HomeMy WebLinkAboutPermit Demolition 1985-1-14
.. RESI~HIAL"
APPLICATION/PERMIT
225 North 5th Street
SpringfieZd, Oregon 97477
BuiZding Division
726-3753
Job Location. cf< d- c$l7 S Du..:tJ,...
ABaeBGOpG Map U \103~z..,..
Subdivision:
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T= Lot uDf.oYr:!::)
Ro<;boro \LL~'bQr-
!? 0, Y'::, II'/. a-o
~W
CAJnel':
Address:
City:
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Phone: I i.( ~ - ~ If /I
Zip. q '1 l.(77
Describe fl'ork:
Addi ticn
~:~
Remodel
.'.1obiZe Boma
/- lli/-- 8~
Date of Application
Va1.ue
~ontractors Address
GeneraL J!4C/..JvV\ ~ ~HX~
PLumbing (J \J
Electrical
l.Jechar.ica Z
Construction Lender
Lise. #
Po /J, A,"f 7 Yf7 eu cJ
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J"SfOlfllr;
.;::cceipt .Ii
yvD
Signed:
Date:
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/... /t.! .f1~
Expires,
.:dill( i "/2("/[;,
Phone
It is the responoibility of the pe~t hoLder to see that all inspections are made at the proper tim€~ tr.at ~cch ~ess is reada0:e
f1"Om the street, and that the permi t card is located at the front of the property.
*BuiUing Divi::ion approt:ed plan shcU remain on th2 Building sit:; at aU times.
PROCSDUP8 FOR TN8PFCTTON REQUEST:CAlL 726-3769 (recorder) state your City designated Job nw;;bep, job adiress, type of in3pec-=.icn
1"equested a?';d when you win be ready fop inspection, Con.-tractors or OtJners nane c:nd phone nwnbcr. Requests received before 7:00 c:;
;,."iU be made the same day, requests made after 7:00 am wiU ba made the nc:rt :.JOrking day.
q~m1i~~~ TnRnpqtir.~~
O SITE INSPECTION: To be made after
excavation, but pt'ior to set up of
forms.
O . UIIDERSLAB PLUMBING. ELECTRICAL &
MECHAllICAL: To be made before any
wopk is ~ovcred.
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FOOTING & FOUNDATION: To be made
after trenches are excavated and
forms are erected, but prior to
pouring ccncret;;.
UNDSRG.P,()UND PLUMBING, SEWER. W.1TE,~
DRAIlIAGE~ To be made prior to fil-
Zir.g trenches.
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UNDERFWOR PLU/.1BING & MECHANICAL:
To be made ppior to insta llation of
f200r insuLation or decking.
POST AND BEAM: To be made prior to
installation of floor insulation or
decki"!; ,
ROUGH PLUMBING. ELECTRICAL & MECH-
ANICAL: No ~rk is to be covered
.ur.til these inspections have beer.
made and approved.
FLr:F:PLACE: PrioP to pLacir.g faering
materials and before fpaming inspec-
tion.
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FRAHING: Must be pequeDted after
approval of pough plumbing, elerJtn.-
cal & mechanica'l. AU '!'Oofing
bracing & chimneys, et~. m"..lst be
. completed. No work is to be con-
...:. cealed until thia inspection has
. bee.n made and approved.
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FIliAL PLUMBIlIG
FIliAL MECHANICAL
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FINAL BUILDING: The Final BuiZding rnspection must be requested altep the Final Plumbing
Electricat, and Mechar:.ical Inspections have been made and approvad.
FINAL ELECTRICAL
Youp Cit;y Desigr.ated Job Number Is:
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INSULATION/VAPOR BARRIER IHSPECTIO[l:
To be made after all insulation aY'.d
raquiped vapop barriers are in place
but before any lath, gypsum board or
wll covering is applied, and before
any insulation is concealed.
DRYWALL INSPECTION: To be made
after all drywall is in place,
but prior to any taping.
O ~SONRY: Steel location, bond
beams, grouting or verticals in
accordance with V.B.C. Section
2415.
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WOODSTOVE: After installation is
completed.
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CURB & APPROACH AP.WN: After' f01>ms
are created but prior to pouring
concpete.
SIDEWALK & DRIr'EWAY: For aU con-
cpete paving within street right-
of-liX:.Y, to be made after aU exca-
vating complete & form work & sub-
base material in place.
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PENCE: h'her. compl;;te -- Provide
gates 01' movable sections through
P,V,E.
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DDIOLITIO:'/ OR ;'.:OVEfJ BUILDIiiGS
~$a1i'{tary S8"..)e1" capped :::t p~Opi:rt-d line
=:J Beptia tank pUl~ped and fiU3d LJith :;;ra~aZ
~al - r{hen above items are cc,"lrpleted
A and when demolition is comp~ete or st:>u~-
tupe moved and premises cleaned up.
I Nobi'le Homes
~ Blocking a1Ui Set-up
~ Plumbing connections s~er and water
:::J Electrical Connection - Blocking, set-up
and plumbing connections nr~st ee approvea
before requesting electrical inspection
:J Accescol"d Building
i Pinal - After F::Jrcr.es, skirting, decks,
---l etc. are ccmpleted.
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;"",.,~~'"' of "'~., '""" ,.,,"'"" of ,~ --
satisfied before the BUILDINC FI:.'AL ~Qn be l'zquest2d.
All project conditions, Guch as the
required landscc.pir.g, etc., must be
I p"?"
1 of 2 J
*ALE /.tAl/HOLES AND CLEANOUTS lWST BE ACCESSIBLE, ADJU5T!!E."I'!' TO BE l-~1DE I!T !.'O caST TO CI'I'Y
I JOB
I Zone:
Lot Sq. Ft{;o
s ~f lot Coverag~
g of Stories
Total Height
Topography
NO, 'DC;()~q
SOLAR.CESS
Oc:cu:oanc/,/ Grou:;:
I
lITEM
I Main
I SQ. FTC
Caraae
Carport
I ACCBssoru
I
I
ISoDoCo
TOTAL VALUE
CVCl.UC)
1.5 :r:
Building Permi t
State Surcharge
Total Charges
lITEM
I Fi.:z:tu2'es
I Residential. (1 bath)
I Sanitary Sewezt
I Water
I ~C'j'7
Plumbing Pern:i t
NO.
State Surcr.a.rge
Total. Characs
'ITEM
Res. So. fta.
New/Extend Circuits
1,100'
I I
I I
I I
Temporary Service
Electrical Permit
State Surcharqe
Total Charces
IInM
IlIo.1 FEE
I I
I I
Purnace PTU'S
Exhaust Hood
Vent Fan
Woodstove
Permit Issuance
Mechanical Permit
State SurcMrae
Tota I ChaT'fJBtJ
-- ENCROACHMENT
I Sec-~ritq D2P03it
I Storage
I MaintmuI1'tYl
Permit
Tota Z Cha;rqcs
I Curb",,;
I SidewaZk
I Fe~e
lE1ectrical LabeZ
I Mobile Home
IJ...:)~
TOTAL AMOUNT DUE:.4
LCTTYFE
Interior
Corn"",
Panhandle
Cut-de-sac
x
Value
FFE
CHARGE
FEE
)D.O ()
, l/ r.) I
/O-<tU I .
CHARGE I
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CHARCE
I
I /'/{-o 0
I
5':"?)s',4"0
:-;::.ge ~
.
T;;pe/Cor..st:
I Lot Faces - I
I Setbacks
I P.L. 'HOUse Caraqe 'Access.
North
lEast
South
Iflest
L-CO G~
REQ,"
Be.drooms:
Enel'cr;u Sources
Heat
Watel' .'Ip.f1tP.l'
Range
Fireplace
Woodc tOL'e
T..'08
Fees
Building Value & Permit
This permit is granted on the express condition that the said construction
shall, in all respects, conform to the ~dinar.ce adopted by the City of
Springfield, incLuding the Zoning Crd~nanceJ regu~ating the ccnstruction
and use of buildings, and m~y be suspended 01' revoked at cr.y time upon vic-
lation of any provisions of said Ordinances.
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I Plan Check
Date Paid:
IReodpt #:
I Signed:
Pee:
Plumbing Permit
No person shall construct, insta'lZ, aUer 01' change any new or existing
plwnbing or drainage system in whole 01' in part, unless such person is the
legal possessor of a valid plumber's license, except that a person may do
plumbing work to property which is oumed, leased or operated by the appli-
eant,
Electrical
Permit
Where State Law requires tr.at the electrical work be done by an Eleatrical
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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PUm EXCl1tl.ner
Llat:e
I HAVE CAREFULLY EXANINED the completed application for permit, and do
hereby certify that all info~tion hereon is true and correct, and I
fu.rther certify that any ar.d all work perfomJed shall be done in accor-
dance with the Ordinances of the City of Springfield, and th~ Ltr..;s of tho
* State of Oreg~n p~rtaining to the work described herein, and that NO OCCU-
PANCY will be made of any structure without permission of the Building Di-
vision. I further certify that o:tly contl'actors ar.d e:rrpl~yees who are in
c~pliance with ORS 701.0ES will be used on this proj$ct
...-&~ R/.3~0rt~
Sign2d
/ lis/irs
Date
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