HomeMy WebLinkAboutPermit Building 1985-7-19
.. RESlre.JTIAL"
APPLICATION/PERMIT
225 North 5th Street
Springfield, Oregon 97477
Building, Division
726-3753 '
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JObLocatiOn:~'51I4t"",Rr!..7 41'7 L-;Adc..I.e,Spr;~eJ~(j[2 0.7..:(77 .. tY\
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Subdivision:
()Jner:
(PI\. lie h" (.,
t't::f', 4 S sO
~J'-nLAY _
(?r-()e~d;,<~
l\J~_ C~i
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Phone:GIJ 0- 2&5 fa
Zip: Q'1 J 'J- L(
Address~
City:
aN!"'"
n Addition
n RemodeZ
n .'.labile Home
~""--u.~
Date of AppZiaaticn
Contractors
'/-,'1-<;;<:'
General nl7ll((\O h ')
PLumbing
Electrical
Mechar.ica Z.
Co.natruction LendeI'
Describe fo.'ork:
~IlCJ,... -' J,:'~
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~ Rcce,pt #
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Value ,,( \ J.
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iR (/'I 4 9 43
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Address
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Siqr.ed:
Date:
t,
1-14- yC
Lisc.fI
Expires
Phone
It is the resp0710ibitity of ths permit holder to see that all. innpections al"8 made at ths p~oper timc~ tr.a.t ac.ch .:ddres8 is 'I'eadahZe
from the street, and that the pe1"l1ti t card is located at the front of the property.
"!Jui!di~ Divi:;io~ approved FZa1}. shatz remain on thE Building Sits at all times.
PROCEDURE FOR INSPECTION RE.QUEST:CALL 726-3769 (recorder) state your City designated job mQ7:ber~ job address.) type of in:1pec::icn
requested ar~ when you wiLL be ready for inspection.) Contractors or Owners name end phone number. Requests received befcre 7:00 ~
...'iLl be made the same day.) requests made after 7:00 am uri.Ll be made the next :,;orking day.
RamJi~p~ T"~n~~+.ir."~
SITE INSPECTION: To be made
excavation.) but prior tc set
forms.
o
o
after
up of
UNDERSLAB PLUMBING. ELECTRICAL &
MECHANICAL: To be made before any
work is covered.
o
FOOTING & FOUNDATION: To be 11Wie
after trenches are excavated and
forms are erected~ but prior to
pouring C!cncret.;.
UND8RGROUND PLUMBING, SEWER., W.4TER,
pRAINAGE: To be rrade prior to fiL-
.Uro.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 priozo to
instaLlation of floor inst.:Lation or
decki>l{; .
ROUGH PLUMBTllG, Er..ECTRICAr, & M1W':1l-
ANICAC-: No :Jerk is to be c01.:ered
,untiL these inspections have beer.
made and approved. .
FIREPLACE: Prior to pLacir.g facing
materiaLs and before framing inspec-
tion.
I FRAMING: Must be requeoted after
--.J approval of rough plurr.bing.) alectPi-
cal & mechanical. AU roofing
, bracing & chinmcys~ etc. nT'..tst be
:' completed. No worok is to be con-
"",_,cealed until this inspection has
~be~n made and approved.
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Your City" Desigr.ated Job Nwnber Is:
O INSULATION/VAPOR BARRIER INSPECTION:
To be made aftero all insuk:.ti:m er.d
. "- zoequired vaporo barriers are in place
. . but heforoe any Zath3 gypsum board 01'
uxzU covering is appZied3 and before
'.. '." any inouZation is concealed.
< ~RYWAL~ IIISPECTION: Tc be made
lLJ ~~ter aU d.rywaU is in place~
but pzoior to any taping.
0" MASONRY: Steel location3 bona
beams.) grouting 01' veroticals in
accorodance with U.B.C. Section
2415.
O WOODSTOVE.: After installation is
completed.
o
CURB & APPROACH AP.f?ONo' Afte::o forms
are ere~ted bu t prior to pouring
acnczoete.
O SIDEWALK & DRIVEWAY: For all con-
crete paving within stroeet right-
of-IiJC.Y3 to be made after all exca-
vating complete & form work & sub-
base rrr:::.te:rial in pZa::!e.
O PENCE: When complete -- Provide.
gates 01' movable sections through
P.U.E:.
o
gsostfl
DE/.!OLITIO!1 OR NOVED BUILDIilGS
:=J Sani tary S8".Jer capped ~t p~opert':1' line
~ Septic tank v~~ed ~ fille~ with ara~el
--, Final - f{hen above items are cc:rrpleted
~ and when demolition is complete 01' stru~-
ture moved and premises cleaned up.
Mobile Hemes
::J Blocking and Sat-up
::J Plumbing connections 8~er and water
::J Electrical Connection - Blocking.) set-up
and plumbing connections nr~st be appzooved
" before requesting elec::ri~al inB?ec::io~
:=J Ac~esso1"'.i Bui ~ing
:J Pinal - Aft<Jzo p:Jrocr.es3 skirting.) decks~
etc. are comple::;;:d.
o
All prooject conditions.) such as the installation of street trees~ co~letion of the
required Landscapir.g3 etc.3 must be satisfied before the BUILDING FINAL can be requested.
~AL BUILDING: The Final Building: Inspection must be roequestep. after the Final Plwnbinq
\:::} Ei~ctri~al.) and Mechar.icaL Inspectiona hava been made and approved.
::J FIliAL PLUMBIIIG
::J FINAL ME~HANICAL
::J FINAL ELECTRICAL
::J
"'ALL MANHOLES AND CLEANOUTS HUST BE ACCESSIBLE~ ADJUST!!ENT TO BE !,f/lDE AT NO CDST TO C~ Fa.lle 1 of 2
r JOB NO. ~'50Sl./f
'I Zona:
; 'Lo{ Sq. F'tg.
I ~ ;, lot Coverag~
# of Stones
Total Height
T"'t'...~......t'hy
lITEM
I Main
,I Garaee
Ica:rrx),l't
IAccesBOMl
SQ. FTG
TOTAL VAWE
Is.D.c.
(vat.uc)
1.5 :r:
Building Permit
State SUPchazoge
Total Cha......gea
SOLAR A~S
Occu:oanc~ Gl'OUP:
lITEM iNO.1 FEE
FixtW'es
Residential (1 bath) I I
I Sani tary 5ewel' I
I Water I
I
Plumbing Pem t
State Su:rcr.arge
Total Charaes
I
lITEM
I Res. Sa. fta.
I New/Extend Circuits
I Temporary Service
I
Ele::tl'icat Permit
State 5u:r:::harqe
Total ChaI'(;6S
lITEM
I Furnace ETU' S
I Exhaust Hood
I Vent Fan
I JlOodstove
Permit Issuance
Mechanical Pel'11'lit
State Surcharae
Tn1:nl CharnR9
I -- ENCROACHMENT --
J Securi t7.l D200si t
I Storage
I Maintenance
I Pemit
I Total ChaNDa
I Curbcut
I SidewaLk
I Pen::e
I Electrical Label
I Mobi le Home
I TOTAL AMOUNT DUE:-
NO.
I NO'1
I I
I I
I I
i I
WT TYPE
x
FEE
FEE
Interior
Corner
Panhandle
CUt-de-sac
Value
10.0.0
I -t,V
IOyD
CHARGE
I
1
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I
I
I
I
I
I
I
I
I
1
I
I
CHARGE
CHARGE
I
I
I
I
I
4/0,,/0
Pc.gc 2
I
l
I
I
I
I
I
I
I
I
REQ.-
L~COG-.'(l.<
SetbaC!ks
House CCU'age
e
I I Enel'a~ Sources
I Heat
Access. II Water Hp-atp.l'
I Range
I I Fireplace
I I Woodatove
II
T..r"e
T;;pe/Cor.st:
Bedzooor.:s:
"~
I Lot Faces -
I
I P.L.
INorth
lEast
South
IWe8t
Fees
Building Value & Permit
This permit io granted on the erpl'ess condition that the sdid construction
shall~ in all respcctsJ conform to the Ordinance adopted by the City of
SpringfieldJ including the Zoning Crdinance~ regulating the construction
and uoe of buildings~ and m:zy be sUDpended or revoked. at cr.y time upon vio-
lation of any provisions of said Ordinances.
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I Plan Check Fee:
Date Paid:
IReceipt #:
I Signed:
Plumbing Permit
No person ohall constructJ install~ aUer or change any new cr e--isting
plumbing or drainage system in whole or in part~ unless such person is tr~
legal possessor of a valid pLwnbe1"'s licenseJ except tr.at a pe:oson may do
plumbing lJOrk to property lJhich is oumed~ leased or operated by the appli-
"""t.
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Electrical Permit
Where State LauJ requires tr.at the electrical work be done by an ELeatr>ical
Contractor~ the electrical portion of this permit shall roOt be vaLid until
the label has been signed by the ELectricaL Contractor.
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Mechanical Permit
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PLan Exann.ner
vate
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I HAVE CAREFULLY EXA.Ir.1INED the completed application for permitJ and do
hereby certify that all inforrmation hereon is true and corl'cct~ and I
furthe1" certify that any ar.d aLl. work peI'for:ned shall be 00:10 in acaol'-
dance :.nth the Ordinances of the City of Springfield~ and th~ Ux:.;s of tho
State of Oregon p:i)I'taining to the work described h8l'oinJ c:nd that NO OCCU-
PANCY wiLl. be rmde of any structure IJithout permission of the Building Di-
vision. I further certify that only contractoI'S ar.d employees who are in
compLiance with ORS 701.055 will be used on this pI'oject
n'l Ih
~.P____
Signad
;-fC1-?;t;
Date