HomeMy WebLinkAboutPermit Electrical 1986-10-24I *ALL IIANHCLES AND CLEANOATS MUST BE ACCESSTBLE, ADJASTIIEIIT rc BE LL4DT A7 IIO CCST TO CI?Y
@---t-r!fltrurrq-a".{
Job Loeaticn:///.s7-
Aaseseors Map #noz 3
Subdiuision:
A;ner:
Addtess:s7 Phone:
ci
Na,t Deeq,tbe Woyk:
,/47aAC ?aa r4-- Sa{ur<-a.
O-! CXt577.-6, .Va,&-4 ,/a;aa-t
AiAition
L
Date of Value
GeneraL
Constn ctiorr_lende!_
uhen you
LL 726-3769 (teeoydet,) state your. Citg desigrnted jobreadyfot, inspection, Contraetoz,s or A;nels nanne cnd plnneI be nwde the sone dcy, requests nade after ?:00 ott ttill be nnde the neet tnrking dag.
Iour Citg Desigr,ated Job Nutnbet fs
a-
It ie the teapoaoibility of the penrifrcn tlu atteet, and, tlwt the oernrit*BuiHing Dioiciot appro,*ed pliot shcl
"t hod* to aee tlzat all-inopee-tione ee nad,e at the ptoF)et tine, that ecch addrbss is tea4ni.iecatl. ia Lxated at the fzont' of tlte propetta.L remain on tlte tunlding Site-"at-all"li;;:'
, rntnber, job aCitess, type of inspeelicnnumber, Requests receixed befcte- Z:00 ctz
f0 o1b7
SI?E INSPEC?ION:
eecauation, but
' Io be rrude after
prion tc set up of
ANDERSLAB PLAMBING. ELEC?RICAL &
WCH{IIICAL: To be nade before angwk ie eooered.
fotms
WEIING & FOUNDA?TCN: To be np.CeAn;;Wes ate eccattated and
forns are ereeted, but prior to
pourtng ccnerete, i
UNDIRGR1U\|D ?LUI,|? INGL EqWp' tnAlLR'
DRAIIIAGE: ?o be nwCe p"Lor to fil-Lirq trenches.
AIDERFLOOR PLUMBING & MECIIANTCAL:
oy
flooz, insuT,ation or deeking.
POS? AND BEAU: To be nade prlor to
ffiiffilffof floor insulition or
decking.
ROUGH PLU-,!BN'IG, ELECTRTCAL & TIECH:
ANfCAL: No uoyk is to be co';*et,ed
dllTthese inspeetions lwoe been
nade and. approtsed..
FIP@I,ACE: Prtor to placirq faeingmatil& ard befot,e f"*nirS ir"p.L-
tion.
fFL![llq: lttust be requested aftet
@aL of rough plwnbing, e-Lectri-cal & mec?tanical. ALt toofing
bracLng & ehinmegs, etc. nrast be
. conpleted. Ito ucyk is to be con-
. cealed until this inspectLon las
'been nade anC approved.
?TNAL PLUMBING
FINAL MECHANICAL
FIt:lAL ELECTRICAL
tequired oqor burie?a @e in pLace
but before oty Lath, gApsum baatC or
tnLL cooeting is applied, and. beforeoty iraulation is concealed.
DRYWALL INSPECITON: Tc be nade;@-AT@Trs in ptaee,
but prior to anA taping.
I4ASONR!: Steel location, bond
beons, groutirtg or oertieals in
accotdotce LlLth U,B.C. Seetion
2415.
VOODSTOVE:
cctnpT;TA.
After instalLation is
CURB & APPROACH APPAN:After .fornsI poutlflgue et,ecteC but ptior to
concrete.
SfDWALK & DRT"WAI: Por aLL con-
a,ete paoittg tvithin street right-
of-teA, to be made after aLL erca-
oating eanplete & fottn tnyk & sub-
base nwtertal in place.
ALL project conditions, such as the installat|on of street trees, conoLetion of the
required Landscaping, etc., rmtst be satisfied before the BUILDINC EINAL can be requested.
FINAL BUfLDIN7: The tinal Building Inspecti.on mtst be requested aftet the Pi.nal Plwnbing
Electrical, ord, Mechanical fnspeetions lwrte been nade and approoeC.I
oR !,10wt
Scnitatnl saset capped et p?ope?4i Line
Septic tutk putped cnd. fi.Lled ttth gra;tel
Final - Wea abcue itens are ecnoleted
and uhen Canolition is eomplete'op sttae-ture moued and. g,etnLses cleanei up.
Mobile Hcnes
BLocking otd. Set-up
Plunbing connections -- ael)e? otd, uater
Electtical Ccnnection ! Blocking, aet-uD
and plunbing eonnections tnist be apprct;ed
before requesting eleelrical inspecliot:
Accessory- BuilCing
Pitnl - After pcrehes, skirtittg, decl<s,
etc. ane eotnpleted.
Page 1 of 2
?ac lot #
" RESIDE*.TlAL"Receipt #
22s Noz,th sfii sa,eeaPPLrcA?r0N/PERMruSprlngfield, )r,egon gZ4?Z
Building Diuision
7 26-37 53
SPHINGFIELD
(, R,q45, llSd
--d @
Date:
ezS'zzz- C-L
h"L-op
IoT
?ENCE: h4ten eotnplate -- ProoiCejd6i or nooable- sectians through J_lP.u.E. I I
2
Bedtooms:
L-co d--soLAR a^'ess REQ.-
Building Vqlue & Permit ,
Thispernttisgrontedontheerpressconditionthatthesciid'constmtctionslnll, in atl respecti,"';.;f";i;-tin- o"i't''*"ce edop-te'l biv the c:tv of
Springfield, incLttding'tt'"'2l'i"g Ct'dinanc-e' z'egulating .tie e713-tru11:t:.r^
and. use of buildi,rqs''ii^'v b.e" s-us!-ended or neuokeC at cnu ti'me upon oLc-
Lati.on of ctly prcoisions of said wdLnances'
Access.
Value
TOTAL VALUE
s. D. c.
Date Pai.d:
Iotal Cltarges
b
xFTGITEM
Si,gned
t
JOB N
P.L House
-- Fees --
Lot Facee -
1.5 o
Building Perwtt
TDT TWE
_ Interiot
Come?
Iat Sq. Ftg.
7 of Lot Couerage
# of StorLee
Total Eeight
llopog!6?hY
Panltandle
CUL-de-sac
N0.FEE CHARGE Plumbing Permit
No Dereon stnT-L consttaet, instal?" altet ot' clnn4e cnu rleu 'c? etisting
prlirairq o, dtainase ";Zi;"';;";;'L;;l-i" patt' LnLesi such petson is ttP
Leqal posseaso* of " ;!;iZ"pi:'^b'Ji'i 1t'"n"t2' eicept tttat a pbtson natl do
plwnbtns uork to pr"oJXa*"lni;;"7'";;e: lll"na or operated bv the appli-
eant.
Ei.stutes
Residential (1 bath)
Seuer
Phnbing Pemrtt
State
N€u/E*end Circuits
Electriccrl Permit
WheleStateLarequiresttuttheelectrlcaluol,kbeilonebganEleetrteal
contractor, the eLectiZ"i';;"1;';;"--;7 it'.'t"-pn' t't stwll not be oalic until
i;--Lrb;1 'lns been signed iy the Electrical contracto!'
Seroice
u so
State
Iotal
IT9M NC FEE CIlARCE Mechqnicql Permit
bhanst Hood
Vent ?@t
llcodstotte
Permtt fssuance
l4eclnnical Pernrtt
-- ENCROACHMENT --
Penrit
Cvtbeut
Sida,talk
Electrieal Label
MobiT.e Hane
Reeei,pt #:
PLan Exaniner Date
?otaL
f HAW CAREFALLY ELAMTNED the conrpleted application for perrnit, and do
Itereby certify that aLL information heteon i-s ttue and, ecrtect, artC f
furtket, certify that any ard aLL uork perforned shall be done in aeeor-
dance tLth the Ordinanees of the City of Springfield, and the La:,;s of the
State of 1regon pertaining to the aotk Ceea'ibed herein, end tlnt ll0 occu-
PANcy DitL be rrud.e of any structut'e uithout pernission of the Suilding DL-
uision. I furthen eettify- that only contt'actors and enplcyees uho are in
conpliance uith ORS 701.055 ui.LL be used on thie proiect
t0-2{-tr
TOTAL AM0UllT DUE: *lS-tao {Date
b
State
HOUSING AUTHORITY AND COMMUN]TY SERVICES AGENCY OF LANE COUNTY, OREGON
NOT VALID IN EXCESS OF $ZOO. OO
Unless approved on lines 1&2 below
PURCHASE ORDER
MaiL lnvoice to:
HACSA of Lane County
Attn: Larry Abel
177 Day Island Road
Eugene, 0R 914OI
Show P0/l on Invoice, Shipment or
Correspondence
I ship Prepaid to AqencyE NET tr
P0# i!
/()DATE -2 /-r4
INVOICE
NUMBER
+/-16
I 2495,'
VENDOR:
L lry o F 9f/Zt*6 Fr€b
Check Appropriote Boxes: E1olSferial Picked Up Discount
fa-z ryl - !-Z,aza."{.g,
DESCRIPTION
above items a required in th
endit
NET AA{OUNT
"Seller worronts thot the product sold or service rendered to the buyer sholl conform lo the stondords
Acr of 1970 (29 U.S.C.651, Pt 9I-596) ond by Oregon Worke/s Compensotion Boord under lhe Oregon
does nol conform lo lhe OSHA ond/or OSEA stondords ond/or regulolions, lhe buyer moy return lhe product for correclion
seller which do nol conform lo rhe OSI-IA/OSEA stondords ond,/or regulotions musl be correcled by the seller ol the
propriote correclion within o reosonoble time." "NOTE: This purchose subiect io oll o pplicoble provisions of ORS C
the U.
44.ORS
cement seller's oplion ond ot seller's exPe nre. Senices performed by the
or by uyer ol buyer's expense in the evenl reller foils to moke the op-
,/a Vr"t C>Fz'a4ac
S. Deportment of Lobor under lhe Occupotionol Sofety ond Heohh
654.00I lo 654.295 qnd 654.991). ln the event the product sold
I -v{-y€
NET TOTAT
ond/or regulotions promulgoled by
Sofe Employment Act of 1973 (SB
The
and
cha
t r
e operation of this Agency
t are an approved budget
-ffi-
DATE
BY ol
BY
QW UNIT
PRICE
Dtsc.
%
/ 6,60
ACCOUNT CODE CHARGED
ramcL/P
er/
Division/0b
/7"6-'2
2
APPROVED BY
c-t4_27
they
DATE
2
been received or performed ond hove been occepled.
,1
DATE
I