HomeMy WebLinkAboutPermit SUB Sanitary Sewer 1988-9-12
.. RESID.ENTlAL"
APPLICA./PERMIT
225 North 5th Street
SpringfieZd, Oregon 97477
BuiZding Division
726-3753
Job Location: I ~ 3n M t':lA.~
AsoeBaore Map # I ( 0 3 ;::;( <') "0 ::2-.
Subdivision:
<A.mer: "B i II
Address: I <6 :::,~
City: ~'f~~
1'Vu- cl t"" c1
Y'v\~ L~
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Ne;7.l
Rcce~pt ,iI.
12..3/ '=
T= Lot # 0 "5'</.00
-~ r,"ii:t,\
Pr..one.' \..}
Zip: Q7V77
Describe rlhl'k:
Addi ticn
~n-^f~
~ ~~ JU .
Remodel
Nobile Hom3
Date of Application
Contractors
Genera l
P!wnbing b YCJ......,,,-,,<J...-.. G.,.,.,,)
Electrical
/4echar.ic.::.l.
Construction Lender
Value
Addres3
:~112.""> Q\l... ~"_~
~ ..v. \4-cb....
.
:J rldvu-fJ
-O/Z
~30\
(I I j
[/117
Signed:
Data:
c;. <2J~
'i-/2-'-87'
I
Lise. #
Expires
Phone
35C?89
falser
'N:1o 55'54-
It is the responsibility of the permit hoLder to see that all inGpections are made at the proper tim~~ that each ~6B8 is l'oadabZe
f1'Orrl tho street, and that the permit card is located at the front of the property.
~Bui!ding Divi~ion approved plan sheZl remain on the Bu~lding Sit~ at all times.
PROCEDURE FOR INSPECTION RE;QUEST:CALL 726-3769 (recorder) state your City designated job nlo:-:ber.. job adire8s.. typa of ir.:;pac:ic1l
requested ar.d when you will be ready for inspection.. Contractors 01" Owne~s ncme end phone number. Requests recei~ed beforG 7:00 ~
:..'iZl be Trade the Bame dcy.. l"equests made aft~ 7:00 am will be made the next :.xJrking day.
.q~t1J1':~I-"tJ. Ttl~r)J~(!t1:mJR
O SITE INSPECTION: To be made aftel"
e:rcavation.. but p1"iOl" to set up of
fo1'fTls.
O UNDERSLAB PLUI.fBIIIG. ELECTRIC,lL &
MECHANICAL: To be made before any
work is aovared.
o
FOOTING & FOUNDATION: To be TrKlde
after trenches are e:rcavated and
forms are erected.. but prior to
poul"ing ccncret,z.
CJ
UNDERG.rKJUND PLUMBING, SSWER. W:1TER.
DRAINAGE: To be made prior to fi 7.-
l ir.g trenches.
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UNDERFWOR PLU/.1BING & MECHANICAL:
To be made prior to instalLation of
j100r insuZation or decking.
POST AND BEAM: To be made prior to
installation of floor ins~Lation or
decki11fj.
ROVGl! PLU.'1BIl-!G, RLECTRICA!' I: MECH-
ANICAL: No work is to be covered
until these inspectior.s have beer.
made and approved.
Fr.r~EPLACE: Prior to pZacir.g facing
materia la and before framing inspec-
tior..
FRAI1ING: Mu.ct be requested aftel'
approval of rough plwr.bing.. ~lectri-
cal & mechanical. AU roOfing
bracing & chimneys.. etc. ~~st be
compl.eted. No 1.XJrk is to be con-
, cealed until this inspection has
'been made and approved.
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~ FIlIAL PLU/.!BIIIG
Your City Desigr~tcd Job Number Is:
O INSULATION!VAPOH BARRIER INSPECTIOII:
To be made after al.l insul~tian ~4
.. required vapor barriers are in place
but before any lath.. gypsum board or
wall covering is applied, and before
any in3u'Lation io concealed.
DRYWALL INSPECTION: Tc be made
after aU d:rywl.l is in place,
but prior to any taping.
O MASONRY: Steel. l.ocation.. botul
beams.. grouting or vertical.s in
accordance with U.B.C. Section
241E.
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WOODSTOVE: After i1U3tal.lation is
ccrrrpleted.
8808/1
DEl.JOLITIO!! OR gOVED EUILDIj.~CS
~ Sani :ary Se'.Je1' ::!apped ~t p:..op&rty Zir;o
~ Septic tank p:.i.!yed and fil.l.<!d LJith gra'Jel
:J Pinal - ({hen ab...--ve itc.-ns are cC:1Tpl.eted
and when demolition is compl.eto 01' 8t~~~-
ture moved and pr~7oi3es cloaned up.
I Nobile Hemec
::J Blocking a1Ui S2t-~p
::J Plumbing connections scwer ar~ Water
::J Electrical Conr.ection - Bl.ockina, 8et-u~
and pl.umbing conr.ections nr~st t~ appro~ed
before requesting eZectrical. inspoctio~
::J Accescol"d Sui lCing
:J Final. - /lfter p:Jrcr.es.. skirting, decks,
etc. are comple:cd.
o
All project conditions, such as the installation of street trces, c~lPl.otion of the
required landsccpir:g.. etc... must be satisfied before the BUILDI/.'C FIllAL aan be r3questsd.
::J FIliAL IJE::HAIIICAL
::J FINAL ELECTRICAL
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FINAL BUILDING: The Final Buil.ding Inspection must be requested c::fter tIle Pinal PlumbinJ
Electrical.. and Meahar.ical. Inspections hava been made and QPprov~d.
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CURB & APPROACH APRON: After forms
are crected but prior to pouring
.::oru:rote.
~ALL '.fANHCLES AND CLEANOUTS !JUST BE ACCESSIBLE, ADJUST!tENT TO BE gADE /'.T /.'0 C~ST TO CITY I Pa!~c 1 of :1
". . ", ..., -..~..... ...~'. .! . . ~ ... .
D
SIDEWALK & DRIt'EfYI.Y: For aU con-
crete ptIlJing within street right-
of-way~ to be made after all exca-
vating complete & fo~ work & sub-
base material in place.
O PENCE: r..'her: complete -- Provide.
gates 01" movable sections through
P.U.E.
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I JOB NO.
I Zone:
Lot Sq. Ftg.
S of lot Coverag<
11 of StoNes
Total Height
Topography
L-COG";'
SOLAR ACCESS REQ.-
Occupanc1( Gl'~
WT TYPE
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lITEM
I Main
I Gc:race
I Carvol't
I Accessol'u
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I SQ.FTG
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TOTAL VAWE
Is.D.c.
(VCLue)
1.5 x
Bui Lding Permi t
State Surcharge
Total Cha::'gea
lITEM I liD. ; FEE
Futures
Residential (1 bath) I I
I Sani tar>y Sel.Jel' 60/1
I Water I
I I
Plumbing Perr.:i t
State Surd",apge
Total Charoes
I ITEM
I Res. So. fta.
!Naw/Extend Circuits
!TempOl'ary Service
I
I NO'1
I I
I I
I I
FEE
EZe~tl'ical Permit
State Sup~ha.rqe
Total Cha..rces
lITEM i NO., FEE
I Furnace ETU' S
E:::haust Hood i I
Vent Fan I I
I I I
IlI00dstO"e
I I
Permit Issuance
Mechanical Pel'rrrt.t
State Surc}1c.'r'OC
Tn-tal CharGes
-- ENCROACHMENT --
I
I SCC".l1'it1( DeDo3it
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I Storage
i Maintenance
,
i Permi t
Total Chal'oas
Cu:rbcut
SideLJalk
Pen::e
Electrical Labe!
MobiZe Home
TOTAL AMOUNT DUE: ~
x
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~/
Interior
Corner
Panhandle
Cul-de-sac
Value
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vo.aol
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CHARGE
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I d.O.oO
I I. DO
I ~(.(50
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CHARGE
CHARCE
(Jb
-
I Lot Faces -
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I P.L.
INorth
lEast
IScmth
IWest
, Bedrooms:
I EnerGu Sources
I Heat
Access. I Water lJp.atf?P
I I Range
I I FireD lace
I I Wood:;tove
II
TUDe
Type/Cor.st:
Setbacks
House I Carage
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F2es
Building Value & Permit
This p~rnr;t is granted on the express condition that the said construction
shall, in all respects, conform to the Ordinance adopted by the City of
Springfield, including the Zoning Cl'dinance, regulating the ccnstr-.4cticn
and use of buildings, and m:.zy be suapended or revoked at cr.y time upon vic-
lation of any pr"visions of said Ordir.ances.
,
I Plan Check Fee:
I'Date Paid:
RecfZipt H:
I Signed:
Plumbing Permit
No pereon shall construct, instal!, alter or change any neW 01' ezisting
plumbing or drainage system in ~hole 01' in part, unless such person is the
legal possessor of a valid plumber's license, except tr~t a pe~son may do
plumbing work to property which is owned, leased or operated by the appli-
cant.
~
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Electrical Permit
Where State Law requires tr~t the electrical work be done by an Electrical
Contractor, the electrical portion of this permit shall not be valid until
the label has been signed by the Electrical Contractor.
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Mechanical Permit
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1 I HAVE CAREFULLY EX~~INED the compZeted application for permit, and do
I hereby certify that all info:>mation hereon is true and correct, and I
, further certify that any ar4 all work perfo~ed shall be done in accor-
I dance ~th the Ordinances of the City of Springfield, and th~ UT~s of tha
* State of Oregon p~rtaining to the lJOrk described herein, end that NO OCC!J-
P/:NCY will be rmde of any struature without permis3io!1. of the Building lr~-
J vision. I further certif~j tr.a.t only contractors and e:npZ"yees t,;i:o are in
I compliance with ORS 701.05E will be used on this project
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PLan Examiner
uar;e
AdlIl~
9-/z-rr
Sign~d
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Date
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