HomeMy WebLinkAboutPermit Building 1991-3-4
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.. RESIDEIIAL'"
APPLICATION 'RMIT
225 North 5th Street
Spr'ingfield, 01'egon 97177
lJ,d lding Division
726-3753
~Ob Loc"tion: ~ t=D\s\.,\t1m.a.J ~
:"O"DDor: ....1::. ), \ 15 0 ~ rJ5.;J \ ( '\ Tar wt U n \ ~ C{)
~diu;Sion:CJ.ryfJ r04 I!(\ q 1J. I1lLOcx:sl.
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a ~ Q f\ ~~ \ 'c>T Phone:
S~'\OL) ~ Zip:
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I .'!obile Hom{! f\ \f1 n \ c:: t'\/',O to
Date of t1pDUcaticn l")/ ,~\... -\ Value 0 lJ......J .J
211tr"~[(f~:;- _ ...'7) Aclclrp~~ Li~c. II Bldrs Iloard Re'o.
:ener"l t'\Jt 0n UL/
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4dd1>css:
~it!J:
llumbi.ng
lec(lanit.:al
f~~c..: (r i..!;a I
~1 PL' r;v!:!tt';,;r.lg, Elec t r.i cia n
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Siqr.ed:
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Date:
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Exp~{es
Phonp
rt is the responoibility of' the perrttit holder to Boe that, all inopections ~B mada at the propel" timc~ tJ:at each o:ddrS88 is readab!e !
rporn the atreet, and that the permit caPd is located at the front of the property.
1!i1d!di."t[/ {}..:vi::io"r: approl:ed plan s~ll remain on th2 8u~lding Sit;; at all times.
~~OCSnURF. FOR INSPECTION Rs.:OUEST:CALL 726-3769 (recorder) state youP City designated job numbel'~ job acdroc8B~ type j)f i1l3pea;icll
'cqucnJtcd Cl.':d when you 'wil.l be ready for in8pcation~ Contl'actors 01' CUneI's name and Fhone number. Requests received before 7:00 C":'J
'ill be made the same day~ requests made after 7:00 W1I will be lOO.de the next :.JOrkin.] ~I Din I /'\
YOUI' City DeGigr.ated Job Nwnbel' Ia: Y ~ V-/
tllmdr>{'d rn.<::T"lN.t1:r-;,}!'f
t.'J'n' IN,'iN:r",'~'JON: To be roode alter
CXCClV':lti,:m. bllt p1'icr to set up of
[:::wms.
UN[JF:R.r;[,A.'J PLUMBING. ELECTRlC.lL &
Nf:CH.,!:JJCM,: 'fa be rnade befoI'e any
IJOl'k is ;Jovel'ed.
11 FOO'rft'lC ~ FOWlD,1TICN: To be nr:zce
. alter' t.l'iIlI(:he:J art: excavated and
[m'm:; ,lJ'e erected~ but prior to
!,()lll'fllg Cerlal'ctS.
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!!;YO,'::RG.r?QlJ.'W p,r,w.I,'3rNC1 SSIIER. W.1TF:R,
!J:'(!!.!..:'!lll;f:: 1'0 bi! madc priol' to [i l-
111::.1 !.l'cIWhet;.
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I!N!'.~'.'.'.~'l.DOR PUJl!.'J['vC ,P, MEC!ftlNICAL:
:':,:7::;/.'/wi,-';-pr'i01' to ill:;taLlation of
j','."", [wHll(:t-LOrl 01' decking.
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i'I!::'/' M/l) m:/!.,'./: To be rr.adc prior to
;'-;:~'Jt:l-rl,lr ie/l of flool' insulation. or
"!,~G:: :'11:;.
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!(1)!I,':!l !'r.{!,'.'.l/I:'!C_ E'[,F:CTR!CA!. .~ UECfI-
-;U.Ij'~-::l!.:n- ::o-''..JOI'J: -ia to be eOL'cl'ed .
;;';.iSI-:':ir"~~;i! irwpeetior:s }Jave beer.
J~I:I;!/! ,md 'Qjpl.tlVe::!.
~~.~~}::J~:-.!:i'!:: l','1:01' to plccirJ] facing
':~,:i~':':'II:J ,lid be/ore fl'aming inspec-
t:",,:
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.('.','..1."!;'/,:.: .\'1/::/. he l'equeatccl after
:;[I~:-;;'.I-I'~~!. ,.'ll'OlIuJr plwr;billq~ ::lectri-
(:..d ::' "i.',:h'uli::al.. Ill!. l'Oofing
l'}'::,'I,I.l ,0: /'hinm'-:Y9. ct:!. 11f'.4st be
....:....~I'l..:...f. .1/" U.:"J1'k 1::; to he con-
.J,;.;'!,.,{ 1,1;1 i l. lJd-v "/.'_lwpcction 008
'lJr:'~': :.i,~ .JII,! (/flPl'OL'cd.
D INSULATION/VAPO.r? BARRIER INSPSCTION:
To be mads after all inBul~tion a~~
pcquil'ed vapor barl'ierB ar'e in place
'. but 1;'e[o1'e any ZathJ gypsum board 01"
U2l.Z covering is applied~ and befors
any inaulation io concealed.
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DRYWALL I/JSPECTTON: Tc be made
alter all dpYlJQLl is in pZace~
but prior to any taping.
MASONRY: Steel loeation. bond
b2ama~ grolltiU[J Ol' verticals in
ac:cordance LJith u. B. C. Section
2415.
WOODSTO'lE: After installation is
ccmpleud.
DEUOLITIO!J OR ;....OVED BUILDI,'JGS
:=J Sani tary Sf!'Jel' :!apped ::zt pT'OpC:1'~:i lir.e
'. '.' 11'10, 1.I",plll/.t~""I1'<'f',,"'';11 J ,IJ i ~.I. 1 ~
:=J Septi, tank p:u:rpcd and fiLled rJith g"",c!
::J Final - rlhen ab...--ve items are ccmpletcd
and uhen demolition is complete or struJ-
tUI'e moved and pl'o:mi3es cZe,':med up.
I Nobi le lIernet:
:=J Blocking and Set-up
:=J PZumbin:J. connections 8CLJ(!r and /Jater
---, Electrical Connection - 8lo,'king~ sct-up
--.l and plumbing connections nr.4~ t 1:e appr:n:ed
before requesting elec~l'ical ins?ee~io~
:=J ACCeBCOI"Y Sui lding
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Final - Aft;:r p~l'cr.es. skirti~g~ decks~
etc. are campleto:d.
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CURB ~ APPRCAClf APRON: Afte:, foms
al'e <!rectea but p,"iol' to pouring
concrete.
D SIV,r;:r'ALK ,f DRI('EIJ,U: Fol" all con-
crete paving uithin street right-
. of-rx.y.l to be made after all exca-
. ,. vating complete & form LX>l'k & t:ub-
ba:;;e material in ?Za::e.
O !:'ENCE: liTher: compl.:te -- Provide
gates' 01" movable Dcctiono througl;
P.U..E.
eM I Sfud\~
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All p,'o,icct condit.{ons. :;ueh all the ~'nstallation of stJ'cct tree:J~ "co..~pleti"n of' the
r.eqrtired land:wr.Pl:r.q. ck.. mtwt be natiDfied before the BOlLO/NC FINAL can be r2queat.zd.
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Fl!IAf. DUnnINC: TIle filial Ruilding Innpcction mt~st be rcqueoted after tlte Pinal Plwnbing
Elcctp-ical~ arul Mechnr:.i()l:l Inspectio1la have been made and appl"ov.:!d.
'flU. U:lt'.'I!Gf.r,': At/{) CU.'tH/{)IJ'r:: Ifll,'" m: ld.'Cf.'.';:;[[1[,F.', AD,IU.'JTW.'N'J'.._TO.Bl;.' f.f.~nF: AT 1.'0 r~5T TO CT'!'Y I r";l~:,'
-'1
of ::
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L -CU l:'
Nb.q\D\~lo SOLARaESS REQ.-
1 1'1 Q.- occuooM.. \L6
I wt Faces -
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I P.I"
INorth
lEast
IScuth
:r.'eat
Type/Cor.8t: ~I
I Acee"". 1
11
II I
l~
Watr.r .1/f'!atf!I'
Hal/go
firenlace
Wood;,;tot:e
JOB
Zone:
Lot Sq. Ft..
S ~f lot C~uerag:;
,f of stories
Total Height
Topography
I
I TTEII
1 "'ain
I SQ.FTG
Gc.1'ace
Car1JOrt
I AeeeMor. I
I~~~TA;':~
Is.D.c.
1.5 %
lOOl-UC)
Buildin!1 Permit
State Surch.:u>ge
TotaL Chargs8 "
I ITEII
Fi.r,tures-
/10.
ResidentiaL (1 bathl
I sanitary Sewer
I Wate'r
PLwnbing Pend t
State Surc1-.arge
Total Char-nes
liTEM . NO.' FEE
I R(!8. So. 'to.
IN~/Extend Circuita
I Tempora1'Y Service
I
Eleatrical Pe1'l7lit
State Surchar(1e
Total Charges
IITSM
I fUrnace !!TU' S
I f..;:hauat 1l00d.
I Vent Fan
III:>odnto;Je
roo
I
Penrn.t Issuance
Mechanical pennit
State surcharror-
Total CMraeD
__ E/lCROAC/lIIENT --
I SeC'.J.ri tu Daoo3it
I Storage
I f.{aintenan.:e
I PCrn/it
Total Chargas
I Curbcut
I SidewaLk
I {(,Plee
j Electrical
I Hobi le /lome
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Label
LOT TYPE
x
FEE
FEE
Interior
Corner
PanhandLe
Cut-de-sac
value.
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Sc:90"~
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1S~'
fJoFo
z.fT
5'?J.D r .
CHARGE
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CHARGE
CUARCE
R...dl'oomll:
Setback:J
1I0une. r.nraqe
I Enernll SO;Ir'CCS
I !{eat
I
'foWl!
Fees
Building Value & Permit
This permit io !Jl'anted on the e:x:pre'Ds condition that tlw fl:Ii.,j ,:,,,,::ll'ud.i.<.m
shaU, in all respect:J, conform to tile Ordinar:~e adopteJ by dl.; :"i lif ':1'
Springfield, including the Zlminq Crd:.nancc, regulatillrl the l:,)1J:i f /,11, ,( 1.,;/1
and uoe of building8; and m:ry be sunpended or revoked at G/:!I 1.::/,;,' lii',"1 /Jj,;-
lation o[ any provisions of said OrdilUlncen.
IPlan Clleek Fec:,-:2.':J ' ~~_____
Icate Paid: n... - ,0,- -en-
IRec<ipt II: ~"l 9'_ .._,_,_,
;SiO"d: H f)~ (l '7
Plumbing Permit
No percon Dhall construct, install, aZter or change any new Cl' r.:::i:ltl:ll!:
ptwnbing 01' drainage syote:n in whole or in part, ur:less such PCl'SOll i:J 0",.
legal possessor of a valid plumber's license, except that a pe....:;on ma;! ,i.l
plumbing work to property which is owned, teased or operated by U:r. l1FT1U-
cant.
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Electrical Permit
Where State LatJ req"uires thoat the electricaL work be done by Qll ELecLI'i<:lll.
Contractor, the electrical portion of thia permit. shall not be valid ulltil
the label has be-en Digned by the Electrical :::ontl'Qctor.
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Mechanical Permit
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JrW~
r~all ~t.ner
ua~/2 P/
I HAVE CAREFULLY EXAMINED the compLeted application [or permit, and do
hereby certify that all i~fo';"mO.tio" hereml is true and correct, and I
jUrther certify that any arA all work perfo~od shalt be do~e in accor-
dance with tha ordinances of the City of SprinGfietd. and the: Ltr..;a of tho
.4 Stato of Oreg.:," p:::rtaining to tIle work described herein, c,ui that NO OCC:J
PANel will be nn.:f.e of any structurJ IJithoOJ.t pa1'mio3ion of the Bllildi,lg Oi
tJision. I further certify th:1t o:1ly contractors and e:npl"yoc8 wl:o arc ill
co~ptiance with ORS 701.05~ wiLL be uBed on this project
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