HomeMy WebLinkAboutPermit Building 1991-2-28
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7J ~ 'APPLICA7W/PERMIT
225 North 5th Street
Springfield, Oregon 97477
Building Division
726-3753 . ~~Itl5>
'73~' Sco7ls (.;-/~ "&;):
}.}(A no~:n:).1..l- Tax Lot #
LCC,{,l;W ~ L.? r lad...
L I Describe fl'ork:
(Y\.O r;,J -'....., \.k,,,,,,,,- ~ ,'-'1' '
~'S~,
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Date of Application
Contractors"" . ^ ~ A~r:1,,:,~~,'3
General ~;.o <i.'\.n..,'c; ljlf'lb
: \ .
I P.lumbing ~c. ,,On.. ~1'-' ,^ .....
I Hechanical ~-\ ~:s
I EJ,ec. trical LIt,v~;'Y' <T 0, to , .
Suoe""cit'ltir.12:, Electr"cian ~--'YY;/".R ;:r !"'dv/ . - ct.'!.;r ~(
It is ths rS8p07llJibility of ths peJnt holder to sse that atz inopections are made at ths proper tims, t".a.t Qt:Ch .::ddrBS8 is l'eadabte
fl'Cl'n tits stroot. and that the permit card is located at the front of the prcperty.
4eui!ding Diviciar: approved plan. s,halt remain on th.; BuiWing Sits at all times.
PROCEDURE FOR INSPECTION R~QUEST:CALL 726-3769 (recorder) state your city designated job numbs,., job address, typo of inspec~icn
raqucstcd ar.d when you /Jill be ready for inspection, Contractors or OI.mers name and phone number. Requests rBceivBd befcre 7:00 ar.I
t..'iZZ be made thE: same dcy, requests made after 7:00 am LJi"Ll be made the nat :JOrking day.
",' . ...:. ~;ourCity Desigr.ated Job Number Ia: qlO (f)~
R~mJi.yop.rl Tt!'.I'!:\,~IT(:in'l~
0, SITE INSPECTION: To be "",de after
excavation, but pI"ior to set up of
. forms.
O : UNDERSLAB PLUMBING. ELECTRICAL &
. MECHANICAL: To be made before any
. LJOrk is <:ovcred.
Job Location:
Assessors Map II
Subdivision:
().mer: L,,~ ~ ~ t$l-VTI\J.eIL~
Addreaa: Ilq'j rJ. Te..fllVJ- sa-.
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City:
n
n
n
n
NI'.'IJ
Addi tic"
Remodel
.~!obi 'La 80ma
"TA_Sc.. Ii
r:l ~OTING & FOUNDATION: To be rrade
LLd' after trenches are excavated and
forms are erected, but pI"ior to
pouring ccneret~.
r-;-y'UNDSRGROUND PLUMBING. SEWER. W.1TE.~
L!J DRAINAGE: To be nnde prior to fi7.-
,1.1.r.g trencMs.
o
IJIIDERFLOOR PLWBING & MECHANICAL:
To be made prior to installation of
floor insulation or decking.
O POST AND BEAM: To be modi: prior to
instaLlation of floor insulation 0
deoking .
rTI. ROUCH PLUMEDl . E'JECTRIC~ & MECH-
L.::J ANICAL: No :'prk is to ~ cO't,"ered
w:til these i~ have beer.
. made and approved. '
FIRgF'LACE: Priol' to pZa.cir.g facing
materials and before framing inspec-
tier:.
D
o
FRAHINC: Must be requested after
approval of rough p7.wrbing, electri-
cal & mechanical. AU roofing
braeing ~ chimneys, et.::. ,",..lst be
:' completed. No wrk is to be con-
, "" cee led unti l this inspection has
'be~n made and approved.
Ai IA' OC;;;J.(/)
p..,lat .3
P1-.one: c.::. ~R' - 91J., '<.
Zip:
.;2.8 m4-
Sl
1740:9,_
~ ~tit~,
Rcce-:.pt #
/,y OLo~
~ . l~oO
Value,jJ ~3S.s -
D INSULATION/VAPOR BARRIER INSPECTION:
To be made after all insulati::m w.d
. ~ . . required vapor barriers are in place
.. ,;. . ~ but before any 'lath, gypswn board or
. wZZ covering is applied, and befor'e
. flT!Y inauZaticn is concealed.
".
O DRYWALL INSPECTION: To b. rrade
after all drytJalt is in place,
, but prior to any taping. .
O. MASONRY: Steel location, b~
beams, grouting or verticals in
accordance with V.B.C. Section
241/i.
O WOODSTOVE.: After installation is
ccrrrpleted. .
CURB & APPROACH APRfJN: Afte;." forms
are erected but prior to pouring
concrete.
, ~IDEWALK & DRIVEWAY: For all ~on-
~ crete paving within street right-
of-way, to be made after aU e.rca-
vating complete & form work & sub-
. base material in place.
D TENCE: When compliite -- Provide
gates or movable sections through
P.U.E. '
[6
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,
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Sigr.ed:
Date:
HrDJ
- . ~n)b-Y'(
- J'-
Exoires
Phonp
_?-.J_a..2.
~
Ig~r<-~y.
~<;-Jti(/
I DEUOLITION OR !.JOVED BUILDINGS
~ Sani-:a:ry Se'..Jer ~apped at rn:.op&rt'~ l.ir:s
~ Septic tank p-.ir.pcd and fi Z. t.e~ wi th ~~6 Z. ,
] Final. - When ab.,"Vs ite:ns arB cc.,pleted I
ar~ when demolitior. is complets or struc-
ture moved and pr::mises ~lsaned up.
. f.Jobi le Hcmss
~loCking and Sat-up
~lumbing connections -- saver and lUatSl'
---,...electrical Connection - Blocking, set-up
~ and plumbing connections Trr..lst 1;e approved
. before requesting electrical inspec-:ion
=:=J Accesso~i BuiUing
,'.
--, pinal - AftO!r porcr.es, skirting, decks,
--LJ'etc. a:re complet~d.
o
o FIliAL PLUlfBIIIG
All project conditions, such as the instaLlation of streot trees, co::tpLotion of ti1e
required landscc:pir.g, etc., must be satisfiod before the BUILDING FINAL can bs raqu6st3d.
o FINAL UE~HANICAL 0 FINAL BUILDING: The Final Building Inspection must bo :r>equeoted alter tho Final Plumbing
Electrical, and Mechar.ical Inspectiono hava been made and approved.
~INAL ELE~oJ1: ' "
o 'AiL MANHOLES AND CLEANOUTS IIUST HE ACCESSIHLE, ADJUST!IE/lT TO BE MADE AT NO COST TO CITY I Page 1 of 2
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CHARGE /1'
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El.~ Psrnrit ~ I
ft,t. Surcharq. ~
V' Tota! Charce. I.
I ITEM NO. FEE CI/ARGE I
I """",,ce /!TU'S I
I
I
I
I
I
I
I
I.
JOB No.CJioISL-I
Zena' L-f) R
Lot Sq. Ftg.
S or lot C",erag"
# of Stories
Total Height
T...t'...,,~...t'hy
I
lITEM
I "'ain
I Gc:raae
I Cal"1')Ol't
IAccessDrU
lilll1
I
Is.D.c.
SQ.FTG
&J~
TOTAl, VAWE
(vat.uc)
1. ~ '"
Building Psrnrit
State SUrcharge
Total Cha.~ge.
I ITEM NO.
I Fizture.
I Residential 11 bath)
Sarli taPy Sewer
Water
Snv"""
Plumbing Pem t
State Surcr,apge
Total Charaes
SOLAR ACCESS REQ.-
Occ",o,""C" Gro-.~ ~
WT TYPE
Intfi1"icr
Corner
Panhandle
Cul-de-sac
x
Value
li4D
;:;)~,~IS
.~,t;;h.c;;
I ?'~6~ ,.
I~.~
1.4~
I ~.CJt9, I.
FEE
CHARGE
I NO. I FEE
lITEM
l Res. Sr7-.fta.
I Nsw/E:ctend ~
I Temporary Service
I
Exhaust Hood.
Vent Fan
I JlOodstove
Permit Issuance
Me::hanic:zl Pernrit
State Surcharoc
Tnt" 7. r.ht:rrnnn
I -- ENCROACHMENT --
I Sec-.J.M.tlI Deposit
Istorag.
I Main tenanae
I Pcrmi. t
I Total CharO(1(~8
I ""'bau;
I Sidswalk
I Fe~e
Electrical Label
Mobile Home
JY'\ / 1-1 'l. ~ c::,
,
~}JiID
hOTAl, AMOUNT DUE,'
i\J} II-\"
~ -
fl((Y~
C';:;,g~ ,:;
I [,at Faces
I P.l,.
. North
East
South
L-COG"lt r
Type/Cor.st: ~ Bedrooms: ~
I Enel"a.u Sources .... V
Heat
Access. Water Np.atp~
Range
Fireplace
WoodGtove
TUDe
,
......
Setbacks
House CaPaC/e
Weet
-- Fees
Building Value & Permit
This pel'm'it is gl'anted on the express condition that the sf1:id construction
8hall~ in all respects, conform to the Ol'dinance adopted by the City of
Springfie'Ld, incZuding the Zoning Ordinance, regulating the construction
and use of buildings, c:md may be suspended 01' revoked at cr:y time upon vio-
lation of any provisions of said Ordir.ances.
/JJ 14
PZan Check Fee:
Date Paid:
Receipt II:
Signed:
Plumbing Permit
No person shall. construct~ install, alter or change any new 01' e::isting
plumbing or drainage system 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
p'Lwr.bing work to property which is oumed, leased or operated by the app'Li-
cant.
:"
~-
Electrical
Permit
Where State LaLJ requires tr.at the electrical work be done by an Ele~trical
Contractor, the electrical portion of this permit shall r.ot be valid until
the label 8 b en signed by the Elec 'cal ~ontractor.
Mechanical
Permit
'~
( )!l-
P Exanri-ner
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cO:2:S,q I
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I HAVE CAREFULLY EXA,./>1INED the completed application for permit, and do
hereby certify that all infoT'mtltion hereon is true and correct, and I
fu.rther certify that any ar.d aLL work perfo'fflled shall be done in ac~or-
dance :.lith the Ordinances of thB City of Springfield, and the La-..;s of tho
. State of Oregon pertaining to the work described herein, and :hat NO OCCU-
P/:NCY /Jill be m::d,e of any structure l.)ithout permis3ion of the Building Di-
vision. I further certify that tr.1l.y contractors and e:rrpk:yees who are in
compliance with ORS 701.055 witl. be used on this project
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2/;).f Iii
Date
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SPR.FIEL~
DEVELOPMENT SERVICES
PUBLIC WORKS
METROPOLITAN WASTEWATER MANAGEMENT
225 FIFTH STREET
SPRINGFIELD, OR 97477
(503) 726.3753
MANUFACTURED HOME SET-UP AGREEMENT
As required by the City of Springfield Development Code, I understand and agree
that ~ith the approval of the attached permits, one of the'fol~owing 7\
manufactured homes will be placed at J?, ~ :')~+trJ -<1~ !::t:k:.,
Springfield, Oregon, City Job Number ~~ .
I8J
Class A Manufactured Home. A manufactured home of not less than 24
feet in ~idth and 16% (not less than 2:12) roof pitch, ~ith exterior
dimensions enclosing a space of at least 960 square feet, with roofing
and siding materials that are commonly used or compatible wi.th site
buil t homes. ,
o
Class B Manufactured Home. A manufactured home of not less than 12
feet in ~idth and 16% roof pitch, ~ith exterior dimensions enclosing a
space of not less than 500 square feet, ~ith roofing and siding
materials that are commonly used or compatible ~ith site built homes.
I further state, by my signature belo~, that I have been provided ~ith the
follo~ing information:
- Mobile home blocking
- Sanitary se~er' connection
- lIater line connection
- Electrical connection
- Street tree standards
- Minimum requirements for permanent steps
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~ai:ure
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Date
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