HomeMy WebLinkAboutPermit Miscellaneous 1989-10-30
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APP[']CAT~PERMIT
225 North 5th Street
Springfield, Oregon 97477
Building Division
726-3753
Job Loa,tion: /(.p;J.CJ Mmr)'r(C/C1f"~
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Szwdivision:
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Address:
City:
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T= Lot # n I X O()
Phone:
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Addi tic>>
Remodel
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Value
Date of Applicaticn
.Contractors
General
i P I.umbing
r Hechan:i.cal
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Supet;v_1,."'8i"Qg ~lec t I"JC inn
Re~ip~4 I~r,np~tic~~
O SITE INSPECTION: To be made after
excavation, but prior to set up of
forms.
D UNDERSLAB PLUMBING. ELECTRIC,1L &
NECHtlNICAL: To be made befol'~ any
work is ~ovel'ed.
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FOOTING ~ FOUNDATION: To be roode
after tl'en(!hes Ql'e excavated and
forms are erected, but prior to
pouring ccncret~.
WWSRCROUND PLUM,']INC. SErIER. W.1TE,t
DRAINAGE: To be made pr'iol' to fil-
lir.g trenahee.
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UNDERFLOOR PLUMBING & MECHANICAL,.
To be made priol' to im;tallation of
f100r insulation or deaking.
POST AND BEAM: To be made prior to
installation of floor insklation or
decking .
[mUCH PLW!BUlC, EJRCTRTCAL ,lJ MEClI-
ANICAL: No tJOl'k 'is to be eOl.-'ered -
until these inBpections havtJ. been
made and approved.
FIREPLACE: Prior to plccir~ facing
materials and before framing inspec-
tion.
FHA/fINe: Mu.st be requeDted after
appl'oval of rough plwr.bingJ eZectl'i-
eal & mechanical. ALZ r'oofing
bracing & chimneys, etc. ~~st be
. completed. No 1J:Jrk is to be con-
, cealed until thin inspection has
. been made and apprOl..Jed.
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Signed:
Date}
Address
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Bldrs
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Board Re".
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Exp'ires
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INSULA'l'ION/VAPOR BARRIER INSPECTION:
To be made aftel' aU insulati:Jn ar>.d
required uapor bar'l'ier:; are in IPtace i
mtt before any lathJ gypsum board or
wall covering is applied, and before
any insulation is concealed.
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.:zddress is
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l'eadab:e
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It ia the reaponDibility of the permit hoLder to see that all inspections are made at the proper time, that each
J~om ths street, and that the permit card is located at the fl~nt of the property.
IfBui!ding lJ1:vi::ior: appl'ol.,'ed plan shc.ll remain on th;; Buildin[l ~-it;; at all times. I
P.70CEDUP.E FOn INSPECTION RE.QUEST~CAlL 726-3769 (recorder) state your City designate'd joll nUmber,
requested ar:d when you will be ready [or inspection, Contr>aetors or> Or.mers ncrne ~nd phone ,numb~r.
:.'ilL be made the same dcy, requests made, aft<r 7:00 am wilL be made the. next ~rr"il day. ,
. Your City Deaigr.uted Job Nwnb6r Ia:"""!' PS q,!./ ~4
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DRYWALl, INSPECTION: Tc be made
after all dl'Y1Jall is in pZaeeJ
but prior to any taping.
MASONRY: $'teel location, bond
bewmoJ IJl>outillg 01' verticals in
aceordance with U.B.C. Section
2415.
WOODSTOVE: After installation is
ccmpleteJ.
job addressJ type
Requests received
of in3pec~icll
befol>e ?: 00 ~
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CURB & APPROACH AP.o/JN: Afte:- forms
are erected but pl.iol' to pouring
.:!oncrete.
SIVJo:WADK & DRIVEIIIlY: Fop aU con-
crete paviwJ within street right-
of-wcYJ to bc made after all exca-
uating complete & fOI~ wol'k & sub-
base material in place.
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!:'ENCE: ~"Jer. (!omplcte n Provide
gates or mouablc sections through
P.U.E.
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O'f 'lLmLA~
. DEf.fOLIii6iJCJR :~,'6VEt; BUiiVIilGS
J] San.itary 8C'.Jer cappediat property l.fr:e
=:J Septic tank p~ed and fill2~ with gra~el
] Final - ({hen above items are completed
and when demolitior. is complete or st~u~-
ture moved and pr~mises cleaned up.
Mobile Hemes
=:J Blocking and Set-up
=:J Plumbing connections sewer and water
~ Electrical Connection - Blockir~, set-u?
~ and plumbing connections ~~8t ce appl'o~ec
before requesting elec~rical inspec;io~
~ Accessory Building
l~ Final - After p~rcr.esJ
~ etc. are completed.
skirting, decksJ
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All pl'o,j,;(:L e011dit'/mw, :weh a8 the -i.nstallation oj" stl'eet tl'ees. co.-:rplation of the
l'cquired Zant!!.wcpb,U, ctc'J must be satisfied befor'e the BUILDINC FINAL can be rzqu.eDtcd.
o FIt/AD PLUMBWC
D FINAL MECHANICAL
o FINAL EU.:CTRICAL
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PINAL BUILDING: The Pinal Building Inspection must be l'equeoted alter the Final Plumbing
Eleetr'i.cal, and Medzar.ieal InspectionD have been made and approval.
*AJJ, '.IMIJ/OJ,ES AND CLJ.:I1NOUT[;' .'!/J.',T np. ACCP.DS[BLF., AD.flJST!fEN'!' TO TIE MMJE l1.T NO C'DST TO CITY '1 P:1(W of::
I JOB No.8 q ( I fJ4
IZoM:
Lot Sq. Ftg.
~ of lot C"verag;;
# of Stories
Total Height
Topogrophy
SOLAR ACaSS
Occntpancy GI'~
WT TYPE
Interior
Corner
Panhandle
Cut-dc-sac
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lITEM
IMain
I Ccraae
I Carport
IAcoessorll
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SQ. FTG
x
Value
TOTAL VAWE
Is.D.c.
evat..ueJ
1.5 x
Bui Zding Pernri t
State Su:rcha:t'gc
Total Chn.:ogea
lITEM
FEE
CHARGE
NO.
Fixtures
Residential (1 bath)
1 Sanitary Sewer
1,.Jater
I
Plwnbing Perd t
State Surcr.arge
Total Charges
I ITEM NO'1
I Res. Sa. fto., J
I'N.;w/Extend Circuits I
I Temporary Ser>vice I
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FEE
CHARGE
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Electrical Permit
State Swooharqe
Total 'Charges
'lITEM I NO. FEE
Furnace ETU' S
Exhau8 t Hood I
Vent Fan I
I WoodstoiJe I
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CIIARCE
Peromit Issuance
Meohanical Permit
State 'Surcharae
Tota l Charaet'
-- ENCROACHMENT --
ScC"..fritl/ Deposit
Storage
I Maintenanae'
11 Permit
,I
II Curbcu;
'I sid_Zk
I P(J.1!oe
:l Electroical Label
II MOb.iZe Home
l ,);\'p - ( .I fY)
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I TOTAL AMOUNT DUE:'
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To ta 1- Cha'1"qcs
REQ.-
, L-COG-l';o
Bedrooms:
, I Enerall SoaraeG
I fleat
Aacc!1s. I 1 lvatel' !lrwtm'
I I Range
I I Fir'erlace
I I Wood" to"e
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T;/f'lC
Type/Cor.st:
I Lot Faces -
Sc tlxwkn
I P. L. I floww ~ Cm'age
1N0"tl1 I
lEast I I
ISouth I I
IWest I I
Fees \.\ .
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Building Value & Permit
This permit i3 granted on the express condition that the s!-id constructio'l
shall, in aU respects, conform to the Ordinance adopted by the City of
Spl.ingfieZd, 1:ncZuding the Zmting Crdinallce, l'e(/ulatillg the ccnst"1'ucticn
and use of buUding:;, and mc:.y be suspended or revoked at c./ty time upon vie-
lation of any provisions of 8a.i~ 01'dirl(:mces~~ \,
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I Plan Check
Date Paid:
IRecdpt H:
I Signed:
Fee:
Plumbing Permit
No pereon ahall C01Wtl'UCt, install, alter or change Gny new Cl' existing
plumbing or drainage syste:n ill isJhole 01' in part, unless s/.Ocil pel'son is the
legal possessor of a valid plumber's license, exc~)t that a person may do
plumbing work to property which is owned, leased 01' operated by the appli-
cant.
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I ,Whel'e State Law l'equil.es that the electl'ical lJOrk be done by an Ele~trical
) I Contractol', the electrical portion of this permit 81U1.LZ not be valid until.
I the label has b;;en signed by the Electl'ical ~Otltractor.
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Electrical
Permi t
Mechanical Permit
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PI-an ExcJ1/L.nel'
/.Jate
I HAVE CAREFULLY EXAMINED the completed application for permit, and do
hereby certify that all ir:fo::mation hereon is true and correct, and I
further certify that any ar.d aU work performed shaU be done in o.coor-
I ' dance with the Ordinances of the City of Springfield, and the Ltr..;s of tho
*. State of Oregan p~rtaining to the work described herein, and that NO OCCU-
I PANCY will be made of any structure without permi83ion of the Building Di-
vision. I further certify that o~ly contractors and e:npl"yee\s who are in
ca~pliance with CRS 701.05~ will be used on this project
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