HomeMy WebLinkAboutPermit Building 1986-3-6
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APPLICATION/PERMIT
, 225 North 5th Street
Springfield. Oregon 97477
Building Division
726-3753
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. Receipt !I B~6()Bo.~/
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Job Location: //::<0 r.4/.DI//~u.J ~.. R-':::;VJJ!"c-e~
As.essors Map # 17 - 05 - T7 .:.- '?,I Taz !,t # Ckt~o -
Subdivision: &~k-/~ M #,?
().mer: Pi "8 .~?:W&'~~/;z>
Address: /O~~ Nd?v/oiCC-I ~_ l'r.one:'7"2./.:.-6J!ii"cO '3
City: SPF?Z/._ ~. Zip: ~;;)e,.,??
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rI Describe f.'ork:
'----l... N ~,'
n Addition /~.l7P~ '2B;~9 ~$~/Q=-~l:.
n RemodsL
1,.( I UobiZe Home
3 -~ -$t::;'
Date of Application
Contractors
GeneraL t:F"~~n
PLumbing II
ELectrical OIAVN~
~L~
VaLue :< < ~ /~ ~_ !;'C>
Address
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Lise. /I
Expires
Phone
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Mechanical
r;".nstrouc1:ion Lender
It ia ths l'esponlJi.bility of ths permit holder to sse that aU inapections are made at 'ths proper tinli;__ t".at each address is readabZe
from ths street~ and that the pePmi.t card is located at the f:rocnt of the property.
ABui!dir:g rr;vicior: approved plan s.hatz. remain on tha Building Site at all times.
PROCEDURE FOR INSPECTION RE:QUEST.:CALL 726-3769 (recorder) state your City designated job number~ job address~ type of i113pecticn
requested ar-.d w.':en you will be ready for inBpection~ Contractors 01' Owners name and phone number. Requests received before 7:00 a-:z
r..~Zl be m:uie the same day~ requests made afta' 7:00 am wit:L be rmde the nc:rt :.>orking day.
Rp.~Ji~p1i T~~p~tiG~A
D' SITE INSPECTION: To be made after
e.:rcavation~ but prior to set up of
forms.
D . !!..NDERSLAB PLUMBING. ELECTRICAL &
, MECHANICAL: To be made before any
. ~rk is C!01)cred.
o
FOOTING i FOUNDATION: To be made
after trenches are excavated and
forms are el'ected~ but prior to
pouring ccncret.:.:.
UND~GFK)UND PLUMBING._ SSWER. W.1TER~
DRAINAGE:. To be rrade prior to fi 1.-
.lir.g trenches.
O " UNDERFWOR PLUMBING & UECHANICAL:
. . , To be made prior to installation of
. '. {tool' insulation or deCking.
O POST AND BEAM: To be made prior to
installation of floor ins-z.1.ation or
, deckirl{;.
o
ROllGH PLTP.fBI!JG. E~ECTRrCA~ & MECH-
ANICAL: No IJOrk is to be covered
,until these inspections have beer.
made and approved.
FIREPLACE: Prior to pZacir.g facing
materials and before frcurring inspGc-
tion. '
D FRAMING: Must be requested after
approval of rough plwr.bing~ electri-
,cal & mechanical. AU roOfing
bracing & chimneys~ etc. TTr..lst be
;' completed. No work is to be con-
, ,.__,cealed until this inspection has
:.~ be~? roode and approved.
D
D
Your City Desigr.ated Job Number Is:
O INSULATION/VAPOR HARRIER INSP,:CTION,
To be made after all insul-.tion ar.d
. .. required vapor barriers ars in place
. .. but before any l.ath~ gypsum board 01'
-w:ll covering is apptied~ and before
.any inaulation is concealed.
O DRYWALL INSPECTION: To be made
after all drywall is in pZace~
, but prior to any taping. .
D MASONRY: Steel location, borut
beam:J~ grouting or verticals in
accordance with U. B. C. Section
2415.
O WOODSTOVE: After installation is
camp leted.
o
CURB & APPROACH APRON: After forms
a:re erected but prior to pouring
oon,.,rete.
SIDEWALK & DRIVEWAY: For all con-
crete paving within street right-
.of-way, to be made after all exca-
vating complete & form work & sub-
base 11rlterial in plaae.
~6>I'-//
I DEMOLITION OR gOVED BUILDIilGS
~ Sani =ary se-..Jer :!apped .at v:..op;;rt-:J' lir:.e
~ Septia tank f'~~ed and fille~ with gra?e~
--, Pinal - rrhen ab...--ve ite."rIs are cC.71oleted
~ and when demolition is complete or stru:!-
ture moved and premises aleaned up.
I Mobi le Homes
~ Blocking and Set-up
:KJ PZwnbing connections BaJer and water
~ Electrical Connection - Blocking~ set-up
~ and plumbing connections nr~st ce approved
before requesting elec:rical inspection
:EJ ~;;81:;t,;:L~/3 ~~"
Vl Pinal - Aftar p~rches~ skirting~ deck2~
~ etc. a:re cOllTplet;;d.
o
All project conditions~ such as the inBtallation of street trees~ co.-:tplotion of the
required Zandscapir.g, etc. ~ must be satisfied before tr.e BUILDING .PINAL can .be requestad.
D FINAL PW/ofBIIIG
o FINAL UECHANICAL
D FINAL ELECTRICAL
o
o
FINAL BUILDING: The Pinal Building Inspection must be l'equeated after the Final PlwnbinJ
Electrical~ and Mechar.ical Inspections have been made and approved.
D
O PENCE: When compLete -- Provide
gates or movable sections through
P.U.E. '
o
AALL MANHOLES AND CLEANOUTS MUST BE ACCESSIBLE~ ADJUST!fENT TO BE MADE AT NO COST TO CITY I Page! of 2
I JOB NO,~~/~/
I Zone: M,HP.
Lot Sq. Ft{;.
S of lot C""erag<
!i of Stories
Tota~ Height
Topography
lITEM
l/-bin
I Gc:Jtaae
I CaM;Iort
I ACCBSSOl'U
I
I
I
I I
M"'8/~~~... do- .
SQ.FTG
Is.D.c.
TOTAL VALUE
luc/..uc)
1.5 x
Building Permit
State Su:f>aharge
Tota~ Cha.~gea
lITEM JO' I FEE
I Fi:r:tu:res ....,
I Residential. (J bath) I j.
I Sani ropy Sewer I I
~1.Water I I
?(:.St:; ~~I
Plumbing Permi t
State Surcr.a.rge
Total CharCBS
lITEM
j Res. Sa. fta.
I NetJ/Extend Circuits
I NO'1
I I
I I
rF~r. /~~.~m
Temporary SenJice
Ele:;ttroicat Permit
State SUI'~harqe
Total Cha:rCBS
lITEM
I Purnace ETU'S
I Exhaust Hood
I Vent Fan
I Waodstove
I NO.,
I I
I I
I I
I I
Permit Issuance
Mechanical. Permi t
State Surcharae
TCJ1:nl Charo(M9
I -- ENCROACHMENT.--
I SeC'"'..lritl/ Dep03it
I Storage
Maint~e
Permi t
Total CharQ(!8
I curbcut
I Side:.>a ~k
IFe""e ~
I E1.ectrica~ Label 09:2"
I Mobi ~e Home z7 ~-'F <- ~
I .
I
I TOTAL AMOUNT DUE:'
Pege 2
SOLAR .ESS
Occuvanctl Groui?:
.
L-COG~
REQ,-
T"dpe/Cor.st:
Bedrooms:
I Enel'G,u Srr.aoces
Heat
I Water Rp.atp.p
I Range
I Fireplace
I I Woodo to"e
II
TUDe'
LOT TYPE
I Lot Faces -
i Setbacks
I P. L'! House Caraqe
INorth
lEast
ISouth
IWest
Access.
Interior
Comer
Panhand~e
Cul-de-saa
"",.,
Fees
x
Va~ue I
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I 1
1<<~Y'..9. .
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This permit ia granted on the express condition that the sciid aonstruction
shall, in all respects, conform to the Ordinance adopted by the City of
Spttingfie1..d, including the Zoning C'rdinance, regulating the construction
and use of buildings, and may be _8uDpended or revoked at c.r:y time upon vic-
lation of any provisions of said Ordiruznces.
Building Value & Permit
I.
jp"lan Check Fee:
Date Paid:
IRecdpt #:
I Signed:
FEE
I CHARGE
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I 15'. ...'" I
1- IS"'.-I'
I .6D1
I /5:601.
I CHARGE :
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Electrical Permi:t
Where State Lo:1u requires tr.at t1u3 electrical work 1e done by an Electrical
Contractol'" the electM.cal portion of this pemit 'shall roOt be valid until
the label has been signed by the Electrical ~ontractor.
Plumbing Permit
No pereon shall constPUct, instaZ-!, alter or change any r.e1J or e::isting
. plumbing or. drainage system in whole or in part~ unless such person is the
legal possessor of a valid plumber 's license~ except that a pe:'son may dp
plumbing work to property which is owned~ leased or operated by the appli-
aant..
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FEE
CHARGE
Mechanical
Permit
.
li:f2:E'r - ~ /--":'
5-~ '1i?C
va.e
I HAVE CAREFULLY EXAlolINED the completed application for permit~ and do
hereby certify that all infor'l11ation hereon is true and CO:tTcct~ and I
fu.rther certify that any ar.d all work perfoP.TIed shall be do:te in accor-
dance with the Ordinances of the city of SpringficZd~ and th& La-..JS of the
* State of Oregon pGJrtaining to the lXJrk described herein~ and that NO OCCU-
PANCY will be rrade of any structure without permission of the Building Di-
vision. I further certify that only contractors ar.d e:rrpZ.;;yees who are in
~pliance with ORS 701.055 will be used on this project
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3n I:? I.Signad- V
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