HomeMy WebLinkAboutPermit Building 1987-4-2
.. RES.ENTIAL..
APPLICATION/PERMIT
225 North 5th Street
Springfield~ Oregon 97477
Building Division
726-3753
Job Loc.:ztion: S',c,o Mt. '~:-'"1 . #'5'1
ASGessors Map # \~...O~ -DL\--Uf \' - T= Lot #(fn/ (q
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l Subdivision: t..4>Ttttf. Zf~AfI( /i .J)?~a~~/.N >>E"-cJ
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77LWa.f JA'J7~:-~1
/2;- '7 71. I d ~'- -:I:L ;;; pU:e: 7 <f I-d- '711
rtL.- Zip: cnr/77
4.~X:Z:J.~
Contractors
Genera'L E~~~ I_so~.
P'Lwnbing ,T)c.#f' <..., Cc:sC c"
E'Lectrical
Mechar.ic.:z'L
Constl'Uction Lender
It is, the zoesponaibility of the permit holdezo to see that aZ'L i7Wpections a1'e made at the proper timE;, that e::ch :ddress is readaD~e
from the street, and that the permit card is 'Located at the fI'01tt of the propezoty.
~Bui!ding Divisio~ appro~ed p'Lan sha'L'L remain on the Building Sita at all times.
PROC'EDUF?E FOR INSPECTION R'EQUEST:CALL 726-3769 (recorder) state your City designated job nw;;ber, job address, type of inspecticn
requestcd a~.d when you will be ready for inspection, Contractors or OWners ncme c:nd phone number. Requests received befere 7:00 ~
..'iZ'L be made the same day, requests made aftezo 7:00 am wil'L be made the ncxt :vorking day.
Ot.mer: ~1.-.:t..
Address:
I City: X/~
I (;
I
I Np.w
I Addi tion
I Remodel
'I Uobil.e Home
Date of Application
3-c2S- -f'l
Reaui~ed Insoe~tions
O SITE INSPEC':'ION: To be made after
excavation, but prior to set up of
, ,forms.
O ' UNDERSLAB PLUMBING. ELECTRIC,1L &
: MECHANICAL: To be made before any
, work is ~overed. .
r\7I"~odfn,G & FOUN;};TION: To be rrade
~ after trenches are excavated and
forms are erected, but prior to
pouring cencretc;.
UNDERGROUND PLUMBING. SE:WER. W,1TER,
DRAINAGE: To be maie prior to fil.-
,7.ir.g trenches.
o
o
UNDERFLOOR PLUMBING & MECHANICAL:
To be made prior to install.ation of
J!oor insulation 01' decking.
POST AND BEAM: To be made prior to
installatien of floor ins~lation 01'
decki7l{; .
ROUGH PLUMBING. ELECTRICAl, & MECH-
ANICAL: No work is to be co~ered
.ur.ti'L these inspections have been
made and approved.
FIREPLACE: Prior to pl.::cir.g fc:cing
materials and before framing inspec-
tion.
D FRAMING: Must be requeGted after
approval of rough pl.wrhing, el.ectri-
cal & mechanical. AU roofing
bracing & chimneys, et~. nr..lst be
; completed. No work is to be con-
,~cec:led until thiG inspection has
~been made and approved.
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o FINAL PLUNBIllG
o FINAL MECHANICAL
:=:J FINAL ELECTRICAL
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Rece-:.pt 1/
SPRINGFIELD
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Signed:
Date:
Address
Lisc.#
Expires
Phone
Your City Desigr~ted Job Number Is:
31 Odo ~
I INSULATION/VAPOF/ BARRIER INSPECTION:
~ To be made after all insuZ~tion ~.d
" required vapor carriers are in place
,: ',but before any lath, gypsum bOa1'd 01'
wal.l. covering is appl.ied, and before
, ,any insulation is concea'Led.
DE/.fOLITIO.',' OR gOVE:; BUILDIilGS
~ Sani :=y se'.Jer oapped :zt p:.opt:rt":i 'Lir:e
~ Septic tank p~ed and fi'L'Le~ with gra~eZ
I Fina'L - f,'hen above ite:ns are cc::rpleted
---l and when demolition is compl.ete 01' stru~-
ture moved and premises c'Leaned up.
D DRYWALL INSPECTION: To be made
after aU drywaU is in place,
but prior to any taping.
0, ~SONRY: Steel 'Location, bond
beams, grouting 01' verticals in
accordance with U.B.C. Sectipn Mobile Hemes
2415.
D . lia' . () \7l B'Locking and Sat-:.lp
WOODSTOVE: After 't.nsta t't.on 't.s ~ ill
ccmpl.eted. '
~~ ~ Pl.umbing connections -- sewer and water
"D CURB & APPROACH AP!?ON: After forms ~ E'Lectrica'L Connection - Blocking, set-up
a1'e erected but prior to pouring $-; ~ and pZumbing connections nr..st ce approvec
co~rete. before requesting electrica'L inspection
D
SIDEWALK & DRIVEfo/AY: For a'Ll. con-
crete paving within strect right- S1 :8J Aacessol"d Bui'Ld-:.ng
pf-wczy, to be made after aU exca-
vating ccml?'Let~ & foI'm work & sub- /'"'Vl Pina'L - Aftcr porches,
, base matenal 't.n plaoe. ' , ~~ ill etc. a1'e complett:d.
skirting, decks,
'., .
,
D PENCE: When compl.::te -- Provide
gates 01' movable sections through
P.U.E. '
D
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All project conditions, such as the insta'Llation of street trees, c~~letion of the
required landscapir.g, etc., must be satisfied bcfore the BUILDING PINAL can be request~d.
FINAL BUILDING: The Pinal Building Inspe~tion must be requested after the Final Plumbing
Electrical, and Mechar:ical Inspections have been made and approved.
"ALL MANHOLES AND CLEANOUTS llUET BE ACCESSIBLE, ADJUST!fE,'lT TO BE l,~1DE AT NO CaST TO CITY I Pa~e ' of 2
SOLAR ACC~ REQ.-
Occupanc.l/ Grou"~l!!/~E ~~~ Type/Cor:st:
LOT TYPE I Lot Faces -
17.('7.~, *
/0. Ol> I- ~ '
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It'. lipl *
CHARGE I
ZC>- ,e>
,s.. t:1&>
1,5': 4D ,
I s-'O.~ '_ e"
I ::2 ~ ere> I ~. '
I ~~601 *
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1'2~~I~\
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i JOB NO. 570:Jo3
I Zona: h1.#~. Pvl?
I . ; ,
Lot Sq. Ftg:
~ af Zot CJVerag~
Ii of Stories
TotaZ Height
Topography
Interior
Corner
Panhandle
Cul-de-sac:
~
ITEN
I" .
I",a't.n
SQ.FTG
x
Value
GaraGe
Carport
Accessoru
~T/H0 5
TOTAL VALUE
~~
S.D.C.
(va~ue)
1.5 x
BuiZding Permit
State Su:t'cha1'ge
Total cna."ges
ITEN
Fixtures
I Residential
NO.
FEE
(1 'bath)
Sanitary Sewer II I
I Water II I
7?~8/H~ ~p
~ ,
Plumbing Pe1'r.:it
State Su:t'cr.arge
Total Charaes
ITEf.f
NO.
FEE
CHARGE
Res. Sa. fta.
New/Extend Circuits
I
I '~s. e-tP
I /,5':.-t:J I
I ?t:>. p~ L. ~
I ' / .. --:2e>1
I :3'/.. 20 I *
I,
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&~c,T- ~6/4'~ I
-r"JIlltl .II~ Sepvice
EZeatrical Permit
State Su:t'aha:rqe
Total C1u1I'qes
, ITEM
. NO. '
ClIARGE
FEE
Purn.::zce ETU'S
E::::haust Hood
I
I
I
I
I
I
I
I
Vent Fan
Woodstove
Permit Issuance
Meahanic.:zl Permit
State Su:t'charae
TotaZ Charaes
i -- ENCROACHMENT --
I SeC".lritu Deposit
,
: Storage
; Maintenaru!e
, Permit
Total. Charaes
Cu2'bcu:
Sidewalk
Feru!e
Electrical. Label.
Mobile Home~~ GEW';Z?E
TOTAL ANOU.'lT DUE: *
.
L -CO C-lt
Beaooms:
P.L.
North
East
South
West
Setbacks
House Carage
I Enerau Sources
I Heat
I I
I I
I
I
I
Tu'['e
Access.
Water Heater
Range
Fireplace
Woods tOile
-- Fees
Building Value & Permit
This permit is granted on the express condition that the said construction
shalZ, in all respects, conform to the Ordinance adopted by the City of
SpringfieZd, incZuding :he Zoning ordinance, regulating the censtructien
and use of buiZdings, and m.:zy be sUGpended or revoked at any time upon vio-
Lation of any provisions of said Ordinances.
\
PZan Check Fee: ~. St::>
Date Paid:
Recdpt #:
I Signed:
Plumbing Permit
No person shalZ construct, 'instalZ, alter 01' change any new 01' e=isting
plumbing 01' drainage syste~ in whoZe or in part, unZess such person is the
Zegal possessor of a valid plumber's license, except tr~t a person may do
plumbing work to property which is owned, l.eased 01' operated by the appli-
cant.
Electrica I Perm it
Where State Law requires tr~t the electrical work be done by an EZeatrical
Contractor, the electrical portion of this permit shall not be valid until
the Zabel has been signed by the Electrical Contractor.
Mechanical
Permit
,.
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3-25-87
uate
I HAVE CAREFULLY EXAMINED the completed application for permit, and do
hereby certify that all ir.foT'mation hereon is true and correct, and I
further certify thai any ar.d aZZ work perfomed shaZZ be done in accor-
dance with the Ordinances of the City of Springfield, and th~ ~~s of the
* State of Oregon partaining to the work described herein, and that NO OCCU-
PANCY wiZZ be made of any structu:t'e without pal'mission of the Building Di-
vision. I further certify that only contractors and e~ployees who a1'e in
c~~pliance with ORS 701.055 wiZl be used 'on this project
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Signad '
4-;;2-8]
Date
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