HomeMy WebLinkAboutPermit Building 1983-10-3
" RESIINTlAL"
APPLICATION/PERMIT
225 North 5th Street
SpringfieZd, Oregon 97477
BuiZding Division
726-3753
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Job I:..ocation:
AsaesGo1'3 ,\!ap /I
,~~ d-2
\\D~~ \'2.. \
Subdi;;-:.sion:
C'..me1': (l) tl~
Address: 3 3 d-. ~
City: )S.-r t 1. (~
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,'117'""
Addi tic"
Remodel
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,. Y'.foo-=. "e ..oma
Dcrta of Application
lo-?- &3
Contrac:ors
General
Plumbing
SPRINGFlC'1 ,.,
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'e""", /'::, V /7 Jr?
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[..ot /I .. OlSOO
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Plume:
Zip:
<1'7t;77
Describe f>'ork:
VaZue
Add..~es3
fi~ (~
i El.ectrical.
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Me::har.ic:. l
Constl'Ucti011 l,ende1' , ".......
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'du ,.lJJ
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Sigr.ed:
Date:
JC/
/{)-?-8"!>
Use. /1
Fhone
E:oires
f"Mr
~ -1::/ ~-/~c....
yg-q- m
[t is the 1'esponaibiZity of the pe~t hoLder to see that al.Z inapections are made at the proper tim€, that ~~~h ~ess is 1'eada~:e
jz.o", the st1'eet, and that the permit card is Zocated at the front of the property.
.Eui~i~~ ~vi::io~ app1'oved plan sr~ZZ r~:n on, the BuiZding Sit~ at all times.
PROCEDURE FOn INSPECTIDN REQUEST:CALL 726-3769 (recorder) state your City desigroLlted job number, job adiress, type of inapeaticn
1'gquested a~.d when you will be ready f01' inspection, Contractors or ~~ers name end phone number. Requ€sts recei~ed befo1'e 7:00 ~
:..'iZl. be made the same da-:j, requests made aft;;:ro 7:00 am will bs rrade the n=t '.XJrking day.
Reauired Insvpctions
O SIT~ INSPE:C':'ION: To be !mae
excalJation, out prior t:;: set
jorms.
0,
after
up of
UllDEF?SLAB P!..l';..fBI.YG. ELEC':'.f?ICt'1L 3
,'-!ECH,J.;/IC,!,[,: ';0 be maae oe;orlii any
work is ,:;ovcl'ed.
o
FOOTING ~ FOUNDATION: To be ,~e
after ~rencnes ~g e:calJated ar~
ferms ~e erected, but prior to
pourir~ cencreto;.
V'''''''''G''O' V"D ""'''''IW'
......-..:'(.. to . ...U4.1.... .tv.
DRAD/AG2: To be made
lir~ :renches.
O UrlDE!?FrJJC,'? P!/R,~r.:G 3 :.fECHANIC,:,!,:
To be mads prier to in3taZ~tion of
fioo1' -:.nsuZction or decking.
O POST AND BEAM: To be mcuJ.e pl"ior to
, install.atien of fioo1' ins14Zatior. 01'
, decking.
Ir--l ~,I)'-'GH ?!.!j~f8r!G. !!..EC':'."!!C':'L ~ ...fEC!,-
~ ANIeA!..: No ~ork is :0 oe co~ered
un=iL. thcs€ ins~ea=ions r~ve =eer.
made and=?pr?ve~.
D n.""2?LACE: mol' to pz.c.c-:.r..g fa:ing
ma:eriai.a and before frc:r.rir~ in spec-
..'
""t.OT:.
[]
5",,-""0 "'1"''''''
""''''W'''_' "'.. _..,
pl"ior to fiZ-
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l.":'p.A~~INr;: MU3t be re~...Le3ted af"-:€l'
approv.;;! of rough plUr..Ding, e!ectri-
l" . . l l' ..
ca "mecnan-z.::a. A ~ I'OoJ-"ng
b ' "h' ~
rac-~ng " c tmncys, etc. r.r~St ve
comoletcd. ;'10 'XIr,i( is to be con-
.ceaied until. this insoection ~~s
.been made and approved.
lour City, !)esigr~ted Job Number Is:
D
INSULATION/VAPOR BARRE.'? INSPE:CTION:
To be made after aZZ insukoti.:m ct"~
required vapor bCZ!'!'iers are in place
but before =y lath, gypsum boan:i or
wall covering is applied, and before
=y i~~la"io" ~s concea~ed. '
R3 d.-O 33
DE!:OLITION OR ~'.~'OVE= BUILDltiCS
::=J Semi tary se'..Jer capped ::t p~op;;rt':i Zir:e
~ Septic tank ~~;;d ar~ fil.~ea with ;r~~eZ
T- Pinal - [{hen abcve ite::-:s are ccmoleted
.. .J .~.. .....
ar.a when ~emol~_~on tS comp~ete or Svru.:;-
ture moved and pr~ses aleanea up.
. Mobi Ze Hcmes
~ Blocking and Sat-~p
~ Plumbing connections s~er and water
~ El.ectrical Connection - Blocking, set-u;
---1 and plumbing connections lTI'...st 1;e appr:n:ec:
b . , . 1.... l' ....
ejore reques:~ng e~ec~~ca ~nspec~"on
=:J Ac::essol3' Bui!ding
--, Final -- ,1ft;;r ;:::1'c1:es,
~ etc. are c~,,,~~et;;d.
skirting,
dec.j....s~
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DR:r;o/ALL IllSP::CTION: To be made
after all c.....ywaZZ is in place,
but prior to any taping.
M~ASONRY: Steel ~ocation, bond
beQ77lG, grou,ti",.q or vertica~s in
accordance with U.B.C. Section
2415.
D
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FI.'IAL pW..,,'BnlG
All. project conditions, $ue~ as che {nscaZlation of street trees, co,cpZation of the
required Zand3capir4, r.tc., must be satisfied before the BUILDING FI~AL can be r2~~estcd.
o FI.'1Al, :,!E~HANICAl,
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JL1 tlt'lAL ELEC':'RICriL
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PINAl, BUIl,DING: The Final. Building Ins'Oection ,'m<st be reaueatea :::t'ter the Pinal PZ=bing
~Zeccri.:Jal, and Mechanic:::.Z Inspectiona :ha:ve been made and' app1'ovei.
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WOODSTOVE: After installation is
completed. ">
'ALL :'!A?lHOL2S AND' Cl,EANOUTS NUST BE: ACCESSIBLE, ADJiJS7:,'!::.'/T TO BE: .',W:E i!T ,':0 C')ST TO CITY 12:::-.:e 1 of 2
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CURB & A.t"'PROACH AP,,?ON: After forms
are ereated but prior to pouring
.:JOncre te .
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SIDEWALK d JRI':7:;;'/AY: For all con-
CZ'ete paving within stZ'eet right-
of-way, to be made after aZZ exca-
vating ccmp Zete 3 ;'orm work & :;;ui:>-
base :nateZ"'~al in place.
D
?F:NCE: When complo;te -- Provide
gates or movabZe, sections through
P.U.E.
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I JOB NO, 9~ 'L-033
17or. .
I L. .e.
SOLAR IES S
OcC"~:;anc:J Gr?U::1:
Lot Sq. Fe.; .
I~ ~f lot Cjveraq~
# of 5toM.es
I Total Hei;ht
I
Topo~hy
I "''''''"\1
...... ...~.
, SQ.FTG
Nc.in
!Jc:!tace
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! Car:'cr':
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I ,~ccess~!'~J
TOTAr. VALUE
Is.D.c.
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1.5 =
BuiZdir.g Permit
State Surch.xrge
Total cr,a."ges
ITEM
Fi...-t7.a'es
I ResidentiaZ (1 bath)
I Scrn:itar:f Sewer
I ir'ate1"
Pl:unbir.g Pemi t
State Surcr,(D'ge
Tota l C'flC.!'oes
lITEM
Res. Sa. fta.
NewlEztend CirC"~i ts
Tempora:ry Service
~A J-L~
I NO. FEE
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'NO. I
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4..."",
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Electrical Permit
St:;.te Surcfurri1e
TotaZ Ch..a:rt;es
ITE,\[
F'u:!'r.::Lce ETTJ' S
E::haztst Hood.
I Vent Fan
j ,
1 d::lodsto"Je
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Permit Issuance
Mech.anic:; l Permi t
State Surchc:rae
/10. I
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!;'t":'
,ww
Tot:at craro:res
. I -- 211CROACHNE,'!T --
I SeC".a";ty De:;osit
'l;tor~e
Main teruzr..c e
Permt
Tota Z C'hcroas
,
, I Curbcut
I Sidewalk
I E'en~e
I Electrical
,-abel
-# /<3gz C
,
! Nobi le nome
.. TOTAL A,\!OUNT DUE:'
LOT':'.!?::
Interior
Corner
Panh.andle
Cul-de-sac
x
Value
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I CF.ARGE
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CH~::GE
)0,00
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/0. t/'O I.
C!!illiCE
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Ii ,2-D
,
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/D,&D .
Pc.ge 2
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L-COG~
REQ.-
I Cot Faces -
I
I P.r...
INorth
lEaST; _
ISouth I
IWest I
T;;?e/Cor.st:
3ec.roor.:s:
I EnerGu Sources
,
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Tilr::a
Setbacks
House Ca.rcqe
.jea-c
I Access.
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~/ater ,'!eater
Range
Fireolace
WoOd::;tOtiB
Pees
Building Value & Permit
This permi t iiJ granted on the express condition that the said, construction
shaZl, in all respects, conform to the Ordinance :;dopted by the City of
, SpI"';ngfield, including the Zoning Ordinance, regulc:ting the ccr:str-.<ction
and UGe of buildings, and m~y be suspended or revoked'at ar:y time upor: vio-
lation of any provisions of said Ordir~nces.
Fran Check Pee:
Date Paid:
IRec~ipt II:
I Signed:
Plumbing Permit
No person Ghall construct, instaZl, alter or change any r~W or e--isting
plumbing or drainage system in whole or in part, unless such person is the
legal, possessor of a vaZid pZumber's license, except th.at a person may do
plumbing work to proper~:f which is owned, leased or operated by the appZi-
cernt.
,.
Electrical
Permit
Whe1"e State LctLJ requires tr.at the electM.cal work be done by an ElectM.cal
Contractor, the eZectM.cal portion of this permit shaZZ roOt be valid until
the Zabel has been signed by the ElectI"'~cal Contractor.
Mechanical
Permit
...
PLan E:rcminer
uaT;e
I HAVE CAREFULLY EXA.."!INED th~ comoZeted cmpZication for ::e!'mit, and do
hereby certify that aZl info!'mation hereon" is true a~ correct, and I
f..aother certify that any ar.d. aZZ work perfomred shall be done in accor-
dan~e :Jith the Ordinances of the City of Springfield, and thz [cr..;s of the
State of Oregon pzr~ini~g to the work des~~bad herein, and th~t NO OCCU-
P~NCY :JilZ be made of any 3truc~..aoe without permission of the 3uilding D-~-
vision. I further certify th~t onZy contractors ~~ e~l~yees wroO are in
compliance with CRS ?01.055 wilZ be used on this proJ~ct
/o-3-f?::>
Sign3d
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Date