HomeMy WebLinkAboutPermit Building 1987-9-14
, .~--'.. RESI~T1AL"
, APPLICATION/PERMIT
225 North 5th Street
SpringfieZd, Oregon 97477
BuiZding, Division
726-3753 '
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Job Looation: 2'09:3 i?~d:~ <. ~
Asaesaora Map # 11~D3-;)7- /3
Subdivision: L t? c h 0.. V .e V') (. <>7
CUnel":
R ,., J..""r +
Cc<ok.
Address:
City:
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Addi tion
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Date of Application
Contractors
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Ta:r Lot # 6:?:ioW
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Phone:
Zip:
Describe r.'ork:
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~"77.5'
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~'?~ ra"ue
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<1,4&:':?..r),
Gensra L A r-?i54n-'
Plumbing
Electrical
Mechar.ic.:zl
ConstJol.lction Lender
it
It
Address
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It i8 ths l'Bsponsi.bility of ths permit holder to see that aZl. inDpactions a:t'6 made at thB poopBr tim&~ tr.at GCCn :ddrs88 is readabZe
from ths st1"6et, and that ths perrrri.t card is 1.ocated at the f1"011t of the property.
"Bui!dirlfJ Diui:ior. CI??roved plan shall remain on the Bu-:.Zding Sit:; at all times.
,PROCEDURE FOR INSPECTION RE:QUEST:CALL 726-3769 (recorder) state yOUI' City designated job number, job addrcss; typ6 of in3pec::icn
zoaqucstcd ar-.d. when you lJiZL be ready for inspection, Contractors or Oz.me1"'s name and phone number. Requests received cefore 7:00 (:l
'*~ZZ be made ths same day, requests made after 7:00 am wiz.z. be made ~he nat :.Jerkf.ng ,day.
. y~ City Desigr.atcd Job Numbe:r I8:-~' '87 D ~~ J
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Rp.mJ1:-:pj{ T':!.R""'f!1:ip"!'I
O SITE INSPEC':'ION: To be made after
excavation, but prior to set up of
. ,fortT/s.
O : UNDERSLAB PLUMBING. ELECTRICAL &
, MECHANICAL: To be made before any
. work is oovered.
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FOOTING ~ FOUND,1TION: To be nude
after trenches are excavated and
forms are erected, but prior to
pouring ccncret~.
UNDt:RGROUND PLUM!3ING. SEWER, W.1TER.
D.'ffAIlIAGE: To be mad.e prior to fi 1.-
,Zir..g trenches. .
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O ' UNDERFLOOR PWlfBING & MECHANICAL:
I . To b6 made prior to im~ta1.Zation of
I . . fLoor insulation 01' decking. . .
POST AND BEAM: To. be made prior to
instaUation of floor insl.;.lation or
dscking .
o
'0
ROUCH PUP!BI!!G, ET..ECTRICAL & MECH-
ANICAL: No :Jerk is to bc covered
,ur.tiL those inspections have beer.
ttiuie and'approved. ., -'~,
PiRF:PLACE: Prier to ptacir.g facing
materials and beforo framing in spec-
tior..
10
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PRAJ!ING: Must be requelJted after
approval. of rough plUffhing, electri-
.cal & mechanical.. AU roOfing
brocing ~ chimneys, et~. 1/r..lst be
:'corrrpletcd. 110 lJOrk is to be CGn-
..... ....coaled until thio inspection has
~be~n made and approued.
O INSULATION/VAPOR BARRIER INSPECTION:.
To be made after al.l in8ula.t~ w.d
.. roequired uapor barriers are in pzace
. . but before any lath, gypswn board or
t.l:2U covering is appLied, and before'
. any insulation is concealed.
o
DRYWALL INSPECTION: To be made
after aLL drywll. is in place,
but prior to any taping.
Rcce~pt !I
/0/9<3
O MASONRY: Steel location, bona
beam3, grouting or verticals in
accordance with U. B. C. Section
2415.
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WOODSTOVE:
ccmpl.eted.
After installation is
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Siqr.ed:
Date:
Cc-,. ~
9-/4 -'67
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O SIDEWALK & DRIVEWAY: For all con-
crete,paving within street right-
.of-way, to be made, af"t.er all e:r:ca-
~ vating cunplete: & fOml'work & su.b-
. base material in place.
CURB & APPROACH APRON: After forms
are erected but prior to pouring
concrete.
O PENCE: When complote -- Provide
gates or movabl.e sections through
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ExPires
Phonc
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I DE/.!OLITION OR gOVED BUILDIiICS
:J Sanitary 86".JBr capped at ~opcrt-:i lir.e
~ Septic tank p"..lr.ped and fillOl~ LJith l1l'G~6t
--, Pinal - rnten ab,.."'Ve items are ce.'rrpletcd
---J ar~ when demolitior. is completo or stru~-
~u.re moved and pr~3e8 cleaned up.
I Mobile Hemes
~ Blocking and ~et-~p
~ Pl.umbing connections -- scwer and wa~er
~ Electrical Connection - Blocking, set-up
~ and pl.u.mbing connections 1/r..lst ce approvod
beforc l'Squesting sl.ec:rical {.nsp8c:io:-:
~ Acces&o1"d Building
\/1 Final - /lfter porches, skirting, decks,
~ etc. are completed.
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All project conditions, ouch as the instaLLation of s:reet trees, c~~lotion of the
requil"ed landsccpir.g, etc., must be satisfied before the BUILDING FINAL can bo raquost:!d.
FINAL BUILDING: The Final Building Inspo~t~on must be r~~Se~ted a~fter' th~ 'Final Plu.mbi~
El.ectrical., and Mechanical InspectiontJ havo 'been'.made and approved. .) , .
o FIliAL PLU/.ffJIIIG
~ FIliAL MECHANICAL
o FIliAL ELECTRIC~L
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(2)
If ALL "/.fANHCLES AND CLEANOUTS MUST BE ACCESSIBLE, ADJUin;B.T TO;BE>.J1DE AT NO COST TO CITY 'Page 1 of 2 I
I JOB NO, 87()M~ I
I Zemc: /fl).J?
Lot Sq, Ft;.
s ~f lot CJlJeragc
!i of Stories
Total Height
Topography
SOLAR ACCESS REQ,-
Occu:panc1/ c.
LOT TYPE
I SQ,FTG
I
I
I AcC'e88Qr>u I
I~/#e:"rl
I
ITEM
Main
,
I Geroce
I caM)o~t
TOTAL VALUE
Is,D,o,
IVCL.UC)
1,5 :z:
Building Permi t
State Surcharge
Total Cha"ges
I ITEII I NO, I FEE
I Fixtures /;{. ~ .....:!' G-I,f.::> I
I Residential (1 bath)
I Sanitary Sewer
I Water I I I
'I 5n>ii:.:n' t?~.sr 1
I
PZwnbing Perr::i t
State Surcr.a.rge
Total CharGes
I ITEM
'I Res. So. fta.
I New/Extend Circuits
t:-.....t''-'4.....:: Service
I br.... ~~.....J'>
I iiO'1
I I
I 1
I I:.,
Eleatl'ical Permit
SUzte Suraharae
Total Cha:rces
lITEM i 110'1 FEE
FUrnace ETU' S
E:::hau.st Hood I I
Vent Fan I 1
1 WOodstove I I
I 1 I
Pemt'Issuance
Me::hanic.:zl Permit
State Surcharoac
Total Cht:r>",?p.n___
I -- EIICROACHMENT --
I SCC'.J.ritl{ DeOo3it
Storage
Maintenance
Pcl'mi t
I '
I Ourbcut
To ta I Chal"GCS
E'6157
/g6r
Side>Jalk
Fer1:!e
j Electl'ical Labet
,
! Mobile Home O~uaC: l;"
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T-S-~O ' I
I TOTAL AMOU.'IT DUE:'
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1 9'6=<'o,-!
I If 7=<'. '3Sj.
I
'!> t:P. 5'"oi
:2.$:31
5.3. 0.31.
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h>>~:, >_ '" ,,,,,,,", P u,m , mg
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.:.". , I . '_"No percon fi~zz..'co.?U!trw::~J ~in8taLZJ aUer or change any nelJ or existing
. " . '. pllJ!1lhing or~tboa.inage~8Y8te:n in :JhqZe or in part, unless such person is the
::?p' ~\' regal possessor of a valid'pl'Wilber.'s license, except that a pe:'8on may do
- I' plw::bing work to property which is cn.med, leased 01' operated by the appl.i-
~~--. cant..,... .............. :'^. . . ":. ': J.......:....~. ....:....... ..',
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Interior
Comer
Panhandle
Cut-de-sac
x
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'2~-I
cGSlB.-1
/0&1'2,-1
Value
CHARGE
~,.-
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7;:>.5'4.
FEE
CHARGE I
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1
I, /:')?- I
-, 6~-""'1
"5 c::=:>. ""'" I
/ . 5"01
?/,sc:::>I.
C!iARGE I
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137,-0. I
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- / .?S-I
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7cJ7'-.'l'31 .
i
L-COG'l'
P.l,
INorth
lEast
ISouth
IWest
T':Jpe/Cor.st: . Bedroor.:s:
1 I Enera..~ SO-.Araes
Setbacks I I Heat
House I Caraqe Access. I I Water Hp-atf'Y'
I I Ra"fie
I I Fireplace
I I Wood:.tot:e
II
TU'De
Lot Faces -
Fees
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Building Value &
Permit
\ This permit is granted on the eX1?l'ess condition that the sdid construction
shall,' in' all respccts~ conform to the Ordinance adopted bi!' the City of
Springfield, incZuding the Zoning Ordinance, regulating the construction
and une of buildings, and m2Y be 8unpended or revoked at cr.y time upon uic~
Zatian of any provisions of said Ordir.ances.
. ...... ~ I
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non Check Fee: 3'"2.. .83
Cate Paid: 9'" B ,g /
Receipt H: lott$.-;z_
I Signed: 9-8"/ L" ~
.~
Pe r m i t
....,
Electrical Permit
Where State LOJJ requires tr.a.t the electrical work be done by an Ele~trical
ContractcT, the electrical portion of ,this permit shall r~t be valid until
the Zabel has been signed by the Electrical ~ontractor.
/'
Mechanical Permit
,Lp,R h'~ ?L' c:z;. ~
PUm Excrn1..ner
'7-//-8-)
uaoe
I HA VE CAREFULLY EXAMINED the completed application for permit, and do
hereby certify that an ir:for'mation hereon is true and correct, and I
further certify that any ar.d all I.JOrk perf"oP:TIed shall be done in accor-
dance :.nth the Ordinances of the City of Springfield, and the: La:.:s of tho
State of Oregon pertaining to the work described herein, and that NO OCCU-
PAllCY will be mde of any structure witho:J.t p3rmis3ion of the Building Di-
vision. I further certify that only contractors ar~ e~l~yee8 who are in
compliance with ORS 701.05E will be used on this project
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CI C. i ~~..L_~
Signsd ~ /'
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Do.te