HomeMy WebLinkAboutPermit Building 1986-6-17
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.. RESI~TIAL 00 SPRINGFIELD
. APPLICl~N/PERMIT
225 North 5th Street
SpringfieZd, Oregon 97477
BuiZding Division
726-3753
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CkJner: ;(/}If/ri /0 r td{pff
Address: C/O <- ~/11 r/
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Job Location:
ASGessors Map #
Subdivision:
/J.
City:
I Np.w
I Addi tion
I I RemodeZ
1~1 UobiZe Home
( Date of AppZication ",'~ <"'" ~ :-:f K .
Contractors
=IF ~
Ta::: Lot #
, D l/J II q
, . . 1
Phone:
/) r(1,- I/tilJ ?
Zip:
.."'&7le - M~
VaZue
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~~O.552'-;
Address
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7~cf /JAH
P..t:'..nA ,. o-$~LA\ J
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GeneraZ
PZwnbing
EZectricaZ
Mechar.icaZ
. Constroucnon Lender
Receipt #
/ /-;40
~o\~
Ill:] -l\OO<6
Sigr.ed:t0
Date: I ? - f I-'&.
,
Lise. # Expires Phone
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It is the responsibiZityof ths permit holder to see thataZZ inspections are made at the proper time~ that each :;ddress is readabZe
froom the street, and that the permit card is 'Located at the front of the property.
*Bui!ding Divi::um approved pZan,shaU remain on tha BuiZding Sit:; at aU times.
PROCEDURE FOR INSPECTION REQPEST:CALL 726-3769 (recorder) state your City designnted job nwnber. job address. type of inspec~ien
requested and when you wiZZ be ready for inspcction~ Contractors or Owners name ~nd phone number. Requests received before 7:00 ~
r...>i.ZZ be made the same d~y. requests made after 7:00 am wiZZ be made the next :;JOrking day.
Reaui~~d TnSD~ctions
SITE INSPECTION: To be made after
excavation. but prior to set up of
forms.
UNDERSLAB PLUMBING. ELECTRICAL &
. MECHANICAL: To be made before any
work is .:Jovered.
o
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~.M . FOOTING & FOUNDATION: To be made
.r-.2\! after trenches are excavated and
, , ' forms are erected. but prior to
pouring concrete.
lY;I", UNDERGROUND PLUMBING. SEWER, W.1TER.
bf}'S,. DRAINAGE: To be made prior to fiZ-
\' -', " ,Ur.g trenches.
D. UNDERFLOOR PLUMBING & MECHANICAL: .
, To be made prior to instaUation of
, floor insu'Lation or decking.
O POST AND BEAM: To be made prior to
instaZZation of floor insu'Lation or
decking .
O ROUGH PLUMBING. ELECTRICAL & MECH-
ANICAL: No work is to be covered
,ur.tiZ these inspections have been
made and approved.
D FIREPLACE: Prior to pZacir.g facing
materiaZs and before framing inspec-
tion.
D FRANINC: Must be requeGted after
approvaZ of rough pZwnbing~ eZectri-
caZ & mechaniaaZ. AU roofing
bracing & chimneys~ eta. nr~st be
:' compZeted. No work is to be con-
,.'; ~.ceaZed untiZ this inspection has
~been made and approved.
p'._'-
Your city Desigr.ated Job Nwnber Is:
'I INSULATION/VAPOR BARRIER INSPECTION:
---1 To be made after aZZ insulation ar4
, ' required vapor barriers are in p'Lace
". . but before any 7.ath, gypswn board or
waZZ covering is applied~ and before
'any insu7.ation is conceaZed.
~
DRYWALL INSPECTION: To be made
after aU drywaU is in p7.ace.
but prior to any taping.
0, ~SONRY: SteeZ Zocation~ bond
beams, grouting or verticaZs in
accordance with U. B. C. Section
2415.
D WOODSTOVE: After instaZ7.ation is
ccmpleted. ,
D CURB & APPROACH APRON: After forms
are ereated but prior to pouring
conare te.
D SIDEWALK & DRIVEWAY: For aZZ con-
, crete paving within street right-
, pf-wc:y. to be made after aZZ exca-
vating compZete & form work & sub-
. base materiaZ in p7.ace.
D
PENCE: When compZete -- Provide'
gates or movabZe sections through
P.U.E. '
ffrDl(f~
\
, DEMOLITION OR ,',JOVED BUILDI,VGS
~ Sani ~ary se'.Jer capped at p~opcrt"~' Ur:e
'~Septic tank pumped and fiZZed with gra~el
---, FinaZ - h~en above it~~s are compZeted
---1 and when demoZition is compZete or struc-
ture moved and premises cZeaned up.
. Mobi Ze Hemes
. ~ BZocking and Set-up
,~ PZumbing connections sewer and wa~er
~ EZectricaZ Connection - BZocking~ set-up
~and pZwnbing connections nr~st ce approved
. before requesting eZectricaZ inspec~ion
~ AccessoI"",' BuiZding
V1 FinaZ - After porches.
~etc. are compZeted.
,,", "'.,
skirting~ decks.
. ~'. '.
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D
AZZ project conditions, such as the instalZation of street trees. c~~Zetion of the
required 7.andscapir:g~ etc.. must be satisfied before the BUILDING FINAL can be requested.
D FINAL PLUMBING
D FINAL MECHANICAL
o FINAL ELECTRICAL
o
o
FINAL BUILDING: The FinaZ BuiZding Inspection must be requested after the FinaZ PZwnbing
EZectricaZ, and Mechar:icaZ Inspections have been made and approved.
*ALL MANHOLES AND CLEANOUTS MUST BE ACCESSIBLE, ADJUSTHENT TO J?E MADE AT NO COST TO CITY I Page 1 of 2
I JOB NO.
tro rfrJ ac:::::IlESS
Zona:
Lot Sq. Ftg.
% of lot Coverag~
# of Stories
Total Height
Topography
ITEM
SQ.FTG
Main
Ga:raae
Carvort
Accessor!/
LOT TYPE
Interior
Corner
Panhandle
Cul-de-sac:
x
Value
TOTAL VALUE IO{)O ~
,
I (Va~ue)M().4~ ~.,E 130i!!!L:B 7 l
S.D.C. 1.5 x ~,~ Z7 *
Building Permit
State Sur>c:harge
Total Charges
I ITEM NO.,
Y . --- Ua9~U? I
Residential (1 bathi
Sanitary Sewer
, I
I I
I
riater
I
J~~/) ~
'.:,';"
/1.5'0 I
.S~ I
le.3f> 1*
Plumbing Pemt I SO.(JJ<)
State Sur>c:r.arge I Z.~
Total Charaes 15Z.~O *
ITEM NO. FEE CHARGE
Res. Sa. fta.
New/Extend Circ:uits
LL.p>~.uv Service '\ '/ .
Ht:Olt:.lI II . I I
,
Eleatric:al Permit
State Sur>aharqe
Total Charqes
ITEM
NO.
Furnac:e ETU' S
I Exhaust Hood
I Vent Fan
I Woodstove
I
Permit Issuanc:e
Meahanic:al Perrrrit
State Sur>c:harcre
Total Charaes
-- ENCROACHMENT --
Sec:urit'l/ Deposit
Storage
Maintenance
Parmi t
Total Charqes
, Curbc:u~
I Sidewa lk
IFen::e
I Elec:tric:a l Labe l
!Mobile Home"])~
I TOTAL AMOUNT DUE: *
::';.
FEE
CHARGE
/5.'0
2.0.60
I S. ~ ()
I I S;e>o
I J 5.'~ 0
I :< 0 "0
I I,SO
l 3J. SO *
FEE CliARGE
I
I
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I
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I
I .~.5. ()f)
I /. '15
I :3t;,f1J""
~ #~ 5"0
t'aga Z
1
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I
REQ.-
I L-COG~
Type/Cor.st:' I . 'Bedzoooms:
I I Enero!/ SoW'c:es
Setbac:ks i .lfeat
House Carage Ac:c:ess. I Water Heater
I Range
I FireT) lac:e
I I Woodstove
- I I
TUDe
Lot Fac:es -
P.L.
North
East
South
West
-- Fees
Building Value & Permit
This permit is granted on the express c:ondition that the said c:onstruc:tion
shall, in all respects, conform to the Ordinance adopted by the City of
Springfield, incZuding the Zoning Ordinance, regulating the construction
and use of buildings, and may be suspended or revoked at any time upon vio-
Zation of any provisions of said Ordinances.
"
Plan Check Fee: ~.. sO
Date Paid: . (p ~ {a. -.If {
, Receipt #: If ~ Cf X'.
Signed: (]j!/ .,
Plumbing Permit
No person shall'construct, instalZ, alter or change any new or existing
plumbing or drainage system in whole or 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. ' y" :
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Electrical Permit
.
Where State LCl1JJ requires th.at the electrical work be done by an Eleatrical
Contractor, the electrical portion of ~his permit shall not be valid until
the Zabel has been signed by the Electrical Contractor.
Mechanical Permit
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PLan Examiner .
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,. I HAVE CAREFULLY EXAMINED the completed application for permit, and do
I hereby certify that aH information hereon is true and correct, and I
' further certify that any ar.d. aH work performed shaH be done in acaor-
r dance with the Ordinances of the city of Springfield, and th~ LT~s of the
>+ State of Oregonpartaining to the work described herein, and ~hat NO OCCU-
PANCY wiZZ be Il'Iil:de of any structur>e without permission of the Building Di-
vision. I further certify that only contractors ar.d. e~loyees who are in
ca~pliance with ORS 701.055 will be used on this projec:t
I
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Date
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