HomeMy WebLinkAboutPermit Building 1990-4-23
Bldrs Board ReS!.
Plumbing
Hechanical
E~e~tr~al~~~~~
J S\l'~)e~clfi;;".lg Electr:ician
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It is the responsibility 'of the permit holder to see that all inopectia1'l8 are made at ,the proper time I that each :ddress is readable
from the street. and that the perrrrit card is located at the front of the property.
~Bui!ding Divicior. approved plan s,hall remain on the Building Sits at aU times. ' ,
PROCEDURE FOR INSPECTION REQUEST;CALL 726-3769 (recorder) state your City designated job number. jab address. type of inspecticn I
requested ar.d when you will be ready for i1'l8pection. Contractors 01' Owner's name and phone number. Requests received before 7:00 am
;,.'ill be made the same day. requests made after 7:00 am "n,ll be made the next wrking day.
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.. RESI.NTIAL 00
APPLI CA'l'i'ON /PERMIT
225 North 5th Street
Springfield, Oregon 97477
Building Division
726-3753
SPRINGFIELD
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Job Location:
5'Y"?S l/.t4/S'7'. 5ZJ1'cF'ilf//C!:)7
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ASGesIJors Map #
, Tax Lot #
Subdivision:
OlJner: _~fLV/ZJ if v~/f?r.?5
Address: ,/5R?/ p/?/~'::::?'/P S.c .
City: .c;/~rLZ;> ~ ~ 7f .
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Phone: '7 y~~g'7rr /
'Zip: ":T"/Y77
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Describe fvorl<:
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Addi tion
Remodel
Mobile Home
Date of Application ''i''':2:'"?'~'?CS'' "
Contractors Address
General 71"0.#//:47/</ ~/7/'6?)..
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Value
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Your city' Desigr.ated Job Number IIJ:
'0 INSULATION/VAPOR BARRIER INSPECTION:
Ta be made after all insulat~n ar.d .
.'.:.,,' '," requi.red vapor barriers are in place
': 1,(' " ~ but before any lath. gypswn boare 01'
. :..:. ' LXlll covering is applied. and before
'.':;: .. ,'~y in,:ulation is concealed.
, I DRYWALL INSPECTION: To be made
~ after all dry1.Jall is in place.
, , but prior to any taping.
Reauirp.d InsDp.ctions
0: SITE INSPECTION: To be made after
excavation. but prior to set up of
, ,forms. "
O :' UNDERSLAB PLUMBING. ELECTRICAL &
, MECHANICAL: To be made before any
, ~rk is covered.
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D FOOTING & FOUNDATION: To be mlde
after trenches are excavated'and
, forms are erected. but prior to
pouring concrete.
D. ,UNDERGROUND PLUMBING. SEWER. W.4TER.
DRAINAGE: To be made prior to fiZ-
Zir~ trenches. '
0, MASONRY: Steel location. bond
beams. grouting 01' verticals in
fU]cordance "n, th U. B. C. Section
2415.
D WOODSTOVE: After i1'l8tallation is
completed. . '
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0: UNDERFLOOR PLUMBING & MECHANICAL:
, 'To be made prior to installation of
", floor insulation 01' decking. ..-- ,. , ,
O POST AND BEAM: To be made prior to 0 CURB & APPROACH APRON: After' forms
instaUation af floor i1'l8ulation or are erected but prior to pouring
decking. " ,aonarete.
O RQUGH PLUMBING. ELECTRICAL & MECH- D SIDEWALK & DRIVEWAY: For all con-
,ANICAL: No work is to be covered crete paving within street right-
,until these inspections have beer. , pf-wcy, to be made after all exca-
made and approved.' ,vating complete & form !JJOrk & sub-
D FIREPLACE: Prior to pZacir~ facing ',ease maferial',in pla:le.
materials and before framing inspec- "
tion. .. '
D F~1ING: Must be requeIJted after
approval of rough plurr.bing. electri-
cal & mechanical. All roofing
bracing & chimncys. etc. ",..Ist be
~'campleted. No work is to be con-
,..~.cealed until this inspection has
~b6en made and approved.
D
FENCE: folhen complete -- Provide.
gates 01' movable sections through
P.U.E.'
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Rcce-:.pt II
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Sigr.~d:/2:-~~~ ~
Date: /' rt;l- ::? -3!.. "5h::=:>" ,
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Exp;!.r,es
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DEMOLITION OR MOVED BUILDINGS'
:=], Sani tary se'.Jer :lapped at p:..opert"1i Une
,
:=J Septi~ tank ~.lmped and fille~ with gra~el ,
--, Final - f{hen above i.tems are completed I
~ ar~ when demolition is complete 01' stru~-
ture moved and premises cleaned up.
I Mobi le Hames
~ Blocking and Set-up
~ Plumbing connections sewer and water
~ Electrical,Connectian - Blockingl set-up
~ and plumbing connections ",..Ist ce approved
, before requesting elec:rical inspection
~ Accessol"d Building
...,' .,'
~ Final - After p:Jrcr..es. skiroting. decy.s.
){ I etc. are completed.
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D
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All project conditions. sueh as the installation of s:reet trees. c~~lotion of the
required landscaping. etc.. must be satisfied before the BUILDING PINAL can be requested.
D FINAL PLUMBING
o FINAL MECHANICAL
o FINAL ELECTRICAL
o
o
FINAL BUILDING: The Final Building Inspection must be requeIJted after the Final PZumbi~
Electrical. and Mechanieal InspectionlJ have been made and approved.
~ALL MANHOLES AND CLEANOUTS MUST BE ACCESSIBLE. ADJUST/rENT TO BE MADE AT NO COST TO CITY Page 1 of 2
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Type/Const:
L -co G~
'. Bedrocms:
I ' EnercTl/ Sources
Heat
Access. I Water Heater
Range
Fireplace
Woodstove
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I JOB NOq~~ezs- SOLAR ACCESS
Zone: - . Occu~ancy Group: .
REQ.-
Lot Sq. Ftg.
% of lot Coverag~
II of Stories
Total. Height
Topography
LOTTJPE
Lot Paces
T1IDe
.
Interior
Cornel'
PanhandZe
CuZ-de-sac
P.L.
North
East'
South
West
Setbacks
House Carage
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Fees, --
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"
lITEM
IMain
I Ga:rM e
SQ.FTG
x
Value
Building Value & Permit
Carport
This permit is granted on the express condition that the said construction
shaZl. in all. respects. conform to the Ordinance adopted by the City of
SpringfieZd. incZuding the Zoning Ordinance. regulating the construction
and use of buiZdings. and may be suspended 01' revoked at any time upon vio-
latian of any provisions of said Ordinances. ,
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Accessoru
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TOTAL VALUE
S.D.C. IvatueJ I
1.5 :r "-,.
8uiZding permit
State Surcharge
Total. Cha.~ges
lITEM NO. PEE
I Pixtures '- , "~, .
I Residential, (1 bath)
I Sanitary Sewer
*
,
-I' *
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PZan Check Fee:
Date Paid:
Receipt #:
. Signed: '.
CHARGE
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Pluinbiilg'''Permit
No person 8halZ construct. instalZ. ~Zter 01' change any neW 01' e--isting
pZumbing 01' drainage system in whole or,~n part., unZess such person is the
l,egaZ possessor of a valid plumber's license. except that a person may do
pl,umbing work to property which is owned. Zeased or operated by the appU-
cant.
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,75
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CHARGE
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Res. Sa. fta.
I New/Extend Circuits
I Temporary Service
Electrical Permit
Where State Law requires tr.at the el,ectrical, work be done by an El,eatrical
Contractor. the electrical portion of this permit shaH roOt be valid untiZ
the Zabel has been signed by the EZectrical Contractor.
ITEM
NO.
FEE
1:~P7
/"5-~
_-7)
/:.j c:;:?51 *
CHARGE
Mechanical Permit
M!/,f0'-'i'(ft:/P/
El,eatricaZ Permit
State Suraharge
Total Charqes
Furnace ETU' S
I Exhaust Hood
I Vent Pan
I Woodstove
I
Permit Issuance
MeahanicaZ Permit
State Surcharae
TotaZ CharOBS
-- ENCROACHMENT --
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Se~~ty Deposit
Storage
I Maintenance
I Permi t
~~-;?~ I
vie - 2.=?- ~~
Total Charqes
I HAVE CAREFULLY EXAMINED the completed application for permit. and do
hereby certify that all infor-mation hereon is true and correct. and I
t.tI'ther certify that any ar.d aH work performed shaU be do;'le in acaor-
dance with the Ordinances of the city of Springfield. and th~ L<<~s of the
* State of Oregon pertaining to the work described herein. and that NO OCCU-
PANCY will be made of any structure without permission of the BuiZding Di-
vision. I further certify that o;'lly contraators ar.d e~ployees who are in
ca~pZiance with ORS 701.055 wiZZ be used on this project
cUrbcut
Sidewalk
Feme
I Electrical Label
I MobiZe Home
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Signed
'-f '/5"1 a
Date
,TOTAL AMOUNT DUE: *
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