HomeMy WebLinkAboutPermit Building 1987-6-29
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APPLICATION/PERMIT
225 North 5th Street
SpringfieZd, Oregon 97477
BuiZding Division
726-3753 '
Job Location:
3514 ~dll~iolJ
(I ~ OJ. - 1-/) -4~ -- . Ta: Lot
~y
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AsoeSBor.: Map N
Subdivision:
KI''2.abeH.! '~il
~h\~ \VVlllsklQ\) 'Phone: ,(\
5?M , " Zip:
QJner:
Address:
City:
~m,'
n Addi ticn
n Remodel
~ lIobile Homa,
Date of Application
Cont:racto1'S
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(
5!~~(G w1lL
to,R q /~ :-"l
General.
PLwnbing
Electrical
l.fechar.ic:: 1.
Construction Lender
(-)Wy\U'
Value
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AdLi:ress
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Rcce~pt !I
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Sigr:ed:
Data:
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ExoiI'CS Phone
Lise. #
It is ths respomJi-biZity of ths permit holder to see that aU inopections are made at the proper titn&, that each .:=ddrSBB is rea.dab~e
frem thB street, and that the permi t card is located at the front of tM property.
-Bui.!ding Divido!': approved plan ~hc :::-~''''''~ Bu~Zding Sits at all times.
PROCEDURE FOR INSPECTION RE9lfEST: LL ?26-3769~o1'der) state your City de, signated job nW7:ber, job adC:rcss, type of in3pec-:icn
raqtl.estcd ar;d when you wiZZ. be ready .....1 ~""'t'........",~on, Contractors or OlJne::"'s name c:.nd phone number. Requests received before 7:00 ~
w."il'L. be made the same day, requests m~eo a~te:r 7~OO am will be made the next :xJrki1'l{j day. .A Ad
o Your City Deoigr.ated Job Number 10: Sl /) ~
Reauiroed Insvecticn~ "
O SITE INSPECTIUN: '1'0 be T'fO.de after
excavation, but prior to set: up of
forms.
Do UNDERSLAB PLUMBING. ELECTRICAL &
: MECHANICAL: To be made before any
o work is aovcred.
o
FOOTING & FOUNDATION: To be 11rLds
af.ter trenches are excavated and.
forms al'e erected, but prior to
pounng CC11Cret.z.
o
o
UNDERGROUND PLUMBING.. SEWER. W.1TE.~
DRAINAGE: To be cn:te prior to fil-
}ir.g trenches.
UNDERFWOR PLU/.!BING & MECHANICAL:
To be made prior to inatal.Z.ation of
ttoor insulation or decking.
POST AND BEAM: To be made pr>ior to
instal.Z.ation of floor iTlB~Zatior. or
dsoking ,
ROUGH PLUHBIlIG_ ELECTRICAL & MECH-
ANICAL: No :Jerk is to be covered
'.~tiZ. thCS9 inspections have beer.
made and approved.
FI.r?EPLACE: Prior to pZa.cir.g faeing
materials and before framing inspeo-
tior:.
o
,0
o
I
10
,
,
I
,
FRAHING: Must be requeDted after
approval. of rough plwrbing, electri-
cal & mechanical.. All. roofing
bracing 8 chimneys, etc. nr~st be
: completcd. /10 work is to be con-
.,-",cealed until, thio inspection has
~be~n made and approved.
itS
D INSULATION/VAPOR BARRIER INSPECTION:
To be made after aU insulation aY'.d
o. rcquired vapor barriers are in place
. 0 but before any lath, gypswn board or
LXlll covering is applied, and before
~y insulation is concealed.
'0 DRYWALL INSPECTION: To be made
after aU drywal,l is in place,
but prior to any taping. .
DO MASONRY: Steel location, bo1u:l
beama, grouting or verticals in
accordance with U.B.C. Section
2415,
D WOODSTOVE: After instaZZation is 10
completed. .
s3
O CURB & APPROACH APRON: Afte"I" forms
. are created but prior to pounng ~)
o aoncrete.
D SIDEWALK & DRIt'EWAY: For all con-
crete paving LJithin street right-
of-way, to be made after> all exca-
vating complete & form work & sub-
o base material in pZaae. s<;
D PENCE: When compl~te -- Provide.
gates or movable sections through
P,U,E, '
o
I DEUOLITION OR ;'.:OVE:; BUILDlilCS
~ ~ Sani =ary se:Jer aapped c.t rn:..opcr"t'~.
=:J Septia tank P''''''P<d and fiZ!<d lJith ii"a~el
lir.a
I Pinal - ({hen above ite.~s are completed
---1 and when demoZition is compZete or struc-
ture moved and pr;:miaes cleaned up.
Mobile Hemes
Blocking and Sat-~p
'Plumbing connections
scwer and !Jatsr
Electrical Connection - Blocking, set-u.p
and plumbing connections nr~st ce approved
before requesting electrical insp9ctio~
=:J Accesso1"'d BuiZd~ng
Vl FiIUll - After p:;rcr.es, s1d.rting~ ~ecka,
~ etc. are completed.
o
FIliAL PLUMHIIIG
All, project conditions, ouch as the installat~on of street trees, c~~Lotion of ths
required landscapir".g, etc., must be satisfied before the BUILDING FINAL can be raquestad.
FIliAL MEcHAIIICAL
o
FINAL BUILDING: The Final BuiLding Inspection must be requeDted alter the Final ~lumbing
Electrical, and Mechar.ic;al Inspectior18 have been mads and approved.
FIliAL ELECTRICAL
"
ItALL MANHOLES AND CLEANOlJTS /-ruST BE ACCESSIBLE, ADJUSTHEtlT TO BE MA.DE AT NO COST TO CI'!'Y I Page! of 2
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,:~:;::i:~ef<2;M-V 9\ ~\lrlP I~~ OU --t~lf)
InhoY (\ :-1 '~[):-'1C~-Aje.d f-~
mTAL AMOUNT DUE:' ;;;0,4D I' ,- -7'
JO B NO,
Zor.c:
Lot Sq, ftg,
S of lot Coverago
'I'~ of Stories
Total Height
I
I Topography
i
lITEM SQ,fTG
Main
GcI>ace
Carport
AaaeS80ru
TOTAL VALUE
I
S.O,C,
(VCt,uc)
l.~ x
Building Permit
Sta te SW'cha:rge
Tota~ Charges
lITEM
Fixtures
1/10'1
I
Residential (1 bath)
I Sani tar-y Sewer
I Water
I
Plumbing Perd t
State Sw>cr.arge
Total Chc:raes
i ITEM NO'I
! Res. Sa. fta.
I New/Extend Cil'cui ts I
I Temporary Service I
I
Electrical Permit
St.::.te Surcharae
Total Charces
liTEM
I Furnace PTU 'S
I E:::hau.st Hood
i Vent fan
I ,
i Woodstove
rlo'l
I I
I I
I I
I I
Permit Issuanc2
Mechanic:ll PePmit
State Surcharae
Totn7. ChaT'r:rP-t'J
-- ENCROACHMENT --
Sec-.,crit~ Devo:Jit
Storage
l.faintenance
Permit
Total Char>acs
CUrbcu:
Sid_~k
Fence
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i CHARGE I
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I Iq,- pU I '
I ,(oD 1-3)
IIYi,fo{) ,.
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SOLAR A.SS
Occur;anClJ Grcr"l:J.
LOT TYPE
Interior
Corner
Panhandle
Cul-de-sac
X Valu.e
FEE
CHARGE
1';r,06
1l6:~
FEE
FEE
CliARCE
\/
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R EQ,-
L-COC""
.
Type/cor.st:
Bed.roor.:s:
, -~
Lot Faces -
I I Enerau Sources
I I Heat
II
II
II
II
II
T,Jrte
Setbacks
House Carape
I Access.
i
I
I
P,L,
iNorth_ ,
lEast
IS""th
IWest
Water' Hfwtpr'
Range
Fireolace
Wood:; tove
Fees
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,Building Value & Permit
This permit iG granted on the express condition that the sdid construction
shall, in aZl respects, conform to the Ordinance adopted by the City of
Springfield, including the Zoning Ordinance, regulating the construction
and use of buildings, and may be (;uspended or revoked at cr.y time upon vic~
ZaUon of any provisions of said Ordir.ances.
"
--'
IpZan Check Fee:
Date Paid:
I Receipt H:
I Signed:
Plumhing
Pe r m i t
No pereon shall construct, install, alter or change any new or existing. ...
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 person may do
plumbing work to property which is owned, leased or.operated by the appli-
cant,
Electrical
Permit
Where State Law requires tr.at the electrical work be done by an Ele~tM.cal
Contractor, the electrical portion of this permit shall not be valid until
the Zabel has been signed by the Electrical Contractor.
Mechanical
Permit
.
PUm E:xxzrm,ner
va..
I HAVE CAREFULLY EXAMINED t.w completed application fop permit, and do
hereby certify that aU ir:fOmlation hereon is true and correct, and I
further certify that any ard all ~rk performed shall be do~e in ac~or-
dance :vith the Ordin::mces of the City of Springfidd, and th;; Lcr...;s of tha
* State of Oregon p~rtaining to the work cescribed herein, and that NO OCCU-
PANCY will be made of any structura without permission of the Su.ilding Di-
vision. I further certify that o~ly contractors and e~pl~yees who are in
compliance with ORS 701.05S will be used on this project
.
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