HomeMy WebLinkAboutPermit Building 1984-6-21
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APPLICATION/PERMIT
225 North 5th Street
Springfield, Oregon 97477
Building Division
726-3753
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Job Location:
1,325: r~.9.
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Asaesaors Map
Subdivision:
CUneI':
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Address:
City:
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N"t,l
Ta:r: Lot # O~
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A/APJt/l~
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Phone:
zip:
Describe rl'ork:
Addi tion
IPJ Remodel
n .'.fobile Boma
(jOAa~
Of~ t/
.:J. ()tft) ,dO
Date of Application
(;ontractors
Genel'a~ 15v. /i (!mLYI.
nwnbi"il
Address
/'#1 . !"'/7""./; //7...0.
.
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Electrical
f.Jechar.ical
Construction Lender
Signed:
Date:
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{O' lJ- tV
Lise. #
Expires
9-9- "f$L
Phone
/_ '714/~~
It is tho responoibility of the permit hoLder to see that all inspections are made at the proper tim€~ that each ~eBs is readao~e
from ths street, and that thf'J permit Ca:M. is located at the f:ront of the property.
*Buitding Divi~ion approved pLan shall remain on the Building Sit~ at all times.
PROCEDURE FOR INSPECTION R~QUEST:CALl 726-3769 (recorder) state your City designated job ntm:ber, job adti:rcss, type of inspec~icn
requestcd a~d when you wiZ.l be ready fol' inspection, Contractors or DLmer-s name and phone numbcr. Requests received befcre 7:00 a':'7
:..'ill be made the same day, l'equests made. after 7: 00 am will be m::uie the nat :JOrking day. <=6L\~C\L\
:;;/101/;;0
Rf?rt!Jil:"'l:-1 T"IR""'1cHn!"R
0" SITE INSPECTION: To be m::zde after
excavation, but prior tc set up of
forms.
O : UNDERSLAB PLUMBING. EU':CTRICAL.5
" MECHANICAL: To be made before any
" wol'k is ~overed.
o
FOOTING & FOUND,1TION: To be m::zde
after trenches al'e excavated and
forms are el'ected, but prior to
pouring ccncrete.
W.'DERGROUND PLUMBING, SEWER. w'1TER,
DRAINAGE: To be m:J.de prior to fi~-
.lir.g trenches.
D. ,UNDERFWOR PLUMBING & MECHANICAL:
To be made prior to installation of
/tOOl' insuLation or decking.
~OST AND BEAM: To be made prior to
~ installation of floor insulation 01'
decki"fi .
~OUCH PUP.1FIHG, F.r,ECTRICAr; & MECH-=-
L.:::J . ANICAL: No work is to bc covered
~ur.ti~ these inspections have beer.
made and approved. , . .
o FIREPLACE: Prior to placir.g facing
~:t~~ia~. and before framing in8pec-
FRA1!INC: MUst be requested after
approval of rough pl~hing, alectri-
,cal & mechanical. AU roOfing
. bracing & chimncys, etc. ffl"..lst be
:. completed. No work is to be can-
. ~<.:."cealed until this inspection has
: ~_be~n made and approved.
o
Your City De8igr.ated Job Nwnbe.r Is:
r-J,-.INSULATIONIVAPOR BARRIER INSPECTION:
~ To be made after all insulation ar.d
. ". required vapor barriers are in place
. but before any lath, gypsum bOCll'd or
liXZU covering is appUed, and before
. ~y insulation is concealed.
~ Di!YWALL INSPECTION: To be made
l.!:::J after all dryl,Jall is in place,
" but prior to any taping. "
O. MASONRY: Steel location, bo1u1
beams, grouting or verticals in
accordance with U. B. C. Section
2415.
O WOODSTOVE.:
ccmplete.d.
After installation is
I DENOLITION OR ~~:OV::!J BUILDIilGS
~ Sani tary Se'..J8I' r.:o:pped at p~op.:;rty lir.e
=.J Septic tank p:A.~ed and fizz.a~ IJith gra~eZ
I Final - rl'hen above ite."ns are ccnrpleted
~ and when d~lition is complete 01' stru~-
ture moved and pramises cleaned up.
I Mobile Hcmes
=:J Blocking and Set-up
=:J Plumbing connections sewer and water I
~ Electrical Connection - Blocking, set-up
---l and plumbing connections nr~st be approved
" before requesting eZec~riaal inspection
=:J Accessol"d Building
I Final - IlftlJr porches, skirting, decks~
~ etc. are complet~d.
o
All project conditions, such as the installation of st~eet trees, ao~lction of the
~equi~ed landscapir..g, etc., must be satisfied before the BUILDING FINAL can be requested.
D FIliAL PLUMBIIlG
D FINAL MECHANICAL
~INAL ELECTRICAL
0'
FINAL BUILDING: The Final Building Inspection must be requested after the Final Plwnbing
Electrical, and Mechar.ical Inspections have been made and approved.
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D
CURB & APPROACH AP.f?ON: After for>ms
are erected but prior to pouring
oonarete.
SIDEWALK & DRIt'EWAY: For all con-
crete paving within street right-
.of-liXZY, to be made after all exca-
vating cc:xnplete & form lX>rk & sub-
base rrrzterial in place.
*ALL t.fANHOLES AND CLEANOUTS HUST BE ACCESSIBLE, ADJUST!fEllT TO BE f.!.1DE l1T NO COST TO CITY I Page 1 of 2
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D
D
PENCE: When complete -- Provide
gates or movable sections through
P.U.E.
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NO. ~~~~l\~ ~ -,,, '~- -, G~\~\\')~,
Q I Occuvanclj G~ \<, --:=z..- T;'ve/Cor.st:
Ft{;. LOT TYPE - 1 &:Jt Faces - U)~"\
I Setbacks
I P.L. - Hou.se. Carage - Access.
!North
East
Sou th
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Zone:
&:Jt Sq.
% of lot Coverag~ .....
., of Stories 1"".~<\
Total Height t:;i
Topography
I
lITEM
I Main
I GcPaae
I Carool't
I Acc8sBoru
I SQ.FTG
D.R\~I
I~~(<LI
TOTAL VALUE
IS.D.C.
(vat.uc)
1.5 :c
Bu.ilding Permit
State Surcharge
Total Cha.~ges
lITEM
!Fixtures
I Residential 11 bath)
I Sani tary Sewel'
Watel"
Plumbing Permi t
Etate Surcr.a:JOge
Tetal Charaes
ITEM NO.
I Res. Sa. fta.
I N;;w/E:ctend Circuits \
I Temporary Service I
I 1
Eleatrical Permit
State Surcharqe
Total Cha:t'qes
IITSM
I Fr.Lrnace ETU'S
I E:::haust Hood
I Vent Fan
I Woodstove
Permit Issuance
Mechanical Pemrit
State Sure~e
. To1;nl ChaJ'of1P.fJ
-- ENCROACHMENT --"
,I SeC'olM. tl/ Daoosi t
I Storage
Maintenance
Permit
Total CharacB
1 Gla-!>cut
I Sid""",lk
IFe~e
I EZectl'icaZ Label
I Mobile Home
I TOTAL AMOUNT DUE:'
I NO.
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NO'1
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FEE
FEE
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FEE
Interior
Corner
Panhandle
CUL-de-sac
-- Fees
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'2.0. ~ ,
Value
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CliARGE I
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CHARGE
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100 I
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CHARCE
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too\. \
I 1- Enerou Sources
I I Heat
I I Water Yt'.atp..r
I I Range
I I Fi'f'evlace
I I WoodztoL'e
II
TU:Je
Beeroor.;s: \
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West
Building Value &
Permit
This permit is granted on the express condition that the said constl"Uction
shall, in all respects, conform to the Ordinance adopted by the City of
Sproingfield, incLuding the Zoning Ordinance, regulating the ccnstructicn
and uae of bui~ings, and may be suapended or revoked at cr.y time upon vic-
lation of any pl'~visions of said CJr4ir.ances;.
Plumbing
,
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Pe r m it
!PLan Check Fee:
Date Paid:
iRecdpt #:
I Signed:
No person chall construct, instalZ., alter 01' change any new 01' e:::isting
plumbing 01' drainage system in tJhole 01' in part, unless such person is the
legal possessor of a valid plwnber's license, except that a pe:>son may do
plwnbing work to property which is owned, leased or operated by the appli-
cant.
Electrical Permit
Where State Law requires tr.at the electrical work be done by an Electrical
Contractor, the electrical portion of this pe~it shall not be valid until
the Zabel has been signed by the Electrical ~ontractor,
Mechanical Permit
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~Ezc:miner L.'at'e
I HAVE CAREFULLY EXAMINED the compZeted application for permit, cmd do
hereby certify that aLl. ir:fo:>mation hereon is true and correct, and I
fin'ther certify that any ar.d aLl work perfor>:71ed shaZZ be done in accor-
dance r.nth the Ordinances of the City of SpringficZd, and th~ Ur..;s of tha
State of Oregon pertaining to the work described herein, and that NO OCCU-
PANCY wiZl be nr:zde of any structure without permission of the Building Di-
vision, I furthe'f' certify that onZy cont'f'aators ar.d e:npl.,:)yees who are in
:camp~~ance ~ith ORS 701.055 will be used on this project
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Date
Signed