HomeMy WebLinkAboutPermit Sewer Connection Record 1989-10-16
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.. RESIDENTIAL"
. APPLICAT./PERMIT
225 North 5th Street
SpringfieLd, Oregon 97477
BuiLding Division
726-3753 '
Job Location: /4 LQ '1 / nrtJ n ~~J
ABaeBaOrG Map # 1 '7o...~C106 Q Ta:r: Lot # [)~
Subdiuision:
(J
OJnBi:J)j1) ( fL ' WriuJOer
AddrBB3: 141 0 tlL-f'Yl(lJj) ,,\{6. Phone: f1A "1- f) P... fJ '7
City:~iLOr\) ,rD1oo~P: qf)4fJj
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n Additicn
n Remodel
n :~bilB Home
ro I ~ork:
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Date:
Bldrs Board Reg.
Expires
Phnnp
9/2.
It i.s the responsibility of ths permit holder to see that all. inspections al'B made at the proper tim~~ that each .::.ddrSS8 is readabZe
[room the stJ"eet, and that the permit card is located at the fl'Ont of the property.
4BuiZding D-:.ui::ior: approved plan shalZ rema:in on the Building Sits at all times.
PROCEDURE FOR INSPECTION REpUEST:CALL 726-3769 (recorder) state your City designated job nw;;ber, job address, type of in3pec~ic'l
roquestcd ar.d when you win be roeady for inspection, Contractors 01" /l.mers name and phone munbcro. Requests received befcre 7:00 a-:'I
fI.'ill. be made th~ same day~ requests made. a~ter 7:' 00 am 1Jil1. be made the next :.JOrking ~
. Your City Desigr.ated Job Nwnbsr I8: ()q f 101
Reoui~p.d InsD~tir.~~
O SITE: INSPE:CTION: To be made after
excavation~ but prior to set up of
forms.
O UNDE:RSLAB PLU~fBING. ELECTRICAL &
. MECHANICAL: To bs made before any
work is aovered.
o
FOOTING & FOUNDATION: To be madB
after trenches are excavated and
forms are erected~ but prior to
pouring acncret~.
U~ROUND PLUMBING SE
DRAINAGE: To be '
~ ir.g trenchse.
[g
o
o
UNDERFWOR PW~fBING & ME ANICAL:
To be made prior to in8ta~Lation of
floor insuLation or decking.
POST AND BEAM: To be made pM.or to
insta~Lation of /1001' ins~tation or
dsaki"iJ .
ROUGH PWifBING. ELECTRICAL & MECH-
ANICAL: No work is to be cOl:ered
.w:ti~ those inspecti071s have beer:
made and approved. .
FIREPLACE~ ProiaI' to pLacir.g facing
materials and before framing inspec-
tion.
FRANING: Mu.ot be requeDted after
approval of rough pl.wr.bing~ al.ectn-
ool. & mechanical. AU roofing
bracing 15 chimncys~ etc. m"..tst be
: completed. No work is to be can-
, cealed until thiD inspection has
'b6~n made and approved.
o
o
o
O INSULATION/VAPOR BARRIER INSPECTION,
To be mads after atl. insulation (P.',d
'. required vapor barriers are in place
but before any lath, gypsum board or
wl'L covering is appti(Jd~ and before
any insulation ~8 concealed.
D DRYWALL INSPE:CTION: Tc b. mad.
after aU drywatl. is in place~
but prior to any taping.
O MASONRY: Steel location~ bona
beamo, grouting or verticals in
accordance IJi th u. B. C. Section
2415.
D WOODSTOVE: After installation is
ccmpleted.
O CURB & APPROACH APRON: After' forms
are created but prior to pouring
. aonarete.
, D SIDEWALK & DRIVEWAY: For all con-
crete paving within street right-
of-fiJC.Y~ to be made after aU exca-
vating cunplete & form work & cub.
. base material in plaae.
D PENCE: When compl~te -- Provide
gates or movable sections through
P.U.E. '
D
'DEUOLITION OR ;~:OVED BUILDIiICS
~ Sani t.aJ'y S6'.Jer capped !1.t pr:..opert":i lir.e
:J Septi.::: tank p:.J.7ed and fiZZed LJith gra:J.el
I Final - rihen above ite;118 are corrrpleted
~ and when d~litior. is complete or 8tru~-
ture moved and premi8es cleaned up.
Nobile Hcmes
~ Blocking and Set-~p
~ Plumbing connections -- sewer and wat.er
---, Electrical Connection - Blocking, set-up
---.J and plumbing connections lTr....st te approved
before requesting elect.rical insi?ec~ion
~ Accessol",:t' Building
--, Final - Aftaro p:Jrcr.es~ skirting, decks,
~ etc. are completed.
D
All. projeot conditionB~ auch as the instaLlation of st.r>eet trees, c~~lation of the
required landscapir.g, ctc.~ must be satisfied before the BUILDINC FINAL can be raquestad.
o FIliAL PLUMBING
o FINAL MECHANICAL
o FINAL E:LECTRICAL
o
o
FINAL BUILDING: The Final Building Inspection must be l'equeoted atter> the Final Ftwnbina
Electrical, and Mechar.ical InspectionD have been made and apPl'ovad.
'ALL MANHOLES AND CLEANOUTS IfUST BE: ACCESSIBLE, AlJ,/llSTIfE:/lT',T9 BE: f.l11lE: AT 1I0COST TO CITY I Pa,:. ! of 2
I JOB NO. tJ1//0'/
Izono:
Lot Sq. Ftg.
S of lot C.:nJONge
f of Stones
Total Height
T_Y"::J..'_yhy
I
lITEM
IMlin
SQ.FTG
Ga-aae
Caroort
ACC6880ru
I
Is.D.c.
TOTAL VALUE
CVCl.UC)
1.5 '"
Building pmrrit
State Surcharge
Tota l Chargee
I ITEM NO.
IF~eB \
I Residential 11 bath} ,
I Sanitary Sewer
I Water'
I
Plumbing Pendt
Etats Surcr.a1"gB
Total ChaM08
lITEM
I Res. '$(10 fta.
I N"",/Ertend Ci.""U.
I Temporary Seroi-as
EIs:Jt-ricaZ permit
State Sur:Jharas
Total Charges
ITEM
PuJ"nace 1!TU'S
I Exhaust Hood
I Vent Fan
I JlOodstove
Permit Issuance
Msohanical Permit
State Surcharooe
Total CharOS8
-- ENCROAC/JHENT --
SScuM.f:tI Daoosit
Storage
,
I
.1 M:zintenance
I pmrrit
I
Total Char-gOB
',\1 ClD'bcut
I sidewlk
I Fen.:J8
I Kleotrica I Labs I
Nobi le Home
"'-!'.
-,' '."
. ....
l'roTAL MIOUlrr DUr.:'
SOLAR ACCESS REQ,-
OcC!Uoancll Groe
LOT TYPE
, NO.' FEE
NO.
Interior
Corner
panhandle
CuI-ds-sac
x
Value
FEE
OHARGE
An.of!
- I,CP
,?l J .00
I
CHARGE
FEE
-
CHARCE
I
.Q\PO
rage .
L-COG~
I Lot Faoe. -
I
I P.L.
INo.th
lEast
ISouth
IWe.t
Type/Co'.Bt: . Bedroome:
~ I Eneroq}/ Sources
I I Heat
Acces8. I I Water .lInatl?1"
I I Range
I I FireD lace
I I Wood.tove
II
TJroe
Setbacks
Hause' Carage
-- Fees
Building Value & Permit'
I
I
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This psrmit io granted on the u:press condition that the said construotion
shall, in all respects, conform to the Ordinance adopted by the City of
Springfield, including the Zoning Ordinance, regulating the construction
and UDe of buildings, and ma.y be suspended or revoke4 at cny time upon vio-
lation of any provisions. oflsaiC. Ordinances. ,
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IPlan Check Fee:
Ivate Paid:
IReoeipt N:
I Signed:
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Plumbing Permit
No pers~n Dhall construot, install, alter or chango any new cr existing
plumbing or drainage system in whole or ~n Part, unloss such person is the
legal possessor of a valid plumber's license, except that a person may do
plwnbing work to property which is oumed, leased or operated by the appli-
oant.
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1.
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Electrical Permit
Where State LaLJ requires that the electrical work be done by an Electncal
Contractor, the eZectrical portion of this permit shall not bo valid until
the labol has been .igned by the Eleotzoioal Cant_to..
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Mechanical Permit
;\.
,
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Plan E:r.amineI'
vate
I HAVE CAREFULLY EXAMINED the oompleted opplioation fa. perorit. and do
hereby certify that all information heI'eon is true and cOI'rcct, and I
further CBl"tify that any ar.d all work perfol":'Tled shall be done in aooor-
dance ,nth the tJrodinanoe. of the City of Spl'ingficld. and the La;,J. of tho
.4 State of Oregon pertaining to the work described herein, and that NO OCCU-
PANCY will be made of any structuJta without pemrission of the Building Di-
vision. I furthur certify that cmly contractors and e:rrpl"yees who are in
compliance with ORS 701.055 wilZ be used on this project
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