HomeMy WebLinkAboutPermit Electrical 1990-6-14 (2)
.. RESleNTIAL..
APPLICATION/FERMI'l'
225 North 5th Street
Springfield, Oregon 97477
BuiZding Division
726-3753
.l 0 'I _ (\ \ tJ,.\~ \.;I~)I_)1 Qot.,;>
\ "nt\~Q~~ ~Lot # 0f\C\CYj
Job Location:
Assessors Map #
Subdivision:
. SPRINGFIELD
6wne~ ~ \ (\ \r\f\ )\ c\. ~ \" U\t\..) '\\-\ nc\ l'LCill
Address: 4 \.ot\:, f\ C}. _ ~ Ph~:
City' ''xf I. (\!"t&\~ f", ) (1;;\ II cr Zip' ql41 'K
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Describe f>'or7<:
Addition
01+
Remode Z
UobiZe Home
. . ,:\.:~I()~qO-
Date of Application
Contractors
, General
.' P,lumbing
i H~chanical
! E~ec,trical.r1W MV _
StlPe~a.n~1g Electrician '
- ~ .
VaZue'
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Rece~pt #
\1'3~1~
I'
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1
(DO). ....'"
((')- Iq~( /
Expires
Address
" -Lisc. ' II
Bldrs Board Reg.
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It iB the respon8i-biZ~ty of the permit holder to Bee that aZZ inspections are made at the proper tim€~ that each ~ess is readabZe
from the Btreet~ and that the permit oa:L'd iB 1.ocated at the front of the property.
~Building Dividor: approved pZan s,haZZ remain on the Building Sits at aZZ times.
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PROCEDURE FOR INSPECTION REQPEST:CALL 726-3769 f:recorder) state your City designated job nwnber, job address, type of inspectien
requested ar.d when you wiZZ be ready for inspection, Contractors or Owners name and phone number. Requests received before 7:00 am
r..'iZZ be made the same day, requests made after 7:00 am wiZZ be rrrzde the next wrking day.
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Reaui~ed Tnsvections
--,: SITE INSPECTION: To be made after
~ excavation, but prior to set up of
, .forms. '
O :' UNDERSLAB PLUMBING. ELECTRICAL &
, MECHANICAL: To be made before any
, work is covered.
"
O FOOTING & FOUNDATION: To be made
, after trenches are excavated and
forms are erected, but prior to
pouring concrete. .,
0, ,UNDERGROUND PLUMBING. SEWER. WATER)
! ,DRAINAGE: To be made prior to fiZ-
.zir.g trenches.
0:' UNDERFWOR PLUMBING & ME~HA~ICAL:
, 'To be made prior to instaZZation of
{Zoor insuZation or decking. ',. , ,
O POST AND BEAM: To be made prior to
instaZZation of {Zoor inslOZation or
decking. .
G1_ ROUGH PLlP.1BIllG. (fLECTRlcA); &MECH-
~,ANICAL: No wor~? ~: ~ covered
,untiZ these inspections have beer.
made and approve.:!. '
D FIREPLACE: Prior to pZacir.g facing
materials and before framing inspec-
tior:.
D FRAMING: Must be requeDted after
approval of rough pZumbing, eZectri-
caZ & mechaniaaZ. An roofing
bracing & chimneys, eta. TTT'..lst be
:' comp Zeted. No work is to be con-
, ,,~:ceaZed untiZ thiD inspection has
~been made and approved.
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Your city Desigr.ated Job Nwnber ID:
--, INSULATION/VAPOR BARRIER INSPECTION:
~ To be made after aZZ insuZatum cr'.d
, required vapor barriers are in p Zace
: ,,(, ': but before any Zath, gypswn board or
, : . , ' waZZ covering is applied, and before
';' ',' any insuZation is conceaZed.
D DRYWALL INSPECTION: To be made
after aZZ drywall is in pZace~
but prior to any taping.
O MASONRY: SteeZ Zocation, bond
beamD, grouting or verticaZs in
accordance with U.B.C. Section
2415.
D WOODSTOVE: After instaZZation is
compZeted. ,
D
o
CURB & APPROACH APRON: Afte-ro forms
are ereated but prior to pouring
concre te.
SIDEWALK & DRIl-'EWAY: For aZZ con-
crete paving within street right-
pf-way, to be made after aZZ exca-
vating compZete & fo~ work & sub-
, base materiaZ in pZa::!e.
"
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DEMOLITION OR ,',JOVED BUILDINGS
=:J Sani tary se'..Jer ::!apped at p:.opert"~ Ur:e
~ Septi::! tank p~ed and fiZZe~ with ara~eZ
--, FinaZ - f>'hen above items are compZeted
~ and when demoZition is compZete or strua-
ture moved and premises ::!Zeaned up.
. Mobi Ze Hemes
=:J BZocking and Set-up
=:J PZumbing connections --'sewer and water
~ EZectricaZ Connection - BZocking, set-up
~ and pZumbing connections TTT'..lst ce approved
, before requesting eZectricaZ inspection
~ Ac::!essol"d Bui Zding
--, FinaZ - After parches, skirting, decks,
~ etc. are compZeted.
D
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AZZ project conditions, such as the i,nstaZZation of street trees, cO::7pZetion of the
required Zandscapir:g, etc., must be satisfied before the BUILDING FINAL can be requested.
D FINAL PLUMBING
D FINAL UECHANICAL
CE:r FINAL ELECTRICAL
'0
FINAL BUILDING: The FinaZ BuiZding Inspection must be requested after the FinaZ PZumbing
EZectriaaZ, and Mechar:icaZ Inspections have been made and approved.
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o
D
FENCE: When compZ;;te -- Provide'
gates or movabZe sections through
P.U.E.
~AL-L MANHOLES AND CLEANOUTS MUST BE ACCESSIBLE, ADJUST!!ENT TO BE MADE liT NO COST TO CITY I Page 1 of 2
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JOB NO.
I Zone:
Lot Sq. Ftg.
Z of ~ot Coverage
1/ of Stories
Tota~ Height
Topography
I
I ITEM SQ. FTC
Main
Ga:raae
I CarlJort
I Accessorl/
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TOTAL VALUE
S.D.C.
(va.~ue)
1.5 x
Bui"lding Permit
State Surcharge
Total Charges
lITEM NO.
I Fi:rtures
I Residentia~ (1 bath)
Sani tary Sewer
Water
P~wnbing Pern:i t
State Surcr.arge
Tota~ Charaes
ITEM
Res. Sa. fta.
I New/Extend Circui ts
I Temporary Service
I
E~eatrica~ Permit
;.. .
State Suraharge
Tota~ Charqes
lITEM
furnace ETU' S
E:::ha:us t Hood
Vent Fan
I '
I Waodstove
I
Permit"'Issuance
Meahanica~ Permit
State Surcharae
Tota~ Charaes
-- ENCROACHMENT --
Se~~ritl/ Deposit
Storage
Maintenanae
Permit
, I Total Charaes
I Curbcut
I Sidewalk
I Fenae
I Electr>ical Label
I Mobi le Home
I
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TOTAL AMOUNT DUE: *
SOLAR ACCESS
Occupancy cr~
LOT TYPE
FEE
NO.
FEE
~+
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NO.
FEE
Inter>ior>
Corner
Panhandle
Cul-de-sac
X Value
CHARGE
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l,,~ t ,
CHARGE I
\1
c-OtJ .09
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I L~
I cY~.41~1 *
ClIARGE
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- -".... -
REQ.-
L -COG-11
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Type/Cor.st:
Bedrooms:
Enerc/!! Sources
,
Heat
Water Heater>
Range
Firep~ace
Woodstove
T1;De
Lot Faces -
, ,
P.L.
Nor>th
East
South
r';est
Setbacks
House Carage
Access. I
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Fees
Building Value, & Permit
This permit is gr>anted on the expr>ess condition that the said construction
sha~~, in all respects, conform to the Or>dinance adopted by the City of
Springfie~d, including the Zoning Crdinance, regulating the construction
and use of bui~dings, and may be suspended or revoked at a.ny time upon vio-
Lation of any provisions of said Ordir~nces.
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Plan Check Fee:
Date Paid:
Recdpt #:
I Signed:
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Plumbing Permit
No per>son'sha~l construct, insta~~, alter or> change any new or> existing
plumbing or> drainage system in who~e or in~part, un~ess such person is the
~ega~ possessor of a va~id p~wnber's ~icense, except that a person may do
p~wnbing work to pr>oper>ty which is owned, leased or oper>ated by the app~i-
cant.
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Electrical Permit
,Wher>e State LaLJ r>equir>es tr~t the e~ectr>ica~ wor>k be done by an E~eatrical
Contractor, the electrical por>tion of this permit shaZZ not be va~id until
the ~el has been signed by the E~ectrica~ Contractor.
Mechanical Permit
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Plan Examiner
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I I HAVE CAREFULLY EXANINED the completed application fOr> permit, and do
I hereby certify that aZZ information hereon is tr>ue and eorr>cct, and I
. further certify that any ar.d aZZ work per>formed shaZZ be done in'craaor>-
f danae with the Or>dinances of the City of Springfield, and the [,a;,;s of the
* State of Oregon pertaining to the work described herein, and that NO OCCV-
I PANCY will be made of any structure without permission of the Building Di-
vision. I further> certify that only contraators ar.d enployees who are in
compliance with ORS 701.055 wi~~ be used on this project
uate
Date
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