HomeMy WebLinkAboutPermit Building 1988-7-22 (2)
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',. APPLICATIOI1!ERMIT
225 North 5th Street - ..,
SpringfieZd, Ore,~on 97477
BuiZding Division
726-3753
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Job Location: -7t/V~ l 'l.t A'Lhk S r
ASMs'ors Map # I') -0 S - ~L . 2.. I.
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Taz Lot # ?'-ItI:>
SUbdivision: Lfrp"- fJILI-A.
a.mer: lro.4-J+.
PrA n ("fJlV
Address: ~.:l
Phone:
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Zip: '1? '10)/
City: t;....q
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'Date of AppUooticn ttG'J~'....J'rtr'"
(.'ontractors
Describe f.'ol'k:
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Siqr.ed:
Date:
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Valu$1'.J. 000. Dd
Address
Lisc. II
Exvires .
Phonc
General '-:lJJr-oJ... \.cJ" II "" /) A ~ L. ~ <;-(""" 1-1..,0,..."..101
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Plumbing .I'h c.A,." ','1-1 A F'~ Pi";'" fl.JI" &- _?li~L1 e. J~'~"N "'7
Electrical DP"'J_I_t( F.1.PT....,..I>I( /.t/;?C1"E./~"'Yl:"IQ
Mechar.ic~l ).J.iOI/li""I.i+--SDtV 41.'Sf'b /'IIIA,,,,,,'i."'f c:....~t,/)
C~nstl'UCti071 Lcndel" I.
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It is tho responlJibi'Lity of ths permit holder to Bee that all. irwpeationa CU's made at ~he propel" tim~~ tr.at each .:ddrS8B is readable
il'Olrl the stl'eet, and that the perrrrit card is Located at the f1'071t of the prqperty.
j!Jui!dirrg rr;ui::ior. app1'OVed pZ.an shalL remain on th2 Building Sits at a'Ll times.
PROCSDU.r!E FOR INSPECTION RE.:OUEST:CALL 726-3769 (recorder) state your City designated job nw;;ber~ job address, type of ir.:;pec-;icn.
requosted a:--.a" when you. wiU be ready for inspection, Contractol's or Owners ncme c.nd phone number. Requcsts receiued befcr.a 7:00 Gv.1
;.'iZZ be rrada thG same day, requests made after 7: (JO am wil.l. be made the nat :x>rking day. .. .j
, " , ','. y;"'" 'Cit;l. De;igr.atcd Job Numbor ID:. ' Y?{ (j Sy 1
.qauuirop.d TnsD{'cticrm _h ~, I Y
~. SITE INSPECTION: To be made aftel' IV/iNSULATION/VAPOR BARRIER INSPECTION:~. IDEUOLITIOH OR ;~:OVE!) BUILDli!GS
! excavation.. but prior to 8e: up of 1...61 To be made aftel' all. insulation CI!".d'
:J forms. . -- . . .' required vapor ba:rI'iers are in place
.' ": but catore any lath" gypsum board or
: UNDERSLAB PLUMBING. ELECTRICAL & wl.l. covering is appZied" and befol"e
. . MECHANICAL: To be made before any
work is covered. "':l ,- <Z1'!y insulation is concealed.
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'll FOOTING & FOllNDATION: To be TTrlde ~ DRYWALL INSPECTION: To be made
p after trenches a:re excavated and after aU drytJal.l. is in placeJ
: forms C11'e B1'ectedJ but pl"iol' to ,but prior to any taping. .
pouring ccncret.. ')0 ?'(P
UNDERGROUND PLUMJJING. SEWER. W.1TER,
DRAINAGE: To be rrn:J.e prior to fil.-
,lir.g trenches.
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=:J Sanitary 8euel' ~apped ~t rn:.opCl"r~ lir.~
" ~ Sept~ tank P-":7ed and fi l led ~ th :p"a~(t l ;
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::J Final - h'hen above items arc cc,7Tpletcd
ar.d when d~Litior. is completeior stru~-
ture moved and premises aleanc:i' up.
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O ~SONRY: Steel location" bona
beams" grouting or vezoticals in
accordance with U.B.C. Section
2415.
O WOODSTOVE: Afte1' installation is
ccmpleted. . ,
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UIlDERFLOOR PW/,.'8ING & MECHANICAL:
To be made priol' to ins ta l. lation of
floor insulation 01' decking..
POST ArlD BEAM: To be rr.adc pr>ior to
installation of floor instt.lation 01'
decking. )"- r "!./,j-f).
ROUGH PLlF.!BIllG. ELECTRICAL & MECH-
ANICAL: No work is to be covered
.ur.til. these inspectior.s have beer.
mad€ and approved.
FIREPLACE: Prior to pLacir.g facing
"!atel',iaZs andbcf,?re fronting inspec-
tior.. .
FRA.'!INC: MuDt be l"equBated after
approvaL of rough pZwr.bing" elect1'i-
.cal & mechanicaZ. AU roOfing
bl"acing & chimneys" etc. rrr.J.st be
~ :. compLeted. No work is to be con-
*.,......cealed until this inspection has
..~ b6~~ made and approved.
~ Blocking and Set-~p
=:J PLumbing connections G.cwer 7 water
---, Electl'ical Connection - Blockir~, sat-up
~ and plwnbing connections rtr...st ce approved
befol'c l'equesting elec:riaal inspec:ion
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CURB & APPROACH AP!70N: 'Afte:- foms
are oreated but priOl' to pouring
cOtu:l'ete.
SIDEWALK & DRIVEWAY: Fol' all con-
crete paving within street right-
pf-way" to be made after all exca-
vating ccmplate t. f01':':l ool'k & :;ub-
. base material in pl.ape.
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,~.Ac.::esS01""~ Building
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::J Final - Aft;;l' p:Jrcr.ea" skirting" decksJ
etc. are comple:cd.
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FENCE: I/her. co:rzpl;;:te -- Provide.
gates or movabZe secticns through
P.U.E. '
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installation of street trees, co."71p at:.on OJ I1C
satisfied bcfore the BUILDING FINAL can be rzquost:zd.
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FINAL ,PLUMBING
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FIliAL ME~HA.'IICAL
Uti
FIliAL ELECTRICAL
All Pl'ojoct conditions" auch as the
required landscapir.g" etc..I must be
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FINAL BUILDING: The Final Building Inspcction must be l"equeated aftcr the Final PlWTIbiFlJ
ElectricalJ and Mechar.ical InspectionD havc been made and approved.
"ALL MANHCLES AND CLEANOUTS HUST BE ACCESSIBLEJ ADJUST!fEUT TO BE J.t.1DE I:T NO COST TO CI'!Y I Page 1 of 2
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L-COG"
I JOB NO.
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Lot Sq. Ftg. ~,.,
~ ~f l.Dt CJlJerage ;;)'1"10
,f of Storiee I
TotaL Height } S I
Topography L,uL- '--
:;ULAK At;t;~:;:; K~Y,-
OCCUOO1'tCU era: )i ^' r.-l6 f:-'~,.., L J:1." / T:-,'pe/Cor.st:
LOTTr!f!l' I Lot FaGes - W~S +-
~ t' I Setbacks
n e~r I P.L. House CaraGe Access.
Corner 'North! <1.' JA '
PanhandlB lEas t J:; I
!south ~ I}'
Cut-de-sac IWest ;:;14'
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TOTAL AMOUNT DUE:. _'R.G.7/~_9/ . S. nsd
1-
lITEM
I;bin
I Cc::race
I Ca:r'DOl't
I ACC8S80l'tI
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SQ. FTC
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TOTAL VALUE.
Is.D.c.
(val.ue)
1.5 "
Building Permit
State SurchaI"ge
Totat Cha.~ges
lITEM
. NO.' FEE
Fixtures
Residentiat f'2bathJ
l-sanitary SetJer
PZ""Ung Permi t
'State Surcha:l'ge
Total Charaes
ITEJ./
I NO'1
II I
I Temporary Service I I
I2<2>A 5~y/crl I'
FEE
Res. Sa. fto. 1'I-:2?
NaJ/Ertend Cireuits
Ele~trical Permit
Stt:.te Sur~harae
Total C'harces
lITEM
'I;., FEE
1 I
Is 1'3--
I I
1 I
Purn.2ce !!TU'S :Jr",,.,
E::hau.st Hood
...
I Vent Fan
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I W~odsto"e
Permit Issuance
He~hanic::zl Permi t
State Surcharae
...:lQtn. I ChrrroP'(J
-- ENCROACHMENT --
Sec-.J.nt'/J D2oo3it
Storcws
Maint~e
P"""';t
Total. Charoacs
CUrbcu:
1- ~'
SideloIatk
NO
Fe1't::e
No
~ 1503 P,
El~Label
Nobils Home
Bedroor.:s:
'3
E~2r(1!J So-.rrees t...:.
Heat ~I "r-T
Water Yf!atpf" f'" '- P rT"
Range J;:r1.L~r-r
Fireplace
Wood.:; tove
Tuoe
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'1-S
x
-- F2es
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52-&>c:;O l
1,1(...1 . ~U.<9.P".
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3"02 rs!'-J.
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Plumbing
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(o-g...:t.-S"<
1.1-1103
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Permit
Value
Building Value
Permit
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This permit is granted on the ezpress condition that the sa"id construetion
shall, in all respects, conform to the Ordinance adopted by the City of
SpringfieLd, inc~uding the Zoning Crdinance, reguLating the ccnstruction
and use of buildings, and m~y be sucpended or revoked at any time upon vic-
lation of any provisions of said Ordinances.
r
Plan Cheek Fee:
Date Paid:
Reczipt IJ.:
,Signed:
CHARGE
52- r;-e:;
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No person shall eonstruct, instal!, aZter Or change any new or e--isting
plumbing or drainage system in ~hole or in part, unless such person is the
legal possessor of a valid plwnber's License, except that a pe:oson m:zy do
plwnbing work to property which is owned, leased or operated by the appLi-
cant.
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I 5: 38
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CHARGe:
Electrical Permi t
.
Where State LaJ.J requires that the electrical work be done by an Eleatrical.
Contmctor, the -electrical portion of this permit shalt roOt be valid until
the label has been signed by the E7.ectrica1.. ~'ontractor.
CHARGE
Meche'nical
Permit
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I I HAVE CAREFULLY EXAMINED the completed application for permit, and do
I hereby ce~tifY that all ir.fo~tion hereon is true and correct, and I
f'.J.rthe:r certify that any ar.d all work perfor:ned shall be do:te in ac!:!o'1"-
I dance :.lith tha Ordinances of the City of Springfield, and the: Ltr..JS of tha
~'.. State of Oregon p~rtaining to the work described herein, and that NO OCCU-
I I"'" PANCY wilt be rmde of any structuro<l witho:.J.t permission of the Building Di-
I S. S'~ ~vision. I further certify that o:tly contractors ar.d e:rrp"t.:Jyees who arB in
I compLiance with ORS 701.055 wiLl be used on this project .
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Plan Excnft~er
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