HomeMy WebLinkAboutPermit Building 1986-2-11
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-- RESIDllNTIAL"
. APPLICA1fItN/PERI1IT
225 North 5th Street
"'SpringfieZd~ Oregon 97477
BuiZding Division
726-3753
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SPRINGFIELD
Job Loc:ztion: 5 ~ ;;, f)
Asaesoorz M:zp # /1-19 2- :s ~- 4/1/
Subdivision: ur 6.;:l5 <""'L-I...
City:
Nt:r',,)
Addition
Remodel.
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Address: / Lj fLt!::) ..s . ::J n rI ' '/fhone: 71/.7 -- cj tftJ f(
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Date of Appl.icaticn
Zip:
Describe Work: ,
&roob.1R- ~J(~
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VaZue
Add.~ess
13.;;250
~::::::=ors of) CVYl~ J
Plwnbing IJ -P,1 t7../'C/)
El.eatrical. N t) ~ j (J';UlA'---,
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Nechar.ic;;:l.
Constl'Uction L~nder
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Rcce-:.pt !I
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co' d
vt.gr.e :
Date:
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Lisc.#
Eroir8S
Phone
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It is the responaibil.ity of the permit hoLder to see that al.Z" inspections are made at the proper time. that ccch ~ess is ren~n~:e
from ths street.' and that the permit aard is l.oaated at the front of ths property.
~Bui!ding Divi=ion approved pZan shall'remain on the Buil.ding Sits at all. times.
PROCEDUF!E FOR INSPECTION REQUEST:CALL 726-3769 (rcaorder) state your City designated job nw;:ber, job ad60css, type of inspea:icI.
requested ar.d 1.Jhen you wiZl be ready for inspcation, Contraators 01' OI.me:'s name and phone numbcr. Requests received before 7:00 (:;
:.'iZZ be made the same day. requests made after 7: 00 ern rd ZZ bs made the nc:r:t :xJrking day.
Reoui~pd TnSDp.cticn~
UNDERFLOOR PLU!,:BING & MECHANICAL:
To be made prior to instal.Zation of
fIoor insul.ation or decking.
POST AUD BEAN: To be made prior to
instaLL~tion of floor insuZatior. 01'
deckil1{j.
ROUCH PW!!BI!lC. ELECTl?ICAT- & !,fECH-
Al/ICAL: No :.Jork is to be aOl:ered
ur.til these insoections have been
made and approv~d. '
FIREPLACE: Prior to pl.aair.g faaing
materials and before framing inspea-
tior..
I FRAHI!IC: Must be requested after
~ approv~l. of rough pl.WThing, eZeatri-
cal. & meahanical. AZZ roofing
bracing & ahimneys, etc. rrr./st be
completed. No 1.Jork is to be con-
, , ceal.ed until. this inspection has
. b6en made and approved. "
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SITE I!lSPEC':'ION: To be made after
excavation, but prior to set up of'
forms.
UNDERSLAB PWJ.!BING. ELECTRICAL &
NECHAilICAT-: To be made before any
IJOrl< is covered.
FOOTING g FOUNDATION: To be made
after trenahes are excavated and
forms are ereated, but prior to
pouzoir.g concrete.
UNDERG.'?OUHD P['Ul,fJ3ING. SErfER. WATER..
DRAIlIAG2: To be made prior to fil.-
Zir.g 'Crenahes.
Your City Desigr.ated Job Number Is:
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INSULATION/VAPOl? BARRIER INSPECTION:
To be made after al.l insulation ~4
requi.red vapor barriers are in pZaae
but before any Zath. gypsum board 01'
,!XZZZ covering is appZied, and before
any insulation is concealed.
3& OOCo~
, DE!,IOLITION OR ;~:OVE::; BUILDIi.'GS
:=J Sani :ary se'.Jer capped ~t p~opertii Zir.e
=:J Septic tank p:.L~ed and fiZZ,ed with ;;ra;;e1.
I Final. - rl'hen above items are ao.':roleted
~ and 1.Jhen demoLition is, complete 01' st:'U~-
ture moved and premises cleaned up.
Nobil.e Homes
DRYWALL INSPECTION: To be made
after aZZ d:l'Y1.JaZZ is in pZaae,
but prior to any taping.
O ~SONRY: Steel. loaation, bond
beams"grouting 01' vertiaal.s in
aaaordanae with U.B.C. Section
2415.
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WOODSTOVE: After instaZZation is
cxmpZeted.
,)(1 Blocking and, Set-~p
;<1 Pl.umbing aonnections s~er and 1.Jater
~ El.eatrical. Ccnr.eation - Bl.ockina. set-u~
LJ and pl.umbing connections rrr..st l;~ approved
beforc requesting el.eatrical. inspec:io~
)( I Accessory Buil.ding
-;rl Final. - After paranes, skirting, decks,
~ etc. are aompl.etcd.
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AZZ project aor.ditions, Duah as the {,nsta,ZZation of stl'eet trees, cO.'.'Tpl.etion of the
required Za'wisaapir.g, etc.. must be satisfied before the BUILDING FINAL aan be requestsd.
=:J FIliAL PLU!l.BItIG
~ FIliAL MECHANICAL
::=J FINAL ELECTRICAL
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CURB & APPROACH APRON: After forms
are crected but prior to pouring
~or.:::rete.
FINAL BUILDING: The Final. BuiZding Inspeation must be requeoted after the Final. Pl.umbing
El.ectrical, and Meahanical. InspectiornJ have been made and approvd.
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SIDEWALK & DRIl'Er';AY: For aZZ aon~
crete paving 1.Jithi.n street right-
of-wcy, to be made after alZ exaa-
vating compl.ete & form work & sub-
base material. in pZaoe.
-ALL MANHOLES ANDCLEANOUTS HUST BE ACCESSIBLE. ADJUST!fEIIT TO BE !,~1DE AT NO C:JST TO'CITY I Page 1 of,2
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PENCE: When aompl.,zte -- Provide
gates 01' movable seations through
P.U.E. '
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I JOB NO, ''1fh't!)()0X SOLAR A.S"REQ.-
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; Zone: M~ P~"D Occupancy Grau:J: ~F #D...;,~
I Lot Sq. F~. LOT TJPE Lot Faces -
:: "f Zot CJlJerag<: Interior' ',' Setbacks
I P. L. House I Carage
:!I of Stories Corner .INorth
i , u . h P h nd' E t
: Tata" ..e1.g t an a "e as
, South
: Topography Cul-de-sac
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I I HAVE CAREFULLY EXAMINED the completed application for permit. and do
I hereby certify that aU info:'mation hereon is true and corrcct, and I
further certify that anyar.d aU work perfoP.11ed shaU be dO:1e in ac~or-
f ,dance 1JJith the Ordin:lnces of the City of Springfield, and the; L(I'''';s of the
" State of Oregon psrtaining to the lJOrk described herein. c:nd that NO OCCU-
PANCY will be rnde of any Structur2 without permission of the Building Di-
vision.'I further certify that O:'lZy contractors and e:rrpl"yees who are in
compliance with ORS 701.055 will be used on this projeot
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lITEM SQ.FTG I X Value
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iMain
,
: Garaae I
: Carport 2~~ 1S:3~1 127< .
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iAccessoru
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TOTAL VALUE I
(VC:LUCJ 12?,.7S 1*
S.D.C. 1.5 :r
J
Building Permit <2..~ I
State Surcharge . '881
Total Cha....ges I -22- 8&1 *
I NO. FEE
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",.._i;tw~ ~A ' ,
ResidentiaZ (1 bath) , r
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III
M.II.~J"II I I
ITEM
CHARGE
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I t$.-,
I 7t'.~
I 2.~
I 72.6DI *
CHARGE
Sanitary Sewer
!ic:ter
Plumbino Pemt
v
State Surcr.arge
Totar Charoes
1TEi-J
NO.1 FEE
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1:.",,~" -.:J Service I I
,ft.. rFCf.I; r.. ~~ ~A
8es. Sa. fto.
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I IS:
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I '3 /. :<01 *
CHARCE I
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N~/E:rtend Circuits
EZe~tricaZ Permit
State Sur~ha.rqe
Total C1un>ces
ITEM
I NO.
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FEE
?urnace ETU' S
E::;haust Hood
Vent Fan
;ioodstove
Permit Issuance
Mechanic:ll Permit
State Surcharae
Total cr.araes
-- ENCROACHMENT --
!e~~rity Deposit
?torage
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faintenanae
'crmit
Total Cha'l'aes
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,urbcut
;ideUJalk
,'cn::e
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~:!: ~ I,
:lectricaZ Label
'abile Home PgQ'JfJt.~
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DTAL AMOUNT DUE: 4
. j ',j", :'1'
.:e:
Type/Cor.st:
Access.
'Water Heater
Range
I Firep lace
WOod3tove
West
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Fees
Building Value & Permit
This permit is granted on the express condition that the said construction
shaZZ, in all respects, conform to the Ordinance :ldopted by the City of
Springfield. incZuding the Zoning Ordinance, reguZating the construction
and use of buildings, and m~y be suspended or revoked at cr.y time upon vio-
lation of any provisions of said Ordir~ces.
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IPZan Check Pee:
IDatc Paid:
Recdpt #:
Signed:
Plumbing PerlTdt
No person shall construct, instalZ. arter 01' ohange any new or ezisting
plumbing or drainage system in ~hole 01' in part, unless such person is 'the
legaZ possessor of a valid plumber's license, e:rcept that a person may do
plumbing work to property which is owned, leased or. operated by the appli-
cant.
Electrica I Perm it
Where State Law requires tr~t the electrical work be done by an Ele~trical
Contractor. the eZectricaZ portion of this permit shall not be vaZid until
the Zabel has been signed by the Electrical Contractor.
Mechanical Permit
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P 1 E:rarrnner , . ,.-
.2 ~~ ""Be
uate
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rM/t4 Zs~
"Z--It-'f/J
D<i.te
Signad
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