HomeMy WebLinkAboutPermit Electrical 1982-12-22
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CITY OF SPRINGFIELD--BUILDING DIVISION
346 MAIN ST. 726-3753 (BUSINESS) 726-3769 (INSPECTIONS)
APPLICATION FOR ELECTRICAL LABEL(S) BY A BUILDING OWNER
The Electrical Safety Law of the State of Oregon does not require a
a license as an electrician and/or electrical contractor to make an
stallation on property which is owned by himself or a member of his
which is not intended for sale, lease, or rent.
person to obtain
electrician in-
immediate family
APPLICANT'S NAME S\;JJ pto ~ Q.
ADDRESS lo~q '1 fG\.G~-^-j(\
td~C\ \
\\.-V-~
.~
~
(PLEASE PRINT)
l'HONE
'l'--llrU>-1 (
ADDRESS FOR PROPOSED WORK
~ c0..-'"
BUILDING OWNER (IF OTHER THAN APPLICANT)
ADDRESS
PHONE
I 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:
1- Temporary Service 4. Rough Electric 7. Mobile Horne
2. Underground Service 5. Cable Heat Connections
3. Service 6. New Circuits or 8. Signs
Extensions 9. Swimming 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 Oregon, and that if not the building owner, I am a member
of his or he':. immediate family. 0
Signaturel7\d.:r'd~-4 .~A? /2~ C, J'Z/:?2-~
,\ / ./ /' .
_Dat~~
INSPECTION REQUESTS SHOULD BE }lADE ON THE
LINE. THE INSPECTION NUMBER IS 726-3769.
FOR 7 A.M. WILL BE MADE ON THE SAME DAY.
BUILDING DIVISION'S 24 HOUR A DAY INSPECTION
INSPECTION REQUESTS WHICH ARE CALLED IN BE-
FOR OFFICE USE ONLY
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RECEIVED BY 0 ^-.MA ~ DATE \ '2~2-'2A~z.-.
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.. RES,tfNTlAL..
APPLICATION/PERMIT
225 North 5th Street
Sprir4fie~d, Oregon 97477
Building Division
726-3753
SPRINGFlELD ,
Job [,oc::.tian:
~'19? ~/;;) 07: U;;/d,
j \ If)?_ 35'?'3 'T= Lot #
~i?OU
~c.ll() I
AsasSGorz .\!ap
Subdiv"':sicn:
~
')..'>lep: \ <C~/lAn0 R /'fuc;.{
AcUJ,.es,: ~ 95] h'(51/:V d-i.
City: ~? /l/ ,,~,(
n
n
'1.,-"
Additicn
n ~ Remodel
n""! '
..OO~~ 2 ..c~a
Jj) -))2-0 !)..
,
Care of rlppliaaticrI
Co7tr;rcc~orS'
General
Plumbing
~!eotrica!./' /Fe- u.>ir? ~
Nfl~har.ic::.l
Const~~c~ion !~nder
Pr$1e: 71"'0" - ~8 1/
Zi?: 97"/'?1
De8c~ce r.'opk: Ifl t.V1 A? E
~oo /1P1/;
\.5EA'vk L
Va!ueIK~"::.-~
Addr€S3
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.:::cce:':7t ,Ii.
00/5~
f~~
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Siqr.ed:
C .A '.nd.~
12- u-lr2-
Dat:e:
Lise. ;I
Eroiras
Plton~
[~ is the 'l'esponaibiZi.:y of' ehs permit halder to see that at! in.ctleations are i.':ade at the proper tim~, t,/...at ~ch .::::i.dress is l'ea.::a,;:€
jrom eiuJ street, and that the permit cXl'd is 'l.xated at the front" of the proper"ty.
"Sl.l.i!.di~.g D";:;i::io:",; ap::r(}t;ed pl.an. shc.Zl. remain on the Euildinfl Si.t~ a-t aZl. times.
P."?OCSDURE tOR INSPECTIOn RE'OU!'ST:CALL 726-3769 (rcco!"d.er) state y01.CI" City desigr.:zted job n:.ar:ber, job a.di!>css, typs of ir.3oec::icn
1'(Jqu.estcd a;o-.d when you. ;.;ill. be r-eatiy for i.nspection, Contractors or OI.;ne,:,s r.cme cr..d phone n.;ombcr. Requests recei~'ed c~fcr€' 7 :DO (:'::
:..'iZl. OS made the. iJams dc.y, requests mGde aft;;.'" 7:'J0 a:n !JiZl. 03 GKlde the next :.JOrki~ day-
q~mJ'i...."r1 J'",.,?r..,,...t~:t:7!.~
O SIT~ I:1SP=C'::ON: To be rrrzde
excavation, bu.t prior tc set
forms.
o
aft<2r
up of
UNDEPSr.;E ?U!!.lBI.'lG. 2l.EC7'Rlr:AL ;,
NECF.)'"JiC:.Z-: To:,e rr.atie be[v!'>a
wrk is ~(r')r!red.
any
o
FCOTI?IG 3 lOUNDAT:O:l: To be ,~e
after =rencnes ar6 excGrJated and
forms are erected, but prior to
pouring c=ncret~.
W1DZRG.'::?ou:rD '?:'J.J,~f2I:"'G. SS'.IFR, ".1T.:.i'.
DRAINAGE: 70 be ~e p1'"'~c!' :;0 lH-
Ur.g =rer.cr.2s.
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UNDE.f?PI.QOR PT-u....'SI:lG -1 M::C.t[ANICAL:
fa be maCe prier to ~n3tal.~t~on of
11001' insu~;ion or decking.
POST AND 3EAU.. To be rr:c.dc pr-~or to
install.at:icn ot {7..oor i.ns...Zatiar. or
deck:""
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[2]
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PO'-,GH ?r.U~!Er]G, ~!..2C?f?!C),!. ;, .'.r'ECH-
AHICrl~: ~o ~ork ~~ :~ be co~e~ec
ur.~iL :r.CSJ :~~=ectior.s ~~e ~eer.
made ~~ =??~,~~~.
E'I.~?Pr.ACE: Prior:o ptc.~ir.g fc.c-:.ng
ma::.rial.s ar.d before framing inspec-
tion. .
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PR.4.'~I.'JG: "~st be !'ec;'J.ested after'
approv..:.l Ql rou.gh pZw:-.hing, .eZect1"";-
ool. j mec;..ani.=a.Z. ,HZ I'Oof:.r.g
bracing ~ chi:r:n;;ys, flt~. .4"J.sc be
. co/1Tt)l.e'::cd. .'10 '.JOric is to boa ccm-
~ eec.'Led un:iL this insoec::ien r.as
'been made cnC approved.
Jata' City' Deaigr.atcd ,job Numbu Ia:
o
INSlJLATIONlv/tPOR BARRIEFl IHSF::C'!'ICt'l:
To be ":'lade after all insul.::.tum a:".d
required vapor carriers are in place
but eeiore any lath, gypsum beard Qr
wU covering is r=ppZied, cr.d before
any insulation is concealed..
~'l- ~() \ 'J..
I DEUOLITIOH OR ;~:OVE; 3UILDr;JCS
~ Sanita:r',.j Sl!'..Jer =o:pped ::t ~QP~!'t"':f' Lina
=:J Septi~ tank P'".i,i?ed ~ fiZZed :.;"i't;h GT:::-.:eZ
:J PinaL - f/hen a1Jcve ite:;;s tre ec,~leted
and when ~encl:.~ion is cDm?Zate or st~~~-
tu.:>e r.:oved ar.d ?reJ:":ises de.::.r.ed. up.
I ,vDoi ia Ecmes
::J 3lockir.g crr.d Sat-up
::J Plumbing connec::.ons S~er ard wc.::ar'
::J Slect1"";cal Connection - BLockin4, set-u:
and pLumbing connections r-r...st =~ C??!'::Jt:ed
be;ore request:.ng e!ec;~cal inspectio~
~ Aeces::;o. ':i 3uil..:::.r.g
:J Fin.::.L - Aft~r ;~rcr.es,
etc. are ccmpL~;~d.
ab!'t:ing,
dec;"..3,
o
DHT"'AL& INSP::CT!ON: Te be r:'.ade
af-;er a I Z dI"',wa 1. Z is in place,
but prior to any taping.
D
AIL project c~di=ions, ;uc~ as t:h~ ins:arlaticn Qf street :r~es, :~.~1.a;~~n af :hE
required landsccpir.g, etc., must be satisf....ed oe,:~re tr.2 3UII.DI.':G ?J;'.'AL :cn be re'1..t3s:.zd.
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FINAL PLUX31:iG
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. FINAL NEf:i!A.'IICAt
~ PINAL ELEC':'RICAL
~\I;=:J
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PINAL aUI!.DI.VC: T"r.e F....nal Su.iWing !r.s?ection .~J.sr; be request:ed =_7~;er =;;e .:":.r.al ?Z:.:::bir..g
=l~ecrical, and Necr.a~iccZ Inspectiona have been made ar~ :::~o1'cv2i.
o
,~SO~?Y.. Steel location, bond
oeam3, grou.tir~ or verticals in
accordance with V.3.C. Section
2415.
*AU, NANHCLcS AND CLtANO!JTS NVS':' 3E ACf:2SSIELE. ADJL'S'Z':!T.~',!, TO ?2 ...~I',02 :!T !:O -:-:S':' T? '=I':''! I :;,,....e of 2
o
;"'OODS'!'OVE.': Aftar installation is
cc....rpZet€d.
o
CURB & .4.J."'PROACH .4pr:ON: Aj'ter- foms
.::::re ere~ted but p1""~or to pC'J.r"~n.g
,xmcrete.
SIDEW"U,i{ & DRI;'Ef.1A"!: For all con-
crete paving within street right-
of-'.X.'ij. to be mc.de a;'ter aU e:::ca-
vatina comoZete & jD~ ~rk d ;ub-
base ;;'.c:terial in place.
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?!NCS: ~Bn comDl~te -- Provide
gar;es or movable- sectiens through
P.U.E.
o
?::.ge 2
I JOB No.'8'2.?:I)/Z- SOLAR.CESS REQ.-
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t;'C'::'.l~anc~ Cl".7..i:i:
l!.at Sq. F~.
I. Jf 1_. ~aver~c-
i ~ wo";",, .....
!.il of 5t.:Jr"i-es
I :'ota! Hilien.:
1 TCPO~~
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I.'ni"
LOT 7'!?S
Ir:r:e!'ior
Corne-:'
Pc:nitanti.le
C'J.l-ae-saa
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:tatue
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IS.D.C.
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7:Y."AL ;'AU';S
('JC:'U~)
1.5:
Euilding Pertr:"'~-:
State Surcn:Irge
~o:a l Cr.a......ge3
I IT?:M
I :'t--:ures
IReaidentiat fl bath}
15cr.it.;:1"'1 Se.Jer
I"'c-I:.tl!'
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I NO. i
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C2ARGS
Pl:.unbing Perr.:i t
Stata Surar~e
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I~D I
),1:), f...n I.
Teta? CJu::rces
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Ibo' ,~',~
:t2!~~D()
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12E.~
I Hes. Sa. rta.
I NZlJ/Extend Cil"M ts
I Tempcrc:ry Service
I
CHARGE
Electrical ?em't
St.:::te Sur=;..arae
To:al O.a:!'ces
17D!
?:.trr.:!ce :TV 'S
E=Jums t Hood.
I Vent P:ut
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I iloodsto:;e
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CHARGE
Perrrrit IJsuanca
Mecr.anic::.l ?er<m:t
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Stat(/. Sura1u::r!1e
~"=r.!. ~1Zr"'~!J
t:lC.-::'::ACE.~.':::l':' --
1- . D .
I :;eC'.l.1""ltu a:;cstt
I Stora.q8
/ !~"':n-:enar..;'e
IPc~t
Teta? C'nar-:es
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Ic-P,:lC'..lt
IS.-,tJ'.,}Ql;':
I Pe"".
I E!.zc:r:.ca l
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: .\fobi?d "-'"18
Label
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I :OTAL ,l'\!OU.'IT DUE:'
Vb //5, rJj
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L-COCorr
T.:roe/Cor.sr; :
3eCr')oms:
I 2narau Sour~es
I I .'ieat
I I ;.late'!' H~a";;?!"
I i Ranqe
I I P--:'reo i.ace
1 I Wooa:;to:.:e
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f:;r;e
I i.ot Faces -
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tlO~~~'
lEast:
So:.:.tit
jWest
Setbacks
I Ho.....se I Carczce
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I )"ccess.
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Fees
Building Value & Permit
This permit ia granted on the e=Pl'lJsszondition that the said. cons1;2""'..lc:;ion
shalZ, in aZl respects, aonform =0 the Ordinar.ce adopted by the City of
Spl'ir'.gf:eZd, inc!:<<iing tn.e :'oning Crdinance, req'..ikting the ccr.str:.c::cr:
and ~$e of buildings, and m::.y be ~uspended or revoked at cr.y t--:'me u;cr: vic~
Zation of zny provisions of said Crdir~ces.
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I P?an Check Fee:
I Cate ?a...:d:
iRea<ipt #:
IS,;g,:ed:
Plumbing Permit
No pereon ahaZZ C07'.struct, instal!.. aZter or change any r'.mJ or e::is:ir.q
plumbing or drainage syst~ in ~hoZe or in part, unless such person is tr~
legal possessor of a vaZid plwnber's license, e.::cept tr.at a pe:oson ma,:! do
pZumbing ~ork to proper~~ whicn. is owned, ?eased or operated by the appZi-
"""t.
Electrical Perm it
Where State Lc:zJ requires tr.at the electricaZ /Jork be done by an EZactri.cal
Ccmtroctor, the electrical portion of this permit shal.Z not be valid until
the Zabel has been signed by the E?ectrical ::'ontractor.
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Mechanical Permit
Pt..a:n G:.:c;m..ner L/ar;,z
I HA VE CAREFULLY ~XA.'!INED :.l...e con:ptataa =?plication tOT' permi /;, c:nd do
hereby certify thet alZ ir:lo:'r.'Ut~on ;:e!'eon ~s true ar..d cor!'cct, ar.d I
f.cr-:.her ce:otij':i :;hat any cr.d all '..:ork pe1',r"or:-ned 3}o.alZ. be do:18 in. ~ccor-
dance :.r;r;h :ita Ordin:mces of tr..3 City of" SpringficU, and ;h~ U::.:3 oj' th3
State oj Oregon p:zrt.::rining to :1-:13 work aesC'!"'~bcd he'l"ein, :=r.a :hc: NO OCC!J-
?l:NCl :.r~LZ ba rrrJ.:ie of any atructura wi:hout parm...:sst.on. of the EuiZdir.g {)i..
vision. I further ::ert;if~' tr.at o:1ly acntrc:.=tors ar.d e;np'k;yees w;..o are in
~Ziance with CRS 701.0S~ wit! be used en this projzct
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