HomeMy WebLinkAboutPermit Mechanical 1984-04-02) rcgrnc I iou:to,trrct: To be rale
L_) d.iaer i?encnes cre e.cavated ard,
fcrns oe etecteci, but prJor topu*irq ccnc-Teta.:l
DRY,LALL MSP!C?!C!I: Tc be natieaiter aLL arluall is in place,
but prior to cng tayin4.
-1ecei2, r
Date:
job n,1i-ess, tgpe
P.equests receixed
of inspeelicn
befcre ?:00 ,=z
Sanifa-J saset cqceC ,t ?rop€rqj Lilre'
Se?tic totk y"iryeC cd. ii,LleC vith gr.i;zi
Pinal - ithet cbcue dtens are cawleted
c-<i uhen Celelition is conplete br st u"-
ture nooal, od. prattises clbaneC up.
I
{
i{czes
!!!,'nry.h sth stree
:l:yJ'ietd, Zr.eson
;fr-;;?, >iuision
SPFI'NG FIsr n
97177
Generu.L
Cona?rtcCot L*tder
si?s .r:7SP:r-rr.Y..
ecaocx--on, but
1'otms.
To be nad.e ai:etpricr tc ae: u? of To be
ut<nllav. c.^^7. ovczbffigrputing
aceorbtce vtth
-7
Locatiotz, bond.
or uerticcls in
I-t is ihe resgonaibili.y of tle perurii iold,er;ran the strees, cnl tju,t the o*mit cad. ia
' 2 ui A i :4 7) u i c i o :,-
"2
p, o r., i p tE i ;i i1*r'"i7: "
' b eee tlnt al! inspectiotls ee nad,e at lhe p"o?e" lina, t!.at ecch qdd?2ss is rear;-:aLeated ct the fr<.nt' of the orooertuon thE BuiLci".ttg Sjtc at aLL' ttmes.'
?AR :CALL 7 26-376 9 (reeoriet ) state your City Ce sigz,zted j ob nu;:b er,ai-en uou rea<iy for irspcction, ConsTa4y6ys ct A-.ne:s nane crrl. cl"or.a nultbetL be mde the sorie Ccg,requegts ncd.e cfta 7:00 on viLL be nade the nest'"nrking dag
Iout Cifu Desigra.ted Job Nwbet Is:x409 33
!r!:iiLi1::utgr:!c, zLgP ttzci.r..!i.:AL: ?o be twtie bejore cnyrrrk ie coueyed.
required ucpor batie?s @e in place
t-ut before ay lath, Wpstt:t bcari ontnLL eouering -Js aolied, ard. befcreoty irtsulatian is concealed.
?at;:43 i:1c a?
io
i-l u,vce.e-oaccR !,?-u:B r:G MlctA:trClL :i t to ce naae pricr -.o inscalktton of
fl,oor intuktion o" decking.
i I nST AitD 3tA;.1: To be raie pr)cr to
- | GzatEi" oi Jloor irsui)=iori, cr
deckirg.
-
RO|:CE ?!!:3!:!C. :!t:P!::a '
]1ZCT-ttu-. .
- w.='-L these '-r-scee=icr,s h:.ue beer.
nci.e ad, n:rciei.
i-l f;:=ri.'J.' .3r:or '.o tlcc-Jra cccirz
L) ,,,c;;t*r;; at^d. beiore -frntrq inrp"Z-
tior..
f ipnytlC: !.ioa be rectected af)er,J c??"c,rr'; of rcugh plrt-,air4, "ir."n-a.L J neci"anica!.. AL! tvoiiztg
brae-rq I chi;wtc,gs, etc. nast beanpleted. ;lb'.pri is to be co.t-
. cecled until this inseectict 'rae
'be.et rwie atd. cpprsued.
Y
M ,noosro'n: Aftet ittstall,ation is
Vr! en-oletea' -
=ter:chce.
Ff.ta? af it6r.,a
CURB 4 APFRCACE A?PIN: Afiet fotnsa,; e;A;A-6utfio" tu pcur.:ng
corcvete-
SIDS,LALK & DRITWA!: for all carz-
cv e'" e navG-E;E; s tre et r-t ght-
of-,x!, to be naCe after aL! e.cca-
uating eanplete .3 lon wrk & aub-
base nateo)al in place.
!!NCE: ilher conplate -- *ouiCe
gates ot ,zouable sectians through
P. U, E.
f ALL pro;ect condilicns, suc!. es che').ns;allcticn o7'sareei rrees, ecft!.eaion o;'t;Le
reqaireci Lctase*tirg, etc., rast be satisiied beJ'ore the 3lliLDIilC ?!}lAL can be reqtested.
."fJAi tsl/fllfilc; Tl,,e EinaL luiLd,-r4 Insoection ntst be tequestei ':ter th'2 Fit"zl P''tnbing
Zlacc.ieJr- oe :4echar-iccl inscecxlcns'it4oe been nc6'e ar,i c-octo'sz4'I ll,r;c irEi*u,rcrr
I ''lul ii:c'erc;l
tsLockitq od, Set-up
Plwtbittg connec-.icns -- s?aet orC ualet
Etectrrlcc'|, Ccnnecyion - Blockin4, set-u=
and, glwnbing connections tre:,st be dpDrol;aA
beiore requee=ing elecir)cal inscec=to-
ACceSSO?i du'"'l'-tq
-11\"rk"r, slirtLng, d,eci,s,?iral - Aftcr
e+-c. @e ccno,
Job
fcz Lot #
lgcesoors .:1q I
St/bdi isicn:
6,zer:
Ad&esa:
Phone:al3
lft{-\h^dlng -Trantltn
Dqtu of VaLue
oo
,
ACCiticn
Deaczdbe kbrk:
l,2oclJ Slo*e
I
,
,ALL:.AJpcaJS AilD CLEAlvcws:tus! 9E.1CC3SS!|L|' ADius?:li:ti:o 39:aDl t:::0 c:sT ?c cM ?z7e 7 of 2
T
u
l
)-aa 9 L-co G+
2ec:ccnsJOB NO
llobiie itate
S
Euild.irq ?er.&t
?otcl Cha:ges
__ ;.i,^=^.r alt t:ata
oLAR'*ccEss REQ'-
eai
;ote
f flAW CAREFALLY EN4!,!I;|ED the eon.o!.etc-ti co.olicaticn io" ?en,i), cri d,c
Yr1?y certifg_ that aLZ irfor,afibn he,eon' ia tnte "i "Ziri.r', ,rre f
Xil" ;:2, :i? rfri,r,"y ",1 aL L ao r k p er pied i t ail a r- iiZ-'irt aicir -, s,.,; ;;-;,;';:"";;;7:3;n"i"';"r"r:;y:L.,rh;Z!;;;i;rf ;i,,tf, ,fri,r;fr_F.4Jcz iti be ,a,i. o1 ory_" ,tru":i*"1i,ri2", petmissi_ott cJ- the 3uiid,ino Di_nisron. ! i'utr,her c"=r-:iii tli;- *.iy'r"rir"":on, a-"C .e=plagees ula ale inco:r, Ltanc e u1 th c RS z o z.b"s s- "rit-';;, ";;;" i" th1- s ?"oj ec.
i.ot ?aces -
ss
2 cf t*c Ca.tetcge Inzet'ict
Corne"
?nbctile
CuL'de-sac
I of Stor-es
iotal !i-Eh.
,TogoEPhl
'iaLue
6aE.l lra f 't?-J:,1J.^ur.
(,a-J.U|L. trs -
Fee:
n--- D-: ).
Recelpt #:
&l:t-res
Pesiizntlal (1 bc;h)
Se.tet
No person siull cottstptct, inatal!, altet o" eitanqe -cny reu-c? esistitlg
pLibirq cr dreinage systq-n in uhole or in part, utzless such petson is tb.e
iegal pZssea"ot o1-a ulalid gl*rbet's Lieensb, erce?t ihzt a ge:son nq 42ptinttig uork to p?ope"tJ uhi.h is otm'ed, Leased or operated by the qpli,
cdzt.
Plwhlng Perrtt
*,
Plumbing Permit
:io.
Na,t/kterd. Cirstits
Serrtce
Electricol Permit
Were State Ian requites that the eLectrieal uork be d.cne by azt glectrteal
Contructor, the electrtcal pottion of thia pe*nit shcll rot be ualiC untilthe label |as been aigrlen bg the ElectrLcal Canttacto?.
*
:r-1i att t Ja-
bhast HooC
Venx Fat
TcoCsta:te
i 0
1
Mechq nict:l Permit
Penri,t Issttstca
!4ecianiccl Penr|t
Da:osit
d*3at:
Si.de",aZk
?2!AL L'.EIJ}!? CI]E:'b0 Signed L
CITY OF SPRINGFIELD--BUILDTNG DIVISION
346 MAIN ST. 725.3753 (BUSINESS) 726-3769 (INSPECTIONS)
APPLICATION FOR ELECTRTCAL LABEL(S) BY A BUILDING OVINER
The Electrical Safety Law of the state of oregon does not require a person to obtain
a license as Eur electrician and',/or electrical contractor to make an electrician in-
stallation on property which is owned by himself or a member of his immediate family
which is not intended for saler lease, or rent'
(PLEASE PRINT)
e./- t-
APPL ICANT'S I.IAI'18 7fi-/Lc 7?
33b a-fr PHONE
ADDR.ESS
ADDRESS FOR PROPOSED WORK 3=,
BUILDING OWNER (IF OTHER TIIAN APPLICANT)
ADDRESS
TemPorarY Service
Underground Service
Service
Icertifythatalloftheaboveinformationistrueandcorrect,andthatno
of any wiring "y"a.* requiring "-I;;i as appliei- i"t herein and intended to
cealed by any permanenr porrion oi1ir. nui-rding 91 3.t".1:1: ::"tt be coilceal
inspectedandapproved..F.",,theinstallationofthesystemiscomplet€l3D
ana finat inspection shall be made'
Inspectionsaregenerallyreguiredforatleastthefollowingconditionsand
of construction:
PHONE
portion
be con-
,ed until
additional
or stages
4. Rough Electric
5. Cable Heat
6. New Circuits or
Extensions
I further certifY thats I will notify the euilding Division when anY of the above ELEC-
TRICAT INSPECTIONS are readY, that all work will be done in accordance with the Electri-
cal SafetY Law of the State of Oregon'and that if not the building'owne Ellamamember
of his or her iate familY.
Signa ture L
INSPECTION REQUESTS SHOULD BE IqADE,ON THE BUII'DING DIVISION,S 24 HOUR A DAY INSPECTION
LINE. THE INSPECTTON NUMBER rs 726-3't69. TNSPECT ION REQUESTS WHI CH ARE CAI,LED IN BE-
FOR 7 A.M.WILL BE MADE ON THE SA}4E DAY.
1
2
3
7
I
9
Mobile Home
Connections
Signs
Swi:wning Pools
USE ONLY
I,ABEL ISSUAIICE FEE
LABEL }IUI"lBERS
RECEIVED BY
S
FOR OFFICE
DATE
bc)
60
I
.r -r /-)