HomeMy WebLinkAboutPermit Electrical 1984-5-3
.. RESI~HIAL"
APPLICATION/PERMIT
225 North 5th Street
Sp1'ingfieZd, Oregon 97477
BuiZding Division
726-3753
Job Location: '7,:( c.; /11,111'''' 50d,,,,,, C,.,U
ABaBB.orc Map H n03 ":) ~ i. (; T= Lot H DlnlriJ
''..3 t1 AJ~t;,>JI01 AJIJE'(tt:SII~
/6tJO OblE Sf (J Pr.one:
~'1EN~ {J~ Zip:
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Subdivision:
~er:
Address:
City:
[lLNm.,
n Addition
n Remodel
n !.fobila Homo
jl./Et-I
Date of Application
(;onrract01'8
&3=,~Y
GeneraL
Numbing
Electrical
f.fechar.ica.l
Constl"Ucticm Lendsr
1Y1"j,""JlU /
6'l3-3'63Cj
970/0"2..
Describe flbl'k:
Si;/tIJ'ce ON
s/J....
Value
..Q (70 gj;L
Address
,t:;,L:c.iiltf .Et,c.
:;UJ - :J.05 C
oLl/3a/iS" 7'17- ~3r.2.
e
Rcce:pt .'1.
UJ~3
*
Siqr.ed: ~ ~~,/
Date: ~"\- 3-'7f't ,r
Lise. fi
Exoirtls
Phone
It is th6 rssponDibiUty of the permit holder to 888 that all. inDpectiona are made at the proper tim~, that each .::ddrOBS is ron.....n~:e
froom ths street, and that the permi t Ca:M is located at the front of the property.
"BuiZding Dividor. appror.:ed plan B.helt remain on tha Building Sit;; at all times.
PROCEDURE FOR INSPECTION RE:QUEST:CALL 726-3769 rrccordeI"J state YOUI' City designated job nwnber, job adircs8, type of in3pec-;iC'1l
requestcd ar:d when you tJil.Z. be ready fol' inspection, Cont1'actors 01' OIJne:rs name end phone number. Requests received before '1:00 .:."I
:.>ill be made tht; same day, requests made after 7:00 am wilt be nr::zde the next :xJrking day.
Rp.mrf.r,t>p T':"{l:np,!1:im;"Q
O SITE INSPECTION: To be made after
excavation, but proior to set up of
forms.
O ' UNDERSLAR PLUMBING. ELECTRICN &
MECHANICAL: To be made before any
. lJOl'k is ~ovcred.
D
FOOTING & FOUNDATION: To b. m7de
after trenches are excavated and
forms are erected, but prior to
pouring concrete;.
UNDERGROUND PLUMBING; SEWER. W.'-lTER,
DRAINAGE: To be rrade prior to fiZ-
Ur.g trenches.
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UNDERFWOR PW/.!BING & MECHANICAL,
To be mads prior to instalLation of
floor insulation or decking.
POST AND BEAM: To be made prior to
instaZLatian of floor insulation or
decking .
ROUGH PLlP.!8IllG. Fr,ECTRICAL & !.feCFl-
ANICAL: No tJOrk is to be covered
.ur.tiL these inspections have beer.
made and approved. .
Fr.r~F:PLACE: mOl' to pZacir.g facing
materials and befol'e framing inspec-
tion.
O FRA'!ING~ Must be requested aftel'
approval of l'ough plwr.bing, electl'i-
.ool & mechanical.. ALl roofing
bracing d chimneys, et~. rrr'..lst be
,. completed. No tJOrk is to be con-
...~.cealed until thio inspection has
~b6~ made and approved.
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D
IouI' City Deoigr.a.ted Job Number 10:
D INSULATION/VAPOR BARRIER INSPECTION:
To be made after all insulation ct"'.d
. -. l'aquired vapor baI'l'iel's ar>e in place
. .: but before any lath, gypsum board 01'
wU covering is applied, and before
. f111Y inauZation is conceaLed.
O DRYWALL INSPECTION: Tc be made
after aLL drywall is in place..
but pl'ior to any taping. .
0" MASONRY: Steel location, bona
beama, grouting or verticaLs in
accordance with U.B.C. Section
2415.
O WOODSTOVE.: After instaLlation is
ccrrrpletcd.
D
CURB & APPROACH AP.I:fON: After forms
ar>e arected but priOl' to pouring
concrete.
D SIDEWALK & DRIVEWAY: Par aU con-
crete paving within st1'ect right-
of-fiX:Y.. to be made after aLl exca-
vating ccmplete & form tJOrk & sub-
base material in place.
O PENCE: When compl.::.te -- Provide.
gates or movable sections thl'ough
P.U.E. .
D
PA(""A~ \ q
DEIfOLITIOl! OR ;~:OVED aUILDlilCS
=:J Sani tary se'..Jer ::apped .::t p~op.;.rt":i lir:e
:=J Septic tank IT.4.':':pcd and filZe~ toJith ~a~8Z
:J Final - f{hen above ite:-ns are co;-:roZetcd
ar:d when demoLition is complete or stru~-
ture moved and pr~mi3es cLeaned up.
Nobile Hemes
:::J Blocking a1Ui Set-~p
:::J Plumbing connections -- saver ar.d wa::6l"
---, Electrical. Connection - B~cking.. Bet-up
.---J and plumbing connections m'.lst 1:8 appro:;Bi
before request~ng e!ec:rical inspec:io~
:::J Accessol'b. Building
:J Final. - Aftcl' p:Jl'cr.es, skirting, decks..
etc. are comple:cd.
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All project conditions, such as the installation of street trees, co~lation of the
required Zandsccpir-.g.. etc... must be satisfied before the BUILDING FINAL can be rsqu6st3d.
D FIlIAL PWMBIlIG
o FINAL MECHANICAL
o FINAL ELECTRICAL
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FINAL BUILDINC: The Final Building Inspection must be requested alter the Pinal Plumbing
Electrical.. and Mechar.ical Inspection8 hava been. made and appl'ov2d.
.4ALL MANHOLES AND CLEANOUTS HUST BE ACCESSIBLE.. ADJUST!fENT TO BE ,.tilDE AT NO CaST TO CITY I Pa~o ! of 2
I JOB
I Zone:
Lot Sq. Ft;;.
S Dr lot CavePag<
!I of Stories
Total Height
Topography
NO.
I
lITEM
lM1in
I Gcrtoace
I Carnort
I Acc6sBoru
I SQ,FTG
I
I
Is. D.C.
TOTAL VALUE
(vaLUe)
1.5 "
Building Pe.rnrit
State SUX'charqe
Total iJha.-ge.
lITEM
I Futures
I Re.idential (1 bath)
Sani tary Sewer
Water
Plumbing Pe=;. t
SOLAR _ESS
OcC!U.vancl/ C.
NO'1
I
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State Surcr.a:l'gB
Total Charaes
I ITEM NO'1
Res. Sa. fta.
I Ngw/Extend Ciror:uits I
I Tempol'trry SePVice I
J)n(f\. n () 0 dLl
(j EZe:::trical Permit
State Surcharae
Total Charc;es
IITgM
I Ful"'nace BTU'S
I Exhaus t Hood
I Vent Fan
I WOodstove
Psl"rrtit Issua1lCa
MBchanic:ll Permi t
State Surcha:toae
'1""t,,2 f'7krror>r/11
I NO'1
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-- ENCROACHMENT --
Sec:'.J.rit!l Da'D03it
Storage
Maintenan:!B
I Pe=it
I Total Chal'acs
I CUrbcut
ISidelJalk
I ~r;oen:Je
Electrical Label
Mobile Home
I TOTAL AMOUNT DUE:'
LOT TYPE
Interior
Corner
Panhandle
CUt-de-sac
x Value
FEE
CHARGE
FEE
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lID nOI
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CHARGE
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FEE
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CllARCE
REQ.-
L-COG~
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I I Enar('{U Sources
I I Heat
I I Water Pf'.(1tp.l'
I I Range
'III I Fireplace
Wood:; tOL"e
Tyr;e/Cor.st:
Beeroor.:s:
I Lot Face. -
I Setback.
I P. L. 'House ' Caraae
INorth
lEast
SOIOth
IWest
TilDe
I Access,
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Fees
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Building Value & Permit
This permit iG granted on the express condition that the sditi. construction
shall, in aU respects, confom to the Ordinance a.dopted b'y the City of
Springfietd, including the Zoning Ordinance, reguLating the construction
and UDe of buildings, and m:lY be sucpended or revoked at cr:y time upon vio-
Lation of any pr~visions of said Ordinances.
Iplan Check Fee:
Date Paid:
IRecdpt #:
I Signed:
Plumbing Permit
No person Dhall construct, install, alter or change any new or e:isting
plumbing or drainage system in ~hole or in part, unless such person is the
legal possessor of a valid plumber's license, except trAt a pe~son may do
plw::bing work to property which is owned, leased or operated by the appli-
cant.
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Electrical Permit
Where State Law requires th.at the electrical work be done by an Electrical
Contractor, the electricat portion of this permit shall r.ot be valid until
the label has been signed by the Electrical t:ontractor.
Mechanical Permit
.
Plan Examiner
uat;e
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I HAVE CAREFULLY EXAMINED, the completed application for permit, and do
hereby certify that all ir:formation hereon is true and correct, and I
further certify that any ar.d all work perfomled shall be do:1e in accor-
dance :.nth the Ordinances of the City of Springfield, and thz Lcr..:s of tha
State of Oregon p~rtaining to the work described herein, end that NO OCCU-
PANCY lVilZ be nrzde of any structure without permission of the SuiZding Di-
vision. I further certify that only contractors ar~ ~Loye6s who are in
~pliance with ORS 701.05t will be used on this project
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Date