HomeMy WebLinkAboutPermit Curb Cut 1982-1-15
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, RECEIPT # \."') '} X'} I
, -- RESIDEJIIIo, --
COMBINATION/APPLI~ibN PERMIT
erry 0.':' SPRINGFIELD
2~S :",'O.rmI SiH 57.'1EET
SPRI,'fGFIEl-DJ OREC-ON 97477
auiZdi~4 Divisi~
72S-J753
Job Location:
l0~f\S
"~ll1 -3;tOQT)
(j
[)JJ '*', tG
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QJn.r~~~l\C\o\L ~, \\)\~
--'i-1110 &-l
(0 A 0 .
Subd:.vt. sion:
.4.883S80l'S Uap II
!~.r-Oy -07" -;2...;S
AddroDS \ (\ ~ '\ CS
City ~h~ (1
'(J
I
n N.."
n Addi tion
n .qemod. .
Ta:: Lot N J It> /J1)
Phone
Nf)L/f0335
ql'}t.;1} I}
Zip
{)Qsczoi.bs Work
7o~M
c9rr 0.uRD Q..~
Co~tractors NarM
Address
GilMra1.
llilD0.l^-
Plumbing
!Zscmca1.
Ullc1raf~:i.caL
CCM~tion Lcndar
Usc>>
~!\,2Agcnt
E:r:p{.res
~.\~~
IJ ..
Phone 11-
REQUIRED INSPECTIONS
It is the responsi~iljty of the permit holder to see th3t al1 i~spections are made at the proper time, that each address is
readable from the street, and that the pe~mit card is located at the front of the property.
6 All manholes and cleanouts are to be adjusted at no cost to the City
o
SITE UlsprcrICN: To be made after
excavation, but prior to set u~ of
forT"..s.
o
o
UNDttStJ\B PLUMBIN13. Et!CTRICAL & 0
MECHANZCAL: To be made before any
work: is covered.
o
FOOTInG & FOUUDATION: To be made
after trenches are e::c:avated and
forms are erect~d, but prier to
pouring concrete.
UNDERGROUND PLUMBING. SrwER, WATER. 0
DRAWAGE: To be made prior'to fil-
ling trenches.
o
o
UNOtRF!.OOR PLUlmING ~ MECHANICAL:
To be made prior to installation of
floor insu13tion or decking.
o
POST & BtAM: To be r:ade prior to
installation 0: fl~or insulation
or ~ecking.
o
o
ROUCH PLUHB!NG. ELECTRICAL 6. MECR-
AMCI~L: Uo ~ork is to be covered
~these ins;ectior~ have been
. made and approv~.
o
FIREPLACE: Prior to placing facing 0
materials anc1 before fra.'Ding im.pe'.:-
tion.
WOODSTOVE5: After installation ~
is completed.
f'RAHI!{G: Must be requested after 0
approval of rough plumbing, electri-
cal 6. mechanical. All roofing,
bracing 6. chimoeys, etc. must be
completed. No work is to be con- 0
cealed until t~is iaspectio~ has
been made and approved,
CURB & APPROACH APRON: After forms
are erected but prior to pouring
concrete.
SIDEWALK & DRIvr~AY: For all con-
crete paving within street right-
~f-way, t~ be cade a~er all exca-
vating complete 6. form work 6. sub-
base materi31 in place.
INSULATION/VAPOR BARRIER INSPECTION,
To be made after all insulation and
required vapor barriers are in place
but before any lath, gypsum board or
wall covering is applied, and befC~_U
any insulation is concealed.
OTHER INSPEC'I'IONS: may be required
in accordance with Building Code,
to be indicatee in ;la~~ or by ~o-
tice from Building Inspec~or,
DRYWALL INSPECTION: To be mde
after all drywall is in pL:lce,
but prior to any taping.
MASONRY: Steel loc3tion, bond
be3mS, grouting cr verticals in
accordance with U.B.C. Section
2"'15.
All project conditions, such as the installation of street trees, completion of the
required landscaping, etc., must be satisfied before 'the BUILDING FINAL can be requested.
D FINAL PLUMBING
0 FINAL ELtCT~ICAL
0 FINAL MECHANICAL
?~ge 1 of 2
D
FINAL BUILDING: The f"inal Building Inspection must be requestod a:'ter ~he Final Plumbing
Elcc~ical, and Mechanical Inspections have ~een made and approved.
No occupancy of the premises C3n be made until the final Building Inspection has been
mad~ and approved, and a CERTIFICATE OF OCCUPANCY HAS B~~ ISSUED BY THE BUILDING DIVI-
SION ~~D POSTED ON THE PREMISES.
PROCEDURE FOR INSPECTION RE9UEST: Call 726-3769 (recorder)state your City designated job
number, job address, type or inspection reques~ed and when you will be ready for inspec-
tion, Contracto~9 or Owners name and phone numbers. ~equests received before 7:00 a.m.
will 'be ~Adc the sa~e day, r~quests made after 7:00 ~~l~~made the next working
day. YOUR CITY OESIGNA~EO JOB NUM~ER IS: ~)~( l--)I~~
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I JOB mJl-!EER
I ZONE
5 @OO::53
,
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P.::lge 2
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REFERENCE Nl'!!BERS
L-CrJr: if
OCCUPANCY C-ROUP
TYPE/CrJ"'ST~tJCTION
BEDROOMS
,
LOt Squars !'tg.
~. of r.at Covered
~ of StoM.68
fotal. ,qt1igh~
';'O?og:oap~y
Lot Ty?e
lr:teM.01" Lo~
Cor1tf!r I P.L.
par..handlel Not":h
Othgr Eas t
ISoo.J.th
I West
Setbacks
I:
I
f.' eotn, ~.r.": ,.
.' Ftg. C-azo::"3tl
.q,
!Sq. Ftg. Car;ort
ISq, Ft;!. A::::cflcso:-y
Sa. F<I;a.
ValU6
Faees:
I House '.ia1'!lf1E AaC",SJ I
I
I
I
I
FEES
I El~Brqy 5o:...;~es
I ~il11:
I ;:"atBr Hea.ter
I ,~a.nge
I Fool.
I
.~~'!"i~~C~8
;'o~.;, S;~",)a .
':'0.";:'
BUILDII/I) VALUE/PER!fIT
::
g
Th,ts permi. t is grarttStf on the e.rpr6&S c:mdi.:-::on ehat
the said construction shaU, in alZ res,;sau, aanfo-r.-::
to tlle O!'di:'lQr.~ss adopted by ths Ci.:-; o:~ Spl-:.ngfisld,
including tr.s Zoning Ordinance, reg-.i.tat-;ng -;i'.s ",on"
stro.lCtion and uss of lr",ildings, ani."!ay ~e B".i.B';:flr'.dsd
or rrJoksd a~ any time U?Qn violati~n of a7ri provi-
sions of "aid Ozodinancss.
z
-
z
::
TOTAL CH.4RGES
/
I
j
I
l'ZaPt CMak Fss
!Ja~e !'trid
Rcceip~ ,~
Pll'~t ~BB
/:;t::."tl/f S,D"f!"trf'"f1t:f.
IS~/stem Dltv~l.ceng"t Cht:u-:1lJ
11.5.:: Va!u:.
- I
PI,U/(lJING PERHIT
I NO:
fEE
CHARGE
~L-tuI-tz8
No pwsan shaH aonstruot, -::nst::ZZ, Cl:L~ar or chanJe
any nstJ or ~Bt:ing p'Lw:rbing or dr:::-jrags 8Y,:sm in
whet. or ir: part, unUS8 such peso'!: is -:ns ~.gal.
possessor of a vaLid plumber's 1.iesr.s., t%a'~t that
a pGrson may do ptumbing l..'01'k to prc,?sr~ tJ.:':~h is
or.mad. z.a.ed or opercrted by the ~E=t.
r/atsr Service
Sarti taro.J Stl'JtI1"
r
SUBTOT.4L
State SJaochaJ'ge
TOTAL CHARGES
I
I NO.
I
I
I
I
FE.
TOTAL CHAl/f:ES
rflunts Stat. Laz.t "quiZ's. that the .~.ct:-i.ca~ lJOrk b.
d01Ul by an Elactrical C'71ItraDtozol t;.,g .i.8Ct:"'":.caZ por-
tion of t1ri.s pumit shatt. not bs vaZid unti.~ eha 1a..
bot has been 3igned by the ~ZsctM.c.:;Z COntr--....1:or.
Th& n.cmaal Safsty LabJ does not requ~r. .:: ?,,'!"son
to obtain a liaens. as an 9 wetrici:::n ar.d.l:J!" tlLe,,-
meal CO"'ftra.ctor to nxzks an s14ctr..cal -::nB,:.:llation
on property ~hich ill or.mad by himse,( or a ".-.be,. of
his inmediau famiLy lUJri.ch is not -:..r:t~ed .-~;r sate,
lease or zoant.
s~. FootaDS
!/IN O't" E."':tsnsitm/Ci.~i t
T ...........~ ...... oJ Ct7.":Bt:!*u.a:ian
SUHTOTAL
set%t. Szaecharas
I...'~.
FIT
~!'1'If-'9'ftl'.c;
Ezhaust Hoed
Vmrt Fan
Wood StDvs/Heattll'
SUBTOTAL
Stata Sw-cha1"t1C
TOTAL CHARGES
I
i
I
j
I
i
I
I .NCROACHNE!/T
ISe~~ty Oeposit
ISt.?mge
IUainc1U%'ZCs
II''''''''t
I TOT:1L AHOU!lT DUe
I
I
I
I/Lf.lnL./.
q 0(,;)
PLan Emm:."'lBJ' Oats
I HAVE G.4REFUUY F::wtINf:D the completed appUcation for p""",t. and liD
-= her-aby aflrtify that azz. i1Iformat'i<Jn MrS07'l is trua and aorrfJet, and I
~ flao~her certifY that any and alt "",rk porf"""ed ehalt be ao.u, in """or-
t danae L1tih ths OrdinancflB of ehs City of Springfield, md the LazJs of tM
" _ State of Oregon pertaining to the "",,.k deecribed herein. and tha~ NO OC-
~ CUPANCY L1il.l ba nrIcUi of any si:r'.i.oturQ taJitkout permission of tM Building
: Division. I i".aotntll" all%"tify that only eon'tractors and en:ploytasB who are
_ in aompliance r.ri.~h ORS 701.0SS wilt. bs ussd on :hi3 proj6ct.
lc-...I1.beut
ISid"""'lk
I Ff!ncg
1,lect>ieaZ Gabel
I
',OTAL Al-lOUNT DUE
, , ' '! ~/~/,jJ h ~tLJ
c-iJ~ U J , A~ Division app1'O'Jed p!.a>l shalt r"""':n on the
W, ,_ ttmes.
f ~:
, -
~ - \&m
.. ua:;s
Bu1.ldt.ng Sits at all
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