HomeMy WebLinkAboutPermit Building 1981-12-11
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RECEI4i> S ? 'J t./ Lj.
-- RESIDENTIAL.--
COMBINATION/APPLICATION PERMIT
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SPRINGFIELD -
CITY OF SPRINGFIELD
225 t:O.rrIH 5TH ST."IEET
SPRI."IGFIELD, OREC.()N 97477
EuiZdi~4 Divisio~
726-:5753
IhLJLtu~ ~~S, ~
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fJ.i S'. tIJ
Job z:.oc:ation:
/J~q
~ $1Uf
Subdivision:
.4SSl3ssors Map 1#
i 7 -1J ~ -;26 - 34
Taz Lot 1# 073tJiJ
~er C}r~ Ii.. f!jf~
.-..1} 3q (I/~ ...Jb't
City :' ,'14. oe..
,
Phone 1# '7 LJ/}-..:J3./n /)
Zip q 1t./-77
Desc:ribe Work
I NtJ',1
I I Addition
~I .'?emoda 1.
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A~lU... -
b~.
LuIv
d
.
Authori~ed Ci~~ Agent
Expires
Phone 1#
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Contractors Name
Address
Liscil
Genli'ra1.
PZwnbing
EZectrical.
f.!echar.iaal.
FA~Jt.v..-
C01I8~tion Lander
REQUIRED INSPECTIONS
It is the responsibility of the permit holder to see that all i~spections are made at the proper
readable frcm the street, and that the permit card is located at the front of the property.
6 All manholes and cleanouts are to be adjusted at no cost to the City
., sm: nrSPECTICN: To be made after IU FIREPLACE: Prior to placing
excavation. but prior to set up of materials and before fra~ing
forr..B. tion.
time, that ea,:h address is
facing Il /I
inspee-tx ,
. -
WOODSTOVES: Afte1~ installation I
is completed. .
FOOTING & FOUllOATION: To be made
after trenches are e::cavated a~d
forms ar~ erected. but prior to
pouring concrete.
UNDERGROUND PLUMBING. SEWER, WATER.
DRAIlIAGE: To be made prior. to f'il-
ling.t~enches.
.,,"
I FR.o\HING: 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 a~~.v.ed.
CURB & APPROAC? APRON: After forms
are erected but pl~ior to pouring
concrete.
UNDERSLAB PLUMBING. EU:CT~ICAL &
MECHANICAL: To be made before any
work is covered.
mlDERFLOOR PLm1BING & MECHANICAL:
To be made prior to installation of
floor insul3tion or decking.
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.
SIDEWALK & DRIVEWAY: For all con-
crete paving within street right-
.of-way, te be r.:adl! after all exca-
vating complete & form work & sub-
base material in place.
OTHER INSPECTIONS: may be required
in accordance with Building Code,
to be. indicatec. ill ~lal".s or by no-
tice from. Buildinl~ Inspector.
I ' I
POST & BEAM:
installation
or decking.
To be ~ade prior to
of floor insulation
DRYWALL INSPECTION: To be I113.de
after all drywall is in place,
but prior to any taping.
I. l
ROUGH PLUMB!NG, ELECTRICAL & MECH-
MICI.\L: No work is to be covered
until these inspections have been
made and approved.
MASONRY: Steel. location, bond
beams, grouting or verticals in
accordance with U.B.C. Section
2~15.
FINAL PLUMBING
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 requested.
FINAL BUILDING: The Final Building Inspection must be requested after the Fin3l Plumbing
Electrical, and Mechanical Inspections have ~een made a~d approved.
FINAL ELECTRICAL
No occupancy of the premises can be made until the Final Building InspE!ction has been
made and approved. and a CERTIFICATE OF OCCUPANCY HAS BE~~ ISSUED BY T!~ BUILDING DIVI-
SION &~D POSTED ON THE PREMISES.
l FINAL MECHANICAL
PROCEDURE FOR INSPECTION REQUEST: Call 726-3769 (rec~rder)state your C:ity designated job
number, job address, type of inspection requested and when you will be ready for inspec-
tion, Contractors or Owners name and phone n~~bers. Requests received before 7:00 a.m.
will.be made the same day, requests made after 7:00 a.m. will be~p~:he next working
day. YOUR CITY DESIGNATED JOB NUM~ER IS: ~ LL)~~'~ -
Page 1 of 2
. ,
JOB NUNtER
ZONE
..
~/ogfp~
OCCUPANCY GROUP
Cat- Soucuoe Ftc.
. v
~~- t)t Lot Covered
:~, of Stories
~otaL Height.
':o,?ograph.y
I'
'<;1'1. F'~17 .. '-fai11.
I Sq. Ftg. C-arC!::s
.
ISq; Ftg. Ca:r;or~
'sq. Ft;!. A~ce~so~
Sa. F~a.
VaLue
pg!n"~ t C11I%MeS
8t.7.t. R '<;U:JO(!htrl'f7R
TOTAL CHARGES
S!fstem DeveZovment Cr.a:JO:Je
1. 5 ::: Va be
Lvo.
I
I
I
I
Fi=tures
r.ater Seruice
Samta:JO'J SiNer
SUBTOT,4L
State Suzochazoge
TOTAL CHARGES
!VIJ.
Sa. Pootace
N~ or ~~tensicnICir~it
Te~o~~ Co~struc:ion
SUBTOTAL
Stf%t'i! Suzocha:JOae
TOTAL C!/ARr.E:S
I-
I
ff().
f"uTonaCR - 3'!7J ' S
Ez1uzust Hood
Vent Fan
Wood Stove/Heater
AAA ..1..1 t' .4'\.-".-L.,
SUBTOTAL
State Suzocharoqe
TOTAL CHARGES
ENCROACHl.JENT
Se~l"f.ty Deposit
St:Jmge
Maincrumce
Permit
TOT:tL AMOUNT D!!E
C'.lrb~t
Sid(!1,)aLk
Fflnag
,Lectrif7al Label.
.'tOTAL Al.fDUUT DUE
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FEE
FEE
FEE
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P.::ge 2
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REFERENCE Nt'MBERS
TYPE!Cc)NST~UCTION
L-COr, ::
BEDROOMS
Lot Ty,;e SetbaCKS
Interior Lot Faces:
COl'7'l(!r P.0. HOllse 'JarC!f1e
PanhandZe North
Other Eas t
South
West
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CHARGE
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CHARGE
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CH.4RGE
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Ii r~~ to f)
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Aaa-:lsal
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I El:erqy 50;,;'::e3
, O!~'1t
./ :,'ater Heater
,~a1'.ge
:>001.
.-:'-:.~=:: Zc.:;e I
;-ioc~ St;~tJe. . I
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FEES
BUILDIllG VALUE/PERMIT
This permit is grantsC on the e:preas c~ndi:~on that
the said aonstruotion shan, in aZZ respeot... oontom
to the O!'dinanoes adDpted by the Ci;y 0;' Spl.-:,nqfieZd.
incLuding the Zoning O!'dinance. re~.lLat~ng ;r~ aon-
s~~otion and use of ~~iZdings. and ~ay be ~~s;:er~d
01' r~Joked at any time upon vioZati~n of ~i provi-
sions of lJaid Ordinances.
PZan Check Fee
Date Pa.id
Receipt #
I .
,
I
PLUMBING PERMIT
No person shalZ construct. instaZZ. a.lter or change
a:ny ne!J or e::.snng pLumbinq 01' dzoainage sys-::em in
whoLe 01' in pcuot. unLess 8uch l'e:JOso~ is :he Zeg::Z
possessor ot a vaZid pLumber's Zioer.ae. ezcept that
a person may do pLumbing work to pro?e"~4 wr.~oh is
OlJTI(Jd. Zeased 01' operated by the C1.t':' u.oc;nt.
J
ELECTRICAL PERMIT
Where State Laz.' requires that tha e.ect:oicaZ ",ork be
done by an EZeotricaZ Contractor, the et."ct:>-~oaZ 'for-
non at this permit shaH not be vaZid untit. the la-
beL has been signed by the ~Zectric.::Z ContrCJ:or.
The EZectrical Satety LazJ does not require .:: pezoson
to obtain a. License as an IJ Leotrici.::n ar.d./o1' e Lee-
trieaZ aO'JItractor to make an eZectricaZ ins;~n:rtion
on property ",hich is olJned by himser! 01' a ~embezo ot
his immedicte [amiZy ",mch is not ir::en::ed .~~r saZe,
lease t)r rent.
MECBA..'iIC'.4L PEIlMIT
I
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-. .
P'Lan E:xami.'"ler Date
I HAVE C.4REFULLY EXAMINED the compZeted application tor permit, and do
heraby aertity that an intormation hereon is true and correct. and I .
further aertity that any and an oork pa:JOtormed shan be done' in accor-
dan!::e ",tih the Ordinances ot the City ot SpringtieZd. and the LaL1s ot the
State ot Oregon pertaining t:J the oo!'k described herein, and that NO OC-
CUPANCY !Jin be TIr1.tU3 of any s~~ctuzoe !Jithout permission ot the BuiZding
Division. I fU:JOther aertify that onLy !::ontraotors and emp7.0yees ",ho CUOe
in compZiance !Jith ORS 701.055 wiZZ be used on :his project.
0u.r&t\\,nkrD~' ~J\ \
1j1.9-n'~' ' l..-,
Buil'JFng Division appl'O"Jed pZa>! s L~ remain on
times.
12,/J) l'g J
iJate
the Building Site at an
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