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HomeMy WebLinkAboutPermit Electrical 1990-04-12INSPECTION LINE 7?6-37 69 APPL I CATI 726CONBI Job Address i ct /c/ tV. 3o & l-ega1 Descri ption Hea Ranqe EIIERGY SOURCES l,later Heater owner /fo g Ktn Yc a Value of l,/ork Sq. Ftc. llain_ Sq. Ftg. Access. Sq. Ftq. 0ther__ _l{ ew_Ad d_A1 te r_P.e p . _Fe nce_Demo_Cha nge/ U se 0ther i,/ il/- A r s l u.- tPhon' ?q iloq;Address f)c.t?al 2pC g Pernrit Info: Describe Work(i.e., Buiid Singlellesidence l.li th Attached Garaqe) Builciin'z F anil y Constructi on Lender Addres s Phone c-a DES I GN TEAI.I name addres s I lics. no.exDt res ohone no. Pri mary Structura l Ei ectri cal l''lec ha n i ca I CONTRACTORS name add res s 'lics- no. )exoi res ohone no. Genera I PI D"t?-L t 8l .+5v ? 'I (-k'5 E1 /-f d l'1echani ca l PLUI,lB I NG ELECTR I CAL MECHAN I CAL FEE CHARGE NO.FFF rHA PG F NO FFF .HAPCF Each si ngl e f .ixture furnace/burner to BTLI' s Relocated bui lding (new fix. additional ) New circuits alts.or extensions Fioor furnace and vent S. F, P,esidence(1 bath)SERV I CES Recessed wal l Soace heatpr and vpnl Duplex (l bath) each Additional bath Temporary Construction Apol iance vent seDarate l.Jater servi ce ge in existing dence Chan res.i Stati onar,v evap cool er Sewer Indrrstrial multifamjly, comm. or Vent fan with sinqle duct Storm Sewer 0f amps.Vent systern apart from heatinq or A.C. cqlrl./J!0 FEEDERS Mechanical exhaust hood and duct(Instal I /a I ocate fJood stove/heater I --/*t>0f 5cr- I 3A 4.41 t5gt ISSUANCF OF PFR!{IT TOTAL CHARGES TOTAL CHARGES ?)OU TOTAL CHARGES WHERE STATE LAt,l REQUIRES that the Electrical work be doneshall not be vali.l until the label has been signed by an Elec by an E1trical Su ectrical Contractor, the electrical portion of this permitrpervis:r and returned to the Building Division ing Division. I further certify that m-y registration vrith the Builder,s I'lAtlE ( p1 ease pri nt )?a,^, oruo, /''Z/,* lJ"J*,-4 fy d I HAVE CAREFULLY EXAMINED the completed apnl ication fo r oermit, and do hereb.y certi fy that all information hereon is trueandcorect, and I further certi that any and all work performed shall be done in ac cordance with the 0rdinances of the City rei n, and that l{0 OCCUPAHCY wi I I be madeof Soringfield and the Laws of the State of oertaining to the work described hestructure without the permission of ' 0regon the Bui Iof any Board i s in full force and effect as required by ORS 701.055, that if exemot the basi ce with OPS 701.055 will be used s for exemption is noted hereon, and thatonly subcontractors and employees who are in comcl'ian on thi s Dro,ject DExa ERk''(,HSI TOTAL VALUATIOII X x ValGroup !q Ftg. AccessFire Zone Bedrooms Occy Load . 0ther So. F tq . l'la i Val Ftg Value Zone Type/Const.Uni t Flood Plain Stories Plan Ck. Comnr/Ind 65%/81do Per Fee Systems Deve Charqe (1.5c o pmen tBUILDING PERMIT Charges and Su rcha rges Plan Ck. Res 30%/Bldq Per Fee FencePLUI4BING PERMIT Charges and Surcha rge s Demo SidewalkELECTRICAL PERIlIT Charges and Surcha rges A/C Paving Total Comb. Permit Curb Cut T,IECHANICAL PERMIT Charges and Su rc ha rges TOTAL /so Residence of SO. FT. COMBINATION APF LICATION/PERMIT (CAP) i. Applicant to furnishA. Job AddressB. Legal lescription1. examg]s- Tax Lot 100, Lane County Map Reference1703,;q32. exarng]s- Lot l. Block 3, 2nd Addition toSpringfield EstatesC. Name, etc. of owner and construction IenderD. Energy Sources PERMIT VALI DATICN 1. exa npl e-2. exanEle-E. Squaie Fto-tag heat/el ectri ca ilin or forced air gas wa e or solar e or valuat on, II l. exanple- 1250 sq. foot house, 500 sq. foot garage2. .-rG if new project, check-i-ew - it aoaitioi, che:k add, etc.F. Buildin3 permit information:1. exarnple - construct single family house with an att,tched garage2. exarnple - remodel existing garage into family room3. exarnple - convert single family residence into Fes "aurant (change of-use)G. Value oi work as defined in Section 303 (a) of theStructural Specia1ty CodeH. DESIGN '-EAT1 AND CONTRACTORS To avoi<l design or construction delays, Bu.ilding Division Staff must be able to contact appropriitepersons regarding design information or job s.itecorrect'ons, etc. Abbreviated Plumbing, Mechanical, & Electrical SchedulesA. Except vrhere blank spaces occur in the descriptionportion of the Mechanical and Electrical Schedules,the app icant need fijl-in only the No. Boxes adjaientt0 the.Lppropriate item(s) to be installedB. Full Plumbing, Mechanical, and Electrical Schedulesare avai lable at the Building Division1. To conserve space on the permit form the schedules haver been abbreviated2. If the item(s) to be installed are not covered onthe abbreviated schedules you should consult thefulI schedulesC. BUILDINC DIVISION STAFF WILL FILL OUT ALL FEES AND CHARGES ON THE SCHEDULESD. As notec on the CAP, the label must be delivered to theelectrical contractor for signature by his electr.icalsupervisor. The general contractor is not authorizedto sign the eiectrical label Applicant to sign and date l,lhenever possibie, the initia] app)ication wil'l be used asa worksheet only. 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 gna ture. Fees and Charges PIan 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 \L-qo III. IV V Permit Clerk PROJECT CONOITIONS TO BE SATISFIED BEFORE OCCUPAI{CY: Permit appf icant exempt from registrat'ion with the Builder's Board because: Additional Froject Information : PLANS REVIEWED BY: datenamena tu reS'I g fut t/tc6q I IISPECT I i 726-37 69 L COMB I AP IT 726-37 Job Address {I I .l l-ega1 Description Hea Ranqe EIiERGY SOURCES: l,later Heater varue E\r,rt51 a Ftg. l'lain.-__-- Sq. Ftg. Access..-- Sq. Fto. other- llerv 'Add Alter-Tep. - lence-Oerno-C ha n gel U se -other-=-__-owner ft,74)f op R0 6df .e., Bui1d SingleBu il cii n Fami ly q Permit Info: Describe l,lork( Residence I'lith Attached Garaqepnoneff{.69?J^dd,;{7 D - ,€ ot /Z < Bz*-p-. k*are/,&>z/42tr,rt60,44 a ( fzYyc m:\nv, fz.orzaq< Q'*7a r'%Construction Lender ,u/a S ^D \ ..-\ h*a,rr* ZryrAddressPhone ohone no.name addres s lics. no Pri mary Structura I Ei ectri cal Mechanical nhnnP no -name addres s lics. no.exDt resCONTRACTORS yT(6.g2(Genera I 6 Pl umb i nq n (r-T MECHAN I CALEL ECTR I CALPLUHB I NG CHAAGF FFF CHARGFFEECHARGEN0_FFF NON0. Each single fixture4zn %;z:z Residence of FTSQ furnace/burner to BTU' S/ FIoor furnace and vent Relocate'd buildirig (new fix. additional) New circuits alts or extensions Recessed wal I Sniae hpater and venlSERV I CESS. F. Residence(l bath) Duplex (l bath) each Temporary Construct i on Apol iance vent seoarateAdditional bath Stationary evap. cool erl^later servi ce Change in existing res i dence I ndu stri a l multifamily, conrm. or Vent fan with sinole ductSewer 0f amps.Vent systern apart from heatino or A.C.Storm Sewer c0Mr.r./rND. FEEDERS Mechani cal exhaust hood and duct Instal I /al ter/rel ocatedistrib. feeders l'lood stove/heater 0f amps.*z*fui7P.-ry)tf;a sfu-n.242_*ozx,,?rz:r, HutsD//r 46A '7€2 4r+zZ.n ISSUANCF OF PFRI1IT TOTAL CHARGES ToTAL CHARGE s ,Hf* ,/,q #TOTAL CHARGES jry/A/- ,/,5- a mES that the Electrical work be do an El ne by an Electrical Contractor, the electrical portion of this permit ectrical Supervisor and returned to the Building Divisionshall not be valiC until the label has been signed by I HAVE CAREFULLY EXAMINED the completed apnlication for oermit, and do hereb,y certify that all information hereon is true and correct, and I further certif-rr that any and all work performed shall be done in accordance with the 0rdinances of the City d and the Laws of the State of 0regon oertaining to the work described herein, and that t{C 0CCUPAHCY will be made ssion of the Building Division, I further certify that my registration vrith the Builder's as required by ORS 701.055, that if exempt the basis for exemption is noted only subcontractors and ernployees who are in comcliance wjth 0l?S 701.055 will be l,lAt'!E(p1 ease print) c\,/i he permi effect of Soringfiel of any struct ure wi thout t Board is in full force and reon, and that thi s nroject. Ftt: Ftg Ftg Zone lue Val ue Val ue TOTAL VALUATI -'-:--::=:- oN ,1> ./> oe/const. +k , Uni ts ' ,o - Flood Plain Storie-s ,/ Occ.y eroup F^2 Fire Zone Bedrooms pccy Load l,la i n 0ther Acces s /wr*za,t*zE fu-Se Plan Ck. Comm/Ind 65%/81dq Per Fee 32-43 Systems Deve charqe (1.5q opmentBUILDING PERNIT Charges and Surcha rges 2-*Plan Ck. Res 30%/B1dq Per Fee 5.c)()PLUI,,IBING PERMIT Charges and Surcha rges -", .* Dgmo Sidewal kELECTRICP,L PERIIIT Charges and Surcha rges A/C Pavi ng Total Comb. Permit /fo.o3 Curb CutMECHANICAL PERllIT Charges and Surc ha rges -?*/77.%TOTAL ,*""$&Y)9 COMBINATION APCLICATION/PERI,1iT (CAP) I. Applicant bo furnishA. Job Ad,iressB. Legal )escriptionl. gylplg.: Tax Lot 100, Lane County Map Reference17 03 432. gl_aryplg- Lot l. Block 3, Znd Addition toSpringfield Estatesq. Name, etc. of owner and construction .lender D. Energy Sources PERMIT VALIDATION 1. extrmpl e-2. exe rmo I e-E. squaiEf o-ta ir gas II 1. ex.mp-le- 1?50 sq. foot house, 500 sq. foot garaget. el.rnglg- if new project, check new - if addition, chrrck add, etc.F. Buildirg permit information:1. example - construct single family house with anattached garage 2_. examp_le - remodel existing garage into family room3. example - convert singie fam.ily residence iniorestaurant (change of use)G. Value cf work as defined in Section 303 (a) of theStructural Specialty CodeH. DESIGN TEAI4 AND CONTRACTORS To avoid design or construction delays, Bui)dingDiv'ision Staff must be able to contatt appropriitepersons regarding design information or job sitecorrections, etc. Abbreviated PIumbing, Mechanical, & Electrical SchedulesA. Except lhere b)ank 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.instailedB. Full Pllmbing, Mechanical, and Electrical Schedulesare available at the Bui)ding D.ivisionl. To :onserve space on the permit form the schedules hav-. been abbreviated2. If the item(s) to be installed are not covered onthe abbreviated schedules you should consult theful I schedulesC. BUiLDIN{; DIVISION STAFF I^IILL FILL OUT ALL FEES AND CHARGES ON THE SCHEDULES0. As note,i on the CAP, the label must be delivered to theelectrir:al contractor for s.ignature by his electricalsupervi:;or. The generai contractor is not authorizedto sign the electrical labet Appi icant to sign and date [,lhenever po:;sib)e, the initial application wilI be used asa worksheet oniy. Where possible, Building Division Staffwill preparr) a type written copy and return it to theapplicant al: the time the actual permit is issued for his s i gnature. Fees and Chr rges Plan check i'ees 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 wher the permit is issued. FOR OFFICE LSE ONLY III IV +qqo +rlklr0O- V Permit Clerk PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPAIICY: r'.- \ Permit applicant exempt from registration with the Builder's Board because: Additional F'roJ'ect Information : PLANS REVIEWED BY: name s1 g nature date 1.6-?a