HomeMy WebLinkAboutPermit Building 1982-1-18
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CO}lBINATION! APPLICATION PF.:RMl.. - SPRI~GF1ElO ~
CIT1 07 SPRInGFIELD
Z:!S i:O_>rrH 5TH ,,-:::'!EET
SPRI:1GFIELD, OREC.()N 97477
~u~Z~f~~ Divisio~
!2o-~/5J
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,Job Location:;}. 0 t, W.
SUbdiutsi.on:
~e,v't~\J
Describe Work ."J
li'-epa.~1"'" ~ lA!:)eJL ~ 7~ y;;....."-r
~ Car ~.....oc..c.~,
.4S8~ssors Hap # 17 -0 ~_ ~ 1- 4Y
Ot.mel'-:I>o.11 ~ ~ 1)e.. WI ~..s:
Address _7 () ~n w. C~~J
City ~ ~~~l ~~ JJ
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Addi.t:ion
Ta::: Lot # Ofo 0 D /
Phone #
Zip Cf'?q"') 7
!?emoa.e t
f.efl=t.~ r
t/a:-k 1~a? ~a
COT!traai:ars flame
Address
GeneraZ ~.,....\ G,,..l~N~~'ff
Plll1lfbing \..
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~Zec:-tri 1M: t
fJechar.ict=t
CCl'lStru=tion Lender
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LiscTi
1:2/aiJ Nt -r ;>>-H}O
REQUIRED INSPECTIONS
'~RECEIPT ~5" 7 "6 7 rO
..
~;: 14.tJO
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AudhOM.ilec1 Cit';/ Agent
Expires
Pr.one ;I
a.:f>..3t ( 0.2. ;;,+-7 ~:,,--q)"7
time, that each address is
It is the responsibility of the permit holder to see that all i~spections are made at the proper
readable from the street. and tha,: the permit card is located at the front of the property.
~ All manholes and cleanouts are to be adjusted at no cost to the City
SITE III~prCTICN: To be made after I F!REPLACE: Prior to placing facing I
excavation. but prior to set up of materials and befere framing inspec-
forr.s. tion.
UNDERSLAB PLUMBING. Eu:cr?-ICAL &
MECHANlCAL: To be made before any
work is covered.
~
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FOOTING & FOU/lDATION: To be made
after trenches are e::cavated a~d
forms are erected. but prier to
pouring concrete.
UNDERGROUND PLUMBING. SEWER. WATER.
DRAINAGE: To be made prior to fil- '
ling trenches.
I' L'IDERFLOOR PLm1BING & MECHANICAL:
To be made prior to installation of
floor insulation or decking.
POST & BtAM: '1'0 be lI'.ade prior to
installation of floor insulation
or decking.
I. ROUCH PLUMBING, tLtCTRICAL & MECH-
ANCI~L: No ~ork is to be covered
until these inspectior.s have been
1IIa<!e and approved.
"
FRAMI!fG: Must be requested after I
approval of rough plumbing. electri-
cal & mechanical. All roofing.
bracing & chimneys. etc. must be
completed. No work is to be con-
cealed until this inspection has
been made and approved.
INSULATION/VAPOR BARRIER INSPECTION:
To be made after all insulation and
required vapor barriers are in place
but before any lath. gypsum board or
wall covering is applied, and beforel
any inSulation is concealed.
DRYWALL INSPECTION: To be Ill3.de
after all drywall is in place.
bu1: prior ':0 any taping.
MASONRY: Steel location. bond
beams. grouting er verticals in
accordance with U.B.C. Section
2415.
WQODSTOVES: After installation ~
is completed.
CURB & APPROACH AP?ON: Afte~ forms
are erected but prior to pouring
concrete.
SIDEWALK & DRI~~AY: For all con-
crete paving within street right-
of-way. to be ~.ade after all exca-
vating complete & form work & sub-
base materi~ in place.
OTHER INSPECTIONS: may be required
in accordance with Building Code.
to be indicate~ in ;:la~ or by no-
tice from Building Inspector.
All project conditions. such as the installation of street trees. completion of the
required landscaping, etc.. must be satisfied before the BUILDING FINAL can be ~equested.
.~ FINAL BUILDING: The Final Building Inspection must be requested after the Final Plumbing
~Electrical, and Mechanical Inspections have ~een made ~~d approved.
No occupancy of the premises can be made until the Final Building Inspection has been
made and approved. and a CERTIFICATE Of OCCUPANCY HAS BEEM ISSUED BY THE BUILDING DIVI-
SION ~~D POSTED O~ THE PREMISES.
FINAL PLUMBI~G
F!NAL ELECTRICAL
PROCEDURE FOR INSPECTION REQUEST: Call 726-3769 (rec~rder)state your City designated job
number, job adcress, type or inspection reques~ed and when you will be ready for inspec-
tion. Con~racto~s or Owners name and phone numbers. Requests received before 7:00 a.m.
will be made the sa~e duY. requests made after 7:00 a.m. will be made the ne~ working
day. YOUR CITY DESIGNATED JOB NUM'lER IS: X" ~CDe> ~e:,
FINAL MECHANICAL
Page 1 .,f 2
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IJOB NUHEER
ZONE
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P:lge 2 I
OCCUPANCY'GROUP
REFERENCE Nt~BERS
TYPE!CC)!"ST~UCTION
L-C(,)~ ..
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BEDROO!-!S
Lot Sq'..lare Ftg.
~ of Lot Covered
if ol Stories
7ota~ Heigh-:
:opograp~y
Lot Ty-;e ,
In.terior
COl'1'lE'r
Panhandle
Other
Lot
P.["
Nor"::h
East
South
West
Setbacks
Fa(!ss:" I
I Hause 0arafTel ACC(!Sd i
.I L
,- / ,'I
j (
I ~oat
I ,,';ter
I ?ar.ge
"I ?ool
Hea.ter
Energy 5o:..~I:Je3
I I _::"~:";:: ~t;.ze
'j ;-ioc~ S;;o:Je'
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FEES
BUILDI1IIJ VALflE/PER!.fIT
f~a. "'tl7. 1.~'1.i'1
ISq. Ftg. C-a:l'~(Je
I Sq. Ftg. Car;or":
ISq. Ftq. A~ce:;so~
IS:7. Fto,
Va~!le
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pg!'f'!i t ~es
'<;t:atp. ."i7J:I'r!hfTT'l7p.
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This permit is granted on the ezpress c~ndi~~on that
the said construction shaZl, in alZ res=ec=~. oonfo~
:0 the O!'di:"lar.oes adapted by the Ci";;J 0;' S;2--:.ngfie'ld,
including the Zoning Ordinanoe, re~..lZat::nq ~i-.e oon-
stro.tct~on and use of lr..li'ldings, anC""!CI":f ;,e a:ls~er.ded
or r~Joked at any time upon vioZati~n of an~ ;ro:Ji-
siens of Jfaid ardinances. '
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Plan Check Fee
Date Paid
Receipt #-
TOTAL CHARGES
ls,stem Develorment Char~e
11.5 ::: Va~:le
PLUMBING PERMIT
NO.
_'FEE
, CHAllGE
Fi::tures
Water Service
i Sanita:I'Y Ser.Jer
I
No person shaZZ construct. ~n8t=lZ. aZ~er O~ change
tmy nerJ or ezisti7VJ plumbi1".g or drainage sys-;em in
whole or in part, un~S8 such perso~ i8 ~he :ega~
possessor of a valid p'l:lmber's Zioer~e, ezee~t th~t
a person mCI",} do p~l.Imbing 1.'or.lc to pro-;er~d tJ!::.ch is
O/.J7U]d~ Zeased or operated by t,lze ap;EcQtt.
SUBTOT.4L
State Surcha:rge
TOTAL CHARGES
J ,.tL:__,,,l.. o.~.. ,c:,~,:Z
I .':'. .. -~~, " ,
. '"f.\
ELECTRICAL PERMIT
IN/}.
FEE
CHARGE
Sa. Pootaae
New or ~~tension/Cir~~it
T=o!'a1".J C~st:"Uc:ion
, Vhsre state La:..' requires that the e:8cmcc:: work be
'>. ~'~~~:e:'o~~~~:~i~~ ~~!f'hi;z;~~~a~~~1t~t%:'~~~1t/~~~~r;~~~ ~~:-
bel has been 3i.gned by the 2lectric::Z. Contr~tor.
The Electrical Safety ~ does ",.at requ-:.re .:: ?erson
to obtain a license a8 an 'Jleotzoic"...::n ar.:i/or elec-
tricaZ c07!tr::tctor t;o make an electr~caZ ~ns-;.:Z.Z=tion
on property l.Jhich is ownad by himse:r or a ~z::'1be:' of
his immediate family tJmch is not i~ten=ed .~::r saZe.
lease or r31lt.
SUSTOTAL
Sta.t'1 Surcftart:e
TOTAL CHARr.ES
MECHANIC.4L PERMIT
I
,
Purnace - 3TU'S
Ezhaust Hood
Vent Fan
I Wood Stove/Heatezo
I FEE
CH.4RGF:
flt).
SUBTOTAL
Stata Surcharqa
TO'!'AL CHARGES
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I E~lCROACHNE.'IT
ISe~..lrity Deposit
I Storage
I Nainenance
Perm-i.t
TOT.1L A!10U!lT DUE
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I C!Lro-:nl t
ISidm.Ja l'k
, tq!'fC3
l~lectrieaZ Label
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/-/1'- Y.
P Date
I HAVE C:tREFULLY 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 and aZZ wrk performed shaZZ be dona in accor-
~e wtih the Ordinances of the City of Springfield. and the Laws of the
State of Oregon pertaining to the w:,k described herein, and that ,VO OC-
crJPANCY wiZZ be made of any st1"..lature r.Jithout; pe2'7llission of the Building
Division. I fta'ther certify that on.7,y ~ontroctors and employees tJho are
in compliance r.Jith ORS 701.055 r.Jil'l:be used on this projeat.
'tOTAL AMOUNT DUE
/ /1~b
~A ":1CSUt,r
Buil ing Div'6{lion appl'O'Jed pla'l shalt remain on the Building
tim .
tJa~e
Sits at an
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