HomeMy WebLinkAboutPermit Building 1991-1-17
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,I~.... RESI~IAL-"
, APPLIC~~ERMIT
25 North 5th Street
f'Jl Springfield, Oregon 97477
Building Division
726-3753
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Job Location:
AS,:WDoor:: Map N
Subdivision:
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Tc;< Lot # 01 ~rf)
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Data of Application Value .'~ 1
Contractors Address _' ''''A,isc. /!'
'GeneralE/2th1 R <i~:<; 4c,c,O /'II~. fM.;.
; Plumbing. f.)ti.n"l<;;rYV ' 0).0- "6.Ff{
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El,t:ctri!':'C11 1 '(e.',;,. '" ~
ISl1per"~Et;;,.1g Electr~cian ~ ~ . 1'15 -~
It is -ehe resp07'/.oibility of the penrtit holder to B88 that all. inDpectiol18 azoe made at tho propel' tim&~ that ~ach .:ddrS88 is readab!e
froom the 8tl'eet~ and that the permit CaM is located at the f:ront of the propel'ty.
.t!JuiZdi':'1fj DitJi::io~ approved plan shall remain on th2 Building sits at all times.
prWCSDUp.E FOn INSPECTION R~aUEST:CALL 726-3769 (recorder) state your City designated job number~ job addrc88~ type of in3pec;iclI
requested a~d when you will be ready for inspcction~ Contractors 01' Owners ~e and phone number. Requests received before 7:00 ~
...>ill be made the same dc.y~ requests made after 7:00 an will ba made the next :.JOrking day.
" Your CitlJ Decigr.atcd Job Nwnb<r Ia: q l rfJ3"?/
Q.mer:
Address:
City:
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Npl"
Additicn
Remodel
,'fobiZll lloma
Re~ip~~ T~~"p~!icn9
O SITE INSPECTION: To be made after
: exca!.lation~ but prior to Set up of
i forms.
, 0 VNDERSLAB PLUMBING. ELECTRICAL &
I NECH,!NICA[,: To be made before any
i work is eO!.lcred.
I .
, '~OTING ~ FOUND,1TICN: To be "",de
il~ ~jter trenches are excavated and
I) form~ are el'ected~ but prior to
i poUl'~ng ccncret~.
~"WSRGROUND PLUM3INC; SEWER. W.1TE,f?,
U DRAINAGE: To be roo.:ie prior to fi l-
lir.g trenches.
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!D
10
UrJDE.rWLOOR PLU/.!BINe & MECHANICAL:
To be made pl'ior to in3talLQtion of
11001' insulation or decking.
POST AND BEAM: To be made prior to
installaticn of floor ins~lation 01'
decking,
RoueH PUIHBTllG. Er,ECTR!CAL & MECH-
ANICAL: No work is to be covered
,ur.tiL these inspec;ior.s have beer.
made and approve.:!.
FIREPLACE: Prior to plccir.g facing
matel'iaZs and befol'e framing inspec-
tior..
FRA,'~TNr;: Must be requeated aftel'
appl'oval of rough pl~hing~ alectri-
cal & mechanical. All roOfing
bpacing ~ chimncys~ etc. nr~st be
. completed. No w:Jrk is to be con-
, cecled until thin inspection has
. bc~n made and app1'OL'ed.
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BIdrs Board R~g,
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10 ~ /37RB /'7.1"9'0
~8~- 't/d-_~
t:; 7 if. O..l..
Phone:
Zip:
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D INSULATION!VI1PO.q BARRIER INSPECTION:
To be rmde after all insulation a.....d
'. requirod !.lapor barriol's are in place
:.. ;.'.' but ];'oforo any lath~ gypsum board 01'
~lZ coverina is applied~ and before
any insulation is concealed.
D
DRYWALC INSPECTION: Tc be n-ade
aftel' all drywaZL is in place~
but priol' to any taping.
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Signed:
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location~ bond
01' verticals in
V.B.C. Section
O MASONRY: Steel
beama~ grouting
accordance LJith
- 241S.
O WOODSTO'lE.: After installation is
ccmpZetcd.
~URB & APPROACH APRON: Afte:- f01'm~
W ~e l!rected but Pl>1.0r to pouring
LW7Wrete.
~IDEWALK & DRIt'EfIt.Y: Fop all con-
~ crete paving within street right-
of-way~ to be made aftel' all exca-
vating complete & form work & sub.
base matenal in place.
D PENCE: Whcr. co:npl~te -- Provide
gates 01' movable sectiona through
P,U,E,
@ 4 SVw*~..J
. aq u\ rLe~
Date:
Exoi'ces
Phpp'p'
t,iK-Ktf 6Y
.3 y~ -1'5<>0 I
DEMOLITION OR ;',,'OVE!) BUILDI;JGS
~ Sani~ary Be'..Jer capped ~t property lir:;e
" "" , " ',t/lllo. 1"",j1l1'~'t-r.(',jtf\"I,',M ),,!) :~.l. ,~,
:=J Septic tank p:v.:ped and fi1.la~ LJith gra:Jel
::J Pinal - rfhen above ite.-ns are ccmplatcd
and when demolitior. is completo or stru~-
tUl'e moved and pr~mi3es cleaned up.
I Nobi le Hcmes
I
~ ELocking and Sot-up
~ r~umbing conne~tions sower and Wa;er
~Zcctrical Connection - Blocking~ sot-up
.2::::f,and plUmbing conr.ections 11r.lS t te approJ;sd
~bBforc requesting elec~rical inspec~io~
~ Accessory Sui lding
ij:inal - Aftar p:Jrcr.es~
~c. are completod.
skirting~ decks~
D
All F't'ojoct conditions~ ouch ao the ~."nstaLlatiol1 of 8!;reat troes, "co::rpletion of tire
required landscapir.a~ ctc.~'must be satisfied bcfol'~ the BUILDINC FINAL can be raqueotad.
o FIIIAG PWMBIIIG
o FINAL NE~HANICI1L
o FINAG UECTRICI.G
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FINAL BUILDINC: The Final Building Inspection must bll requested altel' the Final Plwnbin3
Elcctrical~ and Mechar.ical Inspectiono halJel been made and approv-,d.
~AJ,~ MANHOLES AND CLEI1NOUTS /IllST BP. ACCES$IBLF., ADJU5T!IENT TO BE l.fADE AT NO CJST TO CITY I P:l~~C of 2
I JOB No,CfIDCl.=j3 SOLAR ~SS REQ,-
~~: \ 0 ~ Qccupancy C" ~_ ~
Lot Sq, Fe,;, rm TYPE Lot
S "f lot Caverag;; Interior
N of Stories :;L- Corner
TotaL Height PanhandLe
1...t''''~' ""t'hy Cut-de-sac
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!ITEM
sq, FTC
ff\\-\
~~:"
Cc:race
I Caroort
I AccessorII
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TOTA~ VALUE
Is.o,c,
lvat.uc)
),5",
Building Permit
State Surcharge
Total Charges
I ITEM NO, I FEE
I Futures
I ReeidentiaL () bath)
I Sani tary Sewer
watr"' '
,~-L~
PLumbing Pe"", t
State Surcr.lU'g6
Total Chal'aos
lITEM
I Res. Sa. fta.
IN~/EXtend Ci~it8
I Temporary Service
I
. NO. .
1/
J/f
Ele~tl'~rmit
~ Surcharqe
/" Total Charc;es
IITSM
Furnace !!TU' S
I E::hauat Hood
I Vent Fan.
I WoodstOiJB
I
NC,
Permit IG8UanCa
Mechanical Pemt
State Surcha1'OC
rota 1. Charaeo
-- ENCROACHMENT --
Ise~~ritu Deoo3it
I Storage
I Main tenance
I Permit
I
I Curbcu;
!SidelJaLk
j Fen::n
I Electrical Label
1 !<lobi le Home
I "fW)tto
1- - ,
Total ChaNCB
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I TOTAL AMOUNT DUE: 4
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Value I
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Jr140 1
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30.'18 .
CHARCE
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1 3,05
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FEE
CHARCE /"
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FEE
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CHARCE
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ffi.~S I
TSnsl
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fl\l O.~~.
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T",e/Cor.et: ..
L-COG~
Bedrooms:
-a,
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Faces -
I I Enel"rm Sources
I I iieat 1= ~
I I Watcl" Heatm. 7' _
I IRa,,!!" J;'--,
I I Fireo lace
I I Wood"tove
II
TiJoe
P,~,
North
Setbacks
House Caraqe
IIccesB.
East
South
.West
Fees
Building Value & Permit
This permit ia granted on the exprecB condition that the sa'id aonstt'Uction
shalt, in all respects, conform to the Ordinance adopted by the City of
Springfield, including the Zoning Crdinance, reguLc.ting the ccnstructicn
and UCe of buiLdings, and m~y be 8ucpended or revoked at ar.y t~e upon vie-
lation of any provisions of said Ordinances.
Iplan Check Fee: ~
Date Paid: ~ If) .J-'
IRecdpt #: ~
IS~
Plumbing Permit
---
No pereon chall construct, instal!, aZter or change any ne~ Cr e:isting
plumbing or drainage system in whole or in part, unless such person is the
legal possessor of a va7..id plwnber's licensB, e:ecept that a pe:oson may do
plumbing work to property which is owned, leased OJ'" operatsd by the appli-
cant.
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Electrical
Permit
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Where State LaJ.) requires tr.at the electrical work be done by an Eleatrical
Contractor, the electroical portion of'this permit shall roOt be valid until
the label has been signed by the Electrical ~ontractor.
Mechanical
Permit
~
Plan EXGnl1,ner
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I HAVE CAREFULLY EXAMINED the completed application for permit, ana do
hereby certify that all i,.,fo:omatwn hereon is tNe and correct, and I
turthsr certify that any and all lJOr1c perfor:ned shall bo do:1e in aceor-
dance rvith the Ordinances of thll city of Sprin(lficl.d, and the: UL:S of tho
" State of Oregon p:::rtaining to the work described herein, c.nd that NO OCCU-
PANCY will be made of any structura without p3r.misaion of the Building Di-
vision. I further certify that only contraators ar.d e:npl.7yess who are in
compliance with ORS 701.05~ ~iZ.l be used on this project
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DEVELOPMENT SERVICES
PUBLIC WORKS
METROPOLITAN WASTEWATER MANAGEMENT
225 FIFTH STREET
SPRINGFIELD, OR 97477
(503) 726-3753
MANUFACTURED HOME SET-UP AGREEMENT
As required by the City of Springfield
that with the approval of the attached
manufactured homes will be placed at
Springfield, Oregon, City Job Number
Development Code, I understand
perqq' onm&~Y'/1!Ji!~
q long. -<, .
and agree
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Class A Manufactured Home. A manufactured home of not less than 24
feet in width and 16% (not less than 2:12) roof pitch, with exterior
dimensions enclosing a space of at least 960 square feet, with roofing
and siding materials that are commonly used or compatible wi,th site
buil t homes. ,
o
Class B Manufactured Home, A manufactured home of not less than 12
feet in width and 16% roof pitch, with exterior dimensions enclosing a
space of not less than 500 square feet, with roofing and siding
materials that are commonly used or compatible with site built homes,
I further state, by my signature below, that I have been provided with the
following information:
- Mobile home blocking
- Sanitary sewer'connection
- Vater line connection
- Electrical connection
- Street tree standards
- Minimum requirements for permanent steps
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Signature
)t~- 'A- J
/11'7;'1/
Date