HomeMy WebLinkAboutPermit Building 1986-10-27 (2)
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, Rcce,pt ~ ~{/"> (~10
.. RESlDeTlAL"
APPLICATION/PERMIT
225 North 5th Street
SpringfieZd, Oregon 97477
BuiZding Division
726-3753
SPRINGFIELD
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Job Location:
5~w ~ -q-~'CA.J
I~ b ~ OLj d I (J
02Jo eS()
ABoeS80rs Map #
I Subdivision:
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L""., 2'"7 L'-~ORA
Tax Lot #
E""57A'r'''''''S
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CUneI':
Address:
5.;l.&9,
I City:
,
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! n N",
I f7q Addi ticn
I n Remodel
'In
!.!obiZe 80me
!
Date of Application
!O"20~g'h
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Contractors
Genel'al I- r IYI i
Plumbing
Electrical
MllChar.ic.::.1
Construction tende,.
Pr.on.e:
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Sigr.ed:
Date:
Em:;./ I / '" f}
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Phone
t(5 7- .};;?:<
1199
zip:
DeSCrib~ rll:: J Y
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V~lue 13/ tzJO
Address
Lise. #
J05'KC;-
It; is ths respont.tibitity of the permit holder to see that alt inDpectionB are r:lade at the proper timf;~ that .each ~eB8 is l'eadabZB
from the street, and that the permit card is Zocated at the front of the property.
.Bui!ding Divi=ior: approved plan shall. remain on th:; Building Sits at all times.
PROCEDURE FOR INSPECTION Rs.aUEST:CALL 726-3769 (recorder) state your City designated job mo;;be-r~ job adi.ress~ type of in::pee-:icn
roquested a~~ when you wi~l be ready for inspcetion3 Contractors or OWners ~e end phone number. Requests received before 7:00 ~
l..'iZl be made the same daY3 requests made after 7:00 am r.Jill btZ made the next :JOrking day.
Rp.(N-i~.lui T7'jPT?&>'1f:.1:r.n.Q
O SITE INSPECTION: To be made after
excavation3 but prior to set up of
forms.
O : UNDERSLA8 PLUMBING. ELECTRICAL &
. /1ECHAiIICAL: To be made before any
. work is covered.
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FOOTING & FOUNDATION: To be rrruie
after trenches are excavated and
forms are erected3 but prior to
. pouring ccncret.z.
UNDERGROUND PLUMBING~ SEWER. WATER,
DRAINAGE: To be made prior to fi~-
J-ir.g trenches.
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UNDERFWOR PLU/.fBING & MECHANICAL:
To be made prior to installation of
floor insuLation or decking.
POST AND BEAN: To be made pl'iOl' to
installation of floor insuLation or
deakiTl{;,
O ROUGH PLUMBING. ELECTRICAL & MECH-
ANICAL: No :.JOrk is to be c01..'ered
.until thcse inspections have beer.
made and approve'::. .
O FIREPLACE: Prior to plaeir.g facing'
materia~8 and before framing inspec-
tior:;;,
r\/l FRAl1ING.' Must be requested after
~ approval of rough plwr.bing~ electri-
.cal & mechanical. All. roofing
bI'acnng & chimn.cys~ etc::. nr.J.st be
: completed. 110 work is to be con-
,-"',cealed until thin inspection has
~be~n made and approved.
o
Your City Desigr.ated Job NumbSI' Ie:
O INSULATION/VAPOR BARRIER INSPECTION:
To be made after all insul::.ti:m WA
.. re.quired vapor barriers are in p l.aee
. . but before any l.ath~ gypswn board or
wall covering is applied3 and before
. any irwulation is eoncealed.
O DRYWALL INSPECTION: To be made
after all dPywaU is in place~
, but prior to any taping.
O. MASONRY, Steel loeation3 bona
beams~ grouting or verticals in
accordance r.Jith U.B.C. Section
2415.
O WOODSTOVE: After installation is
ccmpleted. .
o
CURB & APPROACH APRON: Afte~ forms
are erected but prior to pouring
conc::rete.
SIDEWALK & DRIVEWAY: FOI' aU con-
crete paving within street right-
.of-waY3 to be made after aU exca-
vating oomplete & form WOI'k & sub-
base mateI'ial in plac::e. '
<? G to ? 5 c./-
. DE,'.fOLITION OR nOVED BUILDIilGS
~ Sani-:ary sewer :!crpped at v:.OPC-I't'd lir.e
~ Septic:: tank F~~ed and fitle~ with gra~et
I Fina.l - rl'hen ~~e i~e"':'fB are co..rrpleted .....
-..-J and when demol~~~r. ~s complete or st~_-
ture moved and premises cl~aned up.
Nobile Hcmes
:::J Blocking a7Ui Set-up
:::J Plumbing connections seweI' and Wa-:er
:::J Electrical Connection - Blocking3 set-up
and plumbing connections rrr..:.st ce approv6d
. before requesting elee-:rioal in8pee-:io~
~ Acoesso1"'d Building
--, Final - Aftar pOl'cr.es~ skirting~ decks3
.--J etc. are comple-:~d.
o
All project conditions3 suohas the installation of street tl'ees~ c~~lction of the
/required landscapir.g~ ctC'3 must be satisfied before ~he BUILDING FINAL can be requesttZd.
FINAL BUILDING: The Final Building Inspection must berequefJted alter the Final Plumbing
Eleetrical~ and Meehar.ical InspeetionD have been made and app-roved.
o FIliAL PLUMBING
o FINAL MECHANICAL
o FINAL ELECTRICAL
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(2)
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"'ALL MANHOLES AND CLEANOUTS HUST BE ACCESSIBLE~ ADJUST!!ENT TO BE /.fA.DE AT NO C[)ST TO CITY Par.=e 1 of 2
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PENCE: When compl.zte -- Provide.
gates or movable 8e~tions through
P,U,E.
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I JOB NOQ'(eO list!
Zone:
Lot Sq. Ftg.
S of l.ot Coverage
fI of Stories
TotaZ Height
Topography
_ SOLAR A.i.: E S S
OccuvancT! C. .-
LOT TIPE
lITEM I SQ.FTG X
lJ.bin
lGa:i'aae
I Carvort I tia;>'1'
IAcces80Ml I
I
TOTAL VALUE
{vat.uc;
',S,D,C. 1.5 x"
Building Permit
State Surcharge
Total Cha........gea
ITEM
I Fixt:u.res
I ResidentiaZ (1 bath)
ISanitaPy SeUlel"
I
'I
I
Water
PZumbing Pemi t
State SUI'cr.arge
Total Charaes
lITEM
Res. So. fto.
New/Extend Circuits
I Temporary Service I
I L
Ele~tricaZ Permit
State Sup~ha:rqe
Total Charc:es
lITEM
Furnace ETU' S
Exhaust Hood
Vent Fan
11I00dsttrJe
,
Permit Issuance
Mechanica l Pem t
State Surcharae
TDta l CharOiUJ
i -- ENCROACHMENT --
I SeC'".J.M.ty DepOsit
I Storage
I Main ten.anoe
I Pernri t
I Total Charoqos
I CW'baut
I sidewZk
Fen::e
Electrical Label
I Mobile Home
I TOTAL AMOU/IT DUE,'
NO. I
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I.NO. I FEE
NO. FEE
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Building Value
This permit i3 granted on the express condition that the sdii construction
shall, in all respcats, conform to the Ordinance adopted by the City of
I-:?a::>o: ~ I Springfield, incZuding the Zoning Ordinance, regul-ating the ccnstructicn
I' , . 1.....- and use of buildings, and may be suspended or revoked at cny time upon vic-
/ Zation of any provisions of said Ordinances. '
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I '9f? 5"0 II ';)j
/ . 5''Ilj/
'10 , 0 'I I.
Interior
Cornel"
Panhandle
Cul--de-sac
I,
Value
FEE
CHARGE
CHARGE
CIIARGE
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tfo 67/
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REQ.-
l-cod'O.'
.
Type/Cor.at:
BedPooms:
I Enerqp Scr.aoces
Heat
Water Yp-atf'1'
Range
Fire'place
Wooda tove
Tl.toe
I Lot Faces -
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P.L,
North
East
South
West
Fees
Setbacks
'House l Garage
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II
II
I Access.
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&
Pe r m i t
{fj.
INan Check Fee: ,;;25. 03
110 - "2-0 ~y; b
IlIeodpt n, 8m!;
cc..
Permit
I Date Paid,
I Signed,
Plumbing
No person shall construct, install, aZter or change any new or e=isting
pl-umbing or drainage system in ~hole or in part, unless such person is the
legal possessor of a val-id plumber's license, except that a pe~son may do
pl~bing work to property which is owned, leased or operated py the appLi-
aant. .
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Electrical Permit
Where State LauJ requires tr.at the eLectricaL work be done by an EZe{!tricaZ
Contractor, the eZectricaZ portion of this permit shaU not be vaZU until
the Zabel. has been signed by the Electrical Contractor.
Mechanical Permit
~~~""",..d? 1<P.2V~.c:-.
')I; ~ner t... 7~/ bace
I HA VE CAREFULLY EXANINED the camp leted app l ication for pe1'l1Ti t, and do
hereby certify that all information hereon is true and correct, and I
further certify that any ar.d aU work performed shall be done in accor-
dance -with the Ordinances of the city of Springfic7.d, and th~ La-..;s of tho
State of Oregon pertaining to the !.X:'rk describcd herein, c:nd that NO OCCU-
PANCY u>iLZ be rmde of any structU1'e without permission of the Building Di-
vision. I further certify that only contractors ar.d e:nployees who are in
ca~pl.iance with ORS 701.055 will be used on this project
\.r;/[I,I'1
(0 ~20 ~2b
Date