HomeMy WebLinkAboutMiscellaneous Miscellaneous 1990-3-9
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.. RESIDa.NTlAL"
APPLICA'l"'N/PERMIT
225 North 5th Street
Springfield, Oregon 97477
Building Division
726-3753
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Job Location: ~41 mlln 1~V\ tt
ASOeS80l"'S Map II
Subdivision:
T= Lot #
~U-L 6 +-hrm~~
~D-31 mtbliu-t?
~
amer:
Address:
City:
v
n
n
n
n
NmJ
Addition
Remodel
HobiZe Homo
/)-q-qo
Date of Application
Contractors
, General
, Plumbing
Hechanical
EJ,ec.trical . '.'
Supe~~~g Electrician
Phone: 1-f 'XC; - .:111 Lt
Zip: tJ;1t/o /
Describe rl'ork:
N ~ Wi'IftUlllYJ
Address
Value
.Lise. II
Bldrs Board Reg.
Pnnnp
Sigr.ed:
Date:
EXD:!.:ces
It is ths 1'6sponoibility of ths permit holder to Bee that aH inapections are made at 'ths propel' tim&~ t".at each .:ddres8 is l'oadabZe
from ths street, and that ths permit OaN is located at ths jran.t of the property.
.tBuitdin.g Divicior: appro'L'ed plan shazz. remain on ths Building Sit~ at all times.
PROCEDURE FOR INSPECTION RSpUEST:CALL 726-3769 (recorder) state your City designnted job number.. job address.. type of in3pBc~icn
requested ar~ when you wiLl be ready for inspection, Contractors or OWners name and phone number. Requests received befere 7:00 am
~~zz. be made ths same dcY:I requests made. ~~te.r 7:00 am r.1iZl. be made the next :uorking day. \:: /1 DrA /'::<. \')
" ", Y~ 'City' Desigr.atcd Job Numbsr Ia: ~--~/ 7 ~ J '"-I J( (/ 0
Reauipp.d rnsop-ct~r.rR
O SITE INSPECTION: To be made aft...
excavation:l but prior to set up of
forms.
O UNDERSLAB PLUMBING. ELECTRICAL &
: MECHANICAL: To bs mads before any
. wrk is covered.
o
FOOTING! FOUNDATION: To be mad.
after trenches are excavated and
forms are erected.;J but prior to
pouring ccncr6t~.
UND~Gl?OUND PLUMBING. SEWER, W.1TE.'?,
DRAINAGE: To be made prior to fi"l-
."l ir.g trenches.
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UNDERFLOOR PW/.fBING & MECHANICAL:
To be made prior to inata"ll,ation of
!toor insulation or decking.
POST AND BEAM: To be made p-rior to
installation of flool' ins""Lation 01'
decki,," .
ROUGH PLUHBIlJG. ELECTRICAL & MECH-
ANICAL: No work is to be cot:ered
,until these inspections have beer.
made and app1'Oved.
FIRE:PLACE: Prior to placir.g facing
material.s and before fI'alTting inspec-
tior..
D FRAJ!I!IG: Must be requeated aftel'
app1'Ov.:zL of rough plWibing, alectn-
caL & mechanical. Al! roOfing
bracing ~ chirrmcys:l etc. nr..lst be
:completed. !lo work is to be con-
."'" cec.led until thia inspection has
. be",:n made and approved.
o
D
D
DRYWALL IllSPECTION: To be made
after all drywll is in pZace:l
but prior to any taping.
O MASONRY: Steel location:l bo7ui
beama:l grouting or verticals in
accordance with U.B.C. Section
2415.
O WOODSTOVE.: After inatalZation is
ccmpleted.
o
D
CURB & APPROACH AP.WN: After- forma
a:t'e created bu.t priOl' to pouring
C01U!rete.
I DEUOLITIO!! OR NOVEV BUILDIilGS
:=J Sanitary Se:J6r aapped at ~oP&rt"~ lir:e
=:J Sepn:: tank p".c::ped and filLe~ r.ri.th JrG~fJl
I
:J Pinal - rVhen ab...-ve ite:ns are completed :
ardl when demolition is complete or stru~-
ture moved and pr;:mises :loaned up.
. Nobi Le Hcme8
=:J Blocking and Set-up
=:J Plumbing connections -- scwer and water
---, Electrical Connection - Blocking:l set-up
~ and plumbing connections nr~8t te approt:Bd
before requesting electrical inspection
=:J Ac::esaory BuiZCing
:J Final - AfttJr porcr.es:l skirting, decks:l
etc. a:t'e camplettJd.
o
All project conditions:l Du.ch as the installation of street trees, co~lation of tho
required Zandscc:pir.g:l etc':I must be satisfied before the BUILDING FINAL can be l'zqusDtad.
o FIliAL PLUI.fBIIIG
o FIliAL I1E~HANICAL
o FINAL ELECTRIC~L
I [J
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FINAL BUILDING: The Final Building Inspection must be requeated after the Final Plumbina
Electrical, and Mechar:.ical Inspectiona have been made and approv.:?d.
SIDEWALK & DRn'EWAY: For all con-
crete paving within street right-
of-IiKZY~ to be made after all exca-
vating ccmplete & foI'm tJOl'k &: sub-
. base matenal in place.
o
o
!'ENCE: Wher. compl~te -- Provide
gates or movable sections through
P.U.E. .
'ALL I1ANHCLES AND CLEANOUTS IfUST BE ACCESSIB&E, ADJUST/IEIIT TO BE I.HDE ~T 110 COST TO CITY I Page of 2
o
I JOB NO.
I Zone:
Lot Sq. Ftg.
Z .:Jf lot C~erag;;
fI of Stories
Total Height
I Topography
ITEM
, SQ.FTG
Main
Gc:r>aa~
I Caroort
IAcces80ru
TOTAG VAWE
Is.D.c.
(vciuC)
1.5 ;r:
Sui Lding Perrrri t
State SUraharoe
Total Cha.-ges
lITEM
I Fi:r:tuPes
Residential (1 bath)
Bani tarry Sewer
Water
Plumbing Perrr.i t
State Surcr.arge
Tota l Charaes
I ITEM NO.
'Res. So. fto.
I /lGlJ;&tend Cir""its
1 Temporary SlU"Vice
Electrical Peromit
State Surcharae
Total Charces
lITEM
I FW-na,ce ETV' S
Exhaust Hood
Vent Fan
WOodstOJJ6
Permit Issuance
Mechanical Permit
State Surcharae
To1;nl Cha:rm-!n
-- ENCROACHMENT --
I Sec-",ri t1! De003i t
I Storaqe
I Maint~e
j Pernrit
I
I Curb",,:
I Sidewalk
Total CharoDS
I Pen:::e
I Electrica l Labe I
t Mobile Home
I
I
I TOTAL AMOUNT DUE:"
rage ~
L-COG~
SOLAR ACCESS REQ.-
Occupancl/ Gre
WTTYPE
'NO.
/10.
x
FEE
FEE
FEE
Interior
Corner
Panhandle
Cut-de-sac
Value
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CHARGE
CHARGE
ClIARGE
j;5J)D I,
-.,
Type/Cor.st:
. Bedrooms:
II Enel'G,.l.( Sources
Heat
[ I Water Hp-atP.J"
I I Rance
I j Fil'fTOlace
I I Wood" tove
II
TUDe
I Lot Faces -
I
I P.G.
North
lEast
ISouth
If,est
Setbacks
House Caraae
l Access.
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Fees
Building Value & Permit
This pernr;t ia granted on the express condition that the sa"id construction
shall, in all respects, confonm to the Ordinance adopted by the City of
Springfield, including the Zoning Ordinance, regutating the construction
and use of bui~ings, and m~y be suspended or revoked at cr.y time upon vio-
lation of any provisions of said Ordinances.
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I Plan Check Fee:
I Date Paid:
I Recdpt #:
I Signed:
Plumbing Permit
No pereon shall construct, install, alter or change any new or ex~sting
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
plwnbing work to property which is cn.med, leased or operated by the appli-
cant.
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Electrical Permit
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Where State La1.J requires tr.at the electrical work be done by an Electrical
Contractor, the electrical portion of this pe1'f11it shall r.ot be valid until.
the label has been signed by the ElectM.cal ~ontractor.
Mechanical Permit
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Pl.an Examiner
ua.e
I HAVE CAREFULLY EXA.~NED the completed application for penmit, and do
hereby certify that all. info~tion hereon is true and correct, and I
f'.trther certify that any ar.d all work perfoMled shall be done in accor-
dance :.n.th the Ordinances of the city of Spnngficld, and th~ La-..:s of tho
State of Oreg~m pertaining to the work described herein, and that NO OCCU-
PANCY will be m:zde of any structura !.Jithou.t p~rnri88ion of the Building Di-
vision. I further certify that O:1ly contra~tors ar~ ~loyee8 who are in
compliance with ORS 701.05E will be used on this project
Signad
Date
CITY OF SPRINGFIELD
--' ...
City Hln
Sprlngfteld. Oregon
Development Services
OFFICIAL RECEIPT
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'.
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16232
f).l~ ffiUKl.-h q 19 qo
" Rec'd From Kmi e,,^ilS\rll\'1~V\
" Address '8lJ7 man I~Vl C:t
Received For:
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f{ln~Qmn +~ ~ f4/ J!5Ql.J
<{,~~ lYIo.rll~V\ &
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~mount Received -;Jj 15 t:$D
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AUTHORIZED SIGNATURE
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I', ,_ BUSINESS FORIol$. INC. lS03I:H2.1'f.I 10061