HomeMy WebLinkAboutPermit Building 1987-10-28 (2)
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Job Location:
ASlJessors Map #
-SbCoO
/goc2tO'7 II
Subdivision:
SPRINGFIELD
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o Ta:r Lot #
s
0&;(/9
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.. RESI.TIALoo
APPLICATION/PERMIT
225 North 5th Street
SpringfieZd" Oregon 97477
BuiZding, Division
726-3753 '
CAmel': ~ l) ct KccJUt ?;Clt'
Address: ~ q ~ q L/ ttuL f'Crl 't-- ~.
City: 9~ (0 /lA ~ \
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.. \ Address
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NP.LJ
AdditiC1'l
RemodeZ
HobiZe H=
Date of AppZ~
Contractors
GeneraZ
PZwnbing
I' EZectricaZ
Mechar:icaZ
Constl'Ucti07l
Lender
Phone: 09; q 54l +
Zip:
V~lue 1{
lD 'cLu
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l2-.2-g-3
Receipt #
1043('",
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Sigr:ed:
Date:
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Lisc.#
Expires
Phone
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It is, the responsibiZity of ths pel'l'l'tit holder to see that an inspections CU'e made at the' p:rope:r timc~ that each ::dd:ress is readaDZe
from the street, and that the permit ca:rd is Zocated at the front of the property.
IrBui!ding Di.vicim: approved plan s,haZZ remain on tha BuiZding Sit., at an times.
PROCEDURE FOR INSPECTION REQPEST:CALL 726-3769 (recorder) state your City designated job nwnber. job address. type of inapecticn
requested and when you wiZZ be ready for inspcction~ Contractors or Owners name and phone nwnbcr. Requests received before 7:00 ~
1JJiZ'l be made the same day. requests made after 7:00 am wiZ'l be made the next working day.
, . .
0, UNDERFLOOR PLUMBING & MECHANICAL:
.. 'To be made prior to insta'Llation of
floor insu'Lation or decking. ',_ _ ,
O POST AND BEAM: To be made prior to D
instaZZation of fZoor insu'Lation or
, decking.
D ROUGH PLUMBING, ELECTRICAL & MECH-
,ANICAL: No work is to be cOL'ered
.ur.tiZ these inspections have been
made and approved. '
D FIREPLACE: Prior to p Zacir.g facing
materiaZs and before framing inspec-
tion.
Reauired Insoections
D: SITE INSPECTION: To be made after
excavation. but prior -to set up of
, ,forms.
D'u~~s~Bnu~I~. UEITm~L&
, MECHANICAL: To be made before any
, work is covered.
lxl FOOTING & FOUNDATION: To be made
after trenches are excavated and
forms CU'e erected. but prior to
pouring cencret~.
D- ,UNDERGROUND PLUMBING~ SEWER. W.1TER.
DRAINAGE: To be made prior to fiZ-
, ,Ur.g trenches.
I XI FRAMING: Must be requested after
, approvaZ of rough pZwrhing. eZectri-
caZ & mechanicaL AU roofing
bracing & chimneys. etc. ~~st be
,'completed. No work is to be con-
. ",,~,ceaZed 'untiZ thio inspection has
~ been made and approved.
,".--- .
Your city Desigr.ated Job Nwnber Io: .
D INSULATION/VAPOR BARRIER INSPECTION:
To be made after alZ insuZation arA
-, ,- required vapor ba:rriers CU'e in p'Lace
: <, " but before any lath, gypsum board or
: waZZ covering is appZied. and before
':. ',' any insu'Lation is conceaZed.
, '. ~
-0 DRYWALL INSPECTION: To be made
after a'Ll cb>ywalZ is in p'Lace.
but prior to any taping.
0, ~SONRY: SteeZ Zocation. bond
beama. grouting or verticaZs in
accordance with U.B.C. Section
2415.
D WOODSTOVE: After instaZZation is
ccmpZeted.
CURB & APPROACH AP."ION: After forms
a:re erected but prior to pouring
aoru:rete.
D SIDEWALK & DRIVEWAY: For a'Ll con-
. crete paving within street right-
pf-way. to be made after aZZ exca-
vating compZete &. form work & sub-
. base materiaZ in pla6e. '.
'.'
D
PENCE: folhen compl~te -- Provide,
gates or movabZe sections through
P.U.E.
81o~ 7ft/!
DEMOLITION OR NOVED BUILDINGS
=:J Sanita:ry SelJer capped at p:..opcrt-~. 'Line
~ Septic tank p;.urped and. fiZZed 1JJith gra;;el
I FinaZ - fl'hen above items a:re compZeted
~ and when demoZition is compZete or struc-
ture moved and premises aZeaned up.
Mobile Hemes
~ BZocking and Set-~p
PZumbing connections
Bcwer and water
o
EZectricaZ Connection - BZocking. set-up
and plumbing connections ~...st be approved
before requesting elec;ricaZ inspection
~ Acaessol"d BuiZding
\7l FinaZ - Aft;r porches.
~etc. a:re compZeted.
.~. .
skirting. decks,
'-'
D
-
AZZ project conditions~ such as the instaZlation of street trees, co~Zetion of the
required 'Landscapir.g~ etc. ~ must be satisfied before the BUILDING FINAL can be requested.
D FIliAL PLUMBING
D FINAL MECHANICAL
D FINAL ELECTRICAL
D
(9
FINAL BUILDING: The Final BuiZding Inspect'ion must be requested after the finaZ Plumbing
ElectricaZ. and Mechar:ical Inspections have been made and approved.
*ALL MANHOLES AND CLEANOUTS MUST BE ACCESSIBLE. ADJUST!!ElI'F TO BE NADE AT NO COST TO CITY I Page 1 of 2 I
I JOB NO,
I Zone:
Lot Sq. Ft{;.
S of lot Coverag~
# of Stories
Total Height
Topography
SOLAR A.CCESS
OcC!Upancy Gr
LOT TYPE
Gazoaae
Icarvort *'48J!5,
I Accessoru ~.z I
~f7H~ 5 .!J' $C~~~ ft?ert:>
;OT~L VALUE h ~8~
1/9'9.25 i *
/7. :)0
..88
/8# ~8
ITEM
SQ.FTG
Main
S.D.C.
(val.ue)
1.5 x
BuiZding Permit
State SUI'charge
Total Cha."gea
ITEM
Fi:z:tuI>es
NO. FEE
Residential (1 bath)
I
1'1
II I
I I
Sani tary' Sewer
Watex'
~A1LJ?
Plwnbing Permit
State SUI'cr.arge
Total Charoes
ITEM
Res. Sa. fto.
New/EXtend CirC!Uits
NO. I
I
I
1/ I
III
FEE
.:l!,." I:' J..~SeI'Vice
1vrPg Up
Ele~trical Permit
," '
, State SUI'~harqe
Total Charc:es
lITEM
I Purnac'e ETU' S
I Exhaust Hood
I Vent Fan
Woodstove
NO.
FEE
Permit Issuance
,
Me::hanical Permit
State SUI'charae
Total Charcres
I -- ENCROACHMENT --
Ise~~ritu Deposit
I Storage
I Maintena~e
I Permit
.1 Total Charqes
, Curbcut
I Sidewalk
I Fen:Je
I Electrical Label
I Mobile Home ~.H~CdE"' M~
I 1"- ~
I
TOTAL AMOUNT DUE: *
Interior
Corner
Panhandle
Cul-de-sac
x
Value
1-:::;:,;:;g'5
CHARGE
"
"Zo. ~
/;;'. 6l!>
/s:~
~t:::! _D
I A _5'0
15";;:-~ I *
I CHARGE 'I,
I
I, /5.-0
I 1/). ~
I 36'.-~
I /0 5&:>1
I 31 5(C> *
CllARGE
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=<57-1
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~3q. 2'6
t'age G
REQ.-
L -co G~
.
Typel Cons t :
Bedrooms:
Enercry Sources
Heat
Water Heater
Range
Fireplace
WOod3tove
Tl/De
Lot Faces -
P.L.
North
East
South
West
Setbacks
House Garage
Access.
Fees
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, including the Zoning Ordinance. regulating the construction
and use, of buildings. and may be suspended or revoked at any time upon vio-
Zation of any provisions of said Ordinances.
*
Plan Check Fee: //.~A
Date Paid:
Receipt #:
I Signed:
Plumbing Permit
No person shall construct. 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
plwnbing work to property which is owned. leased or operated by the appli-
cant.
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Electrical Permit
,Where State LCllJ 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 has been signed by the Electrical Contractor.
Mechanical Permit
*
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Examiner (/ .
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Vate
I HAVE CAREFULLY EXAMINED the completed application for permit. and do
hereby certify that, all info~tion hereon is true and correct. and I
further certify that any ar.d all work performed shall be done in acaor-
danae 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 wiZl be made of any structure without permission of the BuiZding Di-
vision. I further certify that only contractors ar.d e~ployees who are in
ca~pliance with ORS 701.055 will be used on this project
(J 1>>1J3/Jd (:f
S'l-gned
I~;; t'1f'J
Date r .
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