HomeMy WebLinkAboutPermit Building 1982-2-18
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.. RESIDENTIAL..
COMBINATION APPLICATION/PEP.MIT
= 225 North 5th Street
!" Springfield, Oregon 97477
_ Building Division
;;;' 726-3753
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- SPRINGfIELO-
WiL~
Job Location:
I.!!ie..J (lJA17i A1/fr-'-A.-t_. ____
/7-03--;2 ~-3 =j ,
/ (S?J-o
Asaessors Map II
Subdivision:
Taz Lot #-
CA.mel': ~ {j~L1;"rrl- (krnVYJt//~Ja. ~~.4'
Address: /7:< E.(j iYh au~ ~e: h~7'-39tjq
City: f'j..l jf.Mj) I /) ~ Zip: CJ1LfLJ /
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~ ~Ij - P.2.- VaZue /1 :3 95" H2-
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iV/:!!.il
Addition
RemodeZ
.~fobiZe Iloma
Date of AppZicaticn
Conr;ractol'S
Genel'aZ
PZwnbing
.' EZectZ'icaZ
- Uecha:r.ic:::Z
T.Ai- ~ ~~.
Describe WOl'k:
Address
PoD. &::1- tJlJ4, (,b", ~
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Rccei?t ,~ f-<. sRI) 7tl
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Jf~ / I tJtJ
1f. ,;1 t ; D-O
Siqr..ed:
Date:
u
~ -I; -!2-
Lise. II
Eroirzs
Phone
:~.-JLlt}f!...
,~Jl.Q
(p-3tJ*R2- '
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Constzouction Lender ~jA1.J..A1~ v.. 7l..Jr~ ..<'9:~'JJ Jo/'A:)1#<rT
It is the responsibiZity of ths pe~t holdt1Z' to see that aZZ inspections are mali.e at the propt1Z' time, that each .:ddress is rM,ln;'~a
from the stI-eet. and that the pe1'1rli.t card is Zocated a:t the front of the propt1Z'ty.
'Bui?ding Divi::ion approved pZan shaZZ I'emain on thE. Building Sita at aZZ times.
PROCEDURE FOR INSPECTIOH RE:QUEST: Can fiB' JA4iS Czoecorderl state your City designated job nurr.bel', job addzoes8, type of in3pectien
requested ar.d when you ;,;iZZ be I'eady for inspection, ContI-actors or Or.mers name and phone number. Requests received cefere 7: 00 <Z"l
;,;iU be made the same day. I'equests made aft::1' 7: 00 am wiZZ be made the na:t ;,;orki1l{l day.
P",m":1'"rf r"S'f'''''1:-I:rmA
;;ITE INSPECTION: To be I1ItlIUJ afttn'
e:z:cavati.:;n, but pZ'icr tc set up of
forms.
UNDERSLAB PLUMBING. eLECTRICAL &
MECHANICAL: To be rnatie before any
wol'k is ",overed.
jD
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;0
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FOOTING & FOUNDATION: To be rrru1.e
after trenches are e:z:cavated and
forms are erected. but pZ'ior to
pouring acncreta.
W1DERGROUND PWMEING. SEWER. W.1TE."l,
DRAINAGE: To be mc:z:ie pZ'ior to fiZ-
Zir.g trenches.
D
;0
WIDEI'!FWOR PWI,!BING & ,\fEC!lANICAL:
To be made prior to instaZZation of
floor insulation or decking.
POST AND BF:AM: To be made pZ'ior to
instal.Zaticn of floor inslO.Zation or
decki1l{l.
ROUGH PWHBING. E:J:ECTRICAL & MECH-
ANICAL: No :JOI'k is to be aOl:ered
until. these inspeations have been
made and approve'::. '
FIREPLACE: Prior to pZc.air.g faci1l{l
material.s and bB;oI'e J.~ _..~ng inspec-
tior:.
~D
10
':0
!O
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FRA1!.ING: Mu3t be I'eq'Ueated after
approvaZ of rough pl.wr.bing. aZecrn-
aaZ & mechan~al.. AZ! roofi7lfl
bracing ;1 chimneys, etC'. lIT'..lst be
c:omol.eted. No wrk is to be c:on-
c:eaied untiZ this insvecticn has
been made and ~f:'J:,.vL,id.
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YCUZ' City DsBignated Job Numbt1Z' Is:
D I,VSULATION/VAPOR BARRITR IllSPECTION:
To bs made after aZ7- insulation ar.d.
required vapor barf"iezos are in place
but before any Zath. gyp8Ul1l bo=<1 or
.nZZ aovering is applied, and be;oI'e
any insuZation is conceaZed.
D DRYWALL INSPECTION: To be made
after aZZ drywaZZ is in place,
but prior to any taping.
O MASONRY: St~et z.ooatio"!. b~
, bearrra, qrouttng 01' vertu:aZs tn
aocorda:nce with U. B. C. Section
2415.
O WOODSTO'IE: After instaZZation is
ccmpZeted.
D CURB & APPROACH AP.,:OH: After .forms
are ereotea but pM-or to pOUZ"Lng
.::on..."7'ets.
D SIDE:WALK & DRP/EWAY: For aZZ c:on-
c:rete paving within stI-eet Z'ight-
of-way. to be made aftar aZZ exca-
vating c:ompZete & form work & sub-
baee material. in pl.Gwe.
o
PENCE:: .'her. aorrrpl."te -- Provide
gates or movabZe" sections through
P.U.E.
I, {l, D / () ::r
DEMOE.ITIO.'l OR ,'101::' 3UIL:::::IGS
:J Sam.-:ary seIJer cc:;pee. ::t ~opc!'t":i l.ir:e
:J Septio tank p-..omped ar.i f"i ZZad :Ji t:h gra;'';.;Z i
~ FinaZ - .Jlhen c:Dove it<!:':!s crre c:cm'Ol.eted j
..,.... . '- , ;
ar.d when demo.tt"or: tS c:ompZe~a or s~ruc- :
ture moved ar.i prC:':!ises oLeaned up. '
MobiZe Homes
=:J BZocking and Set-up
=:J Plumbing c:onnec:tions -- s~er =nd wateI' ~
~ EZectricaZ Ccnnec:tion - BZockir~, set-u'O :
-..J and pl.wrrbing aonr:ectwns r.:-..lst =~ a;:provea:
before requesting eZec~ricaZ ir.spection
~ Ac:ceSsoI"d BuiZd::.ng
I FinaZ - Af"t;;r.?::Jrcf:es, skirting, deoks,
-.-J etc. are c:omp.etea.
D
AZZ project aonditions. sue,": as the instaZZation of street trees, o~Z.Jdon of ;izz
required Zandscc:pir.g. G:~C.. must be satisfied Defore t1-o8 BUILDI.~'G FI;'IAL ~an ::e rzques~..d.
. 0 FINAL PLUMBING
'0 FINAL ME'::HANICAL
M FnlAL ELECTRICAL
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FINAL BUILDINC: The Final Building Inspection must De requeated af":er ::i:e Final. ?Zumbirzq
EZecrnoaZ. and .'1echar.icaZ Inspec~ionG have been made and approved.
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*ALL MANHOLES AND CLEANOUTS MUST BE ACCESSIBLE, ADJUSTHENT TO BE MADEIlT NO COSi" TO CITY I ;:'-e of 2
..
I
!Job Nwnber: fj:LO /tJ3
,
1 Zone:
Ocaupanclf Group:
LOT TYPE
Lot Sq. Ftg.
% of Lot Coverage
II of Stories
TotaL Height
Topography
JITEU
i
iMain
i
I Garaae
I Caroort
I AccessorlJ
I
I
SQ.PTG
TOTAL VALUE
S.D.C.
(val.ue)
1.5 x
Buil.ding Permit
State SUI'charge
TotaL Cha.....ges
lITEM
I Fi.rtures
ResidentiaL (1 bath)
NO.
I
I
.1
I
I
Sanitary Sewer
Water
I
PLwnbing Pem t
State Surcr,azoge
TotaL Cha1>aes
IiEM
NO:
Res. Sa. fta.
Na:t.JIExtend Cirauits
2.
I
I
TemporctI'y Service
k t1A" .M.-1l...e....
(I
ELectricaL Permit
State Suroharge
TotaL Charc;es
liTEM
, F'urnace ETU' S
Exhaust Hood
NO.
Vent Pan
I Woodstove
I
permit Issuance
MeohanicaL Permit
State Surcharae
TotaL Charaea
I ENCROACHMENT --
Ise~~ritlJ Deposit
Storage
Maintenance
I Permit
TotaL Charaes
CUZ'baut
sidewaLk
I Fence
I ELectricaL LabeL
I MobUe Home
TOTAL AMOUNT DUE: *
x
PEE
FEE
FEE
Interior
Corner
Pr:rnha1u1Le
CuI.-de-sac
VaLue
I
I
I
I
I
CHARGE
Jj .2.~ . th?
Page 2
Reference Numbers:
L-COC #:
I Lot Faces -
I
I P.L.
!North
East
South
West
T.ppeICor.st:
Bedrooms:
I EnerqlJ Sources
I Heat
I Water Heater
I Range
I Firep Lace
Woodstove
I
I
I
r
-1
Tl1De
Setbacks
House I CctI'age
I
Access.
..- Fees
Building Value & Permit
This permit is granted on the express condition that the said construction.
shaLL, in aLL respects, conform to the Ordinance adopted by the City of
SpringfieLd, inatuding the Zoning Ordinance, regurating the construction
and use of buUdings, and may be suspended or revoked at any time upon vio-
ration of any provisions of said Ordir~ces.
*
I
,I
IpLan Check Fee:
IVate Paid:
IReceipt #:
I Signed:
*
Plumbing Permit
No person shan constz'Uct, instaU, aUer or change any ~ or e:r:isting
pLumbing or drainage system in whoLe or in part, unLess such person is the
Legal possessor of a vaLid pLumber's license, except that a person may do
pLwnbing work to property which is owned, Leased or operated by the appri-
.aant.
o.&.r..oOio'-.'
Electrical Permit
Where State LaM requires tiiat t~ eLectricaL work be done by an ELeo-tricaL
Contractor, the eLectricaL portion of this permit shan roOt be varid until,
the labeL has been signed by the ELectricaL Contractor. .
Mechanical Permit
*
PZan E=niner
vate
I HAVE CAREFULLY EXAMINED the compLeted application for permit, and do
hereby certify that aU information hereon is true and correct, and I
further certify that any ar.d an work perfor:ned shaLl. be done in acaor-
dance with the Ordinanaes of too City of Springfield. and the Laws of the
* State of Oregon pertaining to the work described herein, ~ that NO OCCU-
PANCY wiLl. be made of any structure without permission of the Building Di-
vision. I further certify that onLy contraators ar.d empLoyees who are in
c~T.pZianae with ORS 701.055 wiLZ be used on this project
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2-/18/R2
Date
Signed