HomeMy WebLinkAboutPermit Miscellaneous 1987-12-11
.. RESMlENTlAl"
APPLI~TION/PERMIT
225 North 5th Street
SpringfieZd, Oregon 97477
BuiZding Division
726-3753
UNt:>!,)
n Addition
n Remodel
n Uobi la Homo
Date of Appticatian
COntractors
Gene1"al
Ftwnbi,,!!
Electrical
l.fechar.ic.:zl
Constl'"Uction Lender
It is tits responaibility of the permit holder to 888 that atl inspections aPe made at ths proper tim~, that eaah .:;ddres8 is readab!e
from the street, and that the permit caN1 is located at the front of the property.
*!Ju.i!ding Divi=ior: approved plan shall remain on the Building Sit~ at atz. times.
PROCSDURE FOR INSPECI'ION R~QUEST:CAlL 726-3769 (recorder) state your City designated job number, job address, type of inzpeC!-;;icn
l'equcstcd and when you wiz:L be ready for inspection, Contractors 01' Owner's nane and [?hone number. Requests received befere ?: 00 c::1
r..>iZZ be made the same day, requests mGde after 7:00 (Q77 !Jill be made the next ;,JOrking day.
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.1ob Location:
A8DeSGOr3 Map #
=:""):P/-rt~
Address:
City:
Rp.mJ1:",,-~r1 TJ1pT!I>t!T.1:r.J1Q
O SITE INSPECTION: To be mde after
excavation" but proior to set up of
forms.
O UNDERSLAB PLUMBING, ELECTRICAL &
MECHANICAL: To be made before any
work is covered.
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FOOTING & FOUNDATION: To be rrrule
after trenches are excavated and
forms are erected" but prior to
pouring CCncret~.
UNDSRGROUND PLUMBING. S~R. W.1TER.
DRAINAGE: To be rrad~ proior to fi~-
.1.ir.g trenches.
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UNDERFLOOR PWMBING & MECYANICAL:
To be made prior to in3tl,I~Zation of
fioor insulation or decking.
POST AND BEAM: To be made proio1' to
insta~Zation of !tOOl' insulation 01'
decki,,!!.
ROUCH PLUMBING. Er,ECTRICAL & MECH-
ANICAL: No lJOrk is to be covered
,ur.ti~ these inspections have beer.
made and app1"Oved.
FIREPLACE: PrWro to pl.c.cir.g facing
materia~s and before framing inspec-
tior:.
FRANING: Must be requeated after
approval. of rough plwr.bing" eZectri-
cal. & mechanical. All roofing
bracing & chimneys, etc. nr.l.st be
. compZeted. !lo work is to be can-
. ceal.ed until thio inspection has
'be~n made and approved.
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10/,-<..//t
)J; jI j//J
Rcce:.pt fi
/00{Oe.(
Taz Let #
Phone:
Zip:
Describe rl'or":
?;ft2 "A~
~~r1e-~
Value
Address
Your City Desigr.ated Job Nwnber 10:
O INSULATION/VAPOR BARRIER INSPECTION:
To be made after all insuk:.ti::m ar.d
,'. required vapor barriers are in place
. but before any lath" gypsum board or
wall. covering is appZiedJ and before
any inDuZation is concealed.
O DRYWALL INSPECTION: Tc be made
after all dJoywall is in place"
but prior to any taping. .
O MASONRY: Steel location, boiui
beam:;" grouting 01' vertiaals in
accordance with U.B.C. Section
2415.
O WOODSTOVE: After installation is
ccmplet;:d.
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CURB & APPROACH AP}10N: After' forms
are erected but prior to pouring
ooncrete.
SIDEWALK & DRIVeWAY: Foro all con-
crete paving within street right-
_of-wc..y~ to be made after all exca-
vating complete & form work & sub-
base nr:::terial in plaae.
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Cc....--
Siqr.ed:
Date:
/'Z---((-f'"1
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O PENCE: Wher: complE;te -- Provide
gates or movable sections through
P.U.E. .
gj ~~~
Lise. H
Expires
Phone
61tJ 5& -=j
DEU()LITlv:~ ex :;;:uv-.;:z b~:ILDIilGS
:J Sanitary 8e'.Jer aapped ::It p~op~rt'd line
~ Septia tank fT..L7ed and filZe~ L1ith gra;)eZ
I FinaZ - rlhen above ite..ns are cc;npZeted
~ and when demolition is complete or stru~-
tUl"e moved and premises cleaned up.
Mobi le Hcmes
=:J BZocking and Set-up
=:J Plumbing connections -- saJer and water
---, Electrical Connection - Blocking" set-up
--.J and pZumbing connections TTr...:st be approved
beforc requesting electrical inspection
.=J Accessory Bui lding
--, Final - Aft<JI' p:Jrcr.es" skirting" decks"
---.J etc. are completed.
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All project conditions" such as the installation of street trees" co~Zetion of the
required Zandscapir.g" etc." must be satisfied bcfore the BUILDING FINAL can be requested.
D FIlIAL PWMBIIIG
D FINAL MECHANICAL
D FINAL ELECTRICAL
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FINAL BUILDING: The Final Building Inspection must be requeoted after the Pinal Plwnbing
Electrical, and Mechar.ical InspectioT1fJ hava been made and approv2d.
*ALL MANHOLES AND CLEANOUTS IWST BE ACCESSIBLE" ADJUSTNENT TO BE f.MDE I1T NO CDST TO CITY Page 1 of 2
B1D5{,'3 SOLAR ACCESS
Oacupancl/ Gl'OU": .
LOT TYPE
IJOB
I Zona:
NO.
Lot Sq. Ft{;.
S Df lot CCJ1)erag~
# of Stories
Total Height
Topography
I
lITEM
I Main
lfJa:ttaae
SQ.FTG
CarvOl't
I AI1:~~Jt~,
~ TOTAL VAWE
I lVc&-uc)
'. S.D.C. 1.5 x
Bui lding Permit
State Surcharge
Total Cha.~gea
ITEM
Fizt:taoes
I Reaidential (1 bath!
I Sanitary SeL1el'
I Water
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I NO. I
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Plumbing Permi t
State Surc:1-.apge
Total Charaes
I ITEM 1 NO.
t Res. So. fta.
I N3W/Extend Cireui ts
11'.:....~.... -:J' SePVice
Electrical Permit
State Surr::harqe
Total Cha:l't;es
lITEM
I Furnace ETU'S
I Exhaust Hood
I Vent Fan
I1IOodstOiJ8
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I NO'1
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Permit Issuance
Me:::hanic::z Z Permi t
State Surcharae
Tntn 1 r:harruuJ
-- ENCROACHMENT --
Sec-.lM.'ttl D200sit
I Storage
I Maint~e
I Permit
I Total ChaITl,!.8,.
Curbcu:
Sidewalk
I Fen::e
I Electl'ica l Labe 1,
I MobiIe Home
I TOTAL AMOUNT DUE: '
x
FEE
FEE
FEE
In.teriol"
COl"n81"
Panhandle
Cul-de-sac
Value
1'l.01[J
CRARGE
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CHARGE
CIIARGE
/5.00
REQ.-
L-COC-ll'
T"dpe/CO,..st:
. Bedrooms:
nBl'tnl SG'dl'CeS
Heat
Water' .t/(:mtp.r>
Range
Fireplace
Wood::;tove
Tuve
I Lot Faces -
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I P.L.
INorth
lEast
South
IWest
Setbacks
l House Caraqe
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Access.
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Fees
Building Value & Permit
This permit is granted on the express condition that the sdid construction.
8haU~ in all respects" conform to the Ordinance adopted b.y the City of
SpnngfieZdl including the Zoning Ordinance.. regu'lating the construction
and use of buildings, and m:zy be suspended or revoked at cr.y time upon vic-
Za::~PPOViaiona of aaid Or>dinancea.
,lO/
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IPlan Check Fee:
IDate Paid:
IRecdpt #:
I Signed:
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Plumbing Permit
No pereon shall consmwt.. instaU, alter 01' change any netJ or e--isting
plumbing or drainage 8YBt~ in whole or in part, unless such person is tha
legal possessor of a va 'Lid plwnber'8 license, e:ecept that a pe:oson may do
pl;wr.bing IJOrk to property which is oumed, leased 01" operated by the appli-
cant.
Electrical Permit
Where State La1J requires t;..at the electrical work be done by an Electrical
Contractor.. the elec"trical portion of this permit shall. r.at be valid until
the Zabel has been signed by the Electrical Contractor.
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Mechanical
Permit
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L:gny
Plan Examiner
va.e
I HAVE CAREFULLY EXAMINED the completed application for pernrit, and do
hereby certify that aU info:omation hereon is true and corpcct, and I
f'.lrther certify that any ar.d all IJOrk perfornred shall be done in aecor-
dance tJith the Ordinances of the City of Sp1'ingficld, and the: La:,;s of th(J
State of Oregon pa.rtaining to the work described her-sin, and that NO OCCU-
PANCY will be made of any structure without pernrission of the Building Di-
vision. I fwothep certify that only contractors ar.d e:rrp~yees who are in
compliance with OES 701.055 will be used on this project
!Z-/f-f1
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Dat.