HomeMy WebLinkAboutPermit Electrical 1989-10-4
c::::./)~
~ i
.. RESID~T1AL"
.- APPLICAT.PERMIT
225 North 5th Street
Springfield, Oregon 97477
Building Division
726-3753
h.0l-\" l, \~ ~ .l,- 0 rp )
,d(?D~ 6n Slotv'Taz l.ct ~
\~ od 04 \ \ D~CXY)
Job Location:
AS08S00r3 Map
Subdivision:
"
, '.
OJner~ \)(\_~() ~\~J( ') ,
Addres.: \S--'\"\ (~\C\ 0' ~~o.P) Pho"s: 141o - l4to l'
City:~\~.) (3e ~- Zip: C.tI4'lR '
QNMJ
n Additicn
n Rl!moast
n !.tobi la Horno
~, V;~ 0\\\).1/
, ,- 'D~\v/-, .' ~~~
\ (), L\ ~FY1~ VaZus (\ (L..,
Data of Application
Contractors
General
i Plumbing
IHechanical
IE~~ctriCal&G'" 6ko~~<1?G L}4C:; ~4n1~~tX2~gC 641//3/
Suoervi"Binjl Electr~cian Ph,/ E~,p ~.Jl~ /5.6~S
Siqr.l1d:
Date:
rA(0(~-A4
,~rldress
. .LiRe. i.'
Bldrs Board Rez.
l-:xoires
D INSULATION/VAPOR BARRIER INSPECTION:
To be mado after aU insul.::ti:Jn ~.d
."'. roquired vapor barriers arB in plaC6
. '.:' ':' but before any lath, gypsum board or
. . wU colJering is applied, and beforG
~y inaulation io conceal.6d.
DRYWALL INSPECTION: Te be mads
after aU dryLJaLl is in place..
but prior to any taping.
0" MASONRY: Sted location, bond
beams, grouting or verticals in
accordance with U.B.C. Section
2415.
O WOODSTOVE: Aftor ins taLlation is
ccmp~ot~d.
o
D CURB & APPROACH APRON~ Afte:- forms
are area ted bu t prior to pouring
, .:w~rete.
o
SIDEWALK !t' DRIVEWAY: For all con-
crete paving within strect right-
of-wcy, to be made after aLl exca-
vating compLete & form work & ~ub-
, base m:1terial in plaae.
,4// /tpd
6,('6 -~P".5
It is ths r.sponoj.bil~ty of ths p.rmit holddr to 8ge that aLl inDpections are made at tho propsr timc, t1-.at oach .:dd:rBSB is readab~e
from tluJ etrlu,t, and that ths psrmit oazod is l.ccatsd at the front of the property.
ABuitding Diui::ion approl.'ed pt.an s,hall remain on tha Buildinrr Sit".; at all timss,
PROCEDURE FOR INSPECTION REQUEST;CALL 726-3769 (rccorder) state your city designatod job number, job addrcss, typo of in3pec~ic"
requosted ar.d "'.1:en you lJiU be ready for inspDction, Contractors or Ol.mers name and phone number. Requests rfZceived befere 7:00 a-;t
.,az be ""de the eome do.y, requeets made" a,~t<r 7~OO ,om ",rr b3 ""de the next worki"iJ do.y. r,n <t) I
, Your City De.i(Jr".ated Job Nwnb.r Ia: m r r~
Reouirp.d InSDp.cticnR
D SITE INSPECTION: To be made after
e:ccauation, but prior to Bet up of
fOrn/s.
O . UNDERSLAB PLUMBING. ELECTRICAL &
,MECHANICAG: To be madB bBforB any
. work is "overed.
FOOTING & FOUNDATION: To be made
after trenchss arB e:ccavated and
forms arB erBoted~ but prior to
pouring ccncrBt:.
UNDSRGROUND PWHlJING, SEWER. W,1TE,q,
DRAINAGE: To bs made prior to f'~-
. t i,..g trenchss,
0, UNDERFWOR PWftmING & MECHANICAL'
, To bQ mads prior to l.notaUat1.0n of
floor insulation or decking.
O POST AND BEAM: To be mad. prior to
'installation of floor insuLation or
dsckinv. - ~
ril Ffopcll Pc'UffBING.4ECTRrc..4l & MECH-
~NICAL: No lJOl\k io tg,.A1c covered
,unti~ thoBB ins~8 have beor.
mad6 and approved. '
O FIREPLACE: Prier to placir.g facing
matBri4ls and beforB framing inspec-
tion. .
o
o
O FRAI!ING: Must be roequeoted after
approuul. of rough plwr.bing~ a1ectl'i.-
ca1 , mechanical. All roOfing
bracing d chimn~ys, sta, must bo
: completod. No IJOrk is to be ccn-
..' "eallld WItH thiD .nopoatiOlt has
. bG~? made and approved,
D fENCE: Whon compl.;te. -- Provide.
gates or movabls s8ctiono through
P.U:K. '
o
,'-
DEMOLITION OR !,;OVED BUILDIW;S
:=J Sani~ary setJer aapped a.t p~opo:rt!i lir:o
:=J Septi.:: t~k p~cd and filla~ with ~ra~eL
] Final - Whsn abcvs itc:ns ora ccmplsted
ardi whon demolition is cornpLBte or stru~.
turB mov6d and pr~3es c huned up.
I
Mobi le Heme&
=:J BLocking and Sst-~p
=:J Plumbing connections -- scuor and ua~6r
---, ELectricaL ,Connection - BLocking, sot-up
~ and plumbing conn6ctions nr.lst ts approved
beforc r6questitlg elec~ricaL inspectio~
:J AcaBsGor;; Building
] FinaL - Aftor p3rches, skirtinG, decks,
etc. are completed.
D
All project conditiono, $uch as the instaLlation of street trBes, co~Lotion of tnB
required 7.andscapir.g, etc., must be satisfiad before tho BUIWINC FINAL can ho raquostad.
o FIlIAL PLUMBING
o FINAL MECHANICAL
~L EUiCTRICAL
o
FINAL BUILDING: Thn Final Building Inspoction must be rBqueoted alt.ar tho1 Final rlumbi.'LJ
Eloctrical, and Mechar:icaL Inspectiono halJO beG" made and approlJt'1d.
o
.
'ALL MANHOLES AND CUiANOUTS nuST OE ACCESSIBLE, ADJUST/fENT TO BK ftl1DK AT NO COST TO CITY I Par. ! of 2
I I JOB NO.
I Zone:
Lot Sq. Ft(;.
~ ,r lot Coverage
.f of Storios
Total /leight
Topography
ITEM
l/tb.in
I Gr.:rnae
I CaroOl' t
I Acer,sooPlI
I .
I
IS.D,C,
St;.FTG
TOTAL VAWE
rvct.uc)
1.5",
Building Permit
State Surcharge
To ta Z CM':"gOS
L-COC""
SOLAR ACC,ESS REQ.-
Occuooncy cr4
LOT TYPE
lITEM
I Futures
I Residential (1 bath)
I Sanit..'ll"Y SelJer
I Watel"
I
PZwnbing Perd t
State SU1'cl-.arge
Total CharQe8
IIn'M
I Res. Sa.
fto.
NI:1LJ/Eztend Cirocui to
Temporary Service
Ele~tricaZ Permit
State Surc:ha.l'QB
Total Charges
lITEM
I Furnace ~U' S
I E:rhaus t Hood
I Vent Fan
I Woods tOl)O
Permit ISBuanca
Me.::hanic:1.l Permit
State Surchal'OC
Total Charaes
-- ENCROACHMENT --
Ise~~rit~ DapOsit
j Storage
I H:1intenance
I I Permit
: I Total ChaMC8
I
I cw-bcut
I Sid_Ik
I.f?cn::e
I Elec trica l Labo. I
I Mobile Home
I
I
I .......... ~ .. ........,.,... ,,,,...,,
I NO.
'NO:' f-l.'E
I NO,
I
n'E
FSE
Inte1"iol'
Corner
Panhandle
Cul-de-sac
x
Value
CHARGE
CHARGE
I~,] 'Sf)
lo,3~
\1).88
CIIARGE
T:.",De/Cor.st:
.
Enernu Soupces
;ieat
Water .'Irmt"r
Range
Fil'oolace
Wooo3tor.:e
Tupo
Bedrooms:
I Lot Faces -
I
I P,L.
INof'tll
lEast
ISouth
IWeot
Setbacks
lIouse CQI'aqe
Access.
I
II
II
II
Fees
Building Value & Permit
This permit ia granted on the B%pl'OOS condition that th. said construction
shall, in all respects, conform to the O~inanc6 adopted by tho City of
Springfield, incZuding the Zoning Crdinanco, regulating tho construction
and use of buildings, and m~y be suopended or revoked at cny time upon vic~
tation of any provisiono of said Ordinance8.
,
Plan Check Fee:
Date Paid:
ReCEipt II:
I Signed:
Plumbing Permit
No pal'son shalt const:ruct, instalZ, atter or change any neW cr e:isting
plumbing or drainage system in whole or in part, ur.les8 such peroon is the
legal possessor of a valid plumber's license, except that a person may do
plumbing IJOrk to property which is olJned, leased or opel'ated by the appli-
cant.
,
Electrica I Perm it
Where State Law requires that the electrical work be dons by an Electrical
Contractor, the elsctl'ical portion of this permit shall r~t bs valUd until
the label has been signed by the Electrical Contractor.
Mechanical Permit
,
Plan Exam'/..nel'
vats
1
I
I,
I HAVE CAREFULLY EXAMINED the completed application for permit, and do
hereby certify that alL ir.fOl"mation herBon is true and correct, and I
further certify that any ar.d all IJOrk pel'for:ned shall. be done in accol'-
dance IJith the Ordinances of the city of Springfield, and the Ur.JS of tho
State of Dreg,:," p~rtaining to the work described hel'sin, and that NO OCCU-
PANCY ruill be m:zde of any stl'UctU1"~ without permission (Jf the Building Di-
vision. I further certify that cr.tly contl'actor's and e.-rrplDyecs who are in
compliance with ORS 101.055 witt be used on this pl'oject
\ )d_UJ~ ~ //~~k
>>i~n'd
/'1;;- C/'-,.r Y
lA7.te