HomeMy WebLinkAboutPermit Building 1985-5-16
~'i ~ .. RESIO.T1AL"
APPLICATION/PERMIT
225 North 5th Street
SpringfieZd, Oregon 97477
BuiZding Division
726-3753 '
Job Location:
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AssessorS' Map #
Suhdi vision:
Tc:r Lot #
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DJner: C)h/NI.!f~
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City: L BlAohf, .;CA;;:
Address:
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QN~'
n Addition
m Remodel
n .',fobile Home
PI-"",e: A9;, -3L.:Jz
Zip: q7~A9
Describe ll'ork:
70 ~/S€ ~8G' .e ~~ /Yeeo
~.N~~.w' a/Y~HZ! //-:- .
Date of AppZiaatian ~L .~. /'9/$ Value 'f J". o,;} 9'
:::~tor8 t~~ - J~- !~~r
: PZwnbing . .. ,~U./U/Y~ //.51. ~r
i Electrical P/'ln!/6t1<t.. 'E/~ +4--3 #.J. ~ AH1
I N..Iu".=1 -t~VJv/.,4/ QU9C 4.:2l/.. h.:u.'
I Construction Lender 1!//f/Jr4
It is ths responoibili"ty of ths permit holder to see that alZ. innpection8 are r.rade at th8 proper tim~, t}-.a.t each cddrS88 is reada.D~e
11'Om ths 8treet, and that the permit card is Zocated at the front of the proper1:y.
.faui!.ding [)i.vi::ior: approved plan shell remain on tha. Building sit:; at aU times.
PROCEDURE FOR INSPECTION RE:QUEST:CALL 726-3769 (rccol"derJ state your City designated job number3 job adi:ress3 type of in:;pec-;icn
l'(Jqu.estcd ar.d wh.en you r,JiH be ready for inspcction3 Contl'actors 01' Owners name and. ~hone number. Requests received beforG 7:00 C':I
:.~LZ be rrrI.de the scune daY3 requests made after 7:00 am will be rmde the next :xJrking day.
Rp.Il;'?Ji~""i{ T,.,rmp'1t1:r.'JR
D. SITE INSPECTION: To be m::zde after
e:ccavation3 but pPior to set up of
forms.
O . UNDERSLAB PLUMBING. ELECTRICAL &
. MECHANICAL: To be made before any
work is aovered.
00
FOOTING & FOUNDATION: To be n-ad.
after trenches are excavated and
forms are eI'ected~ but prior to
pouring ccnCl'eto.
II UNDERGROUND PLUMBING. SEWER. w'1TER,
L.J DRAINAGE: To be made prior to fil-
~'r~ trenches. .
. UIlDERFLOOR PWHBING & HECHANICAL:
.. . To be made prior to installation of
floor insulation or decking.
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POST AND BEAM: To be made prior to
installation of floor imniZ,ation or
, decki....
ROUGH PLUMBIllG. ELECTRICAL & MECH-
ANICAL: No work is to be covered
.until these inspections have beer.
made and approve'::.
FIRE:PLACE: Prior to placir.g facing
materiaZs and before framing inspec-
tion.
D FRAMING: Must be requested after
approval of rough pl.wr.bing3 electri-
.cal & mechanical. All. roofing
bracing & chimncys3 etc. ,","'st be
;' completed. No tJOrk is to be con-
...<",.cealed until this inspection has
.~ bee:n made and approved.
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Sigr:ed:
Date:
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LiBc.1f
Eroires
Phone
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'20 -/'7'/ t!
/5260
Mr;. ~.s
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.Your City Desigr.ated Job Nwnber Is:
O INSULATION/VAPOR BARRIER INSPECTION:
To be made after all insulati::m CC".d
'. required vapor barriers are in place
. . but before any lath3 gyp8WT1 board or
r.xzt.l covering is applied3 and before
. any insulation is' concealed.
D DRYWALL INSPECTTON: To be made
after all drywall is in place3
but prior to any taping. .
O ~SONRY: Steel location3 bo1u1
becun:;3 grouting 01' verticals in
accordance wi th U. B. C. Section
2415.
D WOODSTOVE: After installation is
ccmpZeted.
D
CURB & APPROACH AP.r?ON; Afte::> fol'1ls
are erected but prior to pouring
con.::!rete.
o
SIDEWALK & DRD'F;WAY: For all con-
crete paving within street right-
of-liX:.Y3 to be made after all exca-
vating cCYnplete & form llJOrk & sub-
base material in place.
S50 ~8
I DEl-toLITION OR ;'.:OVE'D BUILDIilCS
~ Sani ta:ry S8'..)e1' capped at p~opcrt":i lir:e
=:J Septic tank p'...il?ed and fille~ tJith gra~e~
:J Final - {{hen abcve items are completed
and when demolition is complete 01' Btru~-
ture moved and premises cl.eaned up.
O fB!.fK: When compl.;te -- Provide.
gates 01' movable sections through
P.U.E. .
D
I !-lobi le Homes
~ Blocking and Set-up
~ Plumbing connections -- Sa.JeZ' and water
~ Electrical Connection - Blocking, set-up
~ and plumbing connections nr~st ce approvec
. bsforc requesting electrical ins?ectio~
~ Accessol"d Building
::J Final - Aft:!r p3rcr.es~ skirting3 decks3
etc. are completed.
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All project conditions3 f>uch as the i.nstallation of street trees3 co.".'rpleti.on of tns
required landscapir.g3 etc. 3 must be satisfied before the BUILDING FIlIAL can be r2questad.
CXl FIliAL PLUHBIIIG
D FINAL MECHANICAL
D FINAL ELECTRICAL
D
(X)
PINAL BUILDING: The Final. Building Inspection must be requeated after the Final Plumbina
Electrical.3 and Mechar.ical. Inspections hava been made and approved.
~AU; f4MlI/OLES AND CLEANOUTS MUST BE ACCESSIBLE3 ADJUSTNENT TO BE Mli.DE AT NO CaST TO CITY I Page 1 of 2 f
Paga 2
I JOB~o..~5L)3t:,o SOLA_C~S REQ.- E~\~\ \0C-e .
I Zona: V \.. Occucancv l!!!:c: V_c-:'--, T"caICor.st: \J-"-J Badrooms:
Lot Sq. Ft;;. - ~)(l.l5 WT/;:;;YFE - - I Lot Faces -' I I Enarqy SOUJ'cas
f ' . I Setbacks I' Hoot
$ I) "at Cauerag;; . !":y _ IT!tel'1.oro I P. L. House Caraqe Access. I
.." \. \'~ Water H~atp.'f'
'# of Stories 0-'--\ \\oJ _ Corner INOl"th~' I I Range
TotaL Haight 1\\0 ~ PanhandLe lEast ~t9' I FirecLaca
~ - ISouth IM!J' I Wood3tove
Topography ~ CuL-de-sac I
__ West 1'/5' I.
lITEM
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Garaae
CaroOl't
ACCeSB01'U
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TOTAL VALUE
S.D.C.
(vat.ue.)
1.5 :r:
Building Permit
State Surcharge
TotaL Cha..~gas
lITEM
I Fixtures
I ResidentiaL (1 bath)
I Sanitary Sewer
I NO. I
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~\\'\~~. I
rlatal'
PLumbing P",.",;. t
State Surcr.arge
TotaL Charaes
lITEM
I Res. s,,_ f'ta..
I Net.J/E~tend Cil'c:ui ts
I Temporary SeI"Vice
I NO. I
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Eleatrical Permit
State SU:N:harae
Total Charc:es
IITSM
I Furnace ETU' S
I Exhaust Hood
I Vent Fan
I WOodstove
I/O.
Permit Issuance
Me::hanica l Pezomi t
State Surcharae
Tnta 1. C'harmUJ
-- ENCROACHMENT --
I Sec-.lri'ttJ D2vosi t
I Storage
I Ma.int~e
I Parmi t
I
I Cla'bcut
I SidewaLk
Total Chal'l1es
I Pen::e
I Electrical Label
! Mobile Hom8
I TOTAL AMOUNT DUE:'
x
-- Faes
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Value
FEE
CHARGE
FEE
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CHARGE
FEE
CHARGE
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Building Value &
Pe r m i t
This permi t is granted on the expl'eSB condition that the sciid c:onstl'Uction
shall, in aZl respects, conform to the ~inance adopted by the City of
Springfield, including the Zoning Ordinance, l'egulating the construction
and use of buildings, and m2Y be suspended or l'evoked at cny time upon vio-
lation of any provisions of said Ordinances. .
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p1.aiz Check Foe: -'fC:<~. <Y-6
Date Paid, if -,,;JO- [/:;-
Recdpt H: p" &q(",!il?J- / /
I Signed: . da.;-...,e,
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Pe r m It
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Plumbing
No person shalZ construct, instal!, aZter or change any new or e=isting
plumbing or drainage system in ~hole-or in part, unless such person is the
legal possessor of a valid plumber's license, except that a pe~son may do
plwnbing work to propel'ty which is CJl.Jned, leased or operated by the appli-
cant. ' ,. '-
Electrical
Permit
Where State LaJu requires tr.at the electrical. work be done by an Ele~triaal
Contractor, the eleatricaZ portion of this permit shalZ not be valid until
the labe l has been signed by the Electrica l Contractor.
Mechanical
Pe r m it
~~ y--
Pl.an- kxCim.ner
8-\~Qf.,
uar;e
I HAVE CAREFULLY EXAMINED the completed application for permit, and do
hereby certify that all information hereon is true and correct, and I
f'..lrther certify that any ar.d all work perfoM'led 8hall be done in ac~or-
dance :.rith the Ordinances of the city of SpPingficld, and tht: La:.;s of tho
~ State of Oregon pertaining to the work described herein, and that NO OCCU-
PANCY will be crzde of any struatura"without permission of the Building Di-
vision. I further certify that only aontra::tors ardi ~loyee8 who are in
compliance with ORS 701.055 will be used on this project
-d2wn
Sign -
tf 1J/VIuJ(L
rlM, 3D. /97)
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