HomeMy WebLinkAboutPermit Building 1989-9-28
.. RESID~TIAL" SPRINGFIELD
'., APPLICAT.PERMIT
225 North 5th Street
Springfietd~ Oregon 97477
Buitding,Division
726-3753 .
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H'\~D~tA\ \ [)\o\\~ Taz Lot H
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Job Location:
ASDessor3 Map
Subdivision:
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().mer:
Reauired Insop,ntionR
O SITE INSPECTION: To be made after
e:&cavation, but prior to set up of
, forms.
D UNDERSLAB PLUMBING. ELECTRICAL &
: MECHANICAL: To bs mads befors any
, work is covered. '
r:-::::r'FOOTING & FOUNDATION: To bs mads
~ after trenches ars e:&cavated and
forms are erected, but prior to
pouring ccncrete. .,
~ UNDSRGROUND PLUMBING, SEWER,W.1TE!?)
t:J DRAINAGE: To be maae prior to fiZ-
,7.ir.g trenches.
D, UNDERFLOOR PLU~mING & MECHANICAL:
, To be made prior to inotaZZation of
J100r insu~tion or decking.
O POST AND BEAM: To be madc prior. to
instal.~tion of fZoor inou~tion or
decking .
D ROUGH PLUMBING. ELECTRICAL & MECH-
ANICAL: No work is to bc covered'
, ,untiZ thcse inspections have beer.
; made and, approved. .. ' " I
0, FIREPLACE: Prior to pZacir.g facing
materiaZs and before ~'. ......;ng inspec-
tion.
D FRAMING: Must be requested after
approvaZ of rough pZwrbing, eZectri-
caZ 8 mechanical.. An roofing
" bracing" chimneys, eta. must be
:' compl.etod. No work is to be con-
", ceaZed untiL this inspeotion has
'be~n made and approved.
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o FINAL PLUMBING
D FINAL MECHANICAL
o FINAL ELECTRICAL
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Describe lI'or/{:
Your City Desigr.ated Job Number Is:
D INSUf,ATION/VAPOR BARRIER INSPECTION:
To be made after' an insuZ.:otion and
", required vapor barriers are in pZace
'.:: "but before any ~th, gypsum board or
, ,'wan covering is applied, and before
.. ',' any insu~tion is conceaZed.
O DRYWALl, INSPECTION: To be made
after aU drywaZZ is in p~ce,
. but prior to any taping.
O MASONRY:, SteeZ Zocation, bona
beamo, grouting or verticaZs in
accordance with U.B.C. Section
2415.
D WOODSTOVE: After ins taZlation is
ccmpZet€d.
CURB & APPROACH APRON: After' forms
are oreoted but pl'ior to pouring
concrete.
D SIDEWAl,K & DRIVEWAY: For aU con-
crete paving within street right-
pf-wc.y, to be made after an exca-
vating compZete & form work & sub-
. I :', base T1IC1:teriaZ in p7Aoe. ,
D
D
o
~ENCE: R~en compZete -~ Provide
gates or movabZe sections through
P.U.E.
,
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Address: t)\ , ~, ..~ ~ \3 phone:'14,-4f'f'6
City:~~ ~ [C}eJ (.J " Zip: qlL\l~
.~ TTi- J
I I Nl?w
II II Addition ,,~lJ~ \D~ ~
RemodeZ 0
1'.A . 1 J OC().() Signed:
~' :.IobiLe Homo () J /.l 0 A 0 Date:
Date of AppLication ,,: '-1~ 0 . n9 ' ~f.~J '"t ~
Contrac tor.s ~ 'Lisc. IIBldr~. Board Ref!.
,General ~600S ,f..lYL 't'\4qrJ
i Plumbing ~.~, ~,..ai -n. ~~ loR4-'
I Hechanica \\ l~ ) 0 ".'
EJ,t!ctricali:;t!1'L-.tP/. Lt~~A. r 261-?9 c..
SUDervi::siri~ E~ectr~cian A ~ - - '
It is the responsibiZity of 'the permit .... to see ~ a7Z inspections are made a~ the prqper tim~, that e(;ch .:ddres3 is readab~e
from the street, and that the permit c . 1.ocated at the front of the property. .
~Bui!di11!J Divicior. approved p~n s.haU remain on tha Building Sit;; at all times.
.
PROCEDURE FOR INSPECTION R::QUEST:CALL 726-3769 (recorder) state your City designated job number, job address, type of in3pec~iclI
requested ar.d when you wil.Z be ready for inspection, Contractors or OWners 1UJ7le and phone numbor. Requests received, before 7: 00 <:.1
r.,'iZZ be made the same day, requests mad~, after 7:00 am wil.Z ba made the next ;JOrking day.
,'-
ggnqw{
or:NOLITION OR !-:OVED BUILDINCS~
i
:=J Sani~ary seuel' oapped ':It p~op;;rty Ur:e
\ :=J Septi.:: tank p:<mpcd and fil.led with ;jra:loL
. .
I pinaL - I.~en above items are compZeted
---l ar.d when demoZition is compZete or stru~-
ture moved and p~~3es cLeaned up.
I Mobi Ze Ilemes
I _
~.BZocking and Set-~p
~Zumbing connections -- sewer and water
~ ~ZcctricaZ Connection - BZocki,tg, set-up
~nd pZumbing conr.ections nr~st be approved
before requesting eZectricaZ inspection
~ Acoessol"i BuiLding
---, ~Z - Aft;r p~rches,
~etc. are compZeted.
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,
skirting, decks,
D
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AU project conditions, such as tile i.nstaLZation of street trees, co"~pZation of the ,
required Zandscaping, etc., must be satisfied before the BUILDING FINAL can be raquestad.
FINAL BUILDING: Thn FinaL BuiLding Inspection-must be requested alter tho FinaL PLumbi,LJ
EZectricaZ, and Mechar.icaL Inspections hava.~een'made and approv2d.
~ALL MANlIOLES AND CLEANOUTS MUST BE ACCESSIBl,E, ADJUsi'nENT TO BE MADE AT NO COST TO CITY I Pa!:c ! of 2
L -co G-1t
Type/Cor:st: .' BedroomS:
I Enerq.1/ Sources
I !feat
Access. I Water Heater
I Range
I FirepZace
Wood:;tol:e
JOB NO.mmto{ SOLAR AC~E~S REQ.-
I Zone: I nR Occupancy G~
Lot Sq. Ftg. LOT TYPE " I Lot Faces -
S f Z t C Interior I Setbacks
.:; 0 OlJeragc I P. [" Rouse Garage
,~ of Stories Cornel' INorth
TotaZ Height PanhandZe East
ISou th ,
Topography _ CuZ-de-sac lr';est
'1rm~
l,rWpL
(vaLue) l '7.A\4.ci>1 ~5'8.'~T *
'1'1.S0
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J6.38
ITEM
I SQ.FTG
x
Main
Garaae
Carport
I AccessorII
TOTAl, VALUE
S.D.C.
1.5x
~_.
BuiLding P~ t
State Surcharge
TotaZ Char-ges
ITEM
I NO.
FEE
F1.-t.'"~R t'\\ H
IResidentiaZ (1 bath)
Sanitary Sewer
Water
~ JrID{ijYl
pZwnbing Permit
State Surcr.arge
TotaZ Charges
IT/:.'M
FL. .i". ?to. m. N
I New/Extend Circuits
I Temporary Service '
I NO.
FEE
I'
I
EZeotl'icaZ Permit
State Surcharge
Total Charges
ITSM
NO.
FEE
FUrnace PTU' S
I Exhaust Flood
I Vent Fan
I Woods tove
I
Permit Issuance
Me::hanicaZ Permit
State Surcharae
TotaZ Charaes
-- ENCROACHMENT --
Se~~rity DepOsit
Storage
I Maintenance
I Permi t
I TotaZ Charges
I Curbcut
I SidewaZk
I Fen::e
I EZectricaZ [,abeZ
I Mobile Home
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, '''''''',4 r A 11("1"",,,, ,,,,r.. A
Va lue
CHARGE
15.00
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7() .W
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CHA~
16.
lR.CO
. ':if) .CO
1.5n
QJ.5()
CFlARGE
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Tllfle
-- Fees
Building Value/.& Permft'
. ,
This permit in granted on the express condition that the said construction
shaZl, in alZ respects, conform to the Ordinance adopted by the City of
SpringfieZd, incZuding the Zoning Cl'dinance, regulating the constructicn
and use of buildings, and may be suspended or revoked. at any time upon vic-
,Zation of any provisions of sai4Ordinances..
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I Plan Check Fee: I I . ~~ >?
I Date Paid: ct . . I '3. 8'1
IR~ceiPt H:, J.A4 '6liR
dS1-gned: c::${Jfn f '.
Plumbing Permit
No person ohall construct, instaZZ" aZter or change any new or ezisting
pZwnbing or,drainage system in,whoZe or in part, unZess such person is the
ZegaZ possessor of a vaZid pZwnber's Zicense, except that a per' son may do
pZl~bing work to property which is owned, Zeased or operated by the appZi-
cant. ' , "
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Electrica I
Permi t
Where StAte raw requires that the eZectrical work be done by an EZectricaZ
Contractor, the electricaZ portion of this permit shaZl not be vaZid until
the ZabeZ has been signed by the ElectricaZ Contractor.
*
Mechanical Permit
I
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q.ff).Y?1
uate l) 1
I HAVE CAREFULLY EXAMINED the compZeted appLication for pemit, and do
hereby certify that aZZ information hereon is true and correct, and I
further certify that any ar.d aH work perfor:ned shaH be done in accor-
dance with the Ordinances of the City of SpringfieZd, and thc Ur~s of tho
State of Oregon psrtaining to the work described herein, and that NO OCCU-
PANCY wiH be 'imde of any structure without permission of the Building Di-
vision. I further certify that onZy contractors and e~pZoyees who are in
compZiance with ORS 701.055 wiZZ be used on this projeot
r'
Sign:'ld
I.
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Date