HomeMy WebLinkAboutPermit Electrical 1984-11-5
.. RESI~T1AL"
APPLICATION /PERNIT
225 North 5th Street
Springfietd, Oregon 97477
Building Division
726-3753
SPRINGFIELD
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IVlOh \ f\()-rt-h -..A 0~1\q~t
\1() :\;)1 ()~2-. Tax Lot # t1'f 1 Y)
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Job Location:
ABOeS80l'S- Map #
Subdivision:
~ Rcce~pt #
{o'-::S~- 1
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CMner: ~ V'(\ -\' U, '{. W'\ \) tl~
AddreS8~~r~fone: '741 cD4/JQ
city:"--~,,,M lOP Y Zip: qf)4 '77
j U J
QNm"
n Addition
n Remodel,'
n .'.fobill!! Homa
Describe fl'ark:
\JlL - \.A.)~
JJ~E5~A4
Date of Application
(;ontract01'8
GeneraL
Plumbing
Electrical
Mechar.ie:::.l.
Construction Lender
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CUt . ," Q .'L.)
~~
Value
Address
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Siqr.eddv .rrLJ
Date: -J I i-,C::;'-Pft-
Lise. II
Phon~
Eroir8s
It is the responsibility of the permit hoLder to Bee that all inopections are made at the propel' timE, that each ~eBs is l'en~n~~e
from ths street, and that the permi t caPd is located at the front 'of the property.
-'<Building Divi::ior: approL'ed plan shall l'emain on thz Building Sit:; at all times.
PROCEDURE F()R INSPECTION REOpEST:CALL 726-3769 (recorder) state yo~. City designated job nwnberJ job adCrcssJ type of in3pec-;icn
z-equcstcd ar.d when you will be ready for inspeetionJ Contractors or OI.me;>s ru:me and phone nwnbcr. Requests received befere 7:00 CZ':'i
~'ill be made the same dcyJ requests made afta' 7:00 am will be made the next ':.JOrking day.
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RP"'l'i~~ti T,:!R7l.p~d(m.R
D SITE INSPECTION: To be made after
excavationJ but prior tc set up of
forms.
O UNDERSLAB PWMBING. ELECTRICAL &
. MECHANICAL: To be made before any
work is ~ovcl'ed.
D
FOOTING & FOUNDATION: To be m::zde
after trenches are excavated and
forms are erectedJ but prior to
pouring ccncret~.
UNDERGROUND PLUMBING; SEWER. WATER,
DRAINAGE: To be made prior to fil-
ling trenches.
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UNDERFLOOR PLUftfBING & MECHANICAL:
To be made prior to insta l Zation of
11001' insulation or decking.
POST AND BEAM: To be made prior to
installation of fZoor~':1tion or
decking. ,
ROUGH PLUMBTllG. T,ECTRICA r & MECH-
ANICAL: No wo k is to ~ covered
,until these ins have beer.
made and approved.
FIREPLACE: Prior to pZaC!ir.g facing
materials and before framing inspec-
tion.
D FRAMING: Must be reque!Jted after
appr'ovaZ of rough pZwrbingJ eZectri-
caZ & mechanical. All roofing
bracing & chimncysJ etc. nr~st be
;'corrrpl.etcd. No work is to be con-
,~...:.,ceal.ed until thi!J inspection has
~be~n made and approved.
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D
Your Cit;y Desigr.ated Job Nwnber I!J:
D INSULATION/VAPOR BARRIER INSPECTIO!~:
To be made after> aU insul.ation aJ".d
. required vapor' barriers are in place
. . but before any lathJ gypsum board or
~l.l. covering is applied, and before
any insulation is conceal.ed.
o
DRYWALL INSPECTION: Tc be made
after> all. cb>ywaU is in pZaceJ
but pT'ior to any taping.
I DEUOLITION OR ;',:OVED BUILDn-.'GS
~ Sani-;w.y se"..)er ::Japped ~t ~op.:;rt-::i line
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=:J Septic tank rr""'7ed and fiHad lJith gra~et ;
:J FinaL - r/hen abeve items are ccmpLeted ,
ar~ when demol.ition is complete or st~~-
ture moved and premises C!l.eaned up.
I Mobile Hcmes
:::J Blocking and S8t-~p
:::J PZumbing connections sewer and water
:::J Electrical. Connection - Bl.ockingJ set-up
and pl.umbing connections nr~st be approved
before requesting el.ectrical. inspection
~ Accesso~d Buil.ding
:J Final - Aft~r porchesJ skirtingJ deC!ksJ
etc. are compl.eted.
o
Al.l. project conditions, such as the instal.l.ation of street trees, c~~letion of the
required Zandscapir.g, etc. J must be satisfied before the BUILDING FINAL can be requested.
D FINAL PLUMBING
o FINAL MEcHANICAL
r;zl FINAL ELECTRICAL
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FINAL BUILDING: The Final Building Inspection Tmlst be r'equested after the Final Plwnbing
Electl'icalJ and Mechar.ical. Inspectiona have been made and approved.
0" MASONRY: Steel.
bearnsJ grouting
accordance with
2415.
l.ocation J bond
or verticals in
U.B.C. Section
*ALL MANHOLES AND CLEANOUTS HUST BE ACCESSIBLEJ ADJUST!lEUT TO BE /.f/lDE !:T NO C:JST TO CITY 1 Page 1 of 2
~... .
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WOODSTOVE: After instal.lation is
ccmpleted.
D
CURB & APPROACH APRON: After forms
are ereated but prior to pour>ing
aon-Jrete.
SIDEWALK & DRIVEWAY: For aU con-
crete paving within street right-
of-waYJ to be made after al.l. exca-
vating complete & form work & sub-
base matenal. in place.
D
D
PENCE: When compl.,;te -- Provide
gates or movable sections through
P.U.E. '
D
!Z:~:B No.B4OlG1qoc::a~:G,WESS
Lot Sq. Ft(;.
~ ~f lot Cave~age
# of Stories
Total Height
Topography
I
lITEM
I Main
I Ca:raae
I Car>vQrt
IA~ce8801"!I
I SQ.FTG
I
Is.D.c.
TOTAL VALUE
(VCt.UC)
1.5 :t:
Building Permit
State Sur>c:harge
Total, Charges
lITEM
Fi:::t:ures
IResidential (1 bath)
I Sanitayry Sewer'
I Water
I NO.
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FEE
Plumbing Permi t
State Surcr.arge
Total Chat'aes
lITEM
Res. Sa. fto.
I New/Extend Cil"cuits
FEE
1110'1
I I
Temporary Service I ,
, \ ~ \ \ ~~:~r~1
State Su:rcharqe
Total Charces
ITEM
I NO.' FEE
I
Furnace PTU' S
Exhaust Hood
I Vent Fan
I Woodstove
PePmit Issu.ance
Mechanica.l Permi t
State SW'charae
Tota 7. CharGes
I -- ENCROACHMENT --
I Sec:r.u..it'J{ Deposit
I Storage
Maintenanae
Pcrmit
Tota l Cha:l'qes
I Curbcut
I Sidewalk
I Pence
I EZeatl'ica l Labe l
I Mobi le Home
TOTAL AMOUNT DUE:'"
WT TYPE
Interiol'
Corner
Panhandle
Cul-de-sac
x
Value
CHARGE
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I CHARGE
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CHARGE
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10 ,cpl.
c'c.ge ;;
REQ.-
e
L :"co c'lo
TypeICor.st:
Bedrooms:
I Lot Faces -
I Setbacks
I P. L. 1 Hou.se Caraqe
INorth
lEast
ISouth
IWest
Faes
I Access.
I I En21'GU SO:d'ces
I I Heat
I I Water> Y~QtP.'"
1 I Range
/ I Fireplace
I I WOOd3 tove
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T.:I':'8
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Building Value & Permit
This permit is granted on the express condition that the sdid construction
shalZ, in all respects, confo~ to the Ordinance adopted by the City of
Springfield, incZuding the Zoning Ordinance, regulating the construction
and use of buildings, and may be suspended or revoked at any time upon vio-
lation of any provisions of said Ordinances.
IPlan Check Fee:
IDate Paid:
IRecdpt #:
I Signed:
Plumbing Permit
No person shalZ construct, instal!, alter or change any neW or e=isting
plumbing or drainage system in whole or in part, unless such person is the
legal possessor of a valid plumber's license, except that a pe~son may do
plumbing work to property which is ow~ed, leased or operated by the appli-
cant.
Electrical Permit
Where State LaLJ requires tr.at the electrical work be done by an Ele~trical
Contractor, the electrical portion of this permit shall r~t be valid until
the label has b~en signed by the Electrical Contractor.
Mechanical Permit
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Plan Exam'LneJ>
ua"te
I HAVE CAREFULLY EXAN.INED the completed application for permit, and do
hereby certify that aU information hereon is true and correct, and I
further certify that any ar.d aU lJOl'k perfomled shall be done in ac~or-
dance with the Ordinances of the city of Springfield, and th~ [g.,;s of the
* State of Oregan pertaining to the work described herein, and that NO OCCU.
PANCY will be lTrlde of any structure withou.t pe'I'mission of the Building Di-
vision. I further certify that only contractors ar~ e~layee8 who are in
compliance with ORS 701.055 will be used on this project
?lI cUvy M- ~
1L~0-7'
Date
Signad