HomeMy WebLinkAboutPermit Building 1984-5-9
.. RESleNTlAL"
APPLICATION/PERMIT
225 North 5th Street
SpringfieZd, Oregon 97477
BuiZding Division
726-3753
Job Location: 5q K<:; ~tAJ,
ABoeBoore Map # \ <)( 0'2. O~ ~?l
Subdivioio..: IZII1r L 4 i /1) I- L/. ~
L.tJ...n c:.
Tax Lot # 'OQ,()(')
//oltiPn TLr//J{I.f",
~. Rcce:~t ~
rdJ'K"'l'j
QJner: 15nb ILn~
Address: VLrYLL- Pr.one: 7 d(p - YS~l.o
City: .sr It cL [)R- Zip: 9'747A
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Describe fl'ork:
Addi tion
~(;-ut
~
Remodel
!.!obiZ€! Homa
.~-h(~
Dat6 of Application
Contractors
(u'IDVll -'
General.
PZumbing
Electrical
f.fechar.ical
Const1'"Uction Lender
Value
-# I: S O().aD
~~
. .~*
Siqr:ed:
Date:
0J~I)t1) ,7 .'
IY/fftf_4. h<f_
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Address
Lise. #
Exr;iras
Phone
,
It is th. responsibility of ths permit holder to 8e8 that alt. inDpections are made at the proper tim€~ tJ-.at ~h :::ddress i.s ren":n;":~
fNJIII,tlts street, and that the permit caPd i8 'Located at the fJ"Ont of the property.
4Bu.i!ding Divido'!': approved plan shatz remain on the Buil.di.rl.fl Sit:; at all times.
Pt?OCEDUP.E FOR INSPECTION RE:QUES~:CAlL 726-3769 (rccorder) state yOUI' City designated job mm:ber.. job adi...""Css.. type of ir..3?ec-;icn
requestcd ar.d when you /JiU be ready for inspcation~ Con"tractors or OI.mers ncme c:nd phone number. Requests received befere 7:00 tZ'i
:..~Zl be made thE: same day.. requests made afta' 7:00 am !.JiZZ b:l made ths nat :.JOrking day.
R~~Ji~~~ T~Rry~~tir.~~
O SITE INSPECTION: To be made after
e.rcavation.. but prior to set up of
forms.
O . UNDERSLAB PLUMBING. ELECTRIC,lL &
MECHANICAL: To be made before any
Z is aovared.
I. /1 FOOTING & FOUNDATION: To be .-ad.
V after trenches are e.raavated and
forms are erected~ but prior to
pouring concrete;.
UNDERGROUND PLUMBING, SEWER, W.1TEH,
DH.AIIIAGE: To be made prior to fil.-
"Lir.g trenches..
D
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UNDERF'WOR PLUl..13ING & MECHANICAL:
To be made prior to in3ta l.lation of
[laoI' insulation or decking.
O POST AND BEAU: To be made prior to
instal.l.ation of floor insulation 01'
decki7lfi .
D ROOCH PLUMBING. Er.ECTRICAl. & MECH-
ANICAL: No :.Jerk is to bc covered
.until thcse inspections have beer.
made and approved. .
o FIREPLACE: Prior to placir.g faeing
L2rE';it~~a~s and b<foI'e frami7lfi inspec-
I F'RAHING~ Must be requested after
approval of rough plwr.bing.. electri-
cal & mechanical. Az.z. roOfing
bracing & chimneys.. eta. rrr.J.st be
: completed. lIo work is to be con-
.,... c8c.led until this inspection has
~ b6~n made and approved.
row> City- Desigr.ated Job Number 10:
O INSULATION/VAPOR BARRIER INSPECTION:
To be rrr:zde after all insukti:m G!".d
. required vapor bc:rrTiera are in place
- . but before any lath.. fl!Ipsum boaI'd 01'
w:ll covering is applied, and before
"any inauZation is concealed.
o
DRYWALL IllSPECTION: Tc be made
after aU d.rywU is in place..
but prior to any taping.
O MASONRY: Steel location.. bo7ui
beamG.. grouting or verticals in
accordance with U.B.C. Seation
2415.
O WOODSTOVE: After installation is
acrrrpl.eted.
O CURB & APPROACH AP.qoN: Aftero fonna
are erected but prior to pouring
concrete.
D
SIDEWALK & DRIVEWAY: For all con-
crete paving within street right-
of-wc.y.. to be made after all exaa-
vating ccmplete & form lJOrk & sub-
base material in pl.a::e.
9:t.f 03/ 3r
I DEUOLITIO!! OR .'.,'DVE: BUILDI:.'GS
=:J Sanita:ry S8'..)er ~ap?ed c:t ~opc!'-;Y lir:.e
~ Septi~ tank P-"'7cd crnd f-:.ZZa~ l..,"i:h ::;1"'::::":8:
::J Pinal - fl'hen above ite::t8 are c~!eted
ar~ when d~li;ior. is c~tete or st~~~-
ture moved ani pr~3es cLear~d ~.
I Nobile Homes
=:J Bloeking and Set-:.4p
=:J Plumbing eonnections -- sauer ar.:! L,..a;er
--, Electrical Conr.ection - Blockir~, set-up
---.J and plwnbing connections nr...st CB apprcr,;ec
before requesting electrical ir~~ec~ion
=:J Accessory Building
::J Final - After p~l'c1:es.. s1drti7l!!, decks..
etc. are completed.
o
All project conditions.. such as the installation of street trees3 ~c~!ai~~n of the
required lan.dscc.pir.g.. etc... must be satisfied bcfore the BUILDING FINAL can be r2t;"oJ.astsd.
~INAL BUILDING: The Final Building Inspection rmuJt be requested after the ~~inal ?!:.lr".bing
~ Electrical.. and Mechar.ical InspectiomJ hava been made and approved.
o FIliAL PLUMBIIIG
o FIliAL UE~HAIIICAL
o FINAL ELECTRICAL
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O PENCE: .When corrrpl;;te -- Provide
gates 01" movable sections through
P.U.E.
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AALL MANHOLES AND CLEANOUTS nUST BE ACCESSIBLE3 ADJUSTUEllT TO BE NliDE 1:.'1' NO C~ST TO CITY J Pc:.;e ! of 2 1
I JOB NO. ~t..:()~J~ SOLAR A.S5' REQ.-'~
I Zone: Y\ ,~S Occupanc" G1'OU~ -'I ?,pe/Cor.st:
Lot Sq. Ft,';.' '<\ \7(")l!-) LOT TYPF: I Lot Faces - '" 'l"'>V-\ ~
I SetbacKs
S of lot Caveroag;; Interio1' I P.L. House Caraae Access.
# of Stories Corner INorth \ ~
Total Height Panhandle lEast
h - ----; d ISouth '""') \
Topograp y ~ Cul- e-sac IWest
I
IrTF:M
I ,\bin
Cc:t>aae
CarpOl"t
ACCeS801"U
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Is. D.C.
SQ.FTG
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TOTAL VAWE
I vel-US}
1.5 :t:
Building Permit
State Sla'aharge
Total Cha.......ges
I ITEM I NO.
I Fi.rtures I
I Residential (1 bath) I
I Sanitary Sewer I
I Water I
I
Plumbing Permi t
State Suzocr.arge
Total. Charaes
lITEM
, Rl!8. Sa. fta.
I NiiUJ/Ertend Circui ts
j Temporary Service
I NO.,
I I
I I
I I
Ele~trical. Permit
Sta.te Surcharae
Total Charces
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S.Ul 1Bc'c,~ c:o
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wi
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x
Value
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\~ CC>
"Co
'1~.""<4>
FEF:
I CHARGF:
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I \0.~
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FEE
CHARGE
'\..'} ~
ITS.~ 1110./ FEE C!JARGE
Purn:zce PTY'S
E::haus t Hood I I
Vent Fan I I
I1IOod8tOiJe I I
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permit Issuance
Mechanica.l pemt
State Suztcharoe
7'ntal Char>nt'm
, -- ENCROACHMENT --
Ise~~ritu Devo3it
I Storage
lMa.int~p.
I Permit
I Total. Charoacs
I CUr;cut
I Sidewalk
I Fert:!e
E1.ectl'ica l. Labe l.
Ham Ie Home
~" . VI.~\' CV ~6F.
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I TOTAL AMOUNT DUE:.t
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'2. \. '2<::'
L-COG~
="""""".(~,;;>~
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I I En2r~~/ :.o:l1'~es
I :::ea..
II
II
7", I i
II
2n I I
';:I':'e
rL\
Water' H.,:~~~'!'
Range
Fil'8v'ic.ce
Wooa:;tot:e
F2es
Building Value & Permit
This permi t ia granted on the express condi tion that the sa'id C'onstruction I
shall., in aZl respects, conform to the Ordinar.ce adopted by the City of
Spnngfie'Ld, including the Zoning Crdinance, regul.c.tir:g the CC1'tstp'J.aticn I
and uoe of buildings, and may be suspended or revoked at cr.y time upon uic- i
Zation of any provisions of said Ordinances. J
IPlan Check Fee: q). P..LD.
Icate Pa~d: ..c;-/-,f'')L
!Recdpt #: !oj).,Bt9.;:,
I Signed: (' . -' '.
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Plumbing Permit
No person Dhall construct, instal!, alter or change cny ne~ Cl' e--isting
plumbing or drainage system in whole or in part, unLess such person is the
legal. possessor of a valid pLumber's license, except tr.at a pe:oson r."Il:J do
plwnbing work to proper"ty which is owned, 'leased or operated by the appli-
007l t.
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Electrical Permit
Where State Law requires tr.at the electrical work be done by an Ele~trical
Contractor, the electrical portion of this permit shaH roOt be valid until
the label has been signed by the Electrical Co~tractor.
Mechanical Permit
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PLan Examiner .-
~~"-RI...\
ilite
I HAVE CAREFULLY EXA.l.f.INED the compLeted application for pennit, and do
hereby certify that all. information hereon is tl'Ue and correct, and I
f'J.rther certify that any and aLl lJOrk perfol":Tled shall. be done in ac::or-
dance :.lith the Ordin:mces of the City of Springfield, and th;: La:.;s of tho
State of Oregon p.zrtaining to the work descl'ibcd herein, end that NO OCCU-
PANCY will be m:zde of any structura withou.t p~rmis8ion of the Buildin.g Di-
vision. I further> certify that ~ly contraators ar.d e:rrpz",yees who are in
compliance with ORS 701.0SS wiLt be used on this project
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