HomeMy WebLinkAboutPermit Building 1991-3-13
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APPLICATION/PERMIT
P.25 North 5th Street
Sp~:ngfieZd, Oregon 97477
Bui7.ding Jr~vision
, 726-3753
I' Job Lucat;on: ~d,.;-~'o_~.vr< ",+-
I ABaeB.ora Map_ g \ "1-0;'-34- '2..4-
I SubdiviBion:l?o,,.,h.,,", esJ.f<:; {p/..o""JJ}
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Address: d- (fJ] 11-/, I~/,,, ~ D'-.
City: /";'"' _.../l-. t!J-"--iJ~
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'n Addition
n Remodel
n :,1obila Homo
Ta:r Lot g
'2.300
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Pr"",e: ';t/~ 3/] h
zip: 0/]<1"0/
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Date:
~\~ 13"fl
Expires
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It is the responsibility of ths ptml'tit holder to sse that all inopeotions are r.zade at ths proper tim~J tr.at each wddresB is l'Oadabt9
from ths street, and that the permit card is located at the Il'01It of the pr<?Perty.
4Bui!ding {}{.uid,or: approved plan B.hall remain on the Bu~Zding Sits at all. times.
PROCEDURE FOR INSPECTION RE:QUEST;CALL 726-3769 (recorder) state your City designated job nw;-.ber, job address, typs of ir13pec:icn
1"aquestcd ar..d when you !JiZZ be ready for inspeotion, Contractors or OI.me:-s nt:l1Ie and r;hone number. Requests reoeivild bilfers 7:00 a:":'l
:.."il'L be made the same day, requests made aftQ' 7:00 tmI UJiZL be made the nat :.Jerking day.
,.
Rp.~irpd Ttt<<~p.~+.ifl~R
0, SITE INSPECTION: To be made after
excavation, 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 CC11C1'ste.
a. UNDERGROUND PLUMBING, ~~
~. CIlffAlf1A&7;1 To be /TKlde pnol' iff]rr-
. .'1-r.g trenches. . . .'
:\7r UNDERFwo!(1;I.1JI.!BIN.~ & ttff;~HANICAL)
~' To bQ made prior to inatat.t.aT;1-0n of
. /1001' insuLation or decking.
" ~ roST AND BEAM: To be made p~r to
~ instaUaticn of floor insu.lation or
, , . decking. : '
~ RMGH~ ~RICpi & ~
~ NICA ~r}Ct.s tobe cOL'-e--:;:;;;r-
, ',~tu ~hcse inspections have beer.
made and apPl"Oved. .
FIREPLACE: Prior to pZacir.g facing
materials and before framing inspec-
tion.
D
~
FRAJ!ING: MUst be requBoted after
approval of rough pt~bing, aleotri-
cat & mechanicat. AU roOfing
bracing & chimneys, etc. ~~st be
~'comptetcd. No work is to be con-
....; cealed untiZ thio inspeotion has
~ b6~n made and <:zpproved.
~ F~/lAL PLWBIIIG
~ FINAL MECHANICAL
C8r FINAL ELECTRICAL
%
Your City' Desigr.ated Job Numba' Io:
'1':71" INSULATION/VAPOR BARRIER IIISPECTION:
.~ To be rrruie after an insulati:;m ar.d
: . . required vapor barriers are in place
'. .;', . ~ but before any lath, gypsum bOaN or
, wz.z covering is apptied, and before
".f1T!'Y innulation is concealed.
''RA'DRYWALL INSPECTION: To be made
~ after all dryI.Ja ll. is in p laoe,
. but prior to any taping. .
O. MASONRY: Steel loaation, bona
beama, grouting or verticats in
accordance with V.B.C. Section
2415.
k7f' WOODSTOVE: After i1I8tallation ie
~ ccmpl.et~d. ,
~, CURB & APPROACH AP,~N: After forms
~ are crected but prior to pouring ,
.'. . concrete. , .
.Br. SIDEWALK & DRIVEWAY.: For all. ~on-
crete paving within street right-
pf-ux:.y, to be made after all aca-
vating canptete & fOr::! work & sub-
, base material in p~e.
I", '
O PENCE: When complete -- Provide
gates or movabte sections through
P.U.E. '
T
B ~ tt~~
,~qLuJ\Q~
- ,.-
ct I 01104-
rDElfOLITION OR gOVE!) BUILDIi/GS
~ Sani:a:ry Se:JBr capped :::t p~opcrt"~. line'
:=J Septic tank ~~~cd and fill~~ with gra~el.
] Pinal - When above ite.'7t8 are ccmpleted .
and when demotition is aomplete or stru~-
ture moved and premises cleaned up.
- Nobile Hemes
:J Blooking and Set-up
:J Plumbing connections scwer and water
~ Electricat Connection - Blocking, Bet-up
---1 and plwnbing oonneotions rrr..:st be approved
, before requesting electrical inspection
:J Accessol""Y Building
] Fina.l - After p;l.or.es, skirting, deeko..
€'U!. are oompz.e..,,~.
g BAP~p{.gw DWlce
All project conditions, such' as the installation of street trees. o~~lotion of the
required landscc:pir.g, etc., must be satisfied before the BUILDING FINAL can be re~e8t3d.
PINAL BUILDING: The Final Buitding Inspection must be requeoted alter thD Final Plumbing
Electrical, and Mechar.ical Inspectiona have been made and appl'ovad.
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~.
'ALL MANHOLES AND CLEANOUTS IIUST BE ACCESSIBLE, ADJUST!IEIIT TD BE IMDE AT NO COST TO CITY I Pago 1 of 2
I}I,-:>,<,P., 1'\', l>.M.nnr\
C'::::.qe L.
JOBNO,C(\a\(04S0LA~SREQ,-' ;.,
Zone.: '\ X '1 ~ Oacupan~" Group: 1'Z3 t I\A \ T;peICor.3 t:""1 I 1 Bedrooms:
Lot Sq. Ft{;. ' '7.://1 WT TIFF. ..". I Lot Faaes - N.~7J-f ] Enerqu SOUl'aea 'F== ~
S of Lot Cooerag". .:z '7 ~ '~Interior I H setlbeC";(S' I Heat
_ P. &. . .tlUSB arage Access. ~ I Water> Hp.atR'r a
.II of StOM-es _ _. .I Comer Uorth. i II Range , ~ \
TotaZ Hsight "'AlJ . ~ .. PanhandZe East I i FirepZaas
-Gll-- - South I I I I \ Woodotovs
tfJ 2 ~ Cut-de-sac
- West I I I I
-- F2es
, SQ.FTG X VaZue I
1'{'9->5 kn.2.9 7~D?3.71
--f4;3 /4. /V d;2.~-!lll
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This permit io granted on the express condition that the B~id constMl.ction
8haZl~ in all respects, conform to the Ordinance adopted by the City of
Springfie7.d, including the Zoning Ordinance, regulating the construction
and use or bui'Ldings, and may be suspended or revoked at cny time upon vio-
lation of any p:oovisions of said Ordinances. .
, 9J<;i~~ JOJrm- Q,(y 888 LJ\OSiLerct
1/2b3.75j. C\O \aCJ=\ ' ,
2/pcS 8-:Io~:;; io"'"
IPlan Check Pee:
IVate Paid: (' '1~ ~ I .11_ .7
I Reaeipt ~ )~}.J I )\.1"'"
ISigne~~-
Plumbing Permit
Topography
I
lITEM
Illiin
Gc:race
Carool't
ACC8SSOl"U
TOTAL VALUE
Is.D.c.
fVCt.UC)
1.S :c
Building permit
Stat. Surahargs
Tota Z Cha."'g.s
lITEM
I E'i>:tures
I R.sidmtiaZ (1 bath)
I Sanitary Sewer
I Wa:tRl'
k)li\p~~:~~ '
NO.
FEE
2
State SUI'cr.arge
Total Charaes
I ITEM I NO'1
I Res. Sa. ftc.
NQ,I/E:rtend Girard ts
Temporary Service' \
FEE:
Electrical ptmrrit
State Surcharqe
Total CharC8S
I ITEM NO.
I furnaoe ETU'S /
I E:r:haust Hood I
I Vent Pan 4-
I WOodstovs .;
I .4Ji.5 LI,{J6
FEE
:5 o()
Permit Issuance
Mechanical Permit
Stato surcharae
'llata l CharaRn
-- ENCROACHMENT --
I SSC'.JM.-tu Denosit
I Storage
I Maint~8
Pe1"mi t
,
Total Cha1'QCB
Clabcu;
I SideLJa Zk
"2b I
771
Fcn::e
Electrical Label
">>lr\D (\ )( .U~_
, f5
I TOTAL AMOUNT DUE:'
~~,
/9:1<-
401>101.
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/~,~I
I
I
10/;J0
F!o/'o
~,sol
17B,s-ol.
CHARGE:
CHARGE
CHARGE
0"'0
~5o
12 0 tJ
/5 o!)&;>
.2 $-<:>
/0 ~D
:3.9 ' 5'0
cL;~
'.
/3,90
2-./.55
h.CO
;t:@o ;-'.0
- ,"5'S'
:oZP/ll'
L-COG~
.~
Ti/De
Building Value &, Permit
No person Dhall. C0n8tMiCt~ inataH3 a1.ter or change any neW or e:iating
plumbing or drainage system in whole or in part, unless such person is the
legal possessor of a valid plumber'8 license, except that a person may do
pl.wr.bing work to property "hioh i. =d, Zeased or operated by the appU-
cant.
Electrical Permi t
Where State LaIN requires tr.at the electrical work be dons by an Electrical
Controctor, the electrical portion of this permit shall roOt be valid until
the Zab.Z has be"" signed by the F:Zeotl'iaaZ Contractor.
;:5~me;1(Z::
I1lP/JUC~O/()
.
Meche,nicel
Permit
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p~d~~ru
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I HAVE CAREFULLY EXAMINED the completed application for .permit, and do
hereby certify that all ir:fo:>mlltion hereon is true and correct, and I
f.aother certify that any am aU IJOrk perfor:ned shall be done in accor-
I dance :Jith the Ordinances of the City of Springfield, and th:; Ur..;s of tho
.. State of Oreg.m pzrtaining to the work described herein, aruJ. that NO OCCU-
I PANCY :JiZZ be nnde of any structur2 r.Jithout parmission of the Building Di-
vision. I further certify th::zt fT.1ly contractors and e:npl~yee8 who are in
I compliance with ORS 701.055 will be used on this project
I
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(j( fS. Xt1. _
'-
~/ZI,#/91
Date
Signed