HomeMy WebLinkAboutPermit Building 1987-4-2 (2)
.. RESIDMJTIAL..
'APPLICATW/PERMIT
225 North 5th Street
Springfield, Oregon 97477
Building Division
726-3753
5"'c.o
ASGessors Map # \~-Oa -D4--Uf \' -
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Subdivision: L.4>T9~ Z!#!.~ /~ ~~"""I-...~;t9/.N ~E"~
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CAmel": ~71~~ J}~~
Address: /:?J- '7 /1. / d 'f#,- -;/::L. ~ p,ue:
rfA-
Job Location:
City: ~
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SPRINGFIELD
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# ('f() f I q
Taz Lot
Zip:
7 Y/-.;J-7r1
en r/77
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Addition
Remodel
!!obile Home
Date of Application
3:-,j;S'--f1
Contractors
.
General E~rE ~ ~~.
Plwnbing ,7 ,)cb/{" <-, CC5C f!!== .
Electrical
Meehm:ic.::l
Construction Lender
J!; 'e. "/tt 8~.~
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:Y~S .v-~..
7D17h;.. Value /%:'3'20.. ~
Address
Lisc.#
Rcce:pt !I f'"J h K()f.~ -~._--
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Q0!Y - 0, [C
Signed:
Date:
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4-- -;";"-~I
Expires
Phone
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It is the responsibility of the permithoLaer to see that all incpections are made 'at the proper tims, that each ~ess is readaD~e
from ths street. and that the permit card is Zocated at the front of the property.
~Bui?Aing Division approved plan shaZZ remain on tha Building sit:> at aZZ times.
PROCEDURE FOR INSPECTION RE'QUEST:CALL 726-3769 (recorder) state yoin' City designated job nw;;ber, job adC.ress, type of inspec::icn
, requested ar-d when you will be ready for inspection, Contractors or CAme~s ncme and phone nwnbcr. Requests received before 7:00 ~
..'iZZ be made ths same day, requests made after 7:00 am wiZZ ba made the next ;;JOrking day.
Reoui~ed Tnsoecticns
'0 SITE INSPECTION: To be made after
. excavation, but prior to set up of
, ,forms.
: 0 · UNDERSLAB PLUMBING. ELECTRICAL &
, MECHANICAL: To be made before any
: ' work is .::overed.
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FOOTING & FOUND,1TION: To be made
after trenches are excavated and
forms are erected, but prior to
pouring cencret~.
UNDERGROUND PLUMBING.. SErVER. WATER,
DRAINAGE: To be made prior to fil-
,Ur.g trenches.
: 0' UNDERFLOOR PLUMBING & MECHANICAL:
, To be made prior to instalZation of
floor insuZation or decking.
:0 POST AND BEAM: To be made prior to
installation of floor insuZation or
deckirl{; .
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ROUGH PW.'1BI!lG. ELECTRICAl, & MECH-
ANICAL: No work is to be cOllered
,ur.til these inspections have been
made qnd approved.
FIREPLACE: Prior to placir.g facing
materials and before framing inspec-
tion.
:0 FRAMING: Must be requested after
approval of rough plwrhing, electri-
cal & mechanical. An rOOfing
bracing & chimneys, et.::. nr~st be
: completed. No work is to be con-
,~cealed until this inspection has
~ been made and approved.
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o FINAL PLUMBIllG
o FINAL MECHANICAL
o FINAL ELECTRICAL
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Jour City Desigr4ted Job Number Is:
O INSULATION/VAPOR BARRIER INSPECTION:
To be made after all insul~tion GrA
, ' .' required vapor barriers are in plac~
., ,:' '. but before any lath, gypsum board or
wall covering is applied, and before
any insulation is concealed.
DRYWALL INSPECTION: To be made
after aZZ dryLJaZZ is in place,
but prior to any taping.
O ~SONRJ: Steel location, bond
beams, grouting or vertiaals in
accordance with U.B.C. Seation
2415.
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WOODSTOVE: After installation is
completed,
,
, tfi 00(0 ~
DE/.!OLITION OR !,fOVED BUILDIilQS
~ Sani ::ary se'..Jer capped at px:.opcrt'i Une
:=]"septi.:: tank p;;r.:ped and fiZZed with gra~el
---, Final - mIen above ite,'71s are cOlrrpleted
~ and when demolition is complete or struc-
ture moved and premises cleaned up.
I Mobi le Hemes
~ Bloaking and Set-~p
~ Plumbing connections s~er and wa::er
-.tl Electriaal Conneation - Blocking, set-up
~ and plumbing connections nr~st be approved
, beforc requesting electriaal inspec::ion
KJ Accessory Bui lding
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\7l Final - After porches, skirting, decks,
~ eta. are completcd.
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All project conditions, such as the installation of street trees, c~'71pletion of tne
required Zandscaping, etc., must be satisfied before the BUILDING FINAL can be raquest:>d.
FINAL BUILDING: . The Final Building Inspe~ii6n must be requested a~ter ~~e Final Plumbing
Electrical, and Mechanical Inspections have been made and approved.
-ALL MANHOLES AND CLEANOUTS UUST BE ACCESSIBLE, ADJUST!fE,'1T TO BE !,~1DE AT NO CaST TO CITJ I Page 1 of 2
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CURB & APPROACH APRON: After forms
are erected but prior to pouring
aonerete.
D
SIDEr-lALK & DRIVEWAY: For aU con-
crete paving within street right-
pf-way, to bc made after all exaa-
vating complete & ,form ~rk & sub-
, base material' in place:' ,
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PENCE: When compl~te -- Provide'
gates or movable sections through
P.U.E.
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: JOB NO. JV} ();)o3
Zone: h?#~ PVZ?
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Lot Sq. Ftg.
S of 'lot Coverag~
# of Stones
Tota'l Height
Topography
L -CO G-1t
SOL A RAe C E S S R E Q.-
Occ:upanCl{ Gr~/l'E~;'
LOT TYPE I Lot Faces -
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I P.L.
!North
East
South
IWest
. Bedrooms:
I Enermf Sources
I H~at
Access. I Water Heater
I Range
Firep'lace
WOod3tove
T,uDe
lITEM
IMain
SQ.FTG
Garaae
Carport
IAccessoru I
~T/H/A51
Is.D.c.
TOTAL VALUE
(va~ue)
1.5 x
Bui'lding Permit
State Surcharge
Tota'l Cha.~gea
lITEM
IFi:::tUI'eS
Residentia'l (1 bath)
Sanitary Sewer I / I
Wat~ / I
7?~B/H(;?' /~kp
, ,
NO. I FEE
P'l:.unb,ing Pe:rn:it
State Surcr.aJ'ge
Tota'l Charaes
I ITEM NO. FEE
I Res. Sa. fta.
I New/Extend Circ:ui ts I
IF~ . f'-~~' Service I I
IfLE~r. ~ 4'4' d.P I
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E'lectrica'l Permit
State Surcha:rqe
Tota'l Chart:;es
ITEM
NO.
FEE
Furnace ETU' S
I Exhaust Hood
Vent Fan
i Woodstove
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Permit Issuance
Mechanica'l Perrrrit
State Surcharae
I Total Charaes
I -- ENCROACHMENT --
Ise~~ntu Dep03it
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I Storage
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i Ma'Lntenaru:e
,
, .
I Perrrrz. t
Tota'l Charqes
Curbc:ut
Sidewalk
Interior
Corner
Panhand'le
Cu'l-de-sac
x
Value
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174"7.BC . *
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It). '1P *
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LL,5:' 40 I.
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I 6"'2.401 *
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CHARGE
CHARGE
,CHARGE
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Electrical Label I I
MObiZeHOme~GEW;&,~ 1"'2~~1
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. TOTAL AMOUNT DUE: * dJ ~ '5"'1. 90 *
Type/Cor:.st:
Setbacks
House Carage
-- Fees
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Building Value & Permit
This permit is granted on the express condition that the said construction
sha'l'l, in aZl respects, conform to the Ordinance adopted by the City of
Springfield, including the Zoning Ordinance, regu'lating the construction
and use of b,ui'ldings, and may be suspended or revoked at any time upon vio-
lation of any provisions of said Ordinances.
Plan Check Fee: t6 _ S"t:::>
Date Paid:
Receipt #:
I Signed:
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Plumbing Permit
No person sha'l'l constrUct, insta'll, aZter or change any new or e=isting
p'lumbing,or drainage syste~ in who'le or in part, un 'less such person is the
lega'l possessor of a va 'lid p'lumber's 'license, except th~t a person may do
,p'lumbing,work to property which is owned, 'leased or operated by the app'li-
cant. . '
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Electrica I . Perm it
Where State Law requires tr~t the e'lectrical work be done by an Electrical
Contractor, the e'lectrical portion of this permit sha'l'l not be valid until
the Labe'l has been signed by the E'lectrica'l Contractor.
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Mechanical Permit
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" I HAVE CAREFULLY EXAMINED the completed app'lication for permit, and do
I hereby certify that a'll information hereon is true and correct, and I
. further certify that any arA aZ'l work perfor:med shaZ'l be done in acaor-
r dance with the Ordinances of the City of Springfie'ld, and th~ Lcr..;s of the
* State of Oregon pertaining to the work described herein, and that NO OCCU~
I, FANCY wi'l'l be made of any structure without permission of the BuiZding Di-
vision. I further certify that only contractors rout e~ployees who are in
ca~p'liance with ORS 701.055 wi'l'l be used on this project
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3-25-87
uate
~.~{!-fL-j
. Signad
~;l-g1
Date