HomeMy WebLinkAboutPermit Electrical 1985-3-21
.. RESID~T1AL"
APPLICATION/PERMIT
225 North 5th Street
Springfield, Oregon 97477
Building Division
726-3753
v
.
.
Job Location: -'-I ~ t::> f;;1.. ~
ASDeSDors Map # ~ 3\ Tax Lot # W1dXJ
Subdivision:
QJner: ;o~
Address: /1t!J.o Y.;1. ~ -' i_,. "'.w
City:,,-~~ -~
/ U{) /
~
PI-.one: 70< (p - &>30 a
Zip: 9'7477
n
n
~
Mm,'
~
Descnbe r.,'ork:
Addi ticn
~' C-.Ln~
Remade l
Habite Boma
Date of Appl.icatic;n
Contracto1'S
'5 -d-I-!j~
VaZue
AdiJ..res3
.e, Rccdpt # I:) b?jif/S
Signed:
Date:
1~
Lise. #
Exvi1'8S
Phone
Genera L
PLumbing
ELectricaL ~
Mschar.ica7.
Construction Lender
It is ths respon.oi.biLity of the permit holder to 888 that aU int1pections are made at the proper tim,:;, that 2aCh .:;ddres8 is rea.da.hZe
froom tn. street, and that the permi t card is 1.ocatod at the froon.t of the property.
~Bui1.ding Divi::ior: approved plan shalt in on th.2. BuiZding Sit:; at all times.
PROCEDURE FOR INSPECTION R~OUE, T:CALL726-3769 recorder) state your City designated job nwnbel'~ job ad60essJ type of in3pec~icn
requested -ar.d when you wiZZ be r' . 1.0n" Contractor's Or' Owners name end phone number. Requests received before 7 :00 ~
:..'i"LL be made the same day" requests made after 7:00 am will. be made the next iXJrking day.
YO"U' City DeDigr.ated Job Nwnber Iv, rf:.o-: 0 d. 0;;;;-
RP.~!':~P~_ T'l~npf!r.i,.,1",,!
D. SITE INSPECTION: To be made after
excavation" but prior to set up of
forms.
O . pNDERSLAB PLUMBING. ELECTRICAL &
MECHANICAL: To be made before any
work is ~overed.
o
FOOTING & FOUNDATION: To be made
after trenches GI'e excavated and
forms are erected" but prior to
pouring ccncret~.
UNDSRGROUND PLUMBING, SEWER. W.4TER~
DRAINAGE: To be TTK1.de prior to [il-
.l ir.g trenches.
o
o
UNDERFWOR PW~$ING & MECHANICAL:
To be made prior to installation of
j100r insulation or decking.
D POST AND BEAN: To be made prior to
install.aticn of floor ins~lation or
decki"!; .
~ ROLlGN PLU!~"ECTRIC?:i:, & MECH-
ANICAL: No !;:loo.....z. i j:lt +-,..~ cOL'ered
.until these inspections have beer.
made and approved.
O FIREPLACE: Prior to placir.g facing
materials and before framing inspec-
tion.
O FRANING: Must be requeDted after
approval of rough plwr.bing~ electri-
.cal & mechanical. All roOfing
bracing a chinrru:ys~ et~. '"'..tst be
;'completcd. No work is to be con-
."...:cealed until thiD inspection has
~be~n made and approved.
D INSULATION/VAPOR BARRIER INSPECTION:
To be made after all insulation w,d
'. required vapor barriers are in place
, but before any lath~ gypswn boaI'd or
watl covering is applied~ and before
. any intJulation is concealed.
O DRYWALL INSPECTION: To be made
after all drywall is in place~
but prior to any taping.
O MASONRY: Steel location" bo7ui
beam:J~ grouting 01' vertica1.s in
accordance with U.B.C. Section
2415.
O WOODSTOVE: After installation is
ccmpZeted.
D CURB & APPROACH AP.lfON: After' forms
are ere~ted but prior to pouring
ac>ru!rete.
D
SIDEWALK & DRIVEWAY: For all con-
crete paving within street right-
.of-way ~ to be made after a l.l exca-
vating ccmplete & foI'm work & sub-
base material in pla::!e.
DEMOLITION OR ;',,'OVED BUILDIt7GS
:=J Sanitary s€'.Jer ::!apped ::t p~opert-:i Zine
~ Septi~ tank tr~~ed and filZ2~ with gra~eZ
:J Pinal - fl'hen ab...--ve ite."'!1.8 are completed
ardi when demolition is complete 01' st1'U~-
ture moved and premises ::!leaned up.
'Mobile Hemes
=:J Blocking and Set-up
=:J Plumbing connections -- s.;:wer and water
---, Electrical Connection - BLocking~ set-up
--.J and plumbing connections rrr...st /;e approvec.
before requesting elec;rical inspection
=:J Accesso1"'d Building
:J Final - Aftar p:;Jrcr.es~ skirting~ decks"
etc. are comp1.eted.
I
I
j
D
PENCE: When compL.te -- Provide,
gates or movable sections through
P.U.E, '
o
All project conditions" ouch as the installation of street trees" c~~letion of the
required landscapir.g~ etc. ~ must be satisfied before the BUILDING FINAL can be requested.
o FINAL PLUMBING
o FINAL ME~HANICAL
~ FINAL ELECTRICAL
o
o
FINAL BUILDING: The Final Building Inspection must be requested altel' the Pinal Plumbing
El.ectrical~ and Mechanical. Inspections have been made and approved.
,-
o
~ALL MANHOLES AND CLEANOUTS MUST BE ACCESSIBLE, ADJUST!fEllT TO BE MA.DE AT NO COST TO CITY Page 1 of 2
I JOB NO,K$O;(bS SOLAR.ESS
I Zone: - Oceuoancl! Gl'OU-;:):
Lot Sq. Ftg. WT TYPE
S of lot C~erag;; Interior
!I of StOM..es Corner
TotaZ Height Panhandle
T..,t'...~~ o.4t'hy
I
lITEM
I ,\bin
I Gazoaae
I Ca:roort
I Acees80ru
I SQ.FTG
TOTAr, VALUE
Is.D.c.
{vat.uc}
1.5 x
Building Permit
State Surcluu>ge
TotaL Cha."'!Je.
lITEM
I Firtures
I ResidentiaL (1 bath)
I Sanitary SeWel'
lid""
PL:onbing Permi t
State Surcr.arge
Total Charaes
lITEM
I Res. Sa. ftc.
I Nw/Extend Cil'cuits
I Temporary Service '
Electrical Permit
State SurcharQe
Total Charces
1110'
I
I
I
I
I NO'1
I I
I I
I I
lITEM 1/0'1 FEE
F'unuce ETU'S
Exhaust Hood I
I Vent Fan I
I ilOodstove I
I
Permit Issuance
Mechanical Permit
State SurC1tarae
Tnti'll CJrara/uJ
I -- EI/CROACHMEIIT h
I Sec-mt':! DaTJOsit
I Storage
I Mainte-rzan.ze
I Permit
I
I Curb,,":
I Sidew. Lk
Total CharGes
lpe~e
I nectpicaL LabeL ti () j :3 / ,13
[Mobile Home
I
I
I TOTAL AMOUI/T DUE:-
x
Cut-de-sac
Value I
I
I
I
I
I
I
I-
I
I
I
I-
CHARGE
FSF:
FEE
I
I
I
I
I-
I
I
/~d!)O I
I
I
/t? _ rro I
I -. qOI
I /0, C/O ,-
I
I
I
I
I
I
I (
I'
I
CHARGE
CHARGE
I-
I
I
I
I
I -
I
I
I
,;;"0 I
I
I
I I
51' ';0, bO I-
Page 2
~
I
I
I
I
I
.
L-COG~
REQ,-
TypeICor.st:
Bedrooms:
I I Enera..I! Sources
I, I Heat
Water> Hp.atp.I'
I I Range
I I FiI'eplace
I I Wood:;tove
I 1 ,I ",
~;':"'~'-":"":'l.',\.:',
TVrJe
I Lot Faaes -
I
I P,L,
[North
lEast
ISouth
IWest
Setbacks
House Ca:t'Qae
I Access.
i
I
I
Faes
Building Value & Permit
This permit ia granted on the e:t:pr>esB condition that the said constructioll
shall~ in all re8pcct8~ confoPm to the Ordinar~e adopted by the City of
Spz>ingfield~ incZuding the Zoning C'rdinance~ regulating the construction
and use of bui1.dings~ and may be suspended or revoked at c.ny time upon vio-
lation of any provisions of said Ordinances.
. (' ~,
"
IPlan Check Fee:
I Date Pai.d:
IRecdpt #:
I Signed:
Plumbing Permit
No person shall construct~ inBt;aLZ~ alter or> change any 1'.etV 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 tr~t a pe~son may do
plur.'.bing work to property which is OIV11ed~ leased or operated by the appli-
cant.
Electrical Permit
Where State Lalu requires tr~t the electrical work be done by an Eleatrical
Contractor~ the electrical portion of this permit shall l'~t be valid until
the Zabel has been signed by the Electrical Contractor.
Mechanical Permit
PLan Exal/'I1.ner uar;e
I HAVE CAREFULLY EXAMINED the completed application for permit~ and do
hereby certify that all info~tion her>eon is true and corrcct~ and I
f'..uother certify that any ar.d all lJOrk per>fol'med shall be done in acaor-
dance :.nth the Ordinances of the city of Springficld~ and the: La:.;s of tho
State of Oregon per>taining to the wor>k described her>ein~ c::nd that NO OCCU-
PANCY lAJill be rrnde of any struatura Jori.thout permission of the Building Di-
vision. I further aertify that o:1ly aontl'act01'8 ar.d e:npk1yees who are in
aampliance ur:th ORS 701.055 will be used on this project
3-~/~ ;(.)
~
Date