HomeMy WebLinkAboutPermit Building 1987-10-28 (2)
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APPLICATION/PERMIT
225 North 5th Street
SpringfieZd~ Oregon 97477
BuiZding, Division
726'-3753 '
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SPRINGFIELD
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Job Location:
Assessors Map
Subdivision:
OI.mer:
Address:
Ci ty :
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NP.LJ
Addi tion
Remodel
Mobile Home
Date of Application
Contractors
Genera l
Plwnbing
I' Electrical
I Mechanical
I Construction Lender
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T= Lot # - 0(, n q
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Zip:
Describe f{or7<:
Rece-ipt I;
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Signed:
Date:
ee
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Expires
Phone
It is, the responsibility of the permit holder to see that all inspections are made at the proper time~ that each =ddress is readabte
from the street, and that the permit card is loaated at the front of the property.
*Bui!ding zr;vicion approved pZan ~hall remain on the Building Sits at all times.
PROCEDURE FOR INSPECTION REQPEST:CALL 726-3769 (recorder) state your City designated job ntq7:ber~ job add:J'ess, type of inspectien
requested ar.d when you will be ready for inspection, Contractors or OI.me!'s nc:me and phone nwnbcr. Requests received befere '1:00 ar.z
..'ill be made the same day~ requests made after '1:00 am will be made the next :;)()rking day.
Reaui~ed Tnsoectiens
D: SITE INSPECTION: To be made after
excavation~ but prior to set up of
, .forms.
O ' UNDERSLAB PLUMBING. ELECTRICAL &
. MECHANICAL: To be made before any
, work is covered.
,.',,'
~ FOOTING & FOUNDATION: To be made
L::J after trenches are excavated and
.: ,forms are erected, but prior to
pouring concrete.
D, UNDERGROUND PLUMBING~ SEWER. W.4TER.
,DRAINAGE: To be made prior to fil-
,Zir'.g trenches.
O :UNDERFLOOR PLUMBING & MECHANICAL:
o' .' To be made prior to installation of
J!oor insu~tion or decking.
O POST AND BEAM: To be made prior to
' installation of J!oor insu~tion or
,decking.
D ROUGH PLUMBING. ELECTRICAL & MECH-
,ANICAL: No work is to, be covered
,until these inspections have beer.
made and approved. '
D FIREPLACE: Prior to placir.g facing
materials and before framing inspec-
tion.
r-;l FRANING: Must be requested after
~ approval of rough plumbing, electri-
,cal & mechanical. AU roofing
bracing & chimneys~ etc. nr~st be
,:',completed. No work is to be con-
""",,-,cealed until this inspection has
',~,been made and approved.
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, Your city' Desigr.ated Job Number Is:
D INSULATION/VAPOR BARRIER INSPECTION:
To be made after aZl insulation ar~
" " required vapor barriers are in p ~ce
, '::' ',' but befere any ~th, gypswn bocnod ,or
wall covering is applied~ and before
'any insulation is concealed.
o
DRYWALL INSPECTION: To be made
after all drywall is in p~ce,
but prior to any taping. '
O MASONRY: Steel location, bond
beams, grouting or verticals in
accordance with U.B.C. Section
2415.
u
WOODSTOVE:
acmpleted.
After installation is
;?70?~q
I DEMOLITION OR ,~;OVED BUILDINGS
. =:J Sani ta:ry SB'..Jer capped at p:..opert":i line
~ Septic tank pumped and filled with gra~eZ
I Final - f,rhen above items are completed
~ and when demolition is complete or stru~-
ture moved and premises cleaned up.
Mobile Homes
~ Blocking and Set-up
~ Plumbing connections s~er and water
,~ Electrical Connection - Blocking~ set-up
~ and plumbing connections nr~st ce approved
, before requesting electrical inspection
Al AcceSS02"d Building
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)5]- Final - After porches" skirting,
etc. a:re completed.
, ,
decks,
D
CURB & APPROACH APRON: After forms
are erected but prior to pouring
C07UJrete.
D
-
All project conditions, such as the instaZZation of street trees, c~~Zetion of the
required ~ndscaping~ etc., must be satisfied before the BUILDING FINAL can be requested.
D FINAL PLUMBING
o FINAL MECHANICAL
D FINAL ELECTRICAL
D
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FINAL BUILDING: The FinaZ Building Inspection must be requested after the Final PZumbing
EZectrical, and MechanicaZ Inspections have been made and approved.
D SIDEWALK & DRIVEWAY: For all con-
, crete paving within street right-
pf-way~ to be made after all exca-
, vating complete Iii form work & sub-
, base material in plaoe.
, ,
D
PENCE: h'hen complete -- Provide"
gates or movable sections through
P.U.E.
~ALL MANHOLES AND CLEANOUTS MUST BE ACCESSIBLE, ADJUST!fENT. TO: BE M~DE AT NO COST TO CITY I Page 1 of 2 I
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I HAVE CAREFULLY EXAMINED the completed application for permit, and do
hereby certify that, all info:'lT1ation hereon is true and correct, and I
further certify that any ar~ alL work performed shall be done in accor-
r dance with the Ordinances of the city of Springfield, and thr: La-.JS of the
* State of Oregon psrtaining to the work described herein, and that NO OCCU-
I. PANCY wiZZ be made of any struatura without permission of the BuiZding Di-
vision. I further certify that only contractors ar~ e~loyees who are in
ca~pLiance with ORS 701.055 wiLL be used on this projeat
JOB
No.R1o 'lIrA o.:::,.RG:,ESS
Zone:
Lot Sq. Ftg.
S of lot Coveragr:
II of Stories
TotaL Height
Topography
WTTYPE
Interior
Corner
Panhandle
Cul-de-saa
ITEM
I SQ. FTG
X
Value
-,
Main
/-;?,2 f?"3
,
Garaae
'?~O/
Accessoru - 3 A I
~N~':'> lk'~~ /,~.
( -.
TOTAL VALUE I? "2 tE 3
S.D.C. 1.5 x (vaLue) I /~ "<;5"' *
/?.. os;:::>
-e8
/Z5. ~8 *
Caroort
BuiZding Permit
State Suraharge
Total Charges
lITEM
I Fixtures
I Residential (1 bath)
I Sanitary' Sewer
I Water
11I~/7'~
NO.
FEE
CHARGE
/1
III
I I
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k5:. ~ - I
;6:~1
~t!). ~
PLumbing Permi t
State Surar.arge
.2. ~'SC> I
$'"2., s-~I *
CHARGE I
I
I
Total Charaes
ITEM
NO. I FEE
Res. Sa. fta.
I NetJ/Extend Cirauits
141....,,1:' ,.. ...,.~ ..service
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1/ I
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I /.Se:>
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CHARGE t
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/fr,-~l~
ELectrical Permit
State Suraha!'qe
Total Chal'qes
lITEM
I NO.' FEE
Furnace BTU' S
E:::haust Hood
I Vent Fan
I Woodstove
I
I
I
I
I
I
Permit IssUCUlca
Mechaniaal Permit
State Surcha!'ae
Total Chal'aes
-- ENCROACHMENT --
l
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Sea-"tritu Deposit
I Storage
I Maintena';'e
lpermit
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I /.2sl
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?3~.:<"c& 1*
TotaL Charqes
Curbaut
I SidetJalk
Fen::e
ELectriaaL labeL
I MobiZe Home ~'::::;C$
I rf:> /~
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.1 TOTAL AMOUNT DUE: *
rage <,
REQ.-
L -CO G~
.
, Enerqy Sources
I Heat
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Type/Const:
Bedrooms:
I Lot Faaes -
T"De
P.L.
North
East
South
,West' I
Fees
Setbacks
House Carage I Aacess.
Water Heater
Range
Fireplace
Woodstove
Building Value & Permit
This permit is granted on the express aondition that the said construation
shall, in all respeats, aonform to the Ordinanae adopted by the City of
Springfield, ina!uding the Zoning Ordinance, regulating the construction
and use of buildings, and may be suspended or revoked at any time upon vio-
lation of any provisions of said Ordinances.
PLan Cheak Fee: //.~~
Date Paid:
Reaeipt #:
Signed:
Plumbing Permit
No person shalL aonstruat, instal!, atter 01' ahange any new 01' existing
pLumbing 01' drainage system in whole 01' in part, unless suah person is the
Legat possessor of a valid plumber's tiaense, exaept that a person may do
pLumbing work to property whiah is owned, leased 01' operated by the appLi-
aant.
"
Electrical Permi t
Where State Law requires tr~t the eLeatricaL work be done by an Eleatpiaal
Contractor, the eLectriaal portion of this permit shalL not be valid until
the Zabel has been signed by the ElectricaL Contraator.
Mechanical Permit
*
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p~=rriner /'
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Date' /