HomeMy WebLinkAboutPermit Septic Tank 1991-1-31
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COMBINATIvu .APPLICATION/PERMIT - SPRI!"GFIELO- _
225 North 5th Street
- SpringfieZd~ Oregon 97477 ~
BuiZding Division ~ .
726-3753 ~
lob Location:
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ASDesaors Map /I
subdivisi9n:
amer:
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971f'lt;
Addresa:
City:
NI71o1
Additicn
Remodel
Phone:
Zip:
Describe Work:
rer~tU-e
r~e..r. l/~o(... fo . ~ t-l, ~..
Value. .... /(/A..
Uobile Homll
Datil of Application
Con tractors
Genera l
Plumbing
Electrical
Ne~har.ic:;:l
SUDervisinQ'E~ectrician
~k..
Addree3
PI7(~~
. Signed: #~~
Date: J - '], I ... 9' /
Lise. If
Expil'CS
Phone
It is ~he responaibility of the pemit holder to see that all inspections are made at tlle. proper time. that each .=ddresa .is readab!~
from the street, cmd that. the permi t card is l.ocated at the front of the property.
. .Sui!.ding Di.lJi:ior: approved Flan shall remain on the Building Sita at all timee.
PROCEDUl?E FOR INSPECTION REQUEST: Call 726.:.y/fi9 u-ecorder) state your City designated job nwr:ber, job addrcss. typR of in:;pecticn
requested ar.d when you IJill bs ready for inspection, Contractors or OL1nere name and phone number. Requests received befcrfJ 7: 00 en
:..'ill be ma41l the sams day, rsqussts made aft~ 7:.00 am IJill be made the nczt worki~ day~
R~nui~~d rnnrp~tir.nn
. D: SITE INSPECTION: To bs madll after'
ezcavati.:m, but pricr' tc SBt up of
. forms.
.0 . UNDERSLAB PWH9ING. ELECTRICAL &
MECHANICAL: To be made bsfore any
work is aOlJered.
. 0 E'OOTINGf FOUNDATION: . To be TTrlde
after trenches are ercalJated and
forms are erected, but prior to
pouring ccncreto.
~ UND!RGROWlD PWM3~w;t ).iTE.,? .
,.6J D.'?AINAGE:: To be ~ to fa-
· Lir~ trenches.
D
UNDERFWOR C'W/.$ING ~ f.tEC!lANICAL:
To be made prior to inatallation of
floor insu~tion or decking.
POST AND BEAM: To be /T'.ade prior to
iTl8taLl.aticn of floor insulation 01'
dscki1l{j .
ROt'GH PWHBINC. E['ECTll!CA!' & MECH-
ANICAL: No :JOl'k is to be co~'ered
untiL thcss iTl8pec~ions havs been
made cmd approlJs':. .
n.'?EP[,ACE: . Prior to p~cir~ facing
materials. and before framing inspec-
tior:. : ' . . . ,
FRA/1ING: MU3t bs reque~ted aftel'
approlJal of rough plwrbing, alectri-
cat & mechaniaal. AlZ locofing
bracing ~ chimneys, eta. nr.lst be
complstod. /10 work is to be con-.
cealed.Until this inspection has
.been made and.approlJed.
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Your Ci ty Dssignated Job Numb61' Ia:
D INSULATION/VAPOR BARRIER INSPECTION:
To be TTrlde after all insulation and
required vapor carl'isrs are in place
cut befcrs any lath, gypsum board Or'
Inll colJering is applied, and before
any. insulation is concealed.
O DRYWALL INSPECTION: To be made
after all dPYlntl is in place,
but prior to any taping.
O MASONRY: St~el loaa.tio~, b~
.beam~J grout~ng 01' lJert~cals ~n
aacol'dance with U.B.C. Section
2415.
D 1I00DSTO'lE: After installation is
ccmpleted.
D
CURB & APPROACH AP.'?ON: After forms
are erected but prior to pouring
\Jon::l'eta.
9/CJe77
I DE:NO;'ITIO:l OR .110l7' 3UIL~:.'ICS
!
D SIDF:WALK & DRIVC:WAY: For all con-
crete paving within street right-
of-way, to be made aftsr all e:rca-
lJating complete & form. work & sub-
base material in place.
D . fENCE:. ~'her: complote -- ProlJide
gates or mOlJable sections through
P.U.E.
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:=J Sani1;ary seIJe!' cappec :;t p~op;;!'t':i Zir:e
:=J Septia tank p:Al7lped ar..; fil;.~d :.Jith 3ra"JeZ .
---, Final - J,'hen abclJe ite:~s are ccr.rpleted .
--1 ar.d when :leTTIcZition iiJ completiJ 01' struc-
ture moved and prcmia.;s aZeane= up. .
. Mobile Hemes
~ Blocking and Sat-~p
~ Plumbing connections -- scuer end water
---, Electrical Connection - Blockir~, set-up
--.J and plumbing connections /r,":3t ::e Clt'proved
beforc requesting ele~:rical ir.spection
:=J Accescol":i BuiZ-dil1{!
---, Fin.:zl - Af~;;r .porc,'-:es, sk-::rti71f!, decks,
--.J etc. are comp~atca.
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t\Jt~
~ FINAl. PLUMBING'
All project conditions, such as .ths installation of street trees, c~~ZJtion of ;~e
required landscapir:g, etc., must be satisfied before tr.s Bl!ILDI.~'C FI.7AL :an !:e Nquest.1d.
0: FINAL ME~HANICAL
D FINAL. ELECTRICAL
o
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?IN.4L BUILDINe: The Final Building Inspection must be requeete:l after' ~~e final P!wr:bing
Electrica.l, and Uechanical Inspectiona have been made and approved. .
~ALL /.IIINHOLES AND CLEA/lCUTS MUST BE ACCESSIBLE, ADJUST/fENT TO BE M.1DE AT NO COS'i' TO CITY P':'ie of 2
I ,lob Nwnbcr:
I Zone:
Lot Sq. Ftg.
'% of lot Coverage
# of Stories
: Total Height
i Topography
I
I
I
lITEM SQ.FTG
I Nain
Gal'aGe
Carport
Accessoru
I
TOTAL VAWE
(va.'ueJ
1.5 x .
S.D.C.
Building permit
State SUl'charge
Total Charges
Occupancy Group:
WT TYPE
Interior
Cornel'
Panhandle
Cul-de-sac
X Value
..
lITEM
I Fi.rtUl'es
Residential (1 bath)
Sanitary Sewer
Water
Plwnbing Pemi t
State SUl'cr.arge
Total Charoes
NO. FEE
CHARGE
. '" ~Ol'
205"00
I NO. I FEE
1.2-r:'
26:,,2.r: ~
CHARGE'
inEM
Res. Sa. fto.
N~/EXtend Circuits
I Temporary Service
I
Ele~trical Permit
State SUl'oharge
Total Charges
lITEM
I Furnace ETU' S
I Exhaust .Hood
\ Vent Fan
I Woodstove
I
Permit I3suanca
Mechanical Permit
. State. SUl'charoe
Total Charoeo
-- ENCROACHMENT --
SeC".Iritll Daposit
Storage
Maintenance
I pcrmit
Total Charr1/1s
CUI'bcut
Sidew.llk
Penje
I Electrical Label
I'Mobile Home
TOTAL AMOUNT DUE: ~
.-- "1-
"
NO.
FEE
ClIARCE
262-)-1 ~
Refcrer.ce Nwnbers:
L-COC H:
Typel Cor.s t:
Bedrooms:
I Eo,." _<Ill Sources
I. Heat
Water !/p.o.ter
Range. .
Fireplace
Woodstove
T1IPe
Lot Faces -
Setbacks
P. L.. ' House Carage
North
East
South
West
Fees
I Access.
Building V~'I~e
".,-
&
Pe r m it
This permit io granted on the express condition that the said construation.
shall, in all respeats, aonform to the Ordinanae adopted by the City of
Springfield, inctuding the Zoning Ordinanae, regulating the aonstruction
and use of buildings, and may be suspended 01' revoked at any time upon vio-
lation of any provisions of said.Ordinances.
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Plan Check Fee:
Date Paid:
Readpt H:
I Signed:
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Ii2.Ib ff b
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. \.p lumb,i ng.. P~ r.m i.t,
No person shall aonstruat, install, alter 01' ahange any neW 01' existing
plumbing or.drainage system in.whole 01' in part, unless suah person is the
legal possessor of a valid plwnber's liaense, except that a person may do
plwnbing work to property which is owned, leased 01' operated by the appli-
.cant. .
Electrica I Perm it
Where State LalJJ requires that the electrical work be done by an Electrical
Contractor, the electrical portion of this permit shall not be valid until
the label has been signed by the Electrical Contractor.
~
Mechanical Permit
~
P~an Examiner
uate
I ~
I HAVE CAREFULLY EXAMINED the completed application for permit, and do
hereby certify that all information hereon is true and correct, and I
further certify that any ar.d all work perfornled shall be done in acaor-
dance with the Ordinances of the City of Springfield, and the ~s of the
State of Oregon pertaining to the work described herein, and that NO OCCU-
PANCY Will be made of any structure without permission of the Building Di-
vision. I further certify that 0~1ly contractors and employees who are in
cQ~pliance with ORS 701.055 will be used on this project
)/A (~
Signed
0r I'i'/
Date I