HomeMy WebLinkAboutPermit Building 1986-3-26
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APPLICATioN/PERMIT
225 North 5th Street
Springfield~ Oregon 97477
Building Division
, 726-3753
rlJOb Location:
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Asoessors Map #
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Address:
City:
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I Additicn
I I Remodel
I ,.( I Uobile Home
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Date of Applicaticn
Com:racr;ors
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General
Plwnbing
Electrical
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Tc::r: Lot #
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Date:
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Phone
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7 tf"l-4(J' f
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Describe 1"01'1<:
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It is thB rBspoiuri.bitity of the permit holdezo to Bee that aU inopections are made at the propezo time~ that tu::Ch ~ess is readaDZ-e
fzoom ths street, and that ths permit card is located at the front of the property.
'~Bui!ding Divi::io1'. approved plan shall remain on the Building Sits at all times.
PROCEDURE FOR INSPECTION REQUEST:CALL 726-3769 (recorder) state yOUI' City designated job number, job adCress, type of in3pec=icn
requested ar.d when you will be ready for inspection, Contractors or OWners ncme and phone nwnbcr. Requests received before 7:00 ~
...>ilZ be made the same cU;y~ requests made after 7:00 am z.ri-U be made the next :JOrking dai!:,
Your City Desigr.ated Job Number IS:q~6/96
Reaui'Y'l'!d Tl'lsul'!f1ticl'ls
0, SITE INSPECTION: To be made after
e:J:cavation~ but prior to set up of
, ,forms.
D · UNDERSLAB PLUMBING. ELECTRICAL &
, MECHANICAL: To be made before any
, work is "overed.
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FOOTING & FOUND,1TION: To be made
after trenches are e:J:cavated and
forms are erected, but prior to
pouring concret~.
UNDERGROUND PWMBING~ SEWER. W,1TER.
DRAINAGE: To be made prior to fil-
'Ling trenches.
D. UNDERFLOOR PLUf.$ING & MECHANICAL:
o' 'To be made prior to inGtallation of
~oor insulation or decking.
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O POST AND BEAM: To be made prior to
I instaUation of floor ins~lation or
decking.
O ROUGH PLUUBIlIG, ELECTRICA[, & MECH-
ANICAL: No work is to be covered
,until these inspections have beer.
made and approve.i. ' ' " '
D FiRFiPLACE:" Prior to pZacir.g, fa;ing ....~-
materials and before framing inspec-
tion.
ii, FRANINC: Must be requeDted after
~ approval of rough,plwrbing, electri-
cal & mechani.:::al. An roofing
bracing ~ chirrmcys, et.:::. nr..lst be
;' completed. No work is to be con-
,..,."',cealed untiZ thiD inspection has
, ~ be~ made and approved.
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==:J FINAL PLUI/,BIfIG
:=J FINAL IfECHANICAL
~ FINAL ELECTRICAL
~
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VaZue / t 76"~" .::t 0
Address
O INSULATION/VAPOF/ BARRIER INSPECTION:
To be made after all insulation arA
" " required vapor barriers are in place
",' , bUt before any lath, gypsum board or
lXln covering is appl.ied, and before
'any insulation is concealed.
DRYWALL INSPECTION: To be made
after aU drywaU is in place,
but prior to any taping.
O MASONRY: Steel Zocation, bO.ncz
beamG, grouting 01' verticals, in
accordance with U.B.C. Section
2415.
~
D
WOODSTOVE:
completed.
After installation is
, ..
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D
CURB & APPROACH APRON: After forms
are ere.:::ted but prior to pouring
COTlOrete.
DEf.tOLITIO!! OR ;~:OVE;; BUILDIZ1GS
, =:J Sanitary se'.Jer .:::apped at p:.opcrt':j line
3'S~Pti'::: tank p:=pcd and fined with ;;ra~eZ :
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--, Final - I,'hen above ite.'7ls are completed I
~ and when demolition is complete or strua- i
ture moved and premises .:::leaned up. I
. Mobile Homes
~ Blocking and Set-~p
~ Plumbing connections -- sewer and wa=er
~ ElectricaZ Connection - Blocking, set-up
~ and plumbing connections nr..st 1;13 approved
before requesting elec=ri.:::al inspec=io~
XJ Ac~essory Building
~ "
\/I Final - Aftor porches~
~ etc. are completed.
skirting, decks,
SIDEWALK & DRI1'EWAY: For an con-
crete paving within street Pight-
of-wcy, to be made after all e:J:ca-
, ;v.ating c~let~ &, 'fom wo!,k & sub-
, 'base materiat in p'/.a:)eo", " ,
D
D
PENCE: When complete -- Provide
gates 01' movable sef1ticns through
P.U.E.
D
All project conditions, such as the installation of street trees, co~lation of the
required landscapir:g, etc. ~ must be satisfied before the BUILDING FINAL can be requested.
FINAL BUILDING: The Final Building Inspect'ion ~must be reque.o~ed', alter .the 'Final Plumbing
Elef1trical, and Mechanical InspectionD have been'made and approved.
~ALL MANHOLES AND CLEANOUTS MUST BE ACCESSIBLE, ADJUST,'f2,'lT TO BE f.MDE AT NO ....COST TO CITY I Page ! of 2
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SOLAR A.SS RE~,- '
OccuPGncu crO'..l':):~.~.IIJ?/
LOT TYPE ,[ Lot Faces -
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?/~C~ W~ I ~~ de>
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~ ~2.. SO
I JOB' No.8E:6/%,
Zone: .M#:~ rz.; z:;:>
Lot Sq. Ftg.
:r; Qf lot Caveragc:
# of Stories
,Total Height
I
Topography
I ITE:,! I SQ. FTC I X
Main ~ 1Ie>~
Gaa:e I.' I
I Car:JC7' t I I
IAccessoru I I
Ir<...t,..'T/~ I I
I TOTA[, VALUE
S.D.C.
I vaLue)
1.5 :::
Building Permit M.lN.
State Surcha:rge
Total Cha:oges
,
I ITEM
NO.
FEE
,
I Fi:::t".a>es
I
I
Residential
I I
1< j)d '
I Wate!' 1< f;-c:S I
iliGVVI8~~J,~
r -
(1 bath)
San.itary Sewer
Plumbing PeI'17:i t
State Surcr.arge
Tota! Charaes
I 'T""
... ......;
I Res. Sa. fta.
INGW/Extend Circuits
I fiO. I
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~~r; h"~~,..p
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~_.II~.. III ul~ervice
Ele~trical Permit
State Sur~harae
Total Charces
ITE;'.!
, tic. .
;;"c"::,
.~~
F'urr.:zce ETU' S
I E:::haust Hoo.:i
Vent Fan
1 Woodsto:Je
I
Permit Issuanca
Med".anic:z l Permi t
State Surcharae
Total Charae:;
-- ENCROACHf.fENT --
"
ISe~~rity Davosit
I Storage
I Maintenaru!e
I Pcrmi t
I Total ~naracs
i
I CUrbcut
i Sidewalk
,
I
I .<:'Cru!C
I
I Electrica l Labe l
'Mobile Home
TOTAL ANOU::T DUE: *
Interior
Corner
Panhandle
Cul-de-sac
Value
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I/<.,:ua~
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/a eN:>>
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Cli4?CE I
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"'2~.~1
/$:001
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...)~-~
-:< .. 00
5":<.. 001 *
C':'i;u~C:. I
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/ s: CIOO I
tS: c:=-o I
70r __I
/-'<01
"d/.:?~ l *
CHARCE I
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f
f *
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I
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II. ...~~ ...
P.L.
North
lEast
ISOl< th
IWest
.
Type/Const: ,~-N
I I Enaro:J So:,rces
I I Heat
Access. I I
I I
i I
I I
II
Tuce
L -CO G~
Bedrooms:
Setbacks
I House Caraae
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I
Wate!' .'Ieate!'
Range
FirGDZace
Wooci;;toz;e
-- Faes
Building Value & Permit
,This permit is granted on the express condition that the said construction
shall, in all respects, conform to the Ordinance adopted by the City of
Springfield, inc~uding the Zoning Crdinance, regulating the constructicn
and use of buildings, and may be suspended or revoked at any time upon vic-
lation of any provisions of said Ordir.ances.
Plan Check Fee:
Date Paid:
I Recc:ipt #:
ISig~ed:
/Y.A'"
Plumbing Permit
,No pereon,shall construct, instalZ, alter or change any new or e:::isting
plumbing or drainage syste~ in ~hole or in part, unless such person is the
legal possessor of a valid plumber's license, except tr.at a pe~son may do
plumbing work to property which is ow~ed, leased or operated by the appli-
cant.
Electrical Permit
'Where state LCIhJ requires tr.at the electrical work be done by an. Electrical
Contractor, the electrical portion of this permit shall not be valid until
the ~el has been signed by :the Electrical ~ontractor.
Meche nical Permit
~ ~ /:.~
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FJii'a1vtxaminer ' ~...-
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vate
I HAVE CAREFULLY EXAMINED the completed application for permit, and do
hereby certify that all ir.fo~ation hereon is true and correct, and I
further certify that any ar.d all work pcrfomled shall be 'done in accor-
dance ~th the Ordin:znces of the City of Springfield, and th= Lc~s of the
State of OregQn pertaining to the work described hcrein, and that NO OCCU-
PANCY will be ma.:ie of any structura without permission of the BuiZding Di-
vision.' I further certify that only contractors a1.d e~plQyees who are .11
compliance with DRS 701.055 will be used on this project
,
Signed
Date
*