HomeMy WebLinkAboutPermit Electrical 1984-8-3
.
.. RESIDENTIAL"
AFPLICA':IO;,/!PERMIT
225 North 5th Street
S?~r4fieZd, Oregon 97477
BuiZding Division
726-J753
Job !.ac.3.:i.:m:
4\ Q \ l l6
A,IaesDoN ."'~ *
StJxJi:r.:.siCJ1:
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Ta: !.at 11
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Dsscr;os ~'ork:
(jJ{turl &~ ~0\~
R.zr.ro.:!d
,'!ob~l. ,~tr.:.,
Dat~ of .f.ppliea:icn
~n:r:c:orll'
CtmQl"aL
Plumbi1lg
Eldctr-::ccl ....
.'.fQ:har.ic:!
co",.tr-..lc'ti~ l..:ndq,.
A~'L
Va!us
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Siar.ed:
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Add...-es3
Date:
[.-:.;;c.,
~ircs
Phon~
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!: i.. ~he res?Crloibil.i::y of' ths peTT!'I"L:: itcUG" eo ace that al! irtDpections azoB r.:ade at :h/2 proper tim~J t."'.at ~h ::dtJres8 is 1'........:..,:.:
f'1'OnI tM strut. en:! thee tn. permi.t card i.s t..xated .::t the f1'C7'lt of th8 property.
.~ui!.di~..g jo;vi.:i.o:-: C?~:-ot:ed plan s;.~zz. rena~n on tr... Eu~Zdin!1 Sit.; at all timss.
?!~aC~!)fJ?~ :1;" mSp~t::'r9t1 R~C!eST.:CALL 726-3769 (rccol'd81'J state your City desifT"..::J.tea ,:'ob nur.-.bel'J Job ad.Zr:ssJ typs of in:;?Q::~icn
r3qUf!:Jccd cr-.a :..rhen .you :Jill. ae ready foT' ir.3pcctU:m.. Cont:ractc1'S or OlJrte:,s 11C1le otd Fhor.e 7tW'Zbcr. Bequii:s:s receil:ed ce;eT'. 7:00 ~
:."iU b. lrCae tM aCZ'r." Ct::iJ 1'equuts :ncde cjta' 7:00 t:7I /JilL b~ r:ruIe t.fuJ nc=t :JOrJci.":;' da-i.
'" .' r;"" Ci"'1'C..igr.ated Job Numbe Is: mOlt, L.q
~~"",'~:-"d I"~:'::";:~:::""l~
O sr;E I;"l$P~r:::J::: To be rrr:u!s
C'cGJ:"'J.:c:;,mJ .;ut prier ~ .u:
J~:J.
aftl1r
u? of
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I i]E.~.'C!LI';'IO.'! OR .~:Qv.:... .:"..:..........:.11'-':,
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tr.lD~PSr.A!l '?~l.:-'9r.'1r;. ~[,ZC':'_~rc.i!. ~
i~C.l;.,J:li.;,U,: ';0 De maD.1l befo1'lJ
wr.ic: ::8 :o'Jc!'cd.
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~!:lC ~ !'OU:.'D.1TI=.'/: To b. r:r:::c!s
aj':tilr :renc~Bs are a=cc:vatold ar.d
fcr:ns c.r~ ~1'ectold, but ;;r{..,r :c
pourir.g ccncree..
!r.!~"S:fC.~'j:r.!D ?~t::C;."'~, S?.;::.~. ::J.I:"!.:?J
DRA.;.-.I,;.t;Z: ro i;~ tU.:.e pMo1' ;0 ,;.'ii...
Ltr.g ;rer.c;..as.
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U,'JCE.~!':CC"q !'!.U.',~~.'G ~ .'~CEANrt;.:.!.:
':'0 be n:ac4 prt..;l' :.0 i"3t'.::LZ-.2c~on oj'
[1.001' iro81l.w:::icn 01' cu,,:i<ir.g.
MST .J.,'/T) 3r:.,'.{:
ur.~~L :~cs~ ir. ~ec:i
mt::Cs =r.d =::::::"7JC_.
Fr::F:?!.~I..~Z: mor:o ?L:::-:.r.:J
ma::"rw"" a.,..d ~cj'or" j'r::r.rirv;
tior-_
=eer.
.'c.::'r~
in8pec_
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'!'P...J."~I"'lr:: Mu:z: be reC".J.ol3t<2d a;"":oll'
c:;;:,rc1J~!. of r::7U~h pl.t.r.-.bir.g, ol!itctr-;..
cat 4 r.:ec;'.aJ1i.::~l. Al! :'Ooji"'1
b~c:-:.r.g 4 chimn.:ys, ,t:. r.r..cac ~e
COmolol:cd. ::0 wr< 'i:, :0 oe :::CI1-
. csc'!.d untiZ :l:i3 in.,rec:icn ;'.4,
. bc~ ma.:. tv'I.t:! cr'pralled.
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Fr,~'A!, F!~"\"3!::G
11:/;,[. :-!!=.~:I!CAl.
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.':'!:IA:' 3:JI:':JD"C: '!1:e F~naL 3u.il.dil".q !r:s;:ect'ion .~t: 09 reque:;tad .:f':o1'l" :n. Fin::l pr~bin;
E'!o1ccroi.:c:l.. and .l.fecnar:ic:::.1. Ir:spect:."n3 ..~O been l1IaCd ar.a c.pprootJ.d.
F!.'tAt. rZZ=:SI::.t.
c:n.~
O I!l5VLATTr!.V,IV4POR 3M?RIZR I.'.'S?~C':'!ON:
To be r.n.::.e after aU ir.sul.::ti.:m a:"'.a
. 1'cqu~red vapor ca:t"!"'iers a:re in p'Lace
eut cejors ar.y tai:hJ gyps-.Jr./ beard or
u::zLZ. coveM.1UJ is Cl?pl.i.edJ and befoT's
any ir..:r..lZaticn ~8 concealed.
:J Sarti. =aro;/ se-JfJr ~ec. .:t ~op=r~" U:,,:e.
:::JS . t' .z:d ,.,,-~ '.' ..
_ptt.: an.:c: P"oir.?... cr.: J~H~ lJ1.../t ~~Z~
=:J Fina1. - :/hen ci\.."'t18 i:c:J are c~Z.etc:d
. J ...... . - ~
~.a ~hen ~~L~..~r. La comf"ete or s...~.:.
ture maud. c::rtd pT'~3e8 eZeaned up.
I Noai. Le HC:i:es
:::J aZocking and S~t-:J.p
:::J Pl.wnbing connec::-::cn., 8:::Jtn' and wa:.a'r
:::J EZ.ecmc::.!. Ccnr.ect*'n - BZcckingJ se't-U?
and pl.umbin~ ccnr.~ct'ions nr...st ~e ~p1':;T:old
before Nlques::.r.g s!.ecmcal. ir.1l?llc=io:-:
:::J Ac::essor:,' 3u-iz..:~1'lf!
--, Fir..::l - I~ftcr J~~r.Qs. 8k:.1't;~r..gJ de::y..J1,
---1 etc. are c~~8=.d.
o
,HZ 'f1':;..':ec: car.di::{.;,r:8. .Juc.O: as :}o.e
Nlf.J.ired Zand:;cc:pir.;, ::::0., ..rouse :,e
~'-"S:.::z.z.C:i~l1 oj" s":reet ":1'e~s. :~!a:~ ot :4. I
sac:;sfiod b~lore c;.~ 3Ur!~I~G :!~AL ~an ~Q 1'2~.J.sst~d.
'A':':' :.!A.W!".:!." ',YO Ct."A..YO''':'." .'('/_t;"'. 3" 'C""S:-":)/':O 4" "''""':'"'0'':"''''' -0 3" ",cro ,f'" ..0 .....C""t" -0 r~v 1='........,
1'0 _ lJ._ "'- ....;..._ ...-.;...l...., .."..011,......_.... _ ... _ ....' ...J...1 ...._ ...:_
O DRY''/ALL INSP::CT!O.V: Te be made
after all. Crt'.oJaLZ is in place.
but prier to c:n.y tapirv;.
O ,\fASON/?Y: Stael Zocat-.:cnJ bo1ui
beam3, grou::ing OT' ver-:iccZ.s in
accordance tJi:h U. B. C. Section
241$.
O WOODSTon.. After installation is
1X.'11'pl.:.d. ~
o
COP.!J !: APPRCACP. A?~N: Aft.:- forms
are erear;ad out p1"'i.or eo pcuring
Xn...""1'ete.
SID~.IALi( d 'Rr.rtlA?: FCIl' all CC71-
creta paving IJithin shoect right-
of-IX.YJ to be ma.::ls aft.1r aU ezca-
vatir.g ccmpl.e:a & /()~ lo.Ork & ~uh-
bass mat:erial in pZa=e.
o
o
.eo::NC'S.o fr'hen ccrrrpl.te -- ?rovid~
gates or movable s6cti.cns tr.rou..gi:
P.U.E.
o
of 2 I
Job Number: 8LI 0 U '1 L .0
Zone:
: Lot Sq. Ft..
: ~ :Jt Zot C.::n;emg;:
1# of Stories
,
; TotaL Height
: ~"opography
! ITEM SQ, FTG
I
rMain
! Gc:rac; e
i
I Caroort
I Aceessol'lI
TOTAL VALUE
I /VCl.UC}
IS. D.C. 1.5:r:
Buildir.g Pernri t
State Sureharge
Total Cha:oges
I ITEIJ
I Fixtu:roes
I Reeidential (1 bath)
I Sanitary $etJ6l'
I Water
Plumbing Permi t
State Surcr.GI'ge
Tota l Cha.roaes
IntEM
I Res. So. fta.
I
III;;o.JfE:r:tend Circui ts
I
I T"'"Porary Service
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I
Ele~tl'ical Permit
State Surd1l11"qe
Total Charaes
lITEM
I Purn.::ce ETU' S
I E=haust Hood
I Vent Fan.
I W:Jodsto"Je
Permit I3suanca
Me::hanic:zl PeMrtit
State Surcha:t>cc
T"tal Charf7P-D
OCC1mancu Gr.
LOT TYPE'
Interior
Cornel'
NO. I FEE
NO'1 FEE
M
I I
I I
I NO. I FSE
ENCROACH1.fE....'T -.
Se~~ritq Dzoosit
StOl'aqe
I Mai71tena~e
I Pennit
Total C'haMCS
CuPbeut
Sidewalk
Ipe~e
Electrical Lahp.Z
MabUe Home
I TOTAL AMOUNT DUE:-
Panhandle
Cu l-de-sac
x
Value
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I rSDCJ
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II,S,DO
I .ld)
j J:5.Cd.J -
I CHARCE I
II
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CHARGE
CHARGE
.c!Jf)
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!O,~O
RefCl'er.ce ~umcel's:
I.-COC d:
.
T;;pe/Cor:st:
.
TilDe
Bedrooms:
I Enerau Sources
I Heat
, Watp.p qp-ntp.p
Ran.ge
Fi1'80 lace
wood:; tave
I f.ot Faces -
I
I P.I..
INorth
lEast
ISou th
IWe8t
I
I
I
I
...-- __oj
Setbacks
House I Cal'aqe
Access.
Fees
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Building Value & Permit
This pemr;t ia granted on the express condition that the said constru.ction'
8haZl~ in aZl reBpcct8~ conform to the Ordinance adopted by the City of
Springfield, incZuding the Zoning Ordinance, regutating the construction
and use of buildings, and may be suspended or revoked at c:ny time upon vio-
lation of any provisions of said Ordir.an.ces.
IPLan Check Fee:
I Date Paid:
IReceipt #:
I Signed:
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Plumbing Permit
No person shall construct, install, az,ter 01' change any neW or existing
plumbing or drainage 8YBt~ in whole or in part, unless such person is tr~
legal possessor of a valid plumber's license, except that a person may do
plumbing work to property which is otJnedJ Leased or operated by the appU-
cant,
Electrical Permi t
Where State W:t.J requires that the electricaL work be done by an ELeatncal
ControactorJ the 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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PLan Exc:nnner uar;e
I HAVE CAREFULLY EXANINED the completed application for pe1"l1titJ and do
hereby certify that a'lL information hereon is true and corrcctJ and I
further certify that any ar.d aLl work perfop:ned shatt be done in ac:!or-
dance with the Ordinances of the City of SpringficldJ and th:: La:vs of the
State of Oreg~n pzrtaining to the work described hereinJ and that NO OCCU-
PANCY witt be made of any structure without p3nniS3io~ of the Building Di-
vision. I further certify that only contraators ar~ ~loyees who are in
compliance with CRS 701.055 wi'll be used on this project
\n~d; ~;,?
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