HomeMy WebLinkAboutPermit Building 1988-3-7
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.. RESraNTIAL"
APPLICAf'foN/PERMIT
225 North 5th Street
Springfield, Oregon 97477
Building Division
726-3753' .
Job Location, .(.j -</ 0 LJ 19;' "''' C j, sf-
A8D88DorD Map N /7 - 03 - ;).l~ ;).;). ~
8 el'el' Iv I"qJ>.k
Subdivision:
Tax Lot N -? (pI-:?~
Lo'/-1I4
f;{lndc.. A
{).m8r, Me/",... II. c"'MI S1qlJ,,,T
Addr88a: ,1.:3..y~ IJ eU' hdC/'.r~ Pr.one, 7-/7-3/7.:(
City: S";p l>/h9 ..,o./~leI 0"',,,;',,--. Zip' '77 ?" 7 7
QNt>l"
fY1 Addi ticn
n Remodel
n ,'.fobi le Homo
Descnbe ~.'ork:
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1)')5 -xi
. 'Date of Applicaticn
(;ontractol'S .S P /-12.
/)A.u;UA. J
Genera l
P q.-r;-"
Value
('1M)
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Address
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Rcce-:.pt ,1/
II C/ /~
Sigr:ed,
Date: r
./
Lisc, # Exoires
Phone
PLwnbing
Electrical
Mschar.ica t
Const'l"Ucti01l Lender
It is the resp01loibility of ths permit holder to see that all irwpections al"e made at thB proper tim&# that aach .:ddress is rea:1abZe
froom ths streot. and that the permit card is located at the front of the prcperty.
.tBui'tdi!1{J Dividor: approved plan shc.lll'emain on tha Building Sit~ at all times,
PROCEDURE FOR INSPECTION RE:QUEST:CALL 126-3769 fl'cco1"d61'J state YOUI' City design.2ted job nUr.'.ber~ job adi:rcss~ type of in3pec=.icn
rGqUcstcd ar.d w.':en you r.Ji.7.Z. be 1"eady for inspcction~ Contraetors or O:.mers nc:me end phone number. Requ,;sts received bofere 7:00 a-:'I
:..'ill be mado th~ same day~ requests made afta' 7:00 am LJi7.Z. be made the nczt ;.J01"king day.
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SITE INSPECTION: To be l1l7de after
excavation~ but pnc1" te set up of
forms.
UNDERSLAB PLUMBING. ELECTRICAL ~
,MECHANICAL: To be made befo1"e any
/,JO,rk is ~ovcred.
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FOOTING & FOUNDATION, To be ".,de
after trortChes are excavated and
forms are ereeted~ but pnor to
. pouring ccncret~.
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UNDERGROUND PLUMBING, SEWER. W,1TE.~
DRAINAOE: To be made prior to rH-
J..ir.g trenches.
D. UNDERFWOR PW/.fBING & MECHANICAL,
, To be made pri01" to installation of
!tOO1" insuLation or decking.
O POST AND BEAM: To be made prior to
installation of floor inst:.Lation 01"
. decking.
O ROUGH PLUMBIllG. ELECTRTCAL & MECH-
ANICAL: No W01"k is to be cot:ered
,ur.til thcse inspections have beer.
made and approved.
O FIREPLACE: Prior to plaeir.g fac'ing
materials and before froming inspec-
tior..
fVI FRANING: Must be requeated after
lL:J app1"oval of rough plwrhing~ eleotI"i-
,cal & mechanical. All. roOfing
b1'Qcing a chimncys~ etc. nrJ.st be
:' completed. No work is to be CGn.-
...,....ceaLed until thiD inspection has
,~bG~? made and approved.
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Your City' Desigr.ated Job Number Io:
D INSULATION/VAPOR BARRIER INSPECTION,
To be made after aU insulation w.d
'. requi1"ed vapor barriers are in place
. . but befo1"e any lathJ gypsum boare 01"
wall covering is appZied~ and before
. ~y inJJulatian is coneealed,
~.x aRYWALL INSPECTION, To be made
after all ~lZ. is in pLace#
, but prior to any taping. .
O MASONRY,' Stee 1. location ~ 1x>>ul
beam3~ grouting or verticals in
accordance with U.B,C. Section
2415.
D
WOODSTOVE: After installation is
ecmpl.eted,
~($7
DEUOLITIOH OR ;~;OVED BUILDIHGS
~ Sani tary SeLle1" aapped ~t p~op~rt'~ tir.e
=:J Septi>) tank IT';'7ed and fiLZa~ t.Ji.th iF'a~BI
--, Pinal - ffhen above ito:lls are cO.'1rpletGd
~ and when demolition is compLete or stru~-
ture moved and premises cleaned up.
, }.lobi le Hemes
:::J Blocking and Sat-up
:::J Plumbing connections -- sewe1" and water
:::J Electrical Connection - Blocking~ set-up
arul plumbing conn9ctions nr....st CB approved
. before requesting elec:rical inspection
:=J Ac::essoP':i Building
--, FinaL - Aft~r> p~rcr.es~ s1drting~ decks~
-.J etc. are comple:ed.
D
All project conditions~ sue.': as the installation of street trees~ e~~Zation of the
requi1"ed la:ndscc.pir.g~ ctc,~ 11n4st be satisfied bcfoY's the BUILDING FINAL can bo request(td,
D FIliAL PWMBIIIG
D FIliAL MECHANICAL
D FINAL ELECTRICAL
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FINAL BUILDING: The 'Final Building Inspection must be requeDted after the Final Plumbing
ELectI"icaL~ and MechanicaL InspectionD havo been made and approvad.
D
CURB & APPROACH APRON: After' foms
(ll'e o1"e::ted but prior to pounng
concrete,
SIDEWALK & DRIVEWAY: For all con-
c1"ote paving within street I"ight-
of-wc.y~ to be made after all exca-
vating compLete & form W01"k & ~ub-
, base m:::tenal. "in pla::e. ,
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PENCE: Wher. compl~te -- Provide.
gates or movable seetions through
P.U.E. .
*ALL MANHOLES AND CLEANOUTS MUST BE ACCESSIBLE~ ADJUST!fENT TO BE MADE AT NO COST TO CITY I Page 1 of 2 I
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I Zone:
Lot Sq. Ft{;.
S or Lot Coverag<
fI of Stories
TotaL Height
Topography
/-
No.Y~D I trr;
.i:'-'--,,~_
SOLAR A~SS
Occupancu crop
WT TYPE .! .
Interior
Cornel'
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/c:? StP
ITEM SQ. FTG J X
Main
fJa:toaae I
I Carvort I
I ACa6SS0I'U I
GvL.L~E Q.. //;..> I
TOTAL VALUE
Is.a.c. (vat.uc)
1.5 x
Building Permit
State Sw'charge
TotaL Cha.~ges
lITEM I NO. FEE
I Fi.rtures
I ResidentiaL (1 bath) I
I Sani tary Sewer I
Wete!' I
I
Plumbing Pern:i t
State Surcr.arge
Total. Charaes
ITEM I NO'1 FEE
Res. So. fta.
I New/Extend Circuits I I
Temporary Service I I I
I I I
Ele~trical Permit I
State SUl'::oharQe I
TotaL Charc;es I
lITEM I NO'1 FEE
I Furnace ETU' S
I Exhaust Hood I I
I Vent Fan I I
I . I I
I Woodstove
I I
Pennit Issuance
MeahanicaZ Permit
State 5uraharae
Tntfll Chnrmm
I -- ENCROACHMENT --
I SeC"J.ri tu Dzoosi t
I Storage
I Maintena;n.;e
I Pe=it
I Tota l C'haroqC8
I Cur!!",,;
I SidewaLk
Fe~e
Electrical LabeZ
MobiZe Home
I TOTAL AMOI!IIT aUE:'
PanhandLe
Cut-de-sac
Value I
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CHARGE I
CHARGE
CHARGE
r-cge i6
REQ.-
L-COG~
.-
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Type/Cor.at:
Bedrooms:
, EnerGY Sources
Heat
I Lot Faces -
I
I P.L.
INorth
lEast
ISouth
IWest
TiJDe
Setbacks
House Caraqe
Access. .
Water Yeatl?T'
Range
Firev Zace
Wo0d3tove
Fees
Building Value & Permit
This perrrrit i3 granted on the express condition that the said construction
shall, in all respects, conform to the Ordinance adopted by the City of
Springfield, incZuding the Zoning CrcEnance, reguZating the construotion
and use of buildings, and may be suspended or revoked at cr:y time upon vio-
lation of any pravisions of said Ordinances.
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I PLan Check Fee' /b A. s-O I:l..
IVate Paid, d --<'5 fll .
IReceipt #: I tJ qqq
I Signed, r'tfJ /
Plumbing Permit
No person shall construct, instal!, alter or change any new or existing
plumbing or drainage system in whole or in part, unless such person is the
legal possessor of a valid plwnber's license, except that a pe:oson may do
plwnbing 1.JOrk to property which is owned, leased or operated by the appli-
cant.
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Electrical Permit
Where State La1.J requires t;..at the electrical 1.JOrk be done by an Electrical
Contractor, the electrical portion of this permit shall not be valid until
the label has been signed by the Electrical Contractor.
Meche nical Permit
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I HAVE CAREFULLY EXAMINED the completed appUcation for permit, and do
hereby certify that all ir;fo"I'77'ltltion hereon is true and correct, and I
further certify that any ar.d all I.JQrk perfor:ned shall be do:1e in ac::oor-
dance :uith the Ordinances of the City of Springfield, and th.;: La-..;s of tho
State of Oregan pertaining to the work described herein, end that NO OCCU-
PANCY will be tmde of any structure lJithou.t permission of the Suilding Di-
vision. I furthcT' certify that O:1ly contractors ar~ enplayeBs who are in
compliance with ORS 701.05S will be used on this project
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Date
03-7 -t'J
Signad