HomeMy WebLinkAboutPermit Electrical 1990-5-17
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APPLICATB/PERMIT
225 North 5th Street
Springfield, Oregon 97477
Building Division
726-3753
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Job Location:
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ASGesoors Map
Subdivision:
City:
PI
Tc;;r Lot #
)4400
Phone:
6)~ La - '3~3
q"l4"1 I
Zip:
Describe fo.'ork:
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S'Yl--C1(j
Date of Application
Contractors
. General
l Plumbing
i Hechanical /fl \ \
I EJ,ec.trical{ VW1'\ Q YC-./
I Siloe""cin<i7,lg Electr~cian :.
Arldress
Value
.Lise. III
Bldrs Board Reg.
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Sigr.ed:
Date:
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Ex D:!.:Ces
It is ths responsibility of ths permit holder to sse that an inopections are made at the proper time, that each .:ddress is readahLe
from ths street, curd that ths permit oard is Zocat6d at tM frent of ths prl?perty.
.tBui'tding f>I~vi:;ior: approved plan s,hall. remain on th2 Buildi"fl Sits at all times.
PROCEDURE FOR INSPECTION RE:QUEST;CALL 126-3169 {recorder} state yOUI' City designated job number, job address, type of inspec=icn
requested ar.d wh.en you !JiLL be ready for inspection, Contractors or Owners name and phone number. Requests received before 7:00 ~
"i.n~e made the same dcY,. requests made..a~tao 7:00 ~ t.>in ~e made the nczt "",.ki."il day. '\--1 (//"10
. . Your C<ty Dee<gr.ated Job /lumbao Is: qa ./If'"1
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D. SITE INSPECTION: To be made after
excavation, but prior to set up of
. forms.
O . UNDERSLAB PLUMBING. ELECTRICAL &
. MECHANICAL: To be made before any
work is covered.
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FOOTING & FOUNDATION: To be made
after trenches are e:z:eavated and
. forms are ereeted, but prior to
. pouring ceneret~.
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'UNDERGROUND PLUM8ING. SEWER. W.1TEl!.,
DRAINAGE: To be ma.:ie prior to fit-
.7.ir.g trenches.
D...UNDERFWOR PLU/.!BING & ME~HANICAL:
.. I To be made prior to in3talLation of
floor insuLation or decking.
O POST AND BEAM: To be made prior to
installation of 2:)t.:Zation or
. .decki.'Jfi. /'
UGH PUP-!BIllG. atECTRIC . & l./ECH-
. ANICAL: No :JOr~c' covered
,ur.tiL thcse inspections have beer.
made and approved. .
D FIREPLACE: Prior to pLacir.g facing
materials and before flYllTling inspec-
tion.
O FRAHING: Must be requested after
apppov.:;,l of rough plw;.bing~ 2-Zectpi-
cal. & mechanical. At!. roofing
braeing & chimneys, et.:!. /'Ir.J.st be
;' completed. /10 IJ:]rk is to be con-
...,....ceal.ed until this inspection has
~b6~n made and approved.
O INSULATION/VAPOR BARRIER INSPECTION:
To be made after a'Ll insul.ati:m ar.d
'. required vapop barriers are in place
. : but before any 'Lath, gyp8U11l board. 01'
. wt.Z. covePing is appZied~ and before
any infJuZation i3 concealed.
o
DRYWALL INSPECTION: To be made
after aU drytJaU is in p'Lace,
but prior to any taping.
O MASONRY' Steer location, bond
beams ~ grou ting or vertiea ls in
<wcordance with U. 8. C. Section
2415.
D WOODS1'OVF.:: After installation is
ccmpleted.
D
CURB & APPROACH APRON: After foPms
are erected but prior to pouring
co~rete.
DEMOLITION OR NOVE!; BUILDIilGS
=:J Sanitary sewer capped at p:.opcPt-~ lir:e
=:J Septic tank p-.cyed and Ii t Ze~ t.Ji th :a-ra:.:e t
I Pinal - l/hen above ite."rIs are celrrpleted
---1 ar.d when demolition is complete or struc-
ture moved and pr~8es cleaned up.
I Mobile Hemes
::J Blocking and Set-up
::J Plumbing connections -- 8~ep and water
---, Electrical Connection - Bloeking~ set-up
~ and plumbing connections nr~st ce approved
beforc pequesting eZec=rical inspection
~ Ac:essor:,' 8uild::.ng
--, Final - After pOl'c1:es, skirting~ decks~
~ etc. are complet;;:d.
D
All project conditions, such a8 the installation of street trees~ co.~lation of the
required 'landscc.pir.g, etc., must be satisfied befope the BUILDING FINAL can be r2quest:zd.
D FIIIAC PLU/.fBIIIG
l~/NAL MECHANICAL
G FINAL ELECTRICAC
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FINAL BUILDINC: The Final Building Inopection must be requeoted after the Final PZwr:bina
El.eatrical~ and Mechar.ical Inspection::J have been made and approv.d.
o
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SIDEWALK & DRIVF:WAY: For all con-
crete paving within street right-
of-t.x::.y, to be made after all exca-
vating complete & form work & sub-
base material in p~e.
.4ALL MANHOLES AND CLEANOUTS l1UST BE ACCESSIBLE~ ADJUST!!ENT TO BE '.fADE /'.T tlO COST TO CITY t Page! of 2
D~: When complete -- Provide
gates or movable sections through
P.U.E. .
D
t'::.gc 2
IJOB NO. SOLAR ACCESS REQ.- L-COG-{;
I Zona, Occupancl/ G~ Type/CoY:8t: . Bedrooms: -
Lot Sq. Ftg. WT TYPE I Lut Faces - 1 I Eneral/ Sources Tu'Oe
;I: of lot C.:roerag:: Interior I Setbacks II Heat
I P.L. I House I CCU'aqe Access. II Water' Hp.atp.I'
# of Stories Cornel" INorth I II Range
Tota! Height Panhandle lEast I II Fire'Olace
Topography Cu l-de-sac ISouth I i II Wooda tove
IWe8t I I II
.llSOO
I.:;y} ,'Y1
I 1.'6)< I
18Y .2S\I *
FEE CHARGE
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I II /$/-----7
I I ~ .,-;-T-
8(l~ I \Signzd /
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lITEM I SQ.FTG X
I Main I
I Ga:l>aaa I
CaPOort I
ACCe8S0l'U I
I
TOTAL VALUE
S.D.C, (vat.uc)
1.5 x
Building Permit
State Surcharge
Total r:ha.~ge8
lITEM NO. I FEE
I Fixture8 I
I Residential (1 bath) I
I Sani tary Sewer I
Water I
I
Plumbing Perr.:i t
State Surcr.arge
Total Charaes
lITEM I NO. FEE
ReB. Sa. fta.
N;;w/Extend Circui ts
I Temporary .Service
W PQ1'l2 V ,.
, -) Ele~trical permit
State SUI'~harge
Total Charqes
lITEM
I Purnace ETU'S
I Exhaust Hood
I Vent Pan
IIIOodstove
NO.
Permit Issuanca
Meehanical permi t
State Su:rcharae
7htn.1 Charrum
I -- ENCROACHMENT h
I SeC".lM.tu D2'OOsit
I Storage
I Maint67Uln.'Je
ipermit
I Total Cha1'Qas
I CUrbcu;
I Sid_ lk
I Pertee
I Electrical
Laber
Mobi le Home
TOTAL AI.fOUNT DUE, *
Value
CIlARGE
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CHARGE I
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-- Fees
Building Value & Permit
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This permit is granted on the express condition that the sdid constroction
shall, in aZl respects, confo~ to the Ordinance adopted by the City of
Springfield, incZuding the Zoning Crdinance, regulating the ccnstr-.lcticn
and Ulle of buildings, and m::y be suspended or revoked at cr:y time upon vic-
Zation of any provisions of said Ordinances.
, .'
Iplan Check Fee:
Date Paid:
IReaeipt #,
I Signed,
Plumbing Permit
No person shall. construct, instalZ, alter or change any new or e--isting
plumbing or drainage system in whole or in part, unless such person is the
legal possessor of a valid plumber's license, except tr.at a pe:'son may do
pZumbing work to propel'ty which is owned, leased or operated by the appli-
c:ant,
Electrical Permit
Where State La1J requires tr.at the electrical work be done by an Electrical.
Contractor, the electrical portion of this permit shaH roOt be valid until
the label has been signed by the Electrical ~ontraator.
Mechanical Permit
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P"Lan EXCJ1tLner
va"e
I HAVE CAREFULLY SXAMINED the aomp!eted appZiaation for permt, and do
hereby cel"tify that all ir:fo::mation hereon is true and COlTcct, and I
f'other certify that any ar..d all WOI'k perfor:ned shall b6 00:16 in accor-
dance ",;,th the Ordin:mce8 of the City of Springfic!d, and the La:.;8 of tho
A State of Oregon p~rtaining to the lX'rk described herein, and that NO OCCU-
PANCY IlJilt be rrade of any structU1'2 !JJitho:J.t p3~is8ion of the Suilding Di-
vision. I further certify that o':1ly contraa-tors and e:rrpl"yees who are in
c~pliance with ORS 701.055 wil.l be used on this project
Datf77c?