HomeMy WebLinkAboutPermit Building 1987-5-22
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00 RESIOfNTIALoo
APPLICATION/PERMIT
225 North 5th Street
Springfield, Oregon 97477
Building Division
726-3753
I' Job Locotio", 555 ~:l:-. 1 )ii'A~ )
Aeaessorc Mop # / '10 3 "3 <-j / 1./1 T= Lot H
.1'Zhy;u!- (1/1.1/ /
uS-C::;: =;- (7-/ T
~jJoL I
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Subdivision:
OWner:
Add."'ess:
City,
I
i nNm.,
I rs<J. Addi ticn
I n Remodel
In
I Mobile Hom~
I Date of Applicaticn
I
i Contrac"tors
:S--c/$~t.1
i General
;: PLumhing
I.
II ELectrical
:! l1echar.icd
il
o-u f (J t7..A .J
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II
Const~ction Lender
SPRINGFIELD
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Phone:
Zip:
Deacueb. I>'orlc J
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a waQf ~ri /;;~ 2-D
J: h&dQA $9 M()
Address
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Siqr:ed:
Data:
Lisc. #
Exoires
Phone
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It is the responsibility of the permit holder to see that alZ. in::;pection.s m>e r:;ade at the proper tim€# that :!cch .::ddress is readab:e
fl"Cm the street, and that the perrrri t ca:rd is located at the front of the property.
-Bui!ding Divi::ior. appr01:ed pUm shcU remain on tr.e Building Sits at all times.
PROCEDUP.E FOR INSPECTION REQUEST:CALL 726-3769 {recorder} state your City desigri.:'2ted ,job nur;;ber, job .adC.i>ess, type of inspec:;;icn
requesrcd a~d when you will be ready for inspection, Contractors or Ow~ers nc~e end Fhone number. pequesrs received hefore 7:00 ~
....>iZl be Trade the same dc.y, requests mG.de after 7,' 00 am will b3 made the next :xrl'k.ing day.
Fip-md",pd rTl.'m(:!(!tir;'Y1!~
; 0 SITE iNSPECTION: To be made after
: excavation, but prier to set up of
: forms.
.0 . UNDEHSLAB PLU/,fBING. ELECTRICAL &
.11ECHA;JICAL: To be made before any
, . work is covered.
d- ~
j V I FOOTING & FOUND,1TION: To be made
~ after trencnes are excavated and
ferms are erected# but prior to
pourir~ ccncret~.
:.1. . UNDERGROUND PLUMBING. SEWER, W,1TEl1
L-.J DRAINAGE: To be made prior to fil-
.liY'.g trenches.
I xl UNDERFLOOR ;;'lu!..'BING & MECHANICAL:
j, To be made prior to instaLlation of
floor insuZation or decking.
C" .
! ~I POST-AND BEAM: To be made prior to
installation of fLoor insulation or
decki."fi..' 7. \4). 3 I
IJ1 ROUGH ~LYNBI!IG. ELECTRICAL & UEClI-
~ ANICAL: No ~ork is to be covered
,until these inspections have beer.
made' ar.d approved.
O FI.~EPLACE: Prior to plceir.g facing
materials and. before framing inspec-
tior.. ~
71, FHANINe: Must be reque:;ted after
~ approval of rough plwrhing, electri-
cal, & mechanical. AU roofing
bracing & chimncys~ etc. nr~st be
,completed. No work is to be CGn-
.,,,"'--cecled until this inspection has
"been made and approved.
.?'1 .
~ PINAL PLW.!BI/IG
&1
:LJ FIliAL I{ECHANICAL
l{q
::zJ FIliAL ELECTRICAL
:=J
Your City De3iar~ted Job Number Is:
Co . Jt.) "
INSULATION/VAPOR BARRIER THSPECTION:
To be made after aU insulation a:".d, '0.
required vapor barriers are in place
but before any lath# gypswn boa:rd: or~
waU covering is appLied, and before
'any in:;u"Lation is concealed.
[lJ
@
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DRYWALL INSPECTION: Tc be made
after aU drywal"L is in p"Lace,
but prior to any taping.
~SONRY: Steel location, bond
beams, grouting or verticcls in
accordance with V. B. C. Section
2415,
e1{)3/tj
I DEtJOLITID!/ OR ,,;:uvt;; du~.!.~ui;;IJS
~ Sani -:ary se".Jer ~apped c.t p~op.;:rty line
=:J Septic tank p;;.:::ped and fil"Le~ LJith gra:.;el
:J FinG.l - rl'hen abcve ite'7ls are cc.'rrDleted
., A ~... ...'... ...
ar.a ~nen ~emcL~t~r. ~s compleve or s~ru_-
,~ture moved and pr~mises cleaned up.
I Nobile Hcmes
~ Blocking and Set-up
~ Plumbing.ppnnections s.;:wer ar-d ~ater
~ ElectricaZ Connection - Blocking, set-up
" --:j.and plumbing connections nr~st be apprQved
, '....before requesting eZ-ee-:rical inspec-:io:-:
=:J Ac~essol"d Sui lding
:J Pinal - Aft.;:r p::J!'cr.es, skirting, decks,
etc. are completed.
o
ALL project conditions# such as the instaLlation of street trees~ ca~Letion of the
required "Landsccpir:g, ctc., must be satisfied' bejore the BUILDING FINAL can be raquestzd.
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FINAL BUILDING: The Pinal Building Inspection must be requested alter the Pinal Plwnbina
Electrical, and Mechar.ical,.~nspectio1W have been made and approved.
o
o
WOODSTOVE:
ccmpleted.
After instalZation is
~,
"ALL MANHOLES AND CLEANOUTS MUST BE ACCESSIBLE, ADJUST!fEllT TO BE !.~I'..DE 1!7' /.'0 COST TO CITY
D
CURB & APPROACH AP,o/)N: Afte:- forms
CU'e ~rected but prior to pouring
con:Jrete.
SIDEf'/ALK & DRIVEWA Y: For al"L ccn-
crete paving ~ithin street right-
o.f__lX:.y, to be :"made after all exca-
vating compLete & form work & cub-
base material in pZa:::e.
o
".
o
PENCE: ~'her. compl.::te -- Provide'
gates or movable sections through
P,U,E. .
o
I Pa~e ! of 2
I JOB
I
Ilona:
NO.
7{?[)g rt.jSOLAR Ar~ESS REQ-
U)rc--
Thpe/Cor..st:
L-COG'l>
ERf"/S"T.
Oc:c:u:oanCl! GrO'..t\..-. ;e..... 3
Lot Sq. F...
~ ~f tot C~eI'ag~
[I il of Stories
Total Height
I.
I Topogrcr;;hy
I
lITEM
I Main
I SQ.FTG
Cc:rQae
Carnort
Accessol'lJ
kP/7/6/T. 128CJ
TOTAL VAWE
IS.D.C.
(vaLUe)
1.5 x
Building Permit
State Surcharge
Total Char>ges
lITEM
I Fixtures
! Residentia 1, (1 bath)
i Sanitary Sewer
, NO. I FEE
if I ? ~C
I
I
I
I
Water
Plumbing Pem t
State SW'cr.m>ge
Total Charoes
I
I ,00.1 FEE I
12.Jc.M..R<'
I
I
I ITt."'!,}
Res. Sa. fta.
New/Extend Circuits
!Temporary Service
Electrical. Permit
St:::.te Sureharqe
Total Charces
lITEM
I Furn:::zce !!TU 'S
1 E:::haust Hood
I Vent Fan
I .
I Woodstove
1110. I FEE
I I
I
/ I
I
I
Permit Issuance
Me:::hanic::.l Permit ~Np
State Surchc:I'Qe
Total CharGes
-- ENCROACHl.fEt'iT --
i
i SeC".A.ritl1 Deposit
,
1 Storage
, Maintenan:Je
Permit
Total Charoes
CLa'bcu;
Sidewatk
I
030. "'<> I
I
I
I
I
1,..-
1-)
I,
I
2Z .;5'0 I
I
1
72 ~:5"'.o I
. ~O I -'4
23.7'01,
I
I
I
3. <>9 I
I
I
I
I .- l.-
I
I,
I
I
I
I
I
I,
I
WT TYPE
Interior'
Corner
Panhandle
Cul-de-sac
x
I
I
I
I
I
I ~?''''.c>. ~ I
I
11'1.,4 ,
Value
7 't. 5"
2.95
77,/f8
CHARGE
3~, =:>
/,7<:!7
51.2C>
CHARGE
CHARCE
/5. .:><'>
.e.o
/5- 60
Fen:::e
Etectpicat Labet #' 13 ~ I 13 . 20
Mobile Home
I
?OTAL AMOUNT DUE,- /17. BB
l-/Y
I Enerau Sources
Heat
Bedrooms:
I Lot Faces -
I
I P.L.
North
East
SOI4th
IWest
T,roe
Setbacks
I House I Caraqe
I
I
I
I Access.
Water Yaatp!,
Range
FireDlace
Wood:;tot:e
-- Faes
Building Value
&
Perm i t
This permit is granted on the express condition that the sdid construction
shall, in all respects, conform to the Ordinance a.dopted by the City of
Springfield, incZuding the Zoning Crdinance, l'egulc.ting the ccnstI'U-=:ticn
and use of buildings, and m~y be suspended or revoked at cr.y time upon vio-
lation of any provisions of said Ordinances.
,
I
1- ').
I
I,
lPlan Check Fee:
l Date Paid:
IRec.e:ipt #:
j Signed:
I -
Lft,i.f3
<-/5 - 'is')
A & '6;'; 7 0'
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Plumbing
Pe r m i t
No person shall construct3 instalZ3 alter or change any new cr existing
plumbing or drainage syste~ in whole or in part3 unless such person is the
legal possessor of a valid'plumber's license3 except that a pe~son may do
plumbing work to property which is owned~ leased or operated by the appli-
cant.
Electrical
Perm it
Where State LC11JJ requires tr.a.t the electrical work be done by an Ele~trical
Contractor3 the electrical portion of this permit shall not be valid until
the Label has b~en signed by the Electrical Contractor.
Mechanical
Permit
~~__<7
5'<22 -:iF?
uat;e
I HAVE CAREFULLY EXAMINED the completed application for permit3 and do
hereby certify that all info~ation hereon is true and corrcct~ and I
further certify that any ar.d all work perfoP.71ed shall be done in ac~or-
dance ~th the Ordinances of the City of Springficld~ and th~ Ur~s of the
State of Oreg~n pzrtaining to the work described herein3 and that NO OCCU-
PRNCY will be made of any structure without parmis3ion of the Building Di-
vision. I further certify that onZy contractors and e~pl~yees who are in
c~pZiance with ORS 701.055 will be used on this projsct
1"- ~ L(
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