HomeMy WebLinkAboutPermit Building 1987-10-28
Rcce~pt #
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.. RESI NTIAL"
APPLICATION/PERMIT
225 North 5th Street
SpringfieZd~ Oregon 97477
BuiZding Division
726-3753
.
SPRINGFIELD
Job Location:
,~/-;WJ (c:t..UJ /,-y
180;;lO<-Jlf (J
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T= Lot # OCt, ( l q
ASGessors Map Ii
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Subdivision:
Ot.mer:
/lJrt B
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Address:
f?;gCf-54! t/-
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Phone:
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City: ,
Zip:
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Describe '(york:
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,
Addi Hon
Remodel
Mobile Home
Signed:
Date:
C(!,
10.... :J..f' /f'~
Date of AppZicat,icn
Contractors
Lisc. #
Expires
Phone
General
Plwnbing
I, Electrical
I Mechar.ical
, I, f!onstl'Uction Lender
It iii, the resporuri.bility of the pe1'lfri.t holder to see that all i1Wpections are made at' the proper tim&1 tr.at each ::tltJress is rea.dabZ,
from the streetl and that the permit card is located at the fI'01tt of the property.
~Bui!.ding Divi::ior: apprwed plan shaZZ remain on tha Building Sits at aZZ times.
PROCEDURE FOR INSPECTION RE'QPEST:CALL 726-3769 (recorder) state YOUI' City designated job ntD7:ber, job add:ress, type of inspec~icn
requested ar.d w,l:en you wiZZ be ready for inspection, Contractors 01' Owners name and phone nwnbcr. Requests received before 'I: 00 ar.l
will be made the same day, requests made after '1:00 am will be made the next :JOrking day.
,:,':\: ,1~'~~' , Your city Desigr.ated JO,b Number Is: g- ? 0 ?" q
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Reaui~p.d Tnsop.ctionR
D' SITE INSPECTION: To be made after
e:r:cavation, but prior to set up of
,,f01'TTls. '
O : UNDERSLAB PLUMBING. ELECTRICAL &
, MECHANICAL: To be made before any
, IMOrk is aovered.
J X', "~~G & FOUND;;ION: ;0 be made
, after trenches are e:r:cavated and
,: ,f01'TTls a1'e erected, but prior to
" ' pouring concrete.
D MASONRY: Steel location, bona
0, ,UNDERGROUND PLUMBING. SEWER. WATER. beams, grouting 01' verticals in
,DRAINAGE: To be made prior to fiZ- accordance with U.B.C. Section
' ,li.7".g trenches. 2415.
0: UNDERFLOOR PLUMBING & MECHANICAL: D WOODSTOVE: After installation is ~ CJ Blocking and Set-:lp
" 'To be made prior to instalLation of completed. , ~
floor insulation 01' decking. '" . , S ~ W Plwnbing connections s&Wer and water
O POST AND BEAM: To be made prior to D CURB & APPROACH APRON: After /0'1'l'111J' "1' 7"i Electrical Connection _ Blocking, set-up
instalLation of floor insuLation or a1'e ereated but prior to pOU1"/..ng ~J U and plwnbing connections rrr.:st ce approved
,decking. c01lOrete." " before requesting elec~ricaZ, inspec~ion
D ROUGH PLUMBING. ELECTRICAL & MECH- 0' SIDEWALK & DRIt'EWAY: For all con- ~ . . ,', '..'
,ANICAL: No work is to be covered crete paving within street right- 5' ..dJ AcaeSSOl"d Bu'!old-:.ng , .
.ur.ti7.. these inspections have been pf-wc.y, to be made after all e:r:ca-' . " ..
made and approved.' , vating cCllll?let~ & fo'1'l'11 work & sub- S' Final _ After porches, Skirting, decks,
D FIREPLACE: Pl'ior to placir.g facing , 'base matenal '!on p7.aae. , / r- etc. a1'e complet",~d.' .' ,
materials and before framing inspec- ~.)
tio7"t it
r;1 FEW/triG: Must be requested after
lLJ approval of rough pZ,wnbing. alectri-
cal & mechanical. AZZ roofing
bracing & chimneys, eta. rrrJ.st be
:' completed. lIo work is to be con-
",~ cealed until this inspection has
~be~n made and approved.
~ .'".: '11;,,'" " .
O INSULATION/VAPOR BARRIER INSPECTION:
To be made after all insulatum ar.d
',' " required vapor barriers a1'e in place
,:', ': but before any lath. gypswn board 01'
. , wll covering is applied, and before
,":, ',.. any insulation is concealed.
, DEUOLITION OR gOVEl) BUILDINGS
, =:J Sanitary se.Jer :::apped 2t ~opert':i lir.e
~ Septia tank p~ed and filla~ with gra~eZ
.
D DRYWALL INSPECTION: To be made
after aZZ d2ywaZZ is in place,
but prior to any taping.
--, Final - (,'hen above items a1'e ccmpZ,eted
---l and when demoZ,ition is complete 01' stru~-
ture moved and premises aleaned up.
'Nobile Hemes
D PENCE: When complete -- Provide'
gates 01' movabZ,e sections through
P.U.E. '
o
o
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D FINAL PLUMBING
D FINAL MECHANICAL
o FINAL ELECTRICAL
o
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All project conditions, such as the installation of street trees, c~~letion of the
required Landscapir.g, etc., must be satisfied before the BUILDING FINAL can be rsquested.
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FINAL BUILDING: The Final Building Inspection irrust be requested after the Final Plwnbing
Electrical, and Mechar.ical Inspections have been made and approvad. '
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~ALL MANHOLES AND CLEANOUTS MUST BE ACCESSIBLE, ADJUSTHENT, TO: BE MADE AT NO COST TO CITY 'I PCl!16 1 of 2 I
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TOTAL VALUE .I~ :::?~!!:"31' 'i
(va~ue) I /~ ~'
S.D.C. 1.5:x: 1'7. ~ v -- ')
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JOB No.R10 f'Jloq
Zona:
Lot Sq. Ftg.
S of lot COIJerage
# of Stories
Total Height
Topography
ITEM
SQ.FTG
Main
Ga1'aae
Carvort
Accessoru
Building Permit
State Surcha1'ge
Total Cha."ges
ITEM
NO.
Fi:rtures
Residentia'L (1 bath)
Sanitary Sewer
Water
/i~/f~
1/
1/
I
P'Lumbing Perrr:i t
.,w.....'
, '.,',;:i,' State Surcr.arge
".~"",~ '
",<f,"- Tota'L Charaes
,lITEM
I NO. I
I
I
II
III I
, -','""I
Res~Sa. fta.
New/Ertend Circuits
, 41~.... .,' J"'L..service
'I/~Jif~
;'\. :,~ ! '. .
E'Leatrica'L PeZ'm'it
""," ~..;,:\~ .:,;:'.....:
, .'~" ~ 4. :.
State Suraharqe
. '.,
. .'.
, ' Total Charqes
ITEM
t'age ;;
SOLAR .ESS
Occupancy GrOUp:
LOTTYFE
.
L-CO G~
REQ.-
Type/Cor.st:
Bedrooms:
, Enercry Sources
, Heat
Water' Heater
Range
Firep'Lace
WOod3to~e
"
Lot Faces -
TU'Oe
Interior
Cornel'
Panhandle
eu'L-de-sac
Setbacks
House Ca1'age
Access.
P.L.
North
East
South
West
x
-- Fees
I
Pe r m i t
Va'Lue
Building Value &
/:?,~*"3
~
This permit is granted on the express condition that the sdid construction
sha'L'L, in all respects, conform to the Ordinance adopted by the City of
Springfield, including the Zoning Cl'dinance, r'egu'Lating the construotion
and use of buildings, and m.:zy be suspended 01' revoked at any time upon vio-
lation of any provisions of said Ordinances.
I
Plan Check Fee:
I Date Paid:
,- Receipt N:
I Signed:
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FEE
CHARGE
Plumbing
Pe r m it
No person shal'L construct, insta'L!, alter 01' change any new or e:isting
plumbing 171' drainage syste:n in whole 01' in pa1't, unZess such person is the
'Lega'L possessor of a va 'Lid plumber's 'License, except that a person may do
p'Lumbing work to property which is owned, 'Leased 01' operated by the app'Li-
cant.
FEE
I~~I
I t:5:. ,-_J
I PS-: C"lP
I ;;-t'. ~ ( '7
I 2 ..~C> - ~
I $'";4., 5'~1 >l
I
Perm it
I
CHARGE
Electrical
I
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I /.Se:>> I ' .
I ~/.::0' >l
Where State Lo:lJ requires that the electrica'L work be done by an E'Leatrica'L
Contractor, the e'Lectrica'L portion of this permit shal'L not be va'Lid until.
the 'Labe'L has been signed by the E'Lectrica'L Contractor.
NO. FEE
ClIARGE
Mechanical Permit
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Furnace ETU'S
E:x:haust Hood
Vent Fan
Woodstove
PeZ'm'it Issuance
Meahanica'L Permit
State Surc'hal'ae
Tota'L Charaes
-- ENCROACHMENT --
Se~Kritu DeDosit
Storage
Maintenance
Permi t
Total Charqes
Curbcut
Sidewalk
I Fen:!e
I Electrical Labe l
I Mobile Home ~&:;cC'E
I rG"?e:>
I
'TOTAL AMOUNT DUE: >l
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d~.24~
p~E='t.nel'.... /'
/~-:Z-;>-8 ?
uate
I HAVE CAREFULLY EXAMINED the completed application for peZ'm'it, and do
hereby certify that, a'Ll ir.fo~ation hereon is true and correct, and I
further' certify that any ar.d a'L'L work perfoP.'Tled sha'L'L be done in accor-
dance :.rith the Ordinances of the City of Springfield, and th;; La-..:s of the
>l State af Oregon p;;rtaining to the work described herein, and that NO OCCU-
PANCY :.ri'L'L be made of any structure without permission of the Building Di-
vision. I further certify that only contractors ar.d enpl.oyees who a1'e in
compliance with ORS 701.055 wil'L be used on this project
, IO/icr/Y7
. Date, : / '
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