HomeMy WebLinkAboutPermit Fire Damage Report 1987-3-9
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APPLICATION/PERMIT
225 North 5th Street
Springfield, Oregon 97477
Building Division
726-3753
Job Location: ;J d g- 7 !v1 a f" C t'l k /c:,a J
As.es.o.. Map # J rz 0 ') ;;<,,5 /:3 Taz Lot # tfJ J (0 0
Ide.., (f l./ L - /-Vf' de vr c. k 5 C9-v7
;t ,,-g,f ( Ill, Itfh .sf. Phons:
5 (,? V' I '" q Zip:
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Subdivision:
Q.,mer:
Address:
City:
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Describe Work: ' .
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It is ths responsibility of the permit haUler to Bee that all iTUJpections are made at the proper time>> tr.at each ~e8s is readab7.e
fl"Om ths stJoeet>> and that the permit card is located at the f~t of ths property.
~Bui!.ding Divicior: !1Pproved plan shall remain on the Building Sit~ at all times.
PROCEDURE FOR INSPECTION RE.QUEST:CALL 726-3769 (recorder) state your City designated job number" job address" type of inspec;;icn
requested ar.d when you l.JilZ. be ready for inspection>> Contractors or Q.,mers name and phone number. Requests received before 7:00 a':'I
..'>ill be made th€ same dcy" requests made after 7:00 am rJill be made the n~t :.x>rki~ day.
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, I~ Desigr.ated Job Nwnbao Io:
~ INSULATION/VAPOR BARRIER INSPECTION:
r::J To be roode after all insu k:.ti:m ar.d
. . . required vapor barriers are in p laoe
. .: but before CUly lath>> gypsum board or
wtl covering is applied" and before
. _, 1~7~lation i. concea~sd.
RYWALL INSPECTION: Tc be made
after aU drywau, is in place"
. but prior to any taping. .
O. MASONRY: Steel location" lx>>uI
beams" grouting 01' verticals in
accoroda:nce with U.B.C. Section
2415.
O WOODSTOVE: After installation is
xmp ~eted.
N~l.l
Addi ticn
Remodel
!Jobile Homa
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Date of Application
Contractors
Genera l
P~umbing
Electrical
MecJrar.ica 1.
C-_
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Construction LendsI'
~QUir~1 T~RMP~tir.~A
O. SITe INSPECTION: To be rrr:zde after
e:I:cavation>> but prior to set up of
. forms.
0: UNDERSLAB PLUMBING. ELECTRICtl~ ~
. MECHANICAL: To be made before any
. work is coversd.
o
FOOTING & FOUNDATION: To be r=ie
after trenches are excavated and
forms are erected>> but prior to
. pouring ccncret~.
D. . UNDeRGROUND PLUMBING~ SEWER. W.1TE.~
DRAINAGE: To be nru1e prior to fil-
.ling trenches.
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UNDERFWOR PWgBING & gECHANICAL:
To be made prior to installation of
floor insulation 01' decking.
POST AND BEAU: To be made prior to
inataUaticn of floor insulation or
.decking.
ROffGH PLtP.!BIlJG. ELECTRICAL & UECH-
. ANICAL: No work is to be covered
. ur.ti 1. these inspections have beer.
made and crppl'oved. .
FIRF:PLACE: Prior to pZacir.g facing
materials and before framing inspee-
tion.
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O PRANING: Must be requested after
appl'ovat of rough plwr.bing" alectri-
.cal & mechanical. All roOfing
bracing & chimru:ys" etc. TTr.J.st be
.: completad. !lo work is to be C!on-
.,~:cealed until' this inspection has
.~.be8!l J1'Klde and approved.
Value
f /2!JD
.~
Sicmed :
Date:
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9> -9-((7
Address
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CURB & APPROACH APRON: Afte..... forms
are erected but prior to pouring
concrete.
SIDEWALK & DRn1EWAY: For all con-
crete paving within street right-
.of-way>> to be made after all 8XC!a-
vating aurrplete & form I.oXJrk & sub-
. base 1OO.terial in pla::e.
o
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~: When compl~te -- Provide-
gates 01' movable sections through
P.U.E.
Lisc.#
Phone
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Expires
DEMOLITION OR ;~:OVED BUILDINGS
~ Sani tary se:Jer capped at rn:..op:;;rt-~ lir:.e
=:J Septic tank p'..i>.?ed and fi lla~ wi th Jra~e L
---, FinaL - rVhen ab..."'Ve items are completed
~ ar~ when demolition is compLete or struc-
ture moved and premises cleaned up.
Mobile Hcmes
::J BLooking and Set-up
::J Plumbing connections -- s:;;wer and UJater
::J Electrical Connection - Blooking>> set-up
and pLumbing connections lTr.J.st be approved
. beforc requesting electrical inspectio~
~ Accessol"d Building
---, FinaL - Aft<!r porcr.es" skirting>> deC!ks~
~ etc. are compLeted.
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D FIliAL PLUMBIIIG
o FINAL MECHANICAL
~NAL ELECTRICAL
AU project conditions>> ouch as the instaLlation of street trees~ co.':1plation of the
I?t required Zaruiscc:pir.g>> etc." must be satisfied before the BUILDING FINAL can be r2quest:zd.
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FINAL BUILDING: The FinaL Building Inspection must be requeoted after the Final Plumbing
ELectrical~ and Mechar.ical Inspection.:J have been made and approv.:d.
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/tALL MANHOLES AND CLEANOUTS MUST BE ACCESSIBLE~ ADJUST!fENT TO BE MADE AT NO COST TO CITY Page 1 of 2
I JOB No.f10/s4
Zone:
SOLAR WESS
Ocauooncu Graul}:
Lot Sq. Ft{;.
S of lot Coverag<
# of Stories
Total Height
Topography
I
lITEM
SQ.FTG
M:Iin
Gt:Paae
I Carport
IACCeSSOM/
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I
TOTAL VALUE
Is.D.c.
(vat.ue)
1.5 :r:
Building Permit
State Surcharge
Tota l !:ha..~ges
lITEM NO.
I Fi.xtuzoes
I Residential (1 bath)
I Sani tary Sewer>
Water
Plumbing Permi t
State Surar.arge
Total Char-ass
'ITEM
I Res. Sa. fto.
I New/Extend Circuits
I TempopCIry Service
I
rO'1
I I
I I
I I
Eleetrical Permit
State Suraharqe
Total ChaI'qes
lITEM
I Furnace ETV'S
I E::::haust Hood
I Vent Fan
I I1oodstove
I
I NO.
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Permit Issuance
Mechanical Permi t
State Surcharae
7htal Cha:rrrRf!
I -- ENCROACHMENT --
Ise~~ty Deposit
I Storage
I Maint~e
I Parmi t
I Total Charac8
I Curbaut
I Sidewalk
Fen:!e
Electrical Label
I Mobi le Home
I TOTAL AMOUNT DUE:-
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I I-
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f?(l s:> r:2-
. .9-,9 I
I? \ _~9'-
I CHARGE I
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WT TYPE
Interior
Corner
Panhandle
. Cu l-de-sac
x
VaZue
FEE
FEE
CHARGE
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FEE
CHARGE
I
~\.32 I-
t'age ~
f
REQ.-
L-COG~
.
Bedrooms:
I . Enal'Gu Sources
I lieat
Water> Yf?(ltP.Y"
I Range
I Fir'lw1.ace
I wood:;tove
II
TUDe
Ti.J'De/Cor'.8t:
Lot Faces -
Setbacks
P. L. House Ca:t'aC/e
North
E:nst
South
West
Fees
Access.
Building Value
&
Per m i t
This permit is gronted on the express condition that the sdid construction
shall, in all respects, conform to the Ordinar~e adopted DY the City of
Springfield, inaLuding the Zoning c:rdinance, regulating the ccnstructien
and une of buildings, and m::zy be sunpended or revoked at c:r:y time upon vie- .
laUon of any provisions of said Ordinances.
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I Recdpt #:
I Signed:
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Plumbing Permit
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No person Dhall construct, install, 'atter 01' change any new or existing
plumbing or drainage system in whole or in part, unless such person is the
legal possessor of a valid plwnber's license, e:r:cept that a person may do
plumbing work to property which is (".med, leased or operated by the appli-
cant. '
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Electricall
Permit
Where State LaJJJ requires tr.at the e~ectricaZ work be done by an EZectrical
Contractor, the electrical portion of this permit shall roOt be valid until
the label has been signed by the Electrical Contractor.
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Mechanical Permit
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Ptm- Excnnner - "
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I HAVE CAREFULLY EXAMINED the corrrpleted application for permit. and do
hereby certify that a'll info:romaHonl. hereon is tpue and correct, and I
furthe1" certify that any ar.d all work pel'fo:mJed shall be done in accor-
danae with the Ordinances of tha City of SpPingfield, and th~ La:.;s of tho
A State of Oreg"n p~rtaining to the work described hel'ein, and that NO OCCU-
PANCY will be rrnde of any structuPe! without permission of the Building Di-
vision. I further certify that <r.1ly contl"actors ar.d e:rrp~yees who are in
compliance with ORS 701.055 will be~u8ed on this project
j(jj-?;t
Signed
3 -C(-g1
Date