HomeMy WebLinkAboutPermit Building 1987-10-8
.. RESI~TIAL"
APPLICATION/PERMIT
225 North 5th Street
Springfield, Oregon 97477
Building Division
726-3753
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Job Looation, //20 .r.4/.z?V/cv.v /~
Asoesoors Map # 1:?-o3-:<7-?]/ Taz Lot # ~~
Subdivision:
ame", h##E7# E'"~o;;.-
Address, //:2 &> rA'Z//? V/cCeJ _~2!.
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City: 57'pc....o, _ ~,
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Addi tien
Remade 7.
UobiZ~ Home
Date of AppUoaticn
Contractors
/,,e::J -!?-??';>
Address
6C:ofi <"=K
Genera l
PZumbing
Electrical
14Bchar.ical
Construction LendB1"
Phon.. ?2{{;.-g yes?
Zip: q) y;;> "/
Desc::ribe fl'ork:
VaZue /50. ~
e. Rcce-f-pt"!J
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Signed:
Date:
eel LP
lo-r~y f(
Lise. #
ExPires
Phone
It is the rBsponsibility of ths permit holder to 886 that all. inopections al"'e made at the propel' time, tr.at each ;;ddres8 is l'eada.b~e
fran ths street, and that the permit card is 'Located at the f1'071t of the property.
*BuiZding Divi:::ior: appro'f,'ed plan s)zaZl remain on the Building Sit;;; at all times.
PROCEDURE FOn INSPECTION REQUEST:CALL 726-3769 (!'ccorderJ state your City designated job number, job addrcss, type of in3pec-;icn
requested and when you wUl be ready for inspection, Contractors 01' Ot.mers ncme and phone nwnbC1'. Requests !'eceived before 7:00 Qi.l
will be made the same day, requests made after 7:00 am will be made the nc:rt :.JOrking day.
Reauiroed Tnsoi?cticnR.
D. SITE INSPECTION: ~'o be made af"ter
e:J:cavation, but prior to set up of
forms.
O UNDERSLAB PLUMBING. ELECTRICAL &
. MECHANICAL: To be made before any
. work is covered.
o
FOOTING & FOUNDATION: To be "",de
after trenches a1'e excavated and
forms are erected" but prior to
, pouring ccncret~.
0.
UNDERGROUND PLUMBING, SEWER. W.4TER,
DRAINAGE: To be made prior to fil-
Ur.g t""nOheS~~ ~'O
UNDERFLOOR PLUUBING & MF:CH4NfCAL:
To be made prio!' to instaZZation of
floor insulation or decking.
POST AND BEAM: To be made prior to
installation of floor insulation or
deoki"!; .
ROUGH PLUMBING. ELECTRICAL & MECH-
ANICAL: No work is to be cOL'ered
,ur.til these inspections have beer.
made.and approved.
FIREPLACE: Prior to pl.acir.g facing,
materials and before framing inspec-
tior:.
O FRAJ1ING: Must be requested after
approval of rough pZwrbing, eZectri-
.caZ & mechanical. All. roOfing
bracing & chinmcys, etc. rrr~st be
;' completed. lIo work is to be con-
"... ceaZed until this inspection has
~ bee.n made and approved.
o
D
D
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YOUT' City Desigr.ated Job NwnbS1' Is:
D INSULATION/VAPOR BARRIER INSPECTION,
To be made after all insulati::m w.d
'. required vapor ba1'1'iers are in place
, . but before any lath, gypsum board or
waU covering is app"lied" and before
any insulation is concealed.
O DRYWALL INSPECTION, To be made
after all. d1'ywalZ is in place"
. but prior to any taping. ,
O ~SONRY: Steel 'location, bona
beama, grouting 01' verticals in
accordance lVith U.B. C. Section
2415.
D WOODSTOVE: After installation is
ccmp leted.
O CURB & APPROACH AP.9()N: After- forms
are created but prioro to pouring
concrete. '
'D SIDEWALK & DRIVEWAY: For all con-
crete paving within street right-
of-way, to be made after all exca-
vating complete & form work & sub-
, base material, in plaae.
D PENCE: Wher: complete -- Provide.
gates 01" movable sections through
P,U.E.
o
&?OS-3~
I DEMOLITION OR gOVED BUILDIilGS
:=J Sani-;ary seuer aapped t::.t ~op~r~' line
=:] Septia tank p-.;r.:ped and filla.~ uith gra~e~
:J Final - fihen ab.,"'Ve items are cc.'rrpZeted
and when demcZition is complete or struc-
ture moved and pr2mises cleaned up.
I Mobile Hcmes
::=J Blocking and Set-up
3 Plumbing connections saver and water
---, Electrical Conr.ection - Blocking, set-up
, . ---1 and plwnbing connections TTl'....st ce approved
.. beforc requesting eZec:rical inspec-;io;"!
=:J Acaessol'Y Building
:J Pinal - AftaI' p:Jrcr.es, skirting, decks,
etc. are camplet~d.
D
All project conditions, such as the instaZlation of street trees~ ca~letion of the
required landscapir.g, etc., must be satisfied before the BUILDING FINAL can be requestad.
o FINAL PLUMBING
o FINAL ME~HANICAL
o FINAL ELECTRICAL
o
o
FiNAL BUILDING: The Pinal Building Inspection must be requested after the Final Plumbing
Electrical, and Mechar.icaZ InspectionD havo been made and approved.
ItAi'L MANHOLES AND CLEANOUTS MUST BE ACCESSIBLE, ADJUST!fENT TO BE MADE AT NO COST TO CITY J Page 1 of 2
I JOB
I Zone'
i-'age 2
NoE1~U 5~~- SOLAR AeESS REQ,-
Occuoancl! Gl"OU'D:
.
L-COG~
Type/Cor.at:
Bedrooms:
Lot Sq, Ftg, LOT TYPE I Lot Faces - II Enel'CTU Sources T:'1'06
:I of lot Covel'agc: Interiol' I Setbacks i I .r/eat
I P.L, I House Carage I Access. II Water> Np.atp.l'
# of Stories Corner INorth II Range
TctaL Height Panhandle lEast II Fir:l/ace
Topography Cul-de-sac ISouth I I: WO :; tove
IWest I
ITEM
I SQ.FTG
I
I
1
I
I
Main
GaI'aae
CarvOl't
I ACCeSBOl"U
TOTAL VALUE
S,D.C.
(va(..u~)
1.5 :r:
Bui'Lding Permit
State Surcharge
Tota L Charges
lITEM
I Fixtures
I ResidentiaL (1 bath)
I Sanitary SeLler
I NO. I
I I
I
1
I
I
WateP
PLumbing Pe""" t
State Surcr.a.roge
Tota'!. Chtnoaes
I ITEM NO.,
Res. 8n. fto.
I N67.J/~end Circui ts I
j Temporary Seroice I
I
Eleatl'ical Pennit
State 5u:focharae
Total Cha:rces
lITEM
I Furnace ETU'S
I Exhaust Hood
I Vent Fan
I JlOodstove
I~
I NO,
I
1
I I
P~~I
v -.
Permit Issuance
Mechanical Pernrit
State Surcharae
Tota I Cha:J"tUllJ
I -- ENCROACRMENT --
'seC'.lritu Deoosit
I Storage
Maintenan::!iJ
Fermi t
I Total Characs
Curbcuz
SidewaLk
I ~"'en:1e
I Electnca l
Labe L
Mobi le Home
I TOTAL AMOUNT DUE:-
I
1
I IS':'-:>
I I
1/;) ~ """"""'I ... ',0
I ..~
1/-5: 7.5'1-
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I
x
Value
FEE
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I
I
1
I
I
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I
I
1
CHARGE
CHARGE
FEE
FEE
CI/ARGE
1
I
I
I
I
1
I
I
I
I
I
I
/5": ?S'
Fees
Building Value & Permit
This permit is granted on the express condition that the sa"id construction
shall, in all respects, conform to the O"l'dinance adopted by the City of
Springfield, incZuding the Zoning CTdin..a-n.ce, regulating the construction
and use of buildings, and m:zy be suspended 01' revoked at cr:y time upon vio-
Zation of any provisions of said Ordinances.
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IPlan Check Fee:
/Date Paid:
IR~C~iPt #:
S'/..gned:
Plumbing Permit
No .person Dhall construct, instaZ?, alter or change any new or e=isting
plumbing 01' 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 do
plumbing work to property which is owned, leaaed or operated by the appLi-
cant.
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Electrical Permit
Where State Lo:bJ requires tr.at the e lectrica l work be done by an Eieatrica l
Contraator, the electrical portion of this permit shaU not be valid until
the Zabel has been signed by the ElectM.cal Contractor.
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Mechanical Permit
~ ~-'/
I7ayExaminer t:: . ~ /
/o-.e~/
vate
I HAVE CAREFULLY EXA."1INED the completed application for permit, and do
hereby certify that aU ir:fo:omation hereon is true and correct, and I
further certify that any ar.d aU work perfoffl!ed shaU be done in aeeor-
dance :.nth the Ordinances of the city of Springfield, and th~ Ur.Js of thG
A State of Oregan pertaining to the work described herein, and that NO OCCU-
PANCY will be rrrlde of any structure without permission of the Building Di-
vision. I further certify that only contractors and e:rrp~yees who are in
compliance with ORS 701.055 wiU be used on this project
/H/1'J/1'U) ~4 ~
Sigri.d ~ 0
h~f?- 8/
/ Date