HomeMy WebLinkAboutPermit Building 1984-7-11
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APPLICATIONIPERMIT
225 North 5th Street
Springfield, Oregon 97477
Building Division
726-3753
Job Location:
" rA8DeS30rs Map
~ / Subdivision:
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SPRINGFIELD
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Tax Lot #
OI.mer, 5A-lA l.I;;- L f:' .A1C', II tI ~ F
Awes", lo") 9 A/(!)f(f'1I )I <:r
City' 5 0Jh~C: r/E/-d
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n Npt)
~ddition
Phon., 1:; ~ -&"~ 1/
Zip:
Describe [{ork:
;3ltrlf rXM. ,4C!q!lfrr;;;.t
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Remodel,
Mobile Hama
~'-.2.~-~.
Value
;lOOt!:>, c9 0
Address
L Co}.f e LA/{ k 8vr'1 <11/11 c ,Z:>v@
pod J..ft-bv/S oLbfA/li/</6
nEr.eR- Yr7r:?'PA//4
I Meehar.icd / N ~ ,/ g- , '. (
Construction Lender" ffCJ II ~
It is the responsibility of the permit ho~er to see that all inspections are ~ade at the proper time, that each ~eB8 is l'eadaD:e
fr>om the street, and that the permit Ca:M is 1.ocated at the front of the property.
-Building Divi::ior: apPl'o'L-'ed plan shaH remain on the Building sit:; at aU times.
PROCEDURE FOR IN.?PECTION RE:QUEST:CALL 726-3769 (recorder) state your City designated job number.. job adC.1"ess.. type of in:;pec:;icn
r~questcd ar~ when you wiLL be ready for inspection.. Contractors or Owners ncme end phone number. Requests received before 7:00 ac.
"..i,Jill be made the. same dc.y.. requests made after 7:00 am will be made the next :Jerking day.
Date of Application
C:ontractors K
General
n1m>bing
Electrical
_Q,,!~''''~.~'''rl T...."'.,......+..,..~....o_______ ._______
SITE INSPECTION: To be made after
excavation.. but prior to set up of
forms.
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UNDERSLAB PLUMBING. ELECTRICAL &
MECHA.NICAL: To be made before any
work is aovcred.
R....-fOOTING & FOUNDATION: To be /1Y.1.de
after trenches are excavated and
forms are erected.. but prior to
pouring ccnCl'et~.
~ ......rUNDERGROUND PLUMBING; SEWER. WATER,
I...... DRAIllAGE: To be made prior to fil-
lir.g trenches.
i ......1-uNDERFWOR PLUMBING & MECHANICAL,
To be made prior to installation of
ttoor insulation or decking.
r1....POST AND BEAM: To be made prior to
~ installation of floor insulation 01'
decking.
r-:J_ROUGH PLW1BIHG. ET,ECTRICAL & MECH-
~ ANICAL: No ~ork is to be covered
.until these inspections have been
made and approved. _
O FIREPLACE: Prior to placir.g facing
mc.terial,s and before framing inspec-
tion.
1~I~AJfINC~ MUst be requested after
approval, of rough plwrbing.. al,ectri-
,cal & mechanical. All roofing
bracing & chimncys.. eta. nr..lst be
;'completed. No wor>k is to be con-
'" .o.cealed until this inspection has
~be~n made and approved.
'77 1(9
Your City Desigr.ated Job Nwnber In:
r---J_INSULATION/VAPOR BARRIER INSPECTION:
l..!:::) To be made after al,l insul.xti::m wLi
. required vapor baI'riers a:t'e in place
. . but before any lath.. gypsum board 01'
wZl covering is applied.. and before
. any insulation is concealed.
II DRYWALL INSPECTION: To be made
~ after all drywall is in place..
but prior to any taping.
O MASONRY: Steel location.. bomz
beam:;.. g1'OU ting 01' vertica ls in
aacor>dance with U. B. C. Section
2415,
D WOODSTOVE: After instaLlation is
completed.
D
CURB & APPROACH APRON: After forms
are erected but prior to pouring
aonorete.
SIDEWALK & DRIt~AY: For all con-
crete paving within street right-
of-way.. to be made after all exca-
vating complete & foPom work & sub-
base matenal in pl.a:Je.
_','0
P. #- c:,:- I r;~
pi "'1/11/3''1
D
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PENCE: Wher. complc;te -- Provide
gates 01' movable se?tions through
P.U.E,
.
Signed:
Date:
D -I--t
'--7. ii, / )-<;-1
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Lise. II
Expires
Phone
;;'-I"2-<i~
t:Q"if-6 '79';;
~CJ.-/52f
I DENOLITION OR ;~:Ov=:!; BUILDIilGS
=:J Sanita:r>y se'.Jer capped at P:..OPCl't'd Zir:e
~ Septic tank p:J.l'?ed and fi zza~ with gT'a~eZ
I Final - {{hen abcve items are ccrl/pleted
~ and when demolition is complete or stru~-
ture moved and premises cleaned up.
I Nobi le Homes
:==J Blocking a7Ui Sat-up
:==J Plumbing connections -- sa.;er and water
:::J Electrical Connection - Blocking.. set-up
and plumbing conneotions ~~st ce approved
. beforc requesting eled1'ical inspection
~ Accessory Building
--, Final - After parches.. skirting.. decks..
~ etc. are completed.
o
All project conditions.. such as the installation of street trees.. co~letion of the
required Zandscc.pir:g.. eta... must be satisfied before the BUILDING FINAL can be r8quest~d.
L21-F'INAL PLUMBIIlG
la-FIliAL MEoHAIIICAL
~NAL ELECTRICAL
~INAL BUILDING: The Final Building Inspection must be requested after> the Final Pl,wnbing
'CJ El,ectrical.. and Mechar.ical Inspectionn have been made and approved. "
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*ALL MANHOLES AND CLEANOUTS MUST BE ACCESSIBLE.. ADJUST!fEllT TO BE !,fl1DE i1T NO COST TO CITY I Page 1 of 2
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Zone: \ .? L OCCUDancu
Lot Sq. Ftg. ~~J
Z of lot CoVerag;; ~
ii of Stories
TotaL Height 'Lc:.,
Topography ('"\- \ q",
....; ~ - .
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'ITSN
I Main
I CcPac;e
'I Car-vort
I AcCeSBOPtl
I SQ,FTG
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IS.D,C.
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TOTAL VALUE
{vatuc)
1.5 x
Building Permit
State Su:r>chCIPge
Total Cha.......ges
IITEN
I Futures
I Residential f1 bath)
I NO, I FEE
Sani ropY SeWer
Water
I, I\D:-
huu~~
Plumbing perd. t
State Su:t'cr.arge
Total Charaes
,lITEM
! Res. Sa.
1110,
fto.
New/Extend Circuits
\
Temporary Service
Ele~tricaZ Permit
State Surcharae
Total Charces
lITEM
I Furnace ETU' S
I E:::haus t Hood
Vent Fan
Permit Issuance
Mechan.ical Permit
State Surcharae
Tnta Z r:ha:raf?fJ
-- ENCROACHMENT --
I SeC'..lrit.l/ Deposit
I Storage
I Maintenance
Permit
Total Char-acs
I Curbcu!;
I SidmJaZk
I Fen:!G
I Electrical Label
I Mobile Home
I
!
I TOTAL AMOUNT DUE:'
Gr_~.~~'
I
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I P.L
lNol'th
lEast
ISou th
IWest
LOT TYPE
~teriol'
Comer
PanhandLe
CUL-de-sac
x
value
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'2. u.. . C\(p ( .
CHARGE
FEE
CHARGE
CHARGE
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Col.~ I.
o~ T"De/cor.st:" 'I
Lot Faces - Ml~ U. I
Setbacks
: House 1 carage A.ccess.
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III
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Bedro,,",s,\l')\ \,:Q"\ \\1di
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T:I':)e
EnBr>(1U 8oul'ces
~eat
Water .lfMtfH';::)~c:;;.\ \\ 1\~
Range '-" -., \ --1
Fir>evlace
WOOMtolle
Fees
Building Value
&
Permit
This permit is granted on the expr>es8 condition that the s~id.construction
8hall~ in all respects, confor'm to the Orodinance adopted by the city of
Springfield~ including the Zoning Ordinance~ l'egulating the ccnstF~cticn
and use of buildings~ and may be suspended or revoked at any time upon vic-
lation of any provisions of said Ordinances.
Inan Check Fee: 1~.fJQ_r
Icate Paid: ft,-;;)$-KV'
(RecdPt #: Cn3!07
Siw:ed: (). I. 1
, '" "'-LI../
Plumbing Permit
No person ahall construct, install, alter or change any p~w cr ezisting
plumbing or drainage syst~~ in whole or in part~ unless such person is the
legal possessor of a valid plumber's license~ except tr~t a pe~son may do
plumbing work to property which is owned~ leased or operated by the appli-
cant.
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Electrical Permit
Where State LaLJ requires th.at 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
.
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Plan ~n5r ...
I HAVE CAREFULLY EXAMINED Ow completed application for permit, and do
her(Jby certify that all ir:fO:'771ation hereon is true and corl'ect~ and I
further certify that any ar~ all work performed shall be do~e in ac~op-
dance with the Opdinances of the City of SpringficLd~ and th~ LT~s of the
State of Oregon poZr>taining to the work described herein~ end that NO OCCU-
PANCY will be made of any structure without permission of the Building Di-
vision. I further> certify that only contl'actors w.d e~loyee8 who are in
ca~pliance with ORS 701.055 will be used on this project
~J~
7-11- <(vi
Signa.d
Date