HomeMy WebLinkAboutPermit Building 1988-5-20
.. RESI[)il.JTIAL..
. APPLICA!flN/PERMIT
225 'North 5th Street
Springfield~ Oregon 97477
Building Division
726-3753
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Job Location:
ASGesGors Map #
Rcce-:.pt #
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SPRINGFIELD
5PFj~... C) Rb_
O~f/c,
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Es: f/j te:;s
T= Lot #
Subdivision:
/7JoU,yrfA...ill/ -Uelw #lahile
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Ot.mer: C /;1'15 ~L)ker l).' Sc:.J1rn i'tt-
Address: S'~ ~ 0 .0 A-'.5l.j- . 4-;l.. Phone:
City: .5.fR/iVroF/clD :-r9~S Zip:
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Additien
Remode'L
:!obi'Le Home
,,7' ~c(-11',
sooo ete
Sigr:ed:
Date:
Date of App'Licatien
Contractors
Genera'L ,l<)t.JJ'V\..t.R
Plumbing (.\ ~ _
Electrical r'> t~ ~
Meahar:ica'L l"~
Constl'Uction Lender ,_~
7 :LCo.'f 6 ~?.
9 7c,f 76
001 II
\ 166
Describe fl'orl<:
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Value
Address
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Lisc.#
Phone
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Eroires
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It is the responsibi'Lity of the permit holder to see that a'L'L inopections a1'e made at the proper time, that each ::ddress is readab7.e
f'l'Ol'fl the street, and that the permit aard is 'Located at the fI'01tt of the property.
~Building Divicion appro~ed F'Lan,shal'L remain on tha Building Sit$ at a'Ll times.
PROCEDURE FOR INSPECTION REQPEST:CALL 726-3769 (recorder) state YOUI' City designated job nwnber, job address, type of inspeaticn
requested ar.d when you will be ready for inspection, Contractors 01' Oumers name and, phone number. Requests received before 7:00 ar.l
1..'i'L'L be made the same day, requests made after 7:00 am wi'L'L be made the nr-;xt :uorking day. .
Reaui~p.d TnSDp.cticns
D' SITE INSPECTION: To be made after
excavation, but prior to set up of
forms.
.'0 : UNDERSLAB PLUMBING. ELECTRICAL &
, MECHANICAl,: To be made before any
, work is covered.
];<1 ?aOTING i>FOUND~TION:' 'TO be nKZde
after trenches are excavated and
forms are erected, but prior to
pouring cencreta.
UNDERGROUND PLUMBING. SEWER. WATER.
DRAINAGE: To be made prior to fi'L-
,'Li1".{J trenches.
o
O UNDERFWOR PLUMBING & MECHANICAL:
, : To be made prior to insta'L'Lation of
[tOOl' insuLation 01' decking.
D POST AND BEAM: To be made prior to
installation of f'Loor insuLation 01'
, , decking. . L{)_ "
I Y I ROUGH PLClMBIlJGcJ.j;ECTR,IC;;ij & MECH-
ANICAL: No work is to be cOIJered ,
~ur.til these inspections have beer.
made and approved.
D FIREPLACE: Prior to pLacir.g facing,
materials and before framing inspec-
tion.
I vi FRANING: Must be requeeted after
V\. approval of rough p'Lumbing, el.ectri-
.ca'L & mechanical. AZZ rOOfing
, ~' bracing & chimneys, etc. ~~st be
'P :'completed. No work is to be con-
",,~.cealed until this inspection has
~been made and approved.
. .'.
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FINAL PLUMBING
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FINAL MECHANICAL
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FINAL ELECTRICAL
Your City Desigr.ated Job Nwnber Is:
cg&o3t10
I INSULATION/VAPOR BARRIER INSPECTION: ,
---l To be made after all. insulation ~~
, required vapor ba1'r'iers a1'e in pLace .
,: but before any Lath, gypsum bOa1'd 01'
waZZ covering is appZied, and before
'any insuLation is' concea'Led.
DEMOLITION OR ,~;oVED BUILDINGS
:=J Sani ta1'Y SE!'.Jer capped at pz:.opert':i 'Line
, =:J Septic tank pwrrped and fiZle~ with gra~eZ
'0 DRYWALL INSPECTION: To be made
after al.l drywall. is in pZace,
but prior to any taping.
O MASONRY: Steel location, bond
beams, grouting 01' verticals in
accordance with U. B. C. Section
2415.
D WOODSTOVE: After installation is
ccmpleted.
I Fina'L - f>'hen above items are completed
---l and when demolition is complete 01' st1'U~-
ture moved and premises aleaned up.
D CURB & APPROACH APRON: After forms
a1'e erected but prior to pouring
concrete.
Mobile Hemes
=:J B'Locking and Set-up
=:J P'Lumbing connections sewer and water
~ Electrical Connection - B'Locking, set-up
~ and plumbing connections ~~st be approved
, before requesting e'Lectrical. inspectio~~
~ Acaessol"d Bui lding ""
D SIDEWALK & DRIVEWAY: For aU con-
, crete paving within street right-
. pf-way, to be made after aZl. exca-
vating complete & form bJOrk & sub-
o . "base material in pZaae.,
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I Final - After porches, skirting, decks,
-.--J etc. are completed.
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PENCE: When complate Provide..
gates 01' movable sections through
P.U.E. '
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-
All project conditions, euch as the installation of street trees, c~~letion of the
required Landscaping, etc., must be satisfied before the BUILDING FINAL can be requested.
FINAL BUILDING: The Final Building Inspection must be requested after the Final Plumbing
Electrical, and Mechanical Inspectiorw have been made and approved.
~ALL MANHOLES AND CLEANOUTS MUST BE ACCESSIBLE, ADJUST!fENT, T~; BE ,}L~DE AT NO COST TO CITY I Page 1 of 2 J
JOB NO.
<6rbSCjo SOLAR ACCESS
Occupancu G~
LOTTYFE
Zone:
Lot Sq. Ftg.
Z of lot Coverage
# of Stories
Total Height
Topography
Interior
C01'7ler
Panhandle
Cul-de-sac
ITEM
SQ.FTG
x
Value
Main
Garaae
720-?
.~c>'4!I
Ca1'''Oort
Accessoru
S.D.C.
TOTAL VALUE
(va~ue)
1.5 x
Ci..i.'::ft.: G
REQ.-
L-cod~
Type/Cor.st:
t,
TUDe
I Lot Faces -
I
I P.L.
North
East
South
West
Access.
Bedrooms:
I Enerau Sources
Heat
Water Heater
Range
Fireplace
Woodstove
Setbacks
House Carage
-'." .
, ,
--' Fees
I.
,
Building Value & Per"mit
'This 'permit is granted on the expres~ condition that the said construction
shall. in aZI respects. conform to the Ordinance adopted by the City of
Springfield. including the Zoning Ordinance. regulating the construction
and use of buildings. and m.:zy be suspended 01' revoked at cny time upon vio-
lation of any provisions of said Ord~nances.' '
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CHARGE J ,
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72~. ~/I ~ Signed ,.
Building Permit
State SUI'cha1'ge
Total Charges
I ITEM NO. FEE
I Fi:r:tures
I Residential (1 bath)
~
J' Sanita1'y Sewer
Water
Plumbing Per'Tr.i t
State SUI'cr.azoge
Total Charaes
lITEM
NO. FEE
CHARGE
Res. Sa. fta.
New/Extend Circuits
I Tempora1'Y Sepvice
~)Zf </~~I/I
Electrical Permit
State SUI'charqe
Total Charc;es
ITEM
NO.
FEE
ClIARGE
Furnace ETU' S
I Exhaust Hood
I Vent Fan
I Woodstove
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Permit Issuance
Mechanic.:zl Permit
State Surchal'ae
i\
Total. flharaes
(' -- ENCROACHMENT --
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Secr.lI"Ltu De"Oo:nt
I Storage
Maintenance
Permit
Total Charqes
Curbcut
Sidewalk
Fen::e
El.ectrical Label
I Mobile Home
I
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I TOTAL AMOUNT DUE: *
Plan Check Fee: '5,;;(." Y:3
S- -C/-f f
( I 'If{ I')
CC
Pe r m it
~
Date Paid:
Receipt #:
Sign.ed:
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Plumbing
No person.shaZI construct. install. 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 appZi-
.,' cant.
I *
Electrica I Perm it
Where State LCllJJ requires tr.at the electrical work be done by an Electrical
Contractor, the electrical portion of this permit shall not be valid until
the Zabel has been signed by the Electrical Contractor.
Mechanical
Permit
/Z?Z-- I~~M~
YL~JE Examiner - ,. /' r
S-7& ,.
uate
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I HAVE CAREFULLY EXAMINED the completed application for permit. and do
hereby certify that all in.formation hereon is true and correct. and I
further certify that any ar.d aZZ work perfo:rrned shaZZ be done in accor-
dance with the Ordinances of the City of Springfield, and the L~~s of the
* State of Oregon psrtaining to the work described herein, and that NO OCCU-
PANCY wiZZ be rmde of any structUI'e without permission of the Building Di-
vision. I further certify that only contractors ar-d enployees who a1'e in
compliance with ORS 701.055 will be used on this project
..5 /f/'b8?
Date
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