HomeMy WebLinkAboutPermit Building 1990-05-29'ob Loccticn:
Ica Iat llssessorc I'!ap #
tubdioision:
lDne?:
Phone:ddress
Desev,ibe lv'ov'k:
Va?.ue
I
Iicaticn,5 LqqoDate of AppL
u,p,tdditicn
llcmoCeL
.. REslD.__lTlAL.'
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APPLICATION/PERIIIT
SPFIINGFIELD
225 North |th StYeet
Spr"ingfield, Aregon 97477
Buildi.ng Diuision
7 26-37 s3
Date:4 ^,,e42
)nt r
eneral
J-urnbing
echanica
J.ectrica
El-ec E.r:ic ianlrD
Sanitary seaet eapped at propertg Lir:e
Septic totk pwrped atd fi"Lled lrtth gra:sel
Final - l'lhsn abctse ttens dre ecmpleted
i,.d. ut nn denolition is eotttplete- o? otr.)c-
li"-^or"a attd preni'ses eLeaneC up'
BTocking and Set-ttP
PT,wnbing eonnections '- acoe? and' ualet
EleetrieaT. Cqmeetion - Bloeking' aet-ui-t
;7;1;ii"; eonneetion, nust be dq'P?cted
f,,iV"il r"r; eting electtLeal i'nspec lion
Accessor; BuitCittg
Final - After pcreh'es' skirting' decks'
ete. @e conPleted'
srTE INSIEC:{0u:
exca)atlon' cut
forns.
Io be nnde aftet'
prtar tc set uP of
'ICAL
any
E
E fo to
fuoor insu or deeking.
A iwpeetiox's hatse beenNo
these
nade and apProrsed.
to plaei.r4 faeingPrLor
ord b"1orn framtng inspec-
tr W*ffi#ffi; '![3i'i'!'i*'
To
AWW#X":2,2:0X1"
-
-ior*" ore erected, but Pnior tc
PourLng ecneret€'
ww#w;,':"uo:,#":"
^ but Pr'i,or to cnY taPing'
MASINRY: Steel Location, bond.'tffii7i*rting or verticals in"""iirao1"n dth u'B'c' seetion
241 s.
-1-ll vooosrovt: After instal'l'ati'on 'Ls
l# *-pT;iA.
I POST AND BEAII:
installatian oi floor insul,ation orTo be nade Prior to
conc?ete.
decking
*WW;",12i,".1'1n1,'il'""'rlir'.-io Le ^ade
after aLL exea-
;l;;1r'""rplltn a io* wrk & sub'
bace natenial in Ptaee'
E
1 rrprprltcj,
-) mctertats
t FRAPlIilC: lhust be requested after
#,ii,'; ;; ;;; h Plirbins' -.e L e c *i-
7"'|1-irL"kit"iu ' r'tt roofing -"i*Z"irrq' sint'*.''lt' etc' rt.,,st be
i:irl*'"1;r;'"r,ili\*i"'"L0":"ff"-
' ai|- ioa" anc aPProt cd'
tion.
gates
'P.U.E.
ANt) CLlitl;lcu'ft I
ete., mtst be
h4ten conP Lete -- ProtsiCe
or nooable seetians thnangh
such as the i.nstallat;-on of s ootoT.cti-on of the
iiiar' oo" be teq'uestea'lreet treea'
satisficd before the BUILDINCALL Pt'oi ec b eondi' tj'ons
r e qui,r e d Land s c cPtr'g'
FITIAL WCHANICAL
FINAL BUILDINC:.
ELecLri.eal, olt'Mechar'icaL 'x,!i;n:*"1:;:,';nxxl:
reqtteated after the Final Plwtbing
attd aPPtooet'ffi rrul,r, PLUttBTItG
The Fi.naL
6
A AD.ll tsmlilttl To l],F: tl\l'tE
Pego 1 of 2
]t'!'T Dn Accttssfnt'ti'
*Ai.l, ll'lllltCl'E::-.*€-":)
FINAL ELECTRICAL ,A,T IIO C1ST TO C'tlY
1 ,.,ouorn oo^"
You" City Deoigr,ated Job NutnbeY
._-_--*P
SOLAR ACC€SS REQ.-L-CO GI
Bedvooms:
JOB NO.
Z of Lot Cooeruge;1fu
# of Stories /
rotal Eeight e
ropogruphy A^7,
LU ?YPE
Intettor
V coon"*1)-' Panlnrtdle
- ,ul-dn-ro,
Access.
lteat
qt
t
AF?CI?EM
Faces
P. L.
Lot Sq. Etg.
c tq488,2aItolhD{oMain
,.lDIbtqGeraae
Catport
Acceasoru
TOTAL VALUE
oclue)
t.U,l', t.o &
Date Paid:Al
#
7r Signed:
Building Vqlue & Permit l
This permtt is gt'anteion the erpnecs co-tt'dition ttat the said'construction
slnll, in all respects'-';";i;;i; ttrc ondiince ad'op.te'{ ?iv the ci'tv of
s p n i ng f i e L d, i n c tudi n g' tiZl' il,ii "i" "; ;; ;;;'; : v e s u L ctTn s t h-c c c n c t r"t:l:" :', ^-rii- iL "f Luildirqs,u ana ^ry tn" """!r.ended
or reuokec at cnll t'i,me upan olc-
Tntion of any ptcuisions of sat'd oPd'Lnances'
,t
*
Building PermLt
?otal Clntgea
State
FTE CHARCENO
€o?i.otutes
Residential (1 bath)
d'€Seuet
IS,"D
2-D 90)
Plumbing Permit
No peraon slwll constt'uct, install', alter. oz' changc .cnlJ ne'd.cv eeisting
;i#Z;;;"";'U;r;;;i;';;;t;"- i".ir'oin oz' in pott' inless such petson is the
i"i'it"rit""ri, of ";1"1;;"pi'*'b;;'11l-i"un"'"'
ercept tkat a pbtson nav do
plmbing rtot'k to pr"p"f,ii*"iiZi-L" i"nna, Leised or operated by the cppli-
canl;.
Plwnbing Pennit
State
?otal
fo
Nau/Exterd Circuits
Semtice
zae
?a
Electricql Permit
where state Lau ?equi?es t\",at the electtical uork be done by -an ELectrieal
Ciiti."lir, li, "ti"tol,ial iirtion of this _pernit stu,Ll not be ualil until
the Label -lws been si.gned by the ELectrical Contractor'E. F<zA/q4 ( zaff7fv9,aV 5ryk-
-jzr* r?apmz,- /+z /zzz7V ,/.tz,'/ry2<
Stdte
?otal
ITSM NC,FEE CIIARCE
,I 6P
E l@tst ilood Z 4.€o do
Vent Eot 3 3 0'o @
Ilcodstooe 2 /s*3e'o
eo
-
??
2-80
/lo
Permtt fseuanca
Meehanical Permit
,{
Mechqnicol Permit
-- ENCROACITMENT --
Cttrbcut 7a
Sideualk a 35FS'
7
Mobile ltone
f HAW CAREFULLY EXAMINED t?e completed application foz, permit, and doheteby eettify tltat aLL information het'eoi is t,ue anC cbrrect, a,C. t
fut'ther.cet't?fy that any ard aLL aork per.forned slwll be done in accozl-dance trLth the 2rdinances of the city of springfield, and. bhe La,;s of the* ltate of ?1egon pertaining to the uoirk 1eaZribZd t nnLin, cnd.- ttnt uO OCC\-PANcy aill be nace of anp sttuctwe uithout permisaionb1 ttn sil,zatng N-uision. r futther celti.ft- that o:tly contrac'tots aszd, anployees uho arL incazpliance aith 2RS ?0t.7ss aiLL be-used on this project
{(
Dtbe*TOTAL AUOUN? DUE:'{24,'7.?a
Permit
*/*e
rCITY tr t
225 YTYTfr STREET
SPRINGPTBLD, oRBGON 97477
INSPEGEON RBQUEST:. tZ6_37690PPICE: 726-3759
1
rrni ts are n on- transfera and expireif vork is not started vl thin 180 daysof lssuance or if vork is. sus pended for180 days.
2. COIrTRACiTOR INSTALI.ATION ONLI
Electrical Contracto
Address
Ci ty Phone
Supervisor cense Nurnber
Expiration Date lD "
COI{PI.ErB PEB SCEEDUIA BBLOg
Nev Resldential-Slngle ortlultl-Fanl1y per avltttng unit.Servlce Ine1uded
SPI.--GFiELC
One Circult
Tvo to ten Circuits
Each AddtrI ten oiportion thereof
SIIBTOTAL OP ABOVE
5I Stdte Surcharge
TOTAL
,fr
EIJCTRICAI PERXTT A?PLICATION
City Job Nuuber
f terns Cos t
s 8s.00
$ 1s.00
$ 3s.00
3
Sum
1500 sq.ft. or less
Each additional 500sq. ft or portion
thereof
Each Hanufrd Home orHodular DveIIinq
Service or Feedlr
Servlces or Feeders (10 Branch Circultsine-Iuded) . rnstarlati;;, -Ail;."Iion,
or.Relocatlon:
_l_
f)
\'
356
\
B
c.
D.
100 amps or less
101 amps to 400 amps
-401 arnps to 600 amps
-601 amps to t0o0 aips-Over 1000 amps/volt
Reconnect 0n1y
s 3s.00
$ 60.00
s 90.00
s130.00
$300.00
$ 3s.00
Constr Contr. Number
Explration Date 1
ture of SuperviSlng EIec trlclan
lemporary Servlces or Feedersfnstallatlon, Alteration or Relocation
201 amps to 4oo amps T S 4o.ooOver 401 to.600 amps _ $ 8O.OO0ver 600 amps or.rboorolEs ;";-;i; aE6F
Branch Cireuits
Nev, :$Iteration or Extenslon. per panel
Ovners Name,
Address
ci Phone 35
50
s
s
00
00
OSNER TNSTALIATION
The installation is belng made onproperty I ovn vhlch is not intendedfor sale, Iease or rent.
0mers Signature:
Hiscellaneous (Service/feeddr not included)-Each lnstallatlon
Pump or irrlgatlon S 36.00Stgn/outline Lightins- S ge.oo
Signal Circuit orIimited energy panel S 36.00
s 1s.00
E
5
DATE:
t
RECEIVED BY:
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