HomeMy WebLinkAboutPermit Sidewalk 1982-9-17
.. RESlrt~HIAL"
APPLICATION/PERMIT
225 North 5th Street
Springfie~d, Oregon 97477
Bui~ding Division
726-3753
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SPRINGFlEl.C
Job Looation:
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\, IJ'33S37_
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A8GeS80rz Map #
Subditr":sion:
Ta::: Lot #
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Add2>essl n 8- f\. '-(A,,' U)l./ -
Cit'd' DnLJ rl NU
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i41o,,4fo&0
C/7477
P}-.orte .'
Zip:
DesoP":"be r.'orl<:
81
Remodel.
~~~
Addi ticn
/J\~
f
,~1obi Za HQme
VaZue
Date of Applicaticn
Conr:1'Qc:ojs' 1
Genera! l VLl ') //\ 0 A ./
Pl.wnhing
Electrical.
Mechar.ic.= 1..
Con3t~ction [endsr
Add.-ess
-- Lise. #
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Rcce-:':Jt ,ii.
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Date:
E;:::;il'<!s
Pr.onc
It is the responsibil.ity of ths permit hoLier to see that aZ~ inspections are made at :he proper tim€~ that each ~e8s is reaiCb:e
from the street, and that the permit card is l.vcated at the front of the property.
*Bui~ing lr~ui=io~ approved F~ shell remain on the Bu~Zding Sits at all times.
?!?OCSDUF!E FOR INSPECTION R~QUEST:CALL 726-3769 (recorder) state your City designated job nl.Q;';bel', job address, type of ir.:;?ec~icn
requested a:-:d when you tJiU be ready for inspection, Cont:1'actcl'S or <A.m:e::"s r.c:ne end 'p'.one number. Reques~s received opf'ore 7:00 ,::::;r
:,,'i~Z. be made the same dc.:y, requests mc:.de aft~ 7:00 a71 tJiz.L be made the next :.JOrkirig daY~.J C\ \ N ~ /1 (]
Your City Desiqr.ated Job Numba 13: r\ ()( ~ ~tD
_qR"lJ1:~pti T"'J}r"1/'f':prr._.~
O SITE INSPECTION: To be made
excavation, ~ut prior to set
forms.
o
after
up oj
UNDERSLAS FLUlmING. ELECTRIC~iL -1
NECH/dlICAL: To be made before any
work is ~01)ared.
o
F'OOTnlG ~ FOUNDA T ION: To be made
after trenches are excavated and
forms are erected, but prior to
ptr..aoing ccncretG'
UNDSRGROm!D PLUMBING. SE:WER. W.1TER,
DRAINAGE: To be made priot' to fil-
Zir.g trenches.
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UNDEHPWOR PLUNSfllG & MECHANICAL:
To be made prior to in3tal~ation of
~oor insuLation or decking.
POST .4ND BEAU: To be made pY"":.or to
installation of [7.001' ins~lation or
decking.
ROUGH ?LCP.1BI.'IG. ELECTRICAL _~ ."fECFl-
ANICAL: No ~ork is co be covered
ur.~il these inspections have beer.
made and approved.
E'I_=?EPLACE: Prior to p'lctr;r.g facing
materials and before framing inspec-
tior..
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INSULATION/VAPOR BARRIER INS?EXTIOtl:
To be made a;.-ter aa insul.:;t0n CJ".d.
required vapor harriers are in ~Zace
but cefore any lath, gypsum boa..-..d or
wU covering is apptied, and before
any insulation i3 concea~ed.
DRY''';ALL INSP~CT!ON: To be made
after al.l drywLl. is in place,
but prior to any taping.
O MASONRY: Steel location. bond
beam3, groutir~ or verticaLs in
accordance !..lith U. 8. C. Secticn
2415.
D WOODSTOVE: After inatal.Zation is
ccmpleted..
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CURB & APPROACH AP.r::Oll: Afte:, forms
are tJreated bu.t pI'iol" to POU1"";ng
oem.crete.
D
SIDgr";ALK & DRI!'EWAY: For al l. con-
crete paving within stre~t right-
of-wc.y, to b~ made after aU exca-
vating ccmplete d fo~ work & sub-
base iTaterial in place.
O .~NCE: Wher. compZ~te -- Provide.
FRAMINC: Nust be requeated after . 1 . '!..- h
........."'r"......,.Z ~ . 1 .. 1'. gates or :71ovao...e sect1.cns tru-cua.
~~~ vv_ 0; rougn p...Uff~~ng, 2...eCt~- P.U.E. ~
cia:z & mechanical. AU roofing fiJ
bracing d chimneys, etc. m".;.st be &~
. comp Zetcd. !lo work is to be con- '-.)\..J
, ceded until this insvection has' ' '!LL' c-y" 0 K..
. been ma.d~ and approved.
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I DF:UOLITIOH OR ;','OVE~ 3UILDI.X;S
~ Sani-=a:rrJ se~'er ::apped =.t p:.o?<;rt':/ Zir:.e
~ Septic tank P"....~~d ar.d f-:..lZed uith gra-~2Z
~ FinaZ - ~~en abcve it2~S are cc~lec~c
~ and when iemcZitior. is compZe~e or $t~~-
ture moved and ?r~3eS cleaned u?
Nobi!e Hc:'r:es
=:J BZocking
::J Plwnbing
::J EZectricaZ conr.ection ~ BZockir~, set-u~
end plumbing ccnr.t2ctions rrr.Ast =~ crpp!'a7J~c
before request:ng eZec=ricaZ ins~ec-=io~
~ Set-:J.p
connect:ons
sc;;-...;er ar.a wa-=dlZ'
~ AccessoI".:i 3ui7.d:l".g
I Fir'.al - Aft~r pl'cr:.es,
~ etc. ere ccmpte:~d.
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skil'tin.g, decks.
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All pl'oject conditions, 3uch as the {nstaZZation of street treeS, c~~Zec~on of che
required 1.andscapir.g, etc., must be satisfied before :he 3UILDING Fr.'lAL can be !'zq-..lest3a.
o FIlIAL PLUt.fBIlIG
o FIlIAL l1E:HANICAL
o FINAL ELECTJ?ICAL
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FINAL BUILDING: The Final BuiZding Inspection must be requested aft~r the Fi~l Plumbing
EZectrical. and Mechar.ical Inspections have been made and approved.
"'A&L MANHOLES AND CLEANQUTS HUST BE ACCESSIBLE. .4DJUST!!E,'/'!' TO 3E N.1DE i:T !lO C'']ST TO CITY I :J""~e 0 f 2
Pc:.ge 2
I JOB NO,cr;::J\~9- SOLAR A.ESS REQ,-
I Zone: Ocau'Danc?/ Graul}:
Lot Sq. Ptg.
~ ,jf wt Caveragi:
# of Stories
Total Height
Topography
LOT TYPE
Intel'icl"
Corner
PanhandLe
CUl-de-sac
ITEM
I SQ, FTC
VaZue
x
Nain
Gc:raae
Carver:
I
1.4ccesso!'u
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I
Is,D,c,
TOTAL VALUE
(VCl-UC)
1,5 :::
BuUding Permit
State Surcharge
Total C'h.a..:"ges
lITEM
I Fiztures
!Residential (1 bath)
I Sanitary Sewer
IND.
FEE
CHARGE
Water
PLumbing Perd t
state Surcr.arge
Total. Chat'aes
I ITEM
.'10.
FEE
CHARGe;
Res. Sa. fta.
N~/Eztend Circuits
Temporary Service
Et€::triaal Permit
State SlJ.1'~".arae
Total. Charces
IJ.-TSM
I F'urnace ETU' S
\ E=hauat Hood
I Vent Fan
I '
I Woodsto"Je
1.'/0' i
PES
CHARGE
Pemt Issuance
Mechanic~l. Permi t
State SUI'chc.rae
Total Cha:r'3e!1
tUCRCACHNENT --
Se~~rit:J Devosit
Storage
I Maintenance
I Permit
I Total. Charaes
CUrbcut
Sid_L~ iN.
I Pen:;e
I EZectrical Label
I MabUe Home
700
I TOTAL AMOUNT DUE:-*
?oo
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L-COG~
Type/Co1".8t:
Bedrooms:
I Lot Faces -
I
I P,L
INorth
rEnat
Sor.:.th
IWest
I I Enerau Sources
I I Heat
II
I I
: I
II
TlJoe
Setbacks
House Caraqe
AccesS.
ilt::.tel" Ho.r1tp1"
Rar!f;e
Fil'eol.ace
Wood~tot:e
Fees
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Building Value & Permit
This permit ia g~anted on the expl'ess condition that the s~id.~onst~~otion
shall, in aZl l'€spects, conform to the Q~dinar.oe ~dopted by the C~ty of
Sprinafield, ~ncZudina :ne Zonina crd:r~ceJ l'eaulc:ina tr.a ccnst~~cticn
and u;~ of buiZdi~~sJ~and mcy ce-suspended or l'~vokec ~c any :~me upon vic-
1.ation of any p~ovi3ions of said Ordir~nces.
I Plan Check
Date Paid:
IReodpt #:
ISi!j"ed:
Fee:
Plumbing Permit
No person ahall construct, instal!, alter or ahar4€ any new 01' e:isting
pl.umbing 01" dPainage syste:n in whoLe 01' in part, unless suoh person is the
legal posseSSOI' of a val.id plumber's lioense, exoept tr~t a person r.ay do
pZ~bing work to property which is ~~~dJ leased or opel'ated ~y the appli-
cant.
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Electrical
Permit
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Where State La1u requires tr.at the electrical wOl'k be done by an EZec:trical
Contractor, the eLectrical portion of this pe~t ahaLL r~t be valid until
the Zabel. has been signed by the ElectT'ical. ~ontl'actor.
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Mechanical
Permit
PI..c:n Ezcmt.~el'
I./ar::e
I HAVF: CAREFULLY eXAMINED the compLeted appLication fol' permit, and do
hereby certify that aLL info~ation hereon is true and cOl'rect, and I
f'..trther certify that any ar.d aU work pel'.foP"i'ted ahaZl be do:'1B in ac~or-
dance 'Jith the ordinar.ces of the City of Spp"'~ngfid.d, and the k..;s of tf:e
-* State of OregQn p$rtaining to the work described herein, end that NO OCCU-
PANCY wilT. be rrr:zde of any structure without pe1."rlt':'ssion of the 5uiZding rr:.-
vision. I furthel' cer'tify that o:'1ly ~ontra::tors ar.d e:rrpwyees who a-e in
compLiance with ORS 701.055 wiLL be used on this proj~ct
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