HomeMy WebLinkAboutPermit Building 1987-10-22 (2)
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APPLICATION/PERMIT,
225 North 5th Street
Springfield, Oregon 97477
Building Division
726-3753
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Assessors Map # J?3' 0 cQ 0 '-I / I
Subdivision: Ltf)?,~ / ~ :2. ;q ~~
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fOAJE V .
;2f=) 7 S o.J:h 'I 'lr w
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I NmJ
I Addition
I I RemodeZ
1\L I Uobi Ze Borre
IDate of AppZ~ ".,)tJ~ /2-f 1,
Contractors ..Jr11'l'ess _ .
GeneraZ ~~rI /IIM~ ~
P.jJ /LA---L.-n ~ t ~
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Job Location:
,
Ol.mer:
AddIoess:
City:
.
PZumbing
EZectricaZ
Mechar:icaZ
SPRINGFIELD
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t/rc.x Lot # () it / I q
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Phone: "~If Zb -13 71n
Zip:
S~r&-w~L
/iIlH W-Uf
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VaZue c2'!; t/StJ
Rcce-:.pt #
If[) c.(IJ S-
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Signed:
Date:
(]V
10 - z,'Z-f''1
Lisc.#
Exoires
Phone
71'7:.Y'C::;08
,
Constl'Uction Ltmder
It is, the responsiJri.l:ity of ths permit hoZder to see that a'Ll. inspections are made at ths' proper time, that each ~ess is readab~e
f1'01Tl the street. cmr! 'UIat the permit card is 'Located at the front of the property.
*Bui!ding Divicior. ""'tt"t'- J..ed p'Lan s,haZZ remain on tha BuiZding SUa at aZZ times.
PROCEDURE FOR INSPECTION REQUEST:CAll 726-3769 (rccorder) state YOUI' City designated job nwnber. job czdd.rcss. type of inspection
requested ar.d when you wiH be ready for inspection. Contractors or Ol.mers name and phone number. Requests received before 7: 00 ~
.nU be made the same day. requests made after 7:00 am wiZZ be made the next :,]()rking day.
0: UNDERFLOOR PLUMBING & MECHANICAL:
.. ,'To be made prior to instaZZation of
, '. floor insu'Lation 01' decking. ',. , . ,
O POST AND BEAM: To be made prior to D
instaZZation of fZoor insu'Lation or
decking.
D ROUGH PLUMBmG. ELECTRICAL & MECH-
. ANICAL: No -oork is to be covered
,untiZ these inspections have beer.
made and approved. '
D FIREPLACE:' Prior to pZc.cir.g facing
materiaZs and before framing inspec-
tion.
Reoui~ed TnsDp.cticns
D' SITE INSPECTION: To be made after
excavation. but prior to set up of
, forms.
~ : UNDERSLAB PLUMBING. ELECTRICAL &
--1 ' MECHANICAL: To be made before any
. work is covered.
".
M FOOTING & FOUNDATION: To be made
l.LJ after trenches are excavated and
, forms are erected. but, prior to
, pouring concret,;.
O ,UNDERGROUND PLUMBING. SEWER. WATER,
,DRAINAGE: To be made prior to fiZ-
Zir.g trenches.
~ FRAI1ING: Must be requested after
~ approvaZ of rough pZwrbing. aZectri-
caZ & mechanicaZ. An roofing
bracing & chimneys. etc. must be
;' compZeted. No work is to be con-
,'... -".ceaZed untiZ this inspection has
~be~n made and approved.
,.'.----
Your City Desigr.ated Job Nwnber Is:
D INSULATION/V/lPOR BARRIER INSPECTION:
To be made after a Z Z insu Zation ar.d
, " required vapor barriers are in place
,: "but before any 'Lath. gypswn board or
waU covering is applied, and before
., any insulation is conceaZed. '
",.
" '
O DRYWALL INSPECTION: To be made
after aZZ drywaZZ is in place.
, but prior to any taping.
0, MASONRY: SteeZ Zocation, bond
beams. grouting or verticaZs in
accordance .nth U. B. C. Section
2415.
D WOODSTOVE: After instaZlation is
compZeted.
CURB & APPROACH APRON: After forms
are erected but prior to pouring
co=rete.
D SIDEWALK & DRIVEWAY: For aU con-
crete paving within street right-
pf-way. to be made after aZZ exca-
vating compZete & form work & sub-
'. .'base materiaZ in place. .
'.'
D
PENCE: r.'hen compZ;;;te -- Provide..
gates or movabZe sections through
P.U.E.
&1015f'
DEMOLITION OR NOVED BUILDINGS
~ Sanitary seuer capped at pz:.opert"d Zine
~ Septic tank p;u;rped' and fiZZad with gra;;eZ
--, FinaZ - f,'hen above iterns are compZeted
--1 and when demoZition is compZete or struc-
ture moved and premises cZeaned up.
MobiZe Homes
~ BZocking and Set-up
~ PZwnbing connections scwer and water
~ EZectricaZ Connection - BZocking. set-up
~ and pZwnbing connections nr~st be approved
, before requesting eZectricaZ inspection
~ AcceSsOl"d Building
.~. . ..
"'VT FinaZ - /lfter porches.
~ etc. are compZeted.
skirting. decks.
o
D
AZZ project conditions. such as the instatZation of street trees, co~Zetion of the
required Zandscaping, otc.. must be satisfied before the BUILDING FINAL can be requestad.
D FINAL PLUMBING
o FINAL MECHANICAL
D FINAL ELECTRICAL
o
@
FINAL BUILDING: The FinaZ Building Inspection must be requested after the FinaZ PZwnbing
EZectricaZ. and MechanicaZ Inspections have been made and approved.
. ......"'...
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*ALL MANHOLES AND CLEANOUTS MUST BE ACCESSIBLE. ADJUSTHENT TO BE f.L1DE AT NO COST TO CITY Page 1 of 2
t'age <i
I JOB No.8'9V ?Sf SOLAR AIESS REQ,- '
I Zone: /)fA'~ Ocr:upancl/ Gr ~~/t:cr:- '!f/ ,M-V Type/Cor.8t:
Lot Sq. Ftg. '7 :28"2 LOT TYPE I Lot Faces - W~ r
f'''' I Setbacks
z;) ~ot CoveragG: '2 '7 Interior I P r H C
. ". ouse -CU'age
# of Stories I X Corner North
Total Height Panhandle East
ISouth
Topography 0-2 Cul-de-sac IWest
I
I Cu1'br:ut
I Sidewalk
I Fe7U]e
I Electrical Label
I Mobile Home- ];bLJZ3~E.' fp/;pE I
I' ""~p 50RCHA'A'~E I
I I
~60. 76
I
I ITEM SQ.FTG I
I MainM~~ '#~A?d!:1
I Ga:raae - .
I Carvort '::? 9'6
I Accessoru .~ '"
~~'51 Ar/__~~N/I!f$"
TOTAL VALUE
x
S.D.C.
(va~ue)
1.5 x
Building Permit
State SuI>chazoge
Total Cha.~ges
I ITEM NO. FEE
I Y"-t1\1'es LL.. "/ ~ .1) /
.n-;,...~....~ 7 ~
IResident~l (lba~h)
I Sani tary Sewer I I
I Wat~r -., '" I J I
?/'P)9h7 .~Ie
Plwnbing Perrr:it
State Surcr.arge
Total Charoes
lITEM
NO. FEE
. Res. So. fto.
New/Extend Cirr:uits
I "'''''l['OJlw:il Service
I/~/fv?
II ,
II I
Electrical Permit
: State Surcharqe
Total Ch.aPqes
ITEM
NO. FEE
Furnace BTU' S
E:z:haust Hood
Vent Fan
I Woodstove
I
Permit Issuance
':"Mechanical Permi t
State Surcharqe
Tota l flhCl7'aes
-- ENCROACHMENT --
Ise~~ritl/ Deposit
I Storage
I Mainte~e
I Permit
Total Charqes
TOTAL AMOUNT DUE: ~
Value
'2~9~6
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~/lPtJ~-
2~9':>'-'
I ~a9. ~S
1~~6
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/8. ;?g
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CHARGE
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I 3...S"P
I 7~.:5""~ ~
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7t? . t:::f6>
CHARGE
I, /_~p'p
I /5'. ~
I~.~
I 1.501
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CHARGE
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::g:s:~ r
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. L-COG~
-W' Bedrooms:
I Enerer!; Sources
I Heat
I Water Heater
I Range
Fireptace
Woodstove
Ti./De
Access.
~/
'2.tP
/-5"
'2,/'t:-,
I
I
- "2'? ' cI I
-- Fees
Building Value &
Pe r m it
.
( . . .
,,'. This -permit,is' granted on the express condition' that the'sa'id construction
shaU, in' an respects, conform to the Ordinance adopteq. by the City of
Springfield, incZuding the. Zoning Ord~nance~ regutatu1g' the constructicn
and use of buildings, and may be suspended or revoked at cny time upon vic-
lation of any provisions of said Ordinances.
~
~
Plan Check Fee:
Date Paid:
Receipt #:
I Signed:
/ /. :;/&
Plumbing Permit
No person shatl construct, instalZ, atter or change any new 01' existing
plumbing or drainage syst~~ in whole 01' in part, unless such person is the
legal possessor of a vaUd plwnber's Ucense, except that a person may do
plumbing work to property which is owned, leased or operated by the appli-
cant.
,/
Electrical Permit
,Where State Law requires tr~t the electrical work be done by an Electrical
Contractor, the electrical portion of this permit shaU not be valid until
the Zabel has been signed by the Electrical Contractor.
Mechanical Permit
..
...
~~~:~/ ~.wr~
.
,
/O-:::?C::;-B7
Date
I HAVE CAREFULLY EXAMINED the corrrpteted appUcation for permit, and do
h~reby certify that all information hereon is true and correct, and I
further certify that any ar.d all work performed shaU be done in accor-
dance with the Ordinances of the city of Springfietd, and th~ L~~s of the
State of Oregon partaining 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 ~~pl;)yees who are in
compliance with ORS 701.055 wilt be used on this project
I
~
fo~~
~ Signad
~o--. 0 , .f'
r_<::l.
/o-cZ-?J7
Date