HomeMy WebLinkAboutPermit Electrical 1989-11-28,tob Locatl'.)tt 57
Asoesso..c t'tap # i-l 3 ?aoTc.r Lot ll
Subdtoiston:
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Pl;one 1"lA sl-1
.,RES'DqIilA[...(
,/PnRl,ttT SPFIINGFIELD
APPLI r;A'i'-
225 Nov,th |th SLv,eetspringfield, 2regon 97477
Bui,Ldi,nq Diuision
7 26-37 53
ed
Date:(
t)
DEI.ILILI:TIO!! OR |;OVED BU-
Sanilary1 seuer eapped et ptoperty Line
Septic tank p;trped and. filled uith grattel
Ftttal - l'lten abcue itens are ccnpleted
and uhen Cenolition is eomplete op st!'u3-
ture noued and premises cleaneC up.
Mobile Hcnee
Blocking and Set-up
Plunbing connections -- aa)er ad uater
Electriccl Connection - Blocking, set-uc
and phtnbing conneetions m;st be apprcted
befot,e requesting electrical inspection
AccescoP,i BuilCnng
Pinal - Aftar pcrcb.es, skit'ting, decks,
etc- at,e conpleted.
Pege 1 of 2
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Address 5
Ctty:S,r&.--
Neut
Describe [t'otli:
Value
Additictt
RemotleL nAA tNG He*f q nL u^/) -r-
1-!objJnllg,,.,,
oate of App Licoticn
.:L: tf illii
S rS ()il r
lteraL
uurb i.ng
chan Lcal
Ec -8r,
)e!v_:Sllli li I t't'l l t( iirrr
ia the responsibility oj' the permtt. ln,ltler to see that aLL inspections are nade at the propert tine, that ecch cddrees is t'eadabie
t the streeL, anC that the pernrtt rtard is Located at the ftont of the propert!.'Lding Nui::t.ot ttpproced pl.zn shclL ).en.tin on tha Building ::Ltc at aLL- tines.
IDUPE FOR INSPTLYT\| R|QAEST:CALL 726-3769 (yecorder) state Aour City designated job nunber,, job aCd.z,ess, type of inspectiqt
@eady1,ct,inspcctton,cont?actcr,soia^n,"-,*,,e"endphoienulnbel,.-Pequestsreceil;edbefcre-?:00clbe nnde the sane dcy, nequests m,:ie. after, ?:00 on uiLL be nnde the next torking dag.
81 t
9ITE INSPi;,.)';'l")N: '[o be mtde aJ'Ler,
zseauatiott, but pr'tcr tC set up .)J'
Pormg .
INDERSLAB IT,I,'TIBINC. ELECTRICAL I
ECHL]IICAL: '[o be node before ,:ny
ct,k is coucred.
))TINC & L-0U.\DATICN: To be ruLlt
'tet tyen,:hes ape er:caDated an,l
vns a.re erected, but prtor to
uring ccncrete,
)ERC\?OU\]D ?!,UMBrN92 S!qEP' W.|',t',!:!l)
lIllAGE: lo be naCe pt"iot, to J'tl-,g trenchee.
EPFLOOR ?!,1/!,!BING,i I.IECIIANICAL :
1@ltatloioTtt, insulction or decking.
' Al,lD BEAi.t: ?o be nade ptiot' Lo
frTitGn of floor insulatioti ot'
ing,
ry Pr,u!|BTllC, ELEC?RICA!, e MECti,-_q.L: N,t :.,4nfu is Lo bc coter,"i
l-thes,z i. rtspectiot:s h,zoe beer,
and apprtted..
TLACE: Py,iot, to plccirg fce'i.nqials arul befor,z fratntng insl','1l-
fcut, City Designated Job Nwnber Is
tNi;ut,A'trov/vAPolt BARRrrR rllEP.IcTI)N
To be rutCe aj'ter uLL insuleticn at"d
requlred uapor baruiers are in place
but l,elbre any l.ath, gApswn boarC or
tmLL couet,ing is applied, and before
oty 'tnsulation is concealed,
I)RYUALI, INSPECI'I)N: Tc be made;fte; aTT-A;auaTfis in ptace,
bub pri-or to any taping.
MASONRY: Steel locatton, bond
tifi{grotrtirtg ot, uet'ticals in
accor.dartce titlt U.B.C. Section
2415 .
IIOODS'IOVE:
cc,nr,l;TA.
After installation is
CURB ,& APPRCACH AP!?ON: After fonnstt'. "r,r*tA-6utVEA tu pcuring
concrete.
SIDEIIALK ,9 DRf|'lil.lAl: For aLL con-
eP"te WnrrJ-frrnfi street right-
of-tury, to be made after aLL erca-
uatinq eornplete & for'n rmrk & sub-
base mcterial in place.
bhe
tvv
ru'-
i,n
E, ltu::b be "equested aft,:,'tal of rough plwnbing, ele.:ti,i-
meclanieal, ALL r'ocfing
g E chinmeys, etc. rntst be
ted. !,lo uotk is to be aon-
unttL this inspection lns
tde anC approted.
LIJ!!BI i:.:;
':CIIAN I CAI,
iE!([t h\en conpl.ate -- ProuiCe
gates or nouable sectiorts througlt
P.U.ti.
tll.L pyct,jet:t aondLt.i.ons, suc!^, us tle'i.nt;tallat'ion of styeet trees, conpleLion-of the
,r,qr,in,rid LanCsccpirg, ctc., mtst be sabisfiad before the BUILDfNC FMAL ean be requested-
IINAL BUILDINC: The l:i,nal Bui,Lding Inspeati-ort mtst be *equested after the Final Plmbi'ng
' ; ;;;;;;:;;," i1 ini1,"i ""i i""i ""t7o"s't'K,,c
b e en made ard appt oo e d'
*xt.f, 1A:;:!'..11' Il/ll Cf"EAI\l()U'1'!: MttST Rtl ACCESSIBLE'
ICI'l.lt,'Al
AD,II)5T!1|:i),1 TO BE I,IADT I.T IIO CCST TO CI?Y
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SOLAR AC'-SS REQ._L-coGJ'
BeCroons
f,ot Faces -
*-
JOB NO
So;tt"tcs
Building Vqlue & Permit
This permit is granted on the etpress condition tlnt tlte sai'|'constmtction
slull, in all nespeets,"';o;;,i;;i, tt\e.1rrltnartr:e edoptec lt,y the city of
SprinlTfield, inc!u'lirt'.t'li'Z'':"1'""i"n crrl'in't.tt".c' v':'tuLctit;11 iltc acnsttucl:^t:.r^
and uce of buildLn4::, ,,n"1-"'i11 b.i- susltcn'lc'l oY rcuokeC aL ':1':!! tLme ufon ulc'
i)tion oi ,ny prcuisiotis of said ordinances'
P. t,Il ou:i e
/.t t(:i'
lr)De
-- Fees --
Value
TOTAL VALUE
l,^atc Pairl
Aacc s so
X
FeeP
CHAI]CEEFFNOITEM
S.D.C. 1.5 x
th
t
lteat
Cat
ITEI'l
I'tain
BuiLding PerwLt
Total Chat'ges
State Swchargle
Range
LOT TYPE
_ Intericr
Cornet'
Panhandle
CuL-de-sac
Lot Sa. Fta.
% of Lot Cooeraga-
# of Stories
Total lleight
TopograPhY
l:ire.r'
llood;)
Firtwes
Residential (1 bath)
SanitarY S9!9!-
Ilcter.
CHARCENO.EFI
Nas/Efiend Circuits
t't
CIIARCE
a3 ,bv
EVFNCITEM
Ethanst Hoo,l
Vent Fot
Wcodstotte
-- ENCROACHMENT --
tSecut i
Pernit
Cvtbcut
Sida,talk
ELeetricaL L
Mobile llone
Receipt ll
Signed:
Plumbing Pe rmit
No oereon shall cottsl'ttrcl:, ins'-ol!,- alLcr or cJtanqc cnlJ neD'cr exisbing
;i#b;:;'";"t;tlZ.iZ "'t-,',il,i i,ion;Ln or in parL, i^Lesl such person is the
Lesal possessor of ,;7';i;"pi:'-i'ol'1"' L't"n'"'e"' e'ccpL that a 'pb,son
nav do
plrtbins uork to pn.p"liii"""i;i"1" ;";r;d:l.rrna c'r, operated-by the appli-
cant.
Electricol Permit
VhereStateLa,ttequirestfud;theclecLrLcaluotkbedonebyanELeott'ical
contractor, the electt'li"cnl i)'uon ol this pnitt slnLl not be oaliC unti'L
1;;L;;;1'L*" Lnnn aignetl lv ttrc ELectrical contractot'
Plwnbing Petnit
State
State
Total
Permlt Issuance
Meclnniaal Pernrit
Mechonicol Permit
Platl Exrvnittet'
Total
fttAVECARnFULLrEXAMINDDtJrccompleteclappltcationfo,rpermit'anddo
hereby certifg tnat a7'L*linfo::ntati'on hereoii is true an'd cc*eet' art'i r
further cet'tify tn"t ""y- ii oll uo.rk perforned shnll be done in accor'
dance tith the ordinaic''n"-if ltn City'of bpri'ngfield, and Lh-e La;s of
state of 1regon pertaining to the uoi'k Ceseribed herein, cnd !\at N0 0
PANcy tvitl bb nnde of an11 structut'e uithout permisei.on of the Building
oiston. I further certifii thet onQl cottttactoi,s atid enplcyees dho are
conpliance dith CRS 701.055 r,ti.Ll l:e used on this pnoject
// -2r-;
TOTAL AMOUNT DIJE: A c *
-r/
Drat:
Total Char(tes ....
Ros- So. fta.
farporaYA Sensice
AJ,SO
ION LINE COMBI AP ICATI ERMIT 726-37
69
*hJob Address
l-egal Description
Owner .e., BUsc rirnli t I
i1
t^lo
trdth
ng e
Fenc
Val ue
Ran
Ftg. Acces
'I
EIIERGY SOURCES
Hea t
Sq. Ftg
l,lew
tlater lleater
Sq.
Sq.
ller -lt€p. -
hange/Use
Add rcs s Phone\
Construction L
\\
Adcl res s Phone
name
Structura I
Pri ma
El ectni cal
t'lechani cal
add res s (lics. no.n ameI nlcrons
P lunrbi
)
MECHAN i CAL
T0
ELECTRICAT.
t
PI.tIIlB I NG
furnace/burner to
BTLI. s
Residence of
tlSQEach single fixture
Fl oor furnace
and ventNew ci rcui ts al ts
or extensions
Relocated bui lding
(new fix. addi tiona l )
Recessed wal I
Snacp heater and ventSERV I CESIles i dence
Duplex (l bath) each
Apol iance vent
seoa ra t-eTemporary Construct j onAdditional bath
Stationar,v evap
cool erChange in exisbing
res i dencehlater servi ce
Vent fan with
sinole ductmultifamily, conm
T ndrrs t-r i a I
or
Sewer
Vent systern apart from
heatinq or A.C.0f s.
Storm Sewer Mechani cal exhaust
hood and ductc0Mr.1./IND. FTEDERS
)l/ood stove/heaterInstal I /al ter/rel ocate
d'i qtri h. feeders
I Camp s.0f lI
iSSIJANCF OF PFRI1IT
TOTAL CHARGESTOTAL CHARGESTOTAL CHARGES
I GIIATUREl,lAl.lE ( pl ease pr j nt)
l:lectrjcal Contractor, the electrical portion of this permit
Supervisor and returned to the Building DivisionIJHERE STATE Lxt'l REQUIRES that
shall not be valil until the label
tlre Electrical work be done by an
has been signed by an Electnical
permi t
rformed
he pernr
effect
It he0n nreo sI uetrrtIhatatIIn1anddoherecenbYf.yXe tedI a 'II ac otrLLppc0mp
c tfthenan'I ces tycordancet,l theh 0rdnIsIhaIacedonbefucer1tftthaaandawoIkrpeIandrthernyndarrcotecv wl 1I madbenNCOCCUPAI'ICYtthaandn'tt to wor kthe ESd bedcrl here idthofwsthetasof0nrtatenefiIandLae0re.r_r pe nqSofpriI B 'Iu deI rthe s.I t re I trs ta o1 vnn htIsonfuhertcerrtthaIs1'Is oon thef u I.I Id D I fy m.y sttw1ngructuretthousaofny tha tandrItIonno teds hereonthatftfqIsbasthe,l empsa'I red 7ORS 10 05 5 exempndarequb.yaBo'Ird S 'I n fu 'II rcefo t055II'I be sndIar.rho 'Ire n II ncea tI./ 1 h 70i()PSIonsUtracbconatorscomDenrpoyeesv
its
TOTAL VALUATIOII
X
x
al llps(. r
0c
rle,/ Cons t
dt upFlood Plain S tori es
\6^tn
Load
c.y Group_ Sq. Ftg
5q. Ftg
Zone
Val ueAcce s s
0the r
Fi re Zone Bedrooms
Svstems Deve
Charqe ( 1.5L
o pmen tPlan Ck. Comm/lnd
65%/Bldq Per Fee
Plan Ck. Res
30%/Bldq Per Fee
BUILDING PERI'liT
Charges and
Su rc ha rge s
Fence
Dgmo
PLUI4BING PERMIT
Charges and
Su rcha rge s
Sidewalk
Total Cornb. Perm'i tA/C Pavi ng
tLtCTRICP,L PERIiIT
Charqes and
Surc ha rges
Curb Cut rf,?5TOTAL
MECHANICAL PERMIT
Charges and
Surcha rqe s
FFF C}IAPGFNN
.InAl f\ rn I
\
I
usF_nitd\z-l-" ,/
COMBINATION APPLICATION/PERMIT (CAP)
I. Appl icant to furnishA. Job AddressB. Legal Description
1. example- Tax Lot 100, Lane County Map Reference
17 03 432. example- Lot I. Block 3, 2nd Addition toSfffilTietd EstaresC. Name, etc. of owner and construction lenderD, Energy Sources
PERMIT VALIDATION
1. example- heat/electrical cei 1 ilg/2. exampTe- waterhEate7electr-ica]7o
Square footage or valuation,EtEl-
or forced air gas
E
r solai-
1. example- 1250 sq. foot house, glQ sq. foot garage2. example- if new project, check-new - if additlon,
check add, etc.F. Building permit information:1. example - construct single fanri ly house with anattached garage
2. example - remodel existing garage into family room3. exanrple - convert single fanrily residence.into
restaurant (change of use)G. Value of work as defined in Section 303 (a) of theStructural Specialty CodeH. DESIGN TEAM AND CONTRACTORS
To avoid design or construction delays, Bu.ilding
Division Staff must be able to contact appropriate
persons regarding design information or job site
correcti ons , etc.
Abbreviated P)umbing, Mechanical, & Electrical SchedulesA. Except r.rhere 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 avai lable at the Building Division1. To conserve space on the permit form the schedules
have been abbreviated2. If the item(s) to be installed are not covered on
the abbreviated schedules you should consult theful I schedul esC. BUILDING DlVISION STAFF I^JILL FILL OUT ALL FEES AND
CHARGES ON THE SCHEDULESD. As noted on the CAP, the label nrust be delivered to theelectrical contractor for signature by his electrjcalsupervisor. The general contractor is not authorizedto sign the electrical label.
Applicant to sign and date
Whenever possible, the initial application will be used asa worksheet on1y. Where possible, Building 0ivision Staffwill prepare a type written copy and return it to theapp)icant at the time the actual permit is issued for his
s i gna tu re.
Fees and Charges
Plan check fees are due and payable at the time of theapplication, and no plans will be processed unti.l thesefees are paid. Al l other fees and charges are due andpayable when the pernrit is issued.
FOR OFFICE USE ONLY
\sJ+1
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II
III
IV
V Permit Clerk
PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPAI{CY:
Permit appl icant exempt from reg'istrat'ion with the Builder's Board because:
Additional Project Information :
PLANS REVIEWED BY:
name SI gnature date
L PlautsrEa-r -j
Bnice"rl cDvfiltUtS
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CON MERCIAL A'IR2Lqt h)tjr ,S 73
E UGruE. ORE.
-FIRESTONE sTORE
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