HomeMy WebLinkAboutPermit Miscellaneous 1989-4-18
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APPLICATYffN /PERMIT
225 North 5th Street
Springfield, Oregon 97477
Building Division
726-3753
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Subdivision: L",c..~l'\..J~rv' rf~ A4-
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Job Location:
A8De880r~ Map #
CUneI':
L<.:>c.H !:>rile...}
Address: \ \ 'i' 9 N . T .,.ILQ,....... .<;'f,
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City: Eu.., ~~ _ O..,.e.....
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Phone: b g&-Ic:.(~q9
Zip: q7 '-40:J...
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Describe rl'ork: 1
Hcus,A... S',2.fi,' d
t"C::,
C1ae~.so'd-" See. \l1~T \l L..."" l
,'.fobile Horn:; 4 n C:nI
Date of Application ... . . I f.- (-;;~ I
Addi ticn
Remodel
Contl'actOl'EJ
Genera L
Plumbing
Electrical.
Nechar.ical.
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Value X <: / lJat:J.:l) tJ
AdtiJ'oes3
ER."n,,; -l. 5'1':>tJ'<;. '-t:9D ('I)~\) Lf. f~.
IJp,.r-r.'iYjThiJ QL~~~, ,u.r yt:.3S J.A.Ke~ 'i.t"
~~lpn 'P;ra.uV a 1~3o W.!lXfly
Pp.rrtn I .57CJI"e.c, .QI'1t.. M&JA,W, w
Construation Lender
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Rcce~pt ,iI
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Sigr.ad M LfYJ-.J .
Date: l . -:4- I R ":K~
Li3C.H
Expires
Phone
4/1./'/1 ,.;)-;:)...-'70
5SLfNJ.
:2 (:) '.wJ3C./ qJ.j s;)
UR~ 9:'u'.<l
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t. ~ 7'- 7/,7t/J
It is the rosponoibility of ths permit holder to S60 that aH irwpect1.ons are made at, -:he proper tim€, that ;u:.ch :;dd:resB is rea.=a..;Z.:
from ths street, and that the permit card is tocated at the front of the property.
ABuitdi~ ~vicion approved plan shalZ remain on tha Building Sits at all times.
Pl?OCEDURE FOR INSPECTION RSpUEST:CALL 726-3769 (recorder) state your City design.a.ted job nwnber, job aac:z.C8S, type of inapec;.;.cn
rGquestcd ar.d when you will be ready for inspection, Contractors or Owners ~e and phone number. Requests received before 7:00 ~
r.."iZZ be m:zde thE: same day, requests made after 7:00 am will ba made the next :,)Orking day.
.. Ycur City Deaigr.atad Job IIwn:ar Ia: AqO~6o
RGoui~ed Ins~Actions
D SITE INSPECTION: To be made after
excavation, but prior to set up of
forms.
O . UNDERSLAB PW~fBING. ELECTRIC,lL &
. MECHANICAL: To be made befor6 any
work is covcred.
[Kl
FOOTING & FOUND,1TION: To be rrade
after trenches are excavated and
forms are erected, but prior to
pouring ccncret~.
UNDSRG.WUND PLUMBING. SEWER. W,1TER~
DRAIIIAGE: To be ".,de prior to fi!-
Ur.g trenches.
[29
o
UIIDE.~PWOR PLU'.fBING & MECHANICAL:
To be made prior to inataLlation of
/1001' insulation or decking.
POST AND BEAU: To be rr.adc prior to
instaLlation of floor insulation or
decking .
ROUGH PLCP.!BIlIG. ET.ECTRICAL & MECH-
ANICAL: No work is to be cOL'ered
,untiL these inspections have beer.
made and app:roved. .
FIREPLACE: Pirior to placir.g faoing
materials and before framing inspec-
tion.
O FRAMING: Must be requeated after
approvaL of rough pl~hing, electri-
cal. & mechanical. AH :roofing
bl'aeing & chinmcys, eta. nT'...lst be
:'compl.eted. flo work is to be con-
""" cealed until thia inspection has
~be~~ made and approved.
o
o
D
LJ INSULATION/VAPOR BARRIER INSPECTIOU:
To be made after all insul:;.ti:m w.d
. roquired vapor barriers are in place
but before any 1.ath, gypSWTf board or
wZl covering is appZied~ and before
any inauZation is concealed.
DRYWALL INSPECTION: To be made
after all drywall is in p1.ace,
but prior to any taping.
O MASONRY: Steel Zocation, bona
beam3, g:rou ting or vertica ls in
accordance with U.B.C. Section
2415.
o
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WOODSTOVE:
acmpletad.
After installation is
Da:OLITION OR NOVE:; BUILDlilGS
" :==J Sani-:.ary S6'..)e1' ::apped !:t p:.oP~l't;j Zir.e
~ Septi:: tank P....7ed and fizz.e~ with :;l'a:.:e:
:J Pinal - O'hen above ite.'?/s are cC.''lTpletcd
ar.d when d~lition is complete or 8-:ru~-
ture moved and premises aleaned up.
Mobile Hcmes
~ Blocking and Set-~p
L!J Plumbing connections ...- S::LJel' ar.d lJa:SI' :
\;l Electrical Conneotion - Blocking, set-up
~ and plumbing connections nr~st ce G?provec
before requesting elec-:rical inspec;io~
=xl Acces$ol';Y Building
~ Final - Aft~r porches, skirting~ decks,
~ etc. are camplet~d.
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All p~oject conditions, such as the instaLlation of s;reet trees~ c~~letion of the
required 1.andscc:pir.g, etc., must be satisfied before the BUILDING FINAL can be rsquestsd.
[lI FIliAL PLUMBI/IG
o FIliAL MECHANICAL
o FIliAL ELECTRICAL
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FINAL BUILDING: The Final Building Inspection" must be requested after the Final Plwnbina
Electrical., and Mechar.ical InspectionD hava been made and approved.
D
CURB & APPROACH APRON: Afte=- forms
aroe cre~ted but priOI' to pouring
con.::rete.
O SIDEWALK & DRIl'EWAY: For aLl con-
crete paving within street right-
of-way, to be made after all e;cca...
vating complete & for.m work & cub-
, base material 'in p~e.
I'i\:.71 PENCE: When compl~te -- Provide"
~ gates 01' movable sections through
P.U.E. .
[] ?1 /j~ ;7f6C-"':>
"ALL NANHOLES AND CLEANOUTS !IUST BE ACCESSIBLE, ADJUST/fElIT TO BEJL4DE AT 110 COST TO CITY Pa~e 1 of 2...,~
I JOB NO.
I Zona:
Lot Sq. Ft{;.
S at lat C~erag&
# of Stories
Total Height
Topography
I
lITEM SQ.FTG X
I Main
I Gc:Pace
I C~ort
I Aaaessol"U !
,...,
/ V<-/:.~S,
TOTAL VALUE
Is.D.c.
(vat.uc)
1.5:r: <?'i........---..
Bui tding Permi t
State Surcharge
Tota l Cha.:"ge3
I ITEM I NO.
j.:..:...-.. ~L>P II
I Residential (1 bath) I
I f
If
;r..wM~'H~<,F
Sani tary SewSl'
Water
Plwnbing Perd t
State Surar.arge
Total. ChaT'oGS
lITEM
I Res. Sa. fta.
I New/Extend Cil'c:ui ts
I NO'1
I I
I (I
I r I
::.....,'p..~' =.~-Service
/7~pp
Ele~tl'ical Permit
State Surcharae
Total Cha:Jtces
lITEM
I Furnace ETU' S
I E:hau.s t Hood
Vent Fan
IIIC.
Woodstove
Permit Issuance
Meohanic.:1.l Permit
State Surcharae
Total CharaeD
I -- ENCROACHMENT h
Ise~~t~ Davo3it
I 'Storage
I Maintenan:!8
I Permit
I
Total Cha1'QCB
I Curbcu;
I Sidewtk
/76'
I Fa""e ..x
I Electpica l ....l.abe I
Mobile Home7J,V'Z7C~~p I
/5""70 I
I
I TOTAL AMOUNT DUE:' 70 I. '8#
SOLAR ACCESS
Occupanct/ G~ ..
LOT TYPE
Interior
Cornel'
Panhandle
CUL-de-sac
FEE
Value I
I
I
I
I
7"69'<- -- I
I
I r~S7-~ I.
I
5"~ 5c:> I
2s-31
53. c>31.
CHARGE I
IS: _e>>
FEE
::Z.:? ~ I
/ "): c><? I
12c>.=1
17&.=1
3&01
?5.. s-o J .
CHARGE
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I /:S; =-1
1 ::=f c: .:=:t
I I'~
I ~;:~I.
I
FEE
CHARGE
REQ.-
L-COG-lt
T;'pe/Cor.st: . Bedroor.:s:
I, Enel'GlJ $o'U1'ces
I Heat
I Access. I I Water> 9eu1t~r"
I I Range
II Fil"evZace
Wood.:;tOl.:e
II
~
I Lot- Faces -
I Setbacks
I P. L. I House I Carage
INOl'th
lEast
SOIOth
IWest
T;J~e
Fees --
Building Value & Permit
This perrrr;t ia granted on the erpr>ess condition that the sa'id constructiol
8haZI~ in all re8pcct8~ conform to the Ordinance adopted by the City of
Sp'Pingfield, including ;he Zoning Crodinance, regulating the ccnstp"~aticn
and use of buildings, and m~y be Buapantied or revoked at cr.y time upon vi,
lation of any provisions of said Ordir4nces. : :
IPlan Check Fee:' '.1y4 .f<,.. ~
I Date Paid: 4. r;. ;;;;q -
IRecdpt H: ,1'1,~'1-<n
ISig>:ed: MU Y) (f'.nJ1/1' f' )
Plumbing Permit
\
lIo percon ehall. construct.. in8~z.z, aUel" OP. change c.ny nelJ at' e=isting
plwnbing 01' drainage syste:n in :Jhole 01' in part, w:less such pBl'GOn is th
legal poSSeSBOl' of a valid plumbel"s license, except tr~t a person may do ~
plumbing IJOrk to property which is o:.med, leased or operated by the appli
.cant~' . ;"
Electrical Perm it
Where State Laz.J requires tr.at the olectrical. work be dane by an Eloatricc
Contractor, the electrical portion of this permit shall r~t be valid unti
the label has been signed by the Elecrncal Contractor.
Mechanical Permit
I
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4~ ~-P--?
P!.aIi E:u::1T11..ner -, /'
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I HAVE CAREFULLY EXAMINED the completed applicati.on fo~ permit, and do
I hereby certify that all.. ir:fo:m:ztion hereon is true and correct, and I
, r..l.rther certify that any ar.d atz. work perfoM/ed shatz. be do:1e in ac::or-
I dance :vi..th the Ordinances of tits City of SpringfieU, and the La.-:s of thr
.. State of Oregon pertaining to the work aescribed herein, end that NO oee!
FANCY wilt be TTrlde of any structul"a without p:arnnssion of the SuiZding 0-:
I vision. I fupther certify that o:-zly contro~to1"S arod e.-np~yees who are il
Sr.(. 7'0 L ccrnpUance "ith ORS ~~~l~u.ed on thi.. p~oject .
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Date
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