HomeMy WebLinkAboutPermit Building 1991-7-20
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COMBINATION_ICATION/PEP.MIT ,-- SPRINGFIELD
225 North 5th Street . .
Springfield, Oregon' 97477
Building Division
726-3753
.'ob Loc.tion: 589-8
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SUbdivision:
To.>: Lot N
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/ "7 360
Rcce-:.p C .f
am..: If/~A'R~,)J. I' IO#hb"'-s
Addr...: l/~? S~ BT.Iz-- Phons: 9~.?-~3~~
City: U//~~ ~/:p V~ Zip: q7~2o/
eLM,'
n Additicn
n RemodRL
n ,'!obi llJ .'lama
D6Scribd Work:
~,PP'#T~.',,h, q~~
5,7' 7/t?5,,','~/P/7. "
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7- 2b ~.:;j/va!ue9~~c.,
Dat~ of Appl.icati07l
{.;ont:l'ClctOJ"8
Cenera! /Ah(E7<
Plumbing ~
~lectl"ical
Ul1char.ic::l
Suoervisino'Eiectrician
Addr983
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'si4r.ed: 4-~~.
Dats: . ./ pr -;?- ':;).6 --? ./ .
Li.se. "
Phone
Er:n:l'C8
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It is ~ho resFonoibility of the pe~t hoLdar to sss that atl inopBction8 arB mads at ~~6Iprop6r tim~, tf.at each ~.DO is r'a:a~!'
from the .treat, and thatths pOl'mit card i. l.ocatsd at the front of tho propertY. - ,
.!JuiWi:tg Dilrj.:;wr. ap?r<WBd plan shan remain on tit.; Building Sit# at all timG8.
PROCSOUHE fOR INSPEcrION REQUEST: Ca!! 126cJ'7~9 Ircoord;uo) etats your City as.ignated job nwrbsr, job 04drce., typo of i""pecticn
raquc8ted ar.d "'}:en you &on:u b. rflGdv {or insp6at.iOtl:, Contractors "r a.m.r6 nam. and phon. number., R8qu.C.ts rflcflivfld /;tlfcrll 7:00 a":I
~iLt ba mad. the san. day, rSqY:"sto mads afta 7:00 ~ wiLt bQ rrnde tho nat' :JOrking day.
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~f,.~A r.,;m",..tir.'1"
. 0: SITS INSPEC':'ION: To be mad" aftfll'
. _ . t2rcav~h"n, but: prier tc sot up of
. . forma.
'0 ' UNOERS~AB PWHBINC. ~LECTRICAL &
MECHANICAL: To b8 mad. b.fors any
worJc ~a ,:ol}(Jrfld.
roOTINC I fOUNDATION: ' To bs tmda
after trflnchD8 are ucauat.d and
forms ar. flrected, but prior to
pouring ccnor.t..
UND~RGROU!!D pl.UH3rNG. SEJlER. rl.1TE.Q,.
DHAIflACf: To be m:;uJe prior to fil...
Z ir.g trQnchQ8.
O UrJDF:,~FWOR PGW.~ING & UF:CHANICAC.:
T(} bs. mads prior to inotaLlats.on of
1100%" insuLation or dscking.
O POST AND BeAM: To b. nruic prier to
~n.7taLz..:t'icn of floor insuLa::ion or
d.cki~.
~ ,!Of./qFf PLU'!BI!lG. ftEcrrr!CA!. ,f NeCH...
lCJ ANICAL: No :.1Ork is to be oor:sred
untiL thess inspBc:ions haV8 been
_ . mads and approll.d. . .
D':fI.~r.Pl.ACE: .'f'loior'to p/.c.cir.g faci"fg
'mat.riats.~ befors framing inspeo';
tlor.. ' ' , . .
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."RAltINC: /owt bs rsqus3tsd af::"r
approNL of rough pLwr.bi!1g, #LBctri...
cat ~ .Tischani.:aL. AL!. roofing
bracing ~ oh~eys, .t.:. nr~8t bs
compLlIted. No uork i8 to b. con....
cealed.'untit thiD inspection has
baan nnds and approvsd.
YOUl" Cit!!. Osaignatad .ob Numbu Ia:
O INSULATION/VAPOR BARRIER r."lSPECTrON:
To b. nwfe after all insu~t"n trtd
raqui,.,..d vapor l;arMlIr8 aJ". in p laOIl
l;ut l;sforll any Lath. gyp8um board or,
wz.z. collering i8 appU.d~ and bsfor.
any. inouZ4ticn is ccncllalttd.
D DRYWALL IlIsPEcrrON: To bs tmde
aftBl" aU dloywU is in pLacs,
but prior to any taping.
O MASONny: Stsd !oaa,tion, boiui
, b~amo, grouting or lIertiaaLo in
aacordanco t.rith U.B.C. Ssotion
2415.
O WOODSTO'lE:. Aft..,. installation is
ccmpLet~d.. .
O CURB .{ APPROACTl AP:C:!()N: Afte:" forma
, ars ersated but prior to pouring
.:on.:rd't..
O SIDEWALK 8 DRIVEWAY: For all con-
crst. paving ~thin streot right-
of.IJC1J~ to bo ma:Js aftsr all e%ca'"
-lIat~ compLete d fo~.~rk & sub-
: base M%ts~at~in 'y~B:.
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O ~ENCE: Vhsr. comp!ats -- Provids
gats. or movabLs 8sctians through
P.U.E.
o
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DrUOi-ITIO:1 OR .v.ot'!'J 3UI:'~:;ICS
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:=J Sani~ SfAJC!' cc:;p.i .:t p::,oPC:"t'i :':r..
=:J Sspti.;: tank p:.omp~d a:-..; fi.l".,d :.ti.th ;ra;)(J':
] Final... ,Elhsn abolJS it:.-:'ls ars C"'..r.rpl.t6d .
ar.d whit" .:iemc~itior. ii cor.J?Lflt, or struc --
turfl molJsd ar..:: yl'crri3.S cr."an.:: up.
Mobile Hemes
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=:J B!ocking and Sat-,p
=:J Ptumbing Co""sctians .- 8DUsr ~ ~:.r
---, ElcotriccZ. Ccnn.ction - BZ.ock~r~, sst-up
--.J and ptumbing ~onr.6oticns ~":3t ~fI at'?1"01.'flci
before rsqussting el.~:ricar. ir.spsction
=:J Aoc8BGOJ"'oi 8U:i.:.di~
] F~L - Ioft::r ,.?arc.J:ss, sk::rti"f, deck8,
st~. aro ocmp,-#tca.
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ALL proj.ot conditions, ouch as the instaLlation of str..t tr.1l8, cc::rpl.J:i.:m of :it#
Nquirfld l4.ntf~cc:pir.g, cto., must b. satisfiod bofor. t1'..~ Br.'ILDI.~'C FI:.'AL ~an ~fI Nquss~..,d.
o fI11A~ PLUNBINC'
o fINA~ H1i~HANICAL
o fINAL' ELEcr,~ICAL
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lIN.4L BUILDINC: The FinaL Buil.di.ng Inspection muot ba ,..qusotll.:i alesr ::hs finaL ?tumbi"J
'. ELtJotncaL, and IlBchanicaL In8pecti.ono hava bel,," mads and approu,d. .
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'ALL IlANHOLES AND CLEANOUTS IIUST BE ACCESSIBLE, AWUSTI/ENT TO BE H.1D~ 'AT NO COST TO ~r:l I F;;a ! of 2
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Occupancy GrouP.
LOT TYPE
Intener
COMJsr
Panhandle
cut-do-sao
I ;
Jcb Numbc", ':'::',.,:::
Zone:
Lot Sq. Ftg.
, ~f lot C~veJ"(Jgc
.j of Stazoiee
Total Height
!TOpography
I
lITEM . St<.FTG
l~bin
Ga:rat1 tJ
Caroort
ACCeSBOl"JI
TOTAL VAWE
Is.D.c.
,vaL.UC}
I.S % . .
Building permit
State SurchaJ'ge
Tota.l Charge.
I ITEM " NO.
I Fiztw.ei '. ,-. '~:." ~. . . ~~
I Re.ident;;'l h bathi
I Sani tary Sews"
I Water
FEE
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1Jf"'.13;?/N~V ~:.f:!
PlumOing Penr.i t
State Surcr.args
Total. Charaoe
I'ITEM
Res. Sa. ftn,
I NIIlJ/Ezt.nd Circui t.
I Temporary SQJ'"Uios
NO.1 fEE
Ele~trical Permit
StatB SurChartlB
Total Charc611
lITEM
I Furnace ETU' 5
I Exhaust Hood
I Vent Fan
I WoodstovlJ
I
NO.
Permit Ios1UZ11Ca
Meehanic:%l. Pel'mi t
Stato Surc1u:.NS
Toto 1. Charooo
-- ;.'NCROACHMENT --
SOC!".lritll DzPOsit
I Storage
1'.la.intenant!6
I Pcmit
I Total ChaNcs
I OIu'b",,~
I Sidewalk
l.rsn:JB
I EiBctrical Labsl
"Mobil. Hame
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I TOTAL AMOUNT DUE:'
x Value
CHARGE
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~2 .5r>
-;?~
/.~<
I ::?~.J.:2 '
CHARGE '
FEE
CI/ARCE
RefcY'or.ce /lwnbers:
L-COC R;
Type/Cor.Bt:
. Bedrooms:
~E71e1'QU $OUl'Ces
I I Heat
I I Water .'lP.aI;p.r
I I RangB
I I Fire" lace
I I Wood:' tOlJB
II
T11"e
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.:-- .._~-~
I Lot Face. -
I SBtbackB
I P.L. House 'Garage ACCBSB.
INorth
lEast
ISou th
IWBBt
..- FeBs
.' "'f,
,'.
~.'-'. ~"'" .... ........
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Building Value"&, Permit'
This permit is granted on the u:pr68B condition that the said conatr-uotion'
shall., in all 1'8SpCOtS,t conform to the Ordinanoe adopted by the City of
Springfield, including the Zoning crdinance, regulating the construction
and UDe of buildings" and may be BUSpended or revoksd at eny ~..m8 upon vio-
lation of any provisions of. said Ordinances. "
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Plan Check Fee:
oat. Paid;
.[lec&ipt II: ,.
Signed:
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'. p'iumbing 'Permit
No\person shall. construct.. install.. atter, or change any n~ or enstl"g
plumbing or drainags system in'whole or in part. unloss Buch peroon is the
legal possessor "of a valid plwnber's license.. e:r:cept that a person may do
plumbing wrk to property which is ormed.. lsaeed or operatod..by the appli-
. 'cant. .:- ~ ..
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Electrical Permi t
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IlherB StatB LtnJ rBquires that the olsctrical work bs done by an Electrical
Contractor.. ths electrical portion of this permit shaH not be valid until
t~ Zabel has been signed by the Electrical Contractor.
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Mechanical Permit
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/;fk~n~~"/", '
;2 - .2c::5. ~/
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I HA VE CAREFULLY EXAMINED the 00'1lp leted app lioaticn for penr.i t, and do
hsreby certify that all. information hereon is true and cOl'rcct.. and I
',[u.rther CBl'tify that any and aU work pel'formed shall be done in accor-
dance r.>ith the Ordinance. of the City of Spzoingfield, and the La:J. of the
.. St4te of Oregon pertaining to the tJOl'k described hers~n.. and that NO OCCU-
PANCY rJiH be rmde of any structura bri.thout pormission of thB Building Di-
vision. I furthel' certify that cr.1ly contractOl'S and errpz"yees lJho tn"B: in
compliance lJith ORS 701.055 bri.U be used on this pl'oject
J2-- ho ~I
Date/ / :.
/-;t..A "
Signed f,.
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