HomeMy WebLinkAboutPermit Miscellaneous 1985-7-16
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APPLICATION/PERMIT
225 North 5th Street
SpringfieZd, Oregon 97477
BuiZding Division'
726-3753
SPRINGFIELD
Job Location:
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ASllesllors Map #
Ta:r:: Lot #
Subdivision:
Ol.mer:
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Phone: 1tf7-- 9?09
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Address:
CUy :
Zip:
lLLNmi' .'
I I Addi tion
I I RemodeZ
I I Uobi Ze Home
Date of AppZication
Contractors
Describe fl'or7<:
TULtW
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Address
GeneraZ
Plumbing
EZectricaZ
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Mechar.icaZ
Construction Lender
Receipt ,1/ . A
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Signed:
Date:
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ExPires
Phone
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It is the responsibiZity of the permit hoZder to see that aZ! inspections are made at the proper time, that each ~ess is re~b~e
from the street. and that the permit card is "Located at the front of the property.
*Bui!ding Dividor.. approved pZan shaZZ remain on tha BuiZding Sit:> at aZZ times.
PROCEDURE FOR INSPECTION REQPEST:CALL 726-3769 (recorder) state your City designated job nw;;ber, job address. type of inspec-;ien
requested and when you wilZ be ready for inspection, Contractors or Ol.mers name c:nd phone number. Requests received befere 7:00 IZ':!
:..'iZZ be made the same dc:y, requests made after 7:00 am wiZZ be made the nc:z:t :.JOrking day.
0605 ~9
Reauired Insvecticns
D. SITE INSPECTION: To be made after
excavation, but prior to set up of
. . forms.
O. . UNDERSLAB PLUMBING. ELECTRICAL &
I . MECHANICAL: To be made before any
. work is aovered.. . .
Your City' Desigr.ated Job Number Is:
O INSULATION/VAPOR BARRIER INSPECTION:
To be made after aZZ insuZation arA
.': . ~ required vapor barriers are in place
n' ., but before any lath, gypsum board or
waU covering is appZied, and before
"any insulation is conceaZed.
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FOOTING & FOUND,1TION: To be made
after trenches are excavated and
forms are erected, but prior to
pouring concrete:. .
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DRYWALL INSPECTION: To be made
after aU drywaZZ is in pZace,
but prior to any taping.
D' MASONRY: SteeZ Zocation, bond
:.'~. UNDERGROUND PLUMBING. SEWER. WATER, beams, grouting or verticaZs in
~ DRAINAGE: To be made prior to fiZ- clan'
7 . h accor ce W1..th U. B. C. Section
.,,1,7".g trenc es. 2415.
;-,: UNDERFioOR PLUMBING & MECHANICAL: ~WOODSTOVE: After instaZZation is
U' To be made prior to instaZlation of compZeted.
. '[Zoor insulation or decking. ......, : "
,'iI POST AND BEAM: To be made prior to D CURB & APPROACH APRON: After forms
~ instaZZation of fZoor insulation or . are erected but prior to pouring
decking. .. conorete.
!I ROUGH PLUMBING. ELECTRICAL & MECH- D SIDEWALK & DRIVEWAY: For aZZ con-
I~ . ANICAL: No work is to be covered . crete paving within street right-
,untiZ these inspections have beer. .of-wc:y, to be made after aZZ exca-
made and approved.' vating compZete & form work & sub-
I FIREPLACE: Prior to pZacir.g facing base materiaZ in pZace.
~ materiaZs and before framing inspec-
tion.
I FRANING: Must be requested after
--I approval of rough pZwrbing, eZectri-
caZ & mechanicaZ. AZZroofing
bracing & chimneys, etc. nr~st be
: compZeted. No work is to be con-
.-,,~.-ceaZed untiZ this inspection has
',~.been made and approved.
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PENCE: When compZ<zte -- Provide-
gates or movabZe sections through
P.U.E. .
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. DEMOLITION OR MOVED BUILDIilGS
=:J Sani tary se'.Jer capped at p~operty Une
~ Septic tank pumped and fiZZed with graveZ
""I FinaZ - f>'hen 'above items are compZeted
---l and when demoZition is complete or struc-
ture moved and premises cZeaned up.
MobiZe Hemes
~ BZocking and Set-up
~ PZumbing connections sewer and water
~ EZectricaZ Connection - BZocking, set-up
---l and pZumbing connections nr~st ce approved
. before requesting eZec-;ricaZ inspection
:=J Accessol":i BuiZding
~ PinaZ - After porches, skirting, deoks.
~ etc. are compZeted.
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AZZ project conditions, such as the instaZZation of street trees. co~Zetion of the
required Zandscaping, etc., must be satisfied before the BUILDING FINAL can be requested.
=:J FINAL PLUMBING
~ FINAL MECHANICAL
.=J FINAL ELECTRICAL
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FINAL BUILDING: The PinaZ BuiZding Inspection must be requested after the FinaZ PZumbing
ElectricaZ, and MechanicaZ Inspections have been made and approved.
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*ALL MANHOLES AND CLEANOUTS MUST BE ACCESSIBLE. ADJUST!1ENT TO BE ftMDE AT NO COST TO CITY Page 1 of 2
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JOB NO.~~3q SOLAR A.SS REQ.-
Zone:
Lot Sq. Ftg.
% of Zot Coverag~
# of Stories
TotaZ Height
Topography
ITEM
SQ.FTG
Main
Ga:Paoe
Carport
Accessoru
S.D.C.
TOTAL VALUE
(vatueJ
1.5 x
Building Permit
State Surcharge
TotaZ Cha....ges
lITEM
Fixtures
ResidentiaZ (1 bath)
Sani tary Sewer
Water
PZumbing Permit
State Surcr.arge
TotaZ Charaes
ITEM
Res. Sa. fta.
I New/Extend Circuits
I Temporary Service
I
'EZeatricaZ Permit
State Suraharqe
TotaZ Charges
ITEM
NO.
Furnace ETU' S
I E:r:haust Hood
I Vent Fan
I Woodstove
Permit Issuance
MeahanicaZ Permit
State Surcharae
TotaZ Charaes
-- ENCROACHMENT --
Securit~ Deposit
Storage
Maintenanae
I Permit
TotaZ Charaes
I Curbcut
I Sidewa Zk
Fen:::e
EZectricaZ LabeZ
I MobiZe Home
I TOTAL AMOUNT DUE: *
Occupanc~ Group:
LOT TYPE ,
NO.
FEE
NO.
FEE
FEE
x
Interior
Corner '
PanhandZe
CuZ-de-sac
VaZue
,
I 1
*
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I *
CHARGE
I
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I
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CHARGE
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CliARGE
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/5,00
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L ~CO G~
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, Type/Co7".8t:
Bed:rooms:
Lot Faces -
I Enerql! Sou.rces
,
I Heat
I
I
TilDe
P.L.
INorth
East
South
IWest
Setbacks
House Carage
Water Heater
Range
FirepZace
Woodstove
Access.
-- Fees
Building Value & Permit
This permit is granted on the express condition that the said construction
shaZZ, in alZ respects, conform to the Ordinance adopted by the City of
SpringfieZd. inc!uding the Zoning Ordinance, reguZating the construction
and use of buiZdings, and may be suspended or revoked at c:ny time upon vio-
lation of any provisions of said Ordinances.
IPlan Check Fee:
I Date Paid:
I Rec~ipt #:
I Signed:
Plumbing Permit
No person shaZZ construct, 'instaZl, aZter or change any new or existing
pZumbing or drainage system in whoZe or in part, unZess such person is the
ZegaZ possessor of a vaZid pZumber's Zicense, except that a person may do
pZumbing work to property which is owned, Zeased or operated by the appZi-
cant.
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Electrica I Permi t
Where State Lcnu requires tr.at the eZectricaZ work be done by an EZeatricaZ
Contractor, the eZectricaZ portion of this permit shaZZ r~t be vaZid untiZ
the ZabeZ has been signed by the EZectricaZ Contractor.
*
Mechanical Permit
I
Plan Examiner
l)aT;e
I HAVE CAREFULLY EXAMINED the compZeted appZication for permit, and do
hereby certify that aZZ information hereon is true and correct, and I
further certify that any arA aZZ work performed shaZZ be done in accor-
dance with the Ordinances of the City of Springfield, and th;; [,a-,,;s of the
* State of Oregon pertaining to the work described herein, and that NO OCCU-
PANCY wiZZ be made of any structure withou.t permission of the BuiZding Di-
vision. I further certify that onZy contraators ar.d e~Zoyees who are in
compZiance with ORS 701.055 wiZZ be used on this project
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Signed
7- /t -J'J-
Date
CITY OF SPRINGFIELD" Ol?,EGON
Denartment of Public Works
.
225 North 5th Street '
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BUILDING INSPECTION DIVISION
JOB NUNBER: '
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NOTE:
INFORHATION:
INSPECTION:
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2. ^~/J?o,/e /o..c;erl -rdr /;;~(?O~(<1n
3 ,/-/8Jr-Eh .-r:" ~4 '-e.x.lender/ -M /j _~~I/d/)r/
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CALL FOR REINSPECT ION
/7!4j/A r'!/J/~/?eLj ~kCJn~d '
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INSPECTOR :,
726-3753
726-3769
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