HomeMy WebLinkAboutPermit Electrical 1982-10-25/" RESIu cNT|AL"
22 s ttorth stlr streeAPPLicAY
ro, /PERl,rr
SpringfieLd, Cregon 97477
BulLdLrn Du)LsLOn
7 26-37 53
ConslFrcticn_le@e!_
SPFIINGFIEI.D
Iour Ctty Desigr,ated Job ltunber fs:
I-t i8 :he teegoncibi-Lity ot-the penrit hotder-to see- tlnt aL! inopectiona @e nad,e at the pr.oper tine, that ecch2dlress is rea;abl-e:.y.-tP stPee.t, enC lict the petmtt c,zd. ie located at -l\e front'of tto p-r"nty. -
'luilCit4 Viui:rot cDppou-ed pt)n sic,LL remain;;-t, si:,ta"rb'-s:ii"' o, eLL ;ines.
PROCSDIJP! FOR I:ISP|NIOH PI1UEST..CALL 7
re.quesced ani ui".en gcu .rLLZ biieacy ;'or'-iLL be rade the sdte icy, ."orr""x"-^.in
Date:
26-3769 (recorCer) state your City Cesiq"ated job ruzzber, job aCiress,type of insoec=icninspeccion,Conttactars or A,mers r,r-ne and plone ni,mber Pequesi:s teceiued befcre 7:00 anaftet 7:00 an vtLL be nnd.e the nezt rotkin4 daga 2?Erl
s.i?g -a.vsPt.i:l-?r,,..
e$caodtian, but
forms
2.
ctencl"es.
a?
FT|IAL PLU:/8r:IG
tr.za.rtalf..e-t.d..L9dL
?o be rad.e aiterprior tc aet up of INSULA?ION/VAPCR tsARRER ITISP9CIIAN :
t,equited uqor borte?s @e it clacetat beione @ry Lath, ggpsutl bcatC cr
rnLZ eouering is cpplted, cnd befoneag insulation is conceaLeC.lore cny
?o be nade prion to
fZoor insu ia,tic'n or
inspe.-
11 2
- uwlpy:co,z -tu:.:sflc ,, ;ticrlltc;t,L-J .io ce noz.e anict io tnsxali^zt:-on of
fXoor inauirion or Ceckiig. -'
I
?cc:::ic t icr]:tDA?1c:1: ?o be taCe
-
c;:et ateact:es cre escqlated al,
fcrns. ate erectei, but pr.ior to
pouz"Lrq ccnclet€.
DR!"|/ALL i:lSPlC?filt: ?c be nade---_----.efiet, aLL arguall is ,in clace,
but prior to cny tapin4.
tlAS0llEl: Steel Location, bond
beans, gtoutitq or ue?tic6,Ls in
accardorce ,nLth U.ts.C. Section
'i0ODS!CI/E: Aftet installation ies*1 -t-)
CUF1 ,t .APPRCAC|! .A-P.C.CN:
ee erecteC but prior After fornsto pouznJrq
co?rcrete.
>7.ese znsoeciiotes icuo- been:rd. :ocrcte1.
F!:!?!.^Ci: .)zz.or ..c pkcir4mctertals cr.d. be1bre irarrtitLan.
SfD$iA.LK I CRf'.EttAy: por alZ ccn_
cr_exe pauiry uiyhtn st?eet dsht_of-ticA, to be naCe aftez, aL! e*ca-uating sqnplete ,1 fozn ,,;ork ,i sub-
base rcteytal in place.
FPL!:i:lC: iitst be tectecxeC cflenapprov,zl cf rcugh pl,rrb;"4, aiectrj_caL 7 necranical. ALt nooijrgbraeirg 3. chinmeVs, ete. .=tsc- be
. comoLeted. .,lo .;crk is to be con--.cecied unxii. :his insoeeicn l.,asbeen ,tad,e cni cpotc"-ed.
:r-ilC,g., 'tlhen conp\ate -- ?touiiegates o" nooable aectians throughDn,
---ALL project eoniilions, suci as tlu instaLrax-ton cf stteet zrees, :c:t. r.et-.on cf cierequired l'anascqirq' etc. ' iast be sat'r,sfiec befori the- aa;L;|i FyyAL :cn be requested.
IINAL BUrLDrllc: The Eincl Buildtry rnsoection rr,st be recuestec :.fter the ?inal ?Lw,bin.i L e c w, i c a L, oti i. I e c'na.:r e a L ; n s p e e c:- c; ; i;; i
"
i'i a-"' "i- Z" ri i, a.
i2
rq n aq/n -4rt[q!tJob Loeaticn:L
Assescorc :!ap ll
Subdiuist cn:
"""",ERSrS SSs\TK
t-lAd&ess:
.LJ:
Daxe of Applia'-icn_
Descz-Jbe llork:l-t
tl
Vai.ue
RantoCeL
General
ileclvriccl
a?unf Tafni
Sani:atg seser ecpped:t prcpetfii Lire
Septic tank p';ryed ad. filled wtth gtatei
:'LnaL - i{hen dccue :-tens ate ecnolet.eiqtC ahen dqtcl'Jtion is eonlele bt stz-t:-tute noueC al crerises clecnei uc.
Le- Ecnes
Blocktng otd. Sec-;tg
Plumbin4 conneccians -- sare? aC uatet
Electr.)ecl Coznection - Blockitg, set-u:
and. plunbing coftnections ,*st bZ- apprc"^bi
bey'ore reques ting e?.ectyical inso eb:ion
.lccesso,y guili.lr,g
PiruaL - lfter:crckes, skirting, ded,-s,etc. @e ccnole)ad.
?=7e 1 oi 2
l
.iXAL iLEC?PIC;L
,ALL !,IAIIHCLTS AIID CLEAilOATS }M9? 9E .lCCESiIts-i, ADJAS?:!i:;I ?O 3i r.t aa ro rri -^ca 4A ^?-V-tv -,Jt .J t!--
,{
r \
r
tr
)--- 9
JOB NO
tot Sq. Ftg.
7 cf Lct Caterage
I of Stor)es
lotal iteighx
Topogryrry
Planh.ng Perr:it
Stcte
lotal
PermLt Issuance
Mechan:.ccl ?er.rrit
oLAR :ESS REQ.-
Crout
LCr ?y?,
_ b-teticr
_ Cor.ne?
_ Paniundle
Cul-cie-sac
L-CO G+
3ecrcons
Receiot H
Siqrei:
Plumbing Permit
llo person sltcll eonsttact, inslal!' altet or change _a-y 7!eu -cr e:isting
pttinbinA cr drainage syste'n in ahole ot in patt, unless such pet'son is the
iegal pZssessor of e ualid plwrber's License, escePt tl"-at a Pe"3o7 naY {oplinbing xork to p?ope?b! uhich ia oaned, Leased or operated by the qPLi'
caflt.
/
Electricol Permit
l,there state La,t tequiree that the electr"ical aork be done bg -an glzcttical
contr^cta", the eleetrLcal porlion of this permit shall not be ualil until
the lzbel ias been signed by the Elec&"ical Conttdctor.
Mechqnicol Perrnit
Lct ?aces -Enerou Sourees
ieat
,r Touae Ce?aoe A,:cess 'r'/ate,T 4ca:2r
iireoLace
South
llest
-- laes
Building Vc:lue & Permit
This pervrtt is granted on the eq"ess :ondition tlnt the soid-conscruc;ion
slnll-, in eil rbscects, eonforn to the )rditnzzce edopteC blJ the Citl ci
Sprrr.gl:e7-i, tncl-ulrng :he Soning Ctdinctrce, tegulctitlg lhe ecnec:tet')cn
cnci use of butltiings, an<i n:.y ae susoenaeC or reuckei at cry t'Jne:i;cn uic-
l.a;ion of zny prcrisions of saiC Crdirances.
VaLue
aAfraf ,rtf ttFtJ-At atLvt
YLan LheCK ree:
I!Z:,1 :(
t-tAEIrtito.
cna1<-
?uiLding Per't:t
lotal Ch,atges
State
!istloes
Resi.detrti.a.L ( 1 bath)
Se,iLarl Sanet
CiI},GE:i0
Res. So. ftc
lla,t/Extetd Circuits
!ryc"@y Semtice
+s-g(fr
/5.
frrrece 3?U'S
E*hast HooC
Vent ?or
'rlcoasto::e
Sectri-fi Deccsit
Stot4.oe
ildantenn*ae
SiCe,taLk
Mobile ilcme
?OTAL !T,!OI]!I? DUE:'
I HAW CAREFULL| IXAUINED t|"e eonplated coplicatior'' iot pernit' cnl ia
t*iiOy Liirlf fi-lt-.t att- l"foroatran hereoi Ls tnre anC. carrect, anC i
ar=l,b cettt1i )het anu "rd oLL ;otk :eniorned slwll be 4one it t'ceot'
d";;;;1.:;; ,iL' c"'i"-',iLt- ir inn citv bf 's.or'nsiield, snc =he Lat;s o! lne
ii-tZ Zf or"gc, ier*iiiio 'to tke uoir.k cesc,rbcc herein, crd. :'itct :io 1ccu-
?/.ItC1 oiLL be naie oi'iy" ,rroltu|e uithout permiss;.ott of the SuildinE D"-
ji"ion. I further :-etvii.g t'rs.t on1.y 2on-tTe.tc.s o':d etplcgees D'a ;r2 Lit
"orptr:or.n'r'itt, caS ?01 .bSS aiLL be- used cn thia ptoject
VTan i:ctrir.et'
iTa,enicnl Label