HomeMy WebLinkAboutPermit Miscellaneous 1983-1-10
.. RESI~T1AL"
APPLICATION/PERMIT
225 North 5th Street
Springfield, Oregon 97477
Building Division
726-3753
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Job- Locati.on:
ASDSSOOroS Nap #
Subdivision:
Q.mer:
Addr683:
City:
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Addition
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G:ontractors
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Data of AppLication
.Ho-'63
Genara !
Plumbing
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EZsctrical.
ufTl \of)~
Pr.one:
Zip: Q7V77
Desoribe II'ork:
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VaLue
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Rcoe"t.1 P, (" rJ 62.3 cJ
Address
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Si.<med:
Date:
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Construction tl!1td8r
rt is the 1'6sponaibitity of eM p.rmi.t hotdc to Be. t:hat aU inDpections are r.:ads at ~hs proper time, that ~ch =ddr688 is r(!~,Jn;"~e
J""rom ehs street, and that the permit card is located at the front of the property.
.8ui?di~ [){,ui::iar: approved FLan shatz. ;emain on tha Bu:~Z.din.g Sit,; at aU times.
pr?OCEDURE FOR INSPECTION R~QUEST:CALtLj26-3769flr.ccorderJ state yOUX' City designated joc number. J'ob address. typ' of ::n3pea~icn
requested ar~ W~8n you wiL~ be ready for inspQction, Contractors or OWne~s ncms cr~ phone number. Requ&BtB recei~ed cefore 7:00 ~
:..'it.1. be rrr::dB tM Bame day, requests made afta'" 7:00 am Llit.1. ;'.3 mads the ncrt :.)Orkin; day.
RRaui.,.p-d In.$op.~ticn9
D. SITE INSPEC":"ION: To be made after
. excavation. .?ut prior to set up of
forms.
O UNDERSLAB PLU/.rBING. ELECTRICAL &
. MECHANICAL: To be made bejor6 any
work is ~ovcred.
o
FOOTING l FOUNDATION: To b8 r.nds
after trenches are Uetr.;a tBd and
forms are erected. but prior to
pouring CC71Crst..
UNDSRGROUND Pr.UMBING. SEWER. W:lTE.q,
D8AINAGE:: To be rTn1.e prior to fiZ-
~ir.g trenches.
10
0:
UNDERFLOOR PLU/.!BING & MEC!iANICAL:
To b8 mcui6 prior to in..:Jta~Zation of
f7.0or insulation or decking.
POST AND BEA.M: To be made prior to
insta~Lation of [1.001' inst.;Zatio7'l or
decking,
ROUCH PLlP.mT:!JG, Ef.ECTP.!CAI:. Ii ,'fECS-
ANICAL: No :.JOrk. is to oe cOL'ered
until thess insvectior.s have beer.
made and apprQv~d.
FI.T?EPLACE: Prior to placr':r.g facing
mctsrials and befars frcr.ring in spec-
tier..
D FRAHINC: l'.fu8t be req'..LBDted after
approvat of rough pLwr-bing. slectri-
001. & mechanicaL. A1.Z. roofi7UJ
braai7UJ & chimneys, et~. r.r.J.st be
; comptetcd. No work is to be con-
. ....cealed until this inspection has
~ b6~ rn::uie and approved.
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Your City, Desigr.ated Job NumbGr [0:
U iNSULATIONIVAPO.r? BARRIER INSPE:CTION:
To bB made after aLL insukzti::m a:".d
'. raquired vapor caITiers are in place
. . but cefore any lath, gypsum board 01'
waLl aov6ring is appu'ed, and bejo1'Q
any i7IDuZation is conceaLed.
DRYWALL INSPE:CTION: To be made
aftero aU drytJaZZ is in place.
but prior to any taping.
O MASOYt'?Y: Steet location. bo1uI
beam.:J, grou. ti7UJ 01' vertica La in
accordance llJith U. B. C. Section
2415,
1\11 WOODSTOVE.: After instaLlation is
~ acmp~et~d.
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CURB & AFP.f?OACH AP_f!(JN: After forms
are erected but prior to pouri7UJ
.:xm..."TBt6.
SIDEWALK & DRIVEWAY: For al1. con-
crete paving with~n street roight-
of-LX:y. to be made after aU exca-
vating complete & fo~ work & ~ub-
base material in p~e.
'2 3 ()/.;). f/
, DEUOGIT [ON 08 gOV!~ aUILDliiGS
:J Sani tary slr..Jer capped .:::t P:.OPDrot-:i Una
=:=J Septi~ tank p~~~d and fiZ.Z..~ ~~h gra~el
=.J Pinal - r~'hen abeve ite.~B a1'S Cc.~lBt;ed
~ '... ......
and when ~e~l~y~r. ~s comp'6te or s~~=-
t"'..aoB moved. ant!. prcr.r':3es :: Lsansd up.
. NobiZs Hemes
~ BLocking and SBt-~p
~ Plumbing connections .- scws:" and wa:-er
---, Electrical Connection - Blocking, set-up
-.--J and pLumbing conr.ectwns r.r~st cs approoJ.:ec
before rBquest~ng eZectrical in8pectio:-:
=:J Accessol".i Buildf-ng
I Fin.a.L - t.ft;Jr p::Ircr.es.. skirtf-ng.. decks.
~ eta. are ccmpla;;d.
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All prooject cOr!.di:wns, :Juc.Z: as the 'i.n.staLlation. of street :rses. C'o::?lotion. of tits
required 'Landsacpir.g, etc., must bs satisfied before tr.a Bl/ILDII','C FI.VAL can bs rsqusst;:Jd.
o FIlIAL PWIfBI/lG
o FIliAL f.fE~HANICAL
o FINAL ELECTRICAL
,0
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FINAL aUIGDLVC: The Final Bui1..ding Inspection ,"miSt be reqttsGted c[:aro tna Pinat Plurr.bir..;
Electrical. and Mechar.ical InspectionJJ navo been mads ar.d approved.
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.r:-ellCS: Wher:. co."nOl.ts -- Provide
gat6s 01'" ,7lOVabte' aecticns through
P.U.!. .
~ALL MANHOLES AND CLEANOUTS HUST BE ACCESSIBLE. ADJUST,'rENT TO BE .~~1DE ..!T NO CaST TO CIT:! I P~~e of:1
~
I JOB NO, 't')OI d-'I
Zeme:
Lot Sq, Feg,
S ,r lot Coverage
# of Stories
TotaZ Height
T"'t'...t1~ _e-hy
I
IrnM
I ,~kzin
I CcPace
I Canel't
I
~..l.caessoru
I SQ,FTG
I
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TOTAL VALUE
I S,D,C,
(UCt.uc)
1.5 r
Bui l.dir:g Permi t
State SW'cha:rge
Total Cha..""'ges
lITEi'>!
I ~r:'1--tul"es
I Residential (1 bath)
I Sani tar"-/ Sewer
1 Water
Plumbing PerT'::"~ t
sCats Surcr.arqe
Total Charaes
I ITEM
Res.. Sa. fta.
New/Extend Ctl'r::ui ts
Tempol'ary Service
E1.6~tM:cal Permit
State Surcharae
TotaL Charces
lITEM
I Furnace ETU' S
E:::hau.s t Hood
Vent Fan
I .
I W:.?OdStO"J6
Permit 13suanca
Mecr.anic:zZ penm t
State Surcharae
T"t;n l C'harrum
-- EllCROAcal1EHT --
lse~~ri~ Dapo3it
I Storage
I Maintenar.ce
I Permit
TotaL Chc:raes
I CurbC'.J.:
I Si.dew Lk
I Fence
I EZectroica Z !abe l
I Mobile Home
I TOTAL A.,\fOUNT DUE:.oI
SOLAR ~ESS
OccuoanclJ Gl'OU;'.-
LOT TYPE
Interior'
COnte!'
I NO,
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I !lO'1
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I Ne,l FEE
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Panhandle
Cut-de-saa
x
Value
FEE
CHARGE
FEE
CHARGE:
C!lARCE
I I:;. (!) 0
, (;0
)1;, (pO
If{, &0
P"ge 2
.
L-COC-{>
REQ.-
T:.:'Oe/Cor..st:
Bedroor.:s:
I I Ent1rou Sources
I i Heat
I I flatel' U4f1tpl"
I I Range
I! Fil'eoZace
I I WOOMtove
II
T~r;Je
I Lot Faces -
I
I P.L.
INol'tft
lEast
ISouth
IWest
Setbacks
I House I Caraqe
I :
I Access.
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Fees
Building Va'lue & Permit
This pe1"m'";t iD gronted on the 8Xpl'ess condition tr.at the sa"id. constr"'~ctior.
shall~ in all l'espec:ts. conform to the Ordinance ~pted oy the City of
Spr"'~ngfield, ;;nc!ud;;ng the 20n;;ng CPd:nance, l'eguLctir:g ;;he ccnst"::""..!cticn
and use of buildings, and m~y be suspended 01' revoked at cr.y t;;~e upon vio-
lation of any pr~visions of said Ord;;r4nces.
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I PZan Chp.ck F'(u'!:
IVate Paid: ..
/Receipt #:
ISig>:ed:
Plumbing Permit
IVO person shalt construct, instalL, aUel' 01" change any 7'.etJ C1" e:isting
plumbing or drainage systen in ~hole or in part, unless such person is trA
legal possessor of a valid plumber's license, except tr~t a person may do
plumbing work to property which is ow~ed. leased or operated by the appli-
cant,
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Electrical Permit
Where State LcrJv requires tr.at the electrical work be done by an Electrical
Contractor. the electl'ical portion of this permit shall roOt be valid until
the. label has b~en signed by the Electrical Contl'aator.
,
Mechanical Permit
PLan ExcnnneI'
l.Iac€
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I HAVE CAREFULLY EXA.J.fINED t,i,e completed application for ;?ermit, end do
hereby certify that all i~fo-:'r.".ation hereon is tl'U6 and ~orrect, and I
fta'ther certify that any c:r.d aU IJOrk perfo'r.1led shaU b6 do~e in accoI'-
dance :d-th the Ordinances of ~he City of Springfield, and thE La:.;s of thG
State of Ol'eg:;m ptZrt.::.ining to the ?XJr,l{ desc-ribcd herein, ~.d =hat .'10 OCCV-
?J.NCIIJ1iZZ be .'It:Zde of any StruCtur2 IJ1itho:.o.t permission of the Bui!ding Di-
vision. I further certif:i th::z.t only contractors cr.a e.-:rpl..:;yees who are in
~liance with ORS 701.055 wiZl be used on this project
,
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