HomeMy WebLinkAboutPermit Building 1989-8-2
.. RESIDENTIAl--
:- APPLICAT./PERMIT
225 North 5th Street
SpringfieZd~ Oregon 97477
Building Division
726-3753
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SPRINGFIELD
Rcce:.pt.'1 !l{.;S.CI-?
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Job Location: 533? O/P-h>r J#-7?
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Assesool'S Map N / 7""02-~ -3' ~O Ta:c Lot N c:;./3 c:.c::::::::.
Subdivision: 5 #-.87/ ~ /?7:-~-:~'<::>.
Ounel': .Jf?-v/~/ 5 Vlc~#Er-
Address: tb .-=:5'c:> A/~ S- f'/9-7'7'.. Phone: 7%~//9
City: 4:~rt..P.,. c;:5?? Zip: ~ 70/"7 ?B
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1/fc5/d~ t:?~/.5t:-.? ~/pd:----
I~$'~ Ee:;Y /;~2? ~#
2~/"'rl'" '
Date of Application ,g7~z;;.~ '
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Contractors Address ' ,Lisc. II ,Bldrs Board Reg.
; General ![.-4/~~) .~~)-~i!E-/ff~/"d'-~->~ '26"?~.~
i Plumbing'? "
I Hechanical 1_
EJ,t::ctrical 7r2'/2~ ~_ .I~~~/
Superv~~ing Eldctr.~cian Y
I NmJ
I Addition
I I Remodel.
I Xl :.Iobile Homo
Describe 1"01'1,:
Value
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Sigr.ed~ '...... J
Date: V 't1 d"'1 ~
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Expires
'0 INSULATION/VAPOR BARRIER INSPECTION:
To be made aftel' all insulation ar~ .
:, requil'ed vapOl' barl'iel's are in place
',:: "but befol'e any lath, gypswn boal'll 01'
, ' wl.Z covering is applied, and befol'e
':' ',' any in?ulation io conceal.ed.
D DRYWALL INSPECTION: To be made
aftel' all drywall is in place,
but pl'iol' to any taping.
O MASONRY: Steel location, bond
beamo, grouting 01' vel'ticals in
accol'dance with U.B.C. Section
2415.
O WOODSTOVE: Aftel' instal.Zation is
completed.
D
CURB & APPROACH APRON: Afte:- fol'TTls
are cl'eated but pl.iol' to poul'ing
conal'ete.
It is the l'esponsibility of the pel'TTlit hoLdeI' to see that all inspections are m~de at the pl'oper time, t~at each ~ddres8 is l'eadabZe
fl'om the stl'eet, and that the p~t cal'd is located at the front of the propepty.
~Bui!ding Dtvicior. aPPl'oVed plan ~hall l'emain on the Building Sits at all times.
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PlWCSDURE FOR INSPECTION RSQUEST,:CALL 726-3769 (pccol'derJ state YOUI' City designated job nw:-:bel', job aJ:!drocss, type of in3pec:iclI
l'equcstcd ar.d when you wil.l be l'eady fol' inspection, Contl'actol's 01' Ounero name and phone numbcl'. Requests l'eceived befcl'e 7: 00 tr.I
".'il.l be made the same day, l'equests made after' 7:00 am wiZl. bs made the ne:z:t wopking day.
Y~ur 'City Deoigr.atcd Job Nwnbel' 10: g~c:>;;:;> $ Y'
Reaui7'p.d TnsDp.ctionR
O SITE INSPECTION: To be made aftel'
excavation. but priOl' to set up of
forms.
D UNDERSLAB PLUMBING. ELECTRICAL &
: MECHANICAL: To be made before any
LJOl'k is cOJJcped. '
FOOTING & FOUNDATION: To be made
after trenches al'e e.rcavated and
fol'TTls are erected, but pl'iol' to
pouring CcnCl'ete.
UNDSRGROUND PLUMBING. SSWER. W.1TE!i,
DRAINAGE: To be made priOl' to fil-
l.ir'.{J trenches.
D', UNDERFWOR PLU~mING & MECHANICAL.:
. To be made pl'iop to inotall.ation of
flool' insul.ation or decking.
D
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POST AND BEAM: To be made priOl' to
instal.lation of flool' insulation 01'
decki"!i.
ROUGH PLUMBING. ELECTRICAL & MECH-
ANICAL: No wol'k is to be covel'ed '
,ur.til. thcse inspections have beer.
made and appl'ove~. '
FIREPLACE: Priol' to pZacir'.g facing
matel'ial.s and befol'e J. ""..~ng inspec-
tion.
D FRA}.!INC: Must be l'equeoted aftel'
appl'oval. of l'ough plwr.bing, electl'i-'
cat & mechanical. Al.l roofing
bracing & chimneys, eta. must be
:" completed. No LJOl'k is to be con-
, , cealed until thio inspection has
. be~n made and approved.
o
D
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o FINAL PLUMBING
o FINAL MECHANICAL
o FINAL ELECTRICAL
o
0,
D SIDEI.,ALK & DRII'EI.,AY: Fol' all con-
, Cl'ete paving within' stl'eet l'ight-
pf-LJC.Y, to be made aftel' all e:z:ca-
vating complete & foI'm LJOl'k & sub-
" base material in plaae.
o
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PENCE: "~en complete -- Provide'
gates 01' movable sections thl'ough
P.U.E.
. DeMOLITION OR MOVED BUILDINGS
~ Sanitary seuel' eapped at P~OP.!Zl'tii l,ir:e
~ Septia tank pumped and filled with gl'a~el
---, Final.- l{.hen above itcms are ccmpleted
---l ar.d when demolitior. is complete 01' struc-
ture moved and pl'~3eS oleaned up.
Mobil.e Homes
~ Blocking and Set-up
~ Pl.umbing connections -- SeLJer and watel'
~ Elcctl'ical Connection - Blocking, sot-up
~ and plumbing connectiono nr~st te appl'oved
berol'c l'equesting elec~rical inspection
.=J Acaessol"d Building
~, . .
-YJ Final - AftOl' pOl'ches~
~ etc. are completed.
skil'ting, decks,
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All pl'oject conditions, such as the installation of stl'eot trees, co~lotion of tne
l'equil'ed landscapir:g, etc., must be satisfiad befol'e t~e BUILDING FINAL can be,l'squostsd.
FINAL BUILDING: 7'he Final Buil.ding Inspection must be l'equeoted aftel' th03' Final Pl.umbillg
electl'ical, and Mechar.ical Inspectiono have been made and appl'oved.
~ALL MANHOLES AND CLF.ANOUTS MUST BF: ACCESSIBLE, AD.TUST!fENT TO BE H1DE AT NO COST TO CITY Page' of 2
I JOB NO.
I Zona:
Lot Sq. Ftg.
~ of lot COIJerags
,1/ of stories
Total Height
Topogrophy
ITEM
SQ.FTG
Main
Garaae
Carvort
l'Accessorll
I
I
TOTAL VALUE
Is. D.C.
(vaLue)
1.5 x
Building Permit
Stat(l Surcharge
Total Cha;>ge.s
REQ.-
SOLAR ACCESS
Occuvancy GA
LOT TYPE
Interior
Corner
Panhandle
Cul-de-sac
x
Value
ITEM
Fixtures //If'/-
Residential (1 bath)
Sanitary Sewer
Wat er
Plumbing Permit
State Surcr.arge
Total Charges
ITEM
Rell. Sa. fta.
I New/Extend Circuits
Temporary Service
//7/4.
Eleetrical Permit
State Surcl1arqe
Total Charges
ITSM
I NO.
Furnace fTU'S
E:x:haus t Hood
Vent Fan
Woodstove
I
Permt Issuance
Mechanical Permit
State Surcharae
.
I
TotaZ Charoes
-- ENCROACHMENT --
Se~~rity Deposit
Storage
I Maintena~e
I Parmi t
Total C1tar(7cs
Curbcu~
SidelJalk
I !"rmce
I ElectricaZ
NO.
FEE
f
NO.
FEE
FEE
Label
Mobile Home ;:;; ;ET"v 7>.
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CHARce
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CHARGE
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CHARGE
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L-COG~
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Type/Coy:st: ..
P.L.
North
East
South
,.Weat
Fees
Setbacks
House Garage
Access.
Bedrooms:
Enerl7.'1 Sourcea
!leat
Water .r/p-ater
Ra,ige
Firevlaca
Woodatolle
TIme
,Lot Faces' -
Building \(a,lue & Permit.
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This permit io granted on the express condition that the said construction
shall, in all reapects, conform to the Ordinance adopted by the City of
Springfield, incZuding the Zoning Crdinance,}.egulating the censtructien
and uae of buildings, and may be suspended or revoked at c:ny time upon vie-
lation of any provisions of said Ordinances.
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'I Plan Check Fee:
,I Date Paid:
'I Rect=:ipt H:
I Signed:
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Plumbing Permit
No person ol1all construct, install, alter or change any new cr e=ioting
plumbing or drainage system in whole or in part, udess such peraon is the
l~gal posseSRor of a ,valid plumber's license, except that a peroon may do
pl4mbing, work to prope~ty which is,owned, leased or operated by the appli-
cant. '
Electrical Permit
Where State LatJ requires that the electrical work be done by a,1 Electrical
Contractor, the electrical portion of this permit shall not be valid u,ltiZ
the label has been signed by the Electrical Contractor.
Mechanical Permit
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~,f~~er ~ /- - If7 r
'is?~/ 6~ 9'
vace
I HAVE CAREFULLY EXAMINED the completed application for permit, and do
hereby certify that all in.formation hereon is true and correct, and I
further certify that any ar.d all work perfor:ned shalt be done in accor-
dance with the ordinanoes of the City of Springfield, and the ~~s of tho
~ State of Oregon pertaining to the work describcd herein, and that NO OCCU-
PANCY will be mde of any structure without permission of the BuiZding Di-
vision. I further certify that only contractors ar.d enp~yee8 who are in
compliance with ORS 701.055 witl be used on this projeot
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5,,2.~ '1q
Date
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DEPARTMENT OF PUBLIC WORKS_
ENGINEERING DIVISION
COMPUTATION
SHEET
Project Name
Project Number
Feature
.J
Prepared
Checked
Sheet of
Date
Date
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