HomeMy WebLinkAboutPermit Building 1985-8-5
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.. RESI~T1AL"
APPLICATIONIPERMIT
225 North 5th Street
SpringfieLd, Oregon 97477
BuiLding Division
726-3753
.,
Job Location:
ItJf.3
ABBeSOOp" Map H 17 -d~ . 3S- "/1
Subdivision:
AJ
'Y-J "
T= Lot H ~:;6~
Ol.mel'":
/4!2e?:f
/cJJ73 A/
0~
'1'1 II
1<11- 3tl'l3
Address:
City:
r7l
n
n
n
N(:Y],J
Addi ticn
Remodel
,'.fobi Le liqme
. .1< 3d-o~
Date of Application
Contractors
I) J1) III Jt)
General
Plumbing
Electrical
Mechm:ic:lI
Construction Lender
Phone:
zip:
D-;;;O"O~fU~ -Poif-
'0jM~
v~luel :2?j()
Arlih'ess
tit Reeeopt
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PAID
Siqr.ed:
Date:
f!tIzJt--
>f -eJ' - k' J"j
Lise. II
Phone
Expires
It is the responsibility of the permit hotder to see that all inspections are made at the proper tim€# that each ~e88 is l'eadaD~e
f1'Ol1/ the street, and that the pernrit eard is 'located at the front of the property.
~BuiZdirzg [)1~1Jiaion approved pLan shall remain on tlw Building Sit:; at all times.
PROCEDURE FOR INSPECTION RE:QuEST:CALL 726-3769 (recorder) state your City designated job number.. J'ob address.. type of in:;pec-=.icn
requested ar~ when you ~ill be ready for inspection.. Contractors or Owners ncme and phone number. Requests received before 7:00 ~
...>ill be made the same day.. requests mc:de after 7:00 am fJiZZ- be made the n~t :JOrking day.
. Rf!m~iY>"'!.ri r"'.J~r!'~t1:r.!",,~
O SITE INSPECTION: To be made after
excavation.. but prior to Set up of
forms.
O pNDERSLAB PLUMBING. ELECTRICAL &
. MECHANICAL: To be made before any
" work is ~overed.
~
FOOTING & FOUNDATION: To be made
after trenches are excavated and
forms a:t'e erected.. but pPior to
pouring concrete.
iYl UND~D PLUMBING,. SEWER. W,1TEr?,
t:..:J ~, : To be lOCLde prior to fi l-
.~;nfl 7renohes. 11"""""",
o
UNDERFLOOR PWMBING & MECHANICAL:
To be made prior to installation of
11001' in8u~tion or decking.
POST AND BEAM: To be made prior to
instal'lation of floor in8~1.ation 01'
decking.
ROllGH PUjMBIl-lG. ELECTRICAL & MECH-
ANICAL: No w01'k is to be coveI'ed
.until these inspections have beer.
made and approved. '
FIREPLACE: Prior to ptacir.g facing
materials and before framing inspec-
tion,
r.:71 FRANING: Must be requested after
~ approval of rough plwr.bing.. electri-
,cal & mechanical. An roofing
bracing & chimneys.. etc. lTI'..lst be
;" completed. No work is to be can-
"., ---..cealed until thia inspection has
~been made and approved.
o
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Your City DeGigr~ted Job Number 10:
O INSULATION/V/lPOR BARRIER INSPECTION:
To be made after aU insula.tWn ar.d
'. required vapor barriers are in place
" "' but cefor8 any lath.. gypsum board or
wU covering is applied.. and before
. a1!y insulation. is concealed.
DRYWALL INSPECTION: To be made
after aU drywall is in place..
but prior to any taping.
O MASONRY: Steel location.. bona.
beams.. grouting OJ' verticals in
accordtmce fJi th U. B. C, Section
2415.
o
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WOODSTOVE: After i718ta1.Zation is
acmpleted.
C?~V7ff..;1.
I DElfOLITION OR ;'.fOVED EUILDIilGS
:J Sani t.ary 8e'..Jer ::crpped ::::t p~opert"~" Zir.e
~ Septi~ tank p~ed and fille~ ~th gra~eZ
:J Final - mzen ah.,---ve items are cC"Trpleted
and when demolition is complete or stru~-
ture moved and premises cleaned up.
I Mobile Hemes
:::J Blocking and Set-~p
:::J Plumbing connections sewer and wat.er
:::J Electrical Connection - Blocking.. set-up
and plumbing connections nr....st be approved
before requesting elect.rical inspect.~on
=:J Acaessor';i Building
:J Final. - Aft~r p::Jrcr.es..
ete, a:t'e complet.ed.
Skirting.. decks..
o
CURB & APPROACH APRON: After forms
are ereated but prior to pouring
conaroete.
SIDEWALK & DRIVEWAY: For aU con-
crete paving within street right-
.of-way... to be made after aU exca-
vating complete & form work & sub-
base material in pZa:Je.
o
All project conditions.. such as the instaZlation of street trees.. c~~letion of the
requiroed Landscaping.. etc... must be satisfied before the BUILDING FINAL can 'be raquest.zd.
o FIliAL PWMB1NG
o FIliAL MECHANICAL
o FINAL ELECTRICAL
o
@
FINAL BUILDING: The Final Building Inspection must be requested after the Final Plumbing
Electrical.. and Mechanical Inspections ha~e been made and approved.
o
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PENCE: When complete -- Pro~ide
gates or movable sections through
P,U.E. .
*ALL MANHOLES AND CLEANOUrr:S MUST BE ACCESSIBLE, ADJUST!fENT TO BE MADE JlT NO CaST TO CITY I Pa.ge 1 of 2
o
I JOB
I Zona:
NO.
~.9D 7f~oo::a~::G_ESS
Lot Sq. Ft{;.
~ of lot CaVerag~
# of Stones
Total Height
Topography
lITEM
Main
SQ.FTG
r.a:pone
':::i~
(c::>.-
Car>vOl't
ACC8S80l't(
IS.D.c.
TOTAG VAWE:
(vat,uc)
1,5.:r
Building Permit
State Sur'cha:rge
Total Charges
IITE:M
I Fixtures
I Residentia L (1 bath)
I Sani ropY Sewer>
I NO,
I
I
I
I
Wat€!"
Plumbing Pex>mit
State Surcr.arge
Total Charoes
lITEM
Res. Sa. fto.
New/Extend Circuits
NO.1
I
I
I
Terrrpol'ary Service
Ele~trical Permit
State Sta'CharQ8
Total Chart;es
lITEM I NO.' FEE
Furnace PTU'S I I
Exhaust Hood I I
Vent Fan I I
WQodstove I
I
Pe-rmit Issuance
Mechanical Per>rrrit
State SUrcharae
Total r.ha:I'fJ8S
-- ENCROACHMENT --
I Sec-..tritl./ Daposit
I Storage
I Maintenance
I Permit
I Total Cha1'CfCS
I Curb""t;
I SidfMaLk
I Fence
I Electrica 1 Labe 1
\ Mobile Home
I TOTAL AMOUNT DUE:"
WT TYPE:
x
FEE
FEE
Intericr
Cornel"
Panhandle
Cut-de-sac
I
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.....--1
I
I.
I
I
I.
Value
#-4.
:2$f. ....... I
.;l'.::: I
~$t,* I.
CHARGE
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I
I
I
I
CHARGE
CHARGE
I
~'i-. Cj r;,
~c:tge ~
REQ.-
.
Type/Const:
L':'COG->;'
I Lot Faces -
I
I P.G.
INorth
lEast
South
IWest
AccesS.
Bedrooms:
I Enel'Gu Sources
Heat
I Water' Heatl'.r>
I I Range
II FireD lace
I woodatove
It
Tuoe
Setbacks
: House I Carage
I i
I i
I I
Faea
Building Value & Permit
This pernr;t is granted on the express condition that the said construction
8hall~ in all l'espects~ conform to the Ordinance adopted by the City of
Springfield3 incZuding the Zoning Crdinance3 regulating the construction
and use of buildings, and m.:1Y be suspended 01' revoked. at cr:y time upon vio-
Lation of any provisions of said Ordinances.
I;).OD
/l. ::s 0 ~e S'
IReodpt #: I3;j,S tJqq
ISigned: C-C---
I Plan Check Fee:
IVate Paid:
Plumbing Permit
No person shall construct, instal!, alter or change any new C1' e=isting
plumbing or drainage system in whole or in part, unless such person is the
legal possessor of a valid pZumber's license, except tr~t a pe~son may do
plwnbing work to property which is owned, leased 01' operated by the appli-
"""t.
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Electrical Permit
Where State LCJ:LJ requires tr.at the electrical work be done by an Ele:::trical
Contractor, the electrical portion of this permit shall r~t be valid until
the label has been signed by the Electrical Contractor.
I .
Mechanical Permit
.
-;;tR:!~/fr ?~
...
.!R-Z-~
~e
I HAVE CAREFULLY EXAMINED the completed applieation for permit, and do
hereby certify that all infor-mation hereon is true and correct, and I
further certify that any ar.d all work perfofflled shall be done in ac:::or-
dance :.nth the Ordinances of the city of Springfield, and th& Ltr..;s of the
* State of Oregon pertaining to the work described herein, and that NO OCCU-
PANCY LJill be rn::zde of any structure LJithout p:Jrmission of the Building Di-
vision. I further certify that only contractors arMi ew,ployees who are in
compliance with ORS 701.05S will be used on this project
I.
~vrjj#~
Signed
'J - 5.-:, S"s-
Date