HomeMy WebLinkAboutPermit Building 1982-4-28
.. RESID~TIAL..
COMBINATION APPLICATION/PEP.MIT _ SPRINGFIELD _ -
- .225 Nor>th 5th Str>eet . .
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~ Spr>ingfield" Or>egon 9747?
- Building Division
..: 726-3753
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tJ -();t. a ~ - ~ 'l.__ T= Lot # tHJ 2.-.J.b...
.rob Location:
Asaesaors Map Ii
Subdivision:
Ol.mer:
Awess:
Citu:
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P.O. &x }NJlo
\C;~ tel
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~VP.'.J
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Phone:
,J- -, . 6 CO
o.r-i ~- 3Cl
q,L!i(
Zip:
Describe Work:
61~nt- W; d.t
Addition
Remodel.
Mobil.e Home
A..! 0 Ja..iJ..L t- 0 ntO-
1
Date of App1.ication
Con~ractors
'LI- 2_1) - ~ Z/
.
1 General.
Val.ue
Add.~ess
5-rtrtci
Lisc. #
(1 }LnKU--1f' f4 N~
rX )., ') f"'Jl./
nLD~
- Pl.umbing
-
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El.e.::trica7.
= :.techanic::.Z
Construction Lender
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..R1e.d ZokL
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Sigr.ed:
Date:
(J.Lnr;Le.i
~-C;8-R~ .
E:rijir~s
Phone
I Uo - Sqs-I
It is the responsibil.ity of the permit hoLder to see that al.l. inspections are made at the proper time, that each ~ess is re~~nb:e
from the street, and that the permi t card is l.ocated at the front of the propert-:l'
AEui~ding Divi=io~ approved pl.an shal.l. rema}n on the Bu-:Uiing Site at al.l. times.
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PROCEDURE FOR INSPECTION REQUEST: Cal.l. _J (rccorder) state your City designated job number, job addrcss, type of inGpecticn
- requested ar.d when you uJi1.1. be ready for inspection, Contractors or OWners name c:nd phone nwnbcr. Requests received before 7: 00 CL"'i
;.";'1.1. be rr.ade ths same day, requests mc.de aftc:r 7:00 am rJi1.1. be made the next :.JOrking day.
?~aui~Dd T~soDeti~nR
I
: D: SITE INSPEC':ION: To be made after
excavation, but prier tc set up of
forms. ..
'0 . UNDERSLAB PLUMBING. ELECTRICAL &
- MECHA:-JICAL: To be made before any
wor.1< is .::overed.
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FOOTING ~ FOUNDATION: To be made
.after trenches are excavated and
forms are erected, but prior to
pouring ccncrete.
U.'!DUiGROUND PLUMJ3ING, SEWER, W.1TER.
DRAINAGE: To be ma:i.e prior to fU-
l.ir.g trenches.
UflDE!?FLOOR f'LU,\:BfllG & MECHANICAL:
To be made prior to instal.'Lation of .
j100r insulation or decking.
POST AND BEAM: To be made prior to
instaL'Lation of j100r insu'Lation or
decking .
!?OrlGH PW!!BING, ELECTRICAL & MECH-
ANICAL: No ~ork is to oe covered
until. these inspections have beer.
made and approved.
FIREPLACE: Prior to pl.acir.g f!;c:ing
m!;terial.s and bsfore framing inspec-
tion.
FRM!ING: MwJt be reque:1ted after
approval. of rough pl.wr.bing, el.ectri-
cal. & :r.echani.::aL. A1.Z roofir.g
bracing !i chimn~ys, et.::. rrr...st be
comoLeted. No work is to be con-
ceaied until. this inspection has
been made and apprOlJed.
YOUP City Desigr.ated Job Number Ia:
D INSULATION/VAPOR EARRIER INSPECTION:
To be made after a1.1. insul..:;tion crr.d
required vapor barriers are in place
but before any 'Lath, gypB'UlT/ board or
wLL covering is appZied, and before
any inauZ.ation is con.::eal.ed.
DRYWALL INSPECTION: To be made
after a1.1. drywa1.1. is in pZ.ace,
but prior to any taping.
O MASONRY: Steel. 1.o.::ation, bo?uI
. beams, grouting or vertical.s in
a.::cordanc:e with U.B.C. Section
2415.
D WOODSTOVE: After instal.Z.ation is
c:crr:p Le tsd.
D
D
CURB & APPROACH APRON: Afte:, forms
are erected but pr;or to pouring
.::oru:rete.
?5d.-0400
DEMOi-ITIO!! OR !.fOF?:) 3UIL::::lGS
I
D
SIDS'..IALK & DRn'F:'..IAY: For aU con-
crete paving within street right-
of-way, to be made after al.Z exca-
vating compl.ete & form work & ~ub-
base materiaL in pZa::e. -
=:J Sani tary S6lJe1' ::c:ppec ::t p~oP<:1't":i "line
~ Septi:: tank p~ed ar~ fil.Zed ~th gra~eZ _
----, Final. - .rlher. !;ocve ite:~s are cC.''I'rpl.eted ,
~ ar.d when demoZition is cOm?Lete or strua-.
ture moved ar~ pr~~se8 ::Zeanei up.
Mobil.e Hemes ,
~ Bl.ocking and Set-up
~ Pl.umbing connections -- s~er ~ water
~ El.ectrical. Ccnnection - Bl.ockir~, set-up
...;.y and pLumbing .::onnections m-...st ::13 CZ?proved .
before requesting eZe.::tricaZ ir.spection
~ AccessoZ"d Buii.ding
\71 Final. - /lfter .parc:.r.es,
~ etc. are comp.etea.
sk-:rting, de::ks,
D
fENCE: ~'her. compLete -- Provide
gates or movabl.e sections through
P.U.E.
D
FINAL PLUMBING
Al.l. project conditions, suc~ as the instal.Zation of street trees, c~~!Jtion of =~z
required Z.andscaping, etc., must be satisfied before tr.e BUILDI:::: PI:1AL .:an ;;13 rzquest.2d.
FINAL ME;:HANICAL
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J?IN,4L BUILDItlC: The FinaZ 8ui1.ding Inspection must be requeated aFter the .r:--:ruZ ?!wr.bin;
El.ectricaZ, and NetJhar.icaL Inspectiona hava be..9n made and approved.
FINAL ELECTRICAL
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~ALL NANHOLES AND CLEAt/OUTS MUST BE ACCESSIBLE, ADJUST!fENT TO BE !.L1DE".1T NO COS';' TO ::1'1'": I f,;~e 7 of 2
l
IJob Nwnbcr: Z20L/OO
: Zone: Occupancy ~:
:Lot Sq. Ftg. LOT TYPE
:Z of Zot Coverage
,
! # of Stories
I
;TotaZ Height
; l"opography
Interior
Corner
PanhandZe
CuZ-de-sac
lITEM
I
iNain
i
I Garaae
I
! Carport
I Accessor!{
SQ.FTG
x
VaZue
S.D.C.
TOTAL VALUE
(va~ue)
1.5 x
BuiZding permit
State Surcharge
TotaZ Charges
I ITEM
Fi:r:tures
!ResidentiaZ (1 bath)
I Sanitary Sewer
I Water
MokU1 # f-hrftL
NO. I FEE
CHARGE
PZwnbing Pern:i t
/5.00
IS'. ()(ll
.&~
/5. 0cf *
CHARGE I
State Surcr.arge
TotaZ Chc.raes
,
I ITEM NO. FEE
I Res. SQ. fta.
I New/Ex~end Circui ts
I Temporary Service
'/L{ofUl, 1J1J~
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10.()D
16.001
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CHARCE I
I
EZe~tricaZ Permit
State Sur~ha:rge
TotaZ Char~es
ITEM
NO.
FEE
F'urr.::zce ETU'S
Exhaust. Hood
Vent Fan
floodstove
Permi t Issuanca
MechanicaZ Perrrrit
State Surcharae
TotaZ CharGee
-- ENCROACHMENT --
Se~~rit!{ Daposit
Storage
Maintenan~e
I Permit
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\~Ob
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TctaZ Charaes
I Curbcut
I SidewaZk
I Fen~e
I EZectricaZ LabeZ 711 03Lol
I MoDi Ze Home
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TOTAL AMOUNT DUE: *
~lo}.QO
Reference Nwnbers:
L-COG #:
Bedrooms:
..~--
".4
Lot Faces -
Type/Const: e
EnerG,!/ Sources
Heat
f-later Heater
Range
I FirepZace
floods tove
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It-,
T.1.foe
P.L.
North
East
South
,f-lest
Setbacks
House Garage
Access.
Fees
Building Value & Permit
This permit is granted on the express condition that the said construction
shaZZ, in aZZ respects, conform to the Ordinance adopted by the City of
SpringfieZd, incZuding the Zoning Ordinance, reguZating the construction
and use of buiZdings, and may be suspended or revoked at any time upon vio-
Zation of any provisions of said Ordinances.
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*
PZan Check Fee:
Date Paid:
Recdpt #:
I Signed:
Plumbing Permit
No person shaZZ construct, instaZZ, atter or change any new or existing
pZumbing or drainage system in.whoZe or in part, unZess such person is the
ZegaZ possessor of a vaZid pZwnber's Zicense, except that a person may do
pZwnbing work to property which is owned, Zeased or operated by the appZi-
'cant. .
Electrical Permit
Where State LahJ requires tr.at the eZectricaZ work be done by an EZeatric:aZ
Contractor, the eZec:tricaZ portion of this permit shaU not be vaZid untiZ
the ZabeZ has been signed by the EZec:tric:aZ Contractor.
Mecha nical Permit
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Pl.an Examiner
ua~e
I HAVE CAREFULLY EXAMINED the c:ompZeted application for permit, and do
hereby certify that aZZ information hereon is true and c:orrec:t, and I
further certify that any ar.d aZZ work performed shaU be done in ac:cor-
danc:e with the Ordinanc:es of the City of SpringfieZd, and the La;.JS of the
State of Oregon pertaining to the work described herein, and that NO OCCU-
PANCY wiZZ be Trr1de of any struc:tura without permission of the BuiZding Di-
vision. I further certify that ~Zy c:ontraators ar.d empZoyees who are in
c~~pZiance with ORS 701.055 wiZZ be used on this projec:t
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