HomeMy WebLinkAboutPermit Building 1990-5-1
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APPLICATION/PERI1IT
225 North 5th Street
SpringfieZd, Oregon 97477
BuiZding Division
726-3753
II J-O fat'ru'/tJt.Jf;-Jt6o; Sprilljkef)) j Dr. CJ1V71
6 nO 1 ;),:7 .~ I 1 ()bhOO Taz Lot H OO(ofXJ
fu~(,VIe.AJ ~n&(oe.. L-kvru, YJark..
Job Location:
Assessors Map
Subdivision:
(}.mer: /-leu leDJ. ~. Slntlt, ~ Dartin T.
Address: 1./7 f S. II.( IJl7fn ()(}/i .IB
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M flJt1vJ'l bait, Dr
t ~ Describe f.'ork: .....
Sef.. IIf mObi/e home ill fttirllfe.w k-
JI106i/-e IIoIhe pqr!( Q.lil A;ol v( WA ..1
~wer fU\J eftelric" (,qlSo d(ji-h,,~o/;//bt7I1M
, fh,/flL. wilt Iu Se{fl'l 'b/oJq([tnz.lld)!/1J. '
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:.'ont;I'actoI'S Address Lise. #
General ~ntt''-<.)oM Mohi/, 1+aoY ~U 4~1il!Prft.y L~ F'I:L!i1..,1
Plumbing ..'l,e/f JOr ~"''Io1-
EZeetrica l S ~ l.f
Nechar.ic::.t
C~natruction Lender
City:
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11t:J1,'
Addition
Remodel
,'!obi Ie Hom;J
Date of Application
Wetr
. Phone: ()'o3) '83g~V310
'1'7'3G(
Zip:
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. Rece'pt < /G., /t)
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Sigr:ed:
Date:
Eroit'{]s
Pho'f'ltz
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It is the responoibiUty of the permit hoZder> to see that all. inapections a:t'e made at the proper time, that. each ~ess is readaDi.e
f1"Ol'lJ the street, and that the permit card is 'Located at the front of the propert;y.
-Bui!.ding rr;vi::w'!':. approved pLan shc.z.z remain on tha Building Sits at all times.
PROCEDURE FOR INSPECTION REQUEST:CALL 726-3769 (recorder) state your City desig7'.ated job nur.:beI', job aC.Crcss, type of ir.3pec-;icn
requested ar~ w~en you will be ready for inspection, Contractors or Owners r~e ~nd phone nw~cr. Reques:s received befere 7:00 ~
~~H be nude the s~e dey. requests madeafta :: ::::c::::: ::: ::::~"" dey'q!) nt;33
q~nuir~n Tn~~~~tir.~~
0, SITE INSPSC':'ION: To be made after
excavation, but prior to set up of
forms~
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UNDERSLAB ?LUMBING, ELECTRIC,1L &
l-!ECHA:iIC:"L: To be made before any
work is covered.
o
FOOTING ~ FOUNDATION: To be made
after trencnes are excavated and
forms are erected, but prior to
pourir.g concretc;..
VNDSRG.f?OU!!D PLU!.f13ING. SSWER. W.1TER.
DRAINAGE: To be made prior to fil-
.lir.g trenches.
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UlJDERFLOO,~ PLu.'-.'3L'!G & MECHANICAL:
To be made prior to inatalLation of
11001' insu~tion or decking.
POST AND BEAM: To be made pl'iol' to
installation of [loop ins~Latior. or
deaki"f; ,
ROUGH ?LU!~BI]lG. Pr.ECTRICAT. & MECH-
ANICAL: No :JOl'k is to be cOL'el'ed
,ur.tiL these inspections have beer:
made ar.d cpprove.:i.
FI.~EPLACE: Prior to plc..cir.g feeing
materials and before framing inspec-
tier:.
Fl?A}!ING: Must be requeated after
approv~l of rough plwrhing, 2Zectri-
eal & mecr.anical. AU roofing
bracing t chimneys, etc. nr~st be
;'completcd, !lo f.X)rk is to be con-
"" cec.led until this inspection has
. be~n mad~ and approved.
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O INSULATION/VAPOR BARRIER INSPECTION:
To be made after all insulatian ~.d
" required vapor carriers are in place
. . but before any t.ath, gypswn bcard or
LXIll covering is applied, and before
any insuLation is concealed.
DRYWALL I!lSPECTION: To be made
after all. dYywall. is in place,
but prior to any taping.
O J:!ASONRY: S:~el locatio~, bon~
DeaJn3, grou_1-ng or vert1-cals 1-n
accordance uith V.B.C. Section
241E.
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WOODSTOVE: After ~nstaz.zation is
ccmpleted.
DE,'.fJLITIO:"} OR ;~:OVE] B~'ILDI".'CS
=:J Sarti :ar:J se'..Je1' ~apped ~t ~op;;rt":i line
~ Septi~ tank p~~ed ar~ fiZl~~ uith gra~~Z
--, Pinal - f{hen abcve ite.i1s are completed
~ ar.d when d~oiitior. is complete or st~~-
ture moved and pr~ses ~leaned up.
I Nobile Hernes
~ ~ Blocking and Set-u.p
; ~ Plumbing connections -- S<::lJe!' and water
~Elcctrical Connection - Blocking, set-up
.~and plumbing conr:ections nr~st te apprQved
before request~ng electrical inspec:io~
~ Ac~esso1"d BuiZding ,lcWN/,c)i!,
'\7f Final - Aft;;r p:Jrcr.es,
~eta. are comp'Le:;;d.
sk~rting, decks,
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CURB & APPROACH AP.ruJN: After' foms
are el'ected bu t prior to pouring
concrete.
SIDEWALK & DRIVEWAY: For all con-
crete paving within street right-
of-lJey, to be made after all e:cca-
vating complete & form work & sub-
base material in plaae.
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AU pr'oject conditions, such ~s the '%'.nstal'La&~~f.~treet tre~e'),,4Q~'OSiqn~of..t;w~. "'\'~t.
required landscc:pir:g, etc. J must be satisjica-bcfS-lif'o the BUILDING FINAL can be request:zd.
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FINAL BUILDING: The Final Building Inspec:f.O?11tlU.ft be requeated after the Fi~W.~ng
Electrica'L, and Mechar:ica'L Inspectiona have been 'made and approved. . -... ...
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FIliAL PLWlJIIIG
FIliAL MEcHANICAL
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FINAL ELECTRICAL
D
PENCE: Wher: complGte -- Provide.
gates or movable sections through
P.U,E.
-ALL MANHOLES AND CLEANOUTS MUST BE ACCESSIBLE, ADJUST!fENT TO' BE M/IDE I'.T /.'0 C:JST TO CT'1'Y I P:lge :! of 2
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JO B NO.
-. .',
; Zone:
..", "\'J
!Lot Sq. Ft;.
i~ of lot Coverag<
:# of Stories
:'1
:TotaZ Height
,
! Topogr::;;hy
lITE:.!
IMain
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! Ga:/'act'!
! Car>ocr::
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I AcC'essor:J
I SQ.F''!'G
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TOTAL VALUE
Is.D.c.
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IUc.I.UC)
1.5 :r
Building Permit
State Surcn.:rrre
Total Cha.....ges
ITEI-!
Fi:::t:ures
ResUier:tiaZ (1 ba.th)
ScmitaTY Sewer
f:]iLH
Plumbing Per6. t
State Surcr.arpe
Tota! Chcraes
;~"E,'.!
RtJ.<:. Sc. ftc.
llGL'J/r;o...t.end CirC'.ii ts
t T1f1alrrvice
EZe~trical Pe~it
St::.te Swo:iharae
Total Cha:l'ces
;T2',!
Purr..::u:e ETU'S
E::haus t Hood
~'ent Fan
iloodsto:JC
Permit I$su..::mc~
Me:::hanic:;l Pel'mi t
State Surchcl'GC
Tcrtc.Z Ch.arapt':
~tT, ~i...~,'..'E.'!T --
Se~.iritu Deposit
3torapc
"~aintcnar~c
?crmit
Total ChaT'ocs
:'urbC".i:
'3idewaZk
';'('n:::e
"""ed~<< La~~S-"
"obi!. e:",. SET "IV
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SOLAR ACCESS
Oc~r;ancu Gl'O"..I.
LeT TYPE
Interior
Corner
Panhandle
Cul-de-sac
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Value
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Cf-:AF.CE
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FEE
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REQ.-
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I I Enaro:J Sources
I I Heat
I I Water Hrwtr''!'
I I Hallpe
J I Fireplace
I i Wooao<ove
II
T~pe/Cor.st:
Bedroor.:s:
I Lot Faces -
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lfIorth
lEast
IS""th
IWest
T:;:'le
Setback.,;
I House I Cara(1c
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Building Value & Permit
This permit iG granted on the express condition that the said construction
shall, in aZI respects, conform to the Ordinance adopted by the City of
Springfield, incZuding the Zoning ~dinancc, regulating the ccnstr~~ticn
and use of buildings, and m~y be suspended or revoked at any time upon vie-
lation of any provisions of said Ordinances.
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I Plan Check
Date Paid:
IR~cdPt #:
S'/..gr:ed:
Fee:
Plumbing Permit
No per~on Ghall construct, instalL, atter or change any new cr e=isting
plumbing 01' drainage system in ~hole or in part, unless such parGon is the
legal possessor of a valid plumber's license, except tr~t a pe~son ~ay do
plumbing work to proper~1 which is owned, leased or operated by the appli-
cant.
Electrical Permi t
Where State Law reauires tr~t the electrical work be done by an EZe~trical
Contractor, the eZec~rical ~ortion of this pe~it shall not be vaZid until
the label has been :;igned by the Elecr;ricaz" Contractor.
Mechanical Permit
,
Plan Exam'/..nel'
uate
I HAVE CAREFULLY EXANINED the completed application for permit, and do
hereby certify that all i~fo~~tion hereon is true and correct, and I
further certify that any ar.d all work per/oM/cd shall be dO:1e in ac::or-
dance ~th the Ordinance:; of the City of Springfield, and tn: ~~s of the
State of Oreg~n pzrtaining to the work described herein, and that NO OCCU-
PANCY urill be rrade of any otructUl'.t L)itho~t parmis3io~ of t1lC Building Di-
vision. I further certify that o~ly contra::tors ~-~ enpl~yec8 who are in
c~pliance with ORS 701.05~ will be used on this project
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CITY OF SPRINGFIELD
City Hall
Springfield, Oregon
Development Services
OFFICIAL RECEIPT
16910
Date
c;- /
19
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Rec'd From //7 L==-;+lcKH r. J'P71f}-f
Address 4? I \, /-J?/ool /1-11)\4 71-1- f~
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Received For: /l:Jt//v/,.; /I?,""-7,z;:~]-T-',/J
P{..~/1'I/- (<) //2D f?n/?t)/L~_)
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'1. ~~.., ,7.r
elL;t. )-75 - 7 -
Amount Received' ," -;2.. - j 4- / /. 7_ ,.J.,
JJ~J?I~
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AUTHORIZED SIGNATURE
Fnndler BI./SINESS FOflMS.INC IS031~2-'U'
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