HomeMy WebLinkAboutPermit Miscellaneous 1981-11-4
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-- RE~NTIAL --
CO~BINATION/~ICATION PERMIT
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RECEIn .#
;<; ISK'\
CITY OF SPRIllGFIELD
2~S t':O.r:ml 5TH $':'.'?EET
SPRl:!GFIELDJ ClREC-ON 97477
auitdi~~ Divis~
726-J753
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Job Location:
NAL\ ~ Ui \. t10 f\ Y'\0d f\
Subdiu-:' sion:
.4.as9Bsors Map JI
;7-03- ,3b-li
To::: Lot # IJ C;-SlJ7)
Zip
.~""od. L
Describe Work
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Addi tion
CO~traCto"8 Nam,
Address
Uscii
Expr..:res
Phon. #
GmI'''l'at.
Plumbi""
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Uechaniact.
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Ccnstru..-ticn LarrdI1l'
REQUIRED INSPECTIONS
It is the responsibiljty of the permit holder to See that al1 inspections are made at the proper time. that each address La
readable frem the street. and tha': the permit card is located at the front of the proper-ey.
1\ All manholes and cJ.eanouts are to be adjustS<! a't no eost to the City ~ .......
O SITE IlISPECTICN: To be made after 0 FIREPLACE: Prior to placing fac~ ~:w".:n-v...:.5: After install.ation ~
excavation. but prior to set uy of materials and before fr~g insP~~I~1 is completed.
fo'l"r"..s. don.
o
Y!fDEP.SLAB PLUMBIN~,,- tu:CT~IC.'\L &
MECMAN!CAL: To be made before any
work is covered.
D
FRAMING: Mus't be requested arter 0
approval of rough plumbing. electri-
cal & mechanical. All roofing,
bracing & chimneys, etc. must be
completed. No work is to be con- 0
cealed unt'il this inspection has
bun made and approved.
CURB & APPROACH AP~ON: Arter forms
are ereet'ed but prior 'to pouring
concrete.
o
FOOTING t rOutlDATION: To be made
atter trenches are e::cavat'ed and
forms ar~ ereeted, but' prier to
pouring concrete.
UNDERGROUHD PLUMBING. SEWER. WATER.
DRAINAGE: To be made prior. to fil-
ling trenches.
D
INSULATION/VAPOR BARRIER INSPECTION:
To be made after all iasulat'ioa and
required vapor barriers are in place
but' before any lath. gypsum board or
wall. covering is applied. and befanU
any inSulation is concealed.
SIDEWALK 6. DRIVEWAY: For all con-
crete paving within s'tree~ right-
of-way I t~ be cade a~er all exca-
vating eomplete 6. form wor!c & sub-
base mB'teri.1.l in place.
o
o
tnIDERt'wOOR ptm1BING & MECHANICAL:
To be made prior to installation of
floor Lnsul.uion or decking.
OTHER INSPECTIONS: may be req,uired
in accordance wit'h Building Code,
to be 1ndicat'ed in rla~~ or by no-
tice from Building Inspector.
D
POST Eo BEAM:
installation
or <:lacking.
To be made prior to
0: floor insUlation
D
DRYWALL INSPECTION: To be nnde
after all drywall is in p~ce,
but: prior to any taping. .
o
RoUCH PLUMB!NG. ELECTRICAL & MECH-
ANCI~L: Ho ~ork is to be covered
un~il these inspec~ior~ have been
. made and approved.
D
MASONRY: Steel. loc3tion, bond
beams, grouting cr ver-:icals in
accordance wit'h U.B.C. Section
2Q15.
o
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D
All project conditions, such as the installation of street trees, cooplction of the
required landscaping, etc., must be satisfied before the BUILDING FINAL can be requested.
FINAL BUILDING: The Final Building Inspection muSt be requested after the Final Plumbing
tlcc~ical, and Mechanical Inspections have ~een made ~d approved.
FINAL PLUMBING
F!NAL EL~CT~ICAL
No occupancy of the premises C3n be made until the Final Building Inspection has been
mad~ and approved, and a CERTIFICATE OF OCCUPANCY HAS e~~ ISSUED BY THE BUILDI~G DtVI-
SI~H ~~D POSTED ON THE PR-~ISES.
D FINAL MECHANICAL
PROCEDURE FOR INSPECTION REqUEST: Call 726-3769 (rec~rder)state your City designated job
number, job address, type of inspection requested and when you will be ready for ins~ee-
tion, Cont:raetors or Owners name and phone n~~ers. Requests received before 7:00 a.m.
will.be ~4dQ the S~e day~ requests made after 7:00 a.m. will be made the next working
day. YOUR CITY DESIGNATED JOB NUM9ER IS: R((Yl?< ':!...
?a.gc 1 of 2
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JOB NmlEER
ZONE
RIOlD:)
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P.:tge 2
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OCCUPANCY C-ROUP
REFF.RENcE Nl'MBERS
TYPE!cn~ST~UcTION
L-cnr; i!
BEDROO!'S
Lot Square .'C'tg.
~ allot Cover"d
# of Stories
7atal Reigh~
':opograp:'.y
Lot Ty?
Intenor I L,,~
Corner p.r,.
par.handZ!!1 Nor><I;h
Othgr Ea8 c
I South
IWesc
Setbaoks
Fa-::es:
1 House
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I
I
FEES
:-r-:
r I ~'
I EI:el'(1Y So:.~'~es
I 'l7t: , I .~-:'!:"i:' ~t.:=B
I ;~'!:tel' Heatel' ;';oc::. S;~:.Je
I ..:.:ar.ge ~o _~.
I ?ooz.
I , ,
BUILDING VAWE/FERUIT
..cr. J:'tn. '.p"',,
SQ. F:g. !:-ara...:Jfl
Sq. Ftg. Ca.r';O'l'~
Sq. Ff:q. A:!eec8a~
SQ. F";a.
Val!l6
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r
.
Th-{.s permit is grantsd on ths e.zpruB c::Nii..;~:.on t1u:t
thQ said aanstruction shall. in at! NS';Ba=~, c:onfo~
:0 ths O:'di."'fa7'.c:es adopted by ths C-:.~ 0;. Spl--:'71f1fiQld,
including tr.s Zoning O!"dimmcs, ,.e~.J.la.t{.ng :to.Q aon-
str".w'tion and uss of lr..J.iZdingsJ ~.-ray .;S r.J.8pBr.ded
or 1'frJoksd a: any tims upon uio lati';lI of an:: ;revi-
sions of said Ordinances.
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TOTAL CH,(}1GES
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- I I
Plan ChtIck Fes
!)at. Paid
RaQBipt # I
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P.rm, t C1ta:nes
St.-:tlf Surt!~1t
IS!lst~ DiltJ~1.ar:mtt"t Charas
b.s r YaL:.I:6
PLUMBING PEE/KIT
NO.
ff:E
CHARGE
.:Oi.:turtlS
No pf11'S01I shan eonstruct, -:.nst::t.Z, aHQr or change
any nmJ or ezistirrg plur.dring or !-_.....,,# sys':lIM in
whels or in part, unlsSB such pIlrBO~ is ':n.9 :9g::1.
poBS!lSSOI' of a valid plumbsr'B li~"r..a9, ueg?t :;hat
a person may do plumbing ~'O!'k to pl'C,;"r-::-, l.)i:-:.ch is
"""",d. l.a..d or oporatod by tho Gp?Li-ccnt.
:late:r SllMJics
S!m'i.tar"!, SIl'J6Z'
SUBTOT.(L
Stat. Suroh=go
TOTAL CHARGeS
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tNO.
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I
FEE
ELECTRICAL PtRMIT
CHARGE I
I
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KECHANIC.U PEE/KIT
CH/lIlGE
fI1rsrs Stats LaJ..' rtlquirss that ths 9;ect:-iCC.Z r..Jork b"
dons by an Electrical C,,"tra.ctor, ti:a 9Zect:o-.:caZ, por-
tion of this pRmit BhatZ. not bs vaZid unt-::Z thll la-
bol has b"m1 3i,.grnzd by the Etscmc.::Z Contr~:o:r.
Th& E1..scmcal Saf.ty LaL1 daes not rlJqu~1'6 ~ parson
to obtain a licsns. as an ~ 19ctrici.cn ar.dl or "L9C-
mea! CO"ltr.Ictol' to mak9 an 9Zeotr1.aal. -!ns;.:1.l::ti.on
on proptlrty which iB OLJ1UJd by himseZf' or a ~&:".b.:" of
his inrnedic.ta tami1.y IIJhich is not f.r::ntied ;':r sate,
Z,4aSe or rant.
Sa. FOOt~B
!JIN OJ' E.:':tS1l8icrnICil'eUit
Ter.mo!'al"'.J C~st:'uc:ion
SU!!TOTAL
St12t9 Suraha:.rf1.
TOTAL CHA/meS
1'-/0.
IT!
~""""""I?R _ 9'ft/'.~
Eznaust Rood
Vent Fan
WfJOd Stov./HfIt1.tar
SUBTOTAL
Stato SwacM't'(1C
TOTAL CHA,~E:S
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.1 if?!
I '" i,../ ~
I E!/CROACHlofElrt
Is.~t:y Deposit
ISI;:Jrag.
I Mainc1la.'tCs
Ipomrit
I TOT.1L A!<OU!rr DIJE
,
1C"..IrO.<::."Ut
I Sid_lk
Ft]nag
I=lectrieal labsl
"'OTAL AUOU!lT DUE
.
P1.an E:I::ami..'Bl" Dat.
I HAVE: c.1I/EF1JUY E.WIINED tho oompLotod appu.oation for po""'t. ami. da
hsraby certify that all in.i.",...,,_~:...n he:rson is true a1td _-'h "'-~J and I .
fl<rthor Qartity that CUly and aLZ u:>rk parform.d shaLt b. daM in oooor-
aa"". wtih tho OrdinCUlC.S of tho City of Spri""fi./.d. and tho La:.>. of tho
Stat. of Or<:gOl1 partain"", to tho u:>,.k dssoribod horBin. ami. that HO oc-
CUPANC"llJiLl b. mado Qf any .tro.wtur. lJithout pomiBBion of tho Bui/.di""
Division. I ftcthBr certify that on1.1I eontraotol'S and smploysss who dl'S
in compliance fJ'i.:h ORS 701.0SS t.ri.lZ. bs used on ~h1.3 projsct.
Bu~~ ap~.7; ~haLl r-'n on
times.
11/'-1 /\j I
I I ~ ,;,,,.
the Building Site at all
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