HomeMy WebLinkAboutPermit Building 1985-5-15
.. RESIOrilTIALoo
APPLICATION/PERMIT
225 North 5th Street
Springfield~ Oregon 97477
Building Division
726-3753
Rece-!-pt Ii "8 6 ~~ ??,
Job Location:
lo/~ ~~
Assessors Map #
Subdivision:
T= Lot #
~er: ~/ 9~.J}
Address: IO!';). r1-v\ A~ '
Ci ty: .l..f /J !}
N!?1lJ
Phone: ?;;2 ro ~ ~ ) 9:5
zip: 7'7V77
Describe 11'01'7<:
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6'-;'88
Addition
; h'emode l
I Uobi le Home
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Contractors
General t:t/.('.-< f) (~ttv\_^A~,J{-/.dl L-O
Plwnbing I ..,
I' Electrical L .J? l);:?I'1'2!HAm.
, Mechar.ical
I Const1'Uction Lender
It is the responsibility of the permit hoUier to see that alZ inspections are made at the proper time. that each =ddress is readabZe
from the street. and that the permit card is located at the front of the property.
*BuiZding Diviaion approved plan shall remain on the Building Sits at all times.
PROCEDURE FOR INSPECTION REQUEST:CALL 726-3769 (recorder) state YOUI' City designated job nwnber. job add:ress, type of inspection
requested and when you will be ready for inspection, Contractors or ~ers name and phone nwnber. Requests received before 7:00 ~
"-'ill be made the same day, requests made after 7: 00 am will bs made the next ::Jorking day.
Date of Application
Reauiped InsDecticns
SITE INSPECTION: To be made after
e::ccavation. but prior to set up of
forms.
UNDERSLAB PLUMBING. ELECTRICAL &
: MECHANICAL: To be made before any
work is covered. '
o
o
o
FOOTING & FOUNDATION: To be made
after trenches are e::ccavated and
forms are erected. but prior to
pouring concrets.
0, , UNDERGROUND PLUMBING. SEWER. WATER,
! . DRAINAGE: To be made prior to fil-
,tir.g trenches.
0:
UNDERFLOOR PLUMBING & MECHANICAL:
To be made prior to installation of
17001' insulation or decking.
POST AND BEAM: To be made prior to
installation of floor ins~lation or
decking. ,
ROUGH PLUMBING, ELECTRICAL & MECH-
ANICAL: No work is to be covered
~until these inspections have beer.
made and approved. '
FIREPLACE: ~ior to placir.g facing
materials and before framing inspec-
tion.
D
D
---"
D
rvl FRANING: Must be requested after
~ approval of rough plwrJJing. electri-
,cal & mechanical. AU roofing
, bracing & chimneys. etc. nr~st be
': completed. No work is to be con-
..',,~,.cec.led until this inspection has
,~,been made and approved.
"
Address
,~~ __"J
Your City Desigr.ated Job Number Is:
o
... . " '.~
Signed:
. Date:
/2~p..
, ~~-/:s -~~.
Lisc.#
S 71/(,30.0
Expires.
7 /; '1/~ '""
i
Phone
~S039~
INSULATION/VAPOR BARRIER INSPECTION:--.. DEMOLITION OR NOVED BUILDIiJGS
To be made after all insulation Qrd
required vapor barriers are in place "I Sanitary se'..Jer capped at properr:i Zine
but before any lath. gypsum board or ---1 - ,
waU . coveri~g i~ applied. and befop,e ~"I Septia tank pur:rped and fi Ued with gra;;el
',any 1-nsulatwn 1-s'concealed. ---1 "
o
DRYWALL INSPECTION: To be made
after aU d:rywaU is in place,
but prior to any taping.
I
I Final - TI'hen above items are completed I
---l and when demolition is complete or stru~- :
ture moved and premises aleaned up.
, Mobi le Hemes
0, MASONRY: Steel
beams. grouting
accordance with
2415.
O WOODSTOVE: After installation is
completed.
location, bond
or verticals in
U. B. C. Section
o
CURB & APPROACH APRON: After forms
are ereated but prior to pouring
corwrete.
O SIDEWALK & DRIVEWAY: For aU con-
crete paving within street right-
opway. to be made after aU exca-
vating complete & form work & sub-
'''--,'base, material in pla'ae.
\.
o
FENCE: ~'hen compl",te -- ~ovide'
gates or movable sections through
P.U.E.
~ Blocking and Set-up
=:J Plumbing connections sewer and water
"I Electrical Connection - Blocking. set-up
~ and plumbing connections nr~st ce approved
before requesting electrical inspection
=:J Accesso1"d Building
I Final - After porches, skirting, decks.
~ etc. are completed.
o
All project conditions. such as the installation of street trees, co~letion of the
required landscaping. etc.. must be satisfied before the BUILDING FINAL can be request!3d.
o FINAL PLUMBING
o PINAL MECHANICAL
o PINAL ELECTRICAL
o
(j)
FINAL BUILDING: The Final Building Inspection must be requested after the Final Plumbing
Electrical. and Mechanical Inspections have been made and approved.
o
*ALL MANHOLES AND CLEANOUTS MUST BE ACCESSIBLE, ADJUST!~NT To.,B,E f.t1tJEZI!T NO COST TO CITY I Page 1 of 2
I JOB NO, .<6S:Q~;q ~
I Zone:
Lot Sq. ng.
% of lot Coverag~
# of Stones
Total Height
. Topography
I
lITEM
I Main
I Ga:J:oaa e
I Carport
I Accessor)!
SQ.FTG
I.j'lo
';. .'" \\
.'
'\ TOTAL VALUE
Is.D.c.
1.5 x
(va~ue)
Building Permit
State Su:r>charge
Total Charges
lITEM
I Fixtures \ '
IResidential~(l' b~tn)
I Sanitary Selilel'
"-
....,~
Watel'
Plwnbing Pe1'tl:i t
State Su:r>cr.arge
Total Chal'aes
lITEM
I Res. Sa. fta.
NeliI/Extend Cil'cuits
Tempol'ary Seroice
Ele~tl'ical Permit
State Su:r>aharge
Total Charqes
lITEM
Furnace ETU' S
Exhaust Hood
I Vent Fan
I Woodstove
I
Permit Issuance
Meahanical Per>mit
State Su:r>chal'ae
Total Charaes
-- ENCROACHMENT --
Se~~nty Deposit
Stol'age
Maintenant:!e
I Pe:Pmit
I Total Charges
I Cu1'b~t
I Sidelilalk
I Fent:!e
I Electl'ical Label
I Mobile Home
I
TOTAL AMOUNT DUE: *
r~ge ;;
~
./
Type/Const:
Bedrooms:
I Enerall Soul'ces
Heat
Watel' Heatel'
Range
I Fireplace
Woodstove
T1;De
Occupancy Gl'auv:
SOLAR - 'CESS REQ.-
L:"COd'~
LOT TYPE
Intel'ior
COl'nel'
Panhandle
Cul-de-sac
x
Value I
I
~5"~. ~
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-..:. .. i
NO.
3:<.~
I.~
~.:I. ~8 *
CHARGE I
I
I
I
I
FEE
NO.
FEE
CHARGE
if'. tlIO
..".-'
I*S: <<:>
.~
f,t). ~
NO.
FEE
CHARGE
I
I
I
t!/ 6 tf.B8
P.'
Lot Faces -
P.L.
INOl'th
East
ISouth
IWest
Setbacks
House Cal'age
Access.
Fees
Building Value & Permit
This per>mit is granted on the expl'ess condition that the said constI'Uction
shall, in all l'espects, conform to the Ordinance adopted by the City of
Spl'ingfield, including the Zoning Gl'dinance, l'egulating the constI'Uotion
and use of buildings, and may be suspended 01' l'evoked at cny time upon vio-
lation of any pl'ovisions of said Ordinances.
-j
*
Plan Check Fee:
Date Paid:
'Receipt #:
I Signed:
/~* 00',
Plumbing Permit
No pel'son shall constI'Uct, install, aUer 01' change any new 01' existing
plwnbing or drainage system in whole 01' in part, unless such pel'son is the
legal possessol' of a valid plwnbel"s license, except that a person may do
plwnbing liIOl'k to pl'opel'ty which is owned, leased 01' opel'ated by the appli-
cant.
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Electrical Permit
Whel'e State Law l'equil'es tr.at the electl'ical liIol'k be done by an EleatI'ical
Contl'actol', the electl'ical pOl'tion of this permit shall not be valid until
the ~el has been signed by the Electrical Contl'actol'.
*
Mechanical Permit
1
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, *
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-S-tS-~S
IJate
I HA VE CAREFULLY EXAMINED the comp leted app Zication fol' permi t, and do
hel'eby cel'tify that aU information hel'eon is tI'Ue and cOl'l'ect, and I
fUl'thel' cel'tify that any arn all wOl'k pel'foP.TIed shall be done in acaol'-
dance with the 01'dinances of the City of Spl'ingfield, and the L~~s of the
State of 01'egon pertaining to the liIol'k descl'ibed hel'ein, and that NO OCCU-
PANCY will be made of any stI'Uctu:r>e liIithout permission of the Building Di-
vision. I fUl'ther cel'tify that only contl'aatol'S and ~~loyees liIho are in
compliance with ORS 701.055 will be used on this pl'oject
*'
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