HomeMy WebLinkAboutPermit Building 1986-2-11
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.. RESIDI~'" TIAL...
APPLICAT /PERMIT
225 North 5th Street
Springfield, Oregon 97477
Building Division
726-3753
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SPRINGFIELD
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Job Location: _ 5 UJ ~ IJ ~/
Assessors Map # /7..0'2.- '3 3-Clt/ /
Subdiv~sion: / AT". 1t,t../t< <: . M~e;,~~A'V
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CkJner: 12f/41 ~ W ~ ~ ( tUkt rf r:~)
Address: IJfto,-~ S,. ;;< 11 d ' '- P~J 1~(0-' ..-/
City: ~' Zip: 111- L/j(}r(
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Addition
Remodel
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.1,!0::>1.. "B Home
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Date of Application
Con't=n:.=:;ors
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Value
Add..Mess
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Signed:
Date:
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Expires
Pr.onc
It is the responsibiZity of the permit hoLder to Bee that all inspections are made at the proper time. that ecch ~ess is readabZe
from the street. and that the permit card is 'Located at the front of the property.
.tBui!ding i>i.vi::ior: approved Flan shaH remain on the Building Sit::; at aH times.
PROC::DURE FOR INSPECTION RE'QUEST:CALL 726-3769 (reco1'der) state your City designated job number. job ad6>ess. type of ir.specticr.
requested a~-d when you will be ready for inspection. Contracto1's or CkJners name ~nd phone number. Requests received before 7:00 ~
tJil l be made the same day. requests made after 7: 00 am wi ZZ be made the next :JOrking day.
UNDERFLOOR PLUf.,'BING & MECHANICAL:
To be made p1'ior to installation of
J100r insulation 0'1' decking.
POST AND BEAM: To be made prior to
installation of floor ins~lation 0'1'
decking .
ROUGH PLUMBING, ELECTRICAL & MECH- 'D
AllICA[,: No :Jork is ,to be co~'ered
ur.til these insoections have been
made and app1'ove~.
FI."!EPLACE: Prior to plaair.g facing
materials and before f1'aming inspec-
tion.
Reaui~p-d T~sop-ctir.~~
O SI?~ INSPEC'l'IO;';': To be made after
excavation. but prior to set up of
forms.
D UNDERSLAB PLUUBING. ELECTRICAL &
J.!ECH.4:JICAL: To be made befo1'e any
work is covered.
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FOOTING !1 FOUNDATION: To be made
after t1'encnes are excavated and
forms are erected. but p1'ior to
pourir~ cencret~.
UNV7':RG.QOU,'!D PLU/1BING. SEWER. WATER,
DRAINAGE: To be made prior to fil-
Zir.g trenches.
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FRA"~ING: Must be requested after
approval of rough plwrhing. electri-
cal & mechanical. An roofing
bracing & chimneys. etc. ~~st be
,completed. No work is to be con-
.. cealed until this inspection has
. been made and approved.
Your City Desigr.atedJob Number Is:
,0
INSULATION/VAPOR BARRIER INSPECTION:
To be made afte1' aU insulation ar.d
required vapor carriers are in place
Cut cefore aTIY lath. gypsum board 0'1'
LXlZZ covering is applied. and before
aTIY insuLation is concea~ed.
gfo 00 (0 ft;
, DE/.10LITIO!! OR :~,'OV::;; BUILDI;.'GS
=:J SaTlitary se'.Jer capped at p~opert:,' Zir.e
==:J Septic taTIk p~~ed and filled ~ith gra~el
~ Final - T,'hen above ite,~s are co=leted
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and when demcl~v~on ~s ,comp~e_e or Svru~-
ture moved and premises cleaned up.
Nobile Hemes
/~I Blocking and Set-up
~I Plumbing connections -- s&Wer ar.d water
x I Electrical Connection - Blockina. set-u~
/- and plumbing connections ~~st ce approved
, before request~ng electrical inspectio~
, 2iJ Accessory Bui ld~ng
""'1 Final - Aftcr Forches.
,\ etc. are completed.
sk~rt~ng. decks.
DRYWALL INSPECTION: To be made
after all drywall is in pLace.
but prior to any taping.
O MASONRY: Steel location. bond
beams. grouting 0'1' verticals in
accordance with U.B.C. Section
2415.
D WOODSTOVE: After instalLation is
acmpleted.
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CURB & APPROACH APRON: After- foroms
are crected but prior to pouring
C071Orete.
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All project ,conditions. such as the installation of street trees, co~letion of the
required laOOscaping. etc.. must be satisfied before the BUILDING FINAL can be 1'equested.
:=J FINAL PLUMBING
.=J FIliAL MECHANICAL
=:J FINAL ELECTRICAL
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FINAL BUILDING: The Final Building Inspection must be 1'equested alter the Final Plumbirt,1
Elect1'ical. and Mechar.ical Inspections have been made aOO approved.
SIDEWALK & DRJl.'ET-IAY: For aZZ con-,
crete paving within street right-
of-way, to be made after aZZ exca-
vating complete & form work & sub-
base material in plaae.
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PENCE: r.'hen compl~te -- Provide'
gates 0'1' movable sections through
P.U.E. '
~ALL MANHOLES ANDCLEANOUTS I1UST BE ACCESSIBLE, ADJUST!fENT TO BE NADE AT NO CaST TO CITY I Page 1 of 2
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JOB NO. rt.fo~(/'I!l .SOlAR AC.SRE~.-
~one:M#5 ~D Occ:u'Oancy Group: MttSSl'CE ,........:i:~....L" Type/Cor-st:
:.at Sq. Ftij. . , LOT TYPE I Lot Faces -
': "f lot C,')1)erag;; Interior, ' P. L. HOus~setr~~~ge Access.
.1 of Stones Corner North
.'otal Height Panhandle .East
South
"opography Cul-de-sac IWest
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ectrical Label I
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TOTAL VALUE
;.D.C.
(va~uc),
1.5 :z:
Building Permit
State Surcharge
Total Char-ges
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'TEM j NO., FEE
~:...~ ~s S~RJI-~ ZfW'-';4Y~'"
~esidential (1 bath) I '
~anitary Sewer II I I
'ater II I j
~# ~KOP II I
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Plumbing Pemt
State Surcr.arge
Total Charaes
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TEf.!
I NO. I FEe:
'fis. Sa. fta.
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tt.E<7:#~~P
aw/E:z:tend Circ:uits
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E..I I 'L'" ..). I H.;j ervtae
Eleatrical Permit
State Surcha:rqe
Total Charaes
.
FEM
NO,
FEE
~nace ETU' S
::haust Hood
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gnt Fan
Jodstove
Pemt Issuance
Meahanical Permit
State Surcharae
Total Charaeo
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-- ENCROACHMENT --
:cr.ln ty Deposi t
~orage
~intenanae
'rmit
Total Charaes
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'dewalk
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TAL AMOUNT DUE: *
Value
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CHARGE
2~..o
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1~00
J..S. CO'IOI
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' I Enerai! Sources ~':."~'~'';,:,.~~;:'~;\;',::o <:': . .
.rieat ., ':;.::; ,'::","" ,
Water Heater ' ,",:;:,:,';.'.'.:",'.
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Range .....;;:,: ,',", ":- "
Fireplace .............
Woodztove
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-- Fees
Building Value & Permit
This pemt io granted on the e:z:press condition that the sa'id construction
shall. in all respects. conform to the Ordinance adopted by the City of
Springfield. incZuding the Zoning Ordinance. regulating the ccnstruction
and use of buildings. and may be suspended or revoked at any time upon vio-
lation of any provisions of said Ordir.ances.
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Plan Check Fee:
Date Paid:
Recdpt #:
Signed:
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Plumbing Permit
No person shall constrnct. instal!. alter or change any new or e=isting
plumbing or drainage system in whole or in part. unless such person is the
legal possessor of a valid plumber's license, except tr.at a person may do
plumbing work to property which is olJned. leased or operated by the appli-
cant.
Electrica I Perm it
Where State LalJ requires tr.at the electrical'work be done by an Electrical
Contractor. the electrical portion of this permit shall not be valid until
the Uzhel has been signed by the Electrical Contractor.
Mechanical Permit
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P'lal,;'E:z:cminer
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I HAVE CAREFULLY EXAMINED the completed application for permit. and do
hereby certify that all infor'lTlation hereon is true and correct. and I
further certify that any ar.d all work performed shall be done in accor-
dance with the Ordinances of the City of Springfield. and th;; LT~s of the
* State of Oregon pertaining to the work described herein. and that NO OCCU-
PANCY will be rrrlde of any strnctur2 without permission of the Building Di-
vision. I further certify that only contractors and e~loyees who are in
compliance with ORS 701.05S will be used on this project
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Signed
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