HomeMy WebLinkAboutPermit Building 1987-11-3 (2)
.
.. RE~ENTlAL"
APPLICATION/PERMIT
225 North 5th Street
Springfield, Oregon 97477
Building. Division
726-3753 .
.rob Location: .6 CI '7 ~ -::f;)~ -da-nP ./
A......rs Map N ) go "d-. 0 ?,!-Z ~6 -::J.S.~/i.J.
SubdilJision: ('~ r~ .
elm.,.: ~ce~
Add,....: 112- 4-tJ :::,'-01<;f- 2~ /}r Phon.: 9 3 7 ~ 410 1
tB~ Crr- Zip: Cj' 7 '+ ~ I
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I 'Xl !lobi.l. Hom. .. . _..
Dot< of AppZioaticn_. \0 l~l &7 Value '-to St9 ~ 0
Contractors .-- .' Address 7'J::::-r:f _ L~~c~ 11
een.,.al ."~V),ur~J~~.
Plumbing . S..oJ1J.-.. .
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City:
~""J
n Addition
n Remodel
Electrical
Mschar.ic31
ConatJ'Llction
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H.O.i.Dt ~ II] ~. 17'/
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Sigr.ed:
Date:
CC
/1-3-17
Expu'es
Phone
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It ill the rfl8pon.si.bilitll of ths permit hcZdftt" to's.. that all. inopilCtions arB r:Jade at tM prape" time, tr.at IlCCh cddr88S is readab:
f'ronr CM Sfi108Bt, and that the permit aard ill located at the [ron.t of the Ft:p8J"ty.
-Bui!ding Dtvidor. approved plan shall. remain on tha Building Sits at all times.
PllOCEDURE FOR INSPECTION R,::aUEST.:CALl726-3769 (recorder) state your City designn.ted job number, job add.re88~' type of in3pec~icn
requested ar.d w.l:en you r.ri..LZ. be ready fo'l' in8pcction~ Contractors or CMners ncme and phone number. RequBsts received befere 'I:~O at
1..'il.1. be made the same dcy~ requests made after '1:00 am wil.1. ba made the ncrt .:.Jqrki~ day.
-:.. . . y;"',. City De.igr.ated .rob Numb<r Ia: ..8 70&~
Rnouirp.d rnRor.~tianu
0.. . SITE INSPECTION: To be made afte,.
e.xcavation~ but prior to Bet up of
. forms.
O . UNDERSLAB PLUMBING. ELECTRICAL &
: MECHANICAL: To bB made before any
. ~rk is covered.
,.. ~
r.7i ~G {FOUNDATION: To be mad.
L6J after trenches are 6Xcavated and
forms are srected~ but prior to
pouring concrete.
r;r . UNDERGROUND PLU~_
~ DRAINAGE: To be made
.7.ir.g trenches.
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SSWER. w'1TE.9"
prior to fit-
O . UNDEHFTIJOH PWNBING & MECHANICAL.:
, To be mads prior to in3ta~Zation of
:. floor insulation or decking.
o
POST AND BEAM: To. be made prior to
instaLlation of floor insulation or
. dsaki".. ~ ~ i LfJ I 31
ROtJGH PLlP.!BIlIG, ELECTRICAf. & MECH-
'Ai/ICAL: No work is to be covered -
.ur.tiL these inspections have beer.
made and approved.
FIREPLACE: Prior to plc.cir.g facing
materials and before framing inspec-
tion. .
~
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~. FRAMINC: Must be requeoted after
IB approval of T'OUgh plwr.bing~ electri_
.cat & mechanical. All roOfing
bracing c5 chimn.cys~ et~. ITJ".lBt be
:'corrrpLetcd. 110 lJOrk" is to be con-
..........ceaLsd until thio inspection has
. ~ b6en made and approved.
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FIliAL PLUMBING
PINAL MECHANICAL
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FINAL ELECTHICAL
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.ALL MANHOLES AND CLEANOUTS !lUST BE ACCESSIBLE, ADJUST/1011T TO BE !lADE AT NO COST TO CITY . I. Page ! of '2
. ,:.":::;,. ,~.:
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'0 INSULATION/VAPOH BAHBIEH IIISPECTION:
To be mad9 after all insulatum trod
. . . roequired vapor barriers are in place
. .' but 1;e[ors any lath~ gypswn board or
wll covering i.s appUsd~ and bsfors
'~y inouZation is concealed.
. DE/./OLITION OR MOVED BUILDINGS
=:=J Sani.tary stlUer :1apped at rn:.oper~:i Zir.s
:=J Septi~ tank p-.<mped and fUied ..nth .Jro-Jei
O DRYTlAU. INSPECTION.: To be mads
after all drYLJall is in place~
but prior to any taping.
--, Pinal - Tihen abovs ite:1'lB are completed
--.l ar:.d when demolitic1n is compLete or Btru~-
~ure moved and premises cLeaned up.
O MASONRY: StesL location~ bona
beam3~ grouting or verticals in
accordance with U. B. C. Section
2415.
O WOODSTOVE.: After installation is
ccmpleted.
Mobile Hcmes
o
sc ZJ Blooking and S.t-~p
S d ~ Plumbing connections -- s.cwer and water
CURB & APPROACH APRON: Afte::- .Ioms 2 71 ElectricaZ Connection _ BLocking~ set-up
are oreeted but prior to pOUM-ng ~.:J ~ and plumbing connections nr.lst es approved
concrete. before requesting elec~rical inspection
. O' SIDE:WALK & DRIVEWAY: For all con-
crete paving within street right-
.of-wc.y, to be made after aU exca_
vating cO'7tl?let~ & form work & sub- Xl FinaL _ After p:Jrchss~
. base mateM-al l.n pla::!e. . 5S- ~ ete. are ccmplet~d.
~ AcaesS'ol",i Building
skirting~ decks~
O FENCE: When complete -- Provide.
gates or movable sections through
~~~ . .
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All project condition8~ ouch as the installation of strsst trees~ c~laticn of the
required landscapir.g~ etc. ~ must be satisfied before ths BUIWING FINAL can be requestad.
FINAL BUILDING: The FinaL Building Inspection must be requ.eotsd after ths FiPial P~umbil1J
ELeatricaL~ and Meohar.icaL InspectionD ~va been made and approved.
I JOB NO.g7~~,J-S~ACCESSREQ.~a" ...
zona:?~/7?#<: OcCUpa~l'OUP;~_?-i"/CE"'" /.?>-; T: a/cor.~
Lot Sq. Ftg. .. 5?~:?R LOT TYPE _. Lot Faoes - ~"" ~.4 .
.;,. :.6-, L' Ifetbaoks
I of Zot CJVerag< ..., I" - ~~. Intenol' P L 'H . I ~
. ".~ .. CUBs uaragB
N of Stol'iee / Camel' INOl'th I /~ '
TotaZ Height Panhandle If.:osf I. I /;:?"
[South. I /J:)' I 3.0 I"
Topography CuZ-de-sao Illest I ~I .1
lITEM I sq.FTG I X VaZue j-- Fees -- 'B oldo - V' & P 0
~in~~/~I I -9'o,..,,,,,,,,,,,,J ... . UI. mg- a.ue ermlt
"=",,. I 7'20 ~~ _0 II '7.:7~<!?~
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~~AY'" <; ,~~rE /,I?>V,./i;.Y4 /I / ,4a-! . . 'Z>
. i ~ ~ . ~ S,Z)S~;:<o,,:>:...... /~/( dO/VI"7=; r9f'A? /;7 .
VI"7~_~ob-:-)~
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I 74':50 I
.15_7.?1 _)
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CarDOl't
I AccessorII
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TOTAL VALUE
(value7
1.5 It:
Building Permit
State Surcha:rge
TotaZ Cha~ges
1.
I ITEM NO.
1.&.O..,~'es ~O'.PI
I ReaidentiaZ (1 bath) I
. I Bani tol'y Seuel' I I I
- Iw';tel' 1/ I
:{\I Q~ /?/7A"""'~
Plumbing Penr.i t
State Surc}-.arge
Total Chal'asS
_.....,:..
I ITEM ~
Res. Sa. fto. I'
.
. I N...,/E:ctsnd Cil'CUi ts I I
..~. f J-A.,"~CJrarg>-SeruiCB I ,
" .
:"'. '.V"~:KL.P I I
Ele~trica! Permit
State Suraharae
Total CharC;S8
lITEM. /-!!Q:../
Furnace ETU' S I I
, I E:chaust Nood I
I Vent Fan ,
I Jlr.wdstOVB ,
I I
Permit" ISSLUD1Ca
Mechanic::z Z Perrrri t
State Surcharae
Total Cho:r-aeo
I . -- ENCROACHMENT --
SeC"oI.ntll D2DOSit
J Storage
INaint~e
J Parmit
I
Total Chargas
I
I
, Pe"fC!e j
I EZeot~i.cal Lob.Z #:. f:? 15 "" bj
!Mobile Home 5~ P~15~ I
, . . I
I i
Claobaut
I ~ -;Z~ '
/26;>'
SideuaZk
I TOTAL AMOUNT DUE:'
CHARGE
FEE
/5 <>'t> I
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I ~t:P. -I
I ?O'--'_?'I
I ~_ ~ol %
1'73""-.~,
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I /.<Y:-I
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I /. <;=) - S).-
I 3'.,/- <;"0 I '
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I I
I J
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CHARGE
FSE
CHARGE
I
1
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l-COG~
Bedrooms:
EnBrqy Sources
Heat
TuDe
I Access.
I
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I
J Water Np.ate~
I Rangs
I I FireDlace
/=1-30003 tove
This permit io granted on the express condition that the sa'id constru!
. shall~ in all respects, confom to the Ordinance adopted by the City (
Springfield~ incZuding the Zoning Ordinance, regulating the Ccnstru.=ti.
and UDe of buildings~ and m:2Y be sucpended or revoked at cr.y time upo,
lation of any pravi8~ons of said Ordinances.
)
IPlan Cheok Fee:
I Cat. Paid:
Rec&ipt #: .
Si~ed:
L/,&. $1'3' ..
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Plumbing Permit
, '
No person ahaZl aonstruct~ instalZ~ aZter or change any ne~ cr e=istinG
plumbing or drainage system in whole or in'part, unZess such person is
regal possessor of a valid plumber's license, 8Zcept that a pe:'son may
plW:Jbing work to property uhich is owned, leased or operated by the app
cant.
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Electrical
Permit
Where State La1J requires that the electncal lJOrk be done by an Electric
Contractor, the electrical portion of this psnmit shall r~t be valid unt
the label has been signed by the Electrical Contractor.
Mechanical
Permit
/7~--!_,~4_-'?
~~neP - '-...
//- :< -8?
va!.
I HAVE CAREFULLY EXAMINED ths oompleted applicati.cn fol' penrn:t, and do
hereby certify that all ~nfo'rmation hereon is tl"UB and correct, and I
further certify that any ar:d all IJOrk perforn/ed shall bs dons in accol'-
dance with the Ordinances of the City of Springficld~ and thl: Ur.J8 of tho
A State of Oregan psrtaining to the work described herein, and that NO accu-
I PANel will be nude of any structura without p3rmission of the Building Oi-
, I'). viiJion. I fu.rther certify tkzt only contraator>s ar.d .trT1pz"yees uJ:o arB in
J carnpliancs uith ORS 701.0~5 will be used on this pl'oj~ct
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Signr~d
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