HomeMy WebLinkAboutPermit Building 1982-1-25
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RESIDENTIAL ..
COMBINATION APPLICATION/PEP.MIT __ SPRINGflElD-
- 225 North 5th Street . .
= Springfield., Oregon 97477
- BuiZding Division
- 726-3753
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Job Loc:ztion: _=? 0 fA 7? ~M~-_
ASl3esoors Map Ii n~ () ~ '1 ~~ ,; 14 Ta::: Lot #
Subdivision:
OI.mer: 7) a..AJ J? () ~J::. L' E ~
Addres3:.3~ I/; /3 I?./JAlJ uJ A I,J
City: SPFI). ~
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?hone: 747-tf// R
Zip: CJ 7477
Describe Work:
Addition
~~~
RemodeL
MobiZe .'lome
Date of AppLication
Contractors
/-;}.S'-g 2-
- Genera l
Plumbing
8Z.ectrical
Nechar.ic.:zl -J1::t:p (leAPT S'I-t) lies
Construction LendsI'
Value It f~
Add:ress
Rcce-:.pt ,#:.~ S"7 9/) L
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4- ?~ .~D
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f/J IrS: ~ ~
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Siqr.ed:
Date:
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1-..:JS-R2..
Lisc. Ii
E:rtiras
Phone
It is t:hs responGibil.i.ty of the permit hoZdIZl' tc see that aLl. inspections are made at ths PZ'C'pel' time, that each .::dJ:boess is rer:':qi,!a
from the stzoeet, and that the permit aozod is located at ths front of the propel'ty.
"Eui!d.ing [Jivi.:;ior.. approved plan shat.l . .......~" on the Buildint; Site at all timBS.
PROCEDURE POR INSPECTION REQUEST: Call 736-3763 Crccordsrl state YOUl' City desi.gnlIted job nwrber, job address, type of in3pecticn
requested ar.d'w}:en you UJill be reedy for inspection, Contractcr8 or OI.mers name and phons numbC1'. Requests received befere 7:00 <Z"l
:..'iZl be mads ths same day" requests mads aft;;:zo 7:00 am will be mads the na:t :uorking day.
i r:Jl'!m11:~ T..~r.i.r.1!"
. 0: SITE INSPECTION: To be 1'1ICZd4, aftl1l'
e:CtZl)ation, but pric%' tc Set: up of
; fo%'m8.
- '0 rmDERSLAB PWMBING. ELECTRICAL &
, 'MECHANICAL: To be ma.d8 before any
. 1;)Ork is ~OTJeI'ed.
:0
roOTING ~ FOUNDATION: To be m:zds
after trenches =e e:cavated and
forms are erected, but prior to
pouZ"i'llfJ C07lCl'et.;.
;0
:0
UNDERGROU.'!D PLUMBING. S::wER. ""iTE.'?,
DRAINAGE: To be ma:i.e prior to fa-
lir.g trenches.
U1IDERFWOR PWMBING & MECHANICAL:
To be made prioI' to installation of
floor i7l8Ulation or decking.
POST AND BEAM: To be made prior to
installaticn, of floor insulat'ion o%'
decking.
ROUCH ?UJUBI.'lG. ELECTRICAl, & MECFl-
;J.1lICAL: No :;)01'1<. is to be covered
ur.til. these inspecti01'!s have been
made and ~~.vJe~.
PI!'.EPLACE: PriOl' to placir.g fc:cing
mat;e1'ials and before framing inspec-
tio7:.
'0
;0
~D'
;0
FRAt!nIG: Must be l'equested after
approvaL of l'C7Ugh plwr.bi'llfJ, alect:ri-
cal & mechanical. AlZ 'f'Oofi'llfJ
braci'llfJ & chillm:;ys, et~. lIl'.lst be
aomp leted. No lJOrk is to be con-
cealed until this inspection has
been made and ~~~.vJed.
fOUl" Ci~ Delrigrrated Job Numbtal' Is:
D INSULATION/VAPOR BARRIER INSPECTION:
To os made after all insulati.m 1I!".d
, raqui.%'ed vapor bal'!'iszts are in place
but before any lath, gyp8U17l boazvl or
uzll covering'is applied, and before
any i7l8Ulation is concealed.
D DRYflALL INSPECTION: Tc be made
after all drywall is in place,
but prior to any taping.
O MASONRY: Steel locat'ion, bond
, beams, grcuti'llfJ or vl1l'1:icals in
accol'dance with U. B. C. Section
2415.
RA' ",OODSTOVF:: After installation is
~ ccmpleted.
O CURB & APPROACH APRON: After forms
are erected but prior to pouring
.::on...'Teu.
O SIDEWALK & DRIVEWAY: Per all con-
crete pavi'llfJ within street right-
of-way, to be made aftl1l' alZ. exca-
vating complete & form work & sub-
base material in pl,ace.
o
D
."'ENCE: Wher. corrrol..te -- Provide
gates or mOTJable' sections through
P.U.E.
g~tJtJ ~ tJ
DEMOLITION OR MOt~' 3UIL::::;CS
=:J Sam. '!:al'y setler :;~pei. ::1: ;:oP~:i line
:=J Septic tank p-.urrped ar.i fiZZed ~'ith ;rrrJeZ j
--, Final - Jlhen above it2::'!s erre ccmpleted :
~ ar.d when demdition i;; cOr:'r?le.e or struc-;
ture malJed and pr;::ni:u8 cZeane.: up. :
Mobile [{cmes
:J Blocking and Sat-~p
:J Pl.umbing connecti:;;ns -- s=er c;nd water
-, E"Zectrical Ccnnection - BlacEr.:;, set-up
--.J and plumbing aonr.ecti.=ns lIl'..st ::a CT,':provea
before l'equesting elea~rica~ ~r.s~ec~ion
:=J AcceSGol"d BuiZding
--, Final - Aft;;r .?:Jrc,hes, sk-:.rtinq, decks,
~ etc. are comp:.at;;a.
D
All projeCt conditions, sucr. as ths installation of street trees, (J~l,"ri.:m of ;i!z
required Zandscapir.g, ~ta., must be satisfied before 1:r.2 Bl!ILCI.~'G PI.7AL ~an ::13 l'aquestad.
o FIlIAL PLUMBING
: 0 FINAL MECHANICAL
'D ?INAL ELECTRICAL
o
o
PIN.4L BUILDINC: The Pinal Building Inspection must be l'equested af'''::er ;he Final ?!umbinq
EZect:rical, and Heahar.ical Inspections hava been made crru:l .:zpproved.
*ALL MANHOLES AND CLEMlOUTS MUST 3E ACCESSIBLE, ADJUSTHENT TO EE MADE ','!T NO COST TO CITY I P:;~a
of;; ~
~
. - ~
1
IJob NUmber: a)....f) D 4-,."
I
!Zone: Occupancy Grouv:
1 Lot Sq. Ftg.
i% ~f lot,C~erage
!# of Stories
! Total. Height
! Topography,
!
lITEM
I
iMain
I:eaz.aae
I'carport
l'Acces80rl/
SQ.FTG
Is.D.c.
TOTAL VALUE
(va~ue)
1.5 :::
BuiZding Permit
State SurchaZ'ge
Total Cha....gea
ITEM
Fiztures
IResiden~ial (1 bath)
Isanitaz'!/ Se1JJer
I Water -
NO.
PLumbing Permi t
State Swocr.arge
Total Cha:raes
ITEM
NO.
Res. Sa. fta.
Neo;/E:::tend Circui t8
I
I, Teirrporary Service
I
I,
Ele::trical Permit
State Swocharqe
Total. Chart:;es
lITEM
I Furnace ETU' S
;E:::haust Hood
'Vent Fan
,I NO."
~loodstove
Permit Issuance
Me::hanical" Permi t
State Swocharae
Total Charaes
I -- ENCROACHMENT --
IseC".tritll Deposit
rStorage
I Mainte=e
I permit
Tctal Characs
I' Curbcut
, I sideWa. Zk
P~e
'Electrical Label
;Mobile Home
,TOTAL AMOUNT DUE: *,
LOT TYPE
Interior
Corner
panJuindle
Cul-de-sac
x
Value
FEE
CHARGE
FEE
CHARGE' ,
FEE
, CHARGE
S.t>{)
It>. tJ-l>
10. !)-{)
. I/) {)
I /6. ~/)
/I /6-. hD
Page 2
Reference Numbers." _~>
L-COG #:
T,~T?e/Cor.st:
Bedrooms:
EnttrC!]J SOl.a'ce s
Heat
Water Heater
Range
Fireplace
Woodstove
'Tupe
I Lot Faces -
I Setbacks
I P. L. House Garaqe
INorth
East
South
IWest
I
Access. I
I I
I
Fees
Building Value ,& Permit
This permit is granted on the express condition that the said construction'
shall, in all respects, conform to the Ordinance adopted by the City of
Springfield. including the Zoning Ordinance. regulating the construction
and use of buiZdings. and may be suspended or revoked at c:ny time upon vio-
lation of any provisions of said Ordinances.
*
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Plan Check Fee:
Date Paid:
IR~ceipt #:
jSigr:ed:
Plumbing Permit
No person shaZZ construct. inataZZ. alter or change any new or e:::isting
pl.umbingor drainage system in 'whole or in part. unless such person is the
legal. possessor of a valid pl.umber's license. e:::cept that a person may do
plumbing work to property which is oumed. l.eased or operated by the appZi~
'cant. '
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Electrica I Perm i,t
Where State L<:riu requires that f<he electrical. 7JJOrk be done by an El.ectrical.
Contractor. the electrical portion of this permit shaZZ not be valid until
the Zabel has been signed by the El.ectricaL Contractor.
Mechanical Permit
1*
PZan Examiner
J)a~e
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I HA VE CAREFULLY EXAMINED the comp leted app Ziaation for permi t. and do
hereby certify that aU info!'11!ation hereon is true and correct, and I
, f.a.ther certify that any ar.d aZZ !Jork performed ahaUbe done in acaor-
dance with the Ordinances of the City of SpringfieZd. and the La:.JS of the
* State of Oregon pertaining to the work described herein. and that NO OCCU-
PANCY wilL be made of any structura without permission of the BuiLding Di-
.vision. I further certify that only contractors and employees who are in
c~T.pliance with OBS 701.055 wi'll be used on this projeat
~A-' ~ Au~/' ~~ '
$igned -"
/-~5 -j)~
Date
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