HomeMy WebLinkAboutPermit Building 1987-4-21
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APPLICATION/PERMIT
225 North 5th Street
SpringfieZd, Oregon 97477
BuiZding Division
726-3753
Job Looation: J ! rin 1='"0.\ ,VI.L\...l l)r', 1F3~ Sp'~,~t:~~ 11)
ABaeBsora Map # i '10 '? J.. '1 3 ( T= Lot # (() trio av
a.mer: f) \~ r\" (' n k \ c..,\z,,\,V\ ,,\-<:
Address: q Sc: Lou b
City: 7,l ~6(Jhf. \~
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Phon.. u,<6~ -I ~ J Lj.
Zip, q 'lLf ()~
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Desoribe f,'ork: ~ 7db--f.oK, ~
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Subdivision:
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Additicn
Remodel
rvf :,!obi Le Home
Date of Application
G.'on'tractors
_I, General.
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AMerrc?4' H /VI",1.!p
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A/.P;(-';'C:: '
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PLumbing
Elcctroica!
1/ l1echar.ioa!
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Constrouction Lender
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Rcce':"pt #
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Signed:
Date:
t;-;;2.( - ,?rJ
Value
I / Adt:b>ess
f""'Il?7we!? .
Lise. #
400/7.ffO
Exvires
1- ~ I-Cf'i?
Phone
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It is the responsibility of the permit holder to see that aU incpections are made at the proper timE;~ that each .::ddress is readab:e
fz-om the street, and that the permi t card is 'located at the front of the property.
-4Bui!.ding rr;vi~ion approved plan shell remain on thE Bu-:.lding Sitz at all times.
PROCEDUF!E FOR INSPECTION RE:QUEST:CALL 726-3769 (recorder) state yOUI' City design.a.ted job nW7:ber, job aCCrcss, type of in3pec=icn
l"equcBtcd ar:d when you will. be ready for inspection, Contractol"s or OI.mers neme end phone number. Requests received before 7:00 c::':
:.."ill be made the same day, requests made after 7:00 am lJiZl be made the nett :.JOrking day.
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I Reauired Tnso~ction8
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SITE INSPECTION: To be made after
excavation, but prior to set up of
forms.
U/lDERSLAB PLUMBING. ELECTRICAL &
NECHANICAL: To be made before any
work is ~ovcred.
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POOTING ~ FOUND,iTION: To be made
after trenches are excavated and
forms are erected, but prior to
pouring ccncret~.
UNDERGROUND PLUMBING. SEWER. W.iTE.~
DRAINAGE: To be ma.:ie prior to fil-
.iir.g trenches.
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UNDERFWOR PU/J.1BINr; & MECHANICAT,:
To be made prior to in3tallation of
11001' insulation or decking.
POST AND BEAM: To be made prior to
instalLation of floor insklation or
deoki". ,
ROUGH PLUNBIllG, E[,ECTRIC4L & MECH-
ANICAL: No :Jerk is to be covered-
.until thcse inspections have beer.
made and approved.
FIREPLACE: Prior to placir.g facing
materials and before framing inspec-
tior:.
il FRAJ~INC: MAst be requeated after
"---J approval of rough plwrhing, electri-
cal & mechanical. AU roOfing
bracing & chimneys, etc. nr~st be
,completed. No /,X}rk is to be con-
. "- cealed until thic inspection has
'be~n made and approved.
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.=J FINAL PLUI~!BI/1G
:::J FIliAL MEf:HAIIICAL
=:J FIliAL ELECTRICAL
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Your Cit;y Desigr.atcd Job Number Is:
'60 0 :::2.S to
O INSULATION/VAPOR BARRIER INSPECTION:
To be made after all insul~tion GrA
'. required vapor ba:rriers are in place
, but beforoe any lath, gypsum board or
wall covering is applied.. and before
any insulation is concealed.
DENOLITIO!'/ OR ;'.:OVETJ BUILDI,"/CS
~ Sani-:;a:ry seJel" :::apped ~.t p:..opcl"t;-~ lir.e
:=J Septic tank p"",,--::ped and fiz.z.2~ with gra~ei.
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:J Final - fl'hen ahcve ite,-ns a:re corrrpleted
and when d~olition is complete or stru~-
tul"e moved and pl"~ses cleaned up.
DRYWALL INSPECTION: To be made
after all drywall is in place..
but prior to any taping.
O MASONRY: Steel location.. boYul
beam:;, grou ting or vertica ls in
accordance with U.B.C. Section INobile Hcmes
2415. ~
O WOODSTOVE..: After installation is~ U .:J <.J~ocking and Set-:J.p
completed. ~Z b' . and
~ ~ ~~um ~ng connect~ons -- 8&Wer wa-:;er
CURB & APPROACH APR?N: Afte~ .forms ~lcctrica~ Connection _ Blocking, set-up.
are crected but pr~or to pOUM-ng 5'5 ~ and plumb1-ng connections m-,,;st l;e appr:)1;ec.
con:;!rete. before requestf-ng elec=rical inspec=io:-:
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SIDE:WALK & DRIt'EWAY: For all con-
crete paving within street right-
of-/JC.Y.. to be made after aU exca-
vating complete & form work & eub-
base material in pZa:Je. qr
=:J AC:Jescory Build-:.ng
= ~ - Ilft;l" p:;rcr..es..
~~~~are cample=cd.
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skirting.. decks,
O FENCE: Wher: compl~te -- Provide
gates or movable sections through
P.U.E. '
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All prooject conditions, such as the installat-:.on of s=l"eet trees, c~~lction of the
required Zandsccpir.g.. etc... must be satisfied bcfore the BUILDING FINAL can be rzquestzd.
FINAL BUILDING: The Final Building Inspection must be roequested after the Final Plumbing
El.ectroical.. and Mechar.ical InspectiontJ have been made and approv.ad.
"'ALL MAllHCLF:S AND C~EANOUTS nUST EE ACCESSIBLE. 4!J.TUST.'!?:'!'!' TO BE ,'.~1DE' IT .'10 ':')ST TO CIT'! I p:;~o? :. of" 2 I
JOB
No.81()~Sb SOLAR ACC,S
Oct:Uvancu Grou:J:
BeC.:roorr.s:
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~Zonc:
I Lot Sq. F~.
,
l~ ~f lot Caverag~
!# of Stones
1m t ' U ' h
!..o at. ..e1.{j t
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i Topogl'a?hy
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lITEM
[Main
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I Gc:race
I
! CarvCl"t
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,Acc€ssoru
SQ,FTG
TOTAL VAWE
!S.D,C.
I
(vat.uc)
1.5 "
Building Permit
State Surcharge
Total Cha:oge3
lITEM
1 Fi.:rtuz>es
,
~ Residential (1 bath)
I NO. I
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j Sarzitary Sewel'
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! Water
PZ:.;r.;b:.r:q Perr::it
State SurcrLlI'ge
Teta Z Chc:roes
: ITEM
i NO'1
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I Res. Sa. fto.
JNcw/EXtend Circuits
I Temporary Service
EZe~tl'icaZ Permit
St::.te SurcharQe
Total Charces
ITSM 1110" FEE
! Furnace PTU' S
: Exhaust Hood I I
Vent Fan I I
woodsto:Je I I
I I
Permit Issuance
Mechanical Permit
State surcharaE)
Tcrtal CharO(UI
-- EllCROACH!.JEll,1T --
Se~drity Deposit
Storage
Maintenance
Permit
Total Cha:l'ocs
CUl'"bcu.t
SideLJaZk
Fen:1c
Electrical Label
Mobile Home
13(5/13
TOTAL ANOU....T DUE:"
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IS: ~ I,
LOT TYPE
Interior
Corner
Panhandle
Cul-de-sac
x
Value
FEE
CHARGE
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...~.I. ..7s~t5<5
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FEE
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1.5
CHARGE
I CHARCE
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I ,20
I ::JS .00
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S ro.<(O
REQ.-
L-COG"l.'
.
I I EnerolJ Sources
I Heat
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II
II
II
II
T~'r;e/Cor.st:
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I Lot Faces -
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INorth
lEast
!South
IWest
TUDe
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Setbacks
I House I CarGpe
I Access.
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Watel" Hl?atp."f'
Range
Fi'1'er;lace
Wc;od:;tove
Fees
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Building Value
&
Permit
This permit ia granted on the express condition that the s.a"id. aonstruation
shall, in all respects, conform to the Ordinance adopted by the City of
Springfield, including the Zoning Crdinance, regulc.ting the constructicn
and use of buildings, and m:zy be suspended or revoked at cr:y time upon vic-
lation of any provisions of said Ordinances.
Plan ChfWk
Date Paid:
Rec:;ipt #:
I Signed,
Pf!P.:
Plumbing
Permit
No person shall construct, instal!, alter or change any neW cr e:isting
plumbing or drainage SYBt~ in whole or in part, unless such person is the
legal possessor of a valid plumber's license, except tr~t a person may do
plumbing work to property which is ow~ed, leased or operated by the appli-
cant.
Electrical
Permit
Where State Lo:1JJ roequires tr.at the electrical work be done by an Electrical
Contractor, the electrical portion of this permit shall not be valid until
the label has been signed by the Electrical ~ontractor.
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Signza
Mechanical
Permit
PLan Exannner
uar;e
I HAVE CAREFULLY EXAMINED the completed application for permit, and do
hereby certify that all i~for>mation hereon is true and correct, and I
further certify that any ar.d all work perfomed shall be done in ac~or-
dance '.J?ith the Ordinances of the City of Springfield, and th& La-..:s of the
State of Oregan pzrtainina to the z.JOrk described herein, end that NO OCCU-
PANCY will be made of any~ structure without par.misaion of the Building Di-
vision. I furthel' certifiJ' that o-:-zly controa~tors ar.d e:rrpz.,ye~s who aI'e in
compliance with ORS 701.055 will be used on this project
(( JI--Y f)
- C'V~J~~
Date
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'~ 3'L0t~~lq~l' G>rd IVd, l~
~ ;2"3J.3 'F{UAfvLCWYL'f. Bred
~I ~u0ene, De q7463
o 4. Type ell Service: ' Article Number
~ 0 Registered 0 Insured p 415 7/ Ie,
III Certified 0 COD
o Express Mail '"3 3 I
ill . SENDER: Complete items 1, 2, 3 and 4.
~ Put your address in the "AETU RN TO" space on the
3 reverse side. Failur. to do this will prevent this card from
M being returned to you, The return rlllCsiDt fBe will provide
_ ~ou the name of the .P!'~.!! delivered to and the date of
- dellv!t!Y, For additional tees the following S8f'Vlces are
!: available. Consult postmater for fees and check boK(es)
<' for service(s) requested.
1, J'i Show to whom, date end address of delivery.
2. 0 Restricted DeliverY,
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AlwayS obtain signature of a":":. ~->>"~~.Q[agent~dJ~ ~O
DATE DE~~VERED. I<-;~''''- . ,U~
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~ 7. Date of Oelivery ~.......
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UNITED STATES POSTAL SERVICE
, OFFICIAL BUSINESS
SENDER INSTRUCTIONS
PrInt your neme, add....., and ZIP Code In the
apace below.
o Compl_ltemo 1, 2, 3. ond 4 on tho .........
o Attach to front oIortlclo if _ permlta,
otherwloo offIx to baclc of .rtI...,
. Endorse ertlde "Return Receipt ",. .. I"
adlacent to number.
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PENALTY FOR PRIVATE
USE, $3OD
RETURN
TO
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'C.~TY (l~;..r.o.;.f.~rr ~~L U
DEPA'RTMPNT OF PUBLIC w'-"-"<"
INo..nd Str~N~~f'l'~/I,o"S'r~o.J
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