HomeMy WebLinkAboutPermit Electrical 1985-1-16
.. RESI~T1AL..
APPLICATION/PERMIT
225 North 5th Street
Springfield, Oregon 97477
Building Division
726-3753
Job Location: /~O <LifLhhVU ~ f.ll- AUL
AeaeeGora Map # \, ()'?:J ~ ~8 A . T= Lot # 0IlJ.C()
Subdivision:
. Rcceopt "
(pet/dr,
@y
.
amer: ~ J; --A - '71/1 ~ 1-ft9..- J
Addrees: /4,,</)(~i(~. Phone: 7;], b-;;).c{IJC/
City: ....~~-'.;,f;l~ r>.Ae Zip: Y7U""7-'
ffiN"'.,
n Addition
n Remodel
n ?.fobiZ€ Homa
Date of Application
Contractors
General
Plumbing ~'f_' ...... I I
Electrical~, f::::;f~L
Mechar.ic~ 1.
Construction Lender
If; is the responsibility of ths permit holder to see that all. inopectionB are made at the proper timE:~ that each aidres8
from the street, and that the permi t Ca:M is located at the front of the property.
:ifBui!ding Divi:::ior: approl,,'ed plan shezz. remain on the Building Sit;:;: at all times.
PROCEDURE F()R INSPECTION RE:QUES7':CALL 726-3769 (:f>ccol'der) state your City designated job number..
requested and when you 'will be ready for inspection, Contractors or OWners name ~nd phone number.
...>ill be made the same dc.y~ requests made after 7:00 am !.Jill be made the next :.>orking day.
8"~cJ oY?1
Ra~~i~p~ T"RPP~tir.~~
O SITE INSPECTION: To be made after
excavation~ but prior to set up of
forms.
O W~~MBnU~mG. ~E~~~L&
, MECHANICAL: To be made before any
work is covered.
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FOOTING & FOUNDATION: To be nude
after trenches are excavated and
forms are erected~ but prior to
pouring ccncret~.
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UNDERGROUND PLUMBING.
DRAINAGE: To be maie
iir.g trenches.
SEWER. WATEf?,
prior to fi l-
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UNDERFWOR PLUl,fBING & MECHANICAL:
To be made prior to installation of
12001' insulation or decking.
POST AND BEAM: To be made prior to
installation of floor insr.;,lation or
decking.
ROUGH PLUMBING. Pf,ECTRICAL & MECH-
ANICAL: No work is to be cOl)ered
.until these inspections have beer.
made and approved. .
FIREPLACE: Prior to placir.g facing
materials and before framing inspec-
tior..
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PRAHING: Must be requested after
approval of rough plwr.bing~ electri-
.cal & mechanical. AU roofing
bracing & chinmcys~ etc. nr",st be
;' completed. No work is to be CGn-
.....: cealed until this inspection has
~be~n made and approved.
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!O FIliAL PLU~I1IG
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!O PINAL MECHANICAL
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W FINAL ELECTRICAL
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va:e ~
Address
r<..~ I ~ 1a
E.lf/1U4JJ .0'11 q7.."q~
Your City Deaigr.ated Job Numba' Is:
O INSULATION/VAPOR BARRIER INSPECTION:
To be made after all insul~tion ~~
'. required vapor barriers are in place
. '. but before any lath~ gypswn board 01'
wall covering is applied~ and before
. any in.auZation is concealed.
O DRYW4LL_ INSPECTION: To be made
after all drywall is in place~
but prior to any taping.
O ~SONRY: Steel location~ bond
beam3~ grouting 01' verticals in
accordance with U. B. C. Section
2415.
O WOODSTOVE: After installation is
ccmpleted.
O CURB & APPROACH APRON: After> forms
a:1'e erected but p1'ior to pouring
CO'1U!l'ete.
'd' SIDEWALK & DRIVEWAY: Por all con-
crete paving within stFeet right-
of-way~ to be made after all exca-
vating ccmplete & form work & sub-
base material in place.
O PENCE: Wher. complete -- Provide
gates OP movable sections through
P.U.E.
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Siqr.ed:
Date:
M.
~/.l/.../X>(.-
Lisc.#
Exvircs
Phone
~q
I93...q So
',l.JJLr f.!9 ::nlJ,;) .
"'~ohi ,-c........_'..-.y
, "
is readahZe I
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job addrcBs~ type of in3pec~icn
Requests received befcre 7:00 ~
. DEMOLITION OR ;~:OVED BUILDIz"!GS
=:J Sani~ary se'.Jer capped at p:.opert':j' l.ir:e
~ Septic tank p-.L>::ped and fiz.ze~ with gra~el
I Final - f\'hen above items are cc.7rpleted
~ and when demolition is compiete or stru~-
ture moved and premises cleaned up.
Mobile Hemes
=:J Blocking and Set-up
=:J Plumbing connections scwer and water
~ Electrical Connection - Blocking~ set-up
.--.J and plumbing connections nr~st be approved
. before requesting electrical inspection
~ Accesso1"',::j Building
I Pinal - After porc1:es~ 8kirting~ decks~
~ etc. are comple;cd.
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All project corzditions~ such as the installation of s;reet trees~ co~lotion of the
requil'ed landscc.pir:g~ etc. ~ must be satisfied before the BUILDING PINAL can be request(Zd.
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PINAL BUILDING: The Pinal Building Inspection must be requeated after the Final Plwnbin;;
Electrioal~ and Mechar:.ioal Inspectiona have been made and approved.
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~ALL MANHCLES AND CLEANOUTS MUST BE ACCESSIBLE~ ADJUST/tENT TO BE NAVE AT NO COST TO CITY
I Page 1 of 2
I JOB NO.xSooll/
Zone:
SOLAR _ESS
OccuDancl./ Gr'-
Lot Sq. Ft:;.
~ of lot COlJerage
'# of Stories
Total Height
Topography
WT TYPE
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lITEM
I Main
I Ga:r>aae
, SQ.FTG
x
Ca:roort
ACCe8BOl'U
I TOTAL VAWE
Is.D.c. (vc:t..uc)
1.5 x
Building Permit
State Su:f'charge
Total Cha.......ges
ITEM I NO. I FEE
Fixtures
Residential (1 bath) I I
I Sanitary Sewer I I
Watel" I I
I I
Plumbing Permi t
State SUI'ar.a:rge
Total Charaes
lITEM I NO'1 FEE I
I Res. Sa. fta.
New/Extend Circuits I, I I
Temporary} Service I I I
I I I
Ele::Jtl'ical Permit I
State SUI'charqe I
Total Chart;es I
lITEM NO. FEE
Purnace ETV' S
Exhaust Hood.
Vent Fan
lI00dstove
Permit Issuance
Mechanical Pemt
State SUrcharae
'T'otal. r.har"t'!s
-- ENCROACHMENT --
I Secr.aoi~ Deoosit
I Storage
I Maint~e
I Permit
I Total. Chal"Qas
Curbcut
Sid_lk
Fe~e
Electrical Label~
I Mobi le Home
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22~7 (!.I
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TOTAL AMOUNT DUE:'
Interior
Coronel"
Panhandle
Cut-de-sao
Value
CHARGE
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10. crd
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J{)_40 I.
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CHARGE
CHARGE
rag(] <:
REQ.-
L'-cod~
.
BedJoooms:
I EneI'C1U Sources
I .<ieat
I Water Rp.atp.1'
I Range
I 1 Fireplace
I I Wood;ztove
I J
TUDe
Type/Cor.st:
I Lot Faces -
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I P.L.
INorth
lEast
South
IWest
Setbacks
I House Caraqe
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Access.
-- Fees
Building Value & Permit
This permit is granted on the express condition that the sa"id construction
shall, in all respccts, conform to the Ordinance adopted Hy the City of
Springfield, inc!uding the Zoning Ordinance, regulating the construction
and une of buildings, and ma.y be suspended or revoked at cr.y time upon vie-
lation of any provisions of said Ordinances.
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IPlon Chsck Fee:
ICate Paid:
I Receipt #:
I Signed:
Plumbing Permit
No person shaH construct, instaU, alter or change any new or e=isting
plumbing or drainage system in whole 01" in part, unless Buch person is the
legal possessor of a valid plumber's license, except that a pe~son may do
plumbing work to property which is cn.med, leased or opel"ated by the appli-
cant.
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Electrical Permit
Where State LaJ.J requires tr.at the electrical work be done by an Electl"ical
Contractor, the electrical portion of this permit shall r~t be valid until
the label has been. signed by the Electrical. Contractor;
Mechanical Permit
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Pl.an Exarm.ner
va"s
I HAVE CAREFULLY EXAlofINED the completed application for permit, and do
hel"eby certify that all. info~tion hereon is true and corrcct, and I
f'.a>ther cer>tify that any ar.d aZl work performed shaZl be don.e in accor-
dance "";th the Ordinance. of the city of Springfield, and the L<r~s of tho
State of Oregvn pertaining to the work described herein, and that NO OCCU-
PANCY lJ1ill be nrzde of any structure tJithout permission of the Building Di-
vision. I further certify that only contra~tors ar~ enp~yees who are in
compliance with ORS 701.055 wil.l be used on this project
10.
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/, /~,'8s
Date