HomeMy WebLinkAboutPermit Building 1985-8-7 (2)
.. RESI_NTIAL.. SPRINGFIELD
. APPLICA'IroN/PERMIT
225 North 5th Street
SpringfieZd, Oregon 97477
BuiZdin~ Divisi~n
726-3753 '
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Job Location:
AsoesGors Map
Subdivision:
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OlJner: t1? Q~,",- ro ,(2 f2AL0-,,,12 Q...
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Address: t?'.. a ~ b y I '> ~ ,...
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I I Addi tion
I I Remodel
I I Mobile Home
Date of Appliaation
Contraators
General
Plwnbing
Eleatriaal
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Meahar.iaal
Construction Lender
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Phone:
Zip:
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DesaPibe 11'01'1<:
Address
Rcaeipt fI ~ ~)J'~)~f~lt
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Signed:
Date:
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Expires
Phone
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It ie, the responsibility of the permit holder' to eee that all inopections are made at the proper time~ that each :;;ddress is readab7.e
from the street. and that the permit eard is Zoeated at the front of the property.
*Bui!ding Divicion approved pLan shall remain on the Building Sits at all times.
PROCEDURE FOR INSPECTION RSQPEST:CALL 726-3769 (reaorderJ state your City designated job nlo7;ber. job add:r>ess. type of inspea-;ien
requested ar.d when you wiZl be ready for inspeation. Contraators or OlJners ru:me and phone nwnbcr. Requests received before 7:00 am
..'i ZZ be made the same day. requests made after 7: 00 am wi U be made the next :uorking day.
O POST AND BEAM: To be made pPior to
installation of floor insuLation or
deaking .
D ROUGH PLUMBING. ELECTRICAL & MECH-
ANICAL: No work is to be aovered .
'. ur.tiZ these inspeations have beer.
made.arJd approved. " ' - '._
D FIREPLACE: Prior to plaair.g fciaing' "....,;f
materials and before framing inspee- ..
tion.
Reaui~p.d TnSDp.~ticnR
D' SITE INSPECTION: To be made after
exaavation. but prior to set up of
, . forms.
D : UNDERSLAB PLUMBING. ELECTRICAL &
, MECHANICAL: To be made before any
, work is aovered. '
IX]
FOOTING & FOUNDATION: To be made
after trenahes are exaavated and
forms are ereated. but prior to
pouPing acnarete.
D. ,UNDERGROUND PLUMBING. SEWER. WATER,
,DRAINAGE: To be made prior to fiZ-
, ,lir.g trenahes.
0, UNDERFLOOR PLUMBING & MECHANICAL:
.. 'To be made prior to instalLation of
{toor insuLation or deaking. ,,' , , ,
~ FRAMING: Must be requested after
~ approval of rough plwrbing. eleatri-
.cal & meahaniaal. AU roofing
,.' braaing & chirrmeys. eta. rrr~st be
',:',completed. No work is to be aon-
"..,"':cealed until this inspeation has
',~,been made and approved.
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Your city' Desigr.ated Job Numba' I~:
.1 INSULATION/VAPOR BARRIER INSPECTION:
---1 To be made after aU insulation a.>'.d
: "., . ',' required vapor barriers are in p Laee
" ',::-'" but before any lath. gypsum board or
: , " waU aovering is appl.ied. and before
..:, -," any insulation is conaealed.
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O DRYWALL INSPECTION: To be made
after aU drywaU is in plaae~
. but prior to any taping.
O MASONRY: Steel loaation. bona
beams~ grouting or vertiaals in
aaaordance'with U.B:C. Seatian
2415.
D WOODSTOVE: After installation is
eompleted. , . ,
D
CURB & APPROACH APRON: After forms
are ereated but prior to pouring
aonorete.
koto I
DEMOLITION OR ,'.JOVED BUILDINGS
=:J Sanitary se'..Jer aapped at pz:.Opcrtii Zir.e
=:=J Septia tank v~ed and filled with gra~eZ
1 Final - mIen above items are aompleted
---1 and when demolition is aompZete or struo-
ture moved and premises aZeaned up.
Mobile Hernes
~ Bloaking and Set-up
~ Plumbing aonnections sewer and water
~ Electriaal Connection - Blocking. set-up
~ and plumbing aonr.eations rrr~st ae approved
," before requesting eleatriaal inspea-;ion
::8l Aaaesso1"d Building
.... ".,'
'\/I Final - After porches. skirting. deaks.
~ eta. are eOlT/pleted.
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FIlIAL PLUMBING
All project aonditions. suah as the installation of street trees. a~~letion of the
required Landscaping. eta.. must be satisfied before the BUILDING FINAL aan be requested.
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FINAL MECHANICAL
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FINAL BUILDING: The Final BuiZding Inspeation must be requested atter the Final Plumbing
Eleatrical~ and Meahar.ical Inspeations have been made and approved.
FINAL ELECTRICAL
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SIDEWALK & DRIVEWAY: For aU aon-
arete paving within street right-
pf-way. to be made after aU exca-
vating aomp?ete. & form work & sub-
base matePi'ai in pLaae.
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*ALL MANHOLES AND CLEANOUTS MUST BE ACCESSIBLE. ADJUS~!/ENr TO BE, ftMDE- AT NO COST TO CITY Page 1 of 2
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PENCE: When aomplete -- Provide,
gates or movable seations through
P.U.E. '
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CHARGE " - I ' b ·
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No person shaH cOnst1'Uct, insta!ZtttaZter or change any new or existing
plwnbing or dPainage syste:ll inrttto\Zle ~r Yin p~t, ur.Z.ess such person is the
legal possessor of a valid plwnber's license; except that a pe1"son may do
plwnbing work to property which is owned, leased or operated by the appli-
cant. , "V..,~.,;,.l
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WTTYFE
Lot, Sq. Ftg.
S of lot Coverag~
# of Stories
Total Height
Topography
Interior
Corner
Panhandle
Cul-de-sac
lITEM
I Main
I Ga:raae
I Carport
I Accessoru
SQ.FTG
x
Value
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.d1f1,~~li
TOTAL VAWE
IvatueJ
1.5 x
S.D.C.
Building Permit
State Surcharge
Total Cha.....ges
lITEM NO.
I Fi:xtures
IResidential (1 bath)
FEE
--
Sanitary Sewer
Water
~~p
Plwnbing Pem t
State Surcr.arge
Total Charoes
lITEM
I Res. So. fto.
I New/Extend Circuits
~..!'....~ Service
,Ilt~/J''''~
NO.
FEE
CHARGE
l
Q I '4'. - ~ '.......
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Electrical Permit
State Surcha:rqe
Total C'harqes
ITEM
NO.
FEE
CliARGE
Furnace PTU' S
Exhaust Hood
Vent Fan
I Woodstove
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Permit Issuance
Mechanical Permit
State Surcha:rae
TotaZ Charaes
-- ENCROACHMENT --
Secrmt'l/ Deposit
Storage
I Maintena~e
Ipermit
'.
Total ChaI'aes
Curbcut
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~Og0qBI ,<4>
I -rs: _0
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~2~. So
Sidewalk
Fen:::e
ElectI'ical Label
Mobi le Home
,
TOTAL AMOUNT DUE: *
Ll.oo.tf""' tJ
REQ.-
L ':"CO G~
.
Bedrooms:
Enerm, SouI'ces
Heat '
WateI' HeateI'
Range
FiI'eplace
Woodstove
TUDe
Type/Cor.st:
Lot Faces -
P.L.
North
East
South
West
Setbacks
House Garage
Access.
-- Fees
Building Value &'" PerlTl'it
This permit is granted on the expI'ess condition that the sa'id aonstl'Uation
shall, in aZl respects, conform to the Ordinance adopted by the City of
SpI'ingfield, incZuding the Zoning Ordinance, regulating the constl'Uction
and use of buildings, and may be suspended or revoked at ~r.y time upon vio-
lation of any provisions of said Ordinances.
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Plan Check Fee:
Date Paid:
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Electrica I Perm it
Where State LCflJ) I'equiI'es tr.at the electI'ical WOI'k be done by an Elect'I'iaal
Contractor, the electrical portion of this permit shall not be valid until
the lahel has been signed by the Electrical Contraator.
Mechanical Permit
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Exam1-ner
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" I HAVE CAREFULLY EXAMINED the completed application fop permit, and do
I hereby certify that aH information heI'eon is tl'Ue and COI'I'cct, and I
' j'ul'ther certify that any ar.d aZZ work peI'foI'med shaH be done in accoI'-
f dance with the Ordinances of the City of Springfield, and th~ L~~s of the
* State of OI'egan peI'taining to the work described herein, and that NO OCCU-
PANCY wiZZ be made of any struature without permission of the BuiZding Oi-
l vision. I further ceI'tify that only aontI'actoI'S and e~ployees who are in
I compliance with ORS 701.055 will be used on this project
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Date