HomeMy WebLinkAboutPermit Electrical 1990-3-28
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03/28/90
vAL
INFORlIATION lINl'
726-3753
Sq. Ftg. 1.laln
~q. Ftg. Access.
Sq. Ftg. Other
flew Add Alter Rep.
--Fence Demo Change/Use
Other -- --
~
~IINSPECTIDN LINE . CITY OF SPRINGf I ELD .
726-3769 COMBIIIATION APPliCATION/PERMIT
I EflERGY SOURCES:
Job Address 2050 OlympiC Blvd.. Sofd. ,Heat
I.egal Omription \1,)03riS ~ \ ()\ '\ I yf) I Hater lIeater
Ranqe_
ValUE of Hork:
(name)
Phone
(address J
\ Lllrn ,nr.-i) \fm~^,
Owner Harry Ritchie Jewelers
Address
SL
97401
Buildinq Permit Info: Describe Work.(Le., Build Single
Phon'l586-178 7 Familv nesidence Hith Attached Garane)
956 Willamette
Eugene, Oregon
Construction Lender
C)
Address
UI:.::d liN ItAri
(lies. no.)
(exni res 1
(nhon~ no.
Primary
Structura 1
Electrical
11echanical
CONTRACTORS
(name)
(addressl
(1i((,. no.)
(p.xoirpc:.)
(ohnnp nn_ 1
Genera 1
Plumbina
Electrical BEACXlN ELECTRIC 2585 Roosevelt Blvd.. Euqene 97402 20-53C 10/01/90
461-0291
~lechanfcal
PLUlmlNG
ELECTRICAL
MECHANICAL
--1!Q.
Each single fixture
Fff rl/^Qr,f _~ fer r"'illG.E. .-!Ill..-
Residence of furnace/burner to
SQ. FT. BTU's
r:E.L
Relocated building
(new fix. additional)
1
New circuits alts.
or extensions
.75 15.00
Floor furnace
and vent
S.F. Residence
(1 bathl
IOuPlex (1 bath)
IAddilional bath
I ~/a ter servi ce
each
I SERVICES
I
Recessed wall
~o~rp np~tpr ~nrl vpnt
Sewer
!TempOrary Construction
IChange in existing
rp'iiqpnrp,
muitifamiiy, conrn. or
Indu~trial
I
I
I
I
I Of amp~ I
I I
I I
I I I ISSUANCF Of PFR!\IT
TOTAL CHARGES I TOTAL CHARGES 1 <;,7<; I TOTAL CHARGES
WIIERE STATE L\\~ REQUIRES that the Electrical work be done by an Electrical Contractor, the electrical rortion of this rermit
shall not be valj'J until the label has been signed by an Electrical Surervisor and returned to the Ouildlng Oi.vision
Storm Sewer
Of
amps.
Appl iance vent
~eoa ra t.ea
S-ta-tionary evap.
cooler
V'eni: fan with
sin9le duct
Vent system apart
heatina or A.C.
Mechanical exhaust
hood and rlurt
from
II
COI~'1. / I NO. FEEDERS
Install/alter/relocate
rli~trih fpprlpr~
Wood stove/heater
I HAVE CAREFULLY EXMlINED the completed application for permit, and do hereb.v 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 Ore~on oertaining to the work described herein, and that 110 OCCUPAlICY will be made
of any structure without the permission of the Building Division. I further certify that my registration with the Guilder's
130ard 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 compliance with ons 701.055 will be used on this project.
IWIE(please print) GARY E. JOHNSEN SIGIIATURE ~"'I tJ..,~
FOr. OFF I CE USE DlI~Y I II
Zone Type/Const. Units Sn.Ft. ainl/ x
Fire Zone Bedrooms Occy Load S~. Ft . Acce~ x
Flood Plain Stories Occy Grour Sq. Ftg. Other x
OATE 03/28/90__
Value
Value
Value
TOTAL VALUATION
OUILDING PERIIIT
Charges and
Surcharges
Plan Ck. Comm/Ind
6S1/Aldo Ppr Fp.
Plan Ck. Res
301/Blda Per fee
I Fence
I D~mo
:L<=::::> .00 /Sldewalk
--- --.""\5--1 A/C Paving
I Curb Cut
I
Systems Development
Ch,rae (1.5~)
PLU!~BING PERMIT
Charges and
Surcharges
ELECTRICAL PERIIIT
Charges and
Surcharges
11ECHAN I CAL PERMIT
Charges and
Surcharges
Tota' Comb. Permit
TOTAL
-- ---."L
\~~S
.
.
COMBINATION APPLICATION/PERMIT (CAP)
PERMIT VALIDATION
1. Applicant to furnish
A. Job Address
B. Legal Oescription
1. ex~le' Tax Lot 100, Lane County Map Reference
1/0343
2. example- Lot 1. Block 3, 2nd Addition to
spr,ngfield Estates
C. Name. etc. of owner and construction lender
D. Energy Sources
I. example- heat/electrical ccilin9/or forced air qas
2. ~)(ann)le- watertleatcr/e-lectrlca liar solar
E. Square footage or valuation. etc. -----
1. eXi!..m.El~ 1250 sq. foot house, 500 sq. foot garage
2. example- if new project. check new - if addition,
checl< add, etc.
F. Building permit information:
1. examnle - construct single family house with an
3 t lached garage
2. example - remodel existing garage into family room
3. examoJe - r.('Inv~rt. sil"io1e filmilv rcsidenr:e into
~estau~ant (change of~use) .
G. Value of work as defined in Section 303 (a) of the
Structural Specialty Code
H. DESIGN TEAr4 ArID CONTRACTORS
To avoid design or construction delays. Building
Division Staff must be able to contact appropriate
persons regarding design information or job site
corrections, etc.
II. Abbreviated Plumbing, ~lechanical. & Electrical Schedules
A. Except \'Ihere 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. BUILOING OIVISION STAFF WILL FILL OUT ALL FEES AND
CHARGES ON THE SCHEOULES
O. 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.
1I!. Applicant to 'ly" ono dote
Whenever po~~ib1c. the ~~~tia1 J~~1~cu~ion wi11 b~ u~cd JS
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
31~qO
~ \ loc&G
Permit Clerk
\f\(lJ
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
signature
date
;
__. I'"