HomeMy WebLinkAboutPermit Building 1982-8-18
.. RE'DENTlAL"
APPLICATION/PERMIT
225 North 5th Street
Springfield, Oregon 97477
BuiZding Division
726-3753 '
SPRINGFIELD
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Job Location:
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AsassGors Map #
Subdiuision: ~~A..LO""".
Cl.me., \~O~ERT COGI-\~AN
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Ta::: Lot #
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Pr.one:
Zip:
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Descl"'";be f{ork:
'~~. (&?/!" ,W
Add:i ticn
Remodel.
,'.!obi 1.2 .qoma
Date of AppZicaticn
~:Ont"l'c:c:ors
G;me.al (UI ~'-IiF-{8..
Plumbing
't<,tO.G~H oE.'
I Electrical.
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MG!::har.i.c.::.l.
Co"str~ction Lender
Val.ue
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Exoil'~S
Pr.one
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It is tho responaibiLity. of the permit holder tc 886 :hat aLl inspections are r.-.ade at the pZ'optJl' timE~ t.t".at .u:.ch .:;ddress is rer...:,.:'~a
froom ths street, and that the pcrmi t card is l.acated at tha front of the propert':j.
.t9ui!dir.g Ir:.:Jicio'!':. approT:ad plan sht:ll rmain on tr.E Building Sit;; at all times.
PROCEDURE FOR INSP~CTION- RE:.QUE'ST:CALL 726-3769 (rcco1'c.e1'J state yoUP City designated job numbe1'J job adircssJ type of ir.3pec-;icn
rsquesT::cd ar.d :.1.1:en you ;.TiU be ready for ir.spcction~ Contracto1'S 01'" O....-')1e:os n.c:me end phone number. Requests received bej'"c'!'s 7:00 <=I
:..'il1. bs made the same dc.y~ requests mrzde after 7:00 ern wizz. bri made the ~ :.JOrkil"..:j day.
gji 1;)51
l?lultJ.?:..,.t:>t7__ T'1"T!"....tipr}!.
O SITE INSP!C":'ION: To be made after
e:cavation~ but prior tc se: up of
forms.
O U:lDE:RS[,AB ?!.UMBI.'lG. -' El-ECTRIC.1L d
Jo!ECH,l.;"1IC';'L: To be tr.ade oejors any
work is '::olJared.
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FeOTING ~ FOUNDATION: To be made
after trenches are excavated ar.d
forms are erectaaJ but prior to
pouring cancret.;.
UNDi::RG,:roUND PLlJM?INGo SEWER" d.'1TER.
DRAIlIAGE: To be r::a.::.e ?r:.or 'to lil-
Lir.g trenches.
UNDcRFLOOR P[,vr.~r.IG d ,'.fEC:IANICAL:
To be made prior :0 in3-:-aLlation of
ficor insulation or: decking.
POST AND BEAU: To !be mads prior t;o
instaLLuticn of [Zoor insul.ati07'l 01'
dsckint;.
RO!JGH ?LlP.!BI!!Gr:.:JC':'.r?~CAL ') MECH-
ANICAL: No :JO~o!.'ered
ur.tiL these insoectior.s ~V€ beer.
nuuie and appr~u6d.
FI.~E:PLACS: f7t-.Ar to pkcir.g fc.cing
materials and bE:fore jrerrrir.g inspec-
tier.:.
FP.A!!ING: Must be requeoted after
approvJ.L of rough p7.wr.bing~ 2tectl'i-
007. & mechani.=a7..AZZ roolir..g
bracing & chimn~ys, etc. ~~st be
. como7.etcd. :10 work is to be con-
;.,csa'Zed until this inspecticn has
'b6~n made and approved.
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Your City, Desigr.ated Job NwnoE:r I3:
O INSULATIONIVf1PO.9. B.4RRIER I:1SPECTION:
To be made after a7.1 inS"~7..ati.:?n a:"'.d
.'. rcquired vapor carJ"'iers a:re in place
. but befere any lath, gypS"'.mJ boal'Ci 01'
wl'l. covering is appZied~ r::nd before
any in3Uwtion is concealed.
~
D.9.~;/ALL D1SP~CTrON: Tc be made
after aZZ. d:ryt.;aLZ is in pZace,
but prior to any tapi,...g.
DE.'.fCLITIO!! OR gOVE; aUILDlilr;s
:J Sani :ar',j se'.Jer ~apped ::::t p~op~rty l.ir:e
:=J Se?t~ tank p-",,"?ed a;-.d f-!.7.Z.ed :.;ith GT::~8!
::J Pinal - r/hen a.bcve ite.-::s are cc.~let;sd
ar~ when d~ot-:.tior. is comptete or st~~~-
t'..c"e moved a:nc! pre:m.38s ~leaned u.p.
I Nobile Hc:r:es
~ ELocking and Set-u.p
=:J Plumbing conn.ec:-:'01t8 -- s.::.:er and wa-;er
---, E7.ectricaL Connection - Bloc~;r~J set-up
-.-...J and pLumbing connections 111'.;:st =a approvec
be;o1'c request:ng electrical inspec-;io~
:=J Accessol":i 3uiZ2.-:.ng
::J
Fin.a.l - Aft::r ;orcr.es, sk.;rt.;ng.. deck.s,
etc. are complet~d.
O ,~SONRY: Steel, loaation, bona
beam3.. grouting or verticals in
accordance with U.B.C. Section
2415.
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;;oODSTQVE,
ccmp;:eted.
After instaZlation is
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CURB & APPFlOACH APRON: Afts:o forms
are arected but pl'"'Ar to pouring
oon..."'1'ete.
SIDEWALK & !J.r~It"EWAY: For all con-
crete paving within strest right-
ol-wc.y~ to be made after all exca-
vatina acnrolete & fOr::! Wl"k & :;uh-
base ;Xte1'"1:aL in p~e.
All project cor.:di=ions, Ju.ch as the instalLat.;on of street trees, c~~Zation of the
required land.3cc:pir.g~ etc. ~ must be satisiiad before tr.a 8L'ILDI.'lG FI.'!AL can beret:j.l.9stsd.
o PI,'IAG PLUN9IlIG
o FINAL NE:HA:IICAG
[Z] FINAL ELECTRICA.L
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FINAL BUILDING: The FinaL 8'.4ildil".g Ins?ection must be requested c:f;er the Pinal Plumbir~
~ELOJctl'ical, a:nC ,'.fecita~ical Inspectiona r.ava been made and c:pproved.
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PENCE: wr.er. comp l.te -- Provide.
gates 01" .71ovabte sections thrcugr..
P.U.E. .
"ALL MANHOLES AND ClEANCUTS ,'tUST BE ACCESSIBLE.. ADJUST.':;:I'!' TO 3E M.1DE .'~T NO C-:JST TO CI7:Y I Page 1 of 2
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SO LAR AC S R EQ,-
OaC'.J.t:'ancu Grou:o; M - ,
Iw. ?aces -
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I P. D.
INor:n
East
ISouth
IWest:
I JOB NO.
iz",,", ^i!t I..J S.
wt Sq. Ftg.
:; ::Jf Lot CJr)erag~
., of Stories
TotaZ H.eight
I Topogrc;;hy
IIT~.V
I Main
I Gc::t-aC2
I.;ar':'cr:
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I Sr;.FTC
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TOTAL VALUE
( UC!..UCJ
~..5 ;:
Building Permit
State Suzocha:rge
Total Cha-:og8~
Ir:EM
I Fi--tu:res
NO.
Residantial (1 bath)
Sani ta%"'d Sewer
i<<:tar
Pl:mrbing Perrr:i t
State Su:rcr.arge
Total Charaes
lITEM
I Res. Sa. fta.
I N~.,]/Ertend Circui ts
1.'10'1
1/
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Tempol'a:ty Service
EZectrical Permit
St=te Sur~harae
Total Cha.:t>ces
lIT:::,..,
INC. ,
I
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Pu..""".ace ETU'S
E=ht:r.:st Hood
I Vent. Pen
waodstc:JfI
Perr:ri. t I3su.::nce
Me=1umic::.l Permi t
State. Surcht::rae
'!'rltr.l. rioiTJ"':1"'fJ
- ~llCRCACF.NE.'!T --
ISe~~~J De~o3it
I Storage
I UainttmC.n:::e
I Permit
l. I Total Characs
I Cu:l';cu.
! Sidswlk
I Fenae
1_. '. ._L ,
I c."ectrt.Cat. u.u;ec.
,
! ">lobi La Home
t ~OTAL A.MOUNT ~UE:"
LeT TY?F:
In.terior'
Corner
Panhandle
Cul-de-sac
x
VaZue I.
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J../, Ii' COer"
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~ g'tV, CO I
IY-Il. I.
,
3~.ool
/,~)(I
3?',.;l.'iS'1.
/0,0(\
FEE
CP.ARGE
FES
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.ID,OO I
,</D I
JO,C/O ,.
CHARGE
"CC
,--
C!fARCE
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S3,,;1.r{ .
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'L-COC""
T",.ICor.st: 'TL-If/
I I En3l'au So:a>aes
I I !lea.
Acce3S. I I ;.later H&?atp.!"
I I Range
I f F'ireDZace
I I flood;;;o",'e
II
36droOrr:S:
T;;oe
Setbaaks
I Hause CaI'aae
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Fees
Building Value & Permit
This pBrmit i3 granted on the express condition that the s.:zid. constl"'..lction
shall, in aZl respects. confonm to the ?rdinar.ce ~pted by ehe City of
Spt'inafield., ir.c!ud-:.na :ne .3onino C':>cEnan.ce, reC"'.J.La::ir.a tJ:e C'cnstr:lcticn
ar~ u;e of buildir~3,~cnd m=y be~suopended or revoked. ~t cr.~ time u;or. ~ic-
latio71 of ar.y pr~vi3ior.8 of said OrdirAr~es.
IPLan Check Fee:
Irate PaUi:
IRecdpt #o'
i Sig>:ed,
o/",hO
Plumbing Permit
No person shall cona~~ct. install, alter or change any ~$W cr 6--i8tir~
pZ~~ing or drainage syst~ in whole or in part, unless such ;er8071 is the
legal possessor of a valid plumber's license, except that a person may do
pl~~ing work to properr~ which is ow~d, leased or operatad by the appLi-
cant.
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Electrical Permit
Where State Lc:r..J requires tro4t the eleotricaL work os done by an EZectl"ical
Contractor, the electrical Fortion of this permi:c shall roOt be ualid until
the label has been signed by the Electrical ~ontrac'COr.
Mechanical
Permit
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Ptan d~~
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I HAVE CAREFUU':i 2XA.'1INED th.e completed application for permit. c::nd do
hereby certify that alt i:-:fo:r.-.ation hereon i.s true and correct, c:rtd I
f.crther certify that: any ani all work perfomed shall be do:1e in ac:or-
dance :.nth the Ordin-"ry1ces of the City of SpringficZd, and th.;: Ur..;s of tho
. State of Creg;)n p~rt...-ining to the work described herflin, end ';;'04= NO OCC!J-
P~t!lCl wiZZ be rTl1:!.e of any st:-UCt"'..u'II without pa~83ia:1 of the 3uiZding !>"~-
fJision. I fu:rther ~ertif:; tha.t o:1ly C'ontr~to1'S ar.d ~Z"yees who aJ""B in
compl:.a.n.ce with CRS 701.055 wiZl. be used or. this pr'Jj2ct
J.(V. ~
Sign2d '"
f~ / ?,r-~2--
. Date