HomeMy WebLinkAboutPermit Building 1989-7-31
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.. RESID~TIAL..
APPLICAT./PERMIT
225 North 5th Street
SpringfieZd, Oregon 97477
BuiZding Division
726-3753
Rcce~pt #
/t..fiS J :::J
SPRINGFIELD
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Ot 3no
50" ~J\
Asoessors Map # \ f) (~~ 3 ?:>O() ~ Lot #
Subdi,i,io", &r\b (l c:g.J \\\.\\9.
Otmer: ~)Q f\ ~ f ,'k Q
Address: \ ~~[) \\\ i ~ Q.i J .
rJ X'~f\Q \ C~
Job Location:
City:
Phone: U2 ~ (\ '8 \()'2..
Zip: C\f\40'J
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Addition
Remodel'
f.fobile Home
Value \\ 0...
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Bldrs Board Reg.
~f1~ln
Pnnnp
Date of Application
Contractors Address
! Gene~al r-('(\ Q rQ~(\ ~'{\\\I~_
\ P,lumbi,ng r f'() ()((t ~~ ffi \\~,
IM~ehanical ~ \tv _ _ _
EJ,ec_trica~~~ -N0 t'jlJ) t' ~.. ..,e..,
Super\tj"S:i,!1.g_E~eetr~~iaV _' -P!~/(-- ' ,
It is the responoi-bHity of t~ ~~." ~l ;dpe:t' ~ee that all inopections are made at ,the prope:t' time, tr.at each address is rea.dabZ-e
from the street, and that the permi c:;;r;,s located at the f1'07lt of the prope:t'ty. '
*Bui!ding Divi::ior: approved plan shall remain on the Building Sits at all times.
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PROCEDURE FOR INSPECTION REQPEST:CALL 726-3769 (recorde:t'J state your City designa.ted job nwnbe:t', job ad.d:I>ess, type of in3pecticn
requested ar.d when you will be ready for inspection, Contractors or Otmers name and phone number. Requests received before 7:00 am
lJ.'ilZ be made the same day, requests made after 7:00 am Llill be made the nc:z:t :uorking day.
\ _..:".::~:" , , Your city Desigr.ated Job Number Is: ((qO 7& X
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Reaui~~d Tnsu~ctionR
D' SITE INSPECTION: To be made afte:t'
e.xcavation, but prior to set up of
, ..forms. ' ",' '
O : UNDERSLAB PLUMBING. ELECTRICAL &
, MECHANICAL: To be made before any
, !JJOrk is aOlJered. ' '
, ,I INSULATION/VAPOR BARRIER INSPECTION:
--1 To be made after aU insulatiQn ar.d
>::-. ',,' required vapor barriers are in pZace
':.,( ': :: but before any Zath, gypsum board or
, : :,:.', wU covering is applied, and before
,.::' 'pny insuZation is concealed.
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O FOOTING & FOUNDATION: To be made
, 'after trenches are e.xaavated and
,; " forms are ereated, but ,prior to
pouring aonarete.
'u DRYWALL INSPECTION: To be made
after all drytJalZ is in pZace,
, but prior to any taping.
O ,UNDERGROUND PLUMBING. SEWER. W.1TER,
,DRAINAGE: To be made prior to fil-
Zir~ trenches. '
U MASONRY: SteeZ Zocation, bond
beams, grouting or vertiaals in
aacordanae with U.B.C. Section
2415.
, D WOODSTOVE: After instaZlation is
compZeted. ,
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0, UNDERFLOOR PLUMBING & MECHANICAL:
, 'To be made prior to instaZZation of
floor insuZation or decking. ...'...',
O POST AND BEAM: To be made prior to D CURB & APPROACH APRON: After forms
instaZZation of floor insuZation or are created but prior to pouring
decking. ' conarete. '
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O ROUGH PLUMBING. ELECTRICAL & MECH- D SIDEWALK & DRIVEWAY: For alZ aon-
,ANICAL: No work is to be covered , arete paving Llithin street right-
.until these inspections have beer. , ' pf-way, to be made after all e.xca-
made and approved.' vating aompZete & form work & sub-
O FIREPLACE: Prior to pZacir~ facing , base materiaZ in pZaae.
materials and before framing inspec-
tion.
D F~~INC: MUst be requested after
approval of rough pZwr.bing, eZectri-
cal & meahaniaal. AZZ roofing
bracing & chimneys, eta. TTT'..lst be
,'aompleted. No work is to be con-
, ,,~,cealed unti:l this inspection has
~been made and approved.
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PENCE: r.'hen compZete Provide"
gates or movabZe sections through
P.U.E.
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Sigr:~d: ~
Date: rJ rJ /81 J K'e/}
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Expir,es
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DEMOLITION OR NOVED BUILDINGS
:=J Sanitary SelJer aapped at pz:..operty 'Lir:e
,
.~ Septia tank pumped and ~iZZe~ with gra~el I
---, Final - r<hen above it~~s are completed
--.J an.d when demolition is complete or strua-
ture moved and premises aleaned up.
. Mobile Homes
~ocking and Set-~p . '
~Zumbing connections:~- scwer and water
~~ectricaZ Connection - Blocking, set-up
~~ plumbing connections TTT'..lst ce approved
. before requesting eZea~ricaZ inspection
~ AcaeSsol"d Building
~l - Aft~r porches,
~ etc. are completed.
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skirting, decks,
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FINAL PLUMBING
AZl project conditions, such as the installation of street trees, c~~letion of the
required Zandscc:pir~, etc., must be satisfied before the BUILDING FINAL can be requested.
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FINAL MECHANICAL
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FINAL BUILDING: The Final Building Inspection must be requested after the Fina.Z Plumbing
EZeatrical, and Mechar:ical Inspections have been made and approved.
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FINAL ELECTRICAL
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*AiL MANHOLES AND CLEANOUTS MUST BE ACCESSIBLE, ADJUST/fENT TO BE MADE' AT NO COST TO CITY I Page 1 of 2
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Electrical Label I I
I Mobi le Home, ' " \ I Rg . ~~
~'\t\-t ~~\ )~esLl \ 5.1\5 '
~Dt'b I 15.~S X J,OO/l/1.A/!O ,
\ A \ . n c:'. . Signad 7 /
TOTAL AMOUNT DUE: ~ '-t . 1..::J ~ V
JOB NO.
I Zone: l \1L
Lot Sq. Ftg.
S of lot Coverage
# of Stories
Total Height
Topography
SOL A RAe C E S S R E Q.-
Occupancy Gro4t ~ ~
LOT TYPE
Interior
Corner
Panhandle
Cul-de-sac
ITEM
SQ;FTG
x
Value
Main
Ga:1'aae
I CllI'Dort
IAccessoru
S.D.C.
TOTAL VALUE
(va~ue)
1.5 x
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Bui'Lding Permit
State SW>charge
Total Cha....ges
lITEM
I ~=<1'es rf\ N
I Residential (1 bath)
I scinitary Sewer
, NO.' FEE
CHARGE
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Water
Plumbing Permi t
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I/S,lXJ
.r;5'
/5.1-S I ~
State Surcr.arge
Total Charaes
.IITEM
I Res. Sa.' fto.
I New/Extend Circuits
I Temporary Service
{'\\ ~'
NO. I FEE
CHARGE.
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Il CC:,.()()
I .ClS
Il~. f1~" ~
CHARGE I,
Electrical Permit
State Surcharge
, Total Cha:L'qes
ITEM
I NO.' FEE
Furnace ETU' S
E:r:haust Hood
I Vent Fan
I Woodstove
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Permit Issuance
Mechanical Permit
State sw>charae
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Total. Charoes
-- ENCROACHMENT --
Security Deposit
Storage
Maint~e
Permit
Total Charqes
Curbcu:
I Sidewalk
Fen::e
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L-COeitl' ,;.,.../
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Type/Cor.st:~ ~ 'Bedrooms:
~nerq!l Sources I=" F ~
Setbacks Heat
House I Carage Access. f Water Heater
t', Range
I - Fireplace
I Wood3tove
II
I Lot Faces -
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I P.L.
North
East
South
West
. T1.Ive
Fees
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Building Value & Permit
This permit io granted on the e:r:press condition that the sa'id construction
shall. in all respects. conform to'the Ordinance adopted by the City of
Springfield. including the Zoning Ordinance. regulating the construction
and use of buildings. and may be suspended or revoked at any time upon vio-
lation of any provisions of said Ordinances. .
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Plan Check Fee:
Date Paid:
Receipt #:
Signed:
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Plumbing Permit
No person shall construct. ins~az.t. "atter or change any ne!J or existing
plUmbing or drainage system in whole or in part. unless such person is the
legal possessor of a valid plumber's license. except that a person may do
plumbing !Jork to property which is owned. leased or operated by the appli-
cant. .
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Electrica I Perm it
Where State Law requires tr4t the ~lectrical work be done by an Electrical
Contractor. the electrical portion of this permit shall not,be valid until
the Zabel has been signed by the Electrical Contractor.
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.Mechanical Permit
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/' I HAVE CAREFULLY EXAMINED the completed application for permit, and do
I hereby certify that all. information hereon is true and correct. and I
. fu.rther certify that any ar.d all work performed shall be done in accor-
f danae !Jith the Ordinances of the City of Springfield. and tha ~8 of the
~ State of Oregon p8rtaining to the work described herein. and that NO OCCU-
PANCY!Jill be made of any structure !Jithout permission of the Building Di-
vision. I further certify that only contraators ar.d e~loyees who are in
compliance with ORS 701.055 !Jill be used on this project
Plan Examiner
vate
7'/1~9
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