HomeMy WebLinkAboutPermit Building 1987-4-6 (2)
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.. RESI TIAL..
APPLICATION/PERMIT
" 225 North 5th Street
SpringfieZd, Oregon 97477
BuiZding Division
726-3753
.
SPRINGFJt=1 n
Job Location: _~~ _~/'Sr<.~ ~~ #.:?9
Asoesoors Map # /g-o;z-O~-// Tax Lot # t:7G//9
Subdivision: ~r ~,gLA-'_ // .M~"'j/v r4-//'Y l//&:%~
OlJner: M/?7.?R;&T;:> h~~/~
. . -
Address: /,-S-7 Ne /;:z zt?"' ~;:5'
, ,
City: '_~:P~._ er-=?
......- ,
lxl NmJ
I I Addition
I I Remodel.
I I Uobil.e Home
",
Phone: 7'Y'/- ~/97
Zip: 97]1'77
Describe r>'or7<:
IJj.X2~ '...~~.E
Date of App7.ication .. ,t.;;" 2-2157 .
Contractors
General. 7kh'N/<; ~~ "..=::
. . -
Pl.umbing
Eleatrical.
Mechar.ical.
Construction Lender
''', .
Val.ue ~(:!;.BC>.
Address
... ---..
Rece-i.pt #
Lisc.#
,"
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. .
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Sigr.ed:
Date:
~
'I-h -R~
Eroires
Phone
It is ,the responsi-bi7.ity of the permit hoUer to see that a7.7. inspections are made at the proper time, that ec:ch o:ddress is readab1.e
from the street. and that the permit card is 7.ocated at the front of the property.
-Building Dividor: approved pl.an s.ha7.7. remain on tha Buil.ding Sit$ at a7.7. times.
PROCEDURE POR INSPECTION RSQPEST:CALL 726-3769 (recorder) state yoUr City designated job nwnber. job address. type of in3pec~icn
requested ar~ when you wil.l. be ready for inspection. Contractors or Owners nc:me and phone number, Requests received before 7:00 ~
..'iZZ be made the scone day. requests made after 7:00 con wiZZ be made the next workirI{J day.
Your city Desigr.ated Job Nwnber Io: &702t:::J"3
Reoui~p.n Tnsvp.ctions
D' SITE INSPECTION: To be made after
ezcavation. 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
~ after trenches are excavated and
: ,forms are erected, but prior to
, pouring concrete.
D. ,UNDERGROUND PLUMBING. SEWER. WATER,
I DRAINAGE: To be made prior to fil.-
, ,Zir.g trenches.
, ,
0: UNDERPLOOR PLUMBING & MECHANICAL:
, . To be made prior to instal.'Lation of
floor insu'Lation or decking.
D POST AND BEAM: To be made prior to
instal.l.ation of fl.oor insu'Lation or
"decking.
f\7I ROUGH PLUMBING. ELECTRICAL & MECH-
~ ,ANICAL: No work is to be covered .
, .until. these inspections have been
mad and ',. ,
e approve~. ",
D FIREPLACE: Prior to p'Lacir.g facing
material.s and before framing inspec-
" tior:.
r\Il F~1ING: Must be requested after
~ approval. of rough pl.wrbing. el.ectri-
,cal. & mechanical.. A7.7. roofing
, :. 'bracing & chimneys. eta. m"~st be
'.:',compl.eted. No work is to be con-
.....,~:cea7.ed unti 1. this inspection has
. :,~,been made and approved.
..
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D INSULATION/VAPOR. BARRIER INSPECTION:
To be made after a7.7. insul.ation ar~
':: .. .,' required vapor barriers are in p'Lace
.: ''::.''. but before any 'Lath, gypswn board or
, : .. ,'\ !JXl.7.7. covering is app7.ied, and before
" . 'fUly insu'Lation is conceal.ed.
. I DRYWALL INSPECTION: ' To be made
---1 after aU d.rywaU is in p'Lace.
but prior to any taping.
0, MASONRY: Steel. l.ocation, bond
becono. grouting or vertical.s in
accordance with U.B.C. Section
2415.
, D WOODSTOVE: After instal.'Lation is
aompl.eted. . .. .
D
CURB & APPROACH APRON: After forms
are erected but prior to pouring
c01'lOre te.
DEMOLITION OR MOVED BUILDIivGS
=:J Sani ~ary SelJer capped Cl.t pz:.opcrt";j Zine
~ Septic tank pumped and fil.l.ed with gra~el.
I Final. ':' r{hen above items are compl.eted
---1 and.when demol.ition is compl.ete or struc-
ture moved and premises cl.eaned up.
Mobi7.e Homes
~ Bl.ocking and Set-up
~ Pl.wnbing connections sewer and wa~er
~ El.ectrical. Connection - Bl.ocking. set-up
~ and pl.wnbing connections nr~st be approved
, before requesting el.ec~rical. inspection
=:J Acaesso1"d Bui7.ding
.'.' ..
I Final. - After porches. skirting. decks.
.--J etc. are compl.etcd.
D
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Al.l. project conditions. ouch as the instal.Zation of street trees, c~~l.etion of the
required 'Landscc:pir:g, etc.. must be satisfied before the BUILDING FINAL can be requested.
D FINAL PLUMBING
o FINAL MECHANICAL
[X] FINAL ELECTRICAL
,0
<9
FINAL BUILDING: The Final. Buil.ding Inspection must be requested after the Pinal. Pl.umbirI{J
El.ectrical.. and Mechanical. Inspections have been made and approved.
D SIDEWALK & DRIVEWAY: For a7.7. con-
, crete paving within street right-
.of-wc:y, to be made after a7.7. exca-
vating compl.ete & fonm work & sub-
., base material. in p'Laae.
; .... .'
D
PENCE: r.'hen compl.ete -- Provide..
gates or movabl.e sections through
P.U.E. '
~ALL MANHOLES AND CLEANOUTS MUST BE ACCESSIBLE, ADJUSTHENT TO BE J.t~DE AT NO COST TO CITY
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I Page 1 of 2 I
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JOB NO.g;?O:Z05
zone:,M/I~ /PVZ?
Lot Sq. Ftg.
Z of lot Coverage
# of Stories
Total Height
Topography
ITEM
SQ.FTG
Main
Garaae
~O&
Carport
Accessoru
Res. Sa. fta.
I New/Extend Circui ts
I Temporary Service
Eleatrical Permit
State Suraharge
Total Charqes
lITEM
I NO. I
Furnace BTU' S
I Exhaust Hood
I Vent Fan
Woodstove
Permit Issuance
Meahanical Permit
State Surcharae
Total Charaes
-- ENCROACHMENT --
Sea".tritl/ Deposit
Storage
Maintenanae
I Permit
I Total Charges
,
eurbcut
Sidewa lk
Fen:1s
Electrical Label
Mobile Home
I TOTAL AMOUNT DUE: *
SOLAR ACa.SS REQ.-
Occupancl/ Gr~ /YJ- /
LOT TYPE
Interior
Corner
Panhandle
Cul-de-sac
x
Value
/0. - 3"'o~-
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<6~~c:C
I I .
I I
FEE
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I -:2<,.,)~
I ~I
I 2'"3'- o/~ *
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I
I
CHARGE
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~ '78. h/
I *
~(..O.~t: CJ
L -co G~
Type/Cor.st:
.'
I Energ}1 Sources
Heat
Water Heater
Range
I Fireplace
Woodstove
T1/De
Bedrooms:
Lot Faces -
P.L.
INorth
East
South
IWest
Setbacks
House' Garage
, Access.
I I
I
I
j
Fees
. .
Building Value ~
Perm i t.
This permi t is granted on the express condi tion that the said construction
shall. in all respectfJ.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 anytime upon vio-
U7tion of any provisions of said Ordinances.
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Plan Check Fee: -:<&. q "3
Date Paid:
Receipt #:
Signed: I' ,
i
Plumbing Permit
No person shall construct. instalZ. alter or change any new or existing
. plumbing or drainage syste~ 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.
,
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Electrical Permit
Where State Law requires tr~t 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
I
I ~
4- __-->>~? ~
~r E5:cm1.ner (- ,
]I-b-$7
vate
,. I HAVE CAREFULLY EXAMINED the completed application for permit. and do
I hereby certify that all information hereon is true and correct. and I
. f'.lrther certify that any ar.d all work perfomted shall be done in accor-
I dance 1J?ith the Ordinances of the City of Springfield. and the Lcr,,)s of the
~ ~ State of Oregon pertaining to the work described herein. and that NO OCCU-
PANCY will be made of any structure without permission of the Building Di-
vision. I further certify that only contractors and e~ployees who are in
compliance with ORS 701.055 will be used on this project
(! .,--J,
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1-& 'F7
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Signed
1"".~':. ~
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