HomeMy WebLinkAboutPermit Building 1984-10-2
";';:'RESIfa.JTIAL ..
A'pPLIC~NipERMIT
225 North 5th Street:
,'SpringfieZd, Oregon 97477
BuiZding Division
726-3753
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ASoeBGOrS Map H\?-, ffi \i"21 rz... \ (j T= Lot H lO\' Co \
Subdivision: \\ C '\{J:\ '\7 ,J \.~ \. ~\ <:..
Job Location:
ctmer.~~ ~ \'\\~\ l- \-\\U'f\l.p 0 N..
Address: ~ \ 0 \1\ ~ ~~ Q .N'\ ~p,:one: \:J
City: (\ \-n ~'S, 'T\.~ ~ (\\\+~ r.~iP: G.c)Lo I ()
(~ J
f0'lliJ'
n Addition
n Remodel
n .'Jobi l8 Home
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9-/ /"'.BY
Date of Application
t:ontractol'S
GeneraL 11M 'A/I\Lre
PLumbing
Electrical.
Mechanical.
ConstJ"'Ucticm icnder
Describe rl'ork:
~?"o
,
Rcce:pt .il
-
Sigr.ed:
Data:
Lise. H
E::Pi1'8S
PhonE!
?47-9t:.f::?
VaLue 7.7. t) 1'3. '7eJ
Address
It is the responaibitity of the :permit holder to S8e that all. irwpections are made at the proper time, that each .:&:!re8s is readaC7..e
fl"Ol'll the street, and that the permit card is tocated at the fPCmt of the property.
.4BuiUing rr;vi:;w'!': appl'ot.'ed F~ shall remain on thE Building Site at all times.
.PROCEDURE FOR INSPECTION RE'QUEST:CALL 726-3769 (recorder) state your City designated job nur;;ber~ job adCre8s~ type of in3pec-;icn
requested ar.d w.":en you will 'be r'eady for' inspcction~ Contractors or OLmers ncme end phone nW!lhcr. Requests r'eceived hefore 7:00 c:.'7
;.~z.z be made t,h€ same day~ roquette made a~.t€J" 7~OO ,am wilt be made the next :JO~king. day. \.
I " Your City DeGigr.ated Job Numba IG: AU () I d ()( )
Qbll1t.::,,~.J T"<:'1"~~"'_,;""q
i v1" 2'ft INSPEC':'ION: To be rtKlde after
excavation~ but pPior to set up of
. ~~s. '
, 0 " UNDERSLAB PLUMBING. ELECTRiCAL &
MECHtl.NICAL: To be made before any
work is ~ovcred.
~TING & FOUNDATION: To b9 rrruie
L::J after trenches are excavated and
" forms are erected, but prior to
pouring ccncret~. 1
~RGROUND Pl.UMBING; SEWER'; W.1TE.~
~ D.:AINAGE: To be rrade priori to fil-
i ,l.1.7'.g trenches. I
~. .qPWOR PWI,!BING & MECHANICAL:
" " be made prior to insta l l.ation of
; loor insulation or decking.' "."
'r1 ~AND BEAM: To be rode prior to
,~i~;ta'Uation of floor insulation 01'
; decking. :
ir--l ~!BnJG_ ET..ECTRICAr.' I: UECH-
;~ ANICAL: No work is to be covered
; ,until these inspections have beer.
made and approved. 1 .
O FIREPLACE: Prior to plccir.g facing
materials and before framing inspec-
tion.
Must be requeDted lafter
approval of rough plwr.bing, 'electri_
.ca1.. & mechanical. All roofing
"bracing & chimncys~ et~. nr..l~t be
:'complotcd. No work is to be CDn-
....,...:cealed until thia inspection has
. ""~ bee.n made and approved. :
~ PLUMBIllG
~<E~HA:IICAL
'~CTHICAL
nI~TION/VAPOR BARHIER INSP:XTIOil:
l..:::::fTo be made after aU insulati::m o:'.d
". required vapor barriers are in place
" . but before any lath~ gypsum boan:! or
wz.z covering is applied~ and befor8
any inauZ.a.tion is concealed.
n ~ INSPECTION: Tc be made
L::::::J after all drywaU is in place~
" but prior to any taping.
O MASONRY: Steel. tocation~ bona.
beam:J~ grouting or verticals in
accordance with U.B.C. Section
2415.
O WOODSTOVE: After installation is
ccrrrplet~d.
r--1 ~PROACH AP.'!ON: After' forms
G::::r'~~'" c;e';ted but prior to pouPing
aon::re te.
. n ~ DRIVEWAY: For all ~on-
~ crete paving within street right-
of-way~ to be made after all exca-
vating comptete & form work & sub-
base material in place.
D
FENCE: When complete -- Provide'
gates 01' movable sections through
P,U.E, '
- DEl.'OLITIO!.' OR ;~,'OVE!:i BUILDIi,1GS
~ Sani -:ary sever :::apped ~t p:.op.:rty tir.e
~ Septi:: tank p~ed and filla~ with GT'a:.:eZ
--, Pinal - rl'hen above items are cO:7rplet~d
---1 and when demolition is complete 01' 8tru~-
~"e moved and pr~3eB cleaned up. .
I Nobile Homes
=:J Blocking a7Ui S8t-~p
=:J Plumbing connections s~er and water
---, Electrical Connection - BZ.ocking~_BBt-up
--.J and plumbing connections m"..:st ce"'approvec.
. before requesting electrical inspec-:ion
=:J Ac::essory Building
---, Final - IIftCJr p..,rcr..es~ skirting~ decks~
~ etc. are completed.
o
All project conditions~ such as the installation of street trees, co~lation of the
required landscaping, etc. ~ must be satisfied before the BUILDINC FINAL can be raquestad.
AL BUILDINC: The Final Building Inspection must be requeGted after the Pinal PZumbina
Electrical, and Mechar.ical Inspections have been made and approved.
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*ALL1 UANHCLES AND CLEAt/OUTS !IUET BE ACCESSIBLE, ADJUST.'fE,'/T TO BE :.~1DE AT rlO C~ST TO CITY Page! of ~__ J
!Z~~:B ~~'LXW()l DI0,~CU:::G:J;~';EQ,-
I Lot Sq, Ft;;. 3(pU()
i z ~f Lot CJlJerag< ?. ~ Cj""
i ,1 of Stories 7-
I Total Height ? r 0
I Topography ()-'5
I
IITE:M
IMain
lGc::t'acB
I CarvOl't;
IAceessol'u
, SQ.FTG
"2~~
~39
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IS,D.C,
TOTA& VAWE:
(Vat.u.cl
1.5 z
Building Permit
State Surcharge
Total Cha......ges
IITE:M
IFi:.r:tures
lid'
I Res entuzl
(1 bath)
I Sanitary Sewer'
I Wctel'"
b~,,~~~ \
Plwnbing p.,.",,: t
State Surcr.arge
Total Charaes
IITE:M
I Res. So. fta.~
IN~/EXtend Cil'cuits
I Temporary Service
I
Eleatrical Permit
State Suraharqe
Total Cha:rC8S
ITSM
LOT TYPE:
-L Interie1"
Cornel'
Panhandle
Cut-de-sac
x
;;l~<a..,l.,
53~-!
I
~5': ~
/d.-
'7~/'j. ;ll'
IN.'!,
, 12/. $l:I I
~.S61
1<s:s~l.
NO.
FE:E:
CHARGE:
\
"2~-
\f2..~
\07"
0.00
\",EO
'0
\?. '2D
J NO. I FEE
, 1-:l,5.-
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I ClIARCE:
I 7., oc::>
r?V5
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I C., ."10
I '2.~
I '1.0'2..
CHARGE
\'l\,~
\
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~,co
I ?~.~O
I NO, I
FEE
P/a"n:zce PTU' S \
E=haus t Hood
I Vent Fan ~~
I '
I Woodsto;;e
Permit Issuance
Mechanic::l Permi t
State Surcharae
7'otal Charap.G
I -- E:IICROACHI,fE:NT --
I Ssc-.aoit7.; D2POsit
I Storage
I Ma.int~e
Parmi t
Total CharoGa8
I Ourbcut
I side1Jalk
I Fen::e
I EZectnca I
I
l Mobile Home
Q,q'
Label
l TOTAL AMOUNT DUE:"
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~.'1'l.
::.:....:r.:
P.&.
r10rth
L-COC';:'
T;;pe/Cor.st: \J & Bedrooms: \
<:<'t ~'"' I r E:nar" Sourceso
Setoock. I I HeatH r.:,\
House' .. Caraqe Access. 1 j Hater .t/p.atp.1" ~I ~
~q I i Ratlf'e .
~' I 11 FireDlace r\~'k)~
\ f..'N' I I Woodctove
~' II.
\
I Lot Faces -
I
':';;~e
East
,South
IWest
Faes
Building Value &
Permit
This permit ia granted on the express condition that the said construction
shall, in all respects, conform to the Ordinance adopted by the City of
Springfield, inc!uding the Zoning C'rd~nance, regulatil".g the construction
and uae of buildings, and may be sUGpended or revoked at cr.y time upon vio-
lation of any provisions of said Ordinances. .
IY.::>r8; /J,;qt./<,4;7-'YY .c:r~F/ES ~
~ 11';/< A ;::..~S,
.
PLon Check Fee: (f? /. 00
Cj- ITJ_nU
Recdpt #: 11'\,-~t)1 riLl
I Signed: <"1J,./YLJ
Plumbing Permit
Date Paid:
No person ahall construct.. instal!, alter 01' change any new or e:::isting
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 person may do
plumbing work to property which is cn.med, leased or operated by the appli-
cant.
Electrical
Permi t
Where State LaJ..J requires tr.at the electrical l.JOrk be done by an Ele~trical
Contractor, the electrical portion of this permit shall roOt be valid until
the Zabel has been signed by the Electrical Contractor.
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Mechanical
Permit
,
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P7.an. ~ner
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I HAVE CAREFULLY EXANINED the completed application for permit, and do
hereby certify that aU ir:foromation hereon is true and correct, and I
f'..trther certify .that any and all work pel'fomled shall be done in accor-
dance with the Ordinances of the City of Springfield, and tho; La-.JS of tha
State of Ol'eg~n p~rtaining to the uork described herein, and that NO OCCU-
PANCY will be rmde of any structure L>ithout parnrission of the Building Di-
vision. I further' certif:! that only contra~tors ar.d e.'11pl"yees who are in
compliance with ORS 701.0SE will be used on this project
Signed
Date