HomeMy WebLinkAboutPermit Electrical 1983-3-2
.. RESlrtNTIAL':
APPT.,ICATION/PERMIT
225 ~orth 5th Street
Sori~pfieZd, Oregon 97477
. ".
BuiZding Division
726-3753
llLJ ~~o~
:',~~q W. iD' sf.
- :J.pftl
.lob Loc:::io'l1:
9.~~ ~
.1 \ !\()?::,34 \,
AS3BSGOl"= .\!ap
St.t.bd';tr~sicl1:
~"'er:
Add..-es3 :
Ci.ty:
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'117',1
SPRINGFlEl.O
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.9.i.
-
CA-'LJ. j{ )
Tc;;::: Lot #
Pr.one: 7 V7 - .5 393
Zip: q 71(77
DescPibe il'ork:
Add;.xcn
[hodeL
~;&wJ
n""1".1
"QD':. ~2 ..oma
Va:e of Appli~:icn
:'~l1rrcc:or8
3- z. - 't3,
1~#_
GJ7'U3l'al
Plumbing
!lectricaL
.'-/{lchar.i.c:: L
Constl'"'.<Icrion [,c:rw.'6l"
Varus
Addres3
. .,cceo,o' /l, (" il.;-O 2..-
~.~~
'(vie)
15'.00
.~o
-
15.(00
-A A/J j~
4:1 O'i(goG
*
Siqr.ed:
Date:
)"e..-.
~'?- 2-[(3
Liae. II Er:>ircs Pr..ont;
I.
11 c:1q,rS~c . Xp. r'30 -8's-
V.'oJ/J .f,L. A/)/M ?)/ /flOC,'
~f
~OI_;'{) rvu
f.t>Gf.
[:.1.8 :hQ responaibiLi.:y of ths permit ho~6r to see that at! inapectionB are ~ad6 at ;he proper tim~, that ~~ch ~88S is re~:6
from ehs street, and that the pC1"111it c.:zrd is t..xated at the ;i'>on.t of the property.
.Sui!di:".g In:.ri=io!'". cp;r01:ed ;lan sr.t:l.l. remain on the It.J.il.ding ;~ta at a.l.l. times.
PROCEDVRg .::OR I,'lSPECTIOfl R~QlJ!ST:CALL 726-3769 {rcaorder} state your City desigr.:lted job nur.:ber.. J'ob ada-css.. type of in3pec~icn
r"questcd a~.d :Jhen you tJi,l.l. be ;oeady for ir.spcc~';an.. Contractors or Ct..'n6rs r.ane c:r.d phor.6 11Ur.'lbcr. RBqu~sts receit;ad b9fcr, 7: 00 ~
:..'izz. be made ~izc same day.. requests mc.de aftr:.r 7:00 a'7J wizz. ba ~e the rn:xt :.JOrkinq day. ~ t') 11"1Cf.3
!?3-}-()-5r; .
Qp''''1'f:'''~1 'f,.,,~>:''''~t~:.r.!,q
O C,'1"7't' ~"S!l"f""''''''II' T' .
_J.~_ ~,' .:....*_'J,. 000 maae
excavation, .=;-ut prier tc set
[o=s.
o
aft~r
up of
UND!RSL,:.3 P!.i.','.f3!.'IG. ~!,EC':'"'qIC,t!.
;~.'ECH.':',liC':'L: To be mada "befo:"a
wor,1( is .:ovcred.
o
PCOTI:lG ~ :'OU,','DAT:C!l: To be ~6
attar :rmcit~s a:re cz::ca-Jated ar.d
forms c:re arec:.d, .;ut prior to
pourir4 c~nc;oet~.
V.'1DJRGROfj,~ID P!..lJ!.f;JD"G. S!"..IER. ;;.1T.:.'i'1
DRAI/lAG2: !'o oe rr.a.is p1"'';or to fi~-
Ur.g crer.cr..ss.
[]
0-
U"'DE.~Pr.:JO.~ !'!.U,'.f9i:lG ~ ,'.f::CH.4..VICAL:
To be mr::.C.s prier :0 in3ta~l.:J:t:.on of
noer insuZa::ion: or deck.ing.
POst AND 3EAU: To bEl' mcdc pr"'i.01' to
ins::all..;:-icn of floor i,..s~Za:-ior. 01'
de .n;;.
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RD~IGH ?[W'BI:/G. ~!.ECT!?ICA!. ), -'.fEC.q-
ANICA!.: .~'o :Jor;': :,3 :;0 ~c COI:Groee:
until ;r.cs~ ~r~=ect~ar.,3 ~-V€ ~eer.
mad.El' zr.d -=??ro:nl'4.::.
F1'.~!?LACZ: Prior ~ plccir,g facing
mc:;ariaZ.s ar.d bo;fo1"g fra:r.ri.r.g inspec-
:ior..
PR..4}~i.'Ir;: ,\!u3t.;e :oet;'.J.El'3tEl'd af':er
approv~l of 1'ough ~l.~hingJ ~l.ectri-
cal. j mech::mi.:;aZ. At! raof-:.r.g
brcct.T'.g ; chi..'m1cys.. at.::. m"'.J.St :,e
. cOm'DLatcd. ,'10 -.;arK is to be cor.-
.;. cec:Z.tld ur.:il this ir.soec:-icn J-.as
.b6en mad~ end approved.
o
Your City'Desigr~tcd Job j~€r 10:
,
any
O IUSUl.AT10N/VAPOFl BARRIER INSP~C'!'ICN:
To be made after aLl. insuL.::ti.:m a:-.d
.. requi1'ed vapor barrier'S are in place
but Gafore any lath, gypsum bea:rd 01'
t.l:Iz,z covering is cppl.i.ed. ar.d befor6
any insulation i3 conceaLed.
DEUOLITIOH OR ;~:OV!'.::; 30ILDliiCS
=:J San.i~:J BEl".)er capped ::t ~op"!'t:t' lir:e
::J Sspti:: tank P:"7ed and f!Zl.ad :.nth 3T'::::JfI~
:J Pinal. - {!hen a.bcve ";:e:::8 ars cc:~:'OZ.6i;ed
ar.d when: d~Z-:.:ior. is compL8te or S:~.J.':-
tUI'e r::oved ar.c pr~sBs cleanad :J.p.
Nooila Hc.~es
:=J 3lockir~ and 5a=-~p
:=J PL~~in; connec:icns 8~6r ar.d wa:ar
~ ELcct1"';cal Ccn~ec:-:.on - Blockin;, 8st-U;
--.J and pLumbing con:r.sctions r::-.,.st t. C?pr~t:fld
bsforc request~ng QZec~rical. inspec=io~
.=J AC.::'6sac: ':1. 3uild:.T'.t]
:J Fin:;l. - ttft"r ;~rcr.es.
etc. are c~ple~~d.
ak.!rt!ng, dec;'-.3,
o
DRT"'AL~ I.'lSP!C'TrGN: T~ be mac.e
a.j'ter all. dr,lJal.l. is in p'Lace,
but prior to c:r.y taping.
o
Al~ projec: c~ditions, J:J.c~ as e~~ ins=aLZa~-:.cn of street :rJfls. ~~~Zoe~o" 0; ;~
required Zandsccpir.g, etc., ...:ust be sar;:.sj'iaa 00:[01'6 tJ-.a aUIr.DI:;G FI:;AL ::an be requss:03d.
'---'.
L..J Flj'lA!. P!'U;'.fB[,'IG
".---'.
U FINA!. ;"''E~P.A.'IICAr.
[J ?!.'IAL ~r.Ec:'R!C/':'
,0
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FINAL BUILDINC: The Final E:J.iZding 1ns:)ection: ,~st all l"eaue3ted -=fter tr.Ol ?ir.:::.l ?l-ur.:bing
rleccrical, au! Heor.an-:.cc.l l~specticno itava been "'lade ar.d' c.pprcve::.
o
MASO"'IRY: Steel l.ccation, bond
be~3, grouting or verticals in
acco~-ance ~;th u.a.c. Section
241E.
:.t"OODS'!'O'fE: Aftar instal.lation is
cc..np~de~d.
.ALL; ,'.f"WHCLES AND CtEANO!JTS :WST 3E ACCESSI3!.2, .~t.n.'S'i','~~.~',!, TO 3E ,~~.1CE ..!! ;'.'0 -::57 T'J Cr:'! I :J""'e of 2
D
o
CURB & APPROACH AP.~N: Afta-:.' forms
are ereci;ed bu.t pz-..:or to pC".J.r":ng
.JOn::rete.
SIDEWALK & DRIYE;WA'!: For al.z.. ccn-
creta paving ~i~hin street right-
oj'-wcy, to be made a;'tel' aU ezcc-
vatina comvtete & fo~ ~rk & ~ub-
base ,;e,teM:aZ in: pZ.ace.
D
o
!'!NC~: IIhsr.. COo";'ltll..te -- Provide
gates or ,~able' sections through
P.U.E.
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I JOB NO. 25 ::,;()~C(
I
i:<7."!l!:
ILot Sq. F"J.
l~ ~f lot Caverag~
"i of Stori.es
I Totat HeiGh:
1 -
I Topography
I
I!!~~ I SQ.F!G
I ,'hi"
1~~c2
i
I Car=~rt
I
l.4c~essor"l
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I
t'OT.4L ;'ALUE
I S.D.C.
I
1.5 ;:;
( l)C~UC)
Building ?er:r.-;:
State' Surcharge
.' .
Total Cr.a:oge3
II!2~
I Fi-.-tu.res
IResidential (1 bath)
I Sar.it.:rr'j SetJero
t wate.....
I
Plumbing Perrr:it
Stats Surcr.a.1"';8
T::ta! C't1.C'!'ces
11TDt
I.flea. Sa. ft:!.
IN~/EZt6nd Circuits
Tempcrcry Service
,.!)-IJO
~I
Ele~trica l Pel':':'ti t
St.::.te Sur::narae
Total C't'I.m'ces
I 17",~
'P:.a-r..::zCl] ETU'S
! E::haust Hoed
I Vent Fan
I '
I ;';ooasto;;e
I
Permit I:;suartca
Me::r.an.ic:z l Per'r.":i t
State Sur::ho>ac
Tn"!;~1. Chzr':U:1!J
-- ~:lC.9.:;ACE:(:;:!':
10' .
!~e~~~~~ D8~03tt
I Stor~qe
j 1'.faint€"ItCr~e
I Permit
I
Total C'1lC't'-:!(!S
I ,'lO.
I.m.
I
SOLAR .CESS
CC::!'J.:::anc:; Gro-J.':):
LCT T'!?S
Interior'
Corner
P,znhandle
Cut-ae-sac
X Value
I
F~E
CIiAP.GE
:"::'1;'
I.
I
I
I
j<;',()D I
I
.U{) I
to), &0 I.
CHAF/GZ
,'Ie.
F~t'
CHARGE
I Cur ::](:'.1. :
I Sideua z..<
I,."".
I eZolc'C.,.icaZ
,
! Nobi la Hame
[.d;e l
t TOTA!. ANOV:IT DUE:.
/.;, lj 0
P:::qe 2
/1
I!
I
I
I
I
I
.
l-COG~
REQ.-
T;'oe/Cor.sr;:
8ed."'"oms,'
I &ot Faces -
j Setbaaks
I p,:-, I House Caraoe
IlIorth
lEast
I~:~h
II 2nertr.J Sou.r~es
Heat
Ii
II
II
II
1:J~e
I Access,
I
I
I
;Vater :"('ur,;;n'
Range
?~>"tinic::ce
;""ooG.1to:;e
Fees
Building Value & Permit
This permit i:; granted 011 the e:::p1'6SS ~ondition that the said. constr',,(c:ion
ShaU, in ~ZZ respects, -:onfo'ml to the Ordinance adop-:ed by the Citi! of
Sprir'.c~~eZd, -::ndud"':ng ;he Zon:r.a Crd:r.a.1:ce, l'eO"",lcti,:a ;;;e CCr.S;;:-:IC:-::Cr.
ar.d u;~ of buildi7'~s, and m:::u bev3usDended or revoked ~t cr.~ t-::~e ~?~r. vic-
lation 0/ 'I1'..y ?r:)viaions of said Ol'd~.>".ances, ~
.
Plan Check Fee:
Date Paid:
Rec.ip t ,#:
IS::g,:ed:
Plumbing Permit
no pereon ar.alL cons~",ct, instalZ~ a~ter 01' change GnY rAW cr e:isting
plumDir~ ar cL"'ainage syste~ in ~hole 01' in part, unless such person is tr~
Legal possessor of a vaLid pLumcer's Zicense, e:cepc tr~t a pe~son ma~ do
pZumbing work to proper~~ which is owned, Laased 01' operated by th~ appZi-
cant.
,
Electrica I
Perm it
wnere State Lc::u requires tr.at the eL6ctr"'~cal work be done by an ELet:tricaL
Contractor, the eleat~~caL por;ion of ;his permit shalL r~t be vaZid until
the label has been signed by the Electrical Contractor.
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Mechanical Permit
P~an .:=a:r11..r!er L.'aca
I HAVE CAREE'ULLY EXA.tfIN2D ;,'uz coa:pZatad ~pl::cation far permit. c:n.d de
hereby certify chat alZ i~fo~atien hereon i8 true ar.d ccr~cct, ar~ I
f.J.1'ther ce!'-I;ify that any cr.d aLL ,-.,ork perfom:sd shall be do':1e in ac::ol'-
dance with ;he Ol'din:::.nces of the City of SpringfieLd, and thz [.C;-"';3 ot th3
State of Oreg;;m psrt.;,ining to the work d.esc:-~bcd herein, c::r.d tr.a:: NO CCC:J-
Pt'.;'/CY wiU oe :rr:..::.e of !;,','11y struct::.a'S witho~c ?~r'mis3ion of t::h~ 3uiZdir:g D-i.-
vision. I fupther ::ertify tr~t o':1ly ::cntTac;ors ar.d ~lvye~8 ~r~ ~g in
c~pZiance ~~th CRS 701.05& will be used on this projzct
-;r:~;;r~
:Jtgnzd
~2--/qJ
Date