HomeMy WebLinkAboutPermit Building 1990-10-18
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Rcce-:.pt #
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...' I" ., RESID,.,T1Al"
., _ APPLICAT.PERMIT
225 North 5th Street
Springfield, Oregon 97477
Building Division
126-3753 I.J~ (,,(/ K ,'.I:...ro
Job Location: b 9:J... L-oe-h f'lv",,v
Asocsl3ors Map #
A/IA
I+oIWI.{'?.
'I()?" ',::)}-;:) L..J T= Lot #
loT 14
A/IA ()(.., 7m
81aJ:. 1.
Subdioision:
Ll!)ch~v-e.c.l
Q.mer:
Lex-hl4'v.e.v ,f'tQ~n.t-e1t..S
Address: I/'t<t 1I/,11f:tz.IJ.<t
.
City:
"FLA.'!' &......c. , u..c..,
UN"",
n Addition ~IU~
n RemodeL J'kc.SSOVl~
n .',fobilA Home
P/'.one: (,. 7f~ - '1/ A3
Zip:
q -Z~l!)J-
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;2 g Xl.J~/
VA"'"' .....1~~,,1l "w..M/YD ..
'+f~ i J Ilt;;~ Date: /0. le-C-/,U
Describe fl'ork:
'i,..d
, .,.'::':"f
S+ ""'7 ~t<.5
, 'Sv- flPr' PIAA/
'Data of AppUoo.tion "'/O-l",~'qn' VaLue
Contractors Arlrlress '"Lisc. II Bldrs Board R '2.
Generalt=/Ulle "".so"" \J'lqo tV/.i>..-e1.4 L.1 f-....... LJII./<1"1 4 -.;1-9/
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i Plumbing 6:,.......,',,.., Pl_(.,"""'!: 3L ., (',~_ ^'=,...... ..::>~..3-l,.P
I Hechanicai ,"",-,-- 11 LI."C r ~ <5"..;l. II 17
I El,ec_tril:al g...llll.( 'e>"Z>~ 2.D' 2..1:1 \'
Supe""~1g Electrician ~'J'"-.I-'- ~,M. '7l/.-C::c. <\
It is the resporuri.bit.ity of the ~t holder to see that aH inopections are r.:at:1e at ths proper tim~,
fzoom the street. and that the p=t card is !.ocated at the f1'Ont of the property.
*Bui!.ding Di.viciar: approve4 Flan. s.hall remain on th2 Bu."::lding Sits at all times.
PROCEDURE FOR INSPECTION RSQUEST:CALL 726-3769 (l'<aol'der) state your City designated job nwr.bel'.
requested ar.d when you 1.Jil.Z. be ready for inspeotion, Contraotor8 or OtJner8 name and phone number.
r..'il'L be made the same day, requests made after 7:00 am t.1iU ba made the next :.JOrking day.
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RlfU1!ii,./ul rl1gQ~(!fiq11!'J
D SITE INSPECTION: To be mads after
ezcavation, but prior' to Set up of
forms.
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0, UNDERSLAB PLUMBING. ELECTRICAL &
: MECHANICAL: To be made before any
lJOrk is t3O'!Jcred.
..,' . . t....'.
rv< FOOTING & FOUNDATION;.' ;~ be made
L.:.J after trenches are excavated and
forms are erected, but prier to
. pouring ccncret,z. '. .... . .
r-n'.' UND8RGROUND PLUMBING. SEWER. 'W.1TEH,
iLl pFiAINAGE: To be mads, prior to fi~-
.t.i"..g trenches.
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UNDERFLOOR PLUMBING & MECHANICAL:
To be made prior to instaLlation of
floor insulation or decking.
POST AND BEAM: To be made prior to
instaHaticn of fLoor insulation
, dsaki1l{;.
FRAHING: Must be reque8ted after
approval of rough plUmbing, alectri-
.ool & mechanical. AU roOfing
. bracing ~ chimneys, et". rrr..tst be
;' completed. No work is to be con-
..~,cealed until this inspection has
~ be~ made and approved.
o FIliAL PWMBIllGn.c;/"
o FINAL MECHANICAL ~D-''D
lli FINAL ELECTRICAL "iSV
Your City' Desigr.ated Job Number 18:
O INSULATIONIVAPOR BARRIER I,VSPECTION,
To be made after all insuZatian CC".d
.' .' required vapor barriers are in place
,;" ~ but before any lath, gyp8U11l board 01'
, wl.l. (!Overing is applied, and before
. '. . . ~y insulation is ooncealed.
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, 0 DRYWALL INSPECTION: To be made
after aU drywall is in place,
: but prior to any taping.
O MASONRY: SteeL Location. oona
beam:J, grouting or verticals in
accordance J.Jith U.B.C. Section
2415.
O WOODSTOT/E..: After installation is
ccmp~et€d. .
CURB & APPROACH APRON: Afte::o fonna
are erected but prior to pouring
. ~rete.
'd'sIDEWALK & DRIVEWAY: For ail 0071-
~ crete paving within street right-
. 9f-way, to be made after all exca-
vating complete & fo~ work' & sub.
. base TMteria l in place.
O FENCE: When complete -- Provide
gates 01' movable sections through
P.U.E. '
o cQ~'JL~oo)
Exn'ires
P'hnno
l. R"Ji': R3/:.<I-
"..i.:7- :.l.~ 0
'.815- ~II
:3 ""'_ I s-c:rD -
,./- 'il
, 'fs!:"':
tr.at each .:ddrsss is readabLe,
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job address, type of in3pec~icn.
Requests received before 7:00 ~
VI 0 ) 'J Sh
I DEUOLITION OR !.:OVE[} BUILDIilGS
~ Sani -oa:ry se:.Jer ,apped at rn:,oP<l't". Hr.e i
=:J Septic tank p".o::ped and fi l Z.a~ J.Ji th gra~e 1.
:J Final - rVhen above items are ccmpZeted
ardi when demolition is complete or 8tru~-
ture moved and pr~3es cleaned up.
- Mobil.e Hcmes
~BLoaking and Set-up
~ Plumbing connections, -- scwer. ~ water
~Electrical Connection - Blocking, set-up
Y-J and plumbing connections rrr,.lst 1;e approved
. before requesting elec~rical inspection
~Accesso~d Buitd~ng
~ Pinal - Aft01r porcr..es, skirting, decks~
~ etc. are completed.
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All project conditions, such as the instaUation. of S~l'eet trees, co.-:rplction of the
requil"sd landsccpir:.g, etc., must be satisfied before the BUILDING FIliAL can be requestad.
FINAL BUILDING: The Final Building Inspection must be requested after the Final PZ'WTIbi~
Electrical, and Mechar.ical !nspectiona hava been made and approved.
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/tALL MANHOLES AND CLEANOUTS HUST BE ACCESSIBLE, ADJUST!rEIIT TO BE NADE AT NO COST ~O CITY I Page 1 of 2
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I JOB NO,q()J~ SOLAR ACCESS REQ.-
Zona: /1) rL Occupancy G~ Yc6..: ~ -
Lot Sq. Ftg. WT TYPE I Lot Faaes -
, Setbacks
S "f lot Caverag~ Interior I p, L.
I House Carage
# of Stories Corner North
Total Height Panhandle gast
Sou th
Topography CUl-de-saa
West
I
IITE/./ SQ. FTG
.!lWo-. J\I) H
G<:raaa
Carvort
I M......., i=' Y'\ -9.
x
Value
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TOTAL VALUE '.l~:lOf()
Is.D.c. 1.5 :r: fVC:t.UC) I ?N1.'2f1 '
Building Permit I~<A..~
State 8ux'charge \q?:J
Total ~"'ge3 00.43'
lITEM NO. FEE CHARGE I
Fi:rtu:res I,
I ResidantiaL (J bath) . I
I Sani tal't/ SetJel" rLJfS,CP,
Wat~ AS,(t:I'
~-~ A'S .00
PLumbing Pa=i t 1')5.W
State Surcr.a.rge 3.'/")1
Total. Charae8 l '7'6.'lsl ,
CH/./I
/' I
Temporary Service~ ../ . .
IX.
~
ITEM
I NO.
its
Ele~tri~ermit
, : s~ur"harqa
~tal Charr;es
lITEM
I Purn:2ce BTU' S
I E::haust Hood
I Vent Fan
I Jlaodstove
NO,
Permit Issuanca.
Me::hanical Permi t
State Surcharae
Total Charae8
I -- ENCROACHMENT --
I SeC"..lrittl DeP03it
I Storaqe
I Maint~e
I Pernri t
I Total ChaI'Qes
I Curbcut
I sidewaLk l oD'-
I Pen:!e
I Elect1"ica l Labe 1.
I Molrf l~ Home _
~iCl'h J 'W~-
~.p)T'J
I TOTAL AMOUNT DUE:'
FEE
FEE
CHARGE
----....
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IC1 IV .
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t54 . !-is
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5qll~
L-COG~
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Type/Cor.st: _ Be6>ooms: .3
~ I Enerau Sources .j:::.F_
I I iiaat L
I Access. I I Watp-Y' Hf'.atp-Y' >
I I Range
I I I Fireplace
:: ' Woodc tove
~de
Fees --
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Building Value & Permit
.This permit i3 'grianted on the express canditiam that the said construction
shall, in all respects, conform to the Ordinance adopted by tho City af
Springfield, inct.uding the Zoning Crdinanco, regulating the construction
and use of buildings, and may be suspended or revoked at any time upon vio-
lation of any provisions of said Ordinancos.
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I Plan Ch:ak Faa: """
. Date Pa-:.d: ~_, \~ ~
IRaaeipt H: \.k\
'IS~'
Plunibing 'Permit
.No.person shall. construct, inBtal!, alter Ol' change any nelJ or e...-isting
plumbing or drainage system in ~hole Ol' in part, unless such person is the
legal possessor of a valid plumber's license, except that a person may do
plumbing work to property ~hich is oumed, leased or operated by the appli-
cant. ,'\ I' . \
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Electrical Permit
Where State LalJ requires tr.at the elect:rical work be done by an ElBatrical
Contractor, the electrical portion of this pel"mit shall roOt bs valid until
the label has been signed by the Electrical Contractor.
,
Mechanical Permit
~J ~~Q eJ
10. 110 .q()
uate
I HAVE CAREFULLY EXAN.INED the completed application for Permit, and do
hereby certify that all info~tion hereon is true and correct, and I
!'.trther certify that any ar.d all work pBrfol":7led shall b9 00:18 in acaol'-
dance :.nth the Ordinances of the City of Springfield, and' th~ La:.;s of tho
State of Oreg.:m pertaining to the work described herein, end that NO OCCU-
PANCY IsJill be rrr:zde of any structur2 IsJithout parmission of the Building Di-
vision. I further certify that o:tly contractors and e:rrp~yeeB who are in
compliance with ORS 701.055 will be used on this project
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JP "" f(" 90
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225 ru." STREET
SPRINGFIELD, OREGON 97477
,INSPEClION REQUEST:' 726-3769
, 'OFFICE: 726-3759
ELECTRICAL PERMIT APPLICATION
Ci ty 'JOb Number Gf () I {J 8 LD
3. 'COMPLETE FEE SCHEDULE BELOV
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~;-V~C;PV
1., ,LOCATION OF ;INSTALLATION /1
Co9d-. Ln~f1l4tJ.fo.v HI/It:..
A. New Residential-Single, or
Multi-Family per dwelling unit.
Service Included:
LEGAL DESCRIPTION
/YIlt-f lr; -r74-x1..Dr ']</00
JOB DESCRIPTION
v'YIob;/e ~e.. b'1.e..c.-+Y,'u
Items Cost Sum
1500 sq.ft. or less $ 85.00
Each additional 500
sq. ft or portion,
thereof $ 15.00
Each Manuf'd Home or
,Modular Dwelling 8$ ')()
Service or Feeder 35.00
B. Services or Feeders (10 Branch Circuits
included). Installation, Alterations
or Relocation:
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
, 180 days.
2. CONTRAClOR INSTALLATION ONLY
Electrical contractor.il.o~)l. ~
Address ~.5S, uJ. ..a l.j ~
Ci ty E' "'-<:: ........... '
.
Phone 3 y 't- J-;-oo
Supervisor License Number
q'-l5-S
ExpIration Date 10-'1/
Constr Contr. Number ..:l a - ,;J..8'o e..
100 amps or less
101 amps to 400 amps
401 amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only'
....
$ 35.00
$ 60.00
$ 80;00
$130.00
$300.00
$ 35.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
. Expiration Date
te;-q/
Signature of Supervising Electrician
~~
9Y.S'~5
D.
,,,...t' IlfSTALLATION ' n
Name (7lD1lJfu;{llU ~1UiJrLu:s
Address...JJ qq /l I~j
City S~ Phone&~-qlt3
The installation is being made on E.
property I own which is not intended
for sale, lease or rent.
Owners Signature:
-..0__ -cLtLi! ~'
,~ --Ti:)~-7~~---~----~----~--
RECEIPT It: ~ %F-,,"\~ '
RECEIVED BY: ~ J r"ll ),
~-
200 amps 'or less
201 amps to 400:amps
Over 401 to 600 amps
Over 600 amps 'or ,1000 volts
Branch Circuits
$ 35.00
$ 40.00
$ 80.00
see, nBn above
New, Alteration or Extension Per Panel
One Circuit ( $ 35.00 Q5
Two to ten Circuits $ 50.00
Each Add t' 1 ten or'
portion thereof $ 15.00
'.
not included)
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
'Sign/Outline Lightin~
SignalCircui t or'
limited 'energy panel
5;
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
$ 36.00
$ 36.00
$ 36.00
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DEVELOPMENT SERVICES
PUBLIC WORKS
METROPOLITAN WASTEWATER MANAGEMENT
225 FIFTH STREET
SPRINGFIELD, OR 97477
(503) 726-3753
As required by the City of Springfield
that with the approval of the attached
manufactured homes will be placed at
Springfield, Oregon, City Job Number
Development Code, I understand
r;At~f~l~~ing
and agree
Class A Manufactured Home. A manufactured home of not less than 24 feet in
width and 16% (not less than 2:12) roof pitch, with exterior dimensions
enclosing a space of at least 960 square feet, with roofing and siding materials
that are commonly used or compatible with site built homes.
Class B Manufactured Home. A manufactured home of not less than 12 feet in
width and 16% roof pitch; with exterior dimensions enclosing a space of not less
than 500 square feet, with roofing and siding materials that are commonly used
or compatible with site built homes.
Q~>>ZK .sJ,~
Signature V
//'7' /55-70
Da(e