HomeMy WebLinkAboutPermit Miscellaneous 1982-9-10
.. RESID_~TIAL"
APPLICATION/PERMIT
225 North 5th Street
Springfield~ Oregon 97477
Building Division
726-3753
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Job Location: J..j 9 \~ ~
Assessors Map #
Subdivision:
OI.mer:
Address:
City:
NP.!J
Addition
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Zip:
716-~/7
971-) /
Describe rrork:
l;JcmJl S
RemodeL
ifobi Le Home
9~J() -l\Q
Date of AppLication
Contractors
GeneraL
PZwnbing
ELectricaL
Mechar:ic::.L
VaLue
tBrD{)()
. 't.!!.
. Ficce:p
(&)9~ 71..~
Address
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; LJad 8~ffur,;f
)OctJO
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1/0/0
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Sigr.ed:
Date:
~eX2
.
Lisc,#
E:::pires
Phon()
Construction Lender .___
It is the responsibiLity of ths permit hoLder to see that aU inspections a:L'e made at the proper timE:. that each .::dd2-ess is readab~e
from the street, and that the permit card is Located at the front of the property.
~BuiZding Divicion approved Fl-an shaLL remain on thE BuiLding Site at aLL times.
PROCEDURE FOR INSPECTION RSQUEST:CAlL 726-3769 (recol'der) state your City desig1Ulted job nur.:bel', job address, type of in3pecticn
requested a;~ when you ~LL be ready foj; inspection, Contractol'S 01' OI.mers ncme and phone number. Requests l'eceived cp!ore 7:00 ~
:..'iLL be made the same day, requests mc:de, after 7: 00 am wiLL be made the next :.;orking day, \ 050
" y~ City Desigr.ated Job Number IG: 1<;;) ;J/.86~
Reaui~p.d Tnsop.cticns
O SITE INSPECTION: To be made after
, e:rcavation, but prior tc set up of
forms.
O ' UNDERSLAB PLUMBING. ELECTRICAL 11
, MECHANICAL: To be made before any
wol'k is eovel'ed,
o
FOOTING & FOUNDATION: To be made
after trenches are eXcavated and
forms a:L'e el'ected, but prior to
pouring ccnCl'eto'
UND'8RGROUND PWMBING, S'E:WER. W.1T'E:R,
DRAINAGE: To be made priOl' to fi L-
Ur.IJ tl'enches.
0, UNDERFWOR PWMBING & MECHANICAL:
, 'To be made pl'ior to instaLZation of
j100r insuLation 01' deoking.
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POST AND BEAM: To be mad() prior to
instaLLation of j1001' ins~Zation 01'
decking.
ROUGH PLUMBING, ELECTRICAL & ,IfECH-
ANICAL: No work is to be oovered
ur.ti L these insoections have beer.
'made and approved.
FIREPLACE: Prior to pZc.cir.IJ facing
materiaLs and before framing inspec-
tion.
D FRAJ.1INC: Must be' requested after
appl'ovaL of rough pLwr.bing, eLectri-
caL & meohanicaL, ALZ roofing
bracing & chimneys, ete, ~~st be
,compLeted. No ,,;ol'k is to be con-
",ceaLed untiL this inspection has
" been made and approved.
D
D
D INSULATION/VAPOR BARRIeR INSPECTION:
To be made after aU insuL.:::twn (r'~
',., l'equired vapor ca::rriel's a:L'e in pLace
, , but befol'e any Lath, gypsum board 01'
waU covering is appZied, and before
any insuLation is conceaLed.
DRYWALL INSpeCTION: To be made
after aLL drywaLL is in place,
but pl'ior to any taping.
O MASONRY: SteeL Looation, bond
beamG, grouting 01' verticaLs in
accordance with U.B~C. Section
2415.
R7f WOODSTOVE: After instaLZation is
~ acmpLeted,
o
D
CURB & APPROACH APRON: After forms
a:L'e erected but priOl' to pouring
..;u;nare te.
DE110LITION OR :~:OV'E:D BUILDIilGS
=:J Sani ta:ry se'.Jel' capped :zt p~opcrt-:l' Ur.e
~ Septic tank p~ed and fiLLed with gl'a~eL
~ FinaL - ~~en abcve items are cc~Leted
~ and when demoLition is compLete or strue-
, ture moved and pl'er:n3es cLeaned up.
MobiLe Homes
~ BLocking and Set-up
:J PLumbing connections -- s&Wel' and water
~ ELectricaL Connection - BLocking, set-up
--1 and pLwnbing connections nr..st I;;e approved
b ... t' 1.' l' .'
e,orc reques "ng e_ec_~cav ~nspec_~o~
:=J Accessol"d Bui Lding
~ PinaL - Aft<Jr '9::;rches, skil'ting, decks,
~ etc. are compLeted.
D
ALL project conditions, such as the instaLLation of street tl'ees, co.~Zation of the
required landscaping, etc., must be satisfied befol'e the BUILDING FINAL can be raquestsd,
o FINAL PLUMBING
o FINAL MErJffANICAL
o FINAL ELECTRICAL
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o
D
SIDEWALK & DRIt'EWAY: Fol' aU con-
Cl'ete paving within street right-
of-wc.y, to be made after aZ! e:rca-
vating complete & jorm wol'k & sub~
base materiaL in place,
FINAL BUILDING: The FinaL BuiLding Inspection must be requested efter the PinaL PLumbing
ELectricaL, and MechanicaL Inspections have been made and approved.
. '
~ALL MANHOLES .4ND CLEANOUTS MUST BE ACrJESSIBLE, .4DJUST!fF:NT TO BE' ,\t1DE I1T NO CaST TO CITY
I Pas:e 1 of 2
D
FENCE: When compLote -- Provide.
gates 01' movabLe sections through
P.U.E. '
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I JOB NO.~ }.L/?:J( SOLAR .ESS
I Zone: OecuDane~ Group:
Lot Sq, Ftg. LOT TYPE
JD,DO I
I II=), b 0 I
I -~ bO I
Il,-S.A () , ·
~ of' lot Coverag~
# of Stories
Total Height
Topography
I
ITEM
SQ.FTG
x
Main
I Ga:race
I Car:J01't
I
I Accessor7./
I
I
I S,D.C,
TOTAL VAWE
(vc~ue)
1.5 x
BuiZding Permit
State Surcharge
TotaZ Cha..~ge8
I ITEM NO. I
I FiXtures I
IResidential (1 bath)
I Sanitary Sewer
FEE
Water
PZ:mrbing Pem t
State Surcr.m>ge '
TotaZ Charcres
lITEM
NO.
FEE
Res. Sa, fta.
New/Extend Circuits
I Temporary Service
I:
EZectrical Permit
State Suraharqe
Total Charqes
ITEM I NO. . FEE
Furnace ETU' S I
I E:::haust Hood I I
I Ve>lt Fem I I I
I . II I A.l:) 11i
I Woodstove
I I I
Permit Issuance
Mechanical Perrrrit
State Surcha:rcre
Total Charaes
I -- ENCROACHMENT --
IS' ,
I e~~t~ DeDos~t
I Storage
I Maintenance
I Pa.."'mi t
Total Charcres
I Curbcu~
I Sidewalk
I Fence
I Electrical Label
i
I MobiZe Home
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Interio1'
Corner
Panhandle
Cul-de-sac
Value
CHARGE
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CHARGE
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CHARGE
A:1:), /j D
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TOTAL AMOUNT DUE:'
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Page 2
REQ,-
.
L-COG~
Type/Cor.st:
Bedrooms:
I I Enercr7./ Sources
.
I I Heat
I I
I I
I I
I I
I I
Lot Faces -
Tlroe
I
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P,L,
/North
.IEast
ISouth
IWest
Setbaeks
I House Garage
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Wate1' Heater
Range
, Fireplace
woodstove
I Access.
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Fees
Building Value & Permit
This pernr;t is granted on the express condition that the said construction
shall, in all 1'espects, conform to the 01'dinance adopted by the City of
Springfield, including the Zoning Ordinance, 1'egulcting the const~,aticn
and use of buildings, and may be suspended or revoked at cny time upon vio-
lation of any provisions of said Ordir~nces,
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PZan Check Pee:
Date Paid:
IReceipt #:
/Signed:
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Plumbing Permit
No person shall construct, ins~all, alter or change any r~w 01' e=isting
plumbing 01' drainage syste~ in whole 01' in part, unless such pe1'son is the
Zegal possesso1' of a valid plumbe1"s license, except tr~t a person may do
plumbing w01'k to p1'operty which is owned, leased 01' ope1'ated by the appli-
cant.
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Electrical Permi t
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Where State LC11J requi1'es tr~t the electrical w01'k be done by an EZectricaZ
Contractor, the electrical portion of this permit shaZZ not be valid until
the Zahel has been signed by the EZectricaZ Contractor. .
Mechanical Permit
Plan Excmi ne1'
uar;e
I EiA VE CAREFULLY EXAMINE:D t.ie comp Zeted app Zication fo1' perrrri t, and do
hsl'eby ce1'tijy that aZZ information hereon is true and cor1'ect, and I
T.aother ce1'tify that any ar.tl. aZZ work perfomled shaZZ be done in acao1'-
dance ~th the 01'dinances of the City of Springfield, and the: La:.;s of the
~ State of Oregon pS1'taining to the w01'k described herein, end that NO OCCU-
PAtTCY will be made of any structure without permission of the BuiZding Di-
vision, I further certify that only contra~to1'S ar.tl. employees who are in
compliance with ORS 701.055 will be used on this P1'ojsct
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Signed
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Date