HomeMy WebLinkAboutPermit Electrical 1987-01-22Reeeipt #" RESID- -,lTlAL"SPRINGFTEI.D
APPLICATION/PERMIT
225 North Sth StYeet
SprLngfi.eld, 1regon 97477
BuildLng Ditsisio.n
7 26-37 53
PR1C\DUPE ?oR INSPECN)N R9?WST:CALL T26-3769 (tecotdet) state you! Citg Cesignated job
reqtteeied d. uhen you uiLL be ready for inspection, confuacto?a o? Anters tutne and pTnne'tiLL be nade the sane dcy, ?eEtests nade aftx 7:00 @n vtLLL be nade the nert l,nrkinJ dag.
Remti,rarl Tn sn aeti.ans
Youn CitA Desigr,ated Job Nwnbet Is:
Fl z{bs
6q5,tt t I
r)F
l-/
\(/Cw ul,b >3
CC
Date:
Consj@on Jende?_
It ic tha responeibility of the penrit ,@\dd to aee tlut atl inspectiotu oe nade at the proper tine' that each addreas is t'eaCobie
fln the atreet, @d that the panilt eal. ie Located at the fiotzt of the gopetfu.*Buildin4 Dtuisiotr aVpt*^ed plot sltcll remain on the Bunlding Site at aLL tines.
I nunbe?, iob aCdtees, tgpe of inspeet'tcn
nunber. Requests recei"*ed befcte 7:00 ott
8tn5>
Aesessors Map # [ n fC Z 3 (. | 2- r* rnt *l?-aoo
Job Locaticn:
Svbdittision:
Oiler:ll,1 7+1 qPhote:Address:
zip:Citg:
/ 0**-
/-72 -r /Value
Wov,k:t-t Nan
n
Date of
Additicn
RanoCel
Address Lisc.# Er.Contracto?s
GeneraL /l Z
Eleetrtcal lW rylg4rt
f u*ur,;orr U /,
Page 1 of 2
SI?E INSPEC?fQN: Io be nade afterescA&iln;Tt prtor tc set up of
forne.
UNDERSLAB PLUMBING, ELECTRICAL &
WCHAIICAL: To be nade befoz,e anyffiTiiZtered.
POOIING & FOUNDA?ICN: Io be rnaCe
@erGW are rueaoated and
forns ate erected, but ptiot, to
pouri.ng ccncrete.
ANDnRGROUIID PLUMEING. SEWR, W.A?ER,
DEAl!4pE: To be rnade prtor to fil-
@'€-renchee.
AIDERFLOOR PLAMBING & MECHANICAL:of
floot ineul,a,tion or decking.
P)E! ND 1E4M: ?o be made pt iot to
ffiffo1 floor insulation or
decktng.
R?UGH PLlll'[BIIlG, ELEC?RICAL & l,tECE=
ANICAL: No uork is to be cooet,ed
.ffilTthese inspections Ttnue been
nade and. approueC.
EfP.ELi\CE: Prlor to placirq facing,rate"l;Ls- and before i"*i"S inepel"-
tion.
FRAI|ING: litust be requeaied aftet
cpprooal of rough ptwrbing, electr"i-
a,L & neclwnical. ALL roofing
brucittg & chinmeye, etc. truet beiunpleted. No wtk ie to be eon-
..eealed until this i,nspeetion lae?beet nad.e and approoed.
FTilAL PLUMBIIIG
FIIIAL MECHANICAL
INSULATTON /VAPOR BARRIER IIISPECTION :
lo be nade after aLL insulaticn md
required oqor berie?a @e in place
btt before oty l,ath, Wpsutn boatC ot'
rnLL couering is appli,ed, and before
ay insulation i,s eoneealed.
DRYWALL INSPECYION: ?C bE MAdE
@;AT@ne in pl.ace,
but prior to any ta?tng.
I,\ASINRI: Steel Locati-on, bond
iffilgtouting or tserticals in
accord.otce tLth U.B,C. Section
241 5.
W11DSIO\/E: After iratall.ation ie
ornpleted.
CURB & APPRCACH APP,QN: After fornsd,e e?ectAWnffi to pourLng
conc?ete.
SIDEWALK & DRTVEWAI: FoY ALL CON-
ct et;nao@Affi street night-
gf-txA, to be made after aLL erca-
uatlng eanplete & forn rsoz'k & eub-
base nuterLal in place.
IENCE: When ca,tolete -- fuouiCe
@Zi oz, nooable sections thnough
P.A.E.
Sanitoty setter capped at ProPertli Litte
Septic totk pw,tped and fi.Lled trtth gatel
Final - h\ten abotse iterns ate ecnpleted
and uhen Cotolition is canplete o! struc-
ture nooed od. pranlses cleaneC up.
e Hcmes
Bloeking otd Set-up
Plunbing connectians -- aaoe? d uatet
Electtical Comection - Bloeki.ng, eet-up
and plwnbing conneetions rrust be apprctsed
before requeeting electrLcal inspeeli,on
Aceeesorl Buitdirtg
Pinal - After
etc. ee comp
pcrckes, ekirting, decl<,s,
Leted.
ALL project conditions, such as the i.nstallation of atreet trees, conpletion of the
tequired ?.anCsccping, ete., mtet be satisfied befone the BUILDIIIG ELNAL ean be tequested.
PINAL BUfLDII\C: !fiie Final Building fnepection rmtet be tequested aftet the Final Plunbing
Eleettical, ord tlechanieal fnspeetiona hqtse been nade atd approtsed.
FIIIAL ELECYRICA' \A 4
*ALL MANHCLES AND CLEAN)UTS t'tUST BE ACCESSTBLE, ADJUSTIIENT IO BE MADE /.T N0 COST T0 CI?y
T
2
LOT ?WE
_ fnter.tor
_ Come?
_ Panhandle
Cul-de-sac
0ASZ soLAR a^:Ess REe.-c
!!eat
Aceess
JOB NO.
DT House
L-CO
Lot Faces -bt Sq. ?tg.
I of Lot Cooetage
# of Stortes
?otal Height
Iopogrqhg
Bedrooms:
-- Fees --
Building Vqlue & Permit
This pernat is granted on the enp"ess eondition that, the said constractiottslall, in all respeets, eonforrn to the 0rdinance adopted 6:y the Ci.ty of
Spt-ingfield, including the Zoning Ctdinance, r,egulating the ccnstructicn
and. use of buildings, otd nay be suspended ot, reookeC at cnA time upon oic-
Lation of anA prcoisione of said }rdir,anees.
. r lu
?OTAL VALUE
I?EM Value
,t
,t
Sigzed:
#
S.D.C. 7.5 c
uate PaLd.:
Building Pemit
Iotal Chargea
State
Plumbing Permit
No person slwll constraet, instal?., alter ot ehange anA neu cr eristing
plwnbitrg or dtainage sAstan in ulole ot in pott, unless sueh person is the
Legal poseessor of a oalid plwnberte License, escept that a pe?son nal do
plutnbing uork to p?ope?tA uhich is otmed, Leased or opetated by the cppli-
cant.
N0.FEE CHARCE
Eisttpes
Resid.ential (1 bath)
Sa,tet,
Plwnbing Perwi.t
State
Electricol Permit
Vlere State Lan requires tlat the electy"tcal uork be dane by an Eleetrical
Contractor', the eleetrical portion of thi,s permit slnll not be oaliC until
the 'LabeL lns been signed by the Electr.ical Contracto?.
Neu/Ezterd Circuits
aovd0q
?otal
n9M NC.FEE
*
Mechqnicol Permit
bha.$t EooC
llcodstooe
Vent Pot
PermLt fssuqnce
Meclwnical Petnrtt
.. ENCROACHMEN? --
Securitgl Deposit
Storage
Pldintenance
Perttrit
C:utbcut
Sidasalk
Penee
EZeetrical Label
Mobile Horne
PLan Eaoniner.Date
f ilAW CAREFULLY EXAMINED th.e cornpleted appli.cation for perwit, cnd do
hereby cettify that aLL information hereon is ttae and correct, and. f
futther certify that any ard aLL uork perfotned slall be done in aeeor-
dance tLth the 2rdinances of the City of Spr-ingfield, and the Lcas of the* State of Onegcn pertaining to the uork Ceecribed herein, cnd. tlat NO OCCU-
PANCy t'lill be naCe of arly st"uetute uithout pernrLssion of the Building N-tision. f further certify that only eontraetoys ad anplcyeee uho ate in
co,tpliance Dith 1RS 70L.055 ui-LL be used on thie project
TotaL
( - zz-e?
TO?AL A},IOUN? DUE:*/s-.bc Date
UTlAfiAL
h.@naee P?ll'S
State Swcharqe
Total Cltaraes
HOUSING AUTHORITY AND COMMUNITY SERVICIS AGENCY OF LANE COUNTY, OREGON
NOT VALID IN EXCESS OF $ZOO. OO
Unless approved on lines 1&2 below
PURCHASE ORDER
Mail Invoice to:
HACSA of Lane County
Attn: Larry AbeI
177 Day lsland Road
Eugene, OR 97401
Show P0/l on Invoi.ce,
Correspondence
POII N 3 2865
VENDOR:*77 aP ffu.'cQ'c"4'^)
DATE LZ 2-t2
INVOICE
NUMBER
INVO
DATE
tcVa
Shipment or
Check Appropriote Boxes:ff^irra1 Picked Up tr ship Prepaid to Agency n NET Discount
DESCRIPTION NET A/'AOUNT
buyer
ng."
lhol lhe obove moleriols or seruicei
€Lo'-7 .Pr'r'+ rT
"seller worronts thot the Producl sold or service rendered to the buyer sholl conform lo the slondords ond/or regulotions promulgoled by
Act of 1970 (29 U.S.C.651, PL 9l'596)ond by Oregon
OSEA stondords
Worker's ComPensolion Boord under the Orego n Sofe Employment Act of 1973 (SB
does not conform to the OSHA ond/or ond/or regulotions,the buyer moy relurn lhe product for co
seller which do nol conlorm to the OSHA/OSEA slondords ond/or regulotions must be corrected bY the seller ot the sel
tcpropriote correclion within s reosonoble lime.""NOTE: This purchose subiect to oll opplicoble provisions of ORS
T he abo e requlr ed in the operation of this AgencY
and t nt are an approved budget
/:2>-tr7
€?> "'//./
Q+ f ''-
NET TOTAL
the U. S. Deportment of Lobor under lhe Occupolionol Sofety ond Heolrh
654.001 ro 651.295 ond 654.991). ln the event the product sold
seller's option ond ot seller's expenre. Sewices performed by lhe
or ihe ot buyer's expense in the event seller foils to moke the op.
E/CC<><
/27/
/-72
cha
BY DATE
Dtsc.
o/oQW.UNIT
PRICE
r{-Go
ram
CHARGED
Di
o17
7511. a
2
APPROVED BY
c-14_27
they rep
DATE
hove been received or performed ond hove been occepled
DATE
I