The URL can be used to link to this page

Home My WebLink AboutPermit Building 1990-11-07V - CITY OF SPRINGFIELD COHBI TIATI ON APPL I CATION/PERMIT 726-3753 Job Address l-egal 0escription \ l,later Heater Ra EIIERGY 5qBHea 5 Owner otAN \^5 /+lq*<chsd.c?^o'X#Meaz,lqc . Ftq . I'la i n_ Sq. Ftg. Access..-- Sq. Fto. Other-- _l'lew_Add-A I te F-ne p . - _Fe nce_Demo_Cha nge/ Use -other- Phone'1::'l1qa n.+.}n& rh Desc'ithn Farn i .e., Build Single - ) Cons tru .fi". I!ri.1 ,rv Addres s Phone [Y\r s>6 \ DES I GN TEAI.I name exot res ohone no. l"'lechan i ca I E I ectri ca i Structura I Pri TACTORS name address lics. no. )exol res ohone no- El ectri t v PLUI{B I NG ELECTR I CAL MECHAN I CAL N0.FEE CHARGE NN FFF CHARGF NO FFF CHARGF Each single fixture Residence of FTSQ furnace/burner to BTLI' S Relocated buildino (new fix. additional)New ci rcui ts al tsor extensions Floor furnace and vent S.F. Residence ( I bath)SERV I CES Recessed wal I Soace heat-er and vpnt Duplex (l bath) each Additional bath Temporary Constructi on Apol iance vent sepa rate Change in existing resi dence Stationary evap cool er \Sewer 46 multifamily, comr. or I ndu stri a i Vent fan with sin-ole duct \Storm Sewer a5 0f Vent systern apart from heatinq or A.C. I coMr.r./IND. FEEDERS Mechan ical exhaust hood and ductInstal I /al ter/rel ocate di stri b. feeders l'Jood stove/heater 0f ISSUANCF OF PFRI{IT TOTAL CHARGES TOTAL CHARGES TOTAL CHARGES l,lAl.1E(please print /- WHERE STATE L.II,I REQUIRES that the Electrical work be doneshall not be valiC until the label has been s.igned by an Elei by an Electrical Contractor, the electrical portitrical Supervisor and returned to the Building Oiv on of thi ision spe rni t app andany of ng 7A exemp t55 vri L the 'Icomp ca onti for trml andDE certi athereb.y It hereoon nfy truesndatc0rrecandIfurrthertce1hattfyaIIworkfoperrmedhasIdonebe1IncaccordawlehL0rdthen1foancestaIhetyf'I efi 1 d nda t fSorn9heawsLo Stathe te on art nI 'I0reg tto workhe CSd bedcrlDEng nhere i a thand r,rct OCCUP IAI'ICY wl I be madefres tructu ttv!utho the ss on'I ofpermi the U I'I di Di vt 'Is on hefurt certr 1I ttha re 1 ts tra 0n1 tv/l hfym.y s the IBui der s any rdBoa s1 nI uf II fo rce a nd aeffect s t red ORS 1 f ba 'IS 5thereq u 505 tha t 'I t for 'I no sI hereonoted nbyex emp t nda atthIonsbconutracvtoarsndIemr)0 yees awho lre n 1I a 'I be1 us0711S0l?hcompncetwl ed t0n 'Ih 0r0.1S ect FF Fire Zone Bedrooms jA 0ccy Load Sq. Ft9. Acces Ftg.0ther Uni ts So. Ftg. l,lain Val Val ue Val ue Gro zone HI- Type/const. Flood Plain Stori es TOTAL VALUATI Plan Ck. Comm/lnd 65%/81do Per Fec Systerns Deve Charqe (1.5q opment 3ABUILDING PERNIT Charges anC Su rc ha rges PIan Ck. Res 30%/Bldq Per Fee r ^r\\fi\R r55Fences.rl=PLUI4BING PERMIT Charges and Su rcha rges Demo tr\2o (-:\ Si dewa I k LELECTRICP.L PERIIIT Charges and Surcha rges Total Comb. Permit ?2?.?7A/C Paving Curb Cut 6I,IECHANICAL PERMIT Charges and Surc harges a?.7/TOTAL llater service ry5 I) 'z:_u,11 c\ "x5 nR 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 toffiiigField EstatesC. Name, etc. of owner and construction IenderD. Energy Sources 1. examol e-2. exampl e- Square footag hea t/e l ectr i ca l or forced air gas wa ea e or solar E e or valuation, 1. example- 1250 sq. foot house, 500 sq. foot garage2. example- if new project, check new - if addition, check add, etc.F. Building permit information:1. example - construct single family house with an attached garage 2. 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 instailedB. Full Plumbing, Mechanical, and Electrical Schedules are available at the Building Divis'ion1. 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 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 labei Applicant to sign and date llhenever possible, the initial application will be used as a worksheet cnly. Where possible, Building Division Staffwill prepare a type written copy and return it to theapplicant 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 theapplication, 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 II III, IV v PERMIT VALIDATION k\E1 D \\ A Permit Clerk PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPAI{CY: Permit appf icant exempt from registration with the Builder's Board because: Additional Project Information : PLANS REVIEWED BY Rame s i gnatu date //-7^% CD c CITY OF 225 PTrrN STREEf, sPRrNGrrBLD, oRBGoN 97477 INSPECEON REOI EST3 726-3769 OPPTCE: 726-3759 1 OF SPF],}-<iF,ELc, EIJCTRICAL PERUTT APPIJCATION Ctty Job Nuuber 3. COHPI,ETB PBB SCEBDT'I.E BBLOS. A. New Resldential-Slngle or Multl-Famlly per dvelllng unit. Service Included:Items Cost Sum 1500 sq.ft. or less S 85.00 Each additional 500 .T SQ. ft of portion thereof $ 15.00 Each Hanuf'd Home or Hlll::I"llll:, ,& s3s.oo !Dg) B. Servlces or Feeders (10 Branch Circults lncluded). Installatlon, Alteratlons or Relocation: t r 0t'?','ffi1ryq J"6{ llfi{/', - I Permits are n6t-tt"ntferable and explre if vork ls not started vlthin 180 days of issuance or if vork is. suspended for 180 days. 2. COtlt&ACf,OR INSTALI,A:IION OI{LT Address ci Phone Supervisor Llcense Number Con str Contr. Number ExpIra tion Date Signature of Supervislng Electriclan Ovners Name Address Ci ty Phone OVNER One Circult Tvo to ten Circuits Each Addt'I ten or portlon thereof B. Hiscellaneous (Service/feeder not lncluded) 100 amps or less $ 35.00 101 amps to 4oo amps - $ 60.00 -601 amps to 1000 anps- 5130.09 Over 1000 amps/volts $300.00 Temporary Servlces or Feeders Inslallatlon, Alteratlon or Relocatlon ,oi ;;a to 4oo amps - q 19'99 -0ver 600 amps or'1000 vofts see nBr above Branch Circults Nev, Alteratlon or Extenslon Per Panel -Each lnstallation Pump or irrigation stgn/outline Lightlng- Slgnal Circuit or I-Imited energy Panel- C. D $ 3s.00 $ 50.00 s 1s.00 The installation is belng made on. ;;;p;;;i i-ovn vhleh 13 not lntended tor'sale, Iease or rent'36 36 $ s 00 00 Signa DATE: s 36.00 STIBTOTAL OT ABOVB 5f Stdte Surcharge TOTAL PACEIVED 5 Electrical Contractor Expiration Date ,/l