HomeMy WebLinkAboutPermit Electrical 1990-6-28
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APPLICATB/PERMIT
225 North 5th Street
Springfield, Oregon 97477
Building Division
726-3753
Job Locatio", ? 03 N. 7'iP- P I~c:....('
Subdivision:
AsoessorS' Map # Tc:r: Lot #
Qmer:
/11& /0u.//tA/
Date of Application
Contractors
General
:Plumbing
i Hechanical
IE~ectri!:.al/.-<r..J GI"c1>"L'u~. VJIB..jV /Ill"). "l-G-14C-
Sl1pe};,,~Sr.lg Electr~cian fY~ ~-2~
Address:
City, 5 t? (2{ J
n
n
"PM
Addi tien
~ode1,
n Uobile Home.
.. th?/fcJ
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FOOTING & FOUNDATION: To be muie
after trenches are excavated and
forms are erected} but prior to
, pouring ccncret~.
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UNDSRCROUND PLUMBING~ SEWER. W.1TER,
DRAINAGE: To be rmde prior to fiZ-
,Zi7".g trenches.
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UNDERFWOR PLUMBING & MECHANICAL,
To be made prior to instaLlation of
floor insul.ation 01' decking.
POST AND BEAM: To be made p1'ior to
installation of floor insul:ation or
decki". .
ROUGH PLUUBING. ELECTRICAL & MECH-
ANICAL: No work is to be cOL'ered
~ur.til these inspectior.s have beer.
made and approve'::. .
FIREPLACE.: Prior to p1..c.cir.g faaing,
materiaLs and before framing inspec-
tion.
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D
O FRANING: Must be requ.eated after
approval. of rough p1,urr.bing~ electri-
,ca1, & mechanical. AU. roofing
. braeing & chimncY8~ etc. nr..lst be
:' completed. !lo tJOrk is to be con-
. ....:..cBcled until this inspection has
~b6~n made and app~ved.
P/-"",", 0?- ?-o r s ,
Zip' q I) 1-f7 r
Describe II'ork:
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}":'<.tYNd(,-!
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Sigr.ed, ~ ~ __
Date: ( ,.-.,- '?:h-'-H )
Bldrs Board ReQ.
Exo~res
Phnnp
q-I-qo
'74/-"). "). 3(..
It is the responoibiUty of the permit holder to S66 that all i7Wpections are r.uzde at ths proper timE., t}-.at sach :ddr6SS is readahZe
ftoom the street. and that the permit card is Zccated at ths front of the property.
.tBuit.ding Divi:;ion approved plan s_hall remain on the BuiZding Sits at aU times.
PROCEDURE FOR INSPECTION REpUEST:CALL 126-3769 (pcaorderJ state you.:r City design.:zted job mm;ber~ job add:ress~ type of in3pecticn
requested ar.d when you will be ready for inspection, Contractors or OUners n.cme end phone number. Requests received before 7:00 ar.'I
:..'iU be made tJu; same day~ requests made after 7:00 am will be made the nc.rt :.JOrkirl.] day. ~~
Your City Deoi'J'".ated Job Number Io, C\ U )~ _ )
R,u'7Jf.~l{ti T'l:"p"."'f!*f.nr.<'.
D. SITE INSPECTION: To be nr:zde after
excavation~ but prior to set up of
:fo:rms.
O . UNDERSLAB PLUMBING. ELECTRICAL &
, MECHANICAL: To be made before any
. .. "work is covered.
Y:",j'rdl
~ I:t,..f
r::-
I DEUOLITIO!! 08 ;~;OVED BUILDIilGS
~ Sanitary swer capped at ~opert'~ Line
=:J.sepH. tank p-.w.ped and fi!Zed l>ith ;;r<z"eZ
I Fina1, - rnum above ite:rls are ccmpleted
---1 and when demolition is complete or stru:::-
tu.:re moved and premises cleaned up.
I Nobile Homes
=:J Blocking and Sat-:.tp
=:J Plumbing connections s~er and water
--, Electrical Conn.ection - Bl.ocking~ set-up
~ and plumbing connections nr~st ce approved
before requesting electrical inspection
=:J Accesso'r'd Buil.ding
I Final - Aft::r p:Jrcr.es~ skirting~ d~cks~
~ etc. are c~le~~d.
o
All. project conditions, $uch as the instal.lation of stl~et trees, co~letion of the
required landscapir.g, etc. s must be satisfied before the BUILDIl,'C FINAL can be r~que8t.2d.
D FIliAL PLU!.fBIl/G
D FINAL ECHA/lICAL
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FINAL BUILDING: The Final. BuiZding In.spection must be requ.eDted after the Fina1, PZumbina
Electrical, and Mechar.ical InspectiontJ have been made and approved.
FINAL ELECTRICAL
Lv i ,;1\' J
f" ""r ~ian,
AddreRR
VaZue ~ ~~
'.Lisc. II
\0
4ALL MANHOLES AND CLEANOUTS nUST BE ACCESSIBLE, ADJUST.'rEtlT TO BE g/tDE AT NO CaST TO CITY I P::.ge 1 of 2
?>'t 'i q
O INSULATION/VAPOR BARRIER INSPECTION:
To be nr:zde after all insulati.::m a:"'.d
.. '.. required vapor carriers azoe in pZace
, . 'hut cefore any lath, gypsum beard or
t.XZll covering is applied~ and before
. ~y irwuZation is concealed.
DRYWALL IllSPECTION: Tc b~ made
after all d.:ryLJall is in ptace~
but prior to any taping.
O MASONRY: Steel Zoeation~ bo1ui
beamD~ grouting 01' vertieaZs in
accordance with U. B. C. Section
241..
O WOODSTOVE: After instal.lation is
ccmpleted.
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O CURB & APPROACH APRON: After' forms
are crected bu t prior to pouring
, C07ICrete.
. O' SIDEWALK & DRIVEWAY: For all con-
crete paving within s"treet right-
of-:JCy~ to be made after all exca-
vating complete & for.m work & sub-
. base materia'l in pZace.
o
"f'ENCE: When complete -- Provide.
gates or movable sections through
P.U.E.
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I JOB NO..
Izona,',
Lot Sq. Ftg.
I ~f tot CDVerag~
!I of Stories
Total Height
Topography
I
lITEM
I Main
I Ca:raae
SQ.FTG
Carport
ACCeSBOl'U
Is.D.c.
TOTA~ VALUE
IVC{,UC/
1.5 :t
Bui'ldinC Permit
State Surcharge
Total. Cha.....ges
lITEM
l Fixtures
I Re8identiaZ (1 bath)
I Sanit:n>y SeweIf
I Water
I
Plumbing Perr.:i t
State Surcr.arge
Tota! Charaes
ITEM NO.
I Res. Sa. fta.
I Naw/Extend Circui ts \
Temporary SeI'Vice
I
Eleatrical Permit
State Surcharqe
Total C7ua>c;es
lITEM
I Furnace ETU'S
I Ezhaua t Hood
I Vent Fan
I Woodstove
I
Permit ISBua:n.ca
Mechanic:z 1.. Permi t
State Surcharae
Totnl Cht:rrO~B
-- ENCROACHMENT --
I SeC"ol.roitu D:rOfJ3i.t
I Storage
I Maint~,,!p'
I Permit . -
j Total Cha't'oes
I CUrbcut
ISi.dewaZk
I Pen:Je
I Electrical Label
I Mobile Home
~AL AMOUNT DUE:"
!NO'I
I I
I I
I
I NO. I FEE
SOLAR ACCESS
Occ:upanCl/ c.
LOTTYFE
Interior
Corner
PanhandZe
Cul-ds-sac
x
Value
FEE
CHARGE
FEE
CHARGE
I;. cO
\ d.
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"r-i()
l"J :---
.16
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CHARCE
I
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I
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t~.&
t"c:.ga ~
REQ.-
L-COG~
'I';,'pe/Cor.st: .
II
II
Access. I I
Ii
II
II
Setbacks
Hcw.se Car'aqe
Bed:rooms:
Ener'Gu SO~r'ces
Heat
Water> Yl?atRP
Range
Fir'cplace
WOod3tOt;e
I Lot Faces -
I
I P.~.
INorth
lEast
ISouth
IWest
Tu'Oe
Fees
Building Value & Permit
This permit is grortted on the express condition that the sdid constnwtion
shall, in all respects, confoT'm to the Ordi1'la.r.ce adopted by the City of
Springfield, incZuding the Zoning Crd-:.nan.ce, regu1..ating the construction
and use of buiZdings, and ~y be suspended or revoked at cr.y time upon vio-
lation of any provisions of said Ordinances.
I
, '
, ,
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Ip1.an Check Fee,\~1 A.;-
Date Paid: \..
IRecdpt H,
I Signed,
Plumbing Permit
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No person shall construct, install, alter or change any ne~ cr e--isting
plumbing Or' drainage system in whole 01' in part, unless such person is the
legal possessor of a valid plumber's license, except that a person may do
plumbing wol'k to property which is owned, leased or operated by the appli-
cant.
,;.
,.
Electrical Permit
Where State Law requires trAt the electrical work be done by an Electrical
Controctor, the elect-rical portion of this permit shall roOt be valid until
the Zabel has been signed by the Elecrncal Contractor.
,
Mechanical Permit
,
,
--
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P~er "--" "
( '1~/PrGn
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I HAVE CAREFULLY EXAMINED ths completed application for permit, and do
hereby certify that all ir:.fo~tion hereon is true and cOl'1'ect, and I
further cer-:(fy that any ar.d all IJOrk pel'fo~ed shall be done in accor-
dance :.nth the Ordina.nces of the City of Springfield, and th~ La-...:s of tho
. State of Oregon p~rtaining to the work cescr>ibcd herein, and that NO OCCU-
P~!lCY wilt be nnde of any st't'Uctur2 without pa't'mi83ion of the Building Di-
v~8ion. I further certify that o~ly contractors ar~ ~loyee9 who are in
~pliance with ORS 701.05E wil~ be used on this project
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b-1-.g-9o
Date