HomeMy WebLinkAboutPermit Electrical 1981-11-16-- RESIDENTIAL ..
COYBINATION/APPLICATION . .i}lIT SPRINGFIETD
CITT AF S?RIIICE|ELD
225 ;:CWE .srE "<l-?rE?sPRr:rcFIEtD, 1RECON 97477
tsuildin4 Dhtisiot
726-37 53
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t! Agent
Job Location:
tubdiuisicn:
Assesso?8 ll@ #fG Lot #
Aile!
Addteea R f{,\-Plrone # 1 L
q
Deacribe Hotkniler
-Jtdncup,tdlition
RaaodeL
,o|.ttttcEo"8 IlaM Addreee scl Plone #
GeneraL
Plmbing
lleetrta.7.
lleahanical
Const tztion Lend,et
REQUIRED INSPECTIONS
It 15 the responsibiuty of the pennit holder to see th3t a.l.l i:rspactions ane nade at thc Prop.r tlltl., that each address is
readable frqn the streel, and tha: the pcrrdt card is located at the front of th. P!:oPerW
a .{11 oanholes and cleanouts are to be adJustsd at no cost to the Clty
SITE IIISPECTICN: To bc made after
;ffi;;-G prlor to set uP of
forr.s.
FTEEDT ANF
materials
tion.
Prior to placing facing l-1 HooDSTOVES: After installation ,
and beforc ilnanin! insn"--l I ffii-ret.a
TJ}IDE9.SLAB PLUI.IBINC, ELICT.O.IC.{L 6
MECHAN:CAL: To be made before any
i'ffi.,ered.
IXAMING:
iiiFo-var
Hust be requested aften
of rough plunbi.ng, electri
CURB 6 APPR0ACH APP.0N: After forms
are Lrected but grior to PcuranS
cal. 6 mechaaical. A11 roofing'
bracing t chimneys' etc. $ust be
cmpleted. No rork ls to be eon-
ccaled urtil this insPection has
be€n nade and apProved.
concrete.
FooTIllG 6 FoUIIDAIIoN: To be uade
after tEnches are e::cavated and
forrns are ercct:dr but pnicr to
po..ring concretc.
SIDETALK E DRIVFyIAY: For all con-
erete paving lrithin st:reet right-
INSULATION/VAPOR BARRIER INSPECTION :
To be rnade after alL insulation and
required vapor barriers are in place
but before ary lath, gyPsuo board or
of-way, te be rade after aIL exca-
vating cctrplete 6 fort work E sub-
base rnateriel in P1ace.
UNDERGROUND PLUI.IBI}IG, SEI{ER, HATER,
OneittLcf: Tc be made prior to fil-
ling trenehes.
Ij}IDERELOOR PLIJI'IBING t MECHANICAL:ffiorfloor iasulaticn or decking.
wa.lJ' eovening is aPPIied, and
any insulation is concealed.OTHER INSPECTIoNS: may be required
in accondance with Building Code,
to be, irCicated in ;lans or bY no-
tice f:iorn BuiLding InsPector.
POST 6 BEAH: To be nade pnior to
Effin of flcor insulation
on Cecking.
ROUGH PLUMB:NG, ELECTP.ICAL 6 HECH-
AllCIlL: No eork is to be covered
ffithese inspections have been
nade and aPProved.
DRYI{AIL INSPECTION:;i7*- s
To be made
in pJ,ace,
but prior to any taPing'
}IASoNRY: Steel location, bond
5ffis-, grorting cr vertj.cafs in
accordance with U,B.c. Section
2415.
FIIIAL PLUI.IBING
Alt project conditions, such as the installation of street trees' coBPletion of the
raquired landscaping, €tc.r ntrit be satj.sfied before the BUILDING FINAL can be requested.
FINAL BUILDIIIG: The Final Building Inspection Eust be Blquested after the Fina1 PJ-umbing
Elect"ical, and Hechanical, Inspections have been rnade ald apprcved
llo occupancy of the premises can be made until the Final Building tnspection has been
nrade and approved, and a CERTIFICATE 0F 0CCUPAUCY HAS BEEII ISSUED BY THE BUILDIIIG DM-
SICN A\D POSTED ON THE PREMISES.
FINAL ELECTRIC.qL
PROCEDURE FOR INSPECTION REQUEST: CalI ?26-3769 (reccrder)state your City designated job
;ffier;fo5=aa;ess, typ€ a} Inspection requested and when you wiII be ready for inspec-
ticn, Contracrors or Orners nane and phone nurbers. Requests received before 7:00 a.m,
ni1;' be nade the sane day, requests made after 7:00 a.m. will be made the next working
dav' youR crry DEsTGNATED JoB NUuBER rc, 7/08O7
HTNAL MECHAUICI.L
ErVires
hz+rzt'
E
Page 1 of 2
IIP:ge 2
REFERENCE NI,I,IBERS t-an" '-,
JOB }I$:BER
Lo! Frces:
DT !10u8e ;;2?e?e
llorth
East
South
l,leet
OCCLIPANCY CROUP TYPE/ CONSTRI'CTIOI'I
,tOC:,
ZONE BEDROOYS
Setbacks
0thet
Lot TV?e
i,'ate" He4te"
?oo
Lot Sauare !ta.
i cf Lot Cottered
+ of Stories
?ctaL Height
lc2ogrcpny
fntevLor
Corner
-E LL}
BLITLDING VALW/PERUN
Frg. Ca?elle Thi.s perwit is grotted on the e.q"€as crnditron tltct
the said consxmotion slull, in ali nea:eete, eonfonto tle oydittarces cdooted bA the Ct;g o;' Spingiieki,incl*iing the Zodng -Ottiir&.e,
"egilat:)ng' :7e- con-struction otd uee of brildin?s, cnc 1au be r.tapzrl,ed,or tevoked at olg tine upon oiotaticn ci' ati prcui-
eione of eaid Otdinancee.
f+a f^*n+
t/alue
Chartes
TOTAL CE4RCES
PLot Check lee
Date Paid
#
PLAaBINC PERAE
Sqset
No petson shall conetnet, inetall, allet ct elwnge
ery nan or eatetittg plunbing or dteitwge sgs=anr in
uhcle or in pet, unleee such pe.tdo:e ie :he legal
possesso? of a oalid pltonber,s Licerse, eccett iltat
a ?e"son ncg ic plmbing uotk to p"c?etn ui.l:ch ie
owted, Leased or opetated bg the qplicant.
5UBTOT.4L
State Sutchotge
T7TAL CIIARGES
ELECTRICAL PEPT,TI
,lhete State Ia^t tequitee tl@t the eiec*ti,cai uork bed4" iry an .Eleetrtcal Cint?actor, +,h.e clecL*)cai poy,-tion cf thia penrtt elnl1, not be uaiid unti| the La-
bel lta,s been signed by the Electyicci Ccntlc.tto".
The Electt'ical Safetg Ia,t does ttot rcquite c ?e?sonto obtain a Licensc as dt electrtcist d./ct elec-trtca! contractc" b tnoke at electrioal -)ns::Llaticn
ot ptopert7 which is cDEd b! hinsell or a -rtbe: oflris urnedicte latrily ulrLch ie tzot irtenced i:r aale,
Leo,se cr rent.
CdBttction
SUSTOIAL
L CITARCES
MECAilIC.4L PlRMfi
Hood
Vent Fat
l.lood
E:ICRCACHi,IEIIT
Deposit rL@t E Otn-lel DAte
f EAW CAREPAAy EXAMINED the conpleted application fot penrtt, @td. doheteby ce"tify that aLL infona*ion hereon is tmte otd, ca eet" otd. Ifytner c*tify that oty awl aLL wrk petfcrned shall be Cone in oceor-
danee u?th tle }rdiranees of tle Ciq bf Springfield, and, the La,ta of theStute of )regot pertaining tc the lurltk deecribed, herein, md ttat NO OC-
CWANCI uttll be nade of GaJ et?rctute trlttput permLssicn of the BuildingD-ll,tision. I f,.trther eefii.fy that only cont?ctcto?s o.d. enployees al@ aZin catplianze vLth oRs 201.-oss uiLL ba used on this ptojebt.-
i.laincna'oe
Penrit
nn?
Ottbeut
Sidrnmlk
llbctrieal Label
3uiAI,IOUIIT DUE /0, (oC ttnes
Diuision pLot slall rentein on thc Euilding at all
S' t s ten D evelopnent,)hotc e
7. 5 t tlal:ta
--/
CITY OF SPRINGFIELD--BUILDING DIVISION
346 MAIN ST. 726_3753 (BUSINESS) 726-3769 (INSPECTIONS)
APPLICATION FOR ELECTRICAL I,ABEL(S) BY A BUTLDING ovINER
The Electrical Safety Law of the State of Oregon does not require a person to obtain
a license as Errr electrician and/or electrical contractor to make an electrician in-
stallation on property which is owned by hfunself or a member of his immediate family
which is not intended for sale, lease, or rent.
(PLEASE PRINT)
APPLICANT'S NAI4E
8/d grJ
DAuro Q,r.,c,V-t(tl -oL- jt -,/3
ADDRES' b 55 S _ 3-11-h---1 q1- !L!4bo 7PHONE
ADDRESS FOR PROPOSED WORK Lo55-S 318
BUILDING OWNER (IF OTHER THAN APPLICANT)
ADDRESS PHONE
f certify that all of the above information is true and correct, and that no portion
of any wiring system requiring a label as applied for herein and intended to be con-
cealed by any permanent portion of the building or structure shall be concealed until
inspected and approved. When the installation of the system is complete, an additional
and final inspection shall be made.
Inspections are generally required for at least the following conditions and or stages
of construction:
I
2
3
Temporary Service
Underground service
Service
Rough Electric
Cable Heat
Ner+ Circuits or
Extensions
Mobile Home
Connections
Signs
Swi-nrning Pools
A
5
6
7
8
9
I further certify that I will notify the Building Division when any of the above ELEC-
TRICAI INSPECTIONS are ready, that aII work will be done in accordance with the Electrj--
cal Safety Law of the State of Oregon, and that if not the building owner, I am a member
of his or her immediate 1
frtr,,.ture Ke"t.
INSPECTION REQUESTS SHOULD BE MADE ON THE BUILDING DIVISION'S 24 HOUR A DAY INSPECTION
LINE. THE INSPECTION NUMBER I-S 726.3769. INSPECTION REOUESTS WHICH ARE CALLED IN BE-
FOR 7 A.M. WTLL BE MADE ON THE SAI\,18 DAY.
LABEL NUMBERS LABEL TSSUA}ICE EBE
RECEIVED BY
FOR OFFICE USE ONLY
DATE //-/b
00 d
50