HomeMy WebLinkAboutPermit Electrical 1983-1-10
.. RESID~T1AL"
APPLICATION/PERMIT
225 North 5th Street
Springfield, Oregon 97477
Building Division
726-3753
. Job Location:
3~Y)
-m ruJ'\
Un. (\ \l.(\~ if)~~J
I1Ll<5 AJ<? Z~'rd~1-- Phone:
_~I I Zip:
~ i -0 I N_
ASD6880rs Map #
Subdiuision:
CLmer:
Address:
City:
n
n
n
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Ner,l
Ta::: Lot #
QjLI'77
Describe frork:
Addi ticn
~OJ) ~
Remodsl
HobiZe Homo
Date of AppZicaticn
Contractors
1- j()-i3
Value
Address
.
.~cc::e-=-pt ,~
(o(),.;) d I
Y-f /0 . 00
l.f 90 r.; 0
~,z.o
-'1. '/;(;00
*
Siqr.ed:
Date:
(lL
Lllj-l/~
Lise. #
Er:;.iros
PhonE:
G6nsraL
PLumbing
i. ELBctricaL (U / I 171 P r-
I MQChar.ic~L
I,~ Constl'UctiOPl Lcndel' . ..........._
It is ths l'fJspontJibiLity of ths permit holder to 8.. that all inopections are made at :he proper tim~~ that QC.ch ;;.ddrS88 is l'eadabte
froom ths street, a11d that the permit aard is t..xated at the frcn.t of the property.
4!!ui!.ding Dif)i:;io~ ap;:rot:ed pLan shatz remain on tM Bu.-:.'l.di.1tf1 Sit~ at aU times.
PROCEDURE FOR rNSPSCTION RE:aUEST:CALL 726-3769 {recorder} state your City designated job 7tUJ7:ber~ job a.dd:roCS8j type of in:1pec.;icn
raque8tcd ar.d tJhen you :JiZZ be ready for inspaationj Contl"aato1'S or !A.me:os nGme c:nd phon.e number. Requests received befere 7:00 c;:'I
:..'iLL be made the SarriS daYj r'equests made afta' 7:00 am !JiZZ ba nruie t,'Ite nat :.JOl'ki;'!.g day. SZ.2~-L">
lour City, Deoigr.ated Job Nwnbu Is: 'F .; ~.'rgl ~)
RAf77,J1:r:PP T'1n"!'1t':~.q
O SITE INSPECTION: To be nr:zde
ezcavationj but prior to set
f=nB.
D
after
up of
UNDERSLAB PLUMBING, ELECTRICllL
l.fECHANICAL: To be made betors
work is .::overed.
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FOOTING ~ FOUNDATION: To be nr:uis
after trenches are excavated and
forms are 8rBcteO.j but prior to
pouring acncrBt..
VNDSRG.rrouNn p.",T/MRINGo SE:WER, W.1TE.l?,
DRAINAGE: 'To -be'-rrrz:ie prior' to fil.-
Ur.g tren.cMs.
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UNDERFWOR PLUMBnlG & tfECHANICAL:
To bB mads prior to instal.lation of
{'Loor insulation 01' decking.
POST AND BEAN: To be rr.acic prior to
instaLLation of floor insulation or
Mcking.
ROUGH PLW!BIlJC, ELECTRICAL & MECH-
ANICAL: No ~rk is to be covered
untiL these inspections ~J~ beer.
made CY.d approve'::.
FIREPLACE: mar to plc.air.g facing
materiaLs and before framing inspec-
tion..
D PRA...!ING: Must os req'..L6sted after
approval of rough pLwrhin.fb eLectri-
caL & meahan.i.=aL. AU roOfing
bracing d ahimncysj et,;:. l1r.lst bs
,corrroLetod. No tJOrk is to be con-
, '" ceaied until this instlection has
. b6~ l1Klde and approved.
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INSULATION/VAPOR BARRIER INSPECTION:
To be made after aLL insuZ..::ti.::ln w.d
raquired vapor ba:rriers are in p laae
but before any Lath, gypsum boazod or
wZZ covering is appUed~ and before
any inauZation is conceaLed.
, DEUOl.ITION OR .~:OVED aUILDIilCS
==:J Sani~ sewer ~ap?ed ~t ~op~rty Lir.e
=:=J Septi~ tank F~ed and f~ll~d uith ;ra~8L
:J PinaL - Uhen a.b..."Ve ite.-:'Is are cC:i::3'Z.eted
.J ~ ..... .. "...
ar~ when. ~e~~~~~or. ~s compLste or s~~~-
tu.."'e moved and pl'rn3eS ~Le.;me:i up.
/
. Mobile Hc:r:es
~ Bloaking and Sat-~p
~ PLumbing aonnec::ions saJel' ar.d wa::er
~ ELectricaL Conneation - aLockir~j set-u;
--.J and pZwnbin.g conr.earion.s /7i,,;st 'te ~pr:Jt;ed
before requesting Brea:ri~aL inspec.;io~
:J Aa~essol"d 3uild~ng
:J E'in.aL - !.ft.:r ;:)rar.esJ ski-l'ti-ngj decl---sJ
etc. are comple::~d.
o
AU project aonditionsj ao.lc.1: as the instaLlari-on of stl'eer rr6es~ co.":,,!?Za:i.on of the
required landscc:pir..gj eta. j must be satisfied before the 8UILDIt,'G FI:1AL can be r3q'.J.8st.zd.
o FIliAL PWUBIIIG
o FINAL t.fEr:HAlIICAL
o FINAL ELECTRICAL
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FINAL BUILDING: The FinaL Building Inspection mu.st be requeated after the PinaL PZumbinq
Eleatl'icaLj and Meaha.r.icaL InspectionD havo been :r:ade and approved.
&
any
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DRYWALL INSP~CTrON: Tc be made
after aLl. d:PywU is in plaaej
but prior to any taping.
MASONRY: SteeL locationj boiui
beam3j grouting or verticals in
accordance with V.B.C. Section
2415.
;.tOODSTOVE: After instaLlation is
acmpleted..
*ALL MANHOLES AND CLEAl/OUTS MUST BE ACCES$IBLE~ ADJUSTt!E:IT TO BE M.1DE AT ;'/0 C:ST TO CI'I'Y I Page 1 of 2
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CURB & APP.r?OACH APRON: After> forms
are erected but prior to pouring
con..."'1'ets.
SIDEWALK & DRIVEWAY: For all con-
crete paving tJithin street right-
Of-tJC.':h to be made after aU e:t:ca-
vating c(7r("{JLete d [or:;r work & sub-
base rn::teriaL in place.
D
O I'ENCE: When. co.'7tPZ...te -- Provide-
ga~es or movabLe" sections through
P.U.E.
o
I JOB No.$301/~
I Zone:
L6t Sq. Ft;;.
S ,f wt CJ1Jerag<
!/ of Stories
Total Height
T""t'v:::..-""t'hy
SOLAR .ESS
OaCUL'a7lC1/ GI'OUrJ:
LOT TYPE
Interior
Corner
Panhandle
cut-ds-saa
ITEM I S~.FTG X Value I
I~k:in I I
Cc:foace I I
Cal':?ort I
Accessol'u
TOTAL VALUE
Is. D.C.
,va/'u~)
1.5 =
Building Permit
State SUJ'cha:rge
Total Cha:;oges
lITEM
I Firtures
!ResidentiaZ (1 bath)
I Semi tary SeIJel'
Water
NO,'
I
I
I
I
FIT
CHARGE
Plumbing Perd. t
seats Surcr.a.rge
Total Chc...."I't(]8S
lITEM
1,'0.
I
I
I
Res. 5(1, fta.
N~/Ertend Circui ts
I Tempo1'ary Service
:iP/lA~
I
i
I
I
I
10.00 I
.~Ol
/(}.l/O I-
I
I
I
I
I
FEE
CHARGE
Electrical Permit
St.=te Surcnar,u3
TotaL Chm>ces
ITZM I !lC. i Fr;'",
Purn:2ce ?TU'S
E=haust Hood I I
Vent Fan I I
I WOodSto"J8 I
I I
CHARGE
Permit Issuan.c6
Mechanic::! Permit
State Surcharae
Tota. 7. Charcum
I -- EllCROACHNENT --
Ise~~t1/ Davo3it
1 Storage
I Mai1'lter~.ce
Perrrrit
Total C1U:::l'aes
CUr.;cu:;
I
I
I
,20 I
I
I
Sidewa lk
J Pen::e
I EZectrical !.abeZ
r Mobile Home
I TOTAL ANOUNT DUE: ~
J!//).(IJL -
P~ge 2
REQ.-
.
L-COG-IJ:'
T;';rJe/Cor..at:
BedJtooms:
I Lot Faces -
I
I P.L.
INorth
lEast
ISouth
IWest
Rnerau Sour-ces
Heat
T""e
Setbacks
I House Caraae
I
I
Access.
Water Heate'"
Range
f~replace
Wood:; tot:e
I
II
Fees
Building Value & Permit
This pe:t'm"~t iD granted on the express condition tr.at the sfl'id. constr-...wtion
shall, in all respects, conform to the Ordinance adopted by the City oj
Springfield, incZuding the 2onir~ Crdinance, regulating the ccns~r""~cticn
and u~e of buildings, and m~y be suspended or revoked at any time upon vic-
lation of any provisions of said Ordir~ces.
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Inan Check Fee:
ICat. Pai.d:
IReadpt #:
ISig>:ed:
Plumbing Permit
No person shall construct, instal!, a~ter or change any ,..ezJ cr e=isting
plumbing or drainage system in ~hole or in part, unLess such person is tr~
legal possessor of a valid plu~ber/s license, except tr~t a person may do
plumbing work to property /Jhich is owned, leased or operat:ed by the appli-
cant.
I-
Electrical Permit
Where State LaJ.J l"equires t;.~t the electrical work be done by an Elecrncal
Contractor, the electrical po-rtion of this pemit shall r.ot be valid until
the label has been signed by the Electrical ~ontractor.
Mechanical Permit
-
PLan ExcJmner
vate
I HAVE CAREFULLY EXA!.fINED tJuJ complated application [or pe~~t, ~ do
hereby certify that all injo~ativn hereon is zrue and correct, and I
further certify that any ar.d all. work per.fo~ed 3h~U be do~e in ac~oI'-
dance with the Ordinances of the City of Springfield, and th~ ~8 of tha
.. State of Greg.:;n pzrt.:zining to the /JOrk desc!"'~bcd here~n, end that NO DCCr.!-
?J.NCY will be rTrld.e of any st!'Ucr.Ll'2 without p3rmiS3io:'l. of the 3ui!ding rr~-
vision. I further ~ertif;; that o~z.y contractors ar.d e:rrpwyees /Jr.o :::re in
compliance IJith CRS 701.QSE /Jill be used on this project
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