HomeMy WebLinkAboutPermit Electrical 1984-11-13
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APPLICATION/PERMIT
225 North 5th Street
SpringfieLd, Oregon 97477
BuiLding Division
7 26-37 53
Job Location:
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ASGesGors Map II-
SubdiTJision:
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Q.mer:~. m~
Address: Q J. ~/1/\f1 KJrJI-
City: ,hlti, () N . .
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Describe fl'ol'k:
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Nobile Homa / / J .
Date of Application /I // ~ h V va!ueYl hO 0, CMJ
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Nm,1
Addi ticn
Remodel.
(;ontl'actol'S
Genera Z
P!umbing' ~ J:
E!ectrica!~ ddJ~_
Meahar.iaal
Constl'Ucti07l Lender
Phone: 7~(, - ;;? D <;13
Zip: 97C/'"77
Address
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,'?cceopt" h 7 X '7 ~
fJ 1/j;~/J<l41?
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Signed:
Date:
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Lise. #
Exvires
Phone
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Your City Desigr.ated Job Nwnb~l' Ic:
O INSV~A'J.'lUN/VAPOR BARRIER INSPECTTON:
To be made after all. insulation aY'.d
.. required vapor ba:rrieI'B CU'e in place
. . but before any lath~ gypsum board or
tiJaz.t covering is applied, and befor'e
. any insulation is conceaZed.
O DRYWALL INSPECTION: Tc be made
after aU dPywa"ll is in place,
but prior to any taping. .
O MASONRY: Steel location, bomI
beamD, grouting or verticals in
accordance IVith U. B. C. Section
2415.
O WOODSTOVE: After installation is
completed. .
D CURB & APPROACH APRON: After forms
are erected but prior to pouring
concrete.
.0 SIDEWALK & DRIVEWAY: For all con-
crete paving IVithin street right-
.of-lJay, to be made after all exca-
vating complete & fo~ work & sub-
base material in place.
o
PENCE: When compl€te -- Provide.
gates or movable sections through
P,U,E. .
~r~<,~
'1~/1- 30...<;"'/
It is the l'esponaibiZity of ths permit holder to see that all inopections are made at the pzooper tUnE;, that each r;dd:res8 is readabZe
from the street, and that the pezomi.t card is located at the fzoont of the property.
1fBuit.ding Diui=ior: approved p'lan shell remain on thz Bu::.lding Sit:; at all times.
PROCEDURE FOR rNSPECTION RE:.OUEST:CALL 726-3769 (recorder) state your City designated job 1!W7:ber, job address, type of ir.3pec~icn
1'aqucstcd ar.d when you will be ready for inspection, Contractors 01' Owners ~e and phone number. Requests received before 7:00 ~
:.'ill be made the same day, requests made after 7:00 am L>ill be made the nC'rt :JOrking day.
I?I./ (J~9 f.
Reoui~ed Tnsuecticns
O SITE INSPECTION: To be lOO.de after
excavation, bu.t prior to set up of
forms.
O : UNDERSLAB PLUMBING, ELECTRICAL &
MECHANICAL: To be made before any
. work is aovered.
o
FOOTING & FOUNDATION: To be rmde
after trenches are excavated and
forms azoe erected, but prior to
pouring concreto.
UNDSRGROUND PLUMBING, SEWER. W,1TE.9J
DRAINAGE: To be m::uIe prior to fil-
.U'f'.g trenches.
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UNDERFLOOR PWNBING & NECHANICAL:
To be made prior to instaLlation of
11001' insulation or decking.
O POST AND BEAU: To be made prior to
installation of f100r insuLation or
decking,
LRl ROUGH PUlMBIllG, ELECTRICAL & MECH-
ANICAL: No :.Jork is to be covered
,until theBe inspections have beer.
made and approved. .
O FIREPLACE: Prior to p7..acir.g facing
materials and before framing inspec-
tion..
O FRAJ!ING: Must be requested after
approva.l of rough plwr.bing~ electri-
.cal & mechanical. All roOfing
bracing ~ chimncys~ et.:!. TTrJ.st be
:'completed. !lo 'WOrk is to be con-
........cealed until this inspection has
~ b6~ made and approved.
o
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I DEMOLITION OR :~}OVED BUILDIt'lGS
~ Sani~ary s€"..Jer ~apped at p~opcrt'd 7.ir:.e
,
~ Septi= tank tr~~ed and filled uith gra~el :
:J Final - rVhen ab...'"'Ve itc.'!/8 are' cempleted I
ar~ when demolition is complete or st~=-
ture moved and premises cleaned up.
I Nobi le Hemes
:::J Blocking and Set-~p
:::J Plumbing connections -- s~er and wa~er
---, Electrical Connection - Blocking, set-up
---1 and plumbing connections nr~st ce approved
. before requesting elec=rical inspec=~on
:::J Ac.:!essory Building
:J Final - After p::Jrcr.es, skirting, decks,
etc. are completed.
D
FIliAL PLUNBIIIG
All project conditions, such as the installation of street trees, cO."7rpletum of the
required landsct:pi'f'.g~ etc., must be satisfied before the BUILDING FINAL can be requ.est~d.
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FINAL MECHANICAL
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FINAL BUILDING: The Final Building Inspection must be reque3ted after the Final Plumbing
ELectrical, and Mechar.ical InspectionD have been made and approvad.
FINAL ELECTRICAL
*ALL MANHOLES AND CLEANOUT.S MUST BE ACCESSIBLE, ADJUST!fEIIT TO BE N.1DE I!T NO COST TO CITY I Page 1 of 2
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I JOB No,8'406?C7
I Zone:
Lot Sq. Ftg,
S of lot Coverag<
tI of Stories
Total Height
Topography
SOLAR A.SS
Oecuvancl/ Graul):
LOT TYPE
Interior
Corner
ITEM
l/.bin
I Ca:raae
I Carport
I AcCe8S0r1/
SQ,FTG
TOTAL VALUE
Is.D,c,
(val-UC)
1.5 x .
Building Permit
State Surcharge
Total Cha.~ges
lITEM
I Fi:r:tuJoes
I Residentia I (1 bath)
I Sanitary Sewer
INDo I
I I
I I
I I
I I
Water
Plwnbing Perri t
State Surcr.a.roge
Total. Char-a8s
I ITEM ' NO'I
I R,:,!,_~ Ita,
I N~ Circuits I
I Temporary Service I
~. ~'? rf.,u. t,:J
-z; _ Eleatl'ical Permit
State Su:raharoqe
Total ChaT'qes
IITSM
Furnace ETU'S
I Exhaust Hood
I NO, I
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I
I
I
Vent Fan
WOodstove
Permit Issuance
Mechanica.l PePnTit
State surcharae
Tnta l Cfurro(1tUJ
-- ENCROACHMENT --
I SeC'~rit1l DeDo3it
Storage
Maintenance
I Pa1'mi t
I Total Chc.l'acs
I Curbcu;
I Sidewalk
I FCru:8
I ElectricaZ Label
I Mobile Home
I TOTAL AMOU/lT DUE:'
x
FEE
FEE
,,'
FEE
Panhandle
Cut-de-sac
Value
CHARGE
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CHARGE
1~,OV
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J,:/rl
C/JARCE
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gl.Pld I,
t':::.ge 2
REQ,-,
.
L~COG~
Type/Canst:
Bedrooms:
Enel'G.u Sources
Heat
Watel' Hp.atl?1'
Range
Fireplace
Wood::; tove
TilDe
I wt Faces -
I Setbacks
I P.L. House Caraqe Access.
INorth
lEast
South
IWest
Fees
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Building Value & Permit
This pe:rmit ia granted on the express condition that the said constl"Uction I
shall~ in all. respects, confom to the Ordinance" adopted by the City of
Springfield, including the Zoning DI'dinance, regulating the constpuction
and use of buildings, and ~y be suspended or revoked at any time upon vio-
lation of any provisions of said Ordinances. \ .
"
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Plan Check Fee:
Date Paid:
Receipt II:
I Signed:
Plumbing Permit
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No pereon shall. construct, install~ 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 person may do
pLwr.bing lJOrk to property which is oumed, leased or operated by the appli-
cant,
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Electrical Permit
Where State Law requires tr~t the electrical work be done by an Electrical
Contractor, the electrical portion of this permit shall not be valid until
the label has been signed by the Electrical Contractor.
,
Mechanical Permit
,
PLan Exarrnner
va"e
I /JAVE CAREFULLY EXAMINED the completed application for permit, and do
hereby certify that aU information hereon is true and correct, and I
r.lrther certify that any ar.d all. work perfoP.7!ed shal.l. be done in accor-
dance .nth the Ordinances of the city of Springfield, and th. La'~s of tho
A State of. Oregon pertaining to the work described herein, c:nd that NO OCCU-
"fANCY will be 17r1de of any structure without permission of the Building Di-
vision. I further certify that onLy contractors ar~ employees who are in
compliance with ORS 701.055 will be used on this project
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