HomeMy WebLinkAboutPermit Electrical 1985-07-21-<-
COHBI IT
L N
Job Address
Legal Description
Hea
Ranqe
EIIERGY SOURCES:
tlater Heater
0wner
Va l ue of l,lork :6a
Ftg. Access.Sq.
. l.lai
Address Phone .e., Bui ng e
Construction Lender
Address Phone
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name
Structura I
El ectri ca I
Hechani ca I
PLUIlBI NG ELECTR I CAL MECHAN I CAL
FEE CHARGE NN FFF CHARGF NO FFF THAPGF/tr5Each single fixture r Residence of
FTsQ
furnace/burner to
gTU, s
,-e
Relocated bui Iding
(new fix. additional)t/New circuits alts.or extensioos2on/bB€
Floor furnace
and vent
S. F, P,esidence(l bath)SERV I CES Recessed wal l
Soace heater and vpnt
Duplex (l bath) each
Additional bath Temporary Constructi on Apol iance vent
seDa rate
["later servi ce Change in existing
res i dence
Stationary evap.
cool er
Sewer ormul ti fami ly, coriln
I ndustri a l /Vent fan with
sinole duct 7q
Storm Sewer 0f s.Vent systerx apart from
heating or A.C.
COMII./IND. FEEDERS Mechan ica'l -xhaust
hood and ductInstal I /al ter/re1 ocatedistrib. feeders I'lood stove/heater
0f amps
ISSUANCF OF PFRI.IIT _
TOTAL CHARGES
(please print
DATE
oo aa,CJ?
o t'Y,).IGNATURE /
tractor, the electr.ica
returned to the Build I
portion of this pernit
ng Division
WHERE STATE L.1lt REQUIRES that ttre Electrisha'll not be valid unti] the ]abel has been s
cal work be done by an Electrical Con'igned by an Electrical Supervisor and
0regon
the Bui
Y t I acomp ca 'It no for tpr)he re certdoand athat II 'I fobyty rmat on'I hereo s'i truendarreccotandIcertifurtherthatandafya'II rkwo DE s Iha beI ,ldone n ordacc wlnce th the I0rd ancesn fo cthe '|of tyIeanddngfiethofLawstSprihetaSte
ny
of t ,ln tooe rta eth descwork '|r bedng here n'|a thnd at NC wt0ccuPAt'rcY 1I madebeofswltructuretthouthssperm i 0'I ofn 'Id D '|s'I onIng certfurt he r iI ttha s'I Itra tfymy vll0n h+Buithe derIreq sBoa
any
rd I 5 n1 Ifu I force and effect as '|u redreq 70L0RS th055 I fbyat t bas i rheexemptfo ti onexemp noted tha tandhereononlyandsubcontractors'|who Iare n Iempoyees 'I w1ance 0PSth 07comD I 505 '|wl be'I u on Ith s p roject
TOTAL CHARGES TOTAL CHARGES
Flood Plain Stories / 0cc.y Group ll7-2 Sq. Ftg
TOTAL VALUATIOII
ts(_.
Fire Zone Bed rooms
0ther
Ftg.
Val
Val
Zone a Const.
tue /2f4
Ftg . l4a i
Plan Ck. Conrn/lnd
65%/B1dq Per Fee 6.f,o 57
0pmentBUILDING PERNIT
Charges and
Surcharges ---/e-=PIan Ck. Res
30UBldq Per Fee
FencePLUi,IB ING PERMI T
Charges and
Surcha rges
/{e
'6Q Dgmo
Stdewal kELECTRICAL PERI,:IT
Charges and
Surcharges .6a Total Cornb. PermitA/C Paving
Curb CutIIECHANICAL PERHIT
Charges and
Surc harges
-Cr
TOTAL fas>
FOI? OFFII
,/o.+---
C CII{ OF SPRINGFTELD
Clty Hail
Sprlnglleld, Oregon
Deparlmont ol publlc Workr
OFFICIAL RECEIPT
No. B G5040COMBINATION APPLICATION/PERI4IT (CAP)
I. Applicant to furnishA. Job AddressB. Legal Descriptionl. 93!P.l_9,: Tax Lot 100, Lane County Map Reference
17 03 432. example- Lot l. Block 3, 2nd Addition toSpringfield EstatesC. Name, etc. of owner and construction lender "
0. Energy Sources
1.
2.E. Squa
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From
Address lb /8&ST
#el ectri ca l
e
va I uati on,etc
or forced air gi
or solar
Received Forn
l. example- i?50 sq. foot house, 500 sq. foot garagrz. example- if new project, check new - if addition
check add, etc.F. Building permit information:1. example - construct single family house with anattached garage
?. example - remodel existing garage .into fami ly ro,3. _ellqple - convert single family-residence inio
_ ;EsEurant (change of-use)G. Value of work ai defined in Section 303 (a) of theStructural Specialty CodeH. DESIGN TEAI'I AND CONTRACTORS
To avoid design or construction delays, Build.ingDivision Staff must be able to contait appropriitepersons.regarding design information or job sitecorrections, etc.
Abbreviated Plumbing, Mechanical, & Electrical Schedu.lesA. Lxcept where blank spaces occur in the descriptionportion of the Mechan.icai and Electrical Scheiules,the applicant need fill-in only the No. Boxes aaji6eto the appropriate item(s) to 6e installedB. Full Plumbing, Mechanical, and Electrical Schedu.lesare available at the Building Division1. To conserve space on the permit form the schedul
have been abbreviated2. If the item(s) to be installed are not covered othe abbreviated schedules you should consult thefull 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 theelectricai contractor for signature by his electricalsupervisor. The general contractor ii not authorizedto sign the electrical labelApplicant to sign and date
Hhenever possible, the initia'l application will be used asa-worksheet only. Where possible, Building Division Staffwill prepare a type written copy and return it to theapplicant at the time the actuai permit is issued for hissi gnature.
Fees and Charges
Plan check fees are due and payable at the time of thea-pplication, 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
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Amount Received ta
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FtorrtEr.',.,r's<EoeM( rN. rsir3.2-nr.q
IV
v Permit Clerk
PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPAI{CY:
Permit applicant exempt from registration with the Builder's Board because:
Additional Project Information :
name L6r?4d VC%S sisna
PLANS REVIEWED BY:
da teture
?-//'<\- 'G
SPRNG,FETD
_ R"quired lnsp-.:tions..
IT IS THE RESPONSIBILITY OF TIIE PER,IIT HOLDER TO SEE THAT ALL INSPECTIONS ARE MADE AT TI{E PROPER TI]TE,
THAT EACII ADDRESS IS READABLE FRO}{ TliE STREET, AND THAT TIIE PER}{IT CARD IS LOCATED AT TIIE FRONT OF THE
PROPRRTY. BUILDING DIVISION APPP.OVED PI.ANS MUST BE ON JOB SITE AT ALL TIMES.
PROCEDLIRE FOR REQUESTING IIISPECTIONS: CalI 726-3769 (recorder) state you CITY DESIGNATED JOB NlrlIBER,
Job address, tyPe -of_ inspection requested and vrhen you will be ready for che inspecticn. Contractorsor orrners name and phone number. Request-s-received before 7:00 am will be rnade the sane day, requestsreceived after 7:00- am'*i11 be made tihe follorving work day.
Your City Designated Job Nurnber Is:95'o--.
Job Address:z.
Gsner:?%:-a:?eR
Contraetor:Phone:
SITE INSPECTION: To be made
EffiEcavatIon, but prior
to setup cf forms.
UNOgnSLAs PtmBrI.lG, rrrCmrCAL
& ITECHANICAL: To be nade before
;il uorklG-covered.
CONCRETE SLAB INSPECTION: To be
ffitding
service equipnent, conduit, piping,
accessories and other ancillary
equipment itens are in place but
before any concrete is poured.
FOOTINGS € FOUNDATICNS: To be nade
after trenches are excavated and
forms are erected, all steel in
place, but prior to pouring concrete.
TNDERCROUND: P lumbing, Electrical,
Gas, Sanitary Sewer, Storm Sewer,
Water and Drainage lines. To be
nade prior to covering or filling
trenches.
UNDERFLOCR:, Plunbing, Electrical,
Mechanical. To be made prior to
install3ticn of floor insulation,
decking or floor sheathing.
ATTIC DRAFT S.TOPS 6 CURTAIN WALLS.
FIREP!-ACE: Prior to placing facing
materials and before framing i
inspection.
INSULA,TION & VAPoR BARRIER: To be
nade aftcr all insulation and
required vapor barriers are in place
but before any lath or gypsura board
interior walL covering is applied.
FRAI'IING: To be made after the roof,
ifi-Eming, fire blocking and
bracing are in place and all pipes,
chimneys and vents are complete and
the rough electrical, plunbing and
heating wires, pipes and ducts are
approved.
FIRE E SEPARATI0N ltrALL: Located Q
@oplans.
LATH AND/OR GYPST'M BOARD INSPECTION:
To be made after all lathing and
g)?sun board, interior and exterior,is in place but before any plast
is applied or before gypsum boardjoints and fasteners are taped and
finished.
WoODSToVES: After installation is
conpleted.
SIDEWALK G DRIVEWAY:Required forthin streetall concrete paving wi
right-of-way, to be made after all
excavating complete & forn work €
sub-base material in place.
CURB AND APPROACH APRON: After forms
are erected but prior to pouring
concrete.
PARKING LOT:After gravel is in
place but prior to placing asphalt
or concrete.
e with
ing Code a special
inspector shall be ernployed by the Otner/
Ccntractor during construction of thefcllowing work. A ccpy of the special
testing reports shall be furnished to the
Building Division.
STRUCTURAL COICRETE: In excess of 300..P.S.I. (306 a.1)
STRUCTURC,L IVELDS:Preforrned on thejob. (2722 f)
HIGH STRENGTH BOLTING During all -bolt installation and tighting
operations (306 a.5)
SPRAYED 0N FIREPROOFING: (U.B.C.
fani;Fs 43-8)-
SPECIAL GRADING, EXCAVATION ;I\D
FILLINC: During earthwork. (306 a.1l
6 Chapter 29)
GLU-LAM BEAIIS: Inspection Certificate,
by an approved agency, furnisheC to'the City's Building Division before
beans are placed. (2501-U.B.C. STDS.
25-10,11) .
*In addition to the inspections
specified hereon, the Building
Official nay nake or require other
inspections of any construction
work to ascertain conpliance with
the Building, City or Zoning Codes
POST E BEAM:
fr;tal l at 10n
To be nade prior to
of flocr insulation,
decking or floor sheating.
FLOCR INSULATION E VAPOR BARRIERS
To be made prior to install3.tion
tr
E
K
of decking or flcor sheating.
ITIASONRY: Steel location, bond beamsgrouting or verticals in accordance
t{ith U.B.C. Section 2415.
ROOF S!{EATHI}IG A}lD NAILING: Prior
to installing any roofing.
ROUGH PLUI'IBING, ELECTRICAL 6
I\TECHANCIAL: No work is to be covered
until these inspections have been
nade and approved.
FIN.{L PLI.'MBING
FINAL ELECTRICAL
FINAL I.IECHANICAL
FINAL FIRE DEPART}IE}IT
CITYTS SITE PLAN REVIEW BOARD INS?ECTION: !tust be requested 2 days in advance of the date you
suchaslandicaping,pariinglotstripingetc.Ettst
be completed befcre requesting this inspection,
lU FINAL BUILDING: !tust be requested after the final plumbing, Electrical, ltechanical and Fire
l .l Dcpartment inspections are nade and approved. No 0ccupancy of the prenises can be made untila Certificate of Occupancy has been issued by the Building Divisicn and posted on the prenises
IAL INS
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*ALL IIANHoLES.{ND clEANotrrs }tusr BE AccEssIBLE, ADJUSTT,TENT m BE }rADE AT No cosr ro rHE cITy.
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I.tIXING VALVE
,I.IAIN WATER VALVE
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rIBER PILTER' (OPTIONALI
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FLOOR SINI(
DATE REctEVEo 2-?u-JOB No
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UI.{lrs Occup,ir:cv Loao
SToR,Es TYFE CcNST
LEGAL DEsCR;PTIoI.J
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