HomeMy WebLinkAboutPermit Miscellaneous 1982-3-11
.. RESlDtNTIAL" ~
COMBINATION APPLICATION/PEP.MIT - SPRINGFIELD-
, 225 North 5th Street
. Springfield, Oregon 97477 ~
Building Division ~ -
726-3753 ~
.lob Loc:ztion:
S Q (", .;::::!tJJ/1~~~ _-.fr~__._
lq-Ol'~3: ii{)-:U~' -;:Lot # gu__.
As....esool"'~ Map ,'1
Subdivision:
Q.mel':
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Address: 5/.2 '"
City: .4JM
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Pr.one:
Zip:
.11",,)
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3~//- %.).
Addi ticn
Remodel
Hobile 90ma
Date oj' Application
.:.;o1t1;rac~ors
General
Plumbing
t EZeetl'ica l
:.fechar.:ic::.l
Construction Lender
P/l7J ;L.O:J-
'Value
13st9 (jcJ
Ri:ce~~t .~
S6/6J
Adti.-e83
/\;1. P.
9%.
IS, ()Q
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Si.gr.ed:
Date:
AI2~:"".L
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Li3C.fI
Phone
I
E:=;;ires
It is "the resp07/.oibil.ity of the permit holder to see that al.Z. inapectio7l8 ar"e r..a.de at the proper ~im~" tr.at ~c.ch .=ddress' is rea.::ab~a
from the street, and that the permi t card is Z-xated at thB front of the propert"';:/.
-Eui!.d:i.ng Divicio'!". approt.'ed Fl.an shaLl remain on tha Bu:.Lding Sit; at all times.
PI?OCEDURE FOR INSPECTION REQUEST: CaU u-ccorderJ state your City designated. J'ob nwr.ber, J'ob address, type of iTt.':lpecticn
rQqu~sted ar.d w....en you :Jiz,z, be ready far inspcctiO?1, Contractcl"S ~r Owne:os ncme .::nd phone number, Requ8sts received :;siore 7:00 a":'l
:.."iU be mads tM same dc:y, rSquBsts mcde aft;;::r 7:00 ern will be nr:zde the nc:::t :JOrking day.
?:;:)Od..O~
P~auil"t:>:i.. T"!""~..ctit7'1,
: 0; SITE INSPEC':ION: To bB madil after
e:cavativn" but prier tc ss~ up of
forms. _
'0 .UNDERSLAB PLUM9IiVG. ELECTRICAL & .
. MECHA.'lICAL: To be made befors any
work is .:overed.
o
FOOTING ~ FOUNDATICN: To be rra:Ice
,after trenches are excavated and
forms are erected, but prior to
pouring cencl"st..
UND~G"TOUHD PLUMEING. SE:WeR. W,1TER.
DRAIf/AGE: To be ma.::te priOl" to fiZ.-
"Lir.g trenchss.
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UNDE,~FLOOR nUXBI.'lG ~ ,'.!EC!lANICAL:
To be made prior to in3talLation of
floor insulation or decking.
POST AND BEAM: To be rr.a.d.c priol" to
instalz.at<.en of floor insulation or
dsckirtg .
ROUGH ?!'u.'~BI!lG. ~r.EC':'_r?!CA!. " MECH-
ANICAL: No :Jark. is to DC cOL'Bred
ur.til thesB inspections have beer.
made and approve.:!.
FIREPLACE: Prior to placir.g fG.cing
materials and before framing inspec-
tier..
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PRA..'1I!1G: Mu:;t be recue::;ted. after
approvaL of rough pl-wrhing, alec'tl"";-
cal & ;r.echani.=al. An 1'00fir.g
bra~ng ~ chimni:Ys, at.;:. nr...:st be
coma leted. !Io work is to be con-
cec:led until thin instlscticn ha.a
besn made and apPzooL'ed.
yOUX' City De8tgr.ated Job Numbe:r Ia:
o
INSULATION/VAPOR BARRIEF? I.'IS?SCTION:
To be made after al.l insu1.4ti.:m CC".d
required vapor barri.srs are in place
but cefer's any lath, gyp8Ul1f beard or
w'LZ covering is appUed, and bsj"or's
any inaulation is concealed..
DEUOZ-ITIO!1 OR ,'.fOt';] 3UIr.;::.'iCS
=:l San.i~~ 86Ue-:> a~pec.. =t p:'op~-:>'t;-:i Zir.B
:=J Sept~ tank p".L'Trp€d tX"..i ff. 7.'-Jd :.lith ;ra;;sl
I Final. J/hen c:Xve it~":'!s ars ccmplated
~ ar~ when d~c;itior. ia co,~la~a or struc-
tu....e r.lCved ar.d pri:.m:us :;Zean8~ up.
Mobi Ze Hcmes
~ Blocking and Sat-~p
~ Plumbing connections s~ar ~ Water
---, Electrical Ccnnection - 8lockir~, set-up
~ and plumbing aonr.ecti~ns ~"':3t :6 approved
beforc request;ing ele~;ri.:a.z. -:.r.spec-:io:'!
~ AcceS!;oZ"'d Bui:d-:.~
I final - Aft;;r .?-'rc.r.es,
--.J et.:. are camp:'<I t.a..
sk-:.rt;;n;, dscks,
DRYWALL INSPECTION: Te be rnad.s
after all drywall is in place,
but prior to any taping.
O MASONRY: Steel l.o.:ation, bond
, beaJT/3, grouting or verticala in
accordance with U. B. C. Section
241$.
~ WOODSTO'/E.: After ins tallation is
. ,R. ccrr.pletcd.
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CURB & APPF?OACH APP:'oN: Afte:- forms
ta's er6cted but prior' to pouring
.:on..."Tete.
SIDEWALK & DRrlE'.JAY: For all. C07l-
crete paving within street right-
of-/X.y, to be ma::ls after aU e%ca-
vatina carrolete .4 for.:'l worK. & ~ub.
ba~e .:ncteM:al. in pl.a:;e. .
o
All project con.di~ion9J GU~.z: as the instal.Zation of street trees. c.;.":7pZ.;:ion of :iw
required Zandscc:pir.g, etc., 17fUat be sq.tisfiad bcjol"e the 3UIUJI::: i'r:.'AL .:,:In ::e rsques::3d.
o FINAf. Pf.UMBIllG
o FINAL ,'.fE~HANICAL
o FINAL ELECTHICAL
o
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..?INAL BUILDINC: The FinaL BuiLdi.n.g Inspection must bo requeatad a::'"';ar "':r.s Pinal. ?Zur.:bin;
~lf3ctl'i::aZ., and .'!echar.ical Inspectic1W havo been made and .:J.pproved.
o
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..:oeNC'E: ;/her. conrpl,;;te -- Provide
gates or .71ovable sections through
P.fJ.E.
*ALL NM1HCLES AND CLEA!10UTS llUST BE ACCESSIBr.E, ADJUST!!ENT TO !JE M.tIVE ./1T NO COS';' TO ;[':'1 F,;~e of 1
o
l Job !hunber:
: Zone:
;Lot Sq. Ft;.
~ vf lot C.:)veragc:
i
,. f Ot 'e
!;to..oM.s
; Total Height
:l'opogr~hy
;ITE:.J
I
iNain
i
I Ga1>aae
Caroort
AcceS80ru
I
I
IS.Doc.
/vaL.ue)
1.5 x
Building Permi~
State Surcharge
Tota l Cha......gea
I ITEM
I Fixtwoes
I Residential (1 bath)
I Sani ta:ry Sewer
I Water
I
Plumbing Perm t
State Surchazoge
Totat Charaes
i 1TEU
Res. So. fto.
N~/Extend Circui ts
TemporaPy Service
OeCUDancw G~
WT TYPE
SQ.FTG
TOTAL VALUE
11/0.
I
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I NO.
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I
ElectI>ical permit
State Surchtrrqe
Total Charaes
lITEM
I Purn:::.ce ETU'S
I Exhaust. Hood
I Vent Fan
I WoodstoiJe
permit 13sucmcz
I
-III
I I
Me:!hanical Permi t
State SlCl'charac
'1'n"ta I ChaT'f"J~n
x
FEE
FEE I
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NO.
FEE
ENCROACHJ.!ENT --
I Secr.lritu D.:rooait
I Storage
I Maintenance
I Permit
I Total Char>aas
I Curbaut
I Sidewalk
I Pen::e
I Electroica l Labe l
I Mobi le H:;me
I
I
I TOTAL AMOUNT DUE:'
Interior
Corner
Panhandle
CuI-de-sac
Value
Cl1ARCE I
I
I
I
s: 1101
I
/tJ,t)('}1
IS-; tOO I
,hal
1s'(oOI.
I
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J~{b3
Referer.ce Nwncer..s:
L-COC #:
Type/Cor.st:
.
TUDe
P.L.
North
East
South
IWest
Setbacks
House Caraqe
Access.
Bedrooms:
I Enerau Sources
I Heat
ro/ater YRatp.l'
Range
Firep lace
Wood:; toce
Lot Faces -
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I
i I
II
Fees
Building Value & Permit
This perrrr:t is granted on the express condition that the said constrouction.
shall, in all roespccts, conform to the Ordinance adopted by the City of
Springfield, inaZuding the Zoning Ordinance, reguLating the constrUction
and use of buildings, and may be suspended or revoked at c:ny time upon vio-
lation of any pr~vi8ior.s of said OI'dir.ances.
I Plan Check Fee:
Date Paid:
Rec~ipt #:
Si.gr.ed:
Plumbing Permit
No pereon chalZ construct, instal!, atter or change any neu or existing
plumbing or drainage systen in whole or in part, unless such person is tr~
legal possessor of a valid plumber's license, except that a person may do
plumbing work to property which is owned, leased 01' operctted by the applt.-
. cant.
/
Electrical Permit
Where State Lt::Du requires that the electrical work be done by an Eleetl'ical
Contractor.. the electrical portion of this permit shall roOt be valid until
the label has been signed by the Elecmcal Contractor.
.
Mechanical
Permit
J/l.
3-// P'~
uar.:e
I HA VE CAREFULLY EXANINED the completed application for permit, and da
hereby certify that a'Ll info:>mation. hereon is tr>ue and COl'l'cct.. and I
further certify that any ar.d a'll /,Jork performed shall be done in accor-
dance with the Ordinances of the City of Springfield, and the Laws of the
* State of Oregvn p~rtaining to the work described herein, and that NO OCCU-
PANCY will be rrrzde of any structura without permission of the Building Di-
vision. I further cel'tify that o~Zy contl'aators ardl employees who are in
a~pliance with CRS 701.055 will be used on this proje~t
.
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