HomeMy WebLinkAboutPermit Miscellaneous 1981-12-15
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CO~BINATION/APPLICATION PERMIT
. RE'CE'IPT f..
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crrr 0: SPRIlJGFIELD
225 :':O.rn:H S'IH ~':'REET
SPRJ:ICFIE!.D~ OREC.()N ;'7477
auiZdi~.g Divi8io~
726-,75J
Subdiv~'sion:
Job l.o,..ation:
q <[ ~ (\)\ t ~("\. ~t-,
:~s.a..ors 1Ja? # 17- /)3-:J~ -t/1-
To;: Lot # 0" I tffJ
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Q.m.r
Addroa.
City
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c/'75' Q u t./J1h.7
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Phons #74 7 - <;- 09 t.
Zi.p
Descri1:s Work.
Nr.'
d\ol~ ~
~r-,~
Adt!i tion
.~cnod.l
th~~t-/Age.t~ - \~\8; \
Addres.
Lisen:2.0 -~, Pf\ /:zp';r.. (.-3"-,,t..PIto.. /I<;
Cen,ral
COl'!trttctQl"S Nam,
"l'f~-~4~
Plwrrbi./lg R. J L6-1 P W >VI ~ J JJ~.
!lsctrical
f.fecha1:iocl
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c }I€.~ /I ftl /!.
C07UItru...-tion: Lender
REQUIRED INSPECTIONS
It is the responsibility ot the permit holder to see that all ~speetions are made at the proper time, that each address is .
readable ftoem the street, and tha,: the permit card is located at the front of the property.
6 All manholes and eleanouts are to be adjusted at no cost to the City
O SITE nrSPECTICN: To be made after 0 FIREPLACE: Prior to placing facing 0 WQODSTOVES: After installation ~
excavation, but prior to set u? of materials and befere frowg inspe.o:- is completed.
fotT"..s. don.
o
o
o
o
o
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jJNDERSLAB PLUMBING..... eu:CT~IC.'L & 0
MECHANICAL: To be made before any
work is covered.
FR.o\HING: Must: be request:ed after 0
approval of rough plumbing, electri-
cal 6. mechanical. All roofing,
bracing 6. chimneys, etc. must be
completed. No work is to be con- D
cealed. until this inspection has
been made and approved..
SIDEWALK & DRIV17JAY: For all con-
crete paving within street right~
of-way, te be cade after all exca-
vating complete & form work & sub-
base materi~ in place.
CURB & APPROACH AP~ON: After forms
are erected but prior to pouring
concrete.
FOOTING & FOUUDATION: To be made
after trenches are e:tcavated. and
forms are erect~d, but prier to
pouring concrete.
UNDtRGROUND PLUMBItIG. SEWER, WATER. 0
DRAIllAGI:: To be made prior to f!l-
Ung trenches.
INSULATION/VAPOR BARRIER INSPECTION:
To be made after aU. inSulation and
required vapor barriers are in place
but before any lath, gypsum board or
wa1l covering is applied, and befC._U
any inSUlation is concealed.
OTHER INSPEC7IONS: may be required
in accordance with Building Coee,
to be. ind.icated. in rla:-.:J or by no-
tice from Building Inspector.
UNOtRFtOOR ?t~iBING ~ MECHANICAL:
To be made prior to installation of
floor insu13tion or decking.
POST 6. BEAH: To be ~de prior to
installation of floor insulation
or decking.
o
DRYWALL INSPECTION: To be nnde
after all drywall is in p13ce,
but prior to any taping. .
ROUGH PLUHB!NG, ELECTRICAL 6. HECH-
ANCI.'\L: tlo :.Iork 1s to be covered
until these inspections have been
made and approvee.
o
MASONRY: Steel location, bond
be3mS, grouting cr verticals in
accordance with U.B.C. Section
2~15.
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All project conditions, such as the ins~al1ation of stree~ trees, completion of the
required landscaping, etc., must be satisfied before the BUILDING FINAL can be requested.
,
FINAL BUILDING: The Final Building Inspection must be requestod a:~Jer the Final Plumbing
Electrical, and Mechanical Inspections have ~een made a::td approved... ,
No occupancy of the premises C3n be made until the Final Building Inspection has been
made and approved, anC a CERTIFICATE OF OCCUPANCY HAS BE~~ ISSUED BY THE BUILDIRG DIVI-
SION ~~O POSTED O~ THE PREMISES.
F!NAL EL~CTRICAL
~ rINAL HECHAHICAL
?agc 1 ()f 2
PROCEDURE FOR INSPECTION REOUEST: Call 726-3769 (rec=rder}state your City designated job
number, job address. type of inspection requested and when you will be re3dy for inspec-
tion, Contractors or Owners name and phone numbers. Requests received before 7:00 a.m.
will be made the s~e day, requests made after 7:00 a.m. will ~made the next working
day. YOUR CITY DESIGllATEO JOB HUH9ER IS, ;><; 1 O'LJI U
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I JOB NUHEER
I ZONE
OCCUPANCY GROUP
Lot SquCU"B :-tg.
:': :1 f Lot Cov61'ed
if of S~Or1.e8
:-"taL Hllight
':o'?OtJl"ap:"'y
[,at
Ty~o
Ir:tenw
Corner
P""Jumdl"
Oth9l'
l<p , J.~.,i"
~4:17, ..
ISq. ftg. ~a.Ja :: ~
ISq. Ftg. Car;or: ~ :: .
ISq. Ft;? A::-c:e:=so:oy r ~ I
ISa. I ,
F4;c. :: .
VaLue J I
P,m'i t ~.8 I I
Stn.'tlt ,<'UI-I'!1-rmont:t i I
TOTAL CHARoES I
IS~stem Dev'~e"t Char~a I
11.5::: Val:.uJ . I I
IND.
I /
I
fEE
CHARGF:
~i=tu"Q8
r{atsl' Ssrvice
5~"i. taP!/ SrJer
SUBTOT.~L
St4t. SUrahargo
TOTAL CHARCES
16.00
j .,,)(")
I S ~f('lj
!lO.
FEE
CHARGE
So. PaotMtI
!ltN ar E.~ensicn./Ci l'e-..ci t
Teroo'!'ar"J C~8t:ouc:ion
SUBTOTAL
Stl%t9 Surc~e
TOTAC, t;HAR(';ES
I
1:10. FEE
I ~f"O"N1.~n _ 9Tll'.t;
I E::haust Rood ;
I V6PIt Fa7I
I Wood Seovs/HeatBl'
I
I
SUBTOTAL
Stata S'l.u-cha1"t10
TC'!!AL CHARGES
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?J.ge 2
REFF.RENCE Nl~BF.RS
TYPE!CO~ST~UcrION
t-COr, !i
BEDROOMS
Sstbaaks
I
So:.~'C:ElS I
I ~~~~~;~~a. . :
I ~O~~. 1
I I,
i I
,
Lo~
P.r,.
Nor":h
E"ast
South
West
,
~ ojQl"CtfT1 ACC18.J :
i I,
I I
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, EI:el'gy
I 71']'1:
I ;\'cteJ'" Hea.tar
I ."':ar.ge
I Pool.
I
Faaes:
J House
I
I
I
FEES
BUII.DII/f; VALUE/PERMIT
TM.s permit is grantgd on the e--prE88 c:n1di.:.;cn :ha=
the said conStruction DhaZZ, in aZZ res=ects, aonfo~
~ ths ~i..~~es adopted by the Ci~ o;~ Spl--:.ngfield,
incl:uii.."g t.w Zoning Ordinance, re~.J.Zat{.ng -;;'.8 ~on.-
stro..lct-:.on and use of Cr..lil.dirI{J8, ::md."TaiI ;,e Q..ls';dr.dsd
or rtrJok.ed a-: any MS upon vioZati.;n of aJt'i ~rcvi-
siens of said Ordinances.
Plan Chtlck Fee
Dc:to Paid
Receipt II
Pt1lYBINC PERMIT
No pszosQn shaLZ. construct, {.~t:zZl, :zZ=szo or ahar.gB
any netJ or er;sti"'1 plwrrbing or d.r:::i.nage BYs':6m in
UJhcle or in part, lOIWBS Buch pszoao:"! is :he :eg:::.l
possessor of a valid pl~er'B lia8r~Q, gral?t that
a person may do plumbing la.'Ork to pro-;er-::-, wh::ch is
oomod. l.s1Ul,d ar op"""ted by tho ~!{.c=t.
ELECTRICAL PERMIT
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Whsre Stats LaL.' requires that ths 8~eot:oica! IJOrTc bs
d.o1Uz by a1! ELectricaL C?1ltractor, ti!~ eZ..ot:>-.:caZ- ior-
tion of this p4U'm'i.t shalt not bfl va!id Wlti.Z.. th.. Za-
baL has beB71 aigned by ths E1.actric.:Z Contr~=or.
Th& El.scmcaZ Safety La1JJ does not :"lIJqui.r. ~ p8~son
to obtain a 1. icenss as an 9WlCtricU::n ar..a/ot' 8L..c-
triea? CO"It~tor to male. an eZsotr:.cat i.ns;..:Zt.:t1.on
on proplll"ty which is ownad by himssZ."'. ozo a ~&tber of
his inrnedic.ts family which is not ir::sn::ed :~;r saLe,
lease or rant.
CH.4RGF:
MECHA.'Ic.4L PE:ilMIT
l'
ENCR~ACliNE.'IT
ISoour;ty Do~a.it
ISt.?mgo
!Uaiptc1'U1tWs
I Permit
I TOT.1L A~U!lT DUE
1C".l1"b~t
I Sid_ lk
I rt]nc~
I-;;Zsctl"ical Labal
I
''fOTAL AMOUNT DUE
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PLan Ezami.oozn I Dat..
I HAVE c.1REFUUY E.'WfINED tlls """'Pl.stod appLication for pormit. and do
hsrtoby certify that all i1l.J."'...._~;on harsan is trua and correct, and I .
fUrther c6l'tify that any and all ""rk pcrform.d .halL bo dons in ceco,...
da=o LJtih tlls ardinanc.. of tlls City of Spri"flfiold. and tho !.aLl, of tlls
Stato of Ol'Ogon portaining t.? th. ""rk ds.cribed heroin, and that !lO oc-
CUPANCY !Jill bo mds of any .tro,ctur6 !Jithout p.rrrrisoion of tlls Building
Division. I f"..aothBr clIl''tify that onty ~traotors and. errrp1.oYSflS who are
in compZiancs with ORS 701.055 wilZ be used on ~his projeot.
I.
~ .J_I....-. ~ f2-/!{- <;;-/
Butld~i::~apPl'OVfld p~: sha4n on ths Sui-Wing st:~:~t alt.
times.