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Home My WebLink AboutPermit Electrical 1990-05-16L -_ TTTY OF SPRINGFIELD -_ COMBI IIATI ON APPL I CATION/ PERMIT \-/-3753 Job Address 5L, 3YL r\l l;b Legal Description I /)n Ftg l.1a nRCES Hea llater Heater Ran Val ue of l.lo Sq. Ftg. Access.-- ow(er ! I nf o-:-"-Descri I :e I,lith Attacher ,e tlor[1].e- Build Single I Garaqe) , /nq Re Buildi Fami I y Pernti siden(-PhoneAddres s ]2 [:/1)'(f n / yt_t.Lender Addres s I L_/Phone exol resaddresscs . no.name Pri ma ry Structura I El ectri cal Mechani cal taq no-(exni res'ohone no. )add res sname Genera l Pl umbi B-r-4?sf-L 1a.r..) (., oi 4 -ta.fc /ctP.o E MECHAN I CALELECTR I CALPLUI{BI NG FFF CHARGFFFFTHARGFNOFFFCHARGFNO furnace/burner to BTU' s Residence of FTSQEach single fixture Floor furnace and vent New circuits alts. or extensions Relocated building (new fix. additional) Recessed wal I Soace heater and ventSERV ICESS. F. P.es i dence ( I bath) Apol iance vent cenarateTemporary Constructi onAdditional bath /{1s Stationary evap cool erI Change 'in exi st ing res i dencetlater servi ce Vent fan with sinole ductI ndu stri a l multifamily, cornm. orSewer Vent systern apart from heatino or A.C.0fStorm Sewer Mechanical exhaust hood and ductcor,rt'l. / IND. FEEDERS Insta l i /al ter/rel ocate di stri h fpcdprc l,lood stove/heater 0f ISSUANCT OF PFRI1IT TOTAL CHARGESTOTAL CHARGES fTOTAL CHARGES I,IHERE shal I not STATE 1.,1N REQU be valiC untiI IRES that the Electrical work the label has been signed bY be done by an Electri an Electrical Contractor, the electrical portion of this permit ca1 Supervisor and returned to the Bu'ilding Division appl,icationforoermit,anddohereb.ycertifythatal]informationhereonistrue and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Soringfield and the Laws of the State of 0regon pertaining to the work described herein, and that NC 0CCUPANCY will be made of any structure without the permission of the Building Division. I further certify that my registration vlith the Builder's Board-is in full force and effect as required by ORS 701.055, that if exempt the basis for exemption is noted hereon, and that only subcontractors and ernployees who are in compliance with 0l?S 701.055 will be used on this Droiect. ome 4 /aiuotlAl{E(please print),r.,lorrorG:Mr*(. ^1 l1r+sr-.o,., Ftg Ftg FtgFlood Plain Stories Occ.y Group Sq S q S q.Load IBedrooms 0ccy lue Val ueZone____Type/Cons t Uni ts Fire Zone l'la i n Access 0the r ToTAL VALUATI0N---- S C. PIan Ck. Conun/Ind 55%/81do Per Fee 1. 5Z c opmen Plan Ck. Res 3}%/Bldq Per Fee BUILDING PERMIT Charges and Su rc ha rges FencePLUt,,IBING PERMIT Charges and Surc ha rges Dgmo SldewalkELECTRICT.L PERIlIT Charges and Surcha rges _\,-Jq Total Comb. PermitA/C Paving Curb CutI,IECHAI'IICAL PERMIT Charges and Surcha rge s )s iorAL f 5 ter ;L ,U-, :TORS Duplex (l bath) each CCIIBINATION APPLICATION/PERMIT (CAP) I. Applicant to furnishA. Job AddressB. Legal Descriptionl. gluT?lg: Tax Lot 100, Lane County Map Referencei7 03 432. gxample- Lot 1. Block 3, 2nd Addition toSpringfieid Estates 9. Name, etc. of owner and construction lenderD. Energy Sources PERMIT VALIDATION 1, example- heat2. exafrETe- wateE. SquaiE-T6otage or trical cei l in or forced qir gas ea e ec ca or solaF valuation, II I examp-le- l4!9. sq. foot house, 500 sq. foot garagez. elample- if new project, check new _ if addition, check add, etc.F. Building permit information:1. example - construct single family house with anattached garage ?. examp_le - remodei existing garage into fam.ily room3. example - convert singie family residence inio - restaurant (change of use)G. Value of work as defined in Section 303 (a) of theStructural Speciaity CodeH. DESIGN TEAI,I AND CONTRACTORS To avoid design or construction delays, BuildingDivision Staff must be able to contact appropriitepersons regarding design information or job sitecorrections, etc. Abbreviated Piumbing, Mechanical, & Electrical SchedulesA. Except where blank spaces occur in the descriptionportion of the Mechan.ical and Electrical Schedules,the applicant need fi'll-in only the No. Boxes adjaient - to the appropriate 'item(s) to be instajledB. Fu11 Plumbing, Mechanical, and Electrical Schedulesare available 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 onthe abbreviated schedules you shouid consult thefulI schedulesC. BUILDING DIVISION STAFF WILL FILL OUT ALL FEES AND CHARGES ON THE SCHEDULESD. As noted on the CAP, the label must be delivered to theelectrical contractor for signature by his electr.icalsupervisor. The general contractor ii not authorizedto sign the electrical label Appi icant to sign and date lrlhenever possible, the initial app)ication will be used asa.worksheet oniy. Where possibie, Building 0ivisiion Staffwili prepare a type written copy and return it to theapplicant at the time the actual permit is issued for h.is s i gnature. Fees and Charges Plan check fees are due and payabie at the time of theapp)ication, and no plans will be processed until thesefees are paid. All other fees and charges are due andpayable when the permit is issued. FOR OFFICE USE ONLY lo IV Permit Clerk PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPAI{CY: Perm'it applicant exempt from registration w'ith the Builder's Board because: Additional Project Informat'ion : PLANS REV I EI,JED BY : name s'l gnature date III.0 #.. RESID. - ITIAL.. APPLI CAT ION /PERTLIT 225 North Sth Street SprLngfield, )r'egon 97477 buL Ldlng D't u1,s'Lon 7 26-37 53 SPTIINGFIELD %-rtlrrFP /h" /q-vv hf Date: General Plurnb I,Ieehanic Reon|na,1 Elect t c ].an I-t ie the resportsibi-Lila of tne per'nrit holder to eee tlnt aLL inspections ate nad,e at the prope? tine, that eaeh ad4reas is r'eaCabie ftan tlu etteet' &d tlat the pxnit cati ia L@ated at the frcni of the DtoDertu.*Building Dtoicion apptw*ed pl^ot.shalZ remain on tltz eunlding Site 'at aLL'tihes.- PROCEDUPE F1R INSPECII!11 AI?WSYTCALL 726-3769 (recorder) state yout City desigrnted job ntmbet, job aCiress, type of i.nspecli.cneadufo.t,bopection'co7t"d,ctoi"oialners"nc'neL"apno7n"u,,,bi..nnqui"i,reLeli;Lab2fcre.?:00dn'*iLL be nade the sane day' ?equesta ncde after ?:00 cn uLLL be nnde the nest wrki$ day. you" CitV Deoigra.ted Job ltutnber fs: aJob Locaticn: Assessots Map #Tcr Iat # Svbditsision: O,mer: Addtess 7 Phone: 5-^C2> value A*-4 Descr4be Hotk: Na) Date of Fc=C%arr>o,?a*p/a ,*-Zfe Additicn RetnoCeL N\K r o Electric Page 1 of 2 SI?E INSPECTI)N: Io be nnde after escaoation, but pz"tu tc set up of fonne. UNDERSLAB PLUMBING, ELECTRIIA, & WCHAIIICAL: ?o be nade before anywtk is eotteted. INSULATION/VAPOR BARRIEII IIISPECTION :nttlnr Tm f ail nD \ 'nf E^ T EC0TIN} & F)UNDATICN: To be naCe;fr;;'6ffi-a"e e,icatsated attd fonns are etected, but ptior to pour"ing ccncrete. UND1RCPAUIID PLUMBING, SEWER. WATER. DRAIIIAGE: To be nad.e pr"iot, to fil-T@'T-ren hee. UIIDERFLOOR PLAMBING & MECflANTCAL: To be nade prior to installation of floor insulation or decking. P)Sf AND BEAM: To be nade prLor to installattcn of floot, insulation or decking. ROUGH PLABII'IG. ELEC?RTCAL & I,IECH-- ANICAL: No uork is to be cotereci ,ffiiT-these inspections haue beer, made and approoeC. PrLor to placi.rq facing and befote froning inspee- Io be nade aftet, aLL insulaticn ed required oqor berie?s @e i-n place but before oty Lath, Wpslln boatC or ta.LL eotering is applied, and before oty insulation is concealed. DRWALL INSPEC?f)N: Tc be nade -.. after aLL dtyuall is in plaee, but ptior to any taping. MASONRL Steel Location, bond beans, gz,outing or uerticals in accordotee LlLth A,B.C. Section 241 s. I,IOODSTOVE: @mpT;TA. CURB & APPRCACH APPAN:e,e;"eeiAE nio*Aftet fornsto pourtng cofl.c?ete. SIDWALX & DRf,/WAY: Eor all, con-c"A;nA6 uiiffi stteet risht- ef-rnA, to be nade after aLL ecca- oating conplete & forn wrk & sub- base nnterLal in place. IENCE: h4ten conplete -- Pyouide , gatea ot, notsable sectians through P.U.E. After installation ie Sanitarg saser capped at W,operfui Line Septic totk p;atped cnd fi,Lled ttith gra;tel Pinal - h4ten abcoe itens are ectnoleted and uhen Canolition is eonrptlete Zr sfuae- ture mooed od. prewLses cleaneC up. Hcmes Blocking otd Set-up Pltnbing connectione -- aaie? od. uater Electrical Connection - Blocking, set-up ard. plwnbing conneetions m;st be apprcted before tequesting electrical inspteclion Aecessory- Buiding FTP.EPLACE:nat;iA; tion. PII|AL PLUMBING FINAL MECHANICAL ?IIIAL ELECTRICAL Pirnl - After etc. are ccmp pcrehes, skirting, decks, Leted. ERA]!!!G: l,tuet be requested after approoal of rough plwrbing, electni-cal & meclnnical. ALL roofirq btacittg & ehinmegs, etc. rrust be . eontpleted. llo acrk is to be eon- ' cecled unti.L this inspection ltas'been made anC appro.*ed. ALL proiect conditiona, such ae the ".lnstallation of street trees, eonpletion of therequired Latr.dscaping, etc.' mtst be satisfied befote the BUILDIN:G FINAL canbe nequested. (h FINAL B,LTLDING:- The Einal Building. Inspection mtet be requested. after the Fi.nal plunbing Y:J Eleetrical, anC Meclnnical fnspections hq,e been nad.e ad'appnoued. *ALL \LANHCLES AND CLEANOUTS ilUST BE ACCESSTBLE, ADJASTltEilt TO BE IIADE Ar ilO CCSr T0 CI?y l tr tl E JOB NO Lot Sq. ?tg. % cf Lot Cooerage_ # of Stories Total Height Topographg ?otal SOLAR A CESS REQ.- Grc LCT IWE _ Intericr _ Cor.ner _ Panhandle CUL-de-sac -- Fees -- L-co c Bedroons: Lot Faces - t Laee toDe f flAW CAREFALLY EXA!,IINED the contpleted applieation for permit, and do hereby certifg that aLL infonnation heyeon is ttae and. eorreet, and f further certify that ang ard aLL aonk perforned alnll be done in aeeor- dance ttth the opdinanees of the City of Springfield, and. the La;s of the State of 2regcn pertaining to the wrk Cescyibed herein' cttd. tlnt No OCCA- PI.NCY LnLIL be rm.d.e of any structu?e uithout permissioa of the Building N-oision. f further cet,tify that ottLy eontractotls ad. attplcyeeB dho are in cmpliance uith 2RS 701.7ss uiLL be used on thie pt,oject Se DT House Ca"aqe Accesa. North East South llest ITEM SQ. F?G x Value Main Cetaae Catpoz,t Aceessoru TOTAL VALUE Cheek Fee: s.D.c. 7.5 x udte yaad: Building Vtllue & Permit Thie permLt is granted on the erpress eondition that the said_consttactionslnll, in all r.espects, conform to the h.dinance edopted fily the City of Springfield, including the Zoning Crdinance, z,eguLattng the ccnstntcticnqtd use of buiLdings, and may be suspen-d.ed or reuokeC at cny time upon uic- Lation of anA prcoisions of said Ordir.ances. Building Perwit ?otal Clnrges State Plumbing Permit No pe?son slnll constmtct, install, alter oz, charqe anA nel cz, esisting plwnbing or drainage syetan in uhole or in pant, unless such person is tle Legal possessor of a oalid plttnbet,ts Li.cense, escept that a pe?son nag do plunbing uork to pyope?tA uhich i.s olmed, Leased or operated by the appli- cant. Electricol Permit w?e?e State Lan requires tlat the electuical uotk be done by an Electtical Cantractor, the electrical portion of this permit shall not be oalil. until the Label lns been eigned by the Eleettical Contractot,. Na't/Extend. Circuits # Signed: CHARGE ,( NO. Pet'nrlt L Ei.etures Resid.ettti.a.L (1. bath) Sa'ser Plutnbing PermLt State Sweh,az,ge -- ENCROACHMENT -. FEE CIIARCE * Mechqnicol Permit I,lcodstotse Vent Fot kTmnst HooC ,S PermLt Issuance Meclwnical Pez,nr[t Stotaae Maintenance Permit Cutbcut Sida,talk lence Electz,ical La.bel Mobile Eorne TOTAL AI4OUilT DUE:1 Date tttt l Sec,.u'ttu Deoosit -