HomeMy WebLinkAboutPermit Curb Cut 1990-5-17
~. .. RESID~T1AL"
APPLICATION/PERMIT I
225 North 5th Street
Springfietd, Oregon 97477
BuiZding Division
726-3753 '
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\ 'I()?R ( 0 1&1. \) T= I<>t # 01 ~if-Y-
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Job Location:
AS6eS80rs Map #
Subdivision:
o.mer: \)\)\ \t:1 (L,
Address: 4-0 L Q W \)
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Phone: '140 -Lo 177
Zip: ql~'1J
City:
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Describe fl'ork:
-2~
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Addi ticn
Remodel
Hobi Ze Home
Date of Application
Contractors
General
i Plumbing
l-lechanical
E),ectr:i.!:al
SupeFv~~~g Electrician
Addrp.ss
"Lise. II
Bldrs Board Reg.
Phonp
Rcae-:.pt ,it
: I'fT7l/)
I "
t.
Signed:
Date:
~IM )
- 0'. rr9h
ExP!:ces
It is the responnbitity of the permit holder to Bes that aU inopections are made at the proper ti.mE~ tr.at eaan .:ddress is readab!e
from ths 8treet~ and that the permit card is lccatBd at the front qf the prcper-ty.
-Building Divi::ion approlJed plan 8.haZZ remain 011 the Building Site'r:rt-aZZ--times.
PROCEDURE FOR INSPECTION RE.QUEST:CALL 726-3769 (rcc01'1derJ state your City designated job number, job address, type of inzpee;;icn
requested ar.d when you wiZZ be ready for inspection, Contractors or O/Jners name and phone number. Requests received before 7:00 am
.>iU ~e, made the same day. requests made..a~ter 7:00.~ ..n.U ~a made the n"",t wrking day. Q IV\ (" & / ~
.'. . Your C1-ty Des-r.gr.ated Job Nwrtber.Is: -l UJlO0~
Rp.~i~p.n Tn~n~~tinnR
O SITE INSPECTION: To be mde after
excavation, but prior to set up of
. forms.
O UNDERSLAB PLUMBING. ELECTRICAL &
, . MECHANICAL: To be made before any
work is covered.
o
FOOTING & FOUNDATION: To be made
after trenches are excavated and
forms are erected, but prior to
pouring ccncret.;.
D.
UNDSRGROUND PLUMBING.. SEWER. W.1TE.'t
DRAINAGE: To be made prior to fil-
.Ur.g trenches.
O ' UIIDF:RFWOR PLUMBING & ftfECBANICAL:
, To be made prior to instaLlation of
11001' insulation or decking.
POST AND BEAM: To be TT'.ade pr>ior to
installation of floor insu.lation or
decking.
ROUGH PLUMBING. ELECTRICAL & MECH-
ANICAL: No work is to be covered
'. ur.tiL these inspections have beer.
made and approved. .
FI.T?EPLACE: Prior to pLacir.g facing
materials and before framing inspec-
tion.
D FRAJ.1ING: Must be requested after
approval, of rough plwr.bing, electri-
caL & mechanicaL. AU roofing
bracing 8 chimneys, etc. nr~st be
;' completed. 110 work is to be con-
'" ....cealed until this inspection has
~be~n made and approved.
D
o
D
O INSULATION/VAPOR BARRIF:R INSPECTION,
To be made after all insulati:m ar.d
. . . required vapor barriers are in p laae
. ~ but before any lath, gypswn boaro or
, waZZ- covering is appLied, and before
'l71!'y in8ulation is concealed.
DRYWALL INSPECTION: To be made
after all d.rytJall is in place,
but prior to any taping.
O MASONRY: Steel location, bo1u1
beams, grouting or vertiaals in
accordance with u. B. C. Section
2415.
O WOODSTOVE: After installation is
ccrrrp"leted.
o
~B & APPROACH AP.ruJN: After farms
~ ;.~ erected but prior to pouring
corwre te.
SIDEWALK & DRIVEWAY: For all con-
crete paving within street right-
of-wc:.y, to be made after all exca-
vating complete & form work & sub-
. base materiaL in place.
D
D :'ENCE: When aompl.;te -- Provide
gates or movable sections through
P.U.E.
D
. DEMOLITION OR ;~:OVEJ BUILDIilGS
:=J Sanitary seuer eapped at p~op;;rt;'~ line
=:=J Septic tank v~~ed and filZe~ with gra~el,
:J Final - fl'hen above items are compl.eted :
and when demolition is complete or 8tru~-
ture moved and premises cleaned up.
Mobi le Hcmes
:J Blocking and Set-up
:J Plumbing eonnections -- sewer and lJater
---, Electrical Connection - Blocking, set-up
--.-J and pZwnbing connections rrr...st be approved
before reque8t~ng electrical inspection
:J Acaessol"';j Bui'lding
] Final - Aft:::r p~rcr.e8,
. etc. are completed.
,
skirting, decks,
D
All project conditions, Duch as the installation .of street trees~ co~l,ction of the
required landscc:pir..g, eta., must be satisfied before tr.e BUILDING FINAL can be requested.
o FIliAL PLUI<IJI/IG
o FIliAL MF:<:BANICAL
o FINAL ELECTRICAL
o
o
FINAL BUILDING: The Final Building Inspection /'TrUst be :requeated aftezo the Final, Plumbing
Electrical, and Mechar.ical InspectiornJ have been made and app:rolJ.d.
"AiL MANHOLES AND CLEANOlJTS /fUST BE ACCESSIBf,E, ADJUST;"fEU'I' TO BE ;,.:."DE AT NO ['~ST TO CITY I Page 1 of 2
.'"'"::1.... '"
I NO:~ ~ SOLAR ACCESS REQ.- ". L-COG~
JOB .. . A.
.. Occuoancl/ Gr.
I Zone: Type/Cor:st: Bedrooms: "\)
Lot Sq. Ftg. LOT TYPE I [,at Faces - II En2rGu Soupces TUDe I
Z :;f lot CJ/Jerag;; Interior I Setbacks I Heat I
I P:L. I House I Caraqe Access. I Water> .l/eatp.l' I ,
# of Stories Corner INorth I Range I
TotaL Height Panhandle lEast I I I Fireplace I
Topography Cul-de-sac ISou th I I I WOOd3 tove I
IWest I I II
ITEM
, SQ.FTG
Main
I Ga:ftaae
I Carvort
I Accessol'U
I
I
TOTAL VALUE
IS.D.C.
(VaLUe)
1.5 x
Building Permit
State SuI'chazoge
TotaL Cha..~ges
I ITEM NO'j
Fi.:r:tuPes
I ResidentiaL (1 bat/ii \ I
I Sani tapY Sewer I
I Water I
I I
Plumbing Perrr:i t
Etate Surcr.arge
Total CharGes
ITEM
I NO.,
I I
I ,
I I
Res. Sa. fta.
New/Extend Circuits
,
Temporary Service
I
Ele~trical Permit
State Su:t'cha:rae
Total Charces
lITEM I NO. FEE
Furnace ETU' S
Exhaust Hood I
I Vent Fan I
I Woodstove I
I
PeT'Trr'it Issuance
Mechanical Permit
State Surcharae
Tot:a I Cha700f'!9
I -- ENCROACHMENT --
I SeC-dM.t'l./ DepOsit
I Storage
I Maint~e
I Permit
Total Cha:l'Qes
ICurbout
I SidewaLk
I Fence
I Electrical Label
I Mobile Home
i
i
~4/
I TOTAL AMOUNT DUE:"*
x
Value
FEE
CHARGE
FEE
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I
CHARGE
CHARGE
I
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I I .
I) A .W
I
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Faes
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Building Value & Permit
This pernr'~t is gronted on th,e express condition that the s~'id constr>u.ction
Bhall~ in all l'espects, conform to the Ordinance adopted by the City of
Springfield~ incZuding the Zoning Crdinance, regulating the constr>u.ation
and use of buildings, and m~y be suspended or revoked at cny time upon vio-'
Zation of any provisions of said Ordir.ances.
I
I.
Plan Check Fee:
Date Paid:
Rec~ipt #:
Signed:
Plumbing Permit
No person shall construct~ instalZ~ alter o~ change any new or e=isting
plumbing or drainage system in whole or in part, unless such person is the
legal possessor of a valid plumber's license~ except that a person may do
plumbing work to property which is owned~ leased or operated by the appli-
cant.
l .
Electrical Permit
Where State La1.J requires t;..at the e lec"trica l work be done by an Electrica l
Contractor, the electrical portion of this permit shall r~t be vaZid until
the Zabel has been signed by the Electrical Contractor.
.
Mechanical Permit
.
PLan Exc:rrriner
vate
I HAVE CAREFULLY EXAJIINED th8 completed application for pe:rmit~ and do
hereby certify that all i...forrmation hereon. is true and correct, and I
further certify that any ar,d all work perfom/ed shall be do':1e in accop-
dance :.nth the Ordinances of the City of Springfield, and th;: L<r..;s of tha
State of Oreg:;n p~I'taining to the work described herein, and that NO OCCU-
PANCY will be Trade of any structure Without permission of the Building Di-
vision. I further certify that only contractors and empl:;yees who are in
compliance with ORS 701.055 will be used on this project
Sign2d
Date