HomeMy WebLinkAboutPermit Electrical 1990-5-15
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APPLICATION/PERMIT
225 North 5th Street
SpringfieZd, Oregon 97477
BuiZding Division
726-3753 .
'-/ :is Z-- q mt1.Jh s+
N /7 0 Z '32-31
Date of Application
Contractors .It
General
: Plumbing
i Hechanical
I E~ectricaljl/: E k!L-,:.fr'-~44 ~7/70 II.RLa-t"./ad;. ff'.-/. ~cA"_-
~eli'\lcitt;;".lg Electric;.~4~Y -'''''''_-''?G~ 1.2"1_'1..<;>'/91
It is the z-ssponDibility of ths permit holder to 8S6 that alt. inopections are made at :hs proper timE:" trAt each ::ddr688 is readable
ftoom ths strsst, and that ths p",.",.t oa2'd is Zoccrtsd at ths front of ths props:rty.
.tBuitdi"!1g Diui:;ior: appror;ed pUm B.hall remain on the. Building Site at all times.
PROCEDURE FOR INSPECTION RE:QUEST:CALL 726-3769 (recorder) state yOW' City designated job number, job adCrcss, type of in3poc-:icn.
requested ar.d when you. tJiLZ be ready fOl' ir.spcction, Contractors or OI.mSr'S name end phone number. Requ6sts received cefel'e 7: 00 (r,'!
r..--iZl be tl'tZde tM same day, requests made after 7:00 tmI LJilt ba m:u1e the nczt :.JOl'king day.
1~ 'City Ds.igr.atcd Job Number IG: q ~ \ \
J1M()Jj.r.p.,p TttoUnJ'.&:fi"?l.A
0, SITE INSPECTION: To be nr;zde after D INSULATION/VAPOR BARRIER INSPECTION: 'DEMOLITION OR :~:OVED BUILDIilGS
excavationl but prior to set up of To be made after aU. insul.::.tian CC".d
. forms. " required vapor carriers are in place ~ Sanitary seuer oapped at l'l2op&rt:J,' lir:e
,', ',' but before any lath. gypsum board or --.J
0: UNDERSL4B Pr.UM8IQG. ELECTRI;r;A~. &: \ walt coverinn is applied, and beFore
,MECHANICAL: To be made' before any '.,. J'
, work is aovered. '~y insulation is concealed.
Job Location:
AsoesDors Map
Subdivision:
().mer: S+-f'...i/ of 'ArVYlS~"Y7<1.
Address: LJ ~z.. Cj off) CI (1/1 S--r<J
City: S?! i Ylj,t; e/d
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AMi ticn
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h Uobila Homa '
O FOOTING & FOUNDATION: To be ""de
after trenches are exoavated and
forms are erectedl but prior to
pouring cenerate.
D, UNDERGROUND PLUMBING. S~R. W,1TElf..
i DRAINAGE: To be ma::ie prior to fil-
,l ir.g trenches.
O ."UNDERFLooR PWI.fBING & MECf/ANICAL:
.. 'To be made prior to inota Uat'Z-Dn of
floor insulation or decking.
O POST AND BEAM: To be mad< prior to
installation of floor ins~Zation or
. decHr!{;.
D ROUGH PUIMBIlIG. ELECTR!CA~ & MECH-
ANICAL: No work is to be cOl..'ered
,w:til these inspections have beer.
made and approved. '
D Fr.r?EPLACE: Prior to placir.g facing
materials and before framing inspec-
tior..
D FRAJ1ING: MulJt be requeDted after
approval of rough plwr.bing, alectri-
,cal & mechanical. AU roofing
bracing & chinmcysl etc. TTr.ist be
:' completed. No work is to be CGn-
.-,..:.-cealed until thia inspection has
~b6~~ made and approved.
Tax Lot #
o ::S4 GlD
_ce'Pt .~ \ C) () ~ \
..
.~
Siqr.ed:
Date:
(\~, .~
r-- \.<:: r. /)
E~::S ~ ,) '\~n:"
Phone: 34/-10<13
Zip: <1 7 L{ 77
Describe r.'ork:
~. ~cf\e
~(.;-"
'~
Aclclr"~s
, Lise. II
Bldrs Board Reg.
~~/'-..:27?1
~ Septic tank p~6d and fitl~~ with gra~Bl
I Pinal - rfhen above items are completed I
~ and when der.1Olition is compl9tB 01' stru"- I
ture moved and pr:;m1,ses ol8aned up. 'I
I,
Mobile Hcme8
:=J BZocking and Sst-,p
:=J Plumbing connections 8&WBr and wa=er
--, Electrical Conneotion - Btocking, Bet-up
~ and plumbing connBctions nr.ist C8 approved
, before requesting elec:rical inspec~ion
~ Acoessory Building
---, Final - Aft~r p:}ror.es, skirting, decks,
~ etc. are oomple:cd.
I
Value
u
D
All project conditionsl such as the installation of street trees, c~~lation of t~
required landsccpil".g1 ete'l must be satisfied before the BUILDING FIlIAL can he rsquostad.
o FIliAL PLUI(lJI/IG
o FIliAL MECHANICAL
~ELECTRICAL
o
FINAL BUILDING: The Final Building Inspection must be requeated alter the Final Plumbina
Electrical, and Meohar:ical Inspectio1UJ have been "..ade and approu,zd.
D DRYWALL INSPf:CTION: To be made
after all drywa Z 'l is in place,
but prior to any taping.
O MASONRY: Steel location, boiui
beam3, grouting or verticals in
accordance ~th U.B.C. Section
2415.
D WOODSTOVE: After installation is
completed.
D
CURB & APPROACH AP.WN: After forms
are erected but prior to pouring
~rete.
O SIDEWALK & DRIl'EWAl: For alZ con-
crete paving within street right-
of-r.xzYI to be made after all- exca-
vating complete & form work & sub-
_ . base material in pla:Je.
D
:'ENCE: Wher. complete -- Provide.
gates or movable sections through
P.U.E.
o
AALL MANHOLES AND CLEANOUTS nUST BE ACCESSIB['E, ADJU$T!fElIT TO BE M:1DE AT NO COST TO CITY 'page 1 of 2 f
D
I
I
I I I
i Accessoru 1:i~\. r:t\. ~ I ,
I TOTAL VAL;;;; >--M
I (vct.ueJ I
S.D.C. 1.5 x
I JOB NO.
I Zone:
Lot Sq. Ftg.
s ~f lot C""eragc
# of Stories
Total Height
Topography
ITEM
, SQ.FTG
Main
Garace
I CarpOl't
Building Permit
State Surcharge
Total Cha."ges
lITEM
I Fi.rtta>es
I Residential (1 bath)
I Sani tary Sewel'
Water
Plumbing Permi t
State Surc:F-.aJ'"ge
Total CharGes
lITEM
Res. So, fta.
I New/Extend Circuits
Tempol'ary Service
Ele~trica 1. Permit
State Surcharge
Total Cha1"Q6S
lITEM
I Furnace ETU' S
I E:::Jumst Hood.
I Vent Fan
I Woodstove
I
Pemt Issuance
Mechanical Permi t
State Surcharac
Tota l Cha:ra~m
NO.
I NO.,
I I
I .' I
I! I'
rO'j
I I
I I
I I
I I
-- EIICROACBI.fENT --
Se~~t~ Deposit
Storace
I Main~~e
I PCPmit
I
ICurbcu;
I Side1Jalk
Total Chal'QC8
I Fen:!e
I Electrical Label
I Mobile Home
I TOTAL AMOUNT DUE: ~
SOLAR ~ESS
Occupanclf G_
WTTYFE
Interior
Corner
Panhandle
Cul-de-sac
x
Value
FEE
CHARGE
FEE
I CHARGE
I
I
I I
I _ <~ I
r)'L'::jJ I
I \\31
I? ~ . '='=VI .
FEE
CI/ARGE
I
I
I
I
I
I
I I
'20.G,~ I.
t'cge ~
REQ.-
.
L-COG~
Type/Cor.st:
I Lot Faces - I
Setbacks I
I P. L. House Caraqe Access. [ I
iNorth II I
lEast
ISouth I I
IWest I I
E~&OOr::8:
EI1Sl'G'.J Soaraes
!feat
Water Hl'.atPJ'I
Range
Firer> lace
WOod3 tot."e
T:/DB
Fees
Building Value & Permit
This permit in gronted on the express condition that the sa'id constI'Uction
shall, in alZ. respects, conform to the Ordinance a.dopted by the City of
Springfield, ineZuding the Zoning Ordinance, regulating the constI'Ucticn
and use of buildings, and ma.y be suspended 01' revoked at cr.y time upon vio-
Lation of any provisions of said Ordir4nces.
.
,.
Plan ::heck Fee:
Date Pa-:..d:
Rec~ipt #:
Sig>:ed:
Plumbing Permit
No person Dhall construct, instalZ., aUel' or change any neW or e::isting
plumbing Or drainage system in whole or in part, unless such person is the
legal possessor of a valid plumber's license, except that a pe:"Bon may do
pl~hing work to property which is owned, leased or operated by the appli-
cant.
.
Electrical Permit
Where State LaJJ requires th.at the electrical work be done by an Eleatrical
Contractor, tha electrical portion of this permit shall roOt be valid until
the label has been signed by the Electrical Contractor.
Mechanical Permit
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P /..an E:ca:nn.ner
0------
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va,e
I HAVE CAREPULLY EXAMINED the completed application for permit, and do
hereby certify that aU irofo:-r.ration hereon is tf"Ue and correct, and I
further .certify that any ar.d all work perfomred shall be do:1e i:1 acaor- '
dance :Jt-th the Ol"dinances of the City of Springfield, and th;: &us of tho
" State of Oregon p~rtaining to the IJOrk described here~n, end :hat NO OCC!J-
PANCY will be rmde of any structure withO:it parmis8ion of the Building Di~
vision. I further certify that o:1ly contra::tors ar.d e::rpl..:Jyess who arB in
compliance with ORS 701.055 will be used on this project
g~~
Signad i..---
-;?/Vy /~7Z;
Da7 /