HomeMy WebLinkAboutPermit Building 1987-3-31
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APPLICATION/PERMIT
225 North 5th Street
Springfield, Oregon 97477
Building Division
726-3753
Job wca.tion:
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Ol.mer: I'V'",' c/l.... i~ J' /-'e-f;;/f'S
Address: III ,.-v- ~""/f' Fr'el J
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City: Ev~-{"^-~ c.'/{'e
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Asaessors Map #
Subdivision:
I NP.lJ
I Addi tion
I Remodel
I :.!obiZe Home
SPRINGFIELD
Tc:r wt #
Phone:
~ "'1-6::< 6' L(
Zip:
Describe 1>'01'7<:
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,'3-: :31-r?
Date of Application
Contractors ,/0"7 A So N' r.f
Value
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Address
General
Plumbing
Electrical
Mechar.ic:ll
Construction Lender
Rece-:.pt 1/ /,13'0 2- 2-
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Sigr.ed:
Date:
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S. 57 #i Lisc. # 1:1,1"6 (
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EroiY'as 11 -?-,;P?
Phone 7'1( l-()I I"t!
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It is the responaibiZity of the permit holder to see that aZZ irwpections are made at the proper time, that each .:ddress is readaDZe
from the street, and that the permit aa:t'd is 1.oaated at the front of the property.
.tBui!ding Divi:;ior: approved pl.an shaZZ remain on thE Building Sits at aZZ times.
PROCEDURE FOR INSPECTION REQUEST:CALL 726-3769 (recor'der'J state your City designated job nwnber, job add:ress, type of inspec::icn
requested and when you will be ready foY' inspection, Contraators 01' Owners nc:me and phone number'. Requests r'eceived before 7:00 ~
...'i!Z be made the scune day, requests made after 7:00 am L1ill be made the n=t :.JOrking day.
Reaui~p.d Tnsop.ctions
O SITE INSPECTION: To be made after
excavation, but prior to set up of
forms.
O UNDERSLAB PLUMBING. ELECTRICAL &
: MECHANICAL: To be made before any
work is covered.
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FOOTING & FOUND,iTION: To be made
after trenches are excavated and
forms are erected, but prior to
pouring conaretc:.
UNDERGROUND PLUMBING. SEWER. W,iTER,
DRAINAGE: To be maie prior' to fil-
Zir{J trenches.
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UNDERFWOR PLUMBING & MECHANICAL:
To be made prior to installation of
floor insulation or decking.
POST AND BEAM: To be made prior to
installation of floor insulation or
decking. W 1.
ROUGH PLU.'1BIllG.rE[,ECTRICAL& MECH-
ANICAL: No wor~ :0 ~v ~~-Cover'ed
,until these inspeations have been
made and approved. '
FIREPLACE: Prior to pZacir{J facing
mateY'ials and before framing inspec-
tion.
D FRAJ.1ING: Must be r'equested after'
approval of r'ough plwrbing, electri-
cal & mechanical.. AU r'oofing
braaing & chimneys, etc. m-~st be
: completed. No wor'k is to be con-
,~ cealed until this inspection has
~been made and approved.
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Your City Desigr.ated Job Number Is:
O INSULATION/VAPOR BARRIER INSPECTION:
To be made after all insulation arA
, ' .' required vapor' CarI'ier's are in place
,: but before any lath, gypsum board or
wall covering is applied, and before
any insulation is concealed.
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~' DR. YWALL INSPECTION: To be made
ter' all drywall is in place,
but prior to any taping.
O ~SONRY: Steel loaation, bond
becuns, gI'Outing 01' verticals in
accor'dance L1i th U. B. C. Section
2415..
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WOODSTOVE: After installation is
ccmpleted.
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DEf.10LITION OR ;',fOVED BUILDI,VGS
=:J Sani::ary se'.Jer' capped at px:.opc:rt:':i line
=:J Septic tank p~ed and filled with gr'a~el
--, Final - f,'hen above ite."ns are completed
~ and when demolition is complete 01' struc-
ture moved and pr'emises cleaned up.
, Mobi le Hemes
~ Blocking and Set-up
=:J Plumbing conneations s~er and water
~ Eleatrical Connection - Bloaking, set-up
~ and plumbing aonnections m-~st be appr'oved
before request-:.ng elea::r>ical inspec::ion
:=J AccessoI"d Building
--, Pinal - Aftar porches, skirting, decks,
~ etc. are comple::ed.
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All pY'oject aonditions, such as the installation of stY'eet tr'ees, c~~letion of the
required landscaping, etc., must be satisfied bcfor'e the BUILDING FINAL can be requested.
o FIliAL PLUMBING
D FINAL MECHANICAL
, yOl
~ FINAL ELECT,r?ICAL
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CURB & APPROACH APRON: After forms
are er'ected but pr'ior to pouring
C07Z0r'e te.
FINAL BUILDING: The Final Building Inspection must be requested afteY' the Pinal Plumbing
ElectY'ical, and Mechanical Inspections have been made and appY'ov2d.
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SIDEWALK & DRIl'EWAY: For all con-
crete paving within stY'eet right-
pf-way, to be made after aZZ exaa-
vating complete & form work & sub-
, base material in place.
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PENCE: IIThen complc:te -- Provide,
gates Or' movable sections thr'ough
P.U.E.
*ALL MANHOLES AND CLEANOUTS MUST BE ACCESSIBLE~ ADJUST!fElIT TO BE /,!1DE AT NO CaST TO CITY I Page 1 of 2
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I JOB NO.
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! Zone:
Iwt Sq. Ft{;.
% of lot Coverag~
# of Stories
Total Height'
Topography
lITEM
SQ. FTG
Main
Ga::raae
CarpoY't
AccessoY't1
S.D.C.
TOTAL VALUE
(va~ue)
1.5 x
Building Permit
State SUI'charge
Total Charges
lITEM
I Fixtuzoes
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Residential (1 bath)
NO.
Sanita'PY Sewer
Water
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Plumbing Perrr:i t
State SUI'cr.apge
Total ChaY'aes
lITEM NO.
I Res. Sa. fta.
I New/Extend Circui ts I /
I Temporary Se1'lJice I
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ElerJtrical Pemt
State SUI'rJharqe
Total Charqes
, ITEM
'NO. '
Furnace PTU' S
&haust Hood
Vent Fan
I Woodstove
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Pemt Issuance
Mechanical Permit
State SUI'charae
Tot:al Charaes
-- ENCROACHMENT --
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I~e~~~ty Dep03~t
Storage
Maintenance
Pem t
Total ChaY'aes
Curbcu::
Sidewalk
Fen~e
Electrical Label
Mobile Home
TOTAL AMOUNT DUE: *
SOLAR A.SS
Occupanc/J GrOll".
LOT TYPE
FEE
FEE
FEE
.
x
Interior
Corner
Panhandle
Cul-de-sac
Value
REQ.-
L -CO G~
P.L.
NOY'th
East
South
West
Setbacks
House Car>age
e
I I EneY'Gu Sou1'ces
I, Heat
Access. I WateY' HeateY'
I I Range
I I FiY'eplace
I I Woodstove
II
Tvc>e
Type/Cor.st:
Bedrooms:
Lot Faces -
-- Fees
Building Value & Permit
This pemt is gr>anted on the expY'ess condition that the said construction
shall, in all respects, conform to the OY'dinance adopted by the City of
SpY'ingfield, incZuding the Zoning O1'dinance, regulating the construrJtion
and use of buildings, and may be suspended 01' revoked at any time upon vio-
lation of any provisions of said OY'dinances.
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CHARGE
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CHARGE
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/5',60
CHARGE
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IPlan Check Fee:
IDate Paid:
IReceipt #:
I Signed:
Plumbing Permit
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No person shall construct, instalZ, aZter or change any new or existing
plumbing or drainage syste~ in whole 01' in par>t, unless such pe1'son is the
legal possesso1' of a valid plumber's license, except that a person may do
plumbing work to property which is owned, leased or opeY'ated by the appli-
cant. . .
Electrical Permit
Where State LC1hJ requires tr..at the elect1'ical work be done by an ElerJtY'ical
Contractor, the electrical portion of this permit shall not be valid untit
the Zabel has been signed by the Electrical Contractor,
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..E?Li3o~/~ C€W,7)e4q~ To S#r?~
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Mechanical Permit
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I' I HAVE CAREFULLY EXAMINED the completed application for permit, and do
" he1'eby ce1'tify that aU ir:fo:7TIation heY'eon is tY'ue and C01'1'cct, and I
fU1'the1' ce1'tify that any ar.d aU wo1'k pe1'forrned shaZZ be done in acco1'-
r dance with the 01'dinances of the city of Springfield, and th~ LT~s of the
* State of 01'egon pSY'taining to the wo1'k descY'ibcd he1'ein, and that NO OCCU-
PANCY will be made of any stY'uctU1'e without pe1'mission of the BuiZding Di-
vision. I fUY'theY' ceY'tify that only contY'acto1'S and e~ployees who are in
compZiance with ORS 701.055 will be used on this pY'oject
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