HomeMy WebLinkAboutPermit Electrical 1990-08-06Receipt .4 I )gyx.. RESIPTNTIAL..
APP L I C A, t',,t / PE R\LI f
225 Notth |th Street
SprLngfield, )negon 97477
Building Dtuision
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SPRINGFIELD-
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Date:
re5
nb r,ocaticn: ') 7 \{rr91L-, -
Assessors Map t 11O321 e qg I OIIOCTat lot ll
Subdiuision:
a,ner: llf d \/ l,u-,a*),
Address: ?\) >l,."-ilr, - Sf Phone:
ci-ty: <t\ V', v-\LR " LI 4*zip: q1q-7)
Describe i'ov,k:
D lee-
Va'Lue
t--l Net)
q
Date of
additicn
RemoCeL
E.r i.cra (()a>L
c lanS upe E rE
General
P lurnb ing
nr-ca
It ie the responsibility of tle petmLt holder to aee that al'|.are nade at lhe tine, that is readabie
fron the street, dnC that the penmit catd ie Located at the fnont of the propetty.tBuildinS D.luisiot appz.o"*ed plan sltc.ll renain on the Buildtng Sitc at aLL times.
PRO1EDUPE FoR INSPEC?IOII RTQWSTTCaIU726-3769(tecotdet,) state your City designated. job nwrbet, job aCd.ress, type of inspectictt
requested and uhen you uiLL be ready for inspection, Contractars ort A,mers rctne and plone numbet,. Requests recei"^ed befcre 7:00 ct
;^iLL be nnde the sane dcy, ?equests nade after ?:00 an vLLL be nade the ncrt aorking dag.
Iour City Desigr,ated Job Nwnber fs:Qoor-t 5q
SI?E INSPEC?ION:
esca";rlon: but
?o be nade after
pr.ior tc set up of
fotme
UNDERSLAB PLUI,IBINC. ELEC?RICAL &
i,{ECHI\IICAL: To be nade before any
GiETi-iouet'ed.
FCOTING & FOUNDATICN: To be rruCe
after trenches a?e etcattated and
forns ate ereeted, but priot, to
pouring ccnerete.
UNDERCR)UIID PLUMSTNG. SlllER2 ln.ATER'
QRAII\AC!: To be maCe prior to fil-7fi-ii6r.hes.
UIIDERFLOOR PLUI.E ING & I,IECITANICAL :
of
floor insulation or decking.
?95! AND BEAM: ?o be nade prior to
ffiifrTTatlcn o7 floor insulation or
decking.
ROI.ICil PT,T]!!TTrc. N,TCTF?CNL & LIECII.
GliL these inspectioris lnue been
made and approued..
Ff:?EPLACE: Pz-iot' to plceirq facingncterials and before froning inspec-
tion.
FRAtlItlC: l.lust be requested after
appnouaL of rough plumbing, electri-
cal & neclnnieal. ALL roofing
bracirq E chirmeys, ete. mtst be
conpleted. llo ucrk is to be con-
, cealed until this inspection lns
'been made anC approtted.
FIIIAL PLUI4BIIIG
FINAL I,IECIIAIIICAL
INSULATTON /VAPOR BARRIER I IISPICIION :
To be nade after aLL insulaticn afr
required oapor bat'rie?s are in place
but before any Lath, gApsurn baarC oz'
tnLL coueting is applied, and before
ay tnsulation is concealed.
DRYHALL INSPE?TION: Tc be nade
aftet, aLL dtyuall ia in place,
but prton to cny tapiry,
MASONRY: Steel location, bond
iifrtlg*outing or uerticals in
accordance uLth U.B.C. Section
2415.
WOODSTO'/E:
ccmpTeted.
After instal1.ation is
CIJRB & APPRCACH APP'0N: Aftet fonnsee erecteC but prtor to pouring
eoncnete.
SIDEWALK E DRfVEIIAY: Pot' all con-
;r,eT;nalr@Atm stteet right-
of-tey, to be made after aLL exca-
oating cornplete & fortn tnrk & eub-
base natet'tal in Place-
IENCE:
gates
DIIE
h4ten conPlete -- Pt'ouiCe
or motsable sections through
ALL project conditions, suck as the i.nstallation of street trees, conpletion-of the
nnquirnd. Land.secpir:g, ctc., nust be satisfied befone the BUILDINC FINAL canbe requested.
FINAL BAILDINC: The Final Building Inspection mtst be requested after the Fi.nal Plunbing
Electrieal, anC Mecharical fnspections hatc been made ard appt'oueC'I
Z
ll
BUILDIi]CSOR
Sanitary seuet oapped at pz'opertii Lir:e
r !,rN*!r,r.,tilldi,lrrirpdr,:r,,ltl j,rlll,r,,f
Septie to* pu:r'7ed and filled uith gratsel
Final - l{hen abcoe itens are canpleted
and uhen Cenolition is conplete ot, strar-
ture moueC and pretrises cleaneC up.
Le flcnes
Blocking od, Set-up
Plutnbing connections -- aa)e! anC uater
Electrical Connection - Bloeking, set-up
and plunbing eonnections rrust be apprct;ed
before requeating eleclrical inspection
Aecessory Build'!.ng
pcrckes, skirting, decks,
leted.
Piral - After
etc. ate comp
Page 1 of 2
FINAL ELECTRICAL
*AT.L I4ANIICLES AND CLDANOUTS IIUST BE ICCESSIBLE, ADJUSTIIEII! TO BE I.IADE /.T TIO CCST TO CITY
u
u
il
t-l
SOLAR ACCESS REQ.-L-CO CJOB NO.
Lot Faces -
Setbacks
P, L.House Cdraqe Access.
North
FirepEast
South
llest
Lot Sq. Ftg.
7 of Lct Cooenaga
! of Stories
Iotal Height
Iopogrqhg
VaLueSQ. FTG xITEM
Intericr
Corner
Panland.Le
CuL-de-sac
llain
C<:lace,
CaPport
Aceessoru
TOTAL VALUE
S.D-C. 1.5 x
CEARGENO.FEE
Fi^xtures
Residzntial (1 bath)
SantiLtmt Seuer
llater
Electricol Permit
wet,e state La requires ttnt the electrical uork be done by _an EleetricaL
contractor, the electrical portion of this permit slnll not be oalic until
the Label lns been signed by the Electt'ical Contractor.
ts
Sentice
State
Iotal
FEE CAARCE
4
Mecharnicol Permit
bhanet HooC
llcodstotle
Vent Fot
Per'mit Issuance
Meclwnical Permit
-- ENCROACHMENT .-
Seearitu Deoosit
Storage
Maintenance
Permit
Cvrbcut
Sida,talk
Pence
Electrical La.bel
Mobile Hone
Bedtooms:Zone:
Building Pet'mit
State
Total Charges
Plwnbing Pernit
TotaL
-- Fees --
!!eat
Pa1-d
Building Vtllue & Permit
This permLt 'tls granted on the erprress cottd.i-tion tlnt the said consttaction
slull', in all r'"espects,- ioi'\ir 'to the ltdirnnce adopted 9:y the iity 2f
Spilngyi.eld, inctitding- the 2oning Crd.ranc-e, regulating the ccnstmtcticn
ira "ZZ of Luildittgs,- and meg be suspended or reuokeC at cnA tine upon oic-
lation of any prcoisiona of said 2rdinances.
Signed
Plumbing Permit
No pe?eon slull construet, i-netal'!-' alter or change -GnA neD-c/' eristtng
pttiat;,ttg ot, dtainage sgstez in alole or in patt, unless such person is the
iegal plosees"or o|"a rtlolid pl*rbnr's Lic-ensb' escept that a P?"son na! 42ptimtlig uork to property ihi.h is oumed, Leased or operated by the appli'-
cant.
*
PLan Exoniner Tate
I HAW CAREFULL( EXAILINED the completed application for permit, and do
hereby certi.fy that aLL information hereon is true and correct, amC I
further centify that ang ard aLL uork perfonted elnll be done in aecot-
danee tvith the Ordinancee of the city of Springfield' attC the Lane of the* State of 1regon pertaining to the aork Cescribcd herein, cnd. tlat N0 ?cCU'
PANcy uitl be nade of ang BtructuPe ui,thout permission of the Buitding Di-
ttsion. I further certifil thet only conttactors and enplcyees uho are in
canpliance dith cRS 701.05s uiLL be used on thie project
T)TAL AMOUNT DUE: *9aq.zl Sigtt.ed D,zte
State Surehange
Total Charoes
*
,
L -.r-CIIY OF SPRINGFIEI.D
COMB] IIATI ON APPLICATION/ PERI.iIT 7
Legal Description
Job Address
Hea +
EIiERI-:Y SCURCES
l'Jater Heater
Ranqe
{
0wne r
,.,r.4,,.,nhD
OO
Sq. Ftq. l4ain_
sq. Ftg. Rccess]
Sq. Ftg. 0ther__
l,lew Add Al ter Rep.
rce_Demo_C hange/ U s e
rer
-Fen_ott
Addres s Phone
'i n llork :€,,
s i dence l,li
Bu n SCci
I
ds ng e
er J \)constructii-n feno N-O
sx
frs
Addres s Phone
name a 'I CS , nO.exoi res ohone no
Pri ma r
Structura I
El ectri cal
l''lec ha n i ca I
n ame r\address'I i cs. no.exoi res )(nhone no- )
Pl umbi fiq
El ectri ca l
I'lechanicaI
PLUI{BI NG ELECTR I CAL MEC HAN I CAL
NO FEE CHARGF NN FFF a t.ra Pn F NO FFF CHARGF
Each single fixture Res i dence of
FTSQ
furnace/burner to
BTLI' s
Relocated buildino
(new fix. additional)t/New circuits alts.
or extensions
Floor furnace
and vent
S. F. Residence(l bath)SERV I CES Recessed wal I
Soace heater and vent
Duplex (1 Uath) each
Temporary Constructi onAdditional bath Apol iance vent
seDa ra te
[.later servi ce ge in existing
dence
C han
res i
Stati onar,v evap,
cool er
Sewer mu1 ti fami 1 y,
lndrrstrial
comm. or Vent fan with
sinole drrct
Storm Sewer 0f Vent system apart from
heatino or A.C.
COI4I.l./IND, FEEDERS
Mechani cal exhaust
hood and duct
Instal I /ai terlre1 ocate
di stri h- feeders lJood stove/heater
amps0f /,/-,*r.FR g€B €8
Ezazzzzz4<a vB.Eer-rrPzzF,*z;r
D/n,1zztzr.'fu);,E
ISSUANCE OF PFRI1IT
TOTAL CHARGES TOTAL CHARGES TOTAL CHARGES ./r,*
WHERE STATE Llll REQUIRES that the Electrical work be done by
shall not be valil until the iabel has been signed by an Electric
an Elal Su
ectrical Contractor, the electrical portion of this permit
pervisor and returned to the Building Division
I HAVE CAREFULLY EXAI1INED the completed application for oermit, and do hereb.v certify that all information hereon is true
and correct, and I further certif-v that any and all work performed shall be done in accordance with the 0rdinances of the Cityof Soringfield and the Laws of the State of Oreoon oertaining to the work described herein, and that NC 0CCUPAI,ICY will be madeof any structure without the permission of the Building Division. i further certify that m.y registration vrith the Builder's
Board is in full force and effect as required by ORS 701.055, that if exempt the basis for exemption is noted hereon, and that
ernployees r^rho are in comcliance with Oi?S 701.055 wi lI be used on thi s pro,ject.
llAi'lE( pl ease pri nt S I GiIA DA rcdlt:/D_
on)y subcontractors and
Fire Zone Bedrooms 0ccy Load Sq. Ftg
Flood Plain S tories ,/ Iccy eroup V' ? sq. Fts
/zutr> ->
TOTAL VALUATI nil
ilp
x
Zone Z,rz I I Value
alAcce
Value0ther
Sq. Ftg. l4ain xconst. ,*y'' Units
P lan Ck. Cornm/ ind
65%/81do Per Fee 2.8_q4 Svs
Cha
teris Deve
rqe ( l.5z
opmentBUILDING PERI'IIT
Charges anC
Su rc ha rges --Z/=5e--2-Plan Ck. Res
30%/81do Per Fee
FencePLUMBING PERMIT
Charges and
Surcha rges Dgmo
Sldewal kELECTRICAL PERIlIT
Charges and
Surcha rges Total Comb. PermitA/C Pavi ng
Curb CutI,IECHANICAL PERMIT
Charges and
Surc ha rge s
/_z=__.7u TOTAL 7z*
?z)
h V;zt?
COMBINATiON APPLI CATION/PERMIT (CAP)
I. Applicant to furnish
A. Job Address
B. Legal Descrjption
l. example- Tax Lot 100, Lane County Map Reference
17 03 43
2. examp'le- Lot 1. Block 3, 2nd Addition toSpringfield EstatesC. Name, etc. of owner and construction IenderD. Energy Sources
PERMIT VALIDATION
1. examol e-2. exampl e-E. Square foota
hea t,/I ' forced air gas
sol arwaror
ge or valuat OD,1. example- 1250 sq. foot house, 500 sq. foot garage
2. example- if new project, check new - if addition,
check add, etc.F. Building permit information:1. example - construct single family house with an
attached garage
2. example - remodel existing garage into family room3. exampje - convert single family residence into
relfaurant (change of use)G. Value of work as defined in Section 303 (a) of the
Structural Specialty CodeH. DESIGN TEAM AND CONTRACTORS
To avoid design or construction delays, Building
Division Staff must be able to contact appropriate
persons regarding design information or job site
corrections, etc.II. Abbreviated Plumbing, Mechanical, & Electrical SchedulesA. Except where blank spaces occur in the descriptionportion of the Mechanical and Electrical Schedules,
the applicant need fill-in only the No. Boxes adjacentto the appropriate item(s) to be installedB. Full Plumbing, Mechanical, and Electrical Schedules
are available at the Building Division1. To conserve space on the permit form the schedules
have been abbreviated?. If the item(s) to be installed are not covered on
the abbreviated schedules you should consult the
fu l'l schedulesC. BUILDING DIVISION STAFF WILL FILL OUT ALL FEES AND
CHARGES ON THE SCHEDULESD. As noted on the CAP, the label must be delivered to theelectrical contractor for signature by his electricalsupervisor. The general contractolis not authorizedto sign the electrical label.III. Appiicant to sign and date
Hhenever possibie, the initial application will be used as
a worksheet on1y. Where possible, Building Division Staffwill prepare a type written copy and return it to theappiicant at the time the actual permit is issued for his
s i gna ture.IV. Fees and Charges
Plan check fees are due and payable at the time of theapplication, and no plans will be processed until thesefees are paid. All other fees and charges are due andpayable when the permit is 'issued.
V. FOR OFFICE USE ONLY
&\4
(t#
Permi t Cl erk
PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPAI{CY:
Perm'it appl i cant exempt f rom reg i strati on wi th the Bu'i I der' s Board because :
Additional Project Information :
PLANS REVIEWED BY:
name 'ignature dat e,#ao
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