HomeMy WebLinkAboutPermit Demolition 1984-4-25
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.. RESID.T1AL..
APPLICATION/PERMIT
225 North 5th Street
SpringfieZd, Oregon 97477
BuiZding Division
726-3753
Job Location:
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A8$eSSOrs Map #
Subdivision:
$1:..
Ta:r: Lot #
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OI.mel':
Address:
City:
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74(p-cfL///
97Cf/r
Pr.one:
zip:
Describe frork:
Addi ticn
w~ Ihrrd
Remodel
,'.1obile Home
4-t15~.f~
Date of Application
Contractors
Genera l ( .;q JJ.jJ3J 1 fL(l..LJ::f-'
Plumbing II I.
Value
.
,
cy~
Signed:
Date:
C-tflrJ! i /
4 ':;JS-ifLi
Expires
I J - 2o-kCf-
Pr..one
Address Lise. #
r...f1.d1uYJI'I1!lflj (;rN 7')'17 &3 5N 1tY)
idftz:..2./'70
E'Lectrical
l1echar.ical
Construction Lender
It is the resp01loibiZity of ths permit holder to see that all irwpections aPe made at the proper tim€:J that each oldress is rea.:ia.bZe
from ths atpeet, and that the permit card is located at the front of the property.
*Bui?di'!'I{J Dividor: approved plan. shalt remain on the Building Sits at all times.
PROCEDURE FOn INSPECTION RE'QUEST:CALL 726-3769 (recorder) state your City designated job nto;:ber, job address, type of ir.spec-;icn
requested ar~ when you wiZl be ready for inspection, Contractors or Owners name ~nd phone number. Requests received befcre 7:00 ~
...>ill be made the same day, requests made afte:r> 7:00 am /Jill ba made the n~t :.;orking day.
5?403q~
R~qvi"Y'.p.n TYlRnq'11:irm.Q
O SITE INSPECTION: To be made after
excavation, but priOI' to set up of
forms.
D UNDERSLAB PLUMBING, ELECTRIC,1L &
l1ECHANICAL: To be made befoI'e any
. WOI'k is covered.
o
FOOTING:!: FOUNDATION: To be TTKlde
after trenches are excavated and
forms are erected, but prior to
pouring cencret~.
UNDSRGROUND PLUMBING; SEWER. W.1TER,
DRAINAGE: To be made pI'ior to fiZ-
ling trenches.
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UNDERFLOOR PLUMBING & MECHANICAL:
To be made prior to instalLation of
floor insulation or decking.
POST AND BEAM: To be made prior to
installation of floor insulation or
deaking.
ROUCH PLUMBIllG. Er,ECTRICAL & MECH-
ANICAL: No work is to be covered -
.ur.til these inspections have beer.
made and approved.
FIREPLACE: Prior to p7.acir.g facing
mateI'ials and before framing inspec-
tion.
O FRARING: Must be requested after
approval of rough plumbing, electri-
cal & mechanical. All roOfing
bracing & chimncys, etc. mu.st be
; completed. No work is to be con-
. ""-.cealed until this inspection has
~been made and approved.
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Your City Desigr~ted Job NUmber Is:
O INSULATION/VAPOR BARRIER INSPECTION:
To be made after all insulation aY'.d
. required vapor ba:I'riers aX'e in place
. . but before any lath, gypsum beard or
wlZ covering is applied, and before
any insulation is concealed.
DRYWALL INSPECTION: Te be made
after all drywall is in place,
but prior to any taping.
O ~ASONRY: Steel location, bond
beams, grouting or verticals in
accordance with U.B.C. Section
2415.
D
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WOODSTOve: After installation i8
ccmpleted.
DE/.JOLITION OR ;'.lOVED BUILDI/IGB
~San.itary s€'.Jer :::apped ~t p~op;;r-t'~i Ur:e
~ Septi:J tank [T.<.7ed and filZ2~ 1Jith G1"a~2Z
~FinG.l - f{hen above ite:ns are cC:iwletG:d
and when demolitior. is complete or st~~-
ture moved and premises cleaned up.
Mobile Hemes
=:J Blocking and Set-up
=:J Plumbing connections sewer ar.d water t
---, Electrical Connection - Blockina, set-u~ I
--.J and plwnbing connections nr...st b~ approved. I
before requesting electri:Jal inspec-;io~
:=J Accessory Building
:J Final - Aftcr porcr.es,
etc. are completed.
skirting, decks,
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CURB & APPROACH APRON: After forms
a:2"e ereoted but prior to pouring
c:orwrete.
o
All project conditions, such as the installation of street trees. c~~letion of the
required landscapir:g, etc., must be satisfied before the BUILDING FINAL can be raquestad.
o FINAL PLUMBING
D FINAL MECHANICAL
o FINAL ELECTRICAL
,0
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FINAL BUILDING: The Final Building Inspection must be requeated after the Final Plumbing
ElectriC!al, and Mechar.ical Inspections have been made arui approvad.
o
SIDEWALK & DRIVEWAY: For all con-
crete paVing within street right-
of-wc.y, to be made after all exca-
vating complete & form work & sub-
base material in pZaoe.
*ALL MANHOLES AND CLEANOUTS MUST BE ACCESSIBLE, ADJUSTnEllT TO BE J.L.1DE I!T NO COST TO CITY I Page 1 of 2
o
PENCE: fo.'hen c:ompl.zte -- Provide.
gates or movable sections through
P.U.E.
o
I JO B NO. X4()~q Y
i Zone:
Lot Sq. Fi;g.
S of lot CJI)erag;;
# of Stories
TotaL Height
Topography
SOLAR ~ESS
OCmlvanCl/ c_
LOT TYPE
Interior
Cornel"
PanhandZe
Cut-de-sac
lITEM
1 Main
I Ca:race
I CarDort
IAccessoru
SQ.FTG
I
I
Is.D.c.
TOTAL VALUE
(vat.uc)
1.5 :r
Building Permit
State SuJ'cha:rge
Tota 1- Cha.....gea
I ITEM I NO. t FEE
I Fixt:u:res
I Residential (1 bath)
\ Sani ta:ry Sewel'
Water
Sel.J.J"er ('-AO I ,
Plumbing Permi t
State SW'cr.arge
Total Charaes
lITEM
I Res. So. fto.
I Naw/Extend Circuits
I Temporary Service
I
I NO'1
I I
I I
I I
Ele~t1'ical Permit
State SW'r::harqe
Total Chra'ces
IITSM
'110, I
I
Furnace ETU' S
Exhaust Hood
i Vent Fan
I Woodsto"Je
PePmit Issuance
Me:::hanical Per>mit
State Surcharae
Tntnl CharoP-B
-- ENCROACHMENT --
ISe~~~ Deposit
I Storage
Maintenanae
Permit
Total ChO,'l'C!CB
I CUrbou:
Sid_Zk
Fen::!e
Electrical LabeZ
Mobile Home
I 'OFmOLJ-r)I')J\!
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I TOTAL ANOUIIT DUE:'
x
Value
CHARGE
jO~O
FEE
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CHARGE
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FEE
CHARGE
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REQ.-
L-COG~
T,pe/CO"st: .
I I Enera~ Sources
II I lIeat
Access.
i: \
Bedroor.:s:
Lot Faces -
Tu::;e
P.L.
jNortlt
lEast
ISOl<th
IWest
Fees
Setbacks
House Caraqe
Water Heatf?1'
Range
Fireplace
Wooda t01,.'e
Building Value & Permit
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This permit is granted on the express condition that the s.a-id. construction
shaZZ~ in all respects, conform to the Ordinance adopted by the City of
Springfield, including the Zoning Drdinance, regulating the construction
and use of buildings, and may be suspended 01' revoked at any time upon vio-
lation of any provisions of said Ordir.ances.
.
IPlan r.heck Fee:
IDate Paid:
IRecdpt #:
I Signed:
Plumbing Permit
No person shall construct, install, alter or change any new 01' e~isting
pLumbing 01' drainage system in whoLe 01' in part, unless such person is the
legal possessor of a valid plumber's license, except tr~t a person ff.ay do
plw:-:bing work to property which is or.med~ leased or operated by the appZi-
"""t.
Electrical Permit
Where State Law requires tr.at the eLectrical work be done by an Elect;r>ical
Contractor~ the electrical portion of this permit shall not be valid until
the Zabel has been signed by the Electrical t::ontractor.
Mechanical Permit
PLan Exc:rrrz,ner
uar;e
I HAVE CAREFULLY EXAMINED the completed application for permit~ and do
hereby certify that all info:'mation hereon is true and correct, and I
further certify that any ar.d all work perfo!":11ed shall be done in ac~ol'-
dance with the Ordinances of the City of Springfield, and th~ LT~s of the
State of Oregon PQl'taining to the work described hel'ein, and that NO OCCU-
PANCY will be rrnde of any structure without paPmission of the Building Di-
vision. I further certifii that only contra~tors ar.d e:npl.:;yees who are in
compliance with ORS 701.05E will be used on this project
.~~f~
Sign8d /
~s/Yi/
Date