Cs c Appl icanL :S Ppa ADra For Access to Property - Telephone: t Ntstf.-( Address: Address:5 83 one Remarks:ILD N 1- {DAY A $20 inspection fee is require<l aE' Lhe time of application' (rrrrs AppLIcATIoN FoRry MUST BE SlGn'ED BY TtlE OI'IIIER oF TilE PRoPERTY To BE INSPECTED' S^* SICNA'IURE OF ER'fY O\.J FCR OITFICE US]i ONLY Drrt:c of IttspccLiorr:\5''/7-7/ Date of RePor!: - . - Receipt No.: ---.-! .- . - - 2f4,o*n .H I .: :: , / 4rR+\ta , -'' -1gv1-!-.rFr r I --:^ -;-.a-rn,r\ 1a '\:'s' 6'--' ts \=\ Q, !a.\^\: \e g\th\F\o -t^\)\-c\\ i,.a.r* t{EA'a\ot'.l Lq- (t t\\t,\F< -. r Fr6 \e6 5 +r( a-\F*lt\ ++ a' r$ 6* r=et{c-E--:,. ,-..-:----- \Do. G.O'\5.o' :-\*'€ 1.ca.(\ 'fiA4.e.. \ \ \ i () +{\ L 4.t t