HomeMy WebLinkAboutPermit Electrical 1990-7-3
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,.. ,'. .. RESI'~T1Al"
A PPLICIt 1 "!'tJ1!PERMIT
225 North 5th Street
SpringfieLd, Oregon 97477
BuiLding Division
726-3753, .
Job Loc:Jtion:
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: Ad<bo...: \~?J\ l1)\9..D.J'{\Jl-t) Phons:I'f\\Q ~4Crt
: City: ~~ ~ (1\)1 \ ;\\lXu Zip: C('l4ll
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Value V \ ~
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n .~Iobile lloma
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Date of Applicaticn
Contractors
. General
: Plumbing
I Hechunicul/f\
I E~~ctri.!"al( ~ tf\ 9
I Sllllet;~ntl;ir."I~ Electr:ician
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Siqr.cd:
Date:
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Acldre~R
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Bldrs lIoard I(ec.
Phon",
YOUl' City DODigr.atcd Job Number Io:
O INSULATION/VAPOR HAURIER INSPECTION:
To b. made aftel" aU insulatian a!".d
'. raqu.-:.rod vapol' bCU"l"iel"s aro in plaoe.
but beroN any lath~ !PJpSW1I board 01'
wll covering is applied~ and bsfoJ"O
any inoulation io concealed.
O DRYWALL INSPECTION: To bo mado
after all drytJall io in place~
bu t proiol' to any taping. .
O MASONny: Steot location, boiul
beamo, g~tina 01' verticals in
aocordanco L1ith U.B.C. Seotion
Z41S.
O JIOOOSTOVr., After instellation is
ccmpZeted.
o
~unB & APPROAC/I AP.WN: Aftel' fomlS
are oroated but prior to pouroing
.:xm"l"8to.
SIDEfIAl.X .( "DRIl'F.1!I.Y: For all con-
oroote pavina within streot right-
of-LJC.Y~ to bo made aftel' aU e%oa-
"vating oompleto & fonm ~rk & Dub-
base tmterial in pla~e.
I~XPi"('(~S
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It ia the roaponaibility of tho pe~it lwtder to 888 that all inopections are ~da at the propsr tim~~ that oac'l ~ddresD is
from the streot, and that the pormit oard is located at the front of the properoty.
"Yui!di!1!J Ditli::ior: approl,.'cd plan shall remain on tha Bu-:..ldin!1 Sit:: at all times.
P.7OCEDUP.E FOn INSPECTION I1!'OUEST~CALL 726-3769 (l'ccoroe,.) state your City deai!Jn:zted Job nun:ber~ Job cu!d.Jocss, typo of in3poc~iclI
requcsted ar.d w};en you Ll'iU be ready for inepootion, Contraotoros or Qmors ru:me and phons number. R.qu08ta r"ooi1JN before 7:00 C':I
Io.~U be made th,: Bame day~ roquests made after 7:00 am L1it.l be made the nat :.xJrkin.J day.
J!J:m!i,.,..1f, r'1J'l1"J",.tir...v~
O SITE INSPE:C'TION: To .be mado aft.,.
ozoavati:on, but prior to B.~ "up of
fol'ftls. .
O UNOERSLAB pLI:~mINC. r.Lr.cTRICAL &
. /ofECHJI.YICAL: To be made bolor" any
work iB iJotJcred.
o
FOOTING & FOUNDATION: To be ".,de
after trenches: are e%catJated and
forma. are e,.octed, but prior to
pouring ccncret~.
U.YDSRGROU.YD P~UMSINC. SEWeR. W.iTE.q.
DRAINAGE: To be roode prior to fil-
Zi,..g trenchet:.
D. UNDr.RFWOR PW/.!BI.YG & MI:CIIANICAL,
To be made prioJO to inatal.Zation of
floor insulation or dockin!J.
O POST AND BEAM,. To be ma5iOJO to
installation of floor: SI.: tion or
deoking. ~
G. flQUGIJ Pf.ll.'!/JI{JC. .!r.F.CTRTCllr. of MECI/-
. ANICAf~: No tJO is to be tiered
ur.til these in pection aue boor.
made and appro
O FIREPLACE: PM.or to pZccirJ) facing
materials and befozoe {raming "in8peo-
tion. .
O FRAMINr."~ Nuat be roqueated after
appro""l of rough plwr.bing. al.ectri-
oa~ & mechanical. AU roofi"IJ
bracing & chimneys, st.::. must be
,completed. No LlOrk ie to be con-
, ee4!~ Mnm .thin ingpGgnar. /lag
'l;c~ IiiCidll arid approuia.
o
o
O !'ENCE: When campZ.to -- Provic!e
gates or movable sBctions through
P.U.E. .
o
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qtO~~y;
DEI./OLITIO!l OR /.lOVED BUILDINGS
~ Sani~J seuer :tapped at p,,::,pcrty l.ir.o
:=J Ssptia tank po_cd and fillad with ilra,.l ,
] Final - '~en abouB items are completed
and ~hen demolition is oompl.te or Otru3-
turo moued and prmsos cleaned up.
Nobile Hemes
:=J Blooking and Set-up
=:J Plumbinil connections -- SCWD2" and IJater
'I Eleotrical. Ccnn.otion - Blooking, set-up I
~ and plumbin!1 connoctions nr.Jst I:e app1'Ol,.',d
before l"8questing elec~"":cal i"8pac~io:1
=:J Ao.?essoro,i Build~na
] riMl - AftDr r:;)rcJ:es~ akirtin!1, duoks,
eto. are c(X7Ipletcd.
o
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All projeot conditions. duch as the instaLlation of atroet trees. C~LDt'O" of thi
required i.-;...ds-:t;;ir.g, etc. ~ must be satiefiad bcforoe t1:tJ BUILDINC FINAL .can be 'l'squtJ8t:rd.
o FIliAL PWMDIIIG
o FINAL NEe/IANICAL
~;AL r.U:CTRIC/.L
,
o
FINAI,iJUILbING: The Finel Building Inspection must be ..squeeted after tho Final PlU1llbi/l.3
Elcafrical~ and MBohar:ical Inspectiono have beon mad. and app'l'Ou:td.
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.Af.T. UMmer.F.:: AN" r:r.F./I"Nour:: }f1l.':T m: ACCF.'!J$IlfLF.', AtJJlJSTm:NT TO m: 1-L1m: AT NO r~lST TO Cf'!'Y I fl:l!1r ! of.'! I
I JOB No,C{('['J:;d SOLAR AC;CESS
Zone: - Occupa"C~
Lot Sq. Ftg. LOT.,r::'
S "f lot C.:J1)erag~ . Interior
!f o{ Stonos C01'7lor
Total Heiuht Panhandle
Topouraphy CUI-de-sao
I
lITEM
I Main
SQ. FTC
Ca.7:'rlae
Caroo.ot
I Accessol'11
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I
Is.o.c.
TOTA& VAWE:
el}a'UC}
1.5 :t:
Bui~ina Permit
Sta td SUJ"charge
Total ClllJryJea
11TE:M
I FUtU1'08
I Reeidenticl (J bath)
I SanitaJ"Y SebJel'
I Water
Plumbing Penr.i t
Stat. Sw-cl-.aroge
Total Chal"l1DS
NO.
x
Value
FE:E:
CHARCE:
IITW
I Ros. Sa. (tn.
I Now/Ertend Circuits
I TemporCU"y Service
E1..eatrical Permit
State Surcha.rae
Total Cha'N;OS
lITEM
I Furmce !!TU' S
I E:hauot Hood
I Vent - Fan
I J/3odstorJtI
I
.,. p~t la8u~a
"Nechanical P6rmit
Stato SurcharatJ
Tntnl CharottO
-- E:NCROACHHE:NT --
I SeC"J.n t'" D2'OO3i t
I Storaga
I H:1in tenal1ee
Permi t
Total ChaMCS
Cu1'bcu~
I Sid_Ik
1.f1t!n3t1
I E:lectrical Lobel
I !lobi I. Hom~
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IWVI"Ar. AIV'I/U''1' Otll".,4 .'
NO.
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NO.
FEE
CHAHCf:
J S p:..;
\5,e:o
, Y) '"
1'6,00
FEE
CI/ARCE
. -.,~ -
REQ,-
L-COC"'"
.
0'
~
Bedrooms:
Tyve/Cor.at:
I Lot Facee -
I Setbacks
I P. L,' House earage
INorth
~a8t
Sou th
West
I I f:ner({!1 SOUMOS
I I !leat
Access. I I Water .'Inatpr
I I Ra"Ue
I I Fircplace
1 ' Woods tove
Tlli"e
-- Fees
Building Value & Permit
This pennit iD granted on the O%preos oondition that tl,o said construction
shall, in all respeots, conform to the Ondinance adopted by the City of
Spnnafield, including the Zoning Ordinanco, regulating the CC1fotru.zticn
and UDe of buildings, and I1I3Y b,c suopended or revoked at cr.y time upon vic-
lation of any provisions of said Ordincuices.
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Plan Check Fee:
Date Paid:
Rec~ipt H:
ISigned:
Plumbing Permit
No pereon ohall construct, instaL!, alter or chango eny neW or- o:::iating
plumbing or ~inage system in whole or in part, unless such peraon is the
legal possessor of a valid plumber-'s license, e:tcept that a peraon may do
plwnbing lJork to property which is OlJned, leased or operated by the appli-
, cant.
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Electrical Permi t
Where State Law requires that the electrical work be done by an Electrical
Contractor, the electrical portion of this permit shall not be valid until
the Label has been oigned by the Electrical Contractor.
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Mechanical Permit
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'VI.Wl I:::rann.ner
,,,,,e
r IIAVE CAREFULLY EXAMINED the completed application for permit~ and do
hereby certify that all info:ma.tion hereon is truo and oorreo,t, ,and I
further certify that any ar.d all work pe'l'fol"med shall be do~ti in aocor-
dance with the ordinanoea of the City of Sprinafield, and th& La-..;s of tho
State of Oroeg>Jn p~rta.ining to tho work described herein, and tllat NO OCCU-
PANCY will be mde of any Btructur~ IJithoi.lt parmis3ion of the Building Di-
vision. I further oertify that o~ly contra"tors ar.d e:npz.,yet>s w1:o are in
compliana~ with ORS ?Ol.0~5 will be used on this projeot
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Permit No: q f\{)2 3'><
Address: \ ~0 \ J)l 0 n [)('Vt t ;
Issued by: r7\J ryn.._ ) Date: 1J!3.I9()
STATEMENT:
INFORMATION NOTICE TO PROPERTY OWNERS
ABOUT CONSTRUCTION RESPONSIBILITIES
Note: Oregon Law, ORS 701.055(4), requires residential building permit applicants
who are not registered with the Construction Contractors Board to sign the
following statement before the building permit can be issued. Licensed Architect
and Engineer applicants, exempt from registration under ORS 701,010(7), ne!ld
not submit this statement. This statement will be filed with the permit.
Fill in the applicable blanks, and initial box 1 and either box 2A or 2B:
1,~
I own, reside in, or will reside in the completed structure.
2. A. L-..J My general contractor is
Contractor registration number
I will instruct my general contractor that all subcontractors who work on
the structure must be registered with the Construction Contractors Board.
OR
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B. LJLI I will be my own general contractor.
If I hire subcontractors, I will hire only subcontractors registered with the
Construction Contractors Board. If I change my mind and ao hire a general
contractor, I will contract with a contractor who is registered With the
Construction Contractors Board and I will immediately notify the office
issuing this building permit of the name of the contractor.
I hereby certify that the above information is correct and that I have read and understand
the Information Notice to Property Owners about Construction Responsibilities on the
reverse side of this form.
_ _ A :-J!.n~
ignature of Permit Applicant
7-3-or~
Date
CONSTRUCTION CONTRACTORS BOARD
0244J 10/24189
\)V\I--J
~- COPY TO ISSUING AGENCY PERMIT FILE
COPY TO APPLICANT '
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