HomeMy WebLinkAboutPermit Miscellaneous 1987-6-12
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97477
Job Location:
4Q7t" /?'1~/>JJ ~.f.
ASGeSGor:: Map H
Subdivision:
c:,FD,
T= Lot #
." '~a'.'.~'.,_..~~..-. . '''_00_'' _ _.. .
Receopt ft r'9'b 4- Z- ~
c..- K -::Fi'- I ~ 7
<l.mer: r 1=,,"~~ -rs"e...,--~e _.,,-
Address: ,-:::S;75--P( h <a"'-ctT&'^- "'tie. Phone: 3-43 ~ I '4~
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City: E, H'.. -L~ DJ<.. '77<qOLZip:
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Describe fl'ork:
Remodel
Ca>urt<:.s.y ...l-"~f' 1f=, ~70'3.s-4
g~'l.VI\e~ \<.'-'-~\. S "
Addi ticn
!-!obi le HomO]
Date of Application
Contractors '+\~r"-e....\-(;::
General
Plumbing
Electrical
Mechar:ic.:l
Construction Lender
Value
Address
<.; e.e... A- fr..., .J<:>
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S1.qr:ed: ~ ~~
Date:
Lisc. Ii
E:rvires
Phone
It is the responoibility of tho permit Jwlder to see that aU inopections are made at the proper tim€, that each -=ddres8 is readaD:e
fr<:ITI the street, and that the permi t card is located at the f1'Ol1t of the pr<7perty.
.tBuilding Divicior: approved plan shell remain on tha Buildin{! Site at all times.
PROCEDURE FOR INSPECTION REQUEST:CALL 726-3769 (rccorder) state your City design..:ted job nwnber, job adC..rcss, type of inspea-:icn
requested and when you will be ready for inspection, Contractors or Owne~s name end phone number. Requests received befere 7:00 ~
:..'ilL be made the same day, requests made after 7:00 am /Jill be made the 71;:;zt :JOrking day.
Your City Desigr.ated Job Nwnb<r Is: ::II ~ 7 <:::>::,:!;; 4--
Reaui~p-d TnSDp.cticns
O SITE INSPECTION: To be TTr2de 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 nruie
after trenches are excavated and
forms are erected, but prior to
pourir~ ccncret~.
UNDERGROUND PLUMEING. S'SWER. W.4TE.~
DRAINAGE: To be roode prior to fiZ-
ling trenches.
D
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UNDERFWOR PLU/.$ING & MECHANICAL:
To be made prior to installation of
f!oor insulation or decking.
POST AND BEAM: To be madc prior to
installation of floor insulation or
de.akiru;.
O ROUGH PLU!1BIHG_ E'LECT.'?ICAr. & MECH-
ANICAL: No work is to bc covered
,untiL thcse inspections have beer.
made and approved.
iD FI.~EPLACE: Prior to p1.a.cir.g facing
mc:teriaZs and before framing inspec-
tior:.
~RAJ!ING: Must be requested after
t~ approval of rough plwr.bing, electri-
cal & mechanical. All roofing
. bracing & chimneys, etc. rrr~st be
; completed. flo work is to be con-
. .. ....cecled until this inspection has
~be~n made and approved.
D
U INSULATION/VAPOR BARRIER INSPECTION:
To be made after aZl insuZati~n ~~
.. required vapor bCU'riers are in place
. but before any lath, {JYpswn boCU'd or'
wll covering is applied, and before
any in:Julation is concealed.
o
DRYWALL INSPECTION: To be made
after aU drywl.l is in place,
but prior to any taping.
O MASONRY: Steel location, bona
beams, grouting or verticals in
accordance with U. B. C. Section
2415.
o
WOODSTOVE: After installation is
rxmpleted.
DE/.!OLITION OR ;~:OVE[j BUILDIilGS
~ Sani ta:ry S8"..Jer ~apped at p:.opo;r~~i lir:.e
~ Septic tank fT..c;.p.zd and fille~ LJith gra~el
:J Pinal - rlhen ab...-ve ite"':'ls a:re ccnroletcd
and when demolition is compZete or st~~-
ture moved and pr;:mises cleaned up.
I Nobile Homes
:::J Blocking and Set-up
:::J Plwnbing connections -- sewer and lJater
:::J Electrical Conp.ection - BLocking, set-up
and plwnbing connections rrr..st ];e appro'tJed
. before requesting electrical ins?ec-:io~
~ Accesso1"i Bui lding
:J Pinal - Aft:!r p~rc1:es,
etc. are complet:!d.
I
skirting, decks,
o
CURB & APPROACH APRON: After' forms
are erected but prio!' to pouring
concrete.
, D SIDEWA[.]( & DRIt'EWAY: POI' all con-
crete paving /Jithin street right-
_of-1.iXZY, to bc made after all exca-
vating complete & form work & sub-
base materia l in p la.::e.
O PENCE: When compl~te -- Provide.
gates or movable sections through
P.U.E. '
o
o
AU project conditions, such as the i.nstaZlation of street trees, co.-:rpletion of the
required 7.andscapir..g, etc., must be satisfied before the BUILDING FINAL can be 1'2questad.
.=J PINAL PLUNBIllG
:::J FIliAL '.fE~HAI/ICAL
~ FINAL ELECTRICAL
~
~ FINAL BUILDING: The Final Building Inspection must be requested after the Final Plumbing
D Electrical, and Mechanical Inspectiorw have been made and approved.
.tA'LL /1ANHCLES AND CLEANOUTS MUST BE ACCESSIBLE, ADJUSTHEllT TO BE M.1DE 1!T NO COST TO CITY I Pape of 2
I JOB NO.
i Zor.e:
Lot Sq. Ft;.
Z af lot C~erag~
':1 of Stories
!Total HeiGht
,
I Topography
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lITEM
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Mi,^-,,,,,l/t"\.!
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Main
Garaae
I Cal'"Dol't
Aacessol"U
TOTAL VALUE
Is.D.c.
(vct.UC)
1.5 x
Building Permit
State Su:rcharge
Total Cha.:ogea
lITEM
I Fixtures
i Residential (1 bath)
I Sani ta:ry Sewer
I Water
I
Plw:ibing Perr.:i t
State Supcr..arge
Tetal Chal'oes
lITEM
j Res. Sa. ftc.
I NQW/Extend Cil'cui ts
jTemporary Service
,
I
Ele~trical Permit
St:1te Surcharqe
Total Ch.a.:t'ces
lITEM
I F'urn:zce PTU' S
I E:::haust Hood
i
I Vent Fan
! ,
i woodstovc
Permit Iasua:nc8
Mechanical Permit
State Burchara!:
Total ChartMD
SQ. FTC
I liO'1
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1
1110. I
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-- ENCROACHMENT --
; Ser::-..lntlJ D8Dosit
Storage
Maintenance
Permit
Total Charaes
Curbcut
sidewlk
Fen::e
Electrical Label
.'1abile Home
?OTAL ANOU.'lT DUE:'"
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CHARCE I
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P7.an EXGrm..ner
SOLAR A.SS
Occupancy GrO'.L=':
WT TYPE
Interior
Co:r>ner
Panhandle
Cul7de-sac
X Value
IS(f,o
IS: <90
,ho
I/b.~
FEE
CHARGE
FEE
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CHARGE;
FEE
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IS"" ~l
REQ.-
L-COG-lj,
.
: I
II
II
II
II
II
T:'De/Cor..st:
Bearoor.:s:
Enel'GU SO:il"CeS
Heat
Water Ynatpt'
Range
FireDZace
Wcod;;tot-'e
I Lot Faces -
I
I P.L.
INorth
lEast
ISouth
IWest
Ti.J~e
Setbacks
I House i Caraoe
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I Access.
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Faes
Building Value & Permit
This permr~t ia g~nted on the express condition that the sdid construction
shall, in all respects, conform to the Ordinance adopted by the City of
Springfield, including the Zoning Crdinancc, regulating the construction
and use of buildings, and m=y be suspended or revoked at cr.y time upon vio-
lation of any proovisions of said Ordir.ances.
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Plan Check Fee:
Date Paid:
Recc:.ipt #:
I Signed:
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Plumbing Permit
No perean shall construct, install, alter or change any r~~ or existing
plumbing or drainage system in ~hole or in part, unless. such person is the
legal possessor of a valid plumber's license, except that a pe~son may do
plur.:bing work to property which is or.,~ed, leased or operated by the appZi-
oant.
Electrical Permit
Where State LaLJ requires tr.at 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.
Mechanical Permit
va.e
I HAVE CAREFULLY EXANINED the completed appLication for pel'mit, and do
hereby certify that a'Ll ir:fO:'mCltion hereon is ,true and correct, and I
further certify that any ar.d aU lJOrk pel'fornzed shall be done in accor-
dance with the Ordinances of the City of Springfield, and th~ ~~S of tha
~ State of Oregon pertainina to the lJOrk described herein, and that NO OCCU-
PAllCY will be made of any- structure tJithout parmis3ion of the Building Di-
vision. I further certify that o:1ly contractor's and e:T1pl"yecs who are in
c~pliance with ORS ?Ol.05S will be used on this project
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