HomeMy WebLinkAboutPermit Electrical 1990-1-31
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.. RESIDEWiIAL"
APPLICATIO.RMIT
225 North 5th Street
Springfield, Oregon 97477
Building. Division
726-3753 .
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Job Loca.tion:
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6 \ f\fl~ ~ L\ ,':2y?-' ~
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Date of Application
:Cont.ractors
General
i Plumbing
fHechanical , /' f\
E~ectrical b\f\~~" YjlOrT1) I f;J 2-0-7-0"7-c.- "f:;"l.fLl~
Sl1pe"""-'8in.~ Electrician\! (A~~tf'~.v7 3..04j-.-L
.. It 1.8 the l"BsponoibiUty of thel p~t holder to BSB that aU inDpections ar'B made at the proper time.~ that ea.ch ~e88 is readable
f1'Otrl ehs street, and that the pornrit oard is located at the front of the property.
~Buitding zr~vi=ior. approved plan,shett remain on tha BuiZding Sits at all times.
PROCEDURE FOR INSPECTION RE.oUEST:CALL 726-3769 (rccor-dsp) state your City designated job nwnbel", job addlocss, type of in3pecticll
roequcstcd ar.d when you witl be ready for inspection, Contractors or Owners name and phone number. Requests received befere 7:00 ~
...'ill be made the awne day, request~ made a~ter 7~OO a'l'I will be made the next worki71f/ daY'(l '('\~
, Your City Deoigr.ated Job Nwnb.r Io: V"\D ,.A.J l ()
ASDe8Gorc Map
Subdivision:
- OJner: ~ ~f1 r J0
Address: \4 \ n \ C\o Q _ '( 0 <K
City: ~l N-(g-f) -
- r \ I.
n
n
n
n
NmJ
Addi ticn
Remodel
Uobile Home
Addre5;S
, -Lisc. II
Bldrs Board
. RP.f1U1:yopd r'.lIn,zl"{!t1:cl'l!{
D. SITE INSPECTION: To be made after
excavation, but prior to set up of
fol'TT/s.
O : UNDERSLAB PLUMBING. ELECTRICAL &
'. MECHANICAL: To be made before any
. work is ~ovcred.
D
FOOTING & FOUNDATION: To be nrule
after trenche8 are excavated and
fol'TT/S are erected, but prior to
pouring ecncret.z.
D
seWER. W.1TER,
prior to fi L-
UNDSRGROW-lD PLUMBING.
DRAINAGE: To be rrxute
Ur.g trenches.
D, UNDERFLOOR PLUMBING & MECHANICAL:
, To be made prior to inata~~at~on of
12001' inBuLation or decking.
O POST AND BEAM: To be made prior to
instaLLation of 11001" in8~Zation 01'
deckins.
D ROUCH PLUMBING. ELECTRTCAL & MECH-
, ANICAL: No work iB to be COL'el'ed
.ur.tiL these inspections have beer.
made and appl'oved. .
D FIREPLACE: Prior to pZacir.g facing
materiaLs and before framing inspec-
tion.
O FRANING: Must be requeated after
approval of rough plwrbing, electr>i-
.cal & mechanical. All roofing
. bracing t chimneys, etc. nr..lst be
/completed. No lJOrk is to be con-
,....,;..cBcled until thiD inspection has
.~~be~? made and approved.
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Taz Lot fI
Phone:
rvt b- 5D=)~
q/4l/ -
c
Receipt ,II
'SCJ7_ <..
--'
Zip:
Describe t\'ork:
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Va lue
N\A
Date:
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I -3 I -Lf ( )
D INSULATION/VAPOR BARRIER INSPECTION:
To be made after a~l insul~tion ~~
" required vapor barriers are in place
. .: but before any lath, gypeurn board or
, LXlll covering is applied, and beforo
. any i7l3ulation i8 concealed.
D
DRYWALL INSpeCTION: To be made
after aU. drywall. is in place,
but prior to any taping.
~SONRY: Steel location, bona
beama, grouting 01' verticals in
accordance with V.B.C. Section
2415.
WOODSTOVE: Aftel' installation is
completed.
R~A'
Expires
Phnnp
o
o
D
D
CURB & APPROACH AP!ION: Afte~ forms
are erected but priol' to pouring
a07ICrete.
6 -t. -t;o
14 ~(~9t?
? %7-1]'6 ~
SIDEWALK & DRIVEWAY: For all con-
crete paving ~thin street right-
pf-way, to be made after all exca-
vating complete & for.m work & sub-
, base material in place.
D PENCE: Wher. co.'11plete -- Provide-
gates 01' movable se~ticn8 through
P.U.E.
o
- ,'-
I DEMOLITION OR MOVED BUILDINGS
~ Sani"tary setJer ~apped at rn:.oP<Zl't~ lir:e
~ Septia tank p'~ed and fi lle~ fJi th ::11'Q~e ~
:J Final - r{hen above ite:rzs are completed
and when demolition is complete or 8tru~-
ture moved and premises aleaned up.
Mobile Hcmes
::J Blocking and Set-up
::J Plumbing connections sewer and wa"tel'
::J Electrical Connection - Blocking, Bet-up
and plwnbing connections rtr..lst ce approved
, before l'equesting elec"trical inspec"tion
~ Ac:':esSOl"d. Building
.'
:J Final - After porches, skirting, decks,
BtC. are completed.
D
All pl'ojeat conditions, auch as the installation of stl'eet trees, c~~lation of the
required Zandscapir.g, etc., must be satisfied bafore the BUIWINC FINA~ can be requestad.
o FIliAL PLUMBIIIG
o FINAL MECHANICAL
o FINAL ELECTRICAL
o
o
FINAL BUILDING: The Final Building Inspection must be requeated aftel' the Final Plumbing
Electrical, and Mechar:ical Inspectiono hava been made and approved.
*AU~ MANHOLES AND CLEANOUTS MUST BE ACCESSIBLE, ADJUST!!ENT TO BE M.1DE AT NO COST TO CITY I Page of 2
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L-COG-lJ.'
SOLAR ACCESS REQ.-
Occupanc~ c:e
LOT TYPE
JOB NO.
ZOrle:
Lot Sq. Ftg.
~ ~f lot CJVerag~
# of Stories
TotaL Height
Topography
ITEM
SQ. FTG
Main
Cc:raae
Carport
Accessoru
TOTAL VALUE
S.D.C.
Ivat.ue)
1.5 x
Building permi t
State Sla'charge
Total Cha......ges
Interior
Corner
PanhandLe
Cul-de-sac
x
Value
lITEM
I Fixtures
IR~sidentiaL (1 bath)
I Sarti tary Sewer
, Water
NO.
Plumbing Pern:i t
State Surcr.llI'ge
Total CharGes
lITEM
I Res. So. (ta.
IN~/EXtend Circuits
\ Temporary Service
I
NO. FEE
0.1-
I
Ele~trical Permit
State Surcharae
Total Cha:l'qes
lITEM NO.
1 Furnace ETU' S
I Exhau8t Hood
I Vent Fan
I wOodstove
Permit Issuance
Mechanical Permit
Stato Surcharae
Total Charaeo
__ ENCROACHMENT --
Isecur>itll Deposit
I Storage
I Maintenance
I Permit
Total Char(/os
Curbcut
I sidewalk
IFe~e
I Electrical Label
I Mobile Home
I'
I
I 'fO'i'M, AMOUNT
DUE:~
FEE
CHARGE
'-
1
I.
CHARGE I
1
, -(l!;) . ~c::/ )
FEE
(. /.::J
IAJ?>. iLJ3.
,
1
1
I
1
I
CIIARGE
a23&:o .
Type/Canst:
~
Ti'De
I Lot Faces -
I
I P.L.
INorth
lEast
ISouth
~West
Access.
Bedrooms:
EnrJrqy Sources
Heat
WatE?1" Hp.atp.1"
Range
Fireolace
Wood3tOtNl
Setbacks
llou88 I Caroqe
I
-- Fees
Building Value & Permit
This permit io granted on the B%prs88 condition that ths sa"id construction
shall~ in all respects, conform to the Ordinance adopted by the City of
Springfield, including the Zoning ard-:.nance, regulating the ccnstruction
and UDe of buildings~ and m:zy be sucpE?nded or revoked at cny time upon vio-
lation of any provisions of said Ordinances.
.
I.
I Plan Check Fee:
I Date Paid:
IReedpt U:
I Signed:
Plumbing Permit
No person DhaZI construct, install, alter or change any nE?W 01' existing
plumbing 01' drainage system in whole 01' in part, unless such person is the
legal possessor of a valid plumber's license, except that a person may do
plumbing work to property which is owned~ leased 01' operated by thE? appli-
cant.
Electrical Permit
Where State La.'J.) requires that the electrical oork be done by an Electrical
Contractor, the electrical portion of this pe~it shall r~t be valid until
the label has been signed by the Electrical Contractor.
Mechanical Permit
1
I .
P~an E:rcm1-ner
va..
1 I HAVE CAREFULLY EXAMINED the completed application for"permit~ and do
1 hereby certify that all infonmation hereon is true and correct, and I
further certify that any am all work perfom/ed shaH be done in accor-
'dance :.Jith the Ordinances of the City of Springficld~ and the LiLJa of tha
A State of Oregon p~rtaining to the work described herein, and that NO OCCU-
PANCY f.J1ill be rtrlde of any structura without permission of the Building Di-
vision. I further certify that tr.1ly contractors and e:rrployees fJho arB in
camp~iance with ORS 701.055 f.J1ill be used on this project
Sign3d
Date