HomeMy WebLinkAboutPermit Building 1986-3-26
.. RESIDITIAL"
APPLICATION/PERMIT
225 North 5th Street
SpI'ingfieZd. Oregon 97477
BuiZding Division
726-3753
Job Location:
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ABGe8BOrS Map
Subdivision:
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Ta::: Lot N (X)/ () 0
Q.mel": (7 ,eI JJ ;') / ""'-S; (' A Kt:!:"J"2...S,
Address: //?,8 k"€LLY 6U/D Pr.one:
City: ;5~/21 AI 6 tC, a...d c>/2c:.. Zip:
Describe f.1ork:
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Addi ticn
Remodel
l-!obi Ie Home
Date of AppLicaticn
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General
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Addres3/3C/o 1.AJ7e1UOrL
. Receipt N 5U,I 1-.("
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Sigr.ed:
Date:
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Lisa.li
E:r;)ires
Phone
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PLumbing
Electrical
Meohar.ic::l
COnst""CtiOM Lende!"
It i8 t1ul 1"f18ptmnbility of the permit holder to eee that an iMpections arB made at the proper timE.. tr.at 2aCh .::ddre88 is readabZ-e
from ths street. and that ths permi t ca3'd is l.ccated at the front of the property.
~BuiZding Divioior. trppI'OJ:ed pl.an shal.l. remain on th2 Building .SittZ at all times.
PROCEDlJPE FOR IN.~Pl!;r;TION RE,!UEST:CALL 726-3769 (rce~rder) state your City designated job numbe1"~ job address~ type of in3pec~icn
requested a~~ when you will. be ready for inspection, Contractors or OWne~s name and phone number. Requests received befare 7:00 ~
...'il.l. be made the same daYI requests made aftao 7:00 am tJiz.z. be made the next :.;orking day.
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O SITE INSPEC':'ION: To be mde after
e.xcavation~ but prior to set up of
. forms.
D. UllDERSLAB PLUMBING. ELECTRICAL &
: MECHANICAL: To be made before any
wrk is ~ovcred.
o
FOOTING & FOUND,1TION: To be m::uie
after trenches are e.rcavated and
forms CU'e erected, but prior to
pouring ccncret.z.
UND'SRGROUND PLUMBING; SEWER. W.1TE.rr,
DRAINAGE: To be TTa::ie prior to fiL-
J.ir.g trenahes.
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UNDF:BFLOOR PLUI~nIG & /.IF:CHANICAL,
To be made prior to inatallation of
fioor insulation or deaking.
POST AND BEAM: To be made prior to
installation of floor inst.:Zation or
decki7l{j .
ROUCH PLCP.$I!!G. ET..ECTRICAL & MECH-
ANICAL: No work is to be covered
.w:til. these inspections have beer.
made and approved.
FI.~EPLACE: Prior to placir.g facing
materials and before framing inspec-
tier..
I f1.- FRAHINC: Must be requested after
~ approval. of rou.gh pl.wr.bing~ 2l.ectroi-
ool & mechanical.. Al.Z. rOOfing
bracing ~ chimncys~ et~. nr.lst be
;' completed. !lo wrk is to be CQn-
.~-ceGled until this inspection has
:' be~ made and approved.
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Your City Desigr.ated Job Numba' Is:
O INSULATION/VAPOR BARRIER INSPECTION:
To be made after aZl. insulati.?n cr.d
'. required vapor barriers are in place
. . but before any lath, gypsum board or
t.);7tz. covering is appl.ied~ and before
. any iTl3ulation is conceal.ed.
O DRYWALL INSPECTION: Tc be made
after aU drywall. is in placel
. but prior to any taping. . .
O MASONRY: Steel. loaation, bona
beam3~ grouting or verticals in
accordance uith U.B.C. Section
2415.
O WOODSTOVE: After instalZa."tion is
completed.
o
CURB & APPROACH APRON: Afte,:, forms
are erected but prior to pouring
co7U'rete.
SIDEWALK & DRIl'EWAY: For all con-
crete paving within street ~ght-
o!-fX.YI to be made after all exca-
vating ccmplete & form IJOrk & .sub-
base materia l in p Zaae.
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I DEffDLITION OR nOVE:; BUILDI,7CS
~ Sanitary seuer capped :::.t ~opcrt"~ l.ir.e
. =:J Septi~ tank p-.c:;>ed and fil.le~ LJith gra~eZ .
--, Final - mter. ab..,--ve ite.-ns are acmpleted
~ ar~ when d~ol.ition is complete or B~C-
ture-moved and pr~3es oleaned up.
Mobil.e Hemes
::J Blocking and Sat-up
::J Pl.umbiP1.:J connections -- SL'Wer and Water
::J Electrical. Connection - Blocking~ set-up
and pl.umbing connections nr..:st be approved
before requesting elec~rical inspec~ia::
::J Ac~essor':i Building
I Final - After p:Jrcr.es~
~ etc. are completed.
sJdrting, decks,
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O. fENCE: When compl.zte -- Pr~vide
. gates or movable sections through
P.U.F:. .
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FIliAL PLU/aJIIIG
All project conditions, Duch as the installation of street trees~ ao~lcti~n of the
required landscapir.g~ etc. I must be satisfied before the BUILDING FINAL can be request.zd.
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FINAL l:fE~HANICAL
~
FINAL F:LECTRICAL
, .
...). ~ I. : \ .
-ALL MANHOl.ES AND CLEANOUTS HUST BE ACCESSIBLE, ~DJUST.'!E,'lT TO BE f.!.1DE I.T l:O CaST TO CI'!'Y' I Page 1 of 2
FINAL BUILDING: The Finat Building Inspection must be requested alter the Final Ptumbing
Elect'l'icaL, and Mechar:iaal Inspeations have been made and approv.d.
I JOB NO.
I
12or:c:
I Lot Sq. F~.
z ~f lot Caverag~
i/ of 5toM.es
,Total Height
,
I Topog'I'a;:hy
lITE:.!
Main.
Gc1'ace
Ca~t:'l'l':
Accesso~....
Is.D.c.
I
SQ. FTC
1.5 :::
TOTAL t'ALUE
IJ)CLUC)
BuiZding Permit
State Surcha:rge
Total Cha:ogea
lITEM
I
i Fi=:tures
I
!ResidentiaL (1 bath)
I Sanital'p Sewer'
1 Water
i
,
I
I',.,,:",
......_.'.
Pl.umbing Perr::i t
State Surcr.a.rge
Tota! Charaes
I Res. Sa. fta.
jNaw/Extend Circuits
I
I Temvoraru Service
I
1"0.
I
I I
II
I P.'':'!
I Purr.ace ETU'S
I
I E;:;haust Hood
i Vent Fan
i .
r Woodsto7Je
Ele~tricaZ Permit
St=te Sur:::ha:rae
Total Chm>ces
Permit Issuance
Me::;..anic:lI Permit
State Surchc:rae
T()~r.l f:harap.G
-- ENCROACHNENT
iSe~~ri~.... Dzposit
I
I Storape
I MaintP-nar~e
i Perm ~
I
1 CurbCO..lt
,
I SidetJalk
Total Charncs
I.t'cn::c
i
: EZectrieal Lebd
, Hobi Ie Home.
! TOTAL AMOU.'.''!' DUE:"
:SOLAR A.SS
?CCUDan~u~:
LOT TYPE
Intel'icl'
Corner
Panhandle
Cul-de-sac
x Value
I
I /5,C()
I
I
I )5'.00
I ,60
1/5.60
j'.'Q.
FEE
CHARGE
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FEE
C':i;"RG~
tiC. I
FEE
CHARCE
REQ.~
.
L-cod'l.'
TypeICor:st:
Be&oor.;s:
I I En2rt7~J Sour~tJ;s
Heat
T.rce
I Lot Faces -
Setbacks
I P. L. I House Caraae
!North
IEnst i
ISou th I
IWest I
I Access.
f.,'ater Hr:at,,!'
Range
I Fircvlace
I I htcoa~r;ove
II
Faes
Building Value & Permit
This penrrit ia granted on the express condition that the said C'onstruction
shall, in all respects, confo~ to the Ordinance adopted oy the City of
Springfield, incZuding the 2.oning crdinance, regulatir:g the ccnst1"'..lcticn
and use of buildings, and m=y be suspended 01' revoked at cr.y time upon vic-
'lation of any pr~visi~r:8 ~f said\Ordir.ances. ~."
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I Plan Check
Date Paid:,
IReedpt H:
I Signed:
Fee:
Plumbing Permit
No perzon shall qonstruct, instal!, aZ~er or change any r~w or e:istir.g
plumbing or drainage syst~ in ~hole or in part, unless such person is the
legal pOs8~ssor of a valid plumber's licens~,.except that ~ pe~son ma~ do
plumbing lJOJ"k to property which is oL.,'71ed; leased OJ" operated by the appli-
cant.
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Electrical' Perm it
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WheJ"e State LaLJ requires tr.at the electrical l.JOrk be done by an Ele~t1""~cal
Contractor, the electrical portion of this permit shall not be valid until
the Label has been signed by the Electrical Contractor.
Mechanical Permit
P/,al1 Exa:Jmnel'
vaLe
,
I HAVE CAREFULLY EXAMINED the completed application for permit, and do
hereby certify that all iY:fo::'Tr'.ation hepeon is true and correct, and I
fu.rther certify that any ar.d all work perfor:ned shall be done in ac:::or-
dance :.nth the Ordinances of the city of Springfield, and th:: k..;s of the
State of O~egQn'p~rt~ining:to ,the work described hCl'e~n, cr~ that NO OCCU-
PI.NCY will be made of any str~ctur2 without permis3ion of the Building Di-
vision. I further certify tr~t only contl'a~tors w;d ~lQyees who are in
c~pliance with ORS 701.05E will be used on this pl'oj~ct
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I.. "Sign:Jd /. -../
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