HomeMy WebLinkAboutPermit Miscellaneous 1990-12-21
62'-' " .. RESIDaJTIAl"
~. APPLICAtfIII/PERMIT
I 25 North 5th Street
Sp't'ingfieZd, Oregon 97477
BuiZding Division
726-3753
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Job Loca.tion:
ASCBssors Map fI
Subdivision:
L.o ,-,ttl'tV~
aJner: Lne-kl'\J~ If~T(0Q.IU
Address: I jqC; IJ. TG(L(L')~
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city:E<-.{;~L Qv,
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Ta:c Lot # ~
f5 /.oJL S- LeJT 't l..f
PI'"",e: C, 8''6" - ?f';).<.
Zip: q 7 '" Q)--
Describe Work:
l"".D'Q-,1.,a.. , \:\O'U-' ,'~, ,VO-P
~ou1:i.,~
(l~~: ~ f't..*- P ,(m.J
"Date of Application
Contractors Address
General ..r::r2.-Jt/;~ CljO'\'1~ l.J<j,q.o
Plumbing f~~ / Ji(Oj1/l.J....11fv1..
Hechanical F-r,y\ <- QJ. ~"S~
El,ect ri.cal
Suoe.....<itt:;,..lg Elec trician '~JI /J...h / --;;r-:,/l,!7.u"YL W~<:
It is the r-8sponaibil'j-ty .of ths pernJt hozlez. to sse ;~t aU inopections al'"e made at th6 p?oper tim&~ tr.at QaCh address is l'eadabl.s
from ths streBt. and that ths pJJ1'mi t card is !oca:ted at thB front of the property,
ABuiZding Dividor: approved plan s.haU remain on the Building sits at aU times.
PROCEDURE FOR INSPECTION REpUEST:CALL 726-3769 (rccoroder) state your City designated job numb61'~ job address, type at in3pec~icn
requested ar.d when you lJa~ be ready for inspection, Contractors or OWners name and phone number. Requests received before 7:00 CQ:I
.>in bB,""'dB tho samB day, requBsts made after 7:00 am..n.n be...ae the nczt ",>rking day. A~
, ' lour City DBsifl7'.ated Job Number Io: U\ O\'--tCJ\7
71",:,!,!."':"'e.o.'!_ T'>'J.,"':'~I"t:"':r.YlR
N':'M
Addi Hen
RemadB Z
Mobile Home
D
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SITE INSPECTION: To be nrlde after
excavation, but prior to set up of
. forms.
'UNDERSLAB PLUMBING. ELECTRICAL &
: MECHANICAL: To be made before any
ZJOrk is aovered.
,,'
ri::7l FOOTING! FOUNDATION: To bB ...aB
l.:.J after trenches are excavated'and
farms are erected~ but prior to
~> 'ng ccncreta. ." ,"
j " UNDSRGROUND PLUMBING.. SEWER."' W.1T~
"DRAINAGE: To be made prior to Ii l-
.l.ir.g trenches.
o
UNDERFWOR PLUMBING & MECHANICAL'
To be made prior to installation of
floor insulation or decking.
O POST AND BEAM: To be we pr>iOl' to
. installation of !tOOl' irAuZation or
,decki.... /'_----...
~01JGH PLUMBIlJd E~ECTRICAr. & MECH-
L.:J "ANICAL: N9"wbrk is toft cOL'ered ,
ur.til thoSe i~s have beer.
. made and approved. ". . -
D FIREPL~CE: Prior to pZacir.g facing
materials and before framing inspec-
tior:.
D
FRAJ!ING: Must be requested after
approval of rough plwr.bing, electn-
caL & mechanwal. Az.z. POofing
bracing & chimneys, etc. nr.J.st be
;" completed. No work is to be con-
-,-.cealed until thio inspection has
~be~~ made and approved.
.;2.8'XSb
l.HI-\....u.. .if,;) I} 0000
I
vazu.lf 3Y,q-77. ~
'~Lise, II Bldrs Board
M.w/~ I/(J. y/l./C;7
,. :J t) -d.. ~ "- pp,
D INSULATION/VAPOR BARRIER INSPECTION:
To be made after aLL insulati::m ar.d
:':" required vapor haITi-ers are in p1Ace
.. ~ but before any lath~ gypswn bocuod or
'. 'IlJalZ aovering is applied~ and before
c' "" fU!Y insulation is concealed.
D
DRYWALL INSPECTION: To be made
after all drywall is in place,
but prior to any taping.
O MASONRY: Stee l location, bond
beamD, grouting or verticals in
accordance lJi th U. B. C. Section
2415,
O WOODSTOVE: After instaZ1.ation iB
completed. "
CURB & APPROACH APRON: Afte..'" forms
are erected but prior to pouring
" . oonarete.
,"~ ~F:WALK & DRIVEWAY: For aiL ~on-
~. crete pavit~ within street right-
pf-way, to be made after all e:cca-
vating canplete & form work & sub-
. base material in place.
O !'ENCE: When compl.zte -- Provide"'
gates 01' movabLe sections through
P.U,E, '
~ d.6tfuj~
, 'J\QquAJUcL
Rcce~pt .'1
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siqr.edeJ({R) __"
/01 .~ I ;L1 ( )
Date:
R.!Q..
Exp'ires
:J-1.-'7/
P:"lOJJP
?K8'-g;fb~
t:,88. 'k,c,tl
I DEMOLITION OR !-JOVED BUILDIiJGS
~ Sanitary sevel' (:apped at pz:.opcrt:/o Li7:e
, I
:J Septi~ tank (T..u:1ped and fi'Lle~ LJith grG:l.6l. '
---, Final - Iihen above items are aorrrploted
~ ar~ when demolition is complete or struc-
ture moved and premises oleaned up.
I
i
I
II
Mobile Hcmes
~locking and Set-up
~lumbing co~necticms 8~e.r and water
~lectrical Connection - Blocking, set-up
~ and plumbing connections 17r..st ce approved
" before requesting eZec:rical inspec~ion
:=J AcC'esso1"'d aui ~ing
~l - Aft~r porcr.es, skirting, decks,
3 etc. are complet;:d.
D
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ALL project conditions, such as the installation of street trees, co~lotion of the
required landscc:pir:g, etc., muet be satisfied before the BUILDING FINAL can be rsquest3d.
o FIliAL PWMBIIIG
[J FINAL MECHANICA~~
~INAL ELECTRICAL
FINAL BUILDING: The Final Building Inspection must be requested after the Final Plumbina
Electrical, and Mechar.ical Inspections have been made and approved.
o
'ALL MANHOLES AND CLEANOUTS !1UST BE ACCESSIBLE, ADJUST/rEliT TO BE M,4DE AT !lO' COST TO CITY I Page 1 of 2
ra.ge c.
I JOB NO, Gf014~4 SOLAR ACCESS REQ,-
Izon.: l ~ '\ V -""" Oc<:upa>lCY Gr"". ~
Lot Sq. Ftg. WT TYPE
S of lot Caveragc: Interior
# of StoT"ies Corner
Total,. Height Panhandle
Topography Cul-de-sac
rcHc:;/.<;
I ;S.I <=i ($1' -xl'
::s. Ae:; , ~ i'yJJ.4"
AI6.2-3. " S gngd
I
IlJ'EM
, SQ.FTG
MioOn
ffiM
Carane
Ca.roort
AccessoMl
TOTA& VAWE
Is.D.c.
cva/.u~J
1.5 =
Building Perrm.t.!17(XJ
- J
Stat. SUrcharge
Total Charge.
ITEM
Firtures
NO. FEE
Resi<kntia l (1 bath)
I sani ta:ry Sewer
Water
~\
Plumbing Pern:i t
Stat8 SUl'cr..arge
)
Total CharGes
I ITEM l NO.. FEE
~a. fta.
Nqw/E:t:~rcuits
Temporary serv~ /'
Y><
. Ele~tT'~errrrit
, ..:~ Sur~harae
/" Total Charc;es
ITEM NO.
---
PurJ1ace !!TU' S
E:t:haust Hood
Vent Fan
I WOodsto1Je
Perrrrit Issuance
Me::hanic.:zl Perrrrit
State SUl'charae
Tnt" 1. Charn~n
- EIICROACHMENT --
Secu:ri tu Daoosi t
Sto1'ags
Uaint~e .
Permit
Tota l ChaNcs
I cUrb",,"
I Sid_lk or I \ '
I Fen::e
I Electrical Label
I Mobi le Home
I !"1M\k~
I ,\89iJ
I TOTA& AMOUNT DUE:'
-- Faes
I
~q-rll
} 1
I
x
Value
I !J, '7 fY.)
J
~ LJ.(){.P 1/}
I~Lo5. It:) .
(-)g .~
I.q~
4[)431.
CHARGE'
...Qt'S{)O
A)S,W
-!)S .W
t I ':::> .m
.3 /) c:;
()~/l~ .
CHARGE / I
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FSE CI/ARGE
(L) .
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1
1
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f25>
~n. ( oC:;
L-COG~
I Lot Faces -
I P,&,
North
... Be~oomB: ~
"""" EnarG!{ Sources I::"" ~
I I !ieat 7_
Access. I I Water Heatpr ~
I Range p-""
I Firep lace
I WoOdstove
I
,
Type/Cor:st:
~
TUDe
Setbacks
House Carage
East
S""th
West
Building Value &
Perm it
This permit ia granted on the e:t:press condition that the s~id construotion
shall, in alL respects, conform to the Ordinanoe adopted by the City of
Springfield, including the Zoning Ordinance, regulating the oonstruation
and uce of buildings, and 171:1.y be sucpended or revoked at any time upon vio-
lation of any pl'ovisWns of said Or:di~es.
, ..
,',
"
,
IPlan Check Fee,' ,. ~
)oat. Paid: ~)_____ I
IRec,ipt #: I
!S~ '
, , .
Plumbing 'Permrt "
.,
No person nhaL? construct, instalZ., alter or 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 oumed, leased or operated by the appli-
, cant: ~ . . ' ',/ .
. ,
Electrical Permit
Where State Law requires tr.at the electncaL work be done by an Electrical
Contractor, the electrical portion of this permit shalt not be valid until
the label has been signed by EZectrical Contraotor.
Mechanical Permit
Pian Exann.ner
va..
I HAVE CAREFULLY EXAMINED the completed apptioation for permit, a71d do
hereby certify that alL info:>ination hereon is true and correct, and I
further certify that any ar.d aLl work perfor:ned shaLl be done in accor-
da>lCe :.n.th the OrdinanceB of the City of Springfield, aOO th, I.a:,;s of tho
State of 01'egDn pertaining to the ~rk described herein, end that NO OCCU-
PANCY wiL? be 11t1de of any structure witfw.A.t permis3ion of the Building Di-
vision. I further certify that only contractors arMi enplDyees who are in
oompliance with ORS 701.055 will be used on this projeot .
:~
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Dat.
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~
DEVELOPMENT SERVICES
PUSUC WORKS
METROPOUTANWASTEWATER MANAGEMENT
225 FIFTH STREET
SPRINGFIELD, OR 97477
(503) 726-3753
MANUFACTURED HOME SET-UP AGREEMENT
As required by the City of Springfield Development Code, I understand and agree
that with the approval of the attached per~its, one~ A~'fo)low~SJ1
manufac tured homes will be placed a t I (.'/ (() l.~ I U (!J ml1 V Q ~
Springfield, Oregon, City Job Number -rqnl4Bf .
[J
Class A Manufactured Home. A manufactured home of not less than 24
feet in width and 16% <not less than 2:12) roof pitch, with exterior
dimensions enclosing a space of at least 960 square feet, with roofing
and siding materials that are commonly used or compatible wi,th si te
built homes. /
o
Class B Manufactured Home. A manufactured home of not less than 12
feet in width and 16% roof pitch, with exterior dimensions enclosing a
space of not less than 500 square feet, with roofing and siding
materials that are commonly used or compatible with site built homes,
I further state, by my signature below, that I have been provided with the
following information:
- Mobile home blocking
- Sanitary sewer' connection
- Vater line connection
- Electrical connection
- Street tree standards
- Minimum requirements for
permanent steps
\(IJ1~ ::Jh.u.c~
(s~gnature '
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Date