HomeMy WebLinkAboutPermit Electrical 1990-01-057?6-ITCATICc)MBI
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ON
Job Address .L ,3cs frtp.E6(
l-egal Description
inglet€. tit I
Fami I
kn
EIIERG\ SOURCES:
Heat
Val ue of l'lork
Ranqe
Descrth Attac
Ftg
\,later tleater_
iq. Ftq. Access.-
in
(4N
til6F tEt^
R
Phone/
12-
Construction Le nder
Owne r
Addres s
l'honeAddres s
Structura I
Pri
El ectri ca I
Mechan i cal
/0-D t/,')+)LR h P,*El ect
MECHAN I CALELECTR I CALPLUI.IBI NG
0
1
I
T,
Genera I
furnace/burner to
BTU' sEach single fixture
1"?,50
Floor furnace
and ventor extensiont 4t,kk
New ci rcui ts al tsRelocated bui lding
(new fix. additional )
Recessed wal I
snace heater and ventSERV I CE5S. F. Residence
( I bath)
Duplex (l bath) each
Apol iance vent
seoa rateTemporary ConstructionAdditional bath
Change in existing
res i dencel.later servi ce
IndrrstriaI
multifamily, conm. or
Sewer
Stationar.v evaP.
coo I er
Vent fan r\ \
sinqle duc,
Vent systern \rt from
heatinq or A.C.0fStorm Sewer Mechan ical exhaust
hood and duct-COMII./IND. FEEDERS
l'iood stove/heaterInstal i /al ter/rel ocate
di st-ri b. feeders
0f
lDPe-prn r rnh*Bee
.V 4A,50beMufiLaD qsk,Ar t
ilo A,e5 ISSUANCF 0F PFRtltT
TOTAL CHARGESTOTAL CHARGES 47, 45TOTAL CHARGES
Fire Zone Bedrooms OccY Load Sq
q0
DATES IGNATUREtlAl'lE (p lease pri nt)I 5
xZone
x
-Iype/ Cons t Uni ts
Val
L*
Group Sq
f.y
fy City
madeng
Stof any
Board
n 'I t rueaIIItn fo rma o'I hereonrce1thattheafor0nItanreb.yetedItpermItpapIELLcomp fhrd0n1oances t heod'Ine an or ncda wle t theforsrmedIhabeIkertcttthaandaIat/or'I DCfu rther nydIancotrrecdan
1 II beird1herenndaatthcI,I 0ccuPAt'lcYnt'I theto rkwo ed c besf0nartwstheState0regngrJeefi'I d an d the LaofSpri het Bu 'II de r sIt,l S tr ta onI th1,,'lIfuherrttthreqcerIIofonhet'IBu di1 Di s on fy m.yruwlcturehottheutssngpermi
he reon nd thafre'It on 'I s noted'I ef t bahe 1S s o xempthatxemptdOR701S055s1nI'Ifu forceI nda tef aect s rerequ i by
n sI EC t05'I|,l1 I be sedU o th o,jn'I 1I thwl 7 10us 05 DTtortracand1whoreaI0nsu0nemp0yeescompbcv
Electrical Contractor, the electrical portion of this permit
Supervisor and returned to the Building DivisionWHERE STATE LAt,l REQUIRES that the Electr
shall not be vali,l until the Iabel has been
ical work be done bY an
signed by an Electrical
Valuellain
Stori es
ToTAL VALUATI0N_
Val ueFlood Plain
Ftg
Ftg
Ftg
Acces s
0the r
tems
rqe ( l.5q
VC opmentPlan Ck. Conm/Ind
65LlBldo Per Fee
Plan Ck. Res
30%/Bldq Per Fee
BUILDING PERI'IIT
Charges and
Surcharges
Fence
Demo
PLUI4BING PERMIT
Charges and
Surcha rges
SJ dewa I k
Total Comb. PermitA/C Paving
ELECTRICA.L PERI,!IT
Charges and
Surcha rge s
Curb Cut 4q asTOTAL
I,IECHANICAL PERMIT
Charges and
Surcharges
0ther
lL6q N, )5
(addressDES I GN TEAI.'I ( name
Residence of
sQ. FT.
s
ance
COI1BINATION APPLICATION/PERI,III (CAP)
I. Applicant to furnishA. Job AddressB. Legal Descriptionl. example- Tax Lot 100, Lane County Map Reference17T3-A:?. example- Lot_I. Block 3, Znd Addition toSpr-ffiield estaiei-"
!. Name, etc. of owner and construction lenderD. Energy Sources
electrical ceili or forced air gas
e ca r soTarE. Squa valuat on, etc
II
1. example- 1250 sq. foot house, 500 sq. foot garage2. exampje- if new project, check new - if addition,
check add, etc.F. Building permit information:l. example - construct single family house with an
attached garage
2. example - remodel existing garage into family room3. example - convert single family residence into
iEsTiulant (change of
-use)
G. Value of work as defined in Sectjon 303 (a) of theStructural Specialty CodeH. DESIGN TEAM AND CONTRACTORS
To avoid design or construction delays, BuildingDivision Staff must be able to contact appropr.iate
persons regarding design informatiorr or job sitecorrections, etc.
Abbreviated Plumbing, Mechanical, & Electr.ical SchedulesA. Except vrhere blank spaces occur in the descriptionportion of the Mechanical and Electrical Schedules,
the applicant need fill-in only the No. Boxes adjacentto the appropriate itenr(s) to be instal ledB. Full Plumbing, Mechanical, and Electrjcal Schedules
are avai Iable at the Bui lding Division1. To conserve space on the perrnit form the schedules
have been abbreviated2. If the item(s) to be installed are not covered onthe abbreviated schedules you should consult theful I schedul esC. BUILDING DIVISION STAFF l^llLL FILL OUT ALL FEES AND
CHARGES ON THE SCHEDULES0. As noted on the CAP, the label must be delivered to theelectrical contractor for signature by his electricalsupervisor. The general contractor .is not authorizedto sign the electrical label.
Appiicanr to sign and date
Whenever possibie, the initial application will be used asa.worksheet only. l^lhere possible, Bui lding Division Staffwill prepare a type written copy and return it to theapplicant at the time the actual permit is issued for hissignature,
Fees and Charges
Plan check fees are due and payable at the time of theappl ication, and no plans wj I i be processed unti I thesefees are paid. Al l other fees and charges are due andpayable when the permit is issued.
FOR OFFICE USE ONLY
Iii.
IV
V
PERMIT VALIDATION
Permit Cler
621?
PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPAI{CY:
Perm'it applicant exempt from registration u,ith the Builder's Board because:
Additional Project Informatjon:
PLANS REVIEWED BY:
dates i gnaturename
re
f-g-qo
Job Locaticn:
I'ar Lot ll
Assessorc I'!aP I
Subdiuision:
A)ner,:fk
c
N , z;h5 1 +b,
1+
Address:
City:
[iece"-#
.. REslt^NTlAL" =PRTNGFTET-D-APPLICArI0N /PERl'lIT
225 Nov'th Sth Street
Spr"Lngfield, )regon 97477
Building Diuision
7 26-37 53
(-"
Date
Co u N Ecr 0 n;olt NE Puln P ,
Describe h'or1<:
N?-D
'tLe
VaLue/2Date of APPL icaticn
additicn
RemoCel
rStorsnI
Oener;ll
il
Plurnbi
nlcal.
IllitecE.rica
t i:ttr[ilet'l- t'1'SlnStrDe
no ,ILDINCS
Sani*ory seuer capped at pt'opetty Line
Septic tank puryed attd filled trith gra:tel
Final - Ifi'ten abcoe itens are canpleted
and uhen Cemolition is complete ot' st?u3-
ture nooed and ptewises cleaneC up.
llobile Hcmes
Blocking and Set-uP
Plunbing eonnections -- aa)e? ad uater
Electrical Ccnnection - Blocking' set-up
and olwnbinq conneetions mtst be approed
beforc requZsting eleclrtcal inspecliot
Aeeessory Bui.Ldi.rtg
pcrches, skit'ting, decks,
Leted.
Final - After
etc. are comP
Pit:e I of :
It ia the resPonsibi Lity oi t lre p"t holdet' to see aLL inspections are nhde at the pt'oper tine' that each cddrees ts neadab"e
tding Noisiotthe street,
ap?r'ou*ed p
that the permit
Lan slu:Ll-'renain on tlP Buildi.ng :-.i'tc
catd is Located at the ftont of the proPertY.at aLL tines,anC
26-3769 (recordet') state 11out' City Cesignated job nwrber, job aCdress, tYPe of insPeelior
J'ron*9ui
PROCEDUPE FoR INSPECTT)N .8-\-O.UEST:CALL 7
requested and uhen liou DLLL be reddy Jo."
tiit be nade the satne dr:y, requests mcde
inspection,Cortttactors oP a)ners nane and phone numbet,. Requests recei,led befcre 7:00 an
aften 7:00 on uiLL bc nnile the nctb tonki-ng daii l3t
fonne.
deckirq.
FIIIAL PLUI4BTNG
FINAL I"IECIIANICAI,
DRYWALL INSPECTI)N: Tc be nade
nfte" atT-Z"w;Tfls .in pLace,
but pt'ior to anY taPlng.
MASONRY: Sbeel Location, bond
6ifrilgrou"ing ot' uerticals in
accordance LtLth U.B.C. Section
2415,
WOODSTOVE:
"c,,aGTA.
After instalTation is
To be nade after
pr-Lor tc set uP of
Ycur City Desigrutted Job Nwnber' {s:
It,,,R I ,ION:
IU maCe after a Lnsu
required uaPor bat'r'iers ate in place
but before anY Lath, gyPsun boarC or
unLL couering is applied, artd. before
t aoncealed,oty insulation is
UNDERSLAB PLUMBINC, ELPC?RIIAL &
t'ECUtttUClt: To be made before anY
6it-l{i,teted.
P1OTINL & FOUNDATICN: To be nrtCe
AF;'A;Ai;; ar, -excaoated anl
forms are ereeted, but Prior to
pourtng ccncrete.
uNpIRGPOUltp PLUM7 I Ng) stttEP, w.4L!.3-'
DRAIIIACE: To be nuCe Prlor to l1'L-Ifr-tiinches.
UTTDERFLOOR PLUttBINC 4 MEC.\|ANIC!'L:
^7;8ffi; p;l;; to installatton of
floor insulction or decktng.
POST AND BEAM: To be made P"io! to
TGltTTillai-of floon insulation ot
CURB & APPRAACil APPQN: AftET fOTNSA;i;;;A-i;t nnor tu pouz"tns
cotcrete.
SIDEWA\,X & DRii'L'kAl: I'or aLL con-<ct,ete parsiru.t Dithin stneet right-
of-rxy-, to be maCe aften aLL eeea-
Dabino conplete & fom wrk & sub-
base 'naterial in place.
No
these inspe haue been
nade aruJ approued.
PfREP|-A9E: Pz,iot' to plccirq facingmc;;AA; and before fruning inspee-
tion.
P84!!-y.G: Ivtust be requested after
@rooat of rough plttr;bing, electti-
cal & meclnnical, ALL t'oofing
braeing & ehitrmegs, ete. rrust be
eortpleted. llo ucrk is to be con-
cecled until this inspection las'been made anC appro,-ed.
IENCE: rarher: aonplate -- ProuiCejaiii or mouable sections thtough
P, U. E.
AIL pro;je.c:L con<lttiorLs, rntcli aa the-i.nstallqtion of street ttees, conplettcn-of the
teqiined l.arulsccpttg, ctc., m$t be satisfi.ed before the BUILDINC ?INAL eanbe requested'
tLtrFINAL ELEC"il?rcAL
FINAL BUI:,DINC: Tle lt.nal Builtling Inspection mtst be requested after the Final Plwnbing
\-/ Elcatr[cal, and Mechar.iaal lnsptzctions ltquc been nade atd appnooeC,
Phonc:
\)
?
SITE INSPEC'IION:er.au;;l;t-i"t
tr
JOB NO.
Lot Sq. Ptg.
il of Lot Cotserage_
ll of Stortes
Total Height
Topography
SOLAR ACCESS REQ.-
/Cons t :
L-CO d
Zon BeCroons
LCT ?YPE
Intericr
Cortter
Lot Faces -
Panharulle
CUL-de-sac
\7akli
Sources
!tea
P. t,.llouse C(u1Aqe
Nor Lh
Flas t l F'irepLace
South ll Hoodstoxc
Building Volue & Permit
This permit i.:; qranted on the erpress eondition tlwt the said conshactions_fuill, in a-ll..respe_cts, confctm to the 1rdirntzce adopte,i 6iy the City ofspr_ingfield, i.ncluding tle zoning crdinance, regulat'ing thb ccnstmlcticn
and.use of buildingr;, and nay be suspende,T ot, rbuokeC ot "rry time upon uic-l,aLion of any pt,coisions of suid Ordir,antaes.
Val.ue
TOTAL VALUE
Date Paid:
I?EM ,,FTG x
Signed
S.D.C. 1.5 a
-- Fe<:s --
ly'e sl:
Building Perwtt
Total Ctwrges
State
Plumbing Perrnit
No person shal-L construcl:, instal'!., alter or eltange d.nlJ nev cr ecisting
ptunbing or drainage systen in uhole or in patt, unless such person is the
legal possessor of a ualid plunber's License, ercept that a pe"son nay do
plunbing aork to property uthich is owted, Leased or operated by the appli-
cant.
NO.FEE CHARCB
Fi.rtw,es
Residential (1 bath)
Seuer
Plunbing Pevnit
State Swcl".arge
Total
Electricol Permit
I{here State f,rn,t requires tha.t the eleettical uork be done by an Electrical
Contractot,, the r:Leatrical portion of this permit sh,7LL not be oaliC until
the Label lns been aigned by the Electrical Contracto?.
,'7
Na,t/Exterui Ciicuits
Set uice
?otal
I?IM NC FCr CIIARCE
State
Mechqnicol Permit
E haot Hood.
Hcodstotle
Vent F@l
PermLt Issucnee
Meclnnical Permit
-- ENCROACTIML:NT --
Seanritu Deposi,t
Storage
Maintetance
Permit
Cuzbeut
Sida,talk
Fertce
Electrieal L,abel
t'lobile llotne
,I:ITAI, AMAUNT DIIE: *'57s
I HAW CAREFULLY EXAILTNED the conpleted applieation for permit' and do
n iity iiril.fy that aLL irformation hereoi- is true and eorrect, cnC r
frrllrl, iurt"tiy tt "t any ard aLL uo.r'k pe1'f-orned alull be dnne i'n aceot-
'danee vtth the" 7rdinanc"es of the CitA bf Springf_ield, .and Lh-e Lc;s of tha
Siate o1 1regon peptainina to the wik Cescribed herein, end that N0 ocCU-
pttnCy ,:ttt b'e nrile of any" st|ucture uithout permi1aion of the Building Di-
uision. I further certif;.1 that only con-tracto"s and enplcAees aho are Ln
Lonplioncn i,ttLh aRS 701.055 rsill be- used on thie pro,iect
TatAPLart Eranltler
Date
!otal
Signed*
It
NU.
I
Electrical Permit
State Sunclarge
F\nnzee PTU'S