HomeMy WebLinkAboutPermit Miscellaneous 1986-11-4
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.. RES"TIAL"
APPLICATION/PERMIT
225 North 5th Street
Springfield, Oregon 97477
Building Division
726-3753
SPRINGFIELD
~
Job Location:
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LY Y/>A-o 1./
Aeoesool"= Map #
Subdivision:
Tax Lot #
CUnel":
-; f/t j;jthU 7hj/' Ji~
/ fo 21{) ~lj .J Phone:
Address:
City:
UNm"
n Addi ticn
n Remodel
n lfubile Homa
1(-Lf-9k
Date of Applicaticn
Cont;ractors
General.
Plumbing
Electrical
Mechar.ic.::l
C'YW fl./ A-/
ConstJ'"Uction Lender
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9tJ~t>
... Reae~pt' #
B-b7_~L.j '7
Zip:
Desa:ribe
.!J)
Value
t/IoM.
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~Jf'.
U~lIAitU
Addres::;
~
~ ~ ~)?-, CtQC?1
Siqr:ed:
Date:
.fIL-.
1/-//-90
Lise. #
Pr.on~
E::r:Dires
It is thB responsibility of the permit hotdez- to see that all. inDpections are made at tho proper tim€~ that each ;;ddress is rea:da.b~e
11"0111 ths streot. and that the permit ca:ro is Located at the front of the property.
ABui!ding Divicwr: approved plan shaU remain on tha Building Sit:;; at all times.
PROCEDUP.E FOR INSPECTION RE:QUEST:CALl 726-3769 (recorder) state your City desig7Ulted job nur.:ber, job ad60css, type of in:1pec-.;icn
requested a~d when you will be ready for inspection, Contractors or Owne~s ~e and phone number. Requests received before 7:00 ~
....~U be made the same dcy# requests made after 7:00 am lJiU be made th.e next :.JOrking day.
Rp.mJi~~q T~Rn~~f.ir.~R
O SITE INSPECTION: To be made after
excavation# but proior to set up of
forms.
D. UNDERSLAB PLUMBING. ELECTRICAL &
. MECHA:IICAL: To be made before any
work is covered.
D
FOOTING & FOUNDATION: To be made
after trenches are excavated and
forms are erected, but prior to
pouring cencreto;.
UNDSRGHOUND PLUMBING. SEWER. W,1TE,~
DRAINAGE: To be rTKJ.d.~ prior to fil-
.lir.g trenches.
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UNDERFLOOR PLUl.!BING & MECHANICAL:
To be mad6 prior to irl3taZZation of
J100r insuLation or decking.
POST AND BEAM: To be TT'.adc prior to
instaLLation of floor insklation 01'
deaking .
ROUGH PUP-faIlIG. ET,ECTRICAL & /'.fECH-
ANICAL: No work is to be cOL'ered
,until these inspectior.s have beer.
made and approved.
FI.~EPLACE: Prior to placir.g facing
materials and before framing inspec-
tior..
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Your Ci ty Desigr.ated Job Nwnba Is:
D INSULATION/VAPOR BARRIER INSPECTIOll:
To be made after alL insul..-xti::1n a:'Ji
'. required vapor barriers are in place
. but before any lath# gypsum boare or
:.>all covering is applied, and before
any inauZation is conceaZed.
DRYWALL INSPECTION: To be made
after all drywaLL is in pZace#
but prior to any taping.
O MASONRY: SteeZ location# bond
beams, grou ting 01' vertica ls in
accordance with U.B.C. Section
2415.
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WOODSTOVE: Aftel' instal1.ation is
compLeted.
f~{) 7)11
DEl10LITION OR nOVE!; BUILDli,1GS
~ Sanitary se:.Jer capped ~t p:.opcrt:':i lir.e
:==J Septi~ tank tr~ed and fiZZed uith ara~eZ
:J FinaZ - rl'hen above ite::zs are cemvZeted
and when demoLition is compZete or st~~-
ture moved and premises cleaned up,
Mobile Hemes
~ Blocking and Sat-~p
~ Plumbing connections s&Wer and water
~ Electrical Connection - Blocking, set-up
~ and plumbing connections nr~st be ap?r~vec
beforc requesting eZectricaL ins?ec:io~
~ AccessoI"',i BuilC.:.ng
:J Final - After p~rcr.es# skirting# decks,
etc. are cample-.;~d.
',~ FRAJ~nlG: Must be l'equeDted after ~D P~~.Nut;'i;'.'or~Wh,m~~a~:P;:;/I~i~Q~sPr>./t~~~~'d;h n (
~ approval of rough plwrhing# electri-
cal & mechanical. AU roofing
bracing ~ chimncys# etc. nr~st be
,completed. No lJOrk is to be con-
. ~ ceaZed until this inspection has
~b~~n made and approved.
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CURB & APPROACH APRON: After> forms
are erected but proior to pouring
con.:rete.
SIDEWALK & DRII'EWAY: POI' all con-
crete paving within s-trect right-
of-wcy# to be made after all exca-
vating compLete & form work & ~ub-
base material in pZa.:::le.
ALL project conditionB# such as the instaZZation of street trees, co~letivn of the
l'equil'ed Zandscapir.g# etc. # must be satisfied before the BUILDING FINAL can be r,zquestzd.
~ FIliAL PLUMBIIIG
=:J FINAL NE~HAIIICAL
::::J FINAL ELECTRICAL
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FINAL BUILDING: The Final Building Inspection must be requeated after the FinaZ Plumbing
Electrical, and Mechar:.ical Inspecti.D1UJ hava been made and approved.
:4ALL f.1ANHCLES AND CLEANOUTS HUST BE ACCESSIBLE, ADJUSTUE,'IT TO BE M1DE AT '.'0 CDST TO CITY' I Ptlge 1 of 2
I JOB No,~6iJ r;r1
Zone:
Lot Sq. Ft;;.
I :J( tat C:JVerag~
!I of Stories
Total Height
Topography
lITEM
I Main
I Gc:race
I Cal'"Dnrt
IAcoe~80:rlJ
I
I
I SQ.FTG
TOTAL VAWE
S.D.C.
(VC,t.UC)
1.5 z
Su.i lding Fermi t
State Surcharge
Total Cha.~ge3
lITEM
Fi.:::"tU:l>es
I Residential 11 bath)
I Sani tary Sewe't'
Wc:tp-1"
Pl:.unbing Perr::i t
State Surcr.a:t'ge
Total Charaes
~ ITEM
I Res. Sa. fto.
IN~/EXtend Circuits
I Temporary Service
E'Le:!tl'ical Permit
St=te Su:r~harqe
Total Cha:l'ces
ITEM
FUrr.:zce '!!TV'S
Ezhaus t Hood
Me:!hanic::zl Permit
State Suraharac
TCJtf'll Charrum
SOLAR A_~
()ccuoancu Grou""
i NO'/
I I
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I NO.1
I I
I I
I I
-- ElICROACHJ.!E.'\'T --
ise~~rit~ D2POsit
I Storage
! Maint~e
I
..1 Permit
I NO., F""
I
Vent Fan I
IWoodsto"e ~!!
t-4lilp~~.t?,
~ Permit Issuance? f .
Tetal CharGcs
Curbcu~
Sid=lk
Pc~e
Electrical Label
Mobile Home
TOTAL AMOU.'/T DUE:.4
LOT TYPE
Interior
Corner
Panhandle
Cut-de-sac
x
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Value
FEE
I,
CHARGE I
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CHARGE
FEE
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1/6,00
I-
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CIlARGE
(5.00
._,,~ -
--,
REQ.-
L-C:OC""
..
Bec..roor.:s:
T;'oe/Cor..st:
I Lot Faces -
I
I P.L.
INorth
lEast
ISouth
IWest
. Access.
I I Er/,2rau SUvll'CeS
I I Heat
I I Wate1" Hf?tltp.r
II I Ranqe
Fil'ep'lace
I I WOod~tol;e
II
Tur:e
Setbacks
I House , Caraae
I
I
FaBS
Building Value & Permit
This permU io gronted on the e:rpl'eDS condition. that the s~:iid. construction
ShaUl in all l'espcats, conform to the Ordinance adopted by the City of
Springfield, including the Zoning Ordinance, regulating the ccnstruction
and UGe of buildings, and m:::.y be suapantied 01' revoked at c:r:y t:.me upon vio-
lation of any pl':Jvisior.s of said Ol'dinances.
! *
IPlan Check Fee:
I Date Paid:
IRecdpt N:
I Signed:
Plumbing Permit
No person shall construct, instal!, alter 01' change any neW 01' e=isting
plumbing 01' drainage system in ~hole 01' in part, unless such person is the
legal possessor of a valid plumber's license, except tr~t a pe1"BOn may do
pl~bing work to propert'lf which is owned~ leased or operated by the appli-
~t. ;
Electrical Permit
Where State Law requires tr~t the electrical work be done by an Ele~tricaZ
Contra.ctor~ the electrical portion of this permit shall r.ot be valid until.
the label has been signed by the EZectricaZ ~ontractor.
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Mechanical Permit
PLan E~ner vate
I HAVE CAREFULLY F.:XANINED the completed application for permit~ c:nd do
heroeby certify that all i:-:fo='11lation heroeon is tr>ue and corrocct~ and I
further certify that any ar.d aU worok perfor:ned shall. be done in acr:or-
dance with the Ordinances of the City of Springficld~ and thz LC'.JS of tha
State of Oreg~n pertaining to the work described here~n~ end =r~t NO OCCU-
PANCY will be made of any structure without p~rmission of the Building Di-
vision. I further certify that only contractors ar~ ~loyee8 who are in
compliance with ORS ?Ol.05E will be used on this project
cl~'> wLJ~'~'
S<gnad - / if k
If- 1(-8"'b
Date
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