The URL can be used to link to this page

Home My WebLink AboutPermit Electrical 1990-2-26 J INSPECTION LINE . 726-3769 Job Address .(')\u"w...~\~ Legal Description CITY UF SPRINGFIELD ~ COMBINATION APPLICATION/PERMIT E!lERGY SOURCES: Heat Hater Heater Range ValuE of Hark: INFORllATIDN UNe . 726-3753 Sq. Ftq. l'lain ~q. Ftg. Access. Sq. Ftg. Other IJew Add Alter Pep. -Fence Demo Change/Use -Other - - I ~ ~ j\:) <=><Q ~ Owner. ?-i\. \:--\.1= 7'"'""" Address '?i-."'?IO~ ~~}.... Phone~~'~ ~~~~~1~nRe~~~~~eIQf~~ A~i~~h~~eG~~~~i~.e., Build Single Construction Lender :j- n i 1.,() f "if I' ill fc; Address Ut:.~I(jN 1l:N1 (name) Phone (address) . (lies. no.) (exn; res) (ohane no. Primary I~echan; ca 1 CONTRACTORS (name) (addreso;;) nif"c: no.' ~ .# ~~'l?! ~-1{):~'\ (pxo;res) (ohonp nn Structura 1 Electrical General Plumbina Electrical.p... =7". G'--Er-n::t...,c.. \0.......("". .....,~ <;:............... PLUI.1B I NG ELECTRICAL 0r0-~~ \Cl\\o,C\ '\~\~~~ ~ 1~1'l2 t;-;)2-PfD ITLI~' NO MECHANICAL ~lechan; ca 1 -.l!Q...1 Each single fixture FFF I rHARr,F Nn ~~~ rlJARG.E. Residence of SQ. FT. furnace/burner to BTU's Relocated building (new fix. additional) ~ New circuits alts. or extensions Floor furnace and vent S.F. Residence (1 bathl Duplex (1 bath) each Additional bath SERVICES Recessed wall Sn~~p hp~tpr ~nrl vpnt 10f amps. Appl iance vent seo~r...t&:l Stationary evap. cooler I Vent fan wi th sinole duct I'Vent system apart from I heating or A.C. I Mechanical exhaust hood and dur:t I t'jood stove/heater I I I ~............ , Water service I Sewer -I Storm Sewer Temporary Construction I'change in existing rPS j dJmr:p Imultifamily, COITlln. or Tnou.:;triill IOf amps. ICOMM./IND. FEEDERS I Install/alter/relocate di.:;trih_ fppnpr.:; TOTAL CHARGES TOTAL CHARGES WHERE STATE LAl; REQUIRES that the Electrical work be done by an shall not be vali~ until the label has been signed by an Electrical ISSUANCE OF PFRllIT TOTAL CHARGES Electrical Contractor, the electrical portion of this permit Supervisor and returned to the Building Division I HAVE CAREFUllY EXAMINED the completed application for permit, and do hereby 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 City of Springfield and the laws of the State of Oregon pertaining to the work described herein, and that rm OCCUPAHCY will be made of any structure without the permission of the Building Division. I further certify that my registration with the Builder's Board is in full force and effect as required by ORS 701.055, that if ex mpt the basis for exemption is noted hereon, and that only subcontractors and employees who are in compliance with OP.S 7nl.05 will be used on this project. DAT~ro<:o\C\t\ HAI.IE(please print) b~ \\.f:>.::3:""~~~L SIGIIATU FO~ OFF I CE USE/'BiIL Y Zone Type/Const. Uni ts V. Ftg. riain Fire Zone Bedrooms Occy load Sq. Ftg. Access Flood Plain Stories Occy Group Sq. Ftg. Other x x II V Value Value Value x TOTAL VALUATION BUILDING PERHIT Charges and Surcharges Plan Ck. Comm/lnd ____________ 65%/B1do PJ'f Fep Plan Ck. Res 30%lBl do Per Fee I Fence I D(IA1o __2-2~5JL_J Sidewalk I, J 3 1 AIC Paving [ Curb Cut I Systems Development Charoe (1.51) .. PLur~BING PERMIT Charges and Surcharges ELECTRICAL PERmT Charges and SUJ:'charges Total Comb. Permit 11ECHANICAL PERMIT Charges and Surcharges : TOTAL ')3, LI 3 --:- ,,- . COMBINATION APPLICATION/PERMIT (CAP) I. Applicant to furnish A. Job Address B: Legal Description 1. ~xample- Tax lot 100, Lane County Map Reference 17 03 43 2. ~xa~le- Lot 1. Block 3, 2nd Addition to Sprlngtield Estates C. Name. etc. of owner and construction lender D. Energy Sources 1. example- heat/electrical ceiling/or forced air Qas 2. examyle- waterheater/electrlcal/or solar E. Square footage or valuation, etc. 1. examole- 1250 sq. foot house, 500 sq. foot garage 2. examole- if new project, check-new - if addition, chec I< add, etc. F.. Building permit information: 1. exam~le - construct single family house with an attached garage 2. example - remodel existing garage into family room 3. examole - convert single family residence into restaurant (change of use) G. Value of work as defined in Section 303 (a) of the Structural Specialty Code H. OESIGN TE~I AND CONTRACTORS To avoid design or construction delays, Building Division Staff must be able to contact appropriate persons regarding design information or jab site corrections, etc. 11. Abbreviated Plumbing, Mechanical, & Electrical Schedules A. Except where blank spaces occur in the description portion of the Mechanical and Electrical Schedules, the applicant need fill-in only the No. Boxes adjacent to the appropriate item(s) to be installed B. Full Plumbing, 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 should consult the full schedules C. BUILDING DIVISION STAFF WILL FILL OUT ALL FEES AND CHARGES ON THE SCHEDULES D. As noted on the CAP, the label must be delivered to the electrical 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. Where possible, Building Division Staff will prepare a type written copy and return it to the applicant 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 the application, 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. V. FOR OFFICE USE ONLY PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPANCY: . PERMIT VALIDATION ~\~~ ~/lold:J-. \ , - h c' . v . IF L .~ ~ Permit Clerk /l;uL j Permit applicant exempt from registration with the Builder's Board because: Additional Project Information: PLANS REVIEWEO BY: name signature date .J ;iJ.] o~o f(CJ.,......s... tu- ..;f 103.03 Address 22q s. Corporation Seneca Rd. . Phone 344 - ~:~1 22.0QP, BuilriinQ Pernlit Info: Describe Work(i.e.. Familv nesidence With Attached GaraQe' Build Single I < g l:J ~ jINSPECTION LINE 726-3769 TY SPR NG IELD COMBINATION APPLICATION/PERMIT EIIERGY SOURCES: Heat gas Hater Heater el.ectrlc Range ValuE of Hark: . N R11ATlON 726-3753 Sq. Ftq. Main ~q. Ftg. Access. Sq. Ftg. Other Ilew AddXAlter Pep. --Fence 6emo Change/Use Other - -- Job Address S744 Main St. Springfield, Or. Legal Dmription Attached 1f'\[)~334\ n'K02.. Owner Bi-Mart Eugene, Construction1lender Oregon 97402 f' )\ ~ rf'("1\J Address Ul:.~lljN ItiWI \nameJ Schaudt Stemm N(A N(A Phone (address) & Wilde 388 High St. (1 ics. no.) Eugene, ~0,841 {exoires' f'iechan i ca 1 CONTRACTORS N/A (name\ (address' flies. no. \ (exoires' I 12-31-90 4R'i-R1R',' i\.__ ~ ;' (ohonp no. \ I 345-9969-' ( hone no. Primary Electrical Same as above Same as above Structura 1 Genera 1 Or dell Construction 2300 Oakmont Way Eu~. 63030 1-2-91 Plumbina N/A Alert Electric 1970 N. 28th Spfd. Or. 20-SSC 10-1-90 747-2213 Flectrical ~lechanical PLUIIBING ELECTRICAL MECHANICAL ND. . FFF . cH'Rr.F Nn~ ~~~ rH~ Nn_ ~~ I=" r:1ARG.E SQ. FT. furnace/burner to BTll's Each single fixture Residence of Relocated building (new ftx. additional) New circuits alts. or extensions Floor furnace and vent S.F. Residence (l bathl Duplex (1 bath) each Additional bath SERVICES Recessed wall SD~ce ~p~tpr ~nd vpnt Sewer Temporary Construction Change in existing res.i de.nce multifamily, comm. or 'ndustri~l Appliance vent seDar~te Stationary evap. cooler Vent fan with single duct Vent system apart from heatinQ or A.C. Mechanical exhaust hood and duct Wood stove/heater I \~ ~ra ter servi ce Storm Sewer Of amps. ICO~1./IND. FEEDERS Install/alter/relocate di~trih. fppdpr~ Of amps. E,:<E'477?//A~ U4/';>, -5.4, '/t'/ ~A'/"o ~ _ ~ ;~~ W7Bf . h~.M/~ ' . - . ISSUANCF OF PFR!lIT TOTAL CHARGES WHERE STATE L\l~ REQUIRES shall not be va1iJ until the ~ TOTAL CHARGES that the Electrical work be done by an. label has been signed by an Electrical ; TOTAL CHARGES Electrical Contractor, the electrical portion of this penmit Supervisor and returned to the Building Division I HAVE CAREFUllY EXM11NED the completed application for permit, and do hereby certify that all information hereon is true and correct, and I further certify that any and all work oerformed shall be done in accordance with the Ordinances of the City of Springfield and the laws of the State of Oregon pertaining to the work described herein, and that UQ OCCUPAHCY will be made of any structure without the permission of the Building Division. I further certify that my registration with the Builder's Board is in full force and effect as required by ons 701.055. that if exempt the basis for exemption is noted hereon, and that only subcontractors and employees who are in compliance with ORS 7~ be~on t;is,\ro(o. IlAlIE(pleaseprint) Richard Hunsaker SIr.IIATURE c: ~ OATE l-ll>-QO_ FOR OFFICE USE OHL y .. . Sq. Ftg. riain 'l( Value Sq. Ft9. Access x Value Sq. Ftg. Other&;:,; ,7/:'-/__~~c.... Value --:2::< ~ ~ '-l ()..q() I3S I D TDTAL VALUATION " A"2. ()" <-')111." I'Sl'Ste. CIS DevcloP'i.ent .1 ( L.) , .Jr I'} eI1arQe (!.5~) Zone r: C.~Type/Const.7-11:5'~. Units Fire Zone Bedrooms Occy load Flood Platn Stories -:? Occy Group ~~:<> BUILDING PERf\IT Charges and Surcharges /f"..-'7 C-. 'Plan Ck. ____-;c_-=~:::'~_ m/R1do Plan Ck. 7,6'8 3ot/Bldo Conm/lnd. Ppr F~e ROes Per Fee PLur~B I NG PERMIT Charges and Surcha rges Fence / ,."y ELECTRICAL PERliIT Charges and Surcharges MECHANICAL PERMIT Charges and Surcharges D~mo .Sidewal k A/C Pavi nq Total Comb. Permit Curb Cut TOTAL 1'/60, /'3 1 ~ . . COMBINATION APPLICATION/PERMIT (CAP) PERMIT VALIDATION I. Applicant to furnish A. Job Address B. Legal Oescription 1. example- Tax Lot 100. lane County Map Reference 11 oj 43 2. exam~le- Lot I. Block 3, 2nd Addition to springtield Estates C. Name. etc. of owner and construction lender D. Energy Sources "1. example- heat/electrical ceilinQ/or forced air Qas 2. examyle- waterheater/electricalior ~ E. Square footage or valuation, etc. I. examole- 1250 sq. foot house, 500 sq. foot garage 2. example- if new project. check-new - if addition, check add. ete. F. Building permit information: 1. examole - construct single family house with an attached garage 2. example - remodel existing garage into family room 3. exam~le. convert single family residence into restaurant (change of use) G. Value of work as defined in Section 303 (a) of the Structural Specialty Code H. OESIGN TEAM ANO CONTRACTORS To avoid design or construction delays, Building Divis'ion Staff must be able to contact appropriate persons regarding design information or job site corrections. etc. II. Abbreviated Plumbing, Mechanical. & Electrical Schedules A. Except where blank spaces occur in the description portion of the Mechanical and Electrical Schedules, the applicant need fill-in only the No. Boxes adjacent to the appropriate item(s) to be installed B. Full Plumbing, Mechanical. and Electrical Schedules are available at the Building Division . 1. To conserve space on the permit form the schedules have been abbreviated 2. I f the item( s) to be ins ta 11 ed a re not covered on the abbreviated schedules you should consult the full schedules ' C. BUILDING OIVISION STAFF WILL FlU OOT ALL FEES AND CHARGES ON THE SCHEDULES D. As noted on the CAP, the label must be delivered to the electrical 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 b~ used as a worksheet only. Where possible. Building Oivision Staff will prepare a type written copy and return it to the applicant 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 the application. 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. I CiO )/1' 0134 \~ V. FOR OFFICE OSE ONLY Cl"cl~ Permit " PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPANCY: Permit applicant-exempt from registration with the Builder's Board because: Additional Project Information: PLANS REVIEWED BY: name L~ffA/C h~E/9 Signature~~~ date 2-/~9o ./ r /'