HomeMy WebLinkAboutPermit Electrical 1982-12-13
RESlut:NTIAL..
APPLI~4TION/PERMIT
225 North 5th Street
Sp~~ngfieZd3 Oregon 97477
BuiZding Division
726-3753 '
orob Loc.::tion: L.j () 0 13;e oA b tv A V
ASGesGors Nap" ~, ~~ 'It aa3C1!l / T= wt # ^~/}(Q@
Suhdivisien:
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Cl.-ner: keN .A .AI P E Ie- So /II
Add.~ess: I.A '/ S- ).5 L A AI 1:>
City: ,5 P F D
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Addi tien
i/;mroc.el
,Ifoo-=.!a .=tema
Date of Applicatien
:';on;;ract:ors
Ceneral
Plwnbing
Electrical,.-S U /'I L (/ Ie. (}
Nschar.ical
r-: L E c..'r-
,Const~~ction [~nder
Phone: 74-' 6
.:<. O~_)
Zip: 9' /7 t,) 77
Describe fiork:
c... /-/ A }./ 6- ~
SERI//c-p
~ 'L E c:.. 'T Je IC-A L
.'?cce"'::?!; ,~B G; (] O~ (
Signed:
k.,'-'
Il.-,3-i"l,.,
Value
Address
Date:
Lisc.#
t~ 0 }S- c.2.C-
9/.'~ok~_~
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7,;i6 bJ
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b 6..5 LGYEL .5?F..D
Exr;ires
Phone
It,is the responaibility of the permit hoUier to see that all inspections are made at the proper time, that e~ch .::aaress is ren-n~Ze
fI'Otrl tiw street, and that the permit ca."'Ciis located at the front of the property.
A3ui!di~~ Divicio~ approved ;~n s~ll remain on the Building Sits at all times.
?'10C~DUPE 20R INSP~CTIO!l PE'QUEST:CALL 726-3769 (rccorcer) state YOUI' City desigr.a.ted Joe number, job adircss, type of in3rJecticn
requested a~.i when you ~~ll be ready for inspection, Contracters or Ow-ners'r~e cr~ phone number. Requests received b~ferq' 7:00 ~
:.'ill be made thE; same day, requests mc;de afta' 7:00 ern vrill be made the next ;;;orking day. ~~
8 '2 2c~_~=6u
Reaui~~d !nsD~cticns
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SIT~ L"JS?~C-::ON: To be made altar
excavction, but prier to set up of,
forms. '
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UNvrRSLA3 ?L f..,?fB INC. E['2CTRIC~lL
/..'Ecr::.J.aIC~L: To be made befo~e any
work is ~overed.
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POOTL'IG 1 20UNDAT:ON: To be ,~e
after ;rqnches are ~c~Jated ar~
forms a......e erected, but pPicr to
pourir~ ccncret~.
U.'!D'SRG:~OU"!D pu./!,mnc. S'2:rc.'? W:1T'2.~,
DRAINAGE:: To be' rr.a:i~ prier ~o fa-
lir~ ~renches.
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UNDE."?PI,OOF? !'!.W,'3I:1G ~ N'2CHA,VIc:..L:
To be ~-ce prier to ~n3taliation of
1100r insuLation.or decking.
POST AND 3EAt1: To be madc pr>i01' to
insta~lctien of f~oor ir~~~ticn or,
decking.
r-l~UCH P, [..r~!B!t}C. ~!.ECT.~~C.4[' .1 .',fECH-
~ ANIC)~: ;Vo ~ork ~3 to GC coverea
until ;r.cse i~~ce~:~o~s hcv~ been
m~e crd cppr?v~~.
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fI.~~?!.ACE: Prior to plc.cir.q fc.ainq
ma~eria~s ar~ before framir~ inspec-
tion.
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PF?.4"'~I"lr;: Must;:;e !'equeated aft~1"
approval of rough pl~~in~, electr-~-
cal j mec;'.a.ni~aZ.. All !'Oojir~
bracing & chimneys, et~. ~~st be
,corrroleccd. ,'10 ,,;ark is to :;e con-
,ceded until this insoec:ien ras
'been made and approved.
Your City, Desigrated Job Number Is:
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INSULATION/VAPOH 3ARRIEFI INSPECTION:
To be made after all insul.::tion ar~
raauired var;o1' cWTiers are in 0 ~ce
but cefore 'any lath, gypsum bedrd er
wall covering is cpplied, ar~ before
any ir.su~tion is concealed.
DenOLITION OR XOVE'; 3UILDnCS
:==J Sanit~J s~~er capped at p~operty line
=:=J Septi~ tank p~~~d c:r~ filled with gTa~~z.
I 2inal - fihen c:bcve ite,71s a:re completed
~ and when d&~clition is co~iete or st~~~-
tu~e moved ar~ pr~3es ~le~ned U~.
, Mobi le Homes
=:J
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Blocking anLl Set-~p
Plumbing connections
sewe1' c:r.d wa::er
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DR'!WALL INSPECTION: To be made
after all dX"jwa II is ,in p ~ce,
but prior to any ;ap~ng.
~ El~ct:ic~~ Connectio~ - Blocki~~, set-u;.
---.J ana p/.tunotng connecnons rrr~st ce at'provec.
before requesting elec=ricaZ ins?ectio~
~ Accesso,~ Buildir~
I Pinal - '~~-r --rnhes
---1 etc. are.'1~;pZ~;~d.~ ~
3k-=-rting~ .decJ.~s:l
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I~SOt~7Y: Steel location, bond
beams, grouting or verticals in
accordance W"~th U.B.C. Section
2415.
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All project conditions, suc~ as the ins=allation of street =rees, ~~~lction of the
required ~ruiscc:pir:g, etc., must be satisfied be;ore the BUILDD'G Pn'AL~an be request.zc1'
[]. FnlAL PW:'.fBI:IG
D. n./AL :"fECEA:IICAL
O. FINAL ELECTRIC";L
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PINAL BUILDING: The Find Building Inspection r'1ust be requested c;fte1' the :-in~l ?lu:r:bing
Electrical, and Mechanical Inspectiens have been made ar~ appreved.
AALL MANHOI,2S AND CLEANOUTS .'lUST BE ACCESSIB!.C:, ADJUST:'!C::/T TO BE ,~~1DE 11'1' tlO :~ST TO CI':'Y
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WOODSTOVE:
cc,~let€d.
After installation is
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CUPB 11 A,I'PROACH AP."?ON: Afte-:o forms
c;;r>e erected. but prior to pau1"'~n~
~o=rete.
SIDEWALl<. 11 DRnrgrtlAY: POI' all cen-
crete paving within street right-
of-=y, to bc mad.e after all exca-
vating compZete & fo~ work d sub-
base material in p~ce.
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?ENCS: .'hen comoZ;;te -- Provide
ga~es or movable' sectiens through
P.U.E.
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I =>~'-e
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of 2
P::ge 2'
I JOB NO. ~ 22 <6's2.. SOLAR, ,CESS REQ.-
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i Zena:
Lot Sq. Ft;.
I~ ~f Zot CQVerag~
! #- of Stor""'~es
Imt1U'h'
1.0 a~ ..21..0 t
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I Topogra;hy
IITEN
l,\fain
I~-::.ca
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! Car:-Qpt
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1,.Jccessor:J
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I S.D.C.
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I SQ.FTG
TOT.4L 'lAW::
(VC.i..u;;)
1.5 :::
Bui kling Per.r.-; t
State Su:1'chJI'ge
TotaZ Cr.a..-ges
I'IT~M
I Fi...-tures
IResidentiaZ (1 bath)
I Sc::n.ita.!"j Sewer
I Wat eo"
PZumbing Pem t
State Su:1'cr.a:rge
TotaZ cr.araes
J ITEt'1
I.'?es. Sa. ftc.
N~/EXtend Circuits
Temporary SeI'Vice
EZectricaZ Permit
State Su:1'onarae
TotaZ Cha:r>ces
j ITEM
F"..IZ'n:Zce =TU' S
E=haust Hood
I Vent Pan
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;';oodsto;;e
Permit Is=e
Mecr.anic::.Z Permi t
State Su:1'chcrae
I TotaZ cr.araes
I 2:1CRCACEg~NT
I", 'M'D 't
~eC'..u"'_ _,., eDOS1..
Storage
I Mainte1".an~e
Permi t
Tota Z C'ru;r'U!s
I Curbcut
! Sid~aZk
! ?en.~e
I E:Zectrwa Z
I
i Mobi Ze Heme
La}; e Z
TOTAL A.'.fOUNT DUE:: ~
GCC'dDanc:J Grouj:
LOT TY?E
Interior
Corner
PanhandZe
CuZ-ae-sac
x
Value
NO.
CHARGE
r"
.1'0.
CHA....::!CE
:;;'1:'
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10. 4. 0 I ~
CH;JJ?CS I
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iD.ttt)
\-COG~
T;r:,;e/Consr; :
Bedrooms:
I I 2nerau SouT'ces
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Lot Faces -
Tu-ce
P.L.
Setbaaks
I iiouse I Carage
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h,'ea-c
I Access.
~/a1;eY' .=-feat;:n"
Range
?irevlace
Wooci:;tove
Norr;h
ISast
ISou th
IWest
Paes.
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Building Value & Permit
This permit ia granted on the e=press condition that the said. construction
sh~~l, ~n ~lZ .resp~~ts, ;onfo~ to th~ Jrdinance ado~ted ?y the City ~f
SPr'1..r.gf":.eZa, :.nc!ua:~ng tt1e ZOr!"!..ng Crd:ncnce, reguZc.ti..r!g tne ccnst:'7.lct:'Cr:
and use of buiZdings, ana may be auspe~~ed OT' revoked at any time upon vic-
Zation of any provisions of said Ordir~nces,
IPian Check Fee:
I Date Paid:
IReczipt #:
ISi~ed:
Plumbing Permit
No peT'son shaZZ cons~~ct, instaZ!, a!teT' or change any r~W or e=isting
pZumbing or drainage syste~ in whoZe OT' in part, ur.!ess such peT'son is the
Zegal possessoT' of a vaZid pZumber's Zicense, e=cept tr~t a person may do
pZumbing work to properp~ which is ow~ea, Zeased OT' operated by the appli-
cant.
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Electrical Permit
Where State Law requires tr~t the eZectr-~caZ work be done by an Elect1"'~caZ
Contractor, the eZectricaZ portion of this peromit shaZZ not be vaZia untiZ
the laheZ has been signed by the EZectrical Contractor.
Mechanical PermH
Plan E=iner
UQr;e
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I HAVF: CAREFULLY EXAMINED the cotrrOletea ==,alication faT' Deromit, c;r~ do
hereby certify that aZl inforomation heT'eon' is true a~~ correct, ar~ I
furtheT' certify that any ara aZl ~ork ?erfo~ed shall be done in accoT'-
dance with the Ordin~nces of the Ci:y of Sp~~nqfie~, and thz Lu~3 of thG
State of Orecon D$r~inina to the WOT'K described herein, ar~ th.at NO OCCU-
PANCY wiZl b~ ~a2e of any" 3t!"~ctw'a without paromission of the Euilding Di-
vision. I further ~ertif~ tr~t o~ly ~cr.tr'c~tors and ~Zcyees ~~o ~e in
co~pliance with CRS 701.05E wiZl be usea on this prQjzct
.~~-- ff cr?L~
/ $ignza
1~//3/f?)_,
Date / 2