HomeMy WebLinkAboutPermit Building 1989-8-30
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.. RESID.iNTIAL" SPRINGFIELD
c:.'; ~,'" APPLICA1lIN/PERMIT
225 North 5th Street
Springfield" Oregon 97477
Building Division
726-3753
~er: 3he lieu l3a+emt2lll
Address: 4/ 05 I W. I ffh
eH ()eJ1/_
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,Job Location: ::J j.3:5
Dalsu
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Asaessorz Map H
Subdivision:
City:
[Jbp-w'
I I .1ddition
I I Remodel
I I :.Iobile 1I0me
71.Bo /gq
Date of AppZication
Contractors
, General~atJfe
; Plumbing I
i Hechanical
I EJ,ectrical
,I SllPerv:1:'Sing Electr;ician
=IF 55
T= Lot II
~/3q
Phone: 8 '-/-5 - ~ ;J.. ~ d-
Zip: q1 cfo ~
f
..
DescI'ibe fiork:
~~
Value
/S J
C/O!) td-
Sigr.ed~1.- Jf~
'Date: () ~:;.o O' 7
,
Address
/InrtRAJ
Lisc. 1/
Bldrs Board Reg.
Phnl1P
Expin~s
It is the responsibility of the permit hoUfer to see that all inspections are made at the proper time, that 8Gch ~ddress is readab:e
from the street, and that the permit card is located at the front of the property.
'Bui7..ding Dividor: apP1'oved plan shall remain on tho> Building Sit$ at all times.
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PTWCEDURE FOR INSPECTION RSQPEST:CALL 726-3769 {recorder} state your City designated job nW7:ber, job adtiress, type of in3pec:icll
requestcd ar:d when you will be ready foI' inspection, ContI'actoI'S 01' Oumers 1lI:;me .:;nd phone 1ltonbcr. Requests received cefoI'e 7:00 c,
;.'il l be made the same day, requests made after 7: 00 am wil l be made the next :vorkl:ng day.
ReouirAd InsD~ction8
O SITE INSPECTION: To be made after
excavation, but prioI' to set up of
forms.
O UNDERSLAB PLUMBING, ELECTRICAL &
'MECHANICA[,: To be made before any
WOI'k is ~overed.
o
FOOTING & FOUND,1TION: To be made
after trenches aI'e excavated and
forma are erected, but prior to
pouring concreto.
UNDSRGROUND PWMBING. SEWER, WATER,
DRAINAGE: To be made pI'ior to fil-
Zir.g trenches.
[J
o
UNDERPWOR nUMBING & MECHANICAL:
To be made prior to installation of
flooI' insulation or decking.
POST AND BEAM: To be made prior to
installation of flooI' insulation 01'
deckil'l{j .
ROUGII PWMBING. E[,ECTRICAL & MECH-
ANICA[,: No work is to be covered
ur.til these inspections have beer.
made and approved.
FIREPLACE: Prior to placir.g facing
materials and befoI'e framing inspec-
tior:.
FRAMIN(;: Muat be requested after
appI'oval of I'ough plumbing, electI'i-
cal & mechani~al. Al.! roofing
bracing & chimneys, et~. nr~st be
completed. No WOI'k ia to be con-
cealed until this inspection has
'been made and appI'oved.
o
0,
D
D
Your City Designated ,Job Number Is:
o
INSUf.,ATION/VAPOR, BARRIER INSPECTION:
To be made after all insul:-.ti;;n ar.d
raquiI'ed vapor barriers are in place
but before any lath, gypswn board 01'
walZ covering is applied, and before
any insulation is concealed.
x-v;o V) / ~
DEMOf.,ITION OR ;~:OVEr; BUIWINrfS
:=J Sani:w'y Se'.Jel' capped at P~OP;;I'ty Zir:e
:=J Septic tank p:<mped and fiZled with Gr'Q:;el
"
~ Final - h~en above items are completed
--.J and when demolitior. is complete 01' stru::-
ture moved and pI';;mises cleaned up.
, Mobi le Homes
~ Blocking and Set-up
~ Plumbing connections sewer and wa~er
,........., ElectI'ical Connection - Blocking, set-up
.--.J and plumbing com:ectiona nr..st ce approved
beforc requesting elec:I'ioal inspec~io::
~ AccessoI'1j Building
~ Final - AfteI' p"l'ches, skirting, deoks,
--.J etc. are comple~;;d.
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All proJect conditions, auch as the installation of st1'eat tre'es, c:o::rplotion of t;./e
I'equired landscc.pir:g, etc., must be satisfied befoI'e the BUILDINC FINAL can be raqueatad.
D FINA[' PWMBING
o FINA[' MECHANICAL
o FINA[' E[,ECTRIC/.[,
o
o
o
DRYWAU INSPECTION: To be made
after all drywall is in place,
but prior to any taping.
MASONRY: Steel' location, bond
beam3, grouting 01' verticals in
a~cordance with U.B.C. Section
2415.
WOODSTOVE: After instaZZation is
ccmpleted.
FINAL BUI[,DING: The Final Building Inspe<!tion nruat be requested afteI' tho Final Plumbin{j
Electrical, and Mechanical Inspectiona halJo be'en made and approvad.
-.
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CURB & APPROACH APRON: After forms
are crected but P1'ior to pouping
"onere te.
'AU MANHOLES AND CLF.ANOUTS !IUST BE ACCESSIBU:, AD.TUST!lENT TO BE f.I.1DE liT NO COST TO CITY Paee 1 of :J
D
SIDEfo/A[,K & DRIl-'Ef-lAY: For aZZ con-
crete paving within street right-
of-UJc.y, to be made aftel' all e:r:ca-
vating complete & fom lJerk & sub-
base material in place.
D
!'ENCE: ~~er: compl3te -- Provide
gates 01' movable sections through
P.U.E.
o
JO B NO.
Zone:
Lot Sq. Ftg.
% ~f lot C~verag~
,q of Stories
Total Height
Topography
I'J'EM
SQ.FTG
Main
Garaoe
Carport
Accessoru
S.D.C.
1.5 x
TOTAl, VALUE
( L'a~ue)
Building Permi t
State Surchmoge
Total Charges
I ITEM NO.
I Fixtures m 4.Y
I Residential (1 bath)
I Sanitary Sewer
IIater
Plwnbing Perr.:it
State Surcr.arge
Total Charqes
nBM NO.
Res. Sa. fto.
I New/Extend Circuits
I Tempormoy Se1'1Jice
I
Eleatrical Permit
State Suraharqe
Total Charqes
ITEM
F'ul"nace PTU' S
Exhaust Hood
I Vent Fan
I Woodstove
I
Permit Issuance
Mechanica l permi t
State SuI'charae
Total Charoes
-- ENCROACHMENT
Securitu Deposit
Storage
Maintenanae
Permit
Total C!uzrqes
I Curbcut
I Sidewalk
Fen:!e
Electrical Label
'11;J7~.
5lJJo
l'fO'/'M' AMOUNT
DUE:'
SOLAR ACCESS
Occupancu Gr~
LOT TYPE
Interior
Corner
Panhandle
Cul-de-sac
x
Value
FEE
CHARGE
/&) . OtJ
FEE
/5 .{)1J _
.7:':> I
lC;.15I.
CHARGE I
I
NO.
FSE
CHARCE
-
?q, ;}.J
/5175
i1. :J.. .;
/2/ /l .IJtJ I.
r~gG ~
REQ.-
L -:- co G~
l,ot Faces -
-
II
I
.Access. I
I I
I
.
TilDe
P.l,.
NOl'th
Setbacks
House Carage
Bedrooms:
EnerCJ.1! Sources -
Heat
Water' !/eater
Range
Fi r'ep lace
woodstove
Type/Cons t:
.-'
"'ast
South
'"ent
Fees
Building Value & Permit
This pern~t is granted on the express condition that the said constpuction
shall, in all respects, conform to the Ordinance adopted by the City of
Springfield, including the Zoning Ordinance, regulating the constpucticn
and use of buildings, and m:1Y be suspended or revoked at any time upon vic-
U1tion of any provisions of said Ordinances.
.
1 ·
Plan Check Fee:
Date Paid:
IReceipt #:
I Signed:
Plumbing Permit
No person shall constpuct, install, alter or change any new or existing
plwnbing or drainage syste~ in whole or in part, unless such person is the
legal possessor of a valid plwnber's license, except that a person may do
plumbing work to property which is owned, leased or operated by the appli-
cant.
Electrical
, I
Permi t
Where State l,aw requires tr.at the electrical work be done by an Eleatrical
Contractor, the electrical portion of this permit shall not be valid until
the Zabel luzs been signed by the Electrical Contractor.
.
Mechanical PermH
I ·
PZan Examiner
vate
I HAVE CAREFUl,l,Y EXAMINED the completed application for permit, and do
hel'eby certify that all information hereon is true and correct, and I
further certify that any ar.d all work performed shall be done in accor-
dance with the Ordinances of the city of Springfield, and the L~~s of the
. State of Oregon pertaining to the work described herein, and that NO OCCU-
PANCY will be rmde of any structure without pemission of the Building Di-
vision. I further certify that only contraators and e~pl~yees who are in
compZiance with ORS 701.055 will be used on this project
<~sian~1 Ji~
S-3D -BC/
Date
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