HomeMy WebLinkAboutPermit Sewer Connection Record 1986-6-18
.. RESI~TlAL"
APPLICATION/PER/tIT
225 North 5th Street
SpringfieZd, Oregon 97477
BuiZding Division
726-3753
,/ /
Xl/Utf /lI /r /
CJ!t)/(J ~/J1dvtma-J Phone:
J/lld
It is th~ responsibility of the permit hoLder to see that all in~peations are ~adc at the proper
J100m tho street, and that the permit card is Located at the fron.t of the property.
"Eu:.!.di:".!j" D-:.:Jido!":, appro1.:ed pl.an. sh,::.ZZ rer.;ain or: th~ Bu:.~din.g Sit.; at aLl. times.
.="..,?CC.:TY:'PE FOR J:'tS?=t:7IOtJ ?!'CUEST:CALL 726-3769 (recorder) state your City desigr.a.ted job nw::ber. job ac.::.:rcss. t:n-;c of ir.~pcc:icn
~~~~~s;ca a~d U~e7: you wilL DC ready jor ir.sp=ction. Contracters or Owners ~~a er.d Fr~r.c n~cr. Reques:s recei~ed cefero 7:00 ~
:..'i.:;' be m.ade t;ne same dc;y. requests mc:dc cft::.r 7:QO em LJiZZ b.:; mace the ".::xt :.JOrkir.,q dc.:.".
Job Location:
/1CfC 111~
//'1 ()3'3w3 /
A8De8S0r~ P.ap #
Subdivision:
Q.m.el":
/)M7.
Address:
CttlJ:
n
n
n
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N~"
Addition
Rer.lo.:el
o'~ob:.le Ho~:)
pata of Application
c;, -J '6 r~
:.:07:.::1''::::=::0:'8
General
Plumbing
Zle;:t1'ical
Mc:z;..ar:ic:::.l
Const~~ction L~ndel"
-<
_~~mJ1:r.pj T"'J~"'r''''__~:r,....~
;,:j EI?E I:,'S?~~-:'::J.7: To b~ r.K::.ae
~ ezcav~ti~n, but prior to set
fol'ff/s.
~
after
up of
U.'IDERSLJ.3 P!.f..'.'.f3I,','G. Er,::=-:RIC,iL
:o:EC!:'.~::IC;':": :'0 be made beiore
work is ~oV=red.
:=J
F'OOT.rNG ! FOU:.'D,1TIC,'l: To be muie
afte~ ~rer.cr.es are excavated and
forma are erect;ed~ but prior to
pou~r~ ccncret~.
U!.'D2RGROU:.!!) P!.Wf3INC. SEfiER, !I'.1TER,
DRAI/lAG2: To De rna.:ie priOI' to fil-
Zir.g trenchec.
=:J
=:J
U!lDERFLOOR PLU.'$I.'lC (; MECHANICAL:
To ba made prior to installation of
J1oo~ insuLation or decking.
POST AND BEA!.~.. To be made prior to
installation of floor ins~Zatior. or
deakin;;.
ROUGH PLfP.'BI!.'G. ELECT!? TCAL ,P, MECH-
ANICAL: No Work is to be coveI'ed
until thesR inspectior.s have beer.
made and approve.i.
FIREPLACE:" Prior to plccir.g facing
materials and before framing inspec-
tior..
--, FRA"~IIJ{J.. Must be reque::Jted" after
.--J approval of rough plwrbing, electri-
cal & mechanical. An 1'Oofing
bracing d chimnCY8~ etc. trT'-lst be
. completed. !/o IXIrk is to be con-
~ cealed until thia inspection has
~. . been made and approved.
~
~
:J
Tcz Lot H
or Ycf1J
. Reae;,t " B. f..c, Go In roD
/fitUo;c
Si~cd:
Date:
6.-0
(p -If -'?Vi
~ 41-tJf1'b
Zip:
De~ ~t~(jr
Value
Acid....es3
Your City Decigr4tcd Job Numb€l' Ia:
o
I;.,'SUL,J.':'IO,"lIVIIPOS PARRIER IHS?::C'!'IC,.,'..
To be r..ade after all insuZ~twn a....d
reou-:.red vapor carriers are in place
cut eefere any .lath~ gypsum boi:rd Or
watt coverinais applied, and Defore
any ir..auZ-atiOn is concealed.
Li3C. P
Enil'CS
F.~or.c
&
any
o
D,r?YWALL nlSP::C'I'IO!l: Te be made
after at(, arywat.t.. 'LS in pZace~
but prior to any taping.
MASONRY: Steel location, bona
beam3~ arou:ina or verticals in
accoraance uith U.B.C. Section
241t.
WOODSTOYE: After instaZlation is
ccmpleud.
_ A
~j
~"---
--.,'
, ,
tim~~ that each =ddrsss
is re.....:,.,;.:.:-
o
D
o
CURB & APPROACH AP.~N.. Afte::o forrms
are crected but prior to poUring
aon;:I'ete.
SIDEWALK 11 DRII'EWJ1Y: For all con-
crete paving within street right-
of-LX:.Y~ to be made after aH exca-
vating complete & fo~ work & ~ub-
base material in pz.a:,e.
~1o()lzl
. :J:::.:::LITIO:..1 CR :.::n."E': E:'.II.D::::'S
~ Sani:a:r;J Se"'-,er ~apped. ::t p~op&rt"~. li!":o
~ Septi::: tcnk p:..C?.:d a~..d f-:.l~;;d uith ;;r::::.1:'
I Pinal - r{her. c.bcve i:e.-::s (D'e c~letcd
~ a~d when de~Zitior. is c~'e:o or G:~~~-
tu....e r.:oved anC pre:m.aes ::It;.:;ne:i up.
l!obiZe Hcrr.e~
=:J Blocking a7Ui Sat-~p
=:J Plumbing connections -- s~ar ar~ wa:Gl'
---, Electrical Connection - 8Zockir~~ sot-uF
--.J and plumbing com:ections 17r~st to U??r:)'I.;c~
before requesting eZec:rical inspec:io~
~ Ac::esaol"". Buil.C-:.ng
I Firu l - After '{.':)rcr.es ~
---1 etc. are comple:cd.
sk-:.rting. da::ks~
D
o
:'ENCE.. Wher. co.'71pl.zte -- Provide
gates 01' movable sections through
P.U.E, '
D
All pro.iect c011ditions~ such as the -:O.nstallation of s:reGe trees. co.~Zoti.on of tile
required landsccpi7'.g~ ctc.~ must be satisfied before the BUILDIloC FINAL can be r.'lquest::d.
:=J FIliAL PLUI,!BIIIG
.:::J FIliAL ME~HA.'IICAL
=:J FINAL E:LECTHICAL
=:J
o
FINAL BUILDINC: The Final BuiLding Inspection must be reque~ted after the Final Pl~bing
Elcctrical~ and Mechar.ical Inspecti.onD na",o beG" made and approl.12d.
D
'ALL /.fANHCLE:S AND CLEANcrnS IIUST BE: ACCE:SSIBLE:, AD.JUST.'r:::IT TD BE gADE: AT 110 C~ST TO CI'!'r I Po"" ! of 2
JOB
NO. <(0Dt{2~;:~a~:RG::"WS
. Zona:
i Lot Sq. Ftg.
~ of lat C:JtJel'ag::
'..~ of Stories
:'otal Height
, Topography
:'!'E:.J
I SQ.FTG
,'.bin
.~ac:p.
. Car::-crt
.-lCCcS8a1":J
TOTAL VALUE
S.D.C.
IVCI.l.4C)
1.5 :::
BuiLding Permit
State SUI'charge
Total Cha:ogea
......~I.
_....;.:.i
.r'i:tu.rcs
Residential (1 bath)
Sar.itar:.) Sewer
;,'ct€'r
1li0'I
~l .~O~-/1f
PlU.~D:.r:g . C!"T.':":. t
State Surcr.arpe
T~ta! cr.c:.raes
':':."
:':!cs. S:. f;c,
,'':;;u/E=tend. Cir;:.4its
:~craT~ S::rvicc
EZc~tl'ical Permit
St.::.te Sur::r.arae
Total Cr.arces
:7~.\'
t-=aor.::icc ETU' S
::=haus t Hoo':!'
~:ent Pan
'iDoas :o:)e
Pe-rr:rit I:;su:mc2
Me::hanic::.l Permit
State Surchcroc
1"0',
I I
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I I
:.'G. I
I
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I
Total O.ara(!3
-- E!.'CROACHJ..'E.'.'T --
"::cr.lM. t:J DZD03t t
':ora~e
:-:intenar.::e
::rmit
Tetal Cha.rGes
:.c'bC"..lt
idet.Jalk
'1n::c
Zectl"ical Label
:Jbile Hame
JTAL AJ.!OUNT DUE:"
LOT TYPE
Interior
Coroner
Panhandle
Cut-de-sac
I'
I
x
Value
j.
I
--I
I
/.\
j
j
I
I
I
;35.0'0 I
I I. t.(O I
I ::310. t.fD I .
CiiARGE
....-:r..": '....~
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1
I
3ft,.lfQ I.
REQ,-
.
L-COG"l:'
Type/Cor.st:
Bedrooms:
I Enern:; SOUl'(!l!S
I Heat
II
II
II
II
II
T:J~e
I Lot Faces -
I
,I P.L,
INOl'th
lEast
ISouth
IWeot
Setbacks
I House I Caraae
I I
I I
I I
I A.ccess.
I
I
I
I
Water Yr.ater
Ha"f:e
FircDiacc
Wcod;;to!"'e
Fees
Building Value & Permit
This penmt iD granted on the e3:pl'ess condition that the sdid construe-tion
shaU, in all respccts, confol'm to the O'rdinar.ce adopted by the City of
Springfield. including the Zoning C'rdinance, regulc.ting the ccnstructicn
and UDe of buildings, and m::zy be su::;pended 01' revoked at c.r.y time upor. vic-
lation of any pl'ovisions of said Ordi~ces.\
\
IPlan Check Fee:
I Date Pa,-d:
IRecdpt #:
ISig"ed:
Plumbing Permit
No percon shall construct, instal!, aZter 01' change c.ny r~u CI' e:istir.g
plumbing 01' drainage syste~ in ~hole 01' in part, unless su.ch person is the.
legal possessor of a valid plumber's license, excepc tr~t a pe~son may do
pl~bing work to pl'operty which is ~~ed, leased 01' operated by the appli-
cant;.
Electrical
Perm it
f/.hcre State Law requires tr~t the electrical wor~ be done by an Ele~tric~l
Contractor, tne elec~ricaZ :;ortior: of this per:-::it sr.aZl not :;'02 vaZid w:tiZ
the Zabel has b~en ~igned by the Elect1'icaZ' ;ontracto~.
Mechanical
Permit
Pum l:.Xl:m'Lner
L!ate
I HAVE CAREFULLY EXAMINED the completed application for pe1'r.lit, and do
hereby certify that all i:-:fo:'7:lation hereon is true and correa:, end I
further cartify that any ar.d all work pel'fol":ned shall be do:;,; ,..~ nr~~or-
dance :.rith the Ordinances of tha City of Springfield, and th= Lc:'..:s of tho
State of 01'egon p=rtaining to the work described herein, cr~ tiut NO OCCV-
Pt.NCY wilZ be made of any structure without p~1'r.liS3ion of the Building Lr~-
vision. I further ccrtify th~t o~ly contra=tors ar~ c~pZ~yees who are i~
~pliance with ons 701.05~ will be used on this proj$ct
~/S' P6