HomeMy WebLinkAboutPermit Electrical 1990-4-9
.. RESI.NTlAL"
APPLICATION/PERMIT
225 North 5th Street
Springfield, Oregon 97477
Building Division
726-3753 .
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N \ <\0334 \'-\- 0 T=I<JtN
Job Location:
A8D68GOl"'~ Map
Subdivision:
mlno
amer: tyY[)t\'\llJ l)\)\1o.~
Address: (hjC) i(Q\Xh,<\~(~t ~
City: ,'RhO fi . ' fur ) , "
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Phone:l4 G - D ~4 (]
Zip: Q,417
Describe rl'ork:
Reeeopt ,~
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~dt3~ D?L- 112--QD5
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Date of Application
Contractors
General
i Plumbing
I Hechanical \ ~
I E~ectru:aLc7'\l"(\. T UO f'TIUJ.'./ - '1
I StlDe~afii.I!!\ Electrician "// J". ~ _" 7,~~
It is tho resporwibility of the permit holder to 8.e that aU inopections a:re made at ths propsr time., tr.at llaCh :ddr688 is readabZe
from the etreet. and that the pernri t card ie loaated at the front of the property.
.BuiZdin.g Diui::ior: approt.'ed plan shell. remain on tha Buildin(J Sits at all times.
PROCEDURE FOR INSPECTION R:':'QUEST:CALl 726-3769 (rccol'deroJ state your City designated job mm:ber, job address, typo of imrpec:icn
1"equestcd ar.d when you r.1iH be ready for iMpaction, Contractors or OI.me!'s ru:me and phone number. RequGBts received befere 7: 00 a;:1
r...'il'L be made thG same day, requests made afta' 7:00 am wi'll be made the nC:J:t :.Jerking day.
Addi tien
Remodel.
.~10bi l.e Homo
~rf'ru\.,:,.l'<.'i T'1~n.e'!t':~,:?<l
D. SITE INSPECTION: To be rrrlde after
excavation, but prior to se: up of
fo1'fTls.
O WM~UBnwmI~. ~EcrM~L&
. MECHANICAL: To be made before any
work is covered.
o
FOOTING & FOUNDATION: To b. mu!e
after trenches are excavated and
fo:rms are erected, but prior to
pouring ccncret~.
UNDSRGFKJUND PLUMBING. SEWER. W.1TE.r?,
DRAINAGE: To be rrn:i.e prior to fi1.-
.'Li1".g trenches.
o
o
UIlDERPL(JOR PLUI.fBING & MECHANICAL:
To be made prior to instaLLation of
floor insulation or decking.
O POST AND BEAM: To be made prior to
instaLlation of floor inst.:lation or
. decking. //?'\
~OUGH PLUMBING. 'E{fCTRICAi. & MECH-
L:J ANICAL: No work fs .to l)I! eOL'sred
,ur.tiL those inspe~have beer.
made and approved. .
O FIRE:PLACE: Prior to placir.g faeing
materials and before framing inspec-
tion.
O FRAJ.!ING: Must be requested afte'1'
approval. of rough pl.wr.bing, el.ectri-
001. & mechanical. AlZ. roofing
bracing 6 chimneys, etc. Trr..lst be
: compl.etcd. No work is to be con-
.." cealed until thio inspection has
'be~n made and approved.
Value
1'\1 (1)
(JirnnJ _)
. ~~-'-1(
Signed:
Date:
Address
,Lise. II
Bldrs Board R,q.
Exp~res
Phnnp
qCD~\3
I DEMOLITION OR NOVE~ BUILDIilGS
~ Sani-:ary BetJor capped at ~op~r~. line
~ Septic tank ~~~~d and fillw~ with gra~B~
] Final - rlhen above ite.'1fs are completed
ar~ ~h6n demolitior. is completo .or stru~-
ture moved and premi3es oleaned up.
. Mobile Hemes
:::J Blacking and Set-up
:::J Plumbing c07lrulctiona -- sa.Jer and JJa~er
:::J Electrical Connection - BLocking, sot-up
and plumbing conr.ectians 1l1".J.st ce apprawld
before l'9quosting oloc~rical in8pec~ion
:::J Acaessory Building
] Final - After p~rcr.es, skirting, decks,
etc. aPO comple~~d.
o
All project canditions, such as the installation of street treBs. c~~loeion of the
required landscc:.pir.g, etc., must be satisfied before the BUILDING FINAL can bo rsquest3d.
Your City Deoigr.atcd Jab Number Io:
O INSULATION/VAPOR BARRIER INSPECTION:
Ta be rmde after all insukti.m w.d
. . . required vapO'1' carriers aPe in p l.aee
. . ~ but before any l.ath, gypswn board .0'1'
. LXIll covering is applied, and beforG
. CI1'!y insulation is concealed.
DRYWALL IlIsPEcrrON: To be mad.
after all drywa II is in place,
but prior to any taping.
O MASONRY: StGel lacation, bo1uI
beams, grouting 0'1' verticals in
accardance with U.B.C. Section
2415.
O WOODSTOYE: After installatian is
ccmplet~d.
o
o
CURB & APPROACH APRON: After forms
are erected but prior to pouring
ooncrete.
SIDEWALK & DRIVEWAY: For all con-
crete paving within street '1'ight-
af-r.x:.y, to be made after aU exca-
vating complete & fo~ work & sub-
. base lOOterial in plaoe.
o
O E'ENCE: When complGte -- Provide
gates .or movable sections thrqugh
P.U.E.
o
o FIllAL PLUMBIIlG
o FIliAL 11E~HANICAL
G FINAL ELECTRICAL
o
FINAL BUILDINC: The Final Building Inspectian must be requested alter tho Final Plwnbi"3
Electrical., and Mechar.ical Inspections hava been made and approved.
o
-ALL MANHOLES AND CLEANOUTS HUST BE ACCESSIBLE, ADJUST!fENT TO BE f.t1DE I1.T NO COST TO CITY I Papc 1 .of 2
,...
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I JOB No.q()()!JI~
I Zona:
Lot Sq. Ftg.
S of lot Coverog"'
# of Stones
TotaL Height
T....t.",,;~~ ....t'hy
I
lITEM
I Main
I Gc:Ioaae
I earoo;t
I Acc6BBoru
, SQ.FTG
TOTAL VALUE
Is.D.c.
evat.UCJ
1.5 :r:
Buil.ding Permit
State 5w'aharge
Total Cha.,...gea
lITEM
Fi:rtursB
R..i<UintiaL 11 bath)
I sanitary Sewer
Water'
Plumbing Perrr:i t
State Surcr.a.rge
Total Charaes
ITEM
Res. Sa. fto.
NlllJ/Ert6nd Circuits
Temporary Service
[)p.J) l:Zo:~~ermit
State SUrcharae
Total Cha:r>C6S
lITEM
I furn::zce ETU'S
I Exhaust Hood
I Vent Pan
11I00dstove
Permit Issuance
Mechanical Permi t
State Surcharar:
Tatal Chtrrann
-- ENCROACHMENT --
Se~~tu Davosit
Storace
IMaint~e
I Permit
I Total Cha'1'f1CB
I Curb",,;;
I SidewaLk
lpen::e
Electr>ica 1. Labe l
Mobile Homs
'TOTAL AMOUNT DUE: ~
SOLARG:~C..~S.
OccupanclI ~ .......... .
NO.
NO'1 FEE
!JJr
I
I
NO.
LOT TYPE
Interior
Corner
PanhandLe
CUt-de-sac
x
Value
FEE
CHARGE
FEE
.
CHARGE
c9QJ~D
\~.OO
9/'- SO
\ .?;<f: I
13Cj .3~j .
CJ/ARGE
3ct. 2><6
r<.:.ge ...
REQ.-
L-COG~
.
Bedrooms:
Type/Cor.st:
Lot Faces -
P.L.
INorth
lEast
IS"" th
IWeet
Fees
Setbacks
H(T.,;,Be Cc1I'aQe
Enarau SOUl"ces
Heat
Access. Watsp Y~atp.r
Range
j Fipeolace
I I Wood"to"e
II
T~'Oe
Building Value & Permit
This pel'mit ilJ granted on the exppess condition that the said constl'Uction
shall~ in all re8pccts~ conform to the Ordinance adopted by the City of
Springfield, including the Zoning Crdinance~ regulating the construction
and use of buildings, and may be suspended or revoked at eny Hme upon vio-
lation of any provisions of said Ordinances.
.
.
Plan Check Fee:
Date Paid:
Receipt N:
Signed:
Plumbing Permit
No person ahalZ construct~ install, aLter or change any new or e--isting
plumbing or drainage syst~ in whole or in part, unless such person is the
l.egal possessor of a valid plwnber's licensB, ezcept that a person may do
plur..bing !JJOrk to property which is otJned~ leased or operated by the appli-
"""t.
Electrical Permit
Where State LaI.J requires tr.at the electrieal. work be done by an Electrical.
Contractor, the el.ectrical portion of this permit shall roOt be valid until
the label has been signed by the Electrical Contractor.
Mechanical Permit
.
PLan Exam1-ner
vate
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I HAVE CAREFULLY EXAMINED the completed application for pel"l1tit~ and do
hereby certify that all information hereon is true and correct, and I
further certify that any ar.d all work perfon1ed shaLl bB done in accor-
dance :.lith the Ordinances of tM City of Springfic7A, and th~ Lcr..:s of tha
State of OregQn p$rtaining to the lX'rk described herein, c:nd that NO OCCU-
PANCY will be rrnde of any StructUl"8 withoi4t permission of the Building Di-
vision. I further certify that ~ly contractors ar~ ~lQyee8 who arB in
c~pliance with ORS 701.055 will be used on this project
Signzd
Dat.
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