HomeMy WebLinkAboutPermit Building 1991-5-21
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APPLICAT_/PERMIT
225 North 5th Street
Springfield, Oregon 97477
Building Division
726-3753 '
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Job Location:
~!,Gorc Map
Subdivision:
Q.mer:
Address:
City:
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Addi ticn
Remodel'
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ODate of Applicaticn
Contractors
, General
[Plumbing
I I-lechanical
I EJ,ec trical
Suoervi~ing Electrician
Phone:
'7 '/7 ?7tJ 'I
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Zip:
DescPibe fl'ork:
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Value
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Address '-Lisc, II
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Bldrs Board ReQ, Exoires phnnp
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Date:
It is the responoibiZity of the permit hoLder to See that all inopections are made at the proper tim&1 that each ~eB8 is readab~e
from ths Btl'eet~ and that the permit eCU"d is 'Locatod at the front of the property.
~Bui'!.ding Divi::ior:. approL'ed plan shazt remain on thE Building sit:; at all times.
PROCEDURE FOR INSPECTION RE:QUEST:CALL 726-3769 (recorder) state your City designa.ted job nur.:ber~ job addl'ess~ type of in3pec:icn
raquc8ted ar.d when you r.JiH be ready for inspaction~ Contractors 01' Owners nc:me and phone number. Requests received cefcre 7:00 a;":t
..ill be made the eame day, requests made afta' 7:00 ,am will b. made the nat ""rking day. n /"vi ;.:2-.,
Your City Desigr.atad Job Numba' Is: '-1 \ lJ\OJ
Rp.ouirp.d Tnsvp.ctionB
l\:'X SITE INSPECTION: To be nrzde after
.t.6J excavation~ but prior to set up ef
, lorms, ~Oll... ~"''l:)/rl()N
O : UNDERSLAB PLUMBING. ELECTRICAL &
, MECHANICAL: To bo made befor6 any
, work is ~overed.
....
FOOTING ~ FOUNDATION: To be made
after trenches are excavated and
forms are er6cted~ but prior to
pouring ccncret~. .
I~. UNDERGROUND PLUMBING,.rs:.T;"f{ER~
~(~~;;-1CPJ: To be nnie pPWr ~ -
" trenches. . .
L8.
UllDEHFWOR PWNBING & MECHANICAL:
To be made prior to insta l lation of
floor insul.a:tion 01' decking.
POST AND BEAU: To be made prior 'to
installation of [toOl' ins"lation or
decking.
ROW;. LUMBIl) - P~CTRIC)j[, ,f,6JF:.c.lf-
lfNICAL. flo wor~ ~B I;O DC cOL'ered.
,ur.t~t these inspections have beer.
made and approved. '
FI.~EPLACE: Prior to pZacir.g facing
materials and before framing inspec-
tior:.
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1':/11N8ULATIONIVAPOR BARRIER INSPECTION:
~ To be nrzde after aU insulation a."'.d
.. ,- required vapor barriers are in place
. . ,: but cefore any lath, gypswn board or
wZZ covering is appt.ied~ and before
. o:t'!y inaulation is concealed.
K7f' DRYWALL INSPECTION: Tc be made
l6J. after aZl drywll is in place,
. but prior to any taping.
O MASONRY~ Steel. location~ bona.
beam3~ grouting or verticals in
accordance with U.B.C. Section
2415.
1\:"A WOODSTOVE: After installation is
~ ccmpleted, ZC!JeO ~. FoR
~CURB & APPROACH APRON: Afte..... forms
~ are created but prior to pouring
, ao~rete.
. t\:/r SIDEWALK & DRIVEWAY: For all con-
~ crete paving within street right-
of-rx:.y~ to be made after all exca-
'vating complete & fo~ work & sub-
. base material in pUwe.
~ UI' . ... D f.E!.f!..: r.ther: compl~te -- Provide
FRk. fG. MUst be reque~ted af~er . gates 01' movable sections through
approval of rough plwrb1,ng~ electn- P U E '
cal & mechanical. AU roOfing@....
, bracing t chimncys~ etc. lTr..lst be ' _ - -121~5
'completed. !Io "",k is to be con- 3 T,eEej In,
.- ceaLed until this inspection has
. b€en made and approved.
, ~ '
,
I DEf.!OLITION OR :~J'OVED BUILDINGS
~ Sani tory se'.Jer ::apped at rn:op~rt'~. lir.e
=:J Septia tank P".&rf1ed and fit:Le~ with 91''Q~6Z.
I Final - rthen above items are completed
~ and when demolition is complete or stru~-
ture moved and pr;;:mises c leaned up.
.,
Mobile Hcmes
=:J Blocking and Set-up
=:J Plumbing connections .- 8ewer and wa~er
~ "Electrical Connection - Blocking~ set-up
.---J and plumbing connections lTr..lst 1;e approvad
before requesting electrical. inspection
=:J Ac::esGory Building
--, Final - After p:Jl'ches~ skil'ting, decks,
~ etc. are completed.
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All project cor.ditions, such as the installation of street trGes~ c~~lotion of the
required landscapi1".g~ etc. ~ must be satisfiod before tha BUILDING FINAL can be raqusstad.
~ FIIlAL PLUMBIIlG
~ FIliAL MECHANICAL
[ZJ FINAL ELECTRICAL
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FINAL BUILDING: The PinaL Building Inspoction must be raqueoted after tho Final Plumbing
Electrical~ and Mechar.ical Inspectiono hauo been made and approv2d.
AALL UANHOLES AND CLEANOUTS HUST BE ACCESSIBLE~ ADJUST/lENT TO BE gADE AT NO COST TO CITY I Page 1 of 2
I JOB
I Zona:
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NO, "
Lot Sq. Ft;.
S of lot COIJerag<
.~ of Stories
Total Height
Topography
I
lITEM
I Main
, SQ,FTG
flLlA
4ot)
Cc:toace
Caruol't
ACCe8SDrU
IS,D.C.
TOTA~ VALUE
(vaf,uc)
1.5 "
Building Permit
State Surcharge
Total Charges
lITEM
Fixtures
I Res1ainti.1 (1 bath)
I Sanitary Sewer
WatRl'
Plumbing Pe=i t
State Su:rcr.arge
Total CharGes
lITEM
Res. S(J, fto.
jNBW/EXtend Circuits
I Temporary Service
Eleatl'ical Permit
State SurcharGe
Total Cha:t>46S
IITSM
I FUrnace ETU'S
I Exhaust Hood
I Vent Fan
III00dstove F..4
I
Permit Issuance
Me::hanic:zl Permit
State Surcharae
Total. CharQ~.;!
-- ENCROACHMENT --
I SeC"..l~tl( Deoosit
.1 StOl'ag"o
I Maint87'Ul1U!e. .~~
Parrrrit
Total Charao8
I CUrbau; 2-d, I
I Sid_lk /0 7 ~ l
IFe~e
I Electr>ica 1. Labe I
Mobi 28 Home
! PLAN R&t//eiJ
I TOTA~ AMOUNT DUE:'
:'::.ac .:;
SOLA.R A~ESS REQ,-
Ocaupanc. G""'~ ~.... ""
LOT TYPE - I Lot Faces
I
I P,~,
INorth
lEast
ISouth
Ir,est
L-COG~
. ,
Type/Cor.st: .. Bedrooms:... ,~
I Enarau Sources
Setbacks iieat F7'
House Cara~e Access. I Watsl' Hp-atp-T'
<2." I I Range
I Fil'BPZaCe
IX wooai;tove F,p~
]
TUDe
IN~.
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I NO. I
NO. FEE
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Interior
Corn.Br
Panhandle
Cul-de-sac
x Value I
.1'17' ~/25.~
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'7~1/'/5~ 0
I. / lOt, ,48 .
,
~55~
J '7.i'S1
87'2.%1.
FEE I CHARGE
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FEE CHARGE I
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CHARGE '1,['
(0.190-'-'
4-,50
9.0-0
/5."0
/ l?, DO
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~:~3
1.~_73
/3.90
~t.05
I
I ;2.30.75'
/7S1,1t>~ .
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If/'r
9'
ef'
Fees' --
Building Value & Permit:
This permit iD granted on'the express condition that the sa"id aonstruction
shall~ in all respects, conform to the Ordinance adopted by the City of
Springfield~ inc!uding the Zoning Ordinance~ regulating the constl"Uction
and UDe of buildings~ and may .be suspended 01' revoked at c:ny time upon vio-
lation of any provisions of said. Ordinances.
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Plan Check Fee: 231) .7S
Date Paid:
Receipt II:
-I Signed:
'Plu'mbir,g Permit
No person shall construct~ insta.l!~ alter or change any netJ 01' e--Lsting
plumbing 01' drainage system in whole 01' in part~ unless such person is the
legal posseSS01' of a valid plumber's license~ except that a person may do
plumbing work to p1'operty which is owned~ leased 01' operated by the appli-
aant,
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Electrical Permit
Vhe1'e State LauJ requires tr.at the electrical wrk be done by an Ele::trical
Contraetor~ the eleetrieal portion of this permit shall r.ot be vaLid until.
the label has been signed by the Electrical. Contracto1'.
-'
Mechanical Permit
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nan f':affir1.ner .
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I HAVE CAREFULLY EXAMINED ths completed appLication for pennit~ and do
hereby eertify that all ir:fo;omation hereon is true and eorreet~ and I
f'.lrther certify that any ar.d all work perfor;ned shall be done in ac::or-
dance with the Ordinances of the city of Springfield~ and th:: LtL;s of thG
. State of Oregon p$rtaining to the work described her6in~ and that NO OCCU-
PANCY wiZ'L be m::de of any structure withou.,t permission of the Building Di-
vision. I further certify that only contractors ardi ~loyee8 who are in
compLiance with ORS 701.055 wiLL be used on this project
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