HomeMy WebLinkAboutPermit Electrical 1990-1-8
.. RESIDEAiLTlAL"
APPLICATWPERMIT
225 North 5th Street
Springfield, Oregon 97477.
Building.. Division
726-3753 '
Job wcation: LY./,t) lo ~t\C\U' n
ABDeBDorD Map # \ f\ De:, ~f\ \~ Taz wt # ~)
Sub'division:
SPRINGFIELD
~
Rccdpt .~
I
QJner,~bQmqi?n ~y~
AddreBs: \\C\ q 0-- T~ rn J _ Phone:
City: y ~-D,or\Q. 'l~c \ Zip: cn4()~
(j .
QNI"IJ
n Addition
n Remodel
n ,'.Iobi La Homa
Describe rl'ork:
~~~
,,', .~
' . Ar
"J:j(~) .,
Date: ~ Lf( )
Date of Application Value
Cont.ractors Add re!=; f; '. .Lise. It Bldrs Board Re2. Exp'ires Pl,t''lnP
, General
i Plumbing
1'.f..'-----~~'OlS.~~O..'r\) ()~\f:-.., ,J
I E~ectrical~~ ,'0'<:f'?\~")\f\ :-'0"6'0 (..u... ~'A. 'I\..T.i '0; tD'6r61\.' \~\ IC\D
Suoe.."'v1..."ing Elect ;i.cian ~~O{"\{) {)Y\ ..~rr <j ~D~/JI ;t,'fr5~,(Yi<..()(I ,
It is ths rssponoibility of th9 p.~t ~-to 868 that all i~~pections~6 made at ths prop~\~im~, tr~t QCCh addr.ss is readabZe
[1'Om tns 8treot~ and that: thB permit 0 is 'LocatBd at the fron.t of the property. I
~BuiZ.di!1{J D";vi~ior: approv~d plan B.halt remain on tha Building sits at all times.
PROCEDURE FOR INSPECTION REQUEST~CALL 726-3769 (recorder) state your City designated job number.. job address.. type of in3pecticn
requested and when you wiLL be ready for inspection.. Contractors or Owners nGmB and phone number. Requests received befare 7:00 am
.'ill be mad. the eame daY" requeete m~",a(t... 7:.o.o.am wiU bs made the next working day. q~b, ' '
. . YOUl' City DeDigr.ated Job Numb.r Io: LA---JI I ~
R':11V~"'f.A T..,,,:"~~f:4:":'1~
0' SITE INSPECTION: To be made after
excavation.. but prior to set up of
forms.
D UNDERSLAB PLUMBING. ELECTRICAL &
. MECHANICAL: To b6 made before any
work is covered.
D
FOOTING & FOUNDATION: To be mad.
after trenches are e:ccavated and
forms are erected.. but prior to
pouring ccncretb'
o
SEWER. W.1TER..
prior to f~ 1.-
UNDSRGROUND PLUMBING:
DRAINAGE: To be rrad.e
7.ir.g trenches.
D. UNDERFLOOR PLUMBING & MECHANICAL:
, To be made prior to in3ta1.1.att.on of
[toOl' insulation or decking. . '.- _.'.
D
POST AND BEAM: To be mad. prier to
installation of f'Lool" insu.lation Ol"
deoki>l(; .
ROUGH PLUMBING. ELECTRTCAL & MECH-
ANICAL: No work. is to be covered
,un.tiL these irwpections have been
made arid approved. '
FIREPLACE: Prior to pZacir.g facing
materiaLs and before framing inspec-
tion..
O FRAf~NC: MU3t be requeoted after
approvaL of rough pl.wr.bing.. el.ectri-
.cal. 6 mechanical.. AU roofing
bracing & chimneys.. 'etc. 11t'.l.st be
,'completed. No work is to be con-
, . -< ceaLed untiL thia inspection has
~ be~? made and approved.
o
o
INSULATION/VAPOR BARRIER INSPECTION:
To be made after all insulation a.'1i1
required vapor barriers are in place
., but before any lath.. gypsum board or
wU covering is applied.. and before
;. ~y inDuZation is concealed.
,.0
':'
DRYWALL INSPECTION: To b. made
aftel" aZZ drywaZl is in place..
but prior to any taping.
D MASONRY: Steel. Zocation.. bond
beamo.. grouting or verticaLs in
accordance with V.B.C. Section
2415.
D WOODSTOVE: After installation is
completed.
o
o
D
CURB & APPROACH APRON: After forms
are arected but prior to pouring
concrete.
DEUOLITION OR MOVED BUILDINCS
SIDEWALK & DRIVEWAY: For an con-
crete paving within street right-
pf-fX.YJ to be made after all. e:cca-
vating complete & form work & sub-
, base material in plaae.
o
D
PENCE: M~en compl8te -- Provide.
gates or movable se~tion8 through
P.U.E.
,','
.,' ,
~ Sani:ary ssuer ~apped a:t p:..opcrt'~ l.i1':e
:J Septia tank rr""'P.d and fiZZed with .ra"el
::J Pinal -' rV1um above items are ccmpl.6ted
ar~ when demolition. is compLete or struc-
ture moved and premises ol.eaned up.
I Mobile Homes
:::J Blooking and Set-up
:::J Pl.umbing co~~ections sDWer and water
:::J Electrical. Connection - Btocking.. set-up
and pLumbing connections T1r.Jst ce approved
.' before requesting eLectrical inspection
:::J AcaesGol"'J, 'Bui~ing
"
,'-
::J Pinal - Aftar porches.. skirting.. decks..
etc. are compLeted.
D
All. project conditions.. such as the installation of street trees.. co::rplatwn of the
required landscc.pir.g.. etc... must be satisfiod bcfol"e tJ-.o BUILDING FINAL can be requestad.
o FINAL PLUMBIIIG
o FINAL MECHANICAL
o FINAL ELECTRICAL
o
o
FINAL BUILDING: Tha Final Building Inspaction must be requested aftel" the Final Plumbin:;
Electrical.. and Mechanical Inspections have been made and approved.
" ~
'ALL 11ANHOLES AND CLEANOUTS IIUST BE ACCESSIBLE, ADJUSTIfENT TO BE MADE AT NO COST TO CITY
I Page 1 of 2
I JOB NO. 4a:::rK~OLAR ACCESS
Zone: OcCUOO11C1/ ~
Lot Sq. Ftg. LOT TYPE
~ Dr lot C.7V8Nge Interior>
# of Stories Corner
Total Height Panhandle
1vrv~.~~ny Cut-de-sac
ITEM
IMain
r.rrflflru'!
l~~rt
IACC8S80rou
I
I
.ls.D.c.
SQ.F'TG
x
Value
TOTAL VALUE
I
I
1
l'
1
,
CHARGE I
I
1
1
1
cval.UC)
1.5 :r
Sui Lding permi t
State Sia'charge
Total Cha~ges
lITEM
IFi:rtuPes
IResidential (J bath!
I sanitary Sewer
I Water>
I
I NO.
FEE
Plumbing Pem:i t
I
I,
. CHARGE I
.[6.01
State SU1'cr.arge
Total Chal'ae8
ITEM _,...j ,NO.
RL.~" ,< f/ (((),
I Ne:LJ/E:r:tend Ci.-roM ts
:~)~-~;~
1\ .' Ele~troical Permit
V State Suraht:z:toQe
FEE
lJoc:dJ1
j .:SO
,r.sL '2:{) I '
I
Total Charges
INC. ,
FEE
CI/ARCE
lITEM
I Furnace ETU' S
I Exhaust Hood
I Vent F(D1
I W~od8tove
Pem t Issuance
Mechanical Pel'mit
State Surcharae
Total Charaeo
I -- ENCROACHMENT --
Securitli Daoosit
I Stor~e
I Maintena~e
Permit
'!:.
Total Cha-roos
Cta"bcut
I Sid_ lk
IFeme
! ElectroicaZ
Label
Mom Le Home
I 'fQTAL AMOUNT DUE: ~
3( T de),
Pago 2
REQ.-
L-COG~
Type/Const: _
1
AccesB. I
I
1
I
Bedrooms:
Enerqy Scr"pceB
Heat
T.ltOB
I Lot Faoes -
I
I P.L.
!Nop th
lEast
ISouth
IWest
Setbacks
House Caraqe
Water' .'IIwtP.T'
Range
Fil'BVlace
Woods tot-OS
Fees
Building Value & Permit
This permit io gronted on the express condition that the sdid construction
8hall~ in all respects, conform to the Ordinance adopted by the City of
Springfie'Ld, inoluding the Zoning Ordinance, flsgulating the construction
and USe of buildings, and may be suspended or revoked at any time upon vio-
lation of any provisions of said OfdiruznCBS._
I Plan Check Fee:
I Date Paid:
I Receipt #:
I Signed:
Plumbing Permit
No person shall construct, instal!, alter or change any neW or existing
plumbing 01' drainage system in whole or in part, unless such person is the
legal possessor of a valid plumber's license, except that a pe~Bon may do
plumbing work to property which is or.med, leased Or opeNted by the appli-
cant.
.')
Electrical Permit
Where State LalJ requires that the electrical tJOrk be done by an Elet:trical
Contractor, the electrical portion of this permit shatl not be valid until
the label has been signed by the Electrical Contractor.
Mechanical Permit
,
'Plan Examt.ner
vote
I HAVE CAREFULLY EXAMINED the completed application for'permit, and do
hereby certify that all infonmation hereon is true and correct, and I
further certify that any and aH work performed shaH be do:1e in accor-
danoe LJith the Oz>dinanoee of the city of Springfiold, and th< L<r~s of tho
... State of Oregon psrtaining to the lJOrk described herein, and that NO OCCU.
PANCl will be rrr:zde of any structure without permission of the Building Oi-
vision. I further certify that cr.tly contractors ar.d e:rrployees who are in
compliance with ORS 701.055 wilt be used on this project
)~~
'J;"' I
9VS-s /-'P;- ?O
Date