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HomeMy WebLinkAboutPermit Electrical 1984-3-6 I IrISPECTION LINE 726-3769 Job Address ~'207 MR/N ~7'. Legal Descr;Ption/7'4;>.3~_~ ~ C:::>/..,~ I \q I . ~. I I \)l) ~ "- V --t ,. CITY UF SPRINGFIELD lNFORlIATlON liNE C0I1BlilATlON APPLICATION/PERMIT 726-3753 EilERGY SOUaCES: Sq. Ftg. 1.la;n ..~.; Heat NA. ~q. !=tg. Access. Water Heater SQ. Ftg. Other Ilew Add Alter Rep. Range -Fence Demo Change/Use Valu, of Work: -J)ther- - ~t?e1. -~ 6FM.PcR_V . Builtiina Pernlit Info: Describe Work(i.e., Build Single Fa~ilv nes;dence With Attached haraae) Addres~ h'_~ /"'" /.'"'<.-#IIRA.IV Phone Owner Construction lender Address UlS Hil< fEAl1 (name I Lnt:.~T J99""".~ 7.EA1ll1P~ ~ -:5'~~~E ~ ~___r- . ~ttC~.. I (address) ,. (llcs. no.l (exnirp"'1 (ohone 00.\ /:7~ ~. " ---..~""'/??e>'5F~. 4:;;:>~-/.8~ ...... AI M .~ Phone Primary ~~""'A:T W.li'~~ Structura 1 Electrical Mechanical CONTRACTORS General ~~ ~ Plumbina E1 ectri ca 1 ~lechanical NO. (namel (address) (1 ir:c:. no. \ h~),o~ (pxoi rp,,~)ll ;/ (ohnnp no. \ PLUIIBItlG ELECTRICAL MECHANICAL FFF I rHARr,F Nn eEL..cJJABliE. Nn 1=1:"1= r~ARG.E. Residence of furnace/burner to BTU1s / Each single fixture_ ~c-...., 7nkR Relocated building (new fix. additional) New circuits alts. or extensions Floor furnace and vent S.F. Residence (] bath 1 Duplex (1 bath) each Additional bath ~Iater service Sewer Storm Sewer ~-=A ~. SQ. FT. SERVICES Recessed wall So~rp hp~tpr ~nrl vpnt lremporary Construction IChange in existing rpc:. i dp..nrp Imultifamily, comm. or TnrllJc:.t.r;~l IOf amps. ICOMI.I./IND. FEEDERS I Install/alter/relocate rlhtrih. fppfipr'c:. Appliance vent , c:.poarate Stationary evap. cooler Vent fan with "inole duct Vent system apart from heatino or A.C. Mechanical exhaust hood and durt Wood stove/heater IOf I I I amps. I SSUANCf OF PFR!1lT TOTAL CHARGES "Electrical Contractor, the electrical portion of this pe~it Supervisor and returned to the Building Division TOTAL CHARGES TOTAL CHARGES WHERE STATE LW REQUIRES that the Electrical work be done by an shall not be valil until the label has been signed by an Electrical I HAVE CAREFUllY EXAtlINED the completed application for permit, and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the laws of the State of Oregon pertaining to the work described herein, and that UO OCCUPAUCY will be made of any structure without the permission of the Building Division. I further certify that my registration with the Builder's Board ;s in full force and effect as required by ons 701.055, that if exempt th as.s for exemption ;s noted hereon, and that only subcontractors and employees who are in compliance with OP.S 7nl.055 wi e d on this project. /),& DATE_~/~ 1lAl-IE(please prin: IJlo~!S \.d&~,;::'J.P SIf,ilATUR FO~ OfFICE USE OIlL i 20ne <:::. c::.. Fire Zone Fl ood Pl a i n BUILDING PERf1lT Charges an<:: ~~.lIges PLU/~BING PERMIT Cha rges and Surcharges ELECTRICAL PERI~IT Charges and Surcharges 11ECHANICAL PERMIT Charges and Surcharges Tyoe/Const.S- At' Units Sq. Ftg. f1ain ~O>,. x Value ~~- Bedrooms Occy Load Sq. Ft9. Access x Value Stories Occ,Y Grou;;fl-"'_ Sq. Ftg. Other x Value TOTAL VALUATION /__ _ Plan Ck. Conrn/lnd .E~. 65UBldo Ppr ~"'P ---- -------"""""PTan Ck. Res .. f<t:> 30%/B1 do Per Fee Fence ~LI: / __ Systeos Oevelopment "'-17 ~.,- CharQe (1.5~) r~~_ N..#. I I I Irotal Comb. rermit I I TOTAL 1e:>.4(0 ., Demo ___________J Sidewalk I A/C Paving I Curb Cut ------------ I . COMBINATION APPLICATION/PERMIT (CAP) I. Applicant to furnish A. Job Address B. legal Description 1. example- Tax Lot 100, lane County Map Reference 11 D3 43 2. example- lot 1. Block 3, 2nd Addition to sprlngtield Estates C. Name, etc. of owner and construction lender D. Energy Sources 1. examole- heat/electrical ceilinq/or forced air q 2. example- waterheater/electrical/or solar E. Square footage or valuation, etc. - I. example- 1250 sq. foot house, 500 sq. foot garag. 2. example- if new project, check-nfw - if addition checlc add. etc. F. Building permit information: 1. example - construct single family house with an a ttached garage 2. example - remodel existing garage into family rOI 3. example - convert"single family residence into restaurant (change of use) G. Value of work as defined in Section 303 (a) of the Structural Specialty Code H. OESIGN TEAI'I AND CONTRACTORS To avoid design or construction delays. Building Division Staff must be able to contact appropriate . persons regarding design infonnation or jab site corrections. etc. II. Abbreviated Plumbing, Mechanical, & Electrical Schedules A. Except where blank spaces occur in the description portion of the Mechanical and Electrical Schedules. the applicant need fill-in- only the No. Boxes adjacen to the appropriate item(s) to be installed B. Full Plumbing. Mechanical. and Electrical Schedules are available at the Building Division 1. To conserve space on the permit form the schedule have been abbreviated 2. If the item(s) to be installed are not covered on the abbreviated schedules you should consult the full schedules C. BUILDING DIVISION STAFF WIll FIll OUT All FEES AND CHARGES ON THE SCHEDULES D. As noted on the CAP, the label must be delivered to the electrical contractor for signature by his electrical supervisor. The general contractor is .not authorized to sign the electrical label. --- Applicant to sign and date Whenever possible. the initial application will be used as a worksheet only. Where possible. Building Division Staff. will prepare a type written copy and return it to the applicant at the time the actual permit is issued for his signature. IV. Fees and Charges Plan check fees are due and payable at the time of the application, and no plans will be processed until these fees are paid. All other fees and charges are due and payable when the permit is issued. III. V. FOR OFFICE USE ONLY ! CK,Y OF SPRINGFIELD . City Hall Sprlngflald, Oregon Departmant of Public Worka OFFICIAL RECEIPT No. B 62533 -.I I <;.. ( DateM~~::::y'9gy ( Rec'd From ~~ lY'. ~.K~ /1l04 H.C: <....- 'P~ Addresa j(Cd '--"">"S u~ c . ( Received For. -r.a??P_ ?~hT- ~ ~ 'S7?t'vcrC->/i€' J~#:-89c> //~ ( ( '"8 r? _ -,L-/,/ ~ /6 _ c::s>o .lf6 . ( ( 7c>~ /,0_ 'Ie:;- ( c:..r ~ 1/b'15. /(f). ~6 Amount Received ( .-4' . ~ /~- , , ,. AUTHORIZED SIGNATURE - \ '., r J ~... / , ...11)08 ,.ltINT~It./L.ITHOGltA"H~ft.. ~UQJ:NJ:. OltJ:GON Permit Cl erk PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPANCY: Permit appl i cant exempt from regi strati on with the Buil der' s Board because: Additional Project Information: -.-. 7 ~""'~_A"',R Y "5~~~ ~ ~-7tJI< ~~ ".~"')'fJ/c.... I - /'7iJ-R6~- ,', _4"~---.r- .. PLANS REVIEWED BY: ~RiSNE ~~Signatur~... -, name J ~ ' ./ ~ .-late 3.....~-~ y r -,-?"'" --- 1 l .f ~ ~. .quired Inspecens .. IT IS THE RESPONSIBILITY OF TilE PER..'!IT HOLDER TO SEE THAT ALL INSPECTIONS ARE MADE AT THE PROPER TUlE. THAT EACIl ADDRESS IS READABLE FROM TEE STREET. AND THAT THE PER1'UT CARD IS LOCATED AT TilE FRONT OF THE PROPERTY. BUILDING DIVISION APPROVED PLANS MUST BE ON JOB SITE AT ALL TIHES. PROCEDURE FOR REQUESTING INSPECTIONS: Call 726-3769 (recorder) state you CITY DESIGNATED JOB Nu}lBER. job address, type of inspection requested and vlhen you will be re.:::.dy for the inspection. Contracto::-s 0= o\mers name and phone number. Requests received before 7:00 am. will be reade the same day, requests received after 7:00 am will be ~de the fol1owinb work day. g~O/?l/ t./<.e>? ~A/~ . ,. '"":... !.c/. _~~RA9I! ~~--. o D D Your City Designated Job Number Is: Job Address: Owner: 0~( Contractor: SITE INSPECTION: To be made after excavation, but prior to setup of forms. UNOERSLAB PLmlBING, ELECTRICAL & ~IECHANICAL: To be made before any work is covered. CONCRETE SLAB INSPECTION: To be made after all inslab building service equipment, conduit, piping, accessories and other ancillary equipment items are in place but before any concreto is poured. D D D FOOTINGS & FOUNDATIONS: To be made after trenches are excavated and forms are erected. all steel in place. but prior to pouring concrete. D D D D o o D UNDERGROUND: Plumbing. Electrical. Gas. Sanitary Sewer. Storm Sewer. Water and Drainage lines. To be made prior to covering or filling trenches. UNDERFLOOR: I Plumbing. Electrical, Mechanical. To be made prior to installation of floor insulation. decking or floor sheathing. POST & BEAM: To be made prior to installation of floor insulation. decking or floor sheating.'. FLOOR INSULATION & VAPOR BARRIERS: To be made prior to install~tion of decking or floor sheating. ~~SONRY: Steel location. bond beams grouting or verticals in accordance with U.B.C. Section 2415. ROOF SUEAlln~!G A.'ID NAILING: Prior to installing any roofing. ROUGH PLUMBING. ELECTRICAL & MECHANCIAL: No \\'ork is to be covered until these inspections have been made and approved. 0 FINAL PLU}.fBING D 0 FI~AL ELECTRICAL [Xl 0 FINAL MECIlANICAL D D D o o o Phone: ~>?-/g.o:a.. Phone: D D ATTIC DRAFT STOPS & CURTAIN WALLS. FIREPLACE: Prior to placing facing materials and before framing inspection. ,- SPECIAL INSPECTIONS: In accordance ~ith Section 306 of the Building Code a special inspector shall be employed by the O~ner/ Contractor during construction of the following work. A cepy of the special testing reports shall be furnished to the Building Division. =:J =:J =:J STRUCTURAL CO~CRETE: In excess of 300) P.S.r. (306 a.1) INSULATION & VAPOR BARRIER: To be made after all insulation and required vapor barriers are in place but before any lath or gypsum board interior wall covering is applied. F~1ING: To be made after the roof. all framing. fire blocking and bracing are in place and all pipes. chimneys and vents are complete and the rough electrical. plumbing and heating wires. pipes and ducts arc approved. =:J LAlli AND/OR r,YP$lff.l BOARD INSPECTION; ---, To be made after all lathing and ~ g)~sum board. interior and exterior, is in place but before any plastering =:J is applied or before gypsum board joints and fasteners are taped and finished. FIRE & SEPARATION WALL: Located & censtructed according to plans. WOODSTOVES: completed. SIDEWALK & DRIVEWAY: Required for all concrete paving within street right-of-way. to be made after all excavating complete & form work & sub-base material in place. CURB AND APPROACH APRO~: After forms are erected but prior to pouring concrete. After installation is PARKING LOT: After gravel place but prior to placing or concrete. is in asphal t STRUCTUR~L WELDS: Preformed on the job. (2722 f) HIGH STRENGTH BOLTING: During all _ bolt installation and tighting operations (306 a.5) SPRAYED ON FIREPROOFING: (U.B.C. Standards 43-8) SPECIAL GRADING. EXCAVATION ~~D FILLING: ~Jring earthwork. (306 a.ll & Chapter 29) =:J GLU-LAM BEMIS: Inspection Certificate. by an approved agency, furnished to the City's Building Division before beams are placed. (2S01-U.B.C. STDS. 25-10,11) . *In addition to the inspections specified hereon. the Building Official ~ay make or require other inspections of any construction work to ascertain compliance \dth the Building. City or Zoning Codes. CITY'S SITE PLAN REVIEW BOARD INSPECTION: Must be requested 2 days in advance of the date you wish inspectio~. All project conditions such as landscaping, parking lot striping etc. must be cOffi~leted before requesting this inspection. o FINAL FIRE DEPARTIIENT SICNATURE Must be requested after the final Plumbing. Electrical, Hechanical and Fire i ns are made and approved. No Occupancy of the premises can be made until cupancy has been iss by the Building Divisien and posted on the premises u DATE _ -?k. ;;'-1 I i"/ *ALL ~~HOLES AND CLEANOUTS ~ruST BE ACCESSIBLE, AOJUS~ffiNT TO BE ~~DE AT NO COST TO THE CITY.