HomeMy WebLinkAboutPermit Electrical 1990-03-19ll..RESID'\TIAL..
APPLICAT>A/PERMIT
225 llorth Sth Street
SprLngfi.eld, Anegon 97477
bu1,Ld1,ng DLD1 slon
7 26-37 53
SPFIINGFIELD-
C/e_
General
Plumbing
Su
Reati-ned
El-ec tr 1 an
It i8 the teeponaibility ol tle permtt hodet to eee that aLL inspections oe nade at the F;?opet tine, that ecch address is teaCqbieftat tlu at?eet' and, tlnt the penrit card. ia Located at the frcttt of the orooertu.*Building Nuiciot approxed pl-ut slrcll yemain on tle Bunlding Site'at aLL' d)mes."
P\1CEDUPE FoR INSPEC?I?N R!0.W5? :CALL7
eadg fortiLL be nade the eane dag, requests ncde
Date:
26-376 9 ( reeorder) state yout, City Cesignated job ntmbet,,
inspection,Contraetct s or A^mers nane cnd plane ntnbet
7:00 on urill be nnde the ncct uotkito
Iour City Desigr,ated Job ltunber fs
job aCitess, type
P.equests receited
of i,nspec=icn
befcre 7:00 aq
Job Locaticn:
Aesessore Map #Tc.o Lot #
Subdiztision:
0tmer:
Phone:
city:
Desczdbe Hork:
\QL
Value
t-t Na)
Date of App Licaticn
Additicn
RenoCeL
Contractors Address Lisc. lf
I,Iechanical4T
Electri.cal\
Pege 1 of 2
StTE INSPEC?I)N: ?o be made after
e.rcauation, but prior tc seL up of
fotne.
TNSULATION/VAPOR BARRTER ilISPICTION :
Io be nade after aLL insulaticn atd.
requited uapor bmrie?s @e in plaee
but before any Lath, Wpslnn boarC or
tnLL couering is applied, and before
ay itaulation is concealed.
DEI.IOLI?IO!1 OR )IOVE' BU
Sattitaty seuer capped at properQl Lite
Septic tank punped and. filled trith gtatel
Final - l{hen abctse t+,ens are ecnpleted
and uhen Canolition is eorplete o" struc-
tuz,e moued atd. pretiaes cleaneC up.
Hcmes
Blocking otd Set-up
Plunbing connectians -- sa)e? od. uater
Electrical Connection - Bloeking, set-up
and pLwnbing connections rn;st be apprc"^ed
before requeeting eleclrical inspectiot
Acceasory- ButlCing
UNDERSLAB PLUMBING, ELECTRICAL &
WCH{\IICAL: To be made befoz,e ang
tlork ie eotset,ed.
ANDSRGROUTID PLUMBING. SEIIER, W,4?ER,
p84f!14!g: Io be nade prior to fil-T@-66nchee.
AUDERFLOOR PLUMBIfuIG & I4ECHANICAL:
o7
floor inauktion or decking.
DRY\IALL INSPECIf)N: ?c be made
-..
after aLL dtyaall is in pla,ce,
but prior to anA taping.
MASONRI: Steel Location, bond
beons, gtouting or oerticals in
accordotce Llith U.B.C. Section
241s.
VO)DSTO\/E:
@mpT;tA.
Aftez' installation is
CURB & APPROACH APP)N: After forms@,eZ;ATA-frrniA to pour-t ns
concrete.
SfDfiIALK & DRT',WAI: For aLL eon-
c?etenat AAiffi stz'eet r.ight-of-txq, to be maCe after aLL esca-
oating ccmplete & forra tnrk & sub-
base materLal in pl-a.ce.
IENCE: ta4ren conplete -- PyooiCe
gates or nooable sections thtough
P.U.E.
POS! AN! BEAM: To be made prLot, to
GiaTTatGiol flooz, ircuTation or
decking.
ROUGil PLADIIIG. ELECTRTCAL & MECH:
ANICAL: No uork is to be co.*et,edffilTthese inspections hanse been
made and approrted..
FIPEPLACE: PrLoz, to plccirq faeingmcterials and. befot,e franing inspec-
tion.
FRA!|INC: ttust be requested aftet,
@prrcuat of rough plirbi.ng, eieetri-cal & meclnnical, AL! toofing
btacing & chinmeys, etc. rrust be
eornpleted. Ilo acrk is to be con-
. cecled until this inspection lns'been made anC approoed.
Pirnl - After
etc. an,e comp
pcrckes, skirting, decks,
Le!ed.
FIIIAL PLUMEIilC
FINAL I4ECHANICAL
FINAL ELECTRICAL
o
ttrL\tqr
ALL ry'oject conditions, such as the installation of sLreet trees, co::oleiion of tie
required LanCseaping, etc., talt be satisfied befone the BUfLDINC Ff!!AL can be requested.
FINAL BUfLDING: The Final Building fnspection rmtst be requeeted after the Pinal PlumbinS
Electrical, and Meclnnieal fnspections hqte been nade atd-approved.
*ALL I|ANHCLES AND CLEANOUTS T(UST BE ACCESSIBLE, ADJUSTIIEIIY TO BE IIADE AT IIO COST TO CITY
I
11 roornG & Eo(JNDA?rcN: To be naceI I ;Fterffines a"e escaoated attd.
forns ate erected, but priot, to
Ww"Lng ccnctete.
tr
tr
Addvess:
JOB NO.
Lot Sq. Ftg.
% cf Lct Cooetage
# of Stories
Total Height
Iopognaphy
?otaL
soLAR ACCESS REQ.-
Gr
_ fntez,ict
Co?ner
Panhandle
CUL-de-sac
L-cod -
TEpe/Const:Bedtoons
Lot Paces -
Ileat
D^^^
PLcn Esanlnez,
I HAW CAREEULLy EXAMINED t?e conpleted appLieation fo" peymit, and do
hereby certify that aLL information heyeon is ttue and eorrect, and f
fut,ther eertify that any ard aLL uork petfo?aed slnll be done in aecor-
dance ttth the 1rdinanees of the City of SprLngfieLd, and the Lans of the
State of
DiL
1regcn pertaining to the uotk Ceseribed herein, cnd tlnt N0 )CCU-
L be naCe
*
PANCY of any
cet,tifyoision. I further
eonpliance uith oRS 701.05S uiLL be used on thie
structulle ttLthout permission of the' that only contl,actors od enplcyees
Bui.Lding DL-
uho are in
?
!
DT Access.House
North Ran
East Fire
South
West
rTEM SQ. FTC x Value
Main
G:eaae
Carport
Accessot u
TOTAL VALUE
S.D.C. L.5 r
PLan
Receipt #:
Signed
Building Vqlue & Permit
This pertnit is granted on the erpress cond.ition that the said eonstntction
s_VnL.L, in,all.r,espeets, conform to the Crdinance adopted 6;y the City ofSpringfield, ineluding the Zoning Crdinanee, regulating th-e ccnstrubtibn
and.use of buildings, and may be suspend.ed or reuokeC at "ry tine upon oic-Lation of anA prcuisions of said }rdir,nnces.
Building Permit
Total CTnrges
State
Plumbing Perrnit
Ng person slnll constntet, install., alter or elnnge cng nea cr eci,sting
plutnbing or dtainage systan in ulole or in part, unless such pez,son is- the
Legal possessor of a oalid plunbet'ts License, escept that a pelson mag do
plwnbing uork to prope?tA uhich is oumed, Leased oz, operated by the appli-
cant.
N0.FEE CEARGE
*
lietu-z,es
Resil.enti.a.L (1 bath)
Sa,:er
Plunbing PerwLt
State
Electricq I Perm it
Wlpt'e State Lan requires tlnt the eleetrical uork be dane by an Electrieal
Conttacto?, the electrtcal portion of this permit sha.Ll not be ualil. until
the Label lns been signed by the Electrical Contraetor.
ITE14
Nau/Estend Citcuits
Set uice
State
Iotat
ITgM CNARCE
,t
Mechonicol Permit
bhanst HooC
llcodetotse
Vent F@t
PermLt Issuance
Meclnnieel Permit
-- ENCROACHMENT -.
Seaarity Deposit
Stotaae
Mainteaance
Permit
Cutbcut
Sileualk
!ence
Electrical la.bel
Mobile Horne
TOTAL AilOUil? DI,)E: */r ?s
SBCO {
Date
-
tt,
uate
Caraqe
IIllll
NC.FEE
FTttttz.ce ETll I S
State Swcltoqe
Total Clnraes
,
Permit No:
Address:
lssued Date:
STATEMENT:
INFORMATION NOTICE TO PROPERTY OWNERS
ABOUT CONSTRUCTION RESPONSIBILITIES
Note: Oregon Law, ORS 701.055(4), requires residential building permit applicants
who are not registered with the Construction Contractors Board to sign the
following statement before the building permit can be issued. Licensed Architect
and Engineer applicants, exempt from registration under ORS 701.010(7), need
not submit this statement. This statement will be filed with the permit.
Fill in the applicable blanks, and initial box 1 and either box 2A or 28:
1 I own, reside in, or will reside in the completed structure.
2. A. l-l My general contractor is
Contractor registration number
I will instruct my general contractor that all subcontractors who work on
the structure must be registered with the Construction Contractors Board.
OR
B.I will be my own general contractor.
lf I hire subcontractors. I will hire onlv subcontractors reoistered with the
Construction Contractors Board. lf I chanoe mv mind and 6o hire a oeneral
contractor. lwill contract with a contra-ctor'who is reoistered with the
Constructibn Contractors Board and I will immediately-notify the office
issuing this building permit of the name of the contradtor.
I hereby certify that the above information is correct and that I have read and understand
the lnlormation Notice to Property Owners about Construction Responsibilities on the
reverse side ol this form.
3
ig natu o Appl can
CONSTRUCTION @NTRACTORS BOARD
u244J 1U24t8B
Date
ENCY PERM]T FILE
e
t]#,hf*PY ro rssurNc AG
, '. 'P.$1K..COPY TO APPLICANT
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