HomeMy WebLinkAboutPermit Miscellaneous 1982-4-6
.. RESI.NTIAL"
APPLICATION/PERMIT
225 North 5th Street
Springfield, Oregon 97477
Building Division
726-3753
Job Location:
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Describe rl'ol'k:
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Asaesaors Map # /7-t>2.- 3'1-~"
Subdivision:
Ct.m:er:
Addz.e8S:
City:
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Addi ticn
Remade 1.
.'.fobilg Home
Date of Application
c;onn>actoI's_
c-raL 1-41 C) .l..)P( ) \ _c.....
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Plumbing
I Electrical.
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Mschar.iC.::ll
Canstrul1tio?z Lender
T= Lot #
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Rcce-:.pt ,Ij.
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Pr.one:
Zip:
Value
Address
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O INSULATION/VAPOR BARRIER I1ISP,:CTION:
To be rrade after all. insulation a:--.d
... required vapor barriers azo6 in p laCQ
. but eefore any lath, gypsum board or
UXIZ.Z. aovering is appl.ied, and befor-s
any insulation is concealed.
O DRYWALL INSPECTION: To be made
after aU dryuzLZ is in place,
but prior to any taping.
O MASoRRY: Steel Location, b<>>uI
beam3, grouting or verticals in
aacoroda:nce !.lith U. B. C. Section
2415.
D WOODSTOT/E..: After instaltation is
ccmpl.et;.d.
D
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CURB & APPROACH AP.WN: After' forms
are ereoted bu t prior to pouring
.:xm...--rets.
SIDEWtLK & DRrlEWAY: For all con-
crete paving w-ithin street right-
of-wcy~ to be made after aU exca-
vating currpZete & form WOl'k & ::uD-
base material. in plaoe.
Phone
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I~ i..s tJuJ respcntri,bility of tfts permit holdsr to S66 that all. i1Wpeations ar6 r.-.ade at tha proper timE.~ tr.at .:teah .=dd:ress is readabLe
jrom tM street, and that the psrmit aard is locatBd at the jront of tM proper'ty.
.Bui"!.ding [)f.vicio'!": approt:ed pZan. shal.l remain on thG Bu~Zding Sit:; at all. times.
PROCEDURE FOR INSPECTION RE:QUEST:CALL 726-3769 (rcaol'de1'J state yOUI' City designated job 1tUmber~ job at!d:rC8S~ type of i713pec-:icn
raquestcd. ar.d when you ;Jill. be ready for i7t8pcction~ Contractors or Ot.mer'8 name and pho718 numba. RequBsts receil."ed cefcre '1:00 <Z'l
,-in b. mads th4: sam. day. roqu.sts made, after 7:00 am r.>in be made tho nczt ,;orki... day, 'dQQ8 \
. Your City Desigr.ated Job Number 18: <(S
q~"',J1:"'~';"r7'tR.,~~+:i.(;11_~
'0' SITE: INSPECTiON: To bs =dB aftar
ercavation~ but prior to set up of
forms.
O . UNDERSLAB PLUMBING. ELECTRICtL &
/.fECHANICAL: To be made before any
work is ~ovcred.
D
FOOTING & FOUNDATION: To be ~6
afte1' trenches are excavated and
forms are er6cted, but prior to
pouring ccncretG'
UND!RGROW!D PLUMBING. SEWER. itI.1TER,
DHAINAGE: To be m:::r4.e prior to fil.-
Ur.g trenches.
o
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UNDERPLOOR Pr,(]l.fBINC & MEC8ANICAL:
To be made pri01' to instaLlation of
fLoor i118Ulation or decking.
POST AND BF:AM: To be ~ pl'ior to
instaLLation of [toOl' insulation 01'
doa..... .
ROUGH PU1MBIHG" Er,ECTRICAL ? ,'.fECH-
AN"reAL: No '.JOrk is to be cOl."ered
.ur.tiL these inspections have beer.
made and approved.
PIRE:PLACE: Prior to placir.g facing
materiaLs and before framing inspec-
tior..
D PRAl~ING: ,'.lust b6 NUf.Leoted after
appl'oval. of rough plUlT".bing~ alectri-
.cal & mechan~aL. AU roOfing
bracing & ch~ys~ st.;!. Trr.J.8t be
. compl.eted. No wrk i8 to be con-
....cealed until this inspection has
.' be~ made and approved.
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:TNeE: r.rher: complete -- Provide
gates or movable sectiens through
P.U.E. .
I DE:.tOLITION OR :,JOVED 3UILDIijCS
:J Sa:n..i -:ary setJer :!apped ~t ~opc:rty lir.e
:J Septi:! tank ;r..i."?,zd c:I"'.d. f'iUad :.nth ~...:eZ
:J Final - fIIi'ten cOcve ite.~8 are cc::oleted
.; ~ . ~ .. ....
ar~ when ~emo~~~~r. ts complete 01' 8~~~:-
ture moved and pr~~3es :!Zeaned up.
I Mobi le Hemes
~ alocking and Set-~p
~ Plumbing connections .- sewer ar.d wa-:er
~ ElectricaZ Conr.ection - Blocking, set-up
--.J and pLwnbing cOrlnections nr....st be approved
before requesting elec-:rical ir.spec=io~
=:J Accessol"".:i Building
:J Pinal - Aft~r ?::il'cr:.es~ 8kirting~ deckss
e~. a:re ccmpl~t&d.
D
All project cor.ditions~ such as the installation of street trees~' co~lation of the
required Zandscc:pir.g~ etc. ~ tr.U8t be satisfied befere tr.e BUIWnlG FINAL can be re(p.est;ad. .
o FIliAL PW/(/JI/lG
o FINAL ME~8A.'lICAL
o FINAL F:LECTRICAL
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PINAL BUILDING: The Final Building Inspection r.rust be requested efte!' the Final Plumbing
Electrical, and Mechanical InspectionG have been made and approved.
.ALL MANHCLES AND CLEANOUTS MUST BE ACCESSIBr.E~ ADJUST.'!ENT TO BE l.L1DE ,tT NO C:JST TO CITY I Pa.~e .1 of 2
I JOB NO."6~'
, Zon.,
Lot Sq. Ft:;.
::: at lot C~erag;:
# of Stories
Total lieight
T""~"':J. ....~hy
lITEM
Main
CcJoaae
t:'Q1"!lr?1't
rl.ccessor:.r
TOTAL VALUE
IS.D.C.
(vc:'-u(:)
1.S =
Eui Zding Permi t
State SuPcharge
TotaL Cha......gss
lITEM
I Fi-.-tures
Residential 11 bath)
Sanitary Sewer
lWater
I
P!imlbing Permi t
Stats Su:rcharge
TotaL Charaes
lITEM
1 Res. Sa.
fto.
New/Extend Ci'l'cuits
Tt!J11[)01'ary Service
I
Etecmca! Permit
State Surcharae"
Tota! Charces
lITEM
I Purna:ce HTU'S
I E=haust Hoed
I Vent Fan
iJOodstove
Permi t Issuanca
Mechanical Permit
State Surcha:rae
TntnZ Ckrl"ap-s
SQ.FTG
i NO.,
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SOLAR AcfsS
Occu~ Grou..,:"
I NO'j
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-- ENCROACHMENT --
Se~~ri~ Devosit
Storage
I ,\faintetuzn::8
I Paz'mit
I Total Cha.l'oas
I Curb",,:;
! SideLIa Ik
IF~e
I EZsctl"ica l Lahti Z.
! Mobile Home
I TOTAL AMOU.'1T DUE:"
NO.,
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WTTYFE
Interier
Corner
Panhandle
CUt-de-sac
x
Value
FEE:
CHARGE
FEE
CHARGE
FEE
CHARGE
I~Lj~
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I
/5.l/'61'
Pege 2
R EQ,-
L-cod~
.
sedrooms:
T:,'r;e/COT'.at:
I Lot Facee -
I
I P.L.
INorth
lEast
ISouth
IWeet
I Enerau SoW'ces
I Heat
I
I
II
II
Tupe
Setbacks
I "ouee , Caraqe
I
I
I Access.
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I
Water Heat~~
Ranqe
Firevlace
WoO<i;;tOT;e
Fees
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Building Value & Permit
This permit i:; gl"a71ted em the express condition that the s:l"id. .zonstruction
shall, in all respects, conform to the Ordinance ~dopted by the City of
Springfield, incZuding the Zoning Crd:nance, regulating the ccnstT"..tcticn
and use of buildings, and m~y be suspended or revoked at cr.y time upon vio-
lation of any provisions of said Ordir~ces.
I PLan Check Fee:
IDate Pq-:.d,
I Reqdpt #,
IS-:.g,:ed,
Plumbing Permit
No person chall construct, instalZ, aZter or change any new cr ~;sting
plumbing or drainage system in ~hole or in part, unless such person is tr~
legal possessor of a valid plumber's license, except tr~t a person may do
plwr.bing work to propert-:f which is owned, leased or operated by the appli-
cant.
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Electrica I Permi t
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Where State La1,} requires tr~t the electrical work be done by an Ele[!m.cal
Contractor, the electrical portion of this permit shaU roOt be valid until
the Zabel has been signed by the Electrical ~ontractor.
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Mechanical
Permit
Ptan E=am1..ner
uat;e
I HAVE CAREFULLY EXAlofINED t,1ul completed application for permit, and do
hereby certify that all info;rmation hereon is true a".d correct, and I
f".uother certify that any ar.d aU work perfofflled shall. be done in ac~or-
dance with the Ordinances of the City of Springfield, and thz La:.;s of tho
... State of Oregon partaining to the work described herein, c:n.d that NO OCCU-
PANCY will be rro.de of any structure <Jithout permission of the 3uilding !/":-
vision:. I further certify tha.t only contraators ar.d e:trpl:;yees who are in
~liance with ORS 701.05& witt be used on this project
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Date