HomeMy WebLinkAboutPermit Miscellaneous 0-2-20
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SPRINGFIELD "..,~..,..._- ~ {$7 /
V/PERMIT '~ .
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APPLICk
225 North 5th Street
Springfield~ Oregon 97477
Building Division
726-3753
1 (QCh5
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Deacribe Tim'/(:
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Job Location:
Asaessorc Map II
Subdivision:
owner: '
C/AA" J- S A./ + l.,
S'~
:C'rv,1\l Q Q,~ I d
ri
Address:
City:
Nm,)
Addition,
~model
I :,fobi le Hom,']
.?//G /t? ()
Date of Application
Cont.ractors
General
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FOOTING & FOUNDATION: To be made
after tr>enches ar>e excavated and
fOl"lns ar'e er>ected, but pr>ior> to
pour>ing concret6.
UNDSRGROUND PLUMBING. SEI-lER. 1-l,1TEi?,
DRAINAGE: To be made pr>iol' to fil-
lir.g trenches,
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UNDERFWOR PLUMBING & MECHANICAL:
To be. made pr>ior> to inatallation of
flool' insulation or> decking.
O POST AND BEAM: To be made pr>ior> to
installation of floor> insl.latiO/, or>
decking ,
/,,' .~
I t/1 ROUG, II PLUMBUlcl." Ef;ECTRTCAL & MECII-
L-.! ANICAL: No ',)o't-k...jsto b~ovel"ed
unti l these i/l[;pect'ions have beCl~
made and approved,
D FIREPLACE: Pr>ior> to placir.g facing
materials alul before framing inspec-
tion. '
D
FRfiNTNC: MUGt be requeated after
approval of rough plwr.bing, electr>i-
cal & mechanical. AU roofing
br>acing 8 chimneys, etc. TrroAst be
, aomp leted. No wor>k is to be' con-
aealed until thia inspection has
"been made and appr>oved.
nU/J,()Q
TG.'C Lo I; II
Phone:
Zip: q7~7 7
~v,.....a '--f' ~
Value
Address
Lise_ II
Bleil' SI\c:',lt:c1 P Pi, '
Phon,,,
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INSULI1TION/VAPOR lJi1l?RIER INSPECTION:
To be made after all 1:n8ul,,,'1;'I:on and
r>cqui.red vapor hapr>iers i11'C in place
hut before any la tlz, gypsum bom'd 01'
wall cover>ing is applied, mu:l befope
any insula'tion ia concealed,
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S,,:,~'.:"dM~"_ LlJ" -8
' / -d 0 '--1'l7
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E)~ J) :i_ r e.s
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. DE/.IDLTTIO,r./ or...' :.;'Ol/E:.:
i3f.....TL,D.Ti.:(;.S'
: Plumbing
i t'lechanica1C'n M r.,;TL1,.",J H~A7,-~,t: 'X'lSo!u J!!"F-<~~ d- L}fd} (n - 30"" rlJ
I E1.ectri~~a.J C ~,) ~(~c-J7''- ;.Jlf ~<tn If a. ).0 -/'( L ? f' 'I 9. , J () -1- q 03~lf;J)"? fo
Suoerv:r:'Slng ~lec t, ,I (1.111 ()..,..v 1/ Ie A-; nA.~r, C~~,.,,~ a_....,~~T l~ Pt, .J
!tis the reaponaibi,lity of the permit holder to see that aU 1:n!Jpection'J a.rc I:;ode at ~;he ~;l'i)pel' tim,,:, t,;r.:t {;cch cddl'es;; is reada:::e
from the ,str>eet, and that the permit car>d is located at the fl'ant of the pl'opel.ty,
~Buildi""(J D'ivi::im: appr>oved plan :;hc:,ZZ remain on th.? Bu'ildin~1 SUc: at all times,
PrlOCEDURE FOR INSPECTION REQUES7':CALL 726-3769 (l'ecor>der) :;tate your City des'I:(Jl/oted ,job m",.~bel', ,JOb acc'css, ~!.Ipe of il;:;pec::ic,.,
requested and when you will be ready fOr> inspection, Contr>actors 01' O1.;nel"s ncme ,~nd phone ""mbcr, Reqw:;s~.s l'ece",;ed befope '7:00 ,:..;
:'Jill be made the: same day, r>equests mcde aft,:;r 7:00 a:n will be made the n~,'Ct :,Iol'hl/:J day, (Jrv\ fYJ/ ".....,
Yow' City Dea1:gn.a'ted Job Nwnbel' Iu: -1lA...JfYLJLf/
Reouired TnSDp.ct1:rJ/lS
SITE INSPECTION: To be made after
excavation, but prior to set up of
forms.
UNDERSLAB PLUMBING, ELECTRIC,1L l~
'NECflN'iICAL: To be madebefol'e any
work is Qover>ed.
o
DRYf-lALL INSPECTION: Tc be made
after> all dr>ywaZZ ia in place,
but pr>iol' to any taping,
-'--, c)....l~,;.J.---.....;i ....(---.,')"l'
~.t'_..,t.-'-"l.<...i; ,:>~c..,....
:::ap?ed ~t propC:l'tl;'
l1:r;e
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MASONRY: Steel location, bond
beGJlla, grouting 01' vel'ticoJr.: in
accor>dance "lith U. B, C, Sech:on
2415.
f-lOOlJSTOVE: I1flel' installat'ion 'l-D
completed,
:J C'e"I,,;n tar!' '1"-')0(" ""0 ".'ll'y' ,..'th nl'a'''''l.
'..I I" '" VV ... c"" l~ c-(. .::: v" l,.... ~.... t;.... UI /.. ;; -' t;.::
,
I F'inc.i - f-,ll1en t:bcve '[.;;e::ls QJ'e ec.'nDletcc.
__-.J a:~d IJhen der:JcZ.~t;ior: -is complete or Stl'L{':;-
i;u1:'e moved and. pr~r:;i3es c leC4ne3. up.
1'!o!J'l:Ze /Icmer;
~
~
::=J
,
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/!ZOCk/>IU and S(] t-:.l'
P?'u.J7ib-ing connections
se:wer and wa-;;e.r
D
D
CURB & Al'PRCI1C/! AP."!ON: I1fte;' for'/i/:;
ar>e erected bu t Pl'1:0P' i;o po UP illg
jonCl'ete,
Blccl;r"iccl Ccnr:ectioH - Blockino, set-u-:;
/n1d pZwn/:'ring ccru:ec"tions Tlr.....s.tt~ appro'v'ed
ber(n~c peque.r;"t';:ng eZ'ec:"ricaZ insiJec:;io::
D
8.lDB'I-lALI< II DRIt'Ef'/!.X: For aU 0011-
cr>ete pavil1{J l,)i thin :; I:peet l'1:ght~
of-uJay, to be made aftel' all e:wu-,
vatin(J complete & form IJOl'k ,!; suh-
baae mater>ial in place,
'~ i1o,::c:-;:;Ol'ii BId lcl:.ng
I f'l:nal - After p::!l'cf:es, sk:'l,ting, ded:s,
~ etc. a.re ccmple:.t;a.
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All p}'1o,ject conditions~ Dueh aG the '!.".l1s,:-a-iZatit)ll of S!;l'eet tl'1GiJ.<":. ,-'C:.7~:'ZtJt~vn or the
l'equiped landscapil:(J, etc., must he saU,sficd bef'o~e the BUILDING I"ni"IL (;GIl be r3ques ted.
o FINAL PLUMBING
o FINAL ME:-'/lANICI1J,
~;NAL ELE::CTrrTCAL
o
FINAL BUILDING: The Final Buildin(J 1l1Dpeetion mus t be reque:; ted (;!'t,;l' the Fin'll PlWllbillJ
Electl"ical, and Mechar.'icc:.l Insrec/;'~ol1l; have beell made awl Op!Jl'ol!,od,
D
:'E::NCE:: ~'hen complde -- Provic!e
UCdes OJ' movable secl:ionG 1;/IPCl'(JI;
P.U.E.
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~Ar.r. MANlIer.F.S I1ND CDEANOUTS I/IIST DF. ACCl~,r;:;;.lBLF.,. ,~D,/liSTni::i/,r TO ,'l.':.' i,:,ll',S' ..1'" NO ,':'S'1" TO (. [',"Y
P:;!';e ! of "
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I JOB .NO,
in
I ;._o~'!c:
SOL A RAe C E S S R E Q, - ,
GcuHi)ancy (;I'O:
ILot Sq. Ftg.
1% of lot Coverage
l,q oj" Stories
ITotal Height
I
Topogl"aphy
LOT TYPF:
Tn tel'ior'
COY"'ner
Panhandle
Cul-de-fJaa
rrFM
Sti. PTr:
x
Value
Main
CQ1"ace
Cal"PCl't
I t1cCeSSOl"I/
I
I
'TOTAL VALUE:
(veweJ
S.D.C.
1,5 x
Buildin(J Pemrit
State Sw'chaI'(,e
Total Char-gea
I J7' EM NU, n:f7 CIIARr;E
I FixtW'es
I Residential (] bath)
I Sani tar'y Sewel'
\ lvatel"
I
Plumbing ?er'ri:1:t
State S!/l"cI:al"ge
Total ehe. NW s
ITE/.1 I NO. I FEE.: CHARGE
Hes. Sa. fta.
N6'lJ/Extend Cil"Cld ts I
\..7'<?"Jf"P€U'!J st:rtJ~ce~:(r Q\'\..~ \ 5.DO
I<e..vvv~l..<. ct-~.e, / II ~ ~- i r~
- Ele:Jtl"ical Per.'mit f1-jJ. ex:..?
1.W1
I~( .:so I
I
, Stite SUl"dUlrqe
Total Chal"ge,j
.ITEM
I NO,
I
l';'E'E~
CflAReE
Purruce ETU' S
I Exhca.lSt Hood
I Vent Fan
I
Woodstove
I
1 ~!J;-
#&:tT P H~
,
Penrn.t Issuance
I
I ~ -:;-
Mechanical Pel"rm t
\SlX)
, \ f JS I
\~! 1:S I *
State Sw'chal"C/e
Total C/lCll'aeS
_..: E'NCROAC1JI.!ENT
Sec;./ritlj Deposit
Storage
I Maintenan:Je
Permi t
Total Charoes
I'Curbeut
I Sidewa lk
I Pence
I Eliwtrical
I Mobile Home
I
Label
I 'f'(J'f'M, AMOUNT [}UE: *
4f\,QS
.. ......~'-" ....
L-COG-1t
TiJpe/Cor.st:
Bedrooms:
I Lot Faces -
I Setbacks
I p, [" IJO!Ase Garage
1N0l'th
lEast
ISouth
livest
,r I
I I
I I
I I
I I
I
I
Ti/I"e
I
1.'
1
I
I
I Access,
I
Enerrfll DO'tf}'1CeS
!feat
fvater !feater
Range
Fir'eplace
fvoodstove
Fzes
Building V,alue & Permit
This pemri..t ia granted on the express condition that the sdid construction
a/0.Zl, in all respects, conj"orm to the Ordinance adopted Sy tlze City of
Spr'ingfield, incZuding the Zon'i..ng, Ordinance, regulating the pcnstr'ucticn
().nd use oj" bu-ildings, and may be sU8pended or revoked at ar.y tif[le upon vic-
iation of, any prDvisiony of said Ordinance8.
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Plan Check Fee:
Date Paid:
I Recdpt II:
ISig:v:ed:
',I
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Plumh-ing Permit
No person shall construct, instal?, alter or change Gny new Dr existing
plwnbing or drainage syste~ in whole or in part, un.less such person is the
legal possessor of a valid plumber's license, except that a person may do
plwnbing work to property which is owned, leased or operated by the appli-
cant.
Electrical
Permit
ffhere State Law requil.es that the electrical work be done by an Electrical
Contractor, the electrical portion of this permit shall not be vatid until
the label has been signed by the Electrical Contractor.
Mechanical PermLt
Plan Examiner'
Date
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I U4VE CAREFULLY EXA~INED the completed application for permit, and do
hereby cel"tify that all ir:for-mation hereon is true and correct, and I
furthel' certify that any ar.d all work perfor.ned shall be done in accor-
dance ~th the Ordinances of the City of Springfield, and th~ L<<~s of the
State of Oregon psrtaining to the work described herein, end that NOOCCU-
PIlNCY wi Zl be made of any structw'e w-ithout peY'mission of the Eui lding Di-
vision. I fUl"ther certify that only contl'a:Jtors and e.'71ployees who are in
c~~pliance with ORS 701,055 will be used on this projsct
S1:gn."cl
Date