HomeMy WebLinkAboutPermit Demolition 1988-3-10
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.. RESIDjt.JTlAL"
APPLICAT1tfN/PERMIT
225 North 5th Street
SpY'ingfieZd, Oregon 97477
Building Division
726-3753
"
~ '.#Jr~-:;;:
Job Loeatio"' -7 c'2 "'),") ~~/.... 7;<.<' ,~ - //_
ABo.eoOr" Map #/7-C:>;>--:;?b-~? T= Lot #.::::> 7/~b
Subdivision:
(}.mer' K~c8&,;qr::>
Addreo., :!? c::>. fsC!::k-'
City, ~./~_ ,r/cC L:>
..' ' /'
~~ /'-77 ;z:r..--/ "<.;-
c==-
?Yt:::-8Y/'/
2e:>
,d?/,?-
..?e,M'PL/:5~ IF%/S7/.?7'0;> #~~
ff/7D ?# ?eIYE/f' #r ~7#.
t:./ /f/ c .
5"-/&-88 VaLue
n
n
n
n
N".l,l
Addition
Remodel
.'.!obi le Homa
Date of Application
(;on-tractors
General .~
PLumbing U
Electl'ical
Mechanical
ConstructiOPl Lender
Pr..ane:
Zip' 5~/:;J
Describe rl'ork:
Rcce,pt # /109 >(
,
III \
,
O(~~
110
Siqr.ed:
Date:
L
~-I D-~~
Aildress
(~~-v~'b
Lisc.1I
yJ r.. ~ 7$47 7JJ. c.. ni2.
(J'
E:r;pires
<;<4-/
PhonEJ
I( hr" /<;;~
It is ths respontJi,bility of the permit holder to see that all. irwpections are made at the proper time~ that each .:;dd:ress is rea:iab!e
from ths street~ and that the pernri t ctU"d is mated at the fltOnt of the property.
"Bui!di'!'l{l Divi:;ior: approved plan. sha1.t remain on th.z &::.lding Sits at all times.
PROCEDURE FOR J..!!1PECTION R~QUEST:CALL 726-3769 (recorder) state your City designa.ted job nw;;ber, job addrEJSS, type of in:;pecticn.
requested ar.d wl':en you will be ready for inspection~ Contractors or Owne:'s ncme and. phone number. Requests received before 7:00 a::i
:..'iZl be made the same dcy~ requests made after 7:00 am will be made the next :JOrking day.
RP.fl/)1:~~r1 Ttt!,t':'.f'1t,:,.,:?!'I
O SITE INSPEC,;,[ON: To be made after
excavation~ but prior to set up of
forms.
D. UNDERSLAB PLU/1BING. ELECTRICAL &
. MECHANICAL: To be made before any
. work is covered.
o
FOOTINC ~ FOUNDATION: To be made
after trenches are excavated and
forms are erected, but prior to
pouring concrete.
UNDERC,rKJUND P~UMBINC. SEWER. W,1TEI1
,DRAINAGE: To be made prior to fil-
.lir.g trenches.
o
o
UNDERPWOR PLUUBING & MECHANICAL:
To be made prior to in3ta l Zation of
j100r insu1..ation or decking.
POST AND BEAU: To be made prior to
instaLLation. of floor inBuZation or
decking.
O ROUGH PLUUBING. Er,ECTRICAL & MECH-
ANICA~: No work is to bc covered
..r . ur.ti L thcse inspections have beer.
made and approved.
O FIREPLACE: Prior to placir.g faeing
materials and before framing inspec-
tion..
O FRAJ!ING: Must be requested after>
approval of r>qugh plwr.bing, electri-
.cal & mechanwal. AU roofing
bracing & ChimnCY8~ et.:!. nr.lst be
:' completed. No work is to be con-
.....cealed until this inspection has
~ be~n made and approved.
o
Your City Desigr~ted Job Number Is:
O INSULATION/VApOR BARRIER INSPECTION:
To be made after all insulation w.d
'. required vapor barriers are in place
but before any lath, gypsum board 01'
oon covering is applied, and before
any insulation is concealed.
D DRYWALL INSPECTION: To be made
after all drywll is in place,
but prior to any taping.
O MASONRY: Steel location, bo1ui
beams, grouting 01' verticals in
accordance with U.B.C. Section
2415.
O WOODSTOVE..: Aftez> installation is
ecmpLeted.
O CURB & APPROACH APRON: After' forms
are arected bu t prior to pouring
C07U:!rete.
. 0' SIDEWALK & DRIVEWAY: For all con-
cz>ete paving within street right-
of-IiJC.Y~ to be made after all exca-
vating ccmplete & form work & ~ub-
. base material in place.
O PENCE: When compl~te -- Provide.
gates or movabZe sections through
P.U.E. '
o
'6550207
I DE'"'!OLITIOH OR ;~:OVED BUILDIilGS
:::R1 Sanitary se'.Jer aapped ::zt ~operty lir.e
==:J Septic tank p~~ed and fille~ ~th gra~el
101<>
).q
~ Pinal - r~'hen above ite.":18 are cempleted
~ and when demolition is complete 01' strua-
ture moved ani!. premises cleaned up.
'Mobile Hemes
::J Blocking and Set-up
::J Plumbing connections -- sewer and water
::J Electrical Connection - Blocking~ set-up
and plwnbing connections TTr..lst be approved
before requesting elec-:rical inspection
:J Accessol"i Building
:J Final - Aft<:!r p:;}rcr.es~ skirting~ decks~
etc. are complet~d.
o
All project conditions, ouch as the installation of st1'eet trees~ C~":1pletion of the
required Zandsccpir.g~ etc. ~ must be satisfied before the BUILDING FINAL can be requested.
D FIliAL PLUMBIlIG
o FINAL MECHANICAL
D FINAL ELECTRICAL
,D
o
FINAL BUILDING: . The Fin.al Building Inspection must be requested after the Final Plwnbi1l3
Electrical~ and Mechar.ical InspectionJJ have been made and approved.
"ALL MANHOLES AND CLEANOUTS MUST BE ACCESSIBLE, ADJUST!lElIT TO BE MADE It'!' NO COST TO CITY 1 Page 1 of 2 ~
/5,~
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/..5.:'./51 *
I JOB NO. '6~02o'7
I Zona:
Lot Sq. Ftg,
S of lot Caverag~
!i of Stories
Total Height
Topography
SOLAR ACCESS
Oecu.vancl/ crf,
WT TYPE
In.terior
Corner
Panhandle
Cul-de-sac
lITEM SQ. FTC X Value I
I,.bin
Gerace I
Cartlort I
Acces8o!"u I
I I
I TOTAL VALUE I
Is.D.c. (VCf..UC) l.
1.5 :z:
I
Building Permit I
State Surcharge
Total Cha......ges *
lITEM NO. FEE CHARGE
Fi...:r:tures
Residential (1 bath)
I Sani ta-ry Sewer
Wetel'
0~Vrd=/-=?
I
I I
a-p!
PLumbing P~t
State Szaocr.moge
Total Charaes
lITEM
Res. Sa. fta.
I New/Extend Circui ts
Temporary Service
FEE
CHARGE
110'1
I
I
I
Electrical Permit
State Surcharqe
Total Cha:rc:es
ITgU I NO'1 FEE
Furnace PTU'S
Exhaus t Hood I
Vent PCD1 I
I Wiwdstove I
I
CHARGE
I
I
I
I
I
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I
I
I
I
, *
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I
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I II
/$,"""'",,,
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Permit Issuance
Mechanical Pemt
State &urcharce
Tntal ChfnoOP.9
I -- ENCROACHMENT --
I See-.J.ritlJ Deoosit
I Storage
I Maintena~e
I Parmit
Total Chargos
I
I
I
I
I
I
I
33-75"
Curbcut
Si.deLJa!k
Fen:Je
I Electrical Label
1 MobiZe Home
lif/77~c/~H
ffr?j _
TOTAL AMOUNT DUE:.
Page 2
REQ.-
L-COG~
T:;.;pe/Cor.st: .
I I Enel'a,u Sources
I, Heat
I Access. I Water> .'l1?rlt~P
I Range
II Fireplace
Wood;;tove
II
Bedrooms:
I Lot Faces -
I
I P.L.
North
E:nst
South
West
TUDe
Setbacks
I Hou.se Caraqe
Fees
Building Value & Permit
This permit ia granted on the expreos condition that the sdid construction
shall, in all respects, conform to the Ordinance adopted oy the City of
Springfield, incLuding the Zoning Crdinance, regulating the ccnstl'U.cticn
and uae of buildings, and may be suspended or revoked at cr.y time upon vic-
Zation of any provisions of said Ordinances.
I Plan Check Fee:
10ate Pai.d:
IRecEipt #: ,
ISi.gned:
Plumbing Permit
No person shall construct, install, alter or chan.ge any new or e::isting
plumbing or drainage system in whole or in part, unless such person is the
legal possessor of a valid plumber's license, except tr~t a person may do
plumbing work to property which is OtJned, leased or operated by the appli-
cant.
Electrical Permit
Where State LaLJ requires tr.at the electrical work be done by an Eleet1"ical
Contractor, the eZeetrical portion of this permit shall r~t be valid until
the Zabel has been signed by the Electrical Contractor.
I
1*
Mechanical Permit
~Z;_7~~
::::5~/C>---8'9
l.Iar;e
I HAVE CAREFULLY EXA..~INED the eompleted application for permit, and do
hereby certify that all info~tion hereon is true and correct, and I
further certify that any ar.d all work perfoP.1led shall be do:1e in accor-
dance with the Ordinances of the City of Springfield, and th~ La:..;s of tho
State of Oregon p&rtaining to the work described herein, and that NO OCCU-
PANCY win be TTt2de of any structure withou.t permission of the Building Di-
vision. I fUl'the'l' certify that G:1ly contractors and e:np~yees who are in
compliance with ORS 701.055 will be used on this project
~CUA-i~~
JI/O/f'f>
Dat.
Signed r
__.....~...._... .:_ __'~_' ~ ~_;~..-r#
__~....._..._ _' ...... ..........._._~___""~..4. '-0..'
.. RESIDa.JTlAL"
APPLICAT1'!tv/PERMIT
225 North 5th Street
Springfield, Oregon 97477
Building Division
726-3753
I
~, l#Jr4?_
Job Looatio":2 Ci "'),~ -. ~ // 7' ~ ,'"" - // .
A8Ge880PS Map # /;?-o;'--;;?L;-L/2 Tax Lot # 6? 7/P-e>
Subdivision:
C"P..r'=' /9 r:7~
AddJoe8s: Z? c:::>. B~ :?~
City: ~~/"'/eC::..b ~/'?-
}>e,M'?'>U:5~ C;,r/S///70 #~€"
#/7D /$> ?e/),-t!f7f" k ~'-.o~.
V/Y'C' .
5-/c::?-B~ VaLue
Date of Application
Contractors
GeneraL ...~:'t^Jt......!'-
PLwnbing ~ -:-- - J
Electrical
/1echar.ica 1.
COnstrouCti01l Lender
It i.s ths resporuri.bi1.ity of the permit holder to see that all inDpections are made at the proper tim€~ that each .::ddrs8s is l"eadahZe
from ths street, and that the permit card is located at the front of the propert;y.
.itBui!di~ /)f~vi=ior: approved plan shcll1'emain on the Bu-!.lding sit;; at all timBs.
PROCEDlJRE FOR INSPECTION RE:QUEST:CALL 726-3769 (I'ccordepJ state yOUI' City designated job number~ job address, type of in3pecticn
requested ar.d when you will be ready for inspection, Cont;ractors 01' Owners name end Fhone numbC!'. Requests received befere 7:00 ar.I
...>iZl be made the same dc.y~ requests made afteI' 7:00 am !Jill be made the next ~rking day.
QJner:
K~c73p~r:>
n
n
n
n
N"l.l
Addition
Remodel
.'!obile Home
c=--
?Y?-zsy//
Pr.one:
Zip' 9~~/
/
Describe rl'ork:
Address
(~~A.~'-b
R31r1i~P;1 T~~n"nT.ir.nA
O SITE INSPECTION: To be made after
excavation, but prior to set u.p of
forms.
O UNDERSLAB PLUMBING. ELECTRIC/IL &
MECHANICAL: To be made before any
work is ~overed.
D
FOOTING!: FOUNDATION: To be rrade
afteI' trenches are excavated and
forms are erected, but prior to
pouI'ing ccncret,;.
UND8RGROUND PLUMBING~ SEWER. W.4TER,
DRAINAGE: To be made prior to fi 1--
}ir.g trenches.
o
D
UfJDERFLOOR PLUMBING & MECHANICAL:
To be made prior to installation of
floor insulation or decking.
POST AND BEAM: To be made prior to
inatallation of floor insulation or
decki,,!! .
ROUGH PLUMBING. ELECTRICAL & MECH-
ANICAL: No work is to be covered
,ur.til these inspections have beer.
made and approved.
FIREPLACE: Prior to placir.g facing
materials and before fl'cuning inspec-
tior:.
D FRAl!INC: Must be requested after
approval of rough plwrhingj alect1'i-
cal & mechanical. AU roOfing
bracing & chimncysJ et.:;!. nrutst be
:' completed. 1I0 work is to be con-
.....cealed until this inspection has
~ b6~n made and approved.
D
D
.'
D
'P.r.. 'f1..o./.. 7S47
Your City Desigr4ted Job Number Is:
O INSULATION/VAPOR BARRIER INSPECTION:
To be made after all insulati:m lX".d
.. required vapor barriers are in pZaC!e
but before any lath, gypsum board or
wlZ covering is applied, and. before
any insulation is concealed.
DRYWALL INSPECTION: Te be made
after all dryl.JalZ is in place,
but prior to c:ny taping.
O ~SONRY: Steel location, bond
beam3~ grouting or verticals in
accordance with U.B.C. Section
2415,
D WOODSTOVEJ After installation is
completed.
o
o
o
CURB & APPROACH APRON: After forms
are erected bu t prior to pouring
aOn::!l'ete.
SIDEWALK & DRIVEWAY: For all con-
crete paving within street l'ight-
of-wcy~ to be made after all exca-
vating complete & form work & sub-
base material in pla:Je.
Reoe:pt # 1/09 '1
111\
,
O(~~
1;0
Signed:
Date:
L
:3.-1 D-\<I':
O PENCE: When co.'71pl~te -- Provide
gates or movable sections through
P.U.E. '
o
Lisc. #
'iJ,c.. n€
. t'
U
Phone.
'I f2c,/'/ir(
E:.r:!?ires
ql./-/
'6'60207
=
t DEl-fOLITION OR .'.lOVED BUILDIilGS
~ SanitGI";j se:Jer capped a.t ~opert":i line
~ Septic tank p:.L'7ed and fiZZe~ tJith gra~eZ
(,;,(0
).q
~ Pinal - flhen cheve ite."!1s aI'e cc.>rtpleted
~ ar~ when demolition is complete or struc-
ture moved and premises :Jleaned up.
. Nobile Hcrnes
=:J Blocking and Set-up
=:J Plumbing connections -- s~er and water
~ Electrical Connection - Blocking, set-up
--.J and plumbing connections l1T...st be approved
before requesting electrical inspection
:J AcceSso1"'d Building
:J Final - Aft;;r p:Jrcr.es, skirting, decks,
etc. are completed.
D
All project conditions, such as the instalLation of street trees, co.~lction of the
required landscapir.g, etc. ~ must be satisfied before the BUILDING FINAL can be requested.
D FIlIAL PLUI/./JIllG
D FINAL ME~HANICAL
D FINAL ELECTRICAL
D
o
FINAL BUILDING: The Final Building Inspection must be requested after the Final Plumbina
Electrical, and Mechar.ical InspectionD have been made and approvad.
*ALL MANHOLES AND CLEANOUTS MUST BE ACCESSIBLE~ ADJUST/tElIT TO BE NADE Ar NO COST TO CITY I Page 1 of 2
I JOB NO. S5~02o(
I Zona:
Lot Sq. Ft;;,
~ of lot Coverag;:
II of Stories
TotaL Height
Topography
I
lITEM
JMain
I SQ.FTG
Cm'>t7(M
Carnort
I Acae88orl.l
Is.D.c.
TOTAL VALUE
(VC/..UC)
1.5 x
Building Permit
State $w>chapge
Total Cha......ges
lITEM
Futures
INo'j
I I
Ra8identia~ (1 bath)
Sanitart{ Sewep
Water
0"z"VrdF/"';:( U,?->!
Plumbing Perrr:i t
State Surar.arge
Total Charaes
I ITEM NO'I
Res. So. fta.
I New/Extend Ciror::ui ts I
I Temporary Service
Ele~trical Permit
State Sur~harqe
Total Charces
ITEM
I NO.
Pw-tuIce ETU 'S
Exhaust Hood
I Vent Fan
Woodstove
Permit Issuance
Me~hanic:zt Permi t
State $u:t'charae
. TCJtn l CharOP-B
I -- ENCROACHMENT --
I Sec-..lM.tu DepOsit
I Storage
I Maintenance
Permi t
Tota l Cha1'Q6S
Cw-bcut
I SideL1a~k
I Pen::e
I Electrical Label
I foIobi le Home
;;)=k7CU~/T
/7'5.
I TOTAL AMOUNT DUE:'
I
I
I
I
I
/ S. <>c> I
/5"':.~1.S-
.01-
/5:;/,51 .
I
I
I
SOLAR ACCESS
Occntoancl.i cr6
WT TYPE
Interior
C01"11el"
Panhand~e
Cut-de-sac
x
Value
FF:E
CHARGE
FEE
CHARGE
FEE
CHARGE
Page 2
REQ.-
L-cod~
T.:.JpeICor..st: .
II Enero.u Sources
I Heat
, A,wess. I I Water Hp.attH'
I I Hange
II I I Pi 2'ep lace
Wooa:;tove
II I
Bedrooms:
I Lot Faces -
I P.G.
North
East
South
West
TUDe
Setbacks
I House l Caraqe
Fees
Building Value & Permit
This permit ia granted on the express condition that the said construction
shaU, in all respects, conform to the Ordinance adopted b'y the City of
Springfield, incZuding the Zoning Cr>dinance, regulating the construction
and use of buiLdings, and may be suspended or revoked at any time upon vio-
lation of any provisions of said Ordinances.
I
I.
I
I
I
, .
IPlan Check Fee:
I Date Paid:
IRecdpt #:
/Signed:
Plumbing
Permit
No person chall construct, install, alter or change any new C'r e:::isting
plumbing or drainage syste~ in whole or in part, unless such person is the
legal possessor of a valid plumber's license, except that a person may do
pl:wnbing tUO'1'k to property which is oumed, teased or opl~rated by the app1.i-
cant,
Electrical
Permi t
Where State LaL) requires tr.at the electrical work be done by an Electrical
Contractor, the electrical portion of this permit shall r~t be valid until
the label has been signed by thE Electt'ical Contractor.
.
Mechanical Permit
I
I
I .
<7 /h-//'~
~x~ner r ~(. ./ c
5'~/ c:'> --B' 9
uar;e
I.
I
I HAVE CAREFULLY EXA.~INED the comp1..eted app1..ication for permit, and do
hereby certify that all information hel'eon is true and correct, and I
further certify that any ar.d aU work perfor:ned shaU be done in accor-
dance :.nth the Ordinances of the City of Springfield, and th:: La:.;s of tho
State of Oregon pzrtaining to the work described he~ein, and that NO OCCU-
Pf.NCY will. be nnde of any structure withou.t permisaion of the Building Di-
vision. I fU1'the~ certify that ~ly cont~actors ar~ employees who are in
ccmpliance with ORS 701.055 will be used on this p~oject
I
I
'33- ?5
I
I II
/$.-'"1/
I
I .
vIJ~tf~
JI/b/?~
Date
Sign8d'
---_..,~""'--........."'_.,.-_. <. ..__:.......
._.;....::.-......_. _ ....... .4 .-~___..."'-.-...._... "-..,
.. RESlDilWTlAL..
APPLICAT1ffN/PERMIT
225 North 5th Street
Springfield, Oregon 97477
Building Division
726-3753
L::: \#J ... ..e::v::~_
Job Location: -2 C)"")~ -- Y-:>.0:7 AL ,-.1 - /.
AsceeGors Map NI/-o;>--;?b-~"? T= Lot N &::> ?/?>-b
Subdivision:
(}.mer: 7?~c73C~C> ("p/,= ;zr.;=:::/",=?>
Addrees: Z? c:::>c 23'6>k- 2L>
City: ~~_/.......ec::.D/_ ~..........'?-
}Je~PC/:5~ ~A/$.?""""".?70 #P7~
#/7D /~ ?ebrE/T' #r ~:>'~.
C//f/E
. :5'-/&-88 Vatue
Date of AppUcaticn
Contractors
General ~
Ptwnbing . . U
Electrical
Mechani.cal
Constl"Uction Lender
It is ths rosp07UJi.biUty of the permit holder tc see that all inopections are made at :he propel' time~ that each ::ddress is rea:iab7..e
from ths stre6t~ and that the permit caz'd is located at the front of the property.
*Buitding Df-vi::i.or: approt.'ed plan shell remain on the Building Sit:z at all times.
PROCEDURE POR IfJ,~PECTION RE:QUEST:CALL 726-3769 (rccorder) state yOUI' City design.a.ted job nwnber, job a.diI'css, type of in3pec:icn.
requested ar~ when you ~ll be ready for inspection, Contractors 01' OWners nGme end phone number. Requests received cefcre 7:00 ~
:..>ill be made the same day, requests made after 7:00 am ~ll ba made the next :.JOrking day.
n
n
n
n
~t:1M
Addition
Remodel
.'-!obi le Homa
c -=--
Pr.one: ?yt::-Z??#
Zip: ~/
Describe fl'ork:
Address
Rcce:pt.' 1/09 <l
.
,II \
I
.DJ~~
110
Siqr:ed:
Date:
~
"3.-1 D-I<'6
E:pi1'OS
Phone
" f2c,/<;;;c(
(~'? A.A ll...."'--'iJ
Lisc.1I
P. r-.. "fbu.L 7S4"7 '[;, r- ne
U'
ql.j./
R~nvi~t:1J1 T~r~~~tir.~~
O SITE INSPEC':'ION: To be made after>
excavation, but prior> to set up of
forms.
D . UNDERSLAB PLUMBING. ELECTRICAL &
. MECHANICAL: To be made before any
. work is covered.
o
FOOTING & POUNDA T ION: To be 17J2de
after trenches are excavated and
forms are erected, but prior to
pouring ccncret~.
UNDSRCROUND PLUMBING, SEWER., W.4TE,~
DRAINAGE: To be ma::ie prior to fil-
.'Lir.g trenches.
o
o
UNDERFLOOR PLUMBING & MECHANICAL:
To be made prior to instaL'l.ation of
floor insulation 01' decking.
POST AND BEAM: To be IT'.adc prior to
installation of floor insulation 01'
decking.
ROUGH PLUMBING. ET,ECTRICAL & MECH-
ANICAL: No work is to be covered
,until these inspections have beer.
made and approved.
FIREPLACE: Prior to plccir.g facing
materiaLs and before framing inspec-
tion.
O FRA1~ING: Must be requeuted after
approval of rough plwrhing, alectn-
.cat & mechanical. AU roOfing
bracing & chimneys, etc. trr..lst be
:' completed. No work is to be con-
...:..cealed until thiD inspection has
~ b6~n made and approved.
o
o
"
o
Your Ci ty Desigr.ated Job Nwrrb€r 18:
O INSULATION/VAPOR BARRIER INSPECTION:
To be made after all insulation ~~
.. raquired '/Japor ccrrriers are in place
. but ceforc any lath, gypswrr board or
wall cover>ing is applied, and before
any irl!1ulation is concealed.
O DRYWALL INSPECTION: To be made
after aLl d:t>ywaLl is in place,
but prior to any taping. .
O MASONRY: Steel location~ botuz
beams, g1'OU ting or vertica ls in
accordance ~ th u. B. C. Section
2415.
O WOODSTOVE.: Afte1' installation is
compZeted.
D CURB & APPROACH APRON: Aftero forms
are created bu t pnor to pouring
. conarete.
. O. SIDEWALK & DRIVEWAY: For all con-
crete paving ~thin street right-
of-way, to be made after all exca-
vating ccmplete & foPm LJOrok & sub.
. base material in ?la::e.
D FENCE: When compl.:::te -- Provide.
gates or movable sections through
P.U.E. .
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,.-
'6'<00207
I DE,'.!OLITION OR ,~:OVED BUILDIilGS
~ Sani:ary se'.Jer capped at v:.op.:::r~' lir:e
=:J Septi.:! tank p:.<.o;:ped and fiLla~ LJith gra~eL
1,,(0
).t:)
~ Pina l - rlhen above it e:ns are CC:Trp leted
~ and when demolition is complete or stru::-
ture moved and pr~3es cleaned up.
'Mobile Hemes
=:J BLocking and Set-up
=:J Plumbing connections -- sewer and Wa:er
~ Electrical Connection - Blocking, set-up
~ and plumbing connections nr~st ce approved
before requesting elec:rical ins?ec:ion
:=J Acaessol"d Building
] Final - Aftc1' porcr.es, skirting, decks,
etc. are comple:ed.
D
All project conditions, such as the installatioTt of street trees, co.-:rplation of the
required landsccpir.g, etc. ~ ~st be satisfied before the BUILDING FINAL can be requestad.
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D FINAL PLUMBING
D FINAL MECHANICAL
D FINAL ELECTRICAL
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FINAL BUILDING: . The Final Building Inspection must be requested after the Final Plumbing
Electrical, and Mechar.ieal Inspectiorw have been made and approved.
*ALL MANHOLES AND CLEANOUTS MUST BE ACCESSIBLE, ADJU5T!fElIT TO BE }.!1IDE A,!, NO COST TO CITY I Page 1 of 2
I JOB NO. s.s~02o(
I Zona:
Lot Sq. Ftg.
S of lot Caverag~
# of Stories
Total Height
:r...t'v~.....t'hy
lITEM
Illiin
SQ. FTG
.Gerace
CarvQl't
I ACCR8801'U
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TOTAL VALUE
Is.D.c.
evat.ucJ
1.5 x
Bui lding Permi t
State Sw>charge
Total Cha.....ges
I ITEM NO.
I Fixtures
I ResidentiaL (1 bath)
I Sani taPy Sewer>
Water>
0~WE;r.? &~
Plumbing Permi t
State Surcr.a.rge
Total CharGes
ITEM
Res. Sa. fto.
I New/Extend Circuits
Temporary Service
Ele~trical Permit
State Su.r:::ha:rqe
Total ChaPces
I
I /s.~ I
~~I
/5. ~
. .DI':"~
/5:" 751 '
I
SOLAR ACCESS
OC(JUvancl( crA
WT TYPE
Interior
Cornel'
Panhandle
Cut-de-sac
x
VaLue
FEE
CHARGE
NO.
FEE
CHARGE
lITEM roo FEE
Fu:rn::r.ce PTU' S
Exhaust Hood I
Vent Fan I
Jloodsto:;e
pel'1Tt'it Issuance
Meahanical Permit
State Surcharac
TtJtn I Charap.s
-- ENCROACHMENT --
ISe~~ritl( DZOO3it
I Storage
I Maintenance
i P"""';t
I Total Cha'PQos
I Curb",,:
I SidewaZk
Fe~e
Electrical Label
Nom le Home
lfk7L?U--5#
TOTAL AMOUNT DUE:"
I
I
I II
/$.~'"
CHARGE
ffz'?'5.
I
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3?~75
Po::ge 2
REQ.-
L-COG~
.
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T:.;peICor.st:
Bedrooms:
EnerGY Sources
Heat
Water> .tIl'!.atl'!.P
Range
Fireplace
Wood:.tove
I Lot Faces -
I Setbacks
I P. L. I House I CaraQ€
North
East
South
West
-- Fees
T;loe
I Access.
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Building Value & Permit
This permit iG 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 constructicn
and use of buildings, and may be sUDpended or revoked at c.r.y time upon vic-
lation of any provisions of said Ordinances.
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Iplan Check Faa:
I Date Pai.d:
\Recdpt #: .
ISignad:
Plumbing Permit
No person shall construct, install, alter 01' change any new or existing
plumbing or drainage system in whole or in part, unless such pePGon is the
legal possessor of a valid plumber'8 license, except that a person may do
plumbing work to property which is owned, leased or operated by the appLi-
cant.
Electrical
Permi t
I
I
I
I '
Where State LaLJ requires tr.at the electrical work be done by an Eleatrical
Contractor, the electrical portion of this permit shall r~t be valid until
the Zabet has been signed by the Electrical Contractor.
Mechanical Permit
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I
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'")
a~~/~--~
p~t.ner ; ~ / c
5~/o-B'9
va.e
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 pel'fop;ned shall be done in acaor-
dance 4ri-th the Ordinances of the City of Springfield, and th;: W:.;S of tha
State of Oregon pertaining to the work described herein, and that NO OCCU-
PANCY will be l7r1de of any structura without pennis3ion of the BuiZding Di-
vision. I further certify that o~ty contractors ~~ e~Loyees who are in
compliance with ORS 701.055 witl be used on this project
Jf~R~
'JI/h/n:/
I,
Signed r
Date