HomeMy WebLinkAboutPermit Electrical 1983-01-31" RESIvtNTIAL"
z2s ltorth rr^ rrrnnAPPLrcArr1N/PERMrr
SprLngfield, )regan 97477
Building Diuiston
7 26-37 53
SPFtIFIGFIELD
Cons t?,-tc ticfl Lerlde"
'lISPEC?IAN ;CALL 7 26- 37 6 9 (tecorCer ) state yout, Citg Cesigz"a.ted iob ruzr,bet,
aau be teaiy for inspection, Contractcrs or A;zers nane crl.plone ntnberL be tr,ade the s@ne ccg,?eqltests mate aftet ?:00 an uLLL be naCe the neet tnrking
6
lo 1 (,
job aiiress, type of 'r)nsrec=icn
P.equests receir;ed befcre 7:C0 c:i
o
I-) ie zhe responsibi-Lity of -t|',e penrit holder to see that aL?- nJnspect-ion:, cpe nade at :he pyopez, tLne, thet 22si1 z,1ir25s is rea;a'ci.ej.!o\_1ry sttee.t, an4 tlvt the oernit ca:i. ia keated at -!h-e fzott'of the ptoperty.'3uildir4 V)vicrot eprou-ed ptin stuLL remain on tii iillai"g-?ii"-"t aLL';i:nes.'
)-.,45
%3)qbs
!JJD!?SL;.3 ?LL':.EITG, iLEC:PIC,I: 1
nlEciil";1rc;L: 7o be nacie beiore ang
t.nnit i o .^.t^--;
IC1TIIG t ?AU:DAT:C$: ?o be naie
afr ;;- t z, "-z ciA- a.;=t c as a t e d. ard.
forms are erectei, bui, p/,tcz, to
pouz-trq ccncreta,
- u:tDiqc?cu:tt ?at;!.tpr.ic. sgrr^?. z,lrr.?.,.J
Lirq uerches,
71 wmppacc?. ?:J:.tsErG )t .v!Cg.ttrcAL:,'_t t io oe nace oricr io insccliat:.on of
f"oor i,neui).xion or Cecking.
er-F rtlcr--a?.rr.
ezcalation, but
forms
POST AND 3EA!,!:
dstalGtlcn of
FI?!PT.AC!:,tctriG
tion.
FilIAL PLU:T,SI:IC
FI;IAL .WC.]A:IICAL
?IlIAL iLIC?P.ICAL
?o be nanie aiter
pr.tcr tc set up of
?o be nade
INSULA?ION/VAPOR SA.RRT?R ITISPICTICN :
To be nade aftez, aLL ins-ulaticn cd.
t equired oqor bavi,e?s Ge in place
but before ory lach, Wpfinn bcoii cr
unLL eouering is cpplied, crd.'oeiore
ozg insuZation .-s eoncealed.
Iout Ci,ty'Desigr,ated Job lfuntber Is:
DRYtiALL illSPZC?ny: Tc be nadeafter aLL <k-gua'!,L is in pl.ace,
but ptior to atzy tapirq.
llAS1!lR!: Steel Location, bond
beans, ctauting or ,,terticals in
accor<ianee,,nth U,ts, C, Section
,ncoDS!O,.,ry:
**1 ^-^);wtttu u- tr-g.
After tnstallatton "Js
)f
',,.o
t'r-ese insceeliat:s izatse beer,
ctd. a-o_otcuei.
CURB 't APPRCACIT A?-c.1N: Ai'ter fotns*e eteeteC but prior to pottz"in4
coflc?ete.
SIDll,lA.LK d DRIIUiA'I: Por aZL ean-
erece pauinq uixhtn stTeet right-of-tcg, tc be naCe after all e*cc-
,at1-ng eamolete I fozn ,*ork ,3 sub-
base mctertal in plaee.Pm)or ;,o placi"q fcc:.ngand before fr*rirq inspel- ,
'7 ?}4-ra:Jc: !,ttst be recuesteC cf:ent_) c??,roual of rcugh plw-.bing, eleclr)_cal I neci,antical. - SLt robi-:rgbrccitg 3 chinmcys, ete. atsc- be
. corwleted. .'to .;crk is to 'ae con-
- cea'Led until this itnsoecicn i.a,s'beet nade urC aporo"-e\.
!EllC9: hrhen cono
@G or nouab|.e-
D IT I
'Lete -- ?yould.e
secticns througL
I
II
I
5zr<t/r'e-?-*
ALL proieet condilions, such cs ttze ins=allaxicn cf stz,eet itees, :o-o|.etior. cf ilerequiteci 7-aniscccir-g, etc., mtst be satisi'ieC bel'ct,e tke tsUILDI;iG FIiaL =cn be requested..
Building. fnsoection rust bo- requeste(i aiter tke linal plwnbing
rnspectlcns -naue been nade anC' atcroued.
IINAL BUILDI\\C: The Fincl
iiec cricai, qrri :techar.icci
Job Loecticn:
Assescore :!ao i \
Jwd!t..s1.cn:
O.;net:
Ad&ess:
Jturi LOc
Deserlbe I'lork:
t-l
Dar;e of Apg Lieaticn
ACd.iticn
RanoCeL AwoieL
CeneraL
DE!l1LIrr)!! 0R
Sanilary se-ter eapped .t Wcperq- Lite
Septic tozk purped zd f-JLLed uith g.natel
linal - l.lhen abcue itens ate ecnaletei
anC xhen denclitior is eorwle=e bt s:z-;c-tute noueC dri cz,eises clbanei ut.
Blocking od Sat-up
PLwnbing connec-"icns -- sare? al. ualer
Electr.Jccl Ccmnection - Blockirr4, set-ut
and. pltunbing eonnections nr;st bb dpp-r.cr;bC
bei'or e requestlnq e! ectrieal ins;ectiol
Accessa,g tsuildlrq
Pinal - Aftcr :crehes, skTrting, deci,-s,etc. @e c.cnolelad.
Pc:e 1 of 2
*ALL I4ANHCLZS AIID CLEA}IOIJTS ]|US? BE.lCCES3Itsi,E, ADJUS?:!i:]I lO 3E,,.UDE I? lIO::5T TO CI:Y
*a
u
r r
JOB NO
Ipt 5q. Etg.
X cf Lct Caterage
LC? ?Wt
_ fnterior
_ Corner
_ Pc.nharaile
CUL-de-sac
! of StorJes
i'oxaL !!.eLEnt
iopogrqhy
Lot Faces -
Setbacks
t^.,^^Caxat:e ilate! :leaterIlarrnRange
Eost
',laoasto u*e
|lest
-- lzes --
I!Z:I :{Value
C,Ycce
)cSessoltt
?OIAL I'I.LU'
luc
S. D.C. 1.5 c
Check Fee:
I?a!4 FZi
:mcs
Reai.denti.a.L ( 1 bc'"h)
Scnitaz,u Seuen
llcte!
Res. So. fta
Na,t/Ertend. Circuits
lqlDcr@y Settice
I)nr).
7
Stcte Sw,citorge
Total Crnvees 'l
1:^'.
r!!:,t
?,pne.ce 3TU'S
EzLwnst HooC
tlent ?az
''lcocisxoie
?:oe 2
L-co c
tsedtcoms:
Buildirrg Vqlue & Permit
This pernit is grantezd on the efi"ass coruiition tlwt the said-eonsctwcclon
sha.Ll, in til z.escects, eonfotm to the Srdinance ad.opted by the CitT of
Springfleld., tr..cluiing ;he Zoning CtCinolce, regulcting the ccr.str.tet'Jcn
atci use of butltitngs, cnd nzy be suspe'tuieC ot, reuckei at cr! tlne u2cn uic-
Lation cf .my prcuist'.ons cf saii Crdir"ances.
soLAR, - -ESS REQ.-
3at:ctv
Euilding Pernit
?otal Charges
Plunbing Penrit
State Suz,charge
t#:
Plumbing Perrnit
No pereon shall consttuct, insfal!, a!.ter oz, elnnge any neu cr eeisting
plztnbirq cr dtainage systein in :,tiole or in pott, unless such pet'son is the
Legal possessor of a ua|.id plwnberts License, escept that a petson r,ay do
pltnbdng uork to prop'ertg ufuich is ouzed, Leased or apercted by the appli-
cailt.
Signed
Elractricol Permit
l{he?e Stdte Lan requires tl"at the electun-cal uoz'k be done bg an Electz'ical
Contryetor, the electricaL portion af thia petnit shall not be xaliC until
the Label itas been signed by th.e Electrical Contraclor.
Mrachq nicol Permit
Pet*tt fssuotce
l4ecianics.L ?ertnt
-- i:lc,,.cACt:.!!:t? --
Secrz-)t1a Deoosit
Storaoe
I4dantenince
SiCa,taLk
Mobile llcne -aT
-^Eat Atthtt\rfr attt. a 0g
EZec L
I HAW CA-RE?ULLr gl;I.li:jNED !!e eomplateC cpoLicacior,. for petmit, ai d.o
hereby certify thct aLL info:'natton herecn is ttue a*C ccrtect, ar"C i
furiker certifr- Jhat ang ard aLL uork periorneti sLaLL be <ione in accov-
dance',rLth;.he Ard.inances of the City cf Sprtngfield' an7, tha Lc;s of the
State of 7regcn pet'.tzinina tc tke Dork Cescr"JbeC heretn, cnC :;6t )lO 1CCU-
p/.!tCI ttill b2 oaZe oi anV str'ltcture aithout pemnissiol of, the EuildinE f.i-
tisian. I fw,th* ::ertii'g that only ccntractors atd enplcgees ah-o are Ln
col:plr.ance uith CRS 701.055 uiLL be used on this prciecx
l-sr- 97
r1
?otte: Ceanancu Crouc:7';oe,/Cor,st:
'ia.
?en= e.
-t ,#o,t\\o.ur,
N": ^'4CITY OF SPRINGFTELD--BUILDING D
346 MAII{ ST. 726-.3753 (BUSTNESS) 726-3769 (INSPECTIONS)
APPLICATION FOR ELECTRICAL LABEL(S) BY A BUILDING OWNER
The Electrical- Safety Law cf the State of Oregon does not require a person to obtain
a license as an electrician and,/or electrical contractor to make an electrician in-
stallation on property which is owned by hi-mself or a member of his immediate family
which is not intended for sale, lease, or rerlt.
(PLEASE PRINT)
APPLICANT I S NAI'IE D"lu ^ A\.*on 4.,
ADDREss n q2 CI 4 l4 ^s*, * n-rf PHoNE .7 q/ -9.?o /
ADDRESS FOR PROPOSED T{ORK t17t il.qa^e s,f,
BUILDING OWNER (IF OTHER SHAN APPLIC.PNT) * CT-dT?A'f
ADDF(ESS ' S*a,r,'*e -PHONE 1'/l-2Ao I
I certify that all of the above information is true and correct, and that no portion
of any wiringr system requiring a label as applied for herein and intended to be con-
cealed by any permanent portion of the buildinq 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 cond.itions and or stages
of construction:
7
I
9
4
5
6
1
2
3
Temporary Service
Underground Service
Service
Rough Electric
Cable Heat
New Circuits or
Extensions
Mobile Home
Connections
Signs
Swj:runing Pools
I further certify that I will notify the Building Division when any of the above ELEC-
TRICAL INSPECTIoNS are ready, that all work will be done in accordance with the Electri-
cal Safety Law of the State of Oregonr dnd that if not the building owner, I am a member
of his or her jmmediate family.
Signa Date 2-t:- KL7
INSPECTION REQUESTS SHOULD BE I4ADE ON THE BUII,DING DIVISION'S 24 HOUR A DAY INSPECTTON
LINE. THE T}ISPECTION NUMBER lS 726_3769. INSPECTiON REOUESTS WHTCH ARE CAILED IN BE_
FOR 7 A.I4. WILL BE MADE ON THE SA),TE DAY.
LABEL NUMBERS CC ? O B LABEL ISSUA}ICE FEE
RECEIVED BY L-
FOR OEFICE USE ONLY
DATE )-t7-*q
LCI I
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