HomeMy WebLinkAboutPermit Building 1986-3-3 (2)
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... RESIDAlTIAL ...
APPLICATW/PERMIT
225 North 5th Street
Springfield~ Oregon 97477
Building Division
726-3753
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Job Location:
S to {O 0
ASlJessors Map #
Subdivision: ~H7~
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Ol.mer: /11 &.-(
Address: ....50 CoD
City:
LNP.W ' ,
I Addition
I I Remodel
1~1 Mobile Homa
"Date of AppZication-2 ,aZ7"''lJt:;"
Contractors
General
Plumbing
~ mtJJuh'
f./ -Vi/LI' f) ..ft~
4.A../~
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Electrical,
Mechar.ical
Construction Lender
SPRINGFlI:I n
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Receipt #
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W--tJtt'
Taz Lot #
or- _
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Phone:
?tfJ- t(o~ g
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Signed:
Date:
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:3-~-t50
Zip:
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v~lf( 31 950
Address
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Lisc.#
Expires
Phone
It is the l'esponsibility of the permit holdel' to se~ that aZZ inspections are made at the proper tims, that each ::ddress is readab1.e
f1'OfT/ the street, and that the pernrit' card is , ZoCated at the front of the propel'ty.
*Bl.fi7..ding Divi:;ior: approved plan shan remain on thE BuildingSit$ at an times.
PROCEDURE FOR INSPECTION REQPEST:CALL 726-3769 (reeorderl state your City designated job number. job addIocss. type of inspec';icn
requested ar-d when you will be ready for inspection, Contraetors or Owners name ~nd phone number. Requests received before 7:00 ~
:..'iZZ be made the same day. requests made after 7:00 am wiZZ be made the nat j}()rking day.
O FOOTING & FOUNDATION: To be m:zde
after trenehes are exeavated and
.' "forms are erected. but prior to
pouring eoncrete.
D. ,UNDERGROUND PLUMBING. SEWER. WATER,
,DRAINAGE: To be made prior to fil-
,Ul".g trenches.
O ' 'UNDERFLOOR PLUMBING & MECHANICAL: .
.. I To be made prior to installation of
, :, floor insulation or decking. ,...- ' "
O POST AND BEAM: To be made prior to D
' installation of floor insulation or
, deeking.
D ROUGH PLUMBING. ELECTRICAL & MECH-,
,ANICAL: No work is to be covered ,
,until these inspections have been
made and approved. '
D FIREPLACE: Prior to pl~cil".g facing
materials and before framing inspec-
tior:.
Reaui~Rd TnSDp.etions
D' SITE INSPECTION: To be made after
excavation, but prior to set up of
, ,forms.
D : UNDERSLAB PLUMBING. ELECTRICAL &
, MECHANICAL: To be made before any
, work is covered.
,. ,,'
D FRAMING: Must be requeated after
approval of rough plwrbing. electri-
.cal & mechanical. A"LZ roofing
,,' bracing & ehimncys. etc. lIT'..tst be
,;',completed. No work is to be con-
""",,-cealed until this inspection has
, ',~,been made and approved.
., . . .
,". ....0.-
Your City Desigr.ated Job Nwnber Is:
I INSULATION/VAPOR BARRIER INSPECTION:
--.J To be made after an insulation ar-d
. ' required vapor barriers are in p'Lace
,: '~but before any lath. gypswn board or'
waU eovering is appUed. and before
. '.any insulation is eoncealed. '
O DRYWALL INSPECTION: To be made
after an drywan is in p'lace.
, but prior to any taping.
0, MASONRY: Steel location. bond
beams. grouting or verticals in
aceordanee with U.B.C. Section
2415.
D WOODSTOVE: Aftel' instal'lation is
ccmpleted. , _
CURB & APPROACH APRON: After forms
are erected but prior to pouring
concrete.
, ,
SIDEWALK & DRIVEWAY: For an con-
crete paving within street right-
pf-~y. to be made after an exca-
vating complete & form work & sub-
, base material in p'laae.
, ~
D
,:.',.,. .'
D FENCE: When complete-- Provide"
gates or movable sections through
P.U.E.'
o
y 0 0 f~ q
DEf.fOLITION OR ;',JOVED BUILDINGS
'!
:=J Sanitary S8'Jer aapped at p~opcrt":i Er.e
~ Septia tank p~ed and filled with gra~e'L
I Final - h~en above it~~s are eompleted
--.J and when demolitior. is complete or struc-
ture moved and premises aleaned up.
. Mobile Homes
~ Blocking and Set-up
~ Plumbing connections sewer and 'water
~ Electrical Connection - Blocking, set-up
C:::J and plumbing connections lIT'..st be approved
, before requesting electrical inspection
~ ~:;;~(j,rng
\7(Final - Aft;r porches,
~ etc. are completed.
, . '
~ ..
skirting, decks~
D
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FINAL PLUMBING
, All project conditions, aueh as the installation of street trees. eo~letibn of the
required 'Landsc~pil".g, etc.. must be satisfied before the BUILDING FINAL can be requested.
D
D
D
o
FINAL MECHANICAL
.
o
FINAL BUILDING: The Final Building Inspection must be requested after the Final PZwnbing
Electrical. and Mechar.ical Inspections have been made and approved.
FINAL ELECTRICAL
*ALL MANHOLES AND CLEANOUTS MUST BE ACCESSIBLE. ADJUSTHENT TO BE f.!(:DE AT NO COST;{O CITY I Page l' of 2
,
'-,
I JOB NO. Rho I.)t(
IZona:~'
Lot Sq. Ftg.
S of lot Coverage
# of Stories
Total Height
Topography
I
lITEM
I Main
I Ga:raae
I Carport
I Accessoru
I
,
I S.D.C:
SQ.FTG
TOTAL VALUE
(va~ue)
1.5 x
'.
Buil.dingPerrrrit
State Surcharge
t'age Z
REQ.-
L':"COG~
Occupancl( G
LOT TYPE
Total. Clui.:"ges .
I ITEM I NO: FEE
I". ~... _1___
, ._----~. 1!:L24/~~,.
I Residential. (1 bath) I
I Sanita1'!f Sewer II I
I Water I I
Interior
Corner '
Panhandle
Cul-de-sac
x
Value
I
I
1
I
,
12a'.2~ j *
CHARGE J
2t!). .~ I
I
2~.tW I
~i>>
Pl.wnbing . Pem t
State Surcr.arge
Total Charaes
lITEM
I Res. Sa. fta.
I New/Extend Circui ts
II,.. ,[' .,. "'~ Seroice
NO. I FEE
~N' uP
Eleatrical Permit
State Suraha:rqe
Total Charc:es
ITEM
NO. FEE
Furnace ETU' S
I Exhaust Hood
I Vent Fan
Woodstove
Permit Issuance
Meahanical Permit
State Surcharae
o~
~. 60 f
I ' "2 ..80 I
I 72..801 *
CHARGE
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I
I
/.20 I
'3/.~&> l *
I
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I
I'). PI>
'.
I ct:;: 0.0
....
"30. Of>
CliARGE
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,I
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1
.
TotaZ Charaes
-- ENCROACHMENT, -,+ ;- , '. " ,"
Se~.J.nty Deposit
I Storage
I Maint~e
Permit
Total Charqes
I Curbcut
I Sidewalk
Fen:::e
Electrical Label
I Mobi le Home, V.,., r:Fl. ~
I
i
I
TOTAL AMOUNT DUE: *
~.
I
I, ' I HAVE CAREFULLY EXAMINED the completed application for permit, and do
I hereby certify that aU information hereon is true and correct, and I
further certify that any ar.d an work performed shan be done in accor-
f 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 win be made of any structure without permission of the Building Di-
vision. I further certify that only contractors ar.d e~loyees who are in
compliance with ORS 701.055 will be used on this project
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~'Ie. 2S
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Bedrooms:
, Enercr,u Sources
I Heat
I Water Heater
I Range'
Fireplace
Woodstove
T<roe
"'PI
Lot Faces -
I
I P.L.
North
Type/Cor.st:
Setbacks
House Carage
Access.
East
South
West
I
II
-- Fees
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"
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Building Value & Permit
This permi t is granted 'On the' express condition, that the said construction
shall, in all. respects, conform to the Ordinance adopted by the City of
$pringfield, incZuding the, Zoning-,O'i'dinance, regulating the construction
and use of buildings, and may be suspended 01' revqk~d at cr.y time upon vio-
lation of any provis'ions of said Ordinances. '
)
Plan Check Fee:
Date Paid:
Receipt #:
I Signed:
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Plumbing Permit
,
No person shall construct, instalZ, alter or change any new 01' existing
plumbing 01' drainage system in whole 01' in part, unless such person is the
legal possessor of a valid plumber's license, except that a person may do
plumbing work to property which is owned, leased, or operated by the appli-
cant. '
..
Electrical Permit
Where State LIllJ) requires tr.at the electrical work be done by an El.ectncal.
Contractor,. the electrical portion of this permit shall not be valid until
, the Zabel has been signed by the Electrical Contractor.
" Mechanical Permit
*
4-r~~
~ Examiner
.-
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,
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, ~- 3-g~
7frte
,
~'U;W ~f.-
2..r~ It6
, Date I I
Signed
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