HomeMy WebLinkAboutPermit Electrical 1984-5-28
.. RESI~T1AL"
APPLICATION/PERMIT
225 North 5th Street
SpringfieZd, Oregon 97477
BuiZding Division
726-3753
.
Job Location:
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ASGeS80r3 Map #
Subdivision:
ctmer:
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n Ll_llU f - ,\n J'V\ P
Address:
City:
QNm'
n Addi ticn
n Remodel
n Habite Home
Phone: 1LJl,p - (04~to
Zip:
Describe fl'ork:
lli~ '1>~
Date of Application
Contractors
';-)~-N
Va lue
Address
General
Plumbing
Electrical () I \ )1\.1 ~. R
l1echar.ic::l
Construction lender
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Sigr.ed:
Date:
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Lise. #
Exvil'CS
Phone
It is the responsibility oj' ths pennit holder to 8S6 that all. in.a:peations al"e made at the proper timt:~ that ecch .:ddrOS3 is l"ea.daJ:J:e
f"l'Om ths street, and 'that the permit caN is located at the front of the property.
*Bui!ding Divicior. apprclt,'ed plan shaU remain on tha Buildinp Site at aU tUnes.
PIlOCED{IP.E FOR I~,~_PF,.'!l'TON R.t;all~'CALL 726-37~ccol'del') state yOUX' city designated job number" job addrcss" type of in:;p9c~icn
l'aqucstcd ar:d when you wiZZ be ~b ...."'- ".-~F~n" Contractor's or OIJne:>s name c:.nd phone number. Requests received befere 7:00 <::t
,,-'ill be made the same day" requests mGde after 7:00 am will be made the ncxt :.JOl'king day.
~403'7R
R~~Jit~~ Tn?~n~t~r.~~
O SITe INSPECTION: To be made after
excavation" but pnor te set up of
fol"ms.
O UNDERSLAB PLUMBING. ELECTRICAL &
MECHANICAL: To be made before any
work is ;Jovcred.
o
FOOTING & FOUNDATION: To be made
after trenches are excavated and
fol"ms are erBcted" but prior to
pouring acncret~.
UNDSRGROUND PLUMBING. SEWER. w'4TER.
DRAINAGE: To be ma:ie prior to fil-
li7".g trenches.
D
o
UNDERFWOR PLUMBING & NECHANICAL:
To be made prior to installation of
floor insulation or decking.
O POST AND BEAN: To be made prior to
installation of floor insulation or
decking. ---:?': .-> .'\
~UGH PLU'-mIl}~~Jmv & /ofECH-
ANICAL: No wo...~c covered
,until these inspections have beer.
made and approved. .
O FIREPLACE: Prior to placir.g facing
materials and before framing inspec-
tion.
O FRA/.~ING: Must be requeated after
approval of rough plwrbing" electri-
cal & mechanical. All. roOfing
bracing & chinmcys" et;:. nr..lst be
; completed. No lJOrk is to be con-
. ... cealed until thio inspection has
-b6~n mad€ and approved.
Your City Deoigr.ated Job NUmb€l' Ia:
O INSULATION/VAPOR BARRIER INSPECTION:
To be mde after aU insul:::.t-0n a:".d
.. required vapor barriers are in place
. . but before any lath" gypswn board or
r.xzU covering is applied, and before
any insulation is concealed.
DRYWALL INSPECTION: Te be made
after all drywall is in place"
but prior to any taping.
O MASONRY: Steel location" boiui
beams" grou ting or vertica ls in
accordance with V.B.C. Section
2415.
o
D
WOODSTOVE: After installation is
rxmplet~d.
DEUOLITIOH OR ;~:OVE[J BUILDIi.lGS
=:J Sani~ se'.Jer aapped c.t p~op~rt':i lir:o
:=J Septia tank p-.A.yed ~ fiZZed uith GTa:1a~
:J Final - flhen above ite,ons are cc.m;letcd
ar~ when d~litior. is complete or Bt~=-
ture moved and premises aleaned up.
Mobile Hemes
::J Blocking and Set-~p
::J Plumbing connections scwer ar~ water
::J Electrical Connection - B~cking" set-up
and plumbing connections nr~st be apprQ~ed
before requesting electrical inspec~io~
=:J Ac;:essory Building
:J Final - Aft~r PQrcr.es, skirting, decks,
etc. are completed.
o
All project conditions, ouch as the installation of street trees, c~~lction of the
required landscc.pir.g" etc." must be satisfied betol'e the BUILDING FINAL can be l'equest.zd.
D FINAL PLUMBING
o FINAL NEcHAIIICAL
~ FINAL ELECTRICAL
o
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PINAL BUILDING: The Final Building Inspection must be requeoted aftel' the Pinal Plu:nbing
Electrical" and Mechar.ical Inspections have been made and approved.
o
CURB & APPROACH AP.WN: Aftezo forms
are erected but prior to pouring
oorwrete.
SIDEWALK & DRItlEWAY: POI' all con-
crete paving within stre€t right-
of-way, to be made after all exca-
vating complete & for.m work & sub~
base material in pla:1e.
~ALL MANHOLES AND CLEANOUTS HUST BE ACCESSIBLE" ADJUST/fEUT TO BE /.tADE AT NO COST TO CITY I Pa~e 1 of 2
o
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PENCE: When complete -- Provide
gates or movable sections through
P.U.E.
D
IZ:~:B No.I)7A031BOc:~a~"RG_ESS
Lot Sq. Ft{;.
S :;1 lot CatJerag~
!I of Stories
TotaL Height
Topography
lITEM
I Main
I Garaee
I Carvort
I ACC6S801'U
I
I
, SQ.FTG
TOTAL VALUE
Is.D.c. 1.5 x
'vaLUe)
Building Permit
State Surcharge
TotaL Cha.~gee
ITEM ,NO'1 FEE
I Firtures
I ResidentiaL 11 bath) I I
I Sarli tary SeUJel" I I
I Water I
I
PLumbing Pe=< t
State Surcr.arqe
Total Charaes
lITEM I NO'1 FEE
I Res. Sa. fta.
I Naw/EXtend Circuits I i
I Temporary service I ,
State Supcharqe
Total C1u:U'CBS
lITEM
NQ.
Purna.ce ETU'S
Exhaust Hood
I Vent Fan
I JlOodsto<Je
I
Permit Issuance 0
Mechanical Permit
State surcharor.
Totf'll ChaT>OF!tJ
-- ENCROACHMENT --
Se~~tv Dep03it
Storage
I Maintenan.:J6
I Permi t
I
I Gurbcut
I SidewaLk
I Fence
I Electl'ical Label
I Nobile Home
Total CharQcB
" ,\-~
I TOTAL AMOUNT DUE:-
WT TYPE
x
FEE
Interior
Corner
PanhandLe
CUr-de-sac
Value
ClIARGE
CHARGE
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CHARGE
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t \O.VD I-
REQ.-
L-COG~
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II
II
II
Ii
II
II
T;"'Pe/Cor..st:
Bedrooms:
I Lot Faces -
I
I P.L.
INorth
lEast
Sou th
IWest
EnBr-(1:; SOUI'aes
Heat
TlJ'Oe
Setbacks
. House I Carage
I
i
I
I Access.
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Water Ht?atp.rt
Range
Fire'Olace
wOod:;tolle
Faes
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,
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Building Value & Permit
This permit is granted on the express condition that the said construction
shattJ in all respectsJ conform to the Ordinar.ce adopted by the City of
SpringfielAJ incZuding the Zoning OrdinanceJ regulating the constr>uction
and use of buildingsJ and ma.y be suspended or revoked at any time upon vic~
lation of any provisions of said Ordir.ances.
I Plan Check Fee:
I Date Paid:
IRecdpt #:
I Signed:
Plumbing Permit
No person ehatt cGnstructJ instaZZJ alter or change any new or existing
plumbing or drainage system in whole or in partJ unless such person is the
legal possessor of a valid plumber's licenseJ except tr~t a person may do
plzm:bing work to property which is O1JnedJ leased or operated by the appli-
cant.
Electrical Permit
Where State Lo:J.J requires tr~t the electrical work be done by an ElectPical
Contractor., the electPical portion of this permit shall not be valid until
the label has been signed by the Elec~cal Contractor.
Mechanical Permit
PLan Exannner
va".
I HA VE CAREFULLY EXA.J.fINED ths completed application for permitJ and do
hereby certify that att inforrmation hereon is true and corrcctJ and I
!'.J.rther certify that any ar.d att work perfoP.7led shall be done. in accor-
dance :uith the Ordin:::rnces of the City of SpringfieldJ and th~ La-..;s of tha
State of Oregon p~rtaining to the work describcd hereinJ and that NO OCCU-
PANCY !.Jill be rrrzde of any structure !.Jithout parmission of the Building Di-
vision. I further certify that only contractors ar~ employees who are in
c~pliance with ORS 701.055 will be used on this project
(fSi~~ ~~!
"-, 5- Zg ,81
Date