HomeMy WebLinkAboutPermit Building 1990-3-2
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.. RESIQ.ENTlAL"
-: APPLI.ON/PERMIT
225 North 5th Street
Springfield, Oregon 97477
Building Division
726-3753
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Job Location:
ASGesGol'S ~p N
Subdivision:
1-01'
J//40&w
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CWner:
U-rJU.)i/-eN!
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7e.iUl..>1 'i1f",~
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Phone:
&'1'15- 'i1}-3
97,/0 )-
. Describe
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Addition QOtJCI"e-:.Le S'h-~s, -
RemodB! ~.L:-~d?-' ~ ~Q;I fee""
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Value $- I ctOt&."~
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Contractors Address -~iRC.'
. General ER-I-'iof' Ii ~j <..1.'790 /VlON!-l7L... "'lj.
i Plumbing c!Av-w';"" Pk"'~"",""?/-..-h /.:'...~
I Hechanical S L-,., hU/tA5hJ
I E~"ctrical aKJ-.L&11 ~ J;;),6 CP,.pi R<f'Y
I S(lPelivi""a.pg Electr~cian /( ,,~~ 1::~A-,,1.I~ CflJ<"'-,_S
It is the responsibility of the permit\noLdel' to 8e8 that all inspections are made at
from the 8tre8t~ and that, the permit oard is ~ated at the front of the property.
.Bui~ding Divi~io~ approved pLan, shaLt remain on the Building Sit$ at atl times.
PROCEDURE FOR INSPECTION RE:QUEST:CALL 726-3769 (~ecorder) state your city designated job num:ber~ job addre88~ type of in3pecticn
requested and when you wi~~ be ready for inspection~ Contractors or OWners name and phone number. Requests ~eceived before 7:00 ~
will bB made the same daY,! requestB made,_ a(ta' 7:00 _am will be made the next workirt;j daY/1 _ _ LI {4
_ ' your City Decigr.ated Job Number Is: '1 ()()U
Addre8s:
City:
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Bldrs Board
4/l./q-;
Date of Application
RIUlvfr:&?n T'.:~n&?f!t.1:r,n.q
0: BTTE INSPECTION: To, be made after
exoavation, but prior to set up of
forms.
O : UNDERSLAB PLUMBING. ELECTRICAL & -
MECHANICAL: To be made before any
work is covered.
~OTING & FOUNOATION: To be made
~ ~fter trenches are excavated and
forms are erected~ but prior to
pouring concrete. I .
rY1/.VDSRGROUND PLUMl3ING,~ SSWER. W.1TE,~
~. DRAINAGE: To be made prior to fil-
}ir.g trenches.
o
UNDERFWOR PLUMBING & MECHANICAL:
To be made prior to installation' of
11001' insulation or decking. .
POST AND BEAM: To be made prior to
instaL~ation of floo~ insulation or
decking.
ROUGH PLUMBING. ETBCTRICAL & MECH-
ANICAL: No work is to be covered
.until these inspectiOns have been
made and appl'ovei!. .
FIREPLACE: Pl'ior to placir.g facing
materials and bsfore,fl'aming inspec-
tion.
D FRAJ1ING~ Must be requeated aftel'
appl'oval of l'ough plUmbing, electl'i-
cal & mechanical. AU roofing
. bl'acing 8 chimneys, et.::. l11'.l.st be
'completed. No work is to be con-
.: cealed until thin inspection haB
~ be~n made and approv,ed.
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Zip:
fl'ork: ,
;20- ri./;4
'-$
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5'25 00.
I
Rcce:pt ,~
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-0 INSULATION/VAPOR BARRIER INSPECTION:
To be rmde after aU insulation ar.d
~ I. raquired vapor barriers a:re in place
. . but before any lath~, gypsum board 01'
liXlU covering is appUed3 and befol'e
pny insulation is concealed.
DRYWALL INSPECTION: To be made
after all drywall is in place,
but prior to any taping.
O. MASONRY:' Steel location~ bona
I beam3~ grouting or verticals in
accordance with U.B.C. Section
2415.
. 0 WOODSTOVE: After installation is
ccmplet~d.
o
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CURB & APPROACH APRON: Aftezo forms
are erected but prior to pouring
COMl'ete.
...~
~~
Siqr:ed:
Date:
Hrn. )~:l-
- O~!-J(
. ~iDEWALK & DRIVEWAY: For all con-
L--J crete paving within stl'eet right-
. .of-/iXZ.Y~ to be made aftel' aU exca-
vating complete & form work & sub-
, base material in place.
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,
PENCE: fI'hen compl,;te -- Pl'ovide.
gates or movable se?tions through
P.U.E.
Rc.sz.
Exp'iX'es
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the proper tim~~ that each addrsss is readabte
,
DEMOLITION OR MOVED BUILDINGS
~ Sanitary setJel' capped at p:,opert'::j Zir:.e
:J Septia tank pumped and fille~ with gra~el
] Final - frhen above ite,'7Is are completed
ar~ when demolition is complete or 8tru~-
ture moved and premiaes cleaned up.
'Nobile Homes
wlOCking and Set-up
~Zumbing co~nections -- sewer and water
~ Electrical Connection - Blocking, set-up
~nd plumbing connections m".l.st 1;e approved
. before l'equesting elec~rical in8pectio~
~ Acaessol'':i, Buil.di~
"--,.Lz' - Aft~r p:Jl'ches~
~~t~~-are complet~d.
.-
skirting, decks,
D
All project conditions~ such as the installation of stl'eet trees, co~lotion of the
, required land8capir.g~ ~tc., must be satisfied befol'e the BUILDING FINAL can be l'equestad.
~FINAL. BUILDING: The Final Building Inspection must be requeoted after the Final PZumbing
o .Electl'ical, and Mechar.ical Inspectim18 have been made and approved.
r
o FIliAL PLUMBING
D FINAL MECHANICAL
o FINAL ELECTRICAL
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*ALL MANHOLES AND CLEANOUTS MUST BE ACCESSIBLE, ADJUSTlIENT TO BE }.fADE AT NO COST TO CITY
: i.) \
I Page 1 of 2 J
I JOB No.YP1JJ.)\4 SOLAR ACCESS
I Zona: OccuvanC1! Group: .
Lot Sq. Ftg. roT TYPE
~ of lot C:Jvel'ag~ Interior>
N of Stories Cornel'
Total Height Panhandle
Topography CUI-de-saa
I
lITEM
lM::zin
I CaPaae
I CarVOl't
x
Value
fQfY)L()
I SQ.FTG
ACCeS801't{
,Q YJV)
TOTAL VAWE
Is.D.c. 1.5 x (va:::-'''''J!J'6(j(()
I
I ,'2j+!J .011.
,
L\L\ .m I
6).~~1
4\D.L~ ,.
I CHARGE
\ "S .CD
I
1c:1nnO I
110.()Q J
t&n Dc) 1
i(\() ro I
1~.S61
~ 3, so ,.
CHARGE I
l ~,CO
Building Permit
State Sla'charge
Total Char-gss
lITEM
f,-:,,'''W m~.
IRssidential r; bath)
l Sani taPy Sewer
I,:t~m
NO. FEE
I
I
_I
Plwnbing Permi t
State Surcr.apge
Total Chal'Q8S
lITEM
I L 3-. ,"""- \ ,\ 1-\
/NJW/Extend Circuits
NO.,
I
I
I
1100~ I
1,"~n.UU I
I [.":)0
[3j . 30
FEE
TJ~PJD~f)
-D Ele~tl'iaal Permit
State Sur:::harqe
Total CharQ8S
lITEM
I Furnace BTU' S
I ExMuS t Hood
I Vent Fan
I WaodStOV8
I NO.
FEE
CHARGE
Permit Issuance
Me~haniaal Per>mit
I
I q,J I.
State Surcharae
Total Charae8
-- ENCROACHMENT --
I SecuHty Deposit
I Stor~6
I Maint~e
I Pennit
I
I Curb",,"
I Sid_ lk
I Fenas
I E1.eotroioa 1. Labe 1. I I
I:M. !\.... . IACf.fl=\
.... 0, ~\~l.t~3~O/ 11'5. rJ~
.',., . . 00!Q II B.ll:=-' I
I'FOTAL AMOUNT DUF.:' (P/~.81 . ~', :-> \\1
",;.
Tota1. ChaNcs
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Page 2
,
REQ.-
L-COG-l',;
.. Bed1'ooms:
I ~eroqF Souroes
II Heat
l I Watero Hp-atero
I I Range
j I FireD laoe
I I Woods to"e
II
TIlDe
Type/Canst:
I Lot Faaes -
I Setbaaks
I P.L. I House Caroage I Access.
INopth
lEast
ISouth
IWest
Fees
Building Value & Permit
This pernrit iD granted on the 6%pl'S8S oondition that tJui said constrruotion
shalZ~ in all respeots3 oonform to the ordinanoe adopted by ths City of
SpPingfield3 including the Zoning ~inance~ regulating the oonstruction
and use of buildings3 and m~y be sUDpended Or' revoked at cny time upon vie-
lation of any provisions of said Orodinances.
IPlan Cheak Fee: .\ .
IDate Paid: .
IR~adpt D: \\ Q(j
IS<gned:
Plumbing Permit
No person Dhall oonstT'Uot3 inetalt3 alter 01' change any new Cr' existing
plumbing Or' drainage 8yste~ in whole Or' in part3 unless such psroBon is the
legal possessor of a valid plumber's license~ except that a person may do
plumbing tJOrk to property which is O1Jned3 leased or operated by the appli-
cant.
Electrical Perm it
Where State Law requires tr~t the eleotrical worok be done by an Electr'ical
Contractor3 the electrioal portion of this permit shall not be valid until
the label hae been signed by the Eleot1'ical Contractor'.
.
Mechanical Permit
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: ~.S. Lq)
va.e
1
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I HAVE CAREFULLY EXAMINED the oompleted application for' pernrit3 and do
hereby certify that atl information hereon is true and corroect3 and I
further certify that an.y ar.d aU work perfom/ed shall be done in accor-
dance :.nth the Ordinances of the City of SpI'ingficld3 and thz Ur.J8 of tho
State of Oreg"n per'taining to the work described herein3 and that NO OCCU-
PANCY will be rode of any stT'Uctura without pe1'mission of the Building Di-
vision. I fUr'ther certifY that ~ly contractor'8 and enployees who are in
aampliance with ORS 701.055 will be used on this pr'ojeot
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'2.. nV OO""l\.d
-,~_~-9D
Date
~,~QJ\O
Signad