HomeMy WebLinkAboutPermit Electrical 1990-4-23
.. RESIPeHIAL"
APPLICATION/PERMIT
225 North 5th Street
Springfield, Oregon 97477
Building Division
~ 726-3753
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Job Location:
AsaeS80rs Map II
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T= Lot #
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% Ilrt (<:}r.J Zip: C{'74, r
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41 UJ Varue 1(\ f i\
Subditr;sion:
CkJner:
Address:
City:
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NmJ
Addi ticn
Remodel.
!.1obile Boma
Date of Application
Contractors
General
i Plumbing
IMechanical. .
I EJ,ectr:i.cal\.n i jYlg 1f )
SUP<Lli"/<in:i,..lLEj,ec tr;ician '
Describe fl'ork:
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linkfX.J
Rcce-:.pt .'1
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Sigr.ed:
Date:
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Address
',-Lise. III
Bldrs Board R~Q.
l)hnnp
Exti~res
It is the responoibility of ths pBrmit holder to sse that all. inopectiona are made at the proper ti.mf:.# tr..at each ~e88 is readab~e
from ths street, and that the permit card is located at the front of the proper"ty.
.4BuiZding Divicior. approved plan.8.ha"Lt remain on the Building Sit:; at aU times.
PROCEDURE FOR INSPECTION RE.QUEST:CALL 726-3769 (recorder) state yoUP City designated job n:umber, job address, type of in:Jpec~icn
requested ar.d when you win be ready for inspection, Contractors or OLmers narle and phone nwnbcr. Requests received before 7:00 ar.l
r..'iZl. be made the same day, requests made afta' 7:00 am wit! be made the next :.JOrkin.g day.
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Rp.f1!Jj...,.p.n r"tanp'f!t.:in".q
O SITE INSPECTION: To be m:zde after
ezcavation, but prior to Set up of
. forms.
0, UNDERSLAB PLUMBING. ELECTRICAL &
: !15f}HANICAL: To be made before any
wrk is OOlJcred.
o
FOOTING & FOUNDATION: To be m:zde
after trenches are ezcavated and
forms are erected, but prior to
pouring ccncret~.
o
SEWER. W.1T~RJ
prior to fi/.-
UNDSRGROUND PLUMBINGl
DRAINAGE: To be rrn:ie
.lir.g trenches.
0, lINDERFLOOR PLUI!BING & MECHANICAL:
. . To be made prior to instal.l.ation of
fioor insulation or decking.
O POST AND BEAM: To be mad. pM-or to
instal.1.ation of [low nst.: tion or
, ,deokf"fi. /"7,
~;H PLmmIlIG. EftCTRIf:Ai MECH-
L.:] . ANICAL: No lJOrk '8 to be eOL'ered
,ur.til. the8e inspe .. e beer.
made and approved.
O FIRF:PLACE: Pzoior to p7.acir.g facing
materia7.s and before framing inspec-
tior:.
O FRAJ.!ING~ Must be requested after
approval of rough pl.wrbing, electri-
.cal. & mechani::al. At! roofing
bracing & chimneys, et.:. 17J'..lst be
:'completed. !lo work is to be con-
,,'""cealed until thin inspection has
~be~n made and approved.
.Your City Desigr.ated Job Numba' Is:
O INSULATION/VAPOR BARRIER INSPECTION:
To be rrr::de after all. insuk:.tion w.d
. -'." required vapor barriers are in place
. . ~ but before any lath, gyp8WTI board or
. wZZ covering is appUed, and before
,.. . -.~Y insulation is concealed.
,',
, 0 DRYWALL INSPECTION: Tc be made
after all d.ryLJall is in place,
'. but prior to any taping. ,
O MASONRY: Stee l location ~ Ix>>ui
beam3, grouting 01' vertical.s in
accordance mth U.B.C. Section
2415.
O WOODSTOVE: After instaUation i.
completed. .
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CURB & APPROACH APP:ON: After forms
are crected but prior to pouring
aonorete.
SIDEWALK & DRIVEWAY: For aU con-
crete paving within street right-
of-way, to be made after all exca-
vating canp'Lete & form "",rk & sub-
, base rrrzterial in pUu!e.
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O PENCE: WheY: compl...:te -- Provide'
. gates or movable sections through
P.U.E. '
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Cfo(){)59
. DEMOLITION OR gOVED BUILDItlGS
~ Sani tary 8e:JeJ' :::apped ::zt rn:..opcrt"~ l.ir:.e
=:J Septic tank F..c:iped and fi lle~ lJi th ;;ra~e l .
,
I Pinal. - r~'hen a1N~e items are completed i
~ ar~ when demolition is compl.ete or stru~- j
twoe moved and premises cl.eaned up. . I
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,
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Nobi le Hemes
=:J Brooking and Set-up
=:J Plumbing connections -- s~er and water
--, Electrical Connection - Blocking, set-up I
~ and plumbing connections nr~st be approved
. before requesting elec~rical. inspection
~ AccesGo1"d Building
-, Pinal - After p::Jrches, skirting, decks,
--.J etc. are completed.
o
A'll. project conditions, such as the installation of street trees, c~~letion of the
required landscapir.g, etc., must be satisfied before the BUILDING FINAL can be request:zd.
o FI/lAC PLUMBIIIG
o FIliAL /1ECHANICAL
~ FINAL ELECTRICAC
o
o
PINAL BUILDING: The Pinal Building Inspection must be requeBted after the Final PlW1lbi"3
Electrical., and MechanicaL InspectionD have been made and approvad.
'ALC MANHCLES AND CLEANOUTS /1UST BE ACCESSIBCE, ADJUST!fE/lT TO BE IMDE AT /10 COST ;0 CITY I Page 1 of 2
0.~//~~A4; /V7~~
3~ 3~. ,'t'5n2'L .~
I JOB NO. qCf)()SH SOLAR ACCESS
Oc:cuoo.nct/. G~
LOT TYPE
Zone:
Lot Sq. Ftg.
s ~f lot CJ1Jer-age
# of Stories
Total Height
Topography
Interior
Cornel"
Panhandle
Cu,l-de-sQc
I
lITEM
1M-:l:7:n
l~aGe
I Cal'"Vort
IAcc:eS80l'U
SQ.FTG
x
Value
TOTAL VALUE
S.D.C.
1.5 :t:
evct.UC)
Bui!.ding Permit
State Surcharge
Total Cha.....ges
lITEM
Fixtures
CHARGE
NO.
FEE
Residential (1 bath)
Sani ta'1"y Sewer
Water
, Plumbing permi t
State SW'cr.arge
Total Charaes
lITEM
I Res. Sa.
110'1
Q+
FEE
CHARGE
fto.
N6'W/Ertend Circuits
I
I
c!1:d .So I
I
I
Temporary Service
lfY).~~~
State Sur~haraB
19\.00
(3 If . ~()
1 '{5 'K
333~1,
Total Charges
ITSM
I Purn:1.ce ETU' S
I Exhaust Hood.
I Vent Fan
I WOodsto:JB
I
110.
FEE
CHARCE
Permit Issuance
Mechanical Permit
State Surcharae
Total CharaeD
\ -- EIICROACHMENT u
Sec-.aoitw D2"(JOsit
Storage
Maintenance
Permit
Total Charqcs
I Curbcu1;
Sid=lk
Fen::e
I EZectr>ical label
I Mobile Home
I TOTAL ANOUIIT DUE:'
r;.;.~~
L-COG~
REQ.-
e.
I I Enerau &r..aoeea
I I' Heat
A<!cess. i I: Watel' Hp..atlH'
I I' Range
':1, II" I Firep /.ace
. WOOd:3tOVB
,
i ....."
TUDe
TYP{!/C(}Y'.IJr;:
Bedro"oms:
! Lot Faces -
I
I P.L.
Worth
lEast
ISouth
IWest
Setbacks
House. 'CQl'Qge
Fees
Building Value & Permit
This permit is granted on the express condition that the 8~id construction
shall, in all respects, conform to the Ordinance adopted by the City of
Springfield, including the Zoning CI'dinance, regulating the construction
and use of buildings, and m:zy be suspended 01' revoked at cny time upon vio-
lation of any provisions of said Ordinances.
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I Plan Check Fee:
I Date Paid:
IReoeipt #:
I Signed:
Plumbing Permit
No person shall construct, install, alter or change any new or ~-isting
plumbing or drainage syst~ in whole or in part, unless such person is the
legal possessor of a valid plwnber's license, except tr.at a person may do
plw::bing work to property which is owned, leased or operated by the appli-
cant.
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Electrical Permit
Where State LoJ,J requires tr.at the electrical work be done by an Electrical
Contractor, ths electrical portion of this permit shall roOt be valid until
the Zabel has been signed by the ElecrncaZ Contractor.
Mechanical Permit
,
PLan Exarmner
uat.
I HAVE CAREFULLY EXA."!INED the completed application for permit, and do
hereby certify that alL ir:fO';'TllQ.tion hereon is true and correct, and I
fu1'ther certify that any ar.d all work perfo~ed shall be done in accor-
dance :Jith the Ordinances of the City of Springfield, and th;: La'.JS of tho
'" State of Oregon peptaining to the work described herein.. and that NO OCCU-
PANCY will be rrr:zde of any structure without p~rmis8ion of the Building Di-
vision. I further certify that o~Zy contractors ar~ e~Z~yees who are in
compliance with ORS 701.05E will be used on this project
f/ol.3.9CJ
Dat.
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Permit No: q(){){)~q, u \
, , Address:' 8 f') q q t' Cl ~N\- A. Q ~
Issued by:t1) I f'O.--L Date: 4. L ~. go
STATEMENT:
INFORMATION NOTICE TO PROPERTY OWNERS
ABOUT CONSTRUCTION RESPONSIBILITIES
Note: Oregon Law, ORS 701.055(4), requires residential tiuildingpermit applicants
who are not registered with the Construction Contractors Board to sign the
following statement before the building permit can be issued. Licensed Architect ".
and Engineer applicants, exempt from registration under ORS 701.010(7), need
not submit this statement. This statement will be filed with the permit.
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Fill in the applicable blanks, and initial box 1 and either box 2A or 2B:
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1. LlLJ
I own, reside in, or will reside in the completed structure.
2. A. L-.J My general contractor is
Contractor registration number
I will instruct my general contractor that all subcontractors who work on
the structure must be registered with the Construction Contractors Board.
OR
B., CJZ:J'I will be my own general contractor.
If I hire subcontractors, I will hire only subcontractors registered with the
Construction Contractors Board. If I change my mind and co hire a general
contractor, I will contract with a contractor who is registered with the
Construction Contractors Board and I will immediately notify the office
issuing this building permit of the name of the contractor.
I hereby certify that the above information is correct and that I have read and understand.
the Information Notice to Property Owners about Construction Responsibilities on <the
reverse side of this form.
C /I7// I" /f, ~"'! K7 L P'~_ )
Signature 6f Permit Applicant. ~
/. d. q - fii)?
Date .7
CONSTRUCTION CONTRACTORS BOARD
0244J 10/24/89 '
'Vtf;. COPY TO ISSUING AGENCY PERMIT ALE
0Jfu1~};OPY TO APPLICANToj'), :1