HomeMy WebLinkAboutPermit Miscellaneous 1982-3-17
.. RESI~NTlAL"
APPLICATION/PERMIT
225 North 5th Street
Springfield, Oregon 97477
BuiZding Division
726-3753
S 9~ ~~/"'r d/le; /1;>,
17~o,;.. ;4-/3 T= Lot # n ,~~
~~fi/o/l/ .h!.?t~4 "
59:;' /02tt<'R 4/A. /1AJ,
<)/./p/da./f:;o# I O/P.
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Job Location:
AssesGol"S Map #
Si.J}diV"';sion:
Ct..'ner:
AddreS3:
City:
n NPI.1
n Additicn
n Remoc.eL
n ,',tobi 1,8 Bome
Date of AppUcaticn
(;ontl'actOl'B
General.
Plumbing
i 87.ectrical
I Me~har.ic.:L
I Constl'"Uctian Lender
Pr.one:
7-'/6 -0'/ '3/
97477
Zip:
::I/v~~:;:::b. ';r+:
;:::;r",/4~~ IA/5fC/f'T-
VaLue
Addres3
.Ni)OO
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.. Rcc.~,t" ,J::::?? .D.-':l... ~
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Sigr.ed: ~,'7Mt-_1M1v.;
Dat.: .~-j)-,)( ~
Lisa. II
ExPires
Pr.onc
[t is ehs l'esponsibitity of tM perm1.t ho1.t:Urr to sse that aU inopeatians are made at the ~ropel' tim.~ that c:ach .:z:1d.ress is l'eadaD~e
fl'CNn ths street, and that th. permit aaPd is tocated at tha f:ront of ths property.
"Eui!.di~ Divicic~ appl'Ot.'ed pZan shc.t.t remain on the Eu~Ld-:.ng sits at al.Z. times.
PROCEDURE FOR INSPECTION RE:.QUE51::CALL 726-3769 (Z'ccol'der) state your City designated J'ob number3 job add..""€:SS3 type of in3pec-;icn
requested ar4 when you ~LL be ready for inspcotion3 Contractors or OWne~s name end phone number. Reques-;s received befcre 7:00 ~
:..>iLl btJ madg t11& same dClb rtJqueets made afta' 7:00 a-n will. b2 made the next :.JOrking day.
Reaui~~d InBD~cticns
O SITE INSPEC':'ION: To be nruie after
excavation3 but pM-Of' to Set up of
forms.
O UNDERSLAB PLUMBING. ELECTRICAL &
MECHA,"ICAL: To be made before cny
work is ~ovcred.
o
ro~mG!ro~~TmN: fubsroee
after trenches are excavated and
forms are erectad3 but prior to
pouring c::cncret~.
UND~GROUND PLUMBING. SS'tlER. W.1TER,
DRAINAGE: To be rrrute prior to fil.-
UI"'.g trenches.
o
o
o
UNDERF'LOOR PLU!o1BING & MECHANICAL:
To be made pri.or to in3tcZ.lation of
floor insul.c:tion or decking.
POST AND BEAU: To be rnat:k prior to
instaZ.Latien of fl.oor i118ulati07l or
d8cki11fi .
TrOUGH PLUMBI!!G. ELECTRICAL & MECH-
ANICAL: No work is to oc covered
ur.tU these in..spectior.s hav.a beer.
made and approvec.
FIRF:PLACE: mar to p'l.a.cir.g facing
matgriaLs and before framir~ inspec-
tion. .
PRANINC: Mu.st b6 rsqueoted after
approvaL of rough plwrhinfb alectri-
cal & mechanical. An roofing
bracing & chimnc;ys3 et;;. nr.J.st be
,complstcd. No work is to be con-
~ cea.led until this inspection has
'be~n made and approved.
o
D
D
Your City, Desigr.a.ted Job Numba' Is:
U iNSULATION/VAPOR BARRIER INS?~CTION:
To be ,7lt1.de after all insul.::tian w.d
" ra.quired vapor barriers are in place
but before any lath3 gypsum board or
wlt covering is appZied3 and before
any insulation is conceal.ed.
O DRYWALL B1SP!CTTON: Tc be made
after all drywall is in place3
but prior to c:ny taping.
O MASONRY: Steel location3 oona
beam33 grouting or verticals in
accordance with U.8.C. Section
241$.
O WOODSTO"IF:: After installation is
ccmpz.et€d.
o
o
CURB & APPRCACH AP.~N: Afte:- forms
are erected but prior to pouring
.:oners ts.
SIDEWALK & DRnTEWAY: For a!l con-
crete paving within st"rect right-
Of-r..x:.Y3 to bc made after all exca-
vating ccmplete & form work & ::;ub-
base materia.l in place.
f? ~O.jd. R
, DEMOLITION OR ;~:OVEr; 3UILDIZ!CS
:J Semi:ary Se'_'er ~apped ::t ~opc;rt-i Zir:e
~ Septi~ tank 7~~~d ~~ f~l.l.~d ~ith gra~e!
:J Final - flhen a.O....'"Ve ite.~s are cc:-:r:;l.etec.
,1 ~ '..,.. .....
ar~ ~hen ~emo~~~~r. ~s comp~ete or s~~~~-
t".J.1'e moved c:nC prer:n3es cle.::.ned up.
Mobi te Hcmes
=:J Btocking and Set-~p
=:J Plumbing connections s&Wer ar~ ~a=er
I Electrical Ccnr.ection - Blocking 3 6et-u:;
--1 and plumbing conr:ections nr...st te appravec
before request~ng eZec:rical in8pec~io~
~ Accessol"i Euac~ng
:J Final - Aftc;r ;al'cr.es3 sk~rting3 decKs3
etc. are ccmpZe~~d.
o
All project cor:ditions3 such as /:he -:.,ns:aZZatiOrl of street trees, ~o,-:-:pZa'Ci.:m of the
required la.ndsccpir.g3 etc. 3 must be satisfied before the allILVIllG FINAL can ~e r~t;'...est.2d.
o FIliAL PLUMBIlIG
D FIliAL /ofE~HANICAL
o FINAL ELECTRICAL
o
I
o
FINAL BUILDING: The Final Building Inspection must be requ.e:;ted af:er the :~nal p!u.:nbing
Electriaal3 and Mechanical InspectiontJ hava been made and approvad.
o
D
FENCE: When co.7rpl~te -- ProVid6'
gates 01' ;71ovable secticns through
P.U,E,
"ALL MANHCLES AND C!.EANQUTS nUST BE ACCESSIELE3 ADJUST:'!ENT TO BE t.~1DE I1T lIO C::J5T TO CITY I Pa.ge 1 of .2
I JOB NO.'5'(DIl!JDK'SOLAR A.SS
I Zon.a: - - - ..... OCcuoanct/ G!'O'J.;:J:
Lot Sq. Ft;. LOT TYPE
S of '!ot CJlJBra{J& Interior
# of ' Stories Corner
Total Height P~le
:-.....t'....:::...'"":'hy Cul-de-sac
IITEN
IMain'
Gerace
Carv~l't
Ac~essol':;
I
I
IS,D.C,
I SQ,FTG
TOTAL VALUE
(\JC/,UC)
),5 ::
Building Permit
State Surcharge
Tota 1, Cha..:'~ge3
lITEM INO,/ FEE
I FL-tures
I ResidentiaL 11 bath} I I
lsanitary Sewer I
I Water I
I I
Pl;.qnbing Permi t
Stats Su:rcr.azoge
Tetal Cht::.r.2..ss
I ITEM
I Res. So. fta.
I NetJ/Ertend Ciraui ts
!T....'t"....-d Service
,.'10,/
EZ8crnca 1, Permi t
St.:;,te Sur~harae
Total Cfmoces
I ITEM IIC'I
I Purnace STU'S
I E::haust Hood I
I Vent Fan I
I;;Oodsto"e-(fvu.-lli+ I
I ' I
Permit I3suanca
Mecr.anic::l Per:m.t
State Surch.a:rae
Tota Z Charol?tJ
-- ENCROACHNE.'I.'T --
Se~~~ D2~3it
Storage
I ,'1fr;ntenar.LJ8
I Permit
I
Total C1u:::ry:teS
I CUrbcu;;
I Sids1.1a Zk
IF~e
I E1.ectroica Z. Lab9l
I
1 ,\lobi l8 Home
i
1
I
I TOTAL Al.fOUNT DUE:"
x
Value
FEE
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CHARGE 1
i
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I
FEE
, .
CHARGE I
I
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I
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CHARCE j
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J/)./)() ,
, I
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. J/.-D I
I.
I/!J A.~ J.j ()
PCiJa 2
REQ.-
.
L-COG~
T:.J'f)e/Cor.at:
BeC:rooms .'
I [,at Faaee -
I
I P,L,
INorth
lEast
South
IWest
Access.
I I Enarau S~~ce8
I I Heat
I I Water R~atp.r
J I Range
II FiI'eDLaCe
I I Wood.1:ove
T.Jr;8
Setbacks
House Caraqe
Fass
Building Value & Permit
This perrrr~t it; gI'anted on. the express condition that ths sdid .zonstr"'.tction.
shall, in all respects, conform to the Ordinance adopted by the City of
Springfield, incZuding the Zoning Crdinanae, regulcting the aonstr"'~~ticn
and u~e of buildings, and m=y be suspended or revoked at cny time u~on vio-
lation of any prQvisior.s of said OI'dir~nces.
~Plan Check Fee:
I Cat. Paut:
IReadpt #:
I Signed:
Plumbing Permit
No person DMZ!, construct, instaU, alter or chtmge any new or e-.-isting
plumbing or drainage system in ~hole or in part, ur.lSS8 such person is tr~
legal possessor of a valid plumber's license, except that a pe:"son may do
plumbing work to p~operty which is owned, leased or operated by the app~i-
cant,
Electrical Permi t
Where State !.a:JJJ ~equires tr.at the e~eotrica~ work be done by an E~e::!trica~
Contractor, the eLectrica~ portion of this permit shaLZ roOt be :Jalid until
the Zabel has been signsd by the Electrical Contractor.
Mechanical Permit
Plan E:::amt..ner
/.lace
I HAVE CAREFULLY EXAMINED t.w completed application. for permit. and do
hsreby certify that aLL info-:om.ation hereon is true and correct, and I
r..uother certify that any ar.d all work perfcmred ahalZ. be dor:e in: accor-
dance :.lith tha Ordinances of the City of SpringficW., and th~ La:.:s of tha
,. State of Oreg.:m psrta.inin:g to the work described herein, o::nd ::hat NO OCC[J-
PAller will be nr:zde of any structure witho:A.t permission of the 3uilding 0--;-
vision.. I further certify that G:'Ily contractors ar.d e::rpl.;Y8es t.;J:,? are in
compliance with OES 701.055 will be used on this project
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_ _ -J/*L~ /'I/~
Signad /' I e/ , )
3-/7-;?2
Date