HomeMy WebLinkAboutPermit Building 1985-5-5
.. RESU?eTlAL"
APPLICATION/PERMIT
225 North 5th Street
Springfield, Oregon 97477
Building Division
726-3753
Job Looation: ;:;)''S4/~.....
ABoeB.or" Map # 17~ ~-z5'.lq
Subdivision:
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Address: ;)"I../J ~..:v.... 12/)
City: llf'j I/O
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Date of Application
Con 'tractors
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General
Plumbing
electrical.
l1echar.ic:::Z
Construction Lender
Phone: ? 1.//_ //111./
Zip: q7L/?7
Describe 11'01'7<:
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Value ."''If''(:I. d.o
Address
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Signed:
Date.:
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Exvires
Phone
It is the responaibitity of ths permit holder to'see that aU inDpections a:re made at the proper time, that each .:.ddrss8 is l'ea.:ia:?:'e
f1'Ol'1l ths street, and that the permi t ca:ro is 'located at the frent of the propert;y.
.Bui!di~ Divi::w'!': approved FZm: shell remain on thE. Building Sit:;. at aU times.
PROCEDURE FOR INSPECTION RE:QUEST:CALL 726-3769 (recorder) state yaup City designated job nwnber3 job adi:rcss3 type of in3pec-;icn
zoaquestcd a~d when you win be I'eady foI' ir.spactio113 ContractoI'S 01' Or.mer-s ncme and phor..e number. Requests received before 7:00 .:::'i
:.>ill be made the same dcY3 requests made aftezo 7:00 am will be made the next :.JOrking day.
UIlDERFLOOR PLUl-fBING & MECHAIlICAL:
To be made prior to in::>talZation of
11001' insuZc.tion or decking.
POST AND BEAU: To be made prior to
instaUation of !'Loor insulation or
deoking .
ROUGH PLW!BIlJG. Er.ECTRICAL & MECH- D
ANICAL: //0 work is to be covered
.until thcse inspections have beer.
mpde and approve'::. .
FI.r:E:PLACE~ Prior to pl.acir..g facing' _
materials and before framing inspec-
tier:.
AU project condition83 such as the fnstaZlation of street trees3 co.-;rplation of tile
requil'ed landscapir.g3 etc. 3 1mJ.st be satisfied bcfol'e the BUILDING FINAL can be r:Jquested.
~;;NAL BUILDING: The Final Building: Inspection must be 1'equested cfter the Final Plumbing
~ Electrical3 and Mechar.ical Inspectio1'UJ have been made and approved.
R~qui~pp Tnnn~~tir.~R
O SITE INSPECTION: To be mde after
excavation3 but prior to set up of
forms.
O . UIlDERSLAB PLUMBIIlG. ELECTRICAL &
! I1ECHA.:JICAlt: To be made befoI'e any
WOI'k is ,zovered.
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~ "FOOTING !: FOUNDA T ION: To be nruie
~ after tl'enches are excavated and
forms are erected3 but prior to
pouPing ccncret.;;.
UNDERGFWUND PLUMBING. SEWER, W.1TEH.
DRAINAGE: To be rrruie prior to fil-
.lir.g tI'enches.
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F'RA~~TNG: Must be requested after
approva.l of rough ptwr.bing3 electri_
cal & mechanical. All roofing
bracing a chimncY83 eto:. 17T'J.st be
. completad. lIo work is to be con-
..; cealed until thio inspection has
'be~n made and approved.
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PI/lAC PLU/tBIIIG
FIlIAL f.1E~HANICAL
FIIlAC ELECTRICAL
Your City Desigr.ated Job Number Is:
O INSULATIONIVAP08 BARRIeR I!lSPf:C'T'TON~
To be made afteI' aU insul::.ti:m w.d
'. required vapor barriers are in place
. . but befol'e any Zath3 gypsum beard Or
wall covering is appZied3 and before
. any i7U1uZation is conceal-ed.
O DRYWALL INSPECTION: To be made
after all drywaU is in pZace3
. but prioI' to any taping.
D MASONRY: Steel location3 bo~
beam33 grouting 01' vel'ticals in
accoI'dance with U. B. C. Section
2415.
D WOODSTOVE: AfteI' installation is
ccrrrpleted.
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CURB & APPROACH AP.'KJN: Afte:- forms
are erected bu t prior to pouring
oo~rete.
SIDEWALK & DRIt'EWAY: For all con-
crete paving within street l'ight-
of-!J)C.Y3 to be made after all exca-
vating complete & foPom work & sub-
base material in pla::e. .
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I DEMOLITION OR t:OVEJ BUILDIilGS
:=J Sanitary se'..Jer capped at P:..OPCl't":i line
=:J Septi.:: tank rr.J:~:ped and fitze~ :.nth gra:.;eZ
I FinaZ - flhen above ite.'71s are ccmoletea
~ ar~ when demoZition is complete or s~~-
ture moved an.ci premises cleaned up.
Nobile Hcmes
,
O PENCE: WheT: compl~te -- Provide'
gates or movable sections thI'ough
P.U.E. .
D'
~ ~loaking and Sat-up
=:J ~~wnbing connections -- saJer and lJa;.er
~ Electriaal Connection - Bloaking3 set-up
---J and plumbing connections nr~st be appraved
before request:.ng eZec;riaal inspea-:.ion
~ Accescor'.i Building
:J Final. - Aftar' p:JrcJ:es3 skirtin.g3 decks3
eta. are completed.
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!tALL MANHOLES AND' CLEANOUTS HUST BE ACCESSIBLE3 ADJUST!1E,'IT TO BE !.~1DE I!T /.'0 C:JST TO CITY I P::zge 1 of 2
I JOB N9.. j~.'S'() ~V1-.. SOLAR ~ESS REQ.-
I Zone: "_ .ze::L I Occuvanc%/ Grou:J: _JCn-~
' , ...... ~ J' Lot F
Lot' Sq.\ptg. ~, ~_' ',\ ~ WT TYPE Gces -
$ :;Jf lot Cav~rag;;" Interior lip,
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# of Stories. ~_ . ~ ,.;: " Coroner INorth
Total Height Panhandle .IEast
ISouth
Topography Cu l-de-sao I
West
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lITEM
I Main
I GaIoaae
I CarvOl't
I Accessol'u
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SQ.FTG
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TOTAL VALUE
SoD.C.
IVCI-US)
1.5 "
Building Permit
State SuPcharge
Total Cha......gea
I ITEM I /10.' FEE
I Fi:rtu:res ."' . . ....j:.
I Resident1.di Jl1xitJiJ. I:'
Sani tary Sewer
Water
Plumbing Perr.:i t
State Suzocr.a.rge
Total Charaes
lITEM
j Res. So.
fto.
NO.,
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NGW/Extend Circuits
Temporary Service
Electl'icaZ Permit
State Surcharqe
Total Charces
lITEM
I Purna.ce ETU'S
I E:::haust Hood
I Vent Fan
I WOodstove
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Permit Issu.ance
Mechanic:::l Permit
State Sta'charae
T"t:a l CharGP-f'J
I -- ENCROACHMENT --
ISe~~ri~ Dzposit
Storage
Maint~e
I Permit
Total Char>aes
ICur!>ouo
I Sid_lk
Pe~e
E7.ectrica 1. Labe 1.
! Mom le Home
I TOTAL AMOUNT DUE:'
x
Value
CliARGE
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FEE
CHARGE
FEE CHARGE
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77.~r
Ti'pe/Cor.st: -.;
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Access. I
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II
II
II
L-COG~
Setbacks
House Caraae
Bedroor.:s:
En8rGlJ Sources
Heat
TU':l8
Water .rIp-ot,..,.
Range
Fireplace
Woods tQ1,:e
-- Fees
1 ,..("",~,' .
.''''",:, Building Value,
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&' Peormit'
This pe1'f1T";t is groanted on the express condition that tJuJ sdid. construction
shall~ in all respects, conform to the Ordinance adopted by the City of
Springfield, including the Zoning Ordinance, regulati,...g the ccnstruaticn
and use of buil.dings~ and m.::y be sUDpended or revoked at c:r:y time upon vic~
Zation of any provisions of said Ordi-r:ances.
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IPlan Cheok Fee: ..6/~. ,,-0
I Date Paid: '-I.~-....,.
IReoiipt #: l!::,)~ <; 2 3 '-I
ISig>led: ~
Plumbing 'Perrhit
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No person Dhallconstruct~ instalZ~ alter or c~eany new or e:isting
plumbin.g:or.drGi~age system in whole or in'part~ unless such person is the
legal possessor of a valid plumber's license, except tr~t a person may do
plumbing work to property which is Otmed~ leased 01" operated by the appli-
cant. '
Electrical Permi t
Where State LauJ requires tr.at the electPical lJOrk be done by an Electrical
Contractor, the electrical portion of this permit shall not be valid until
the label has been signed by the Electrical ~ontractor.
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Mechanical Permit
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I HAVE CAREFULLY EXAMINED the completed ,application fol" perntit~ and do
hel"eby certify that all ir:fo:mation hel"eon is 'tPue and corrcct~ and I
f.aother certify that any ar:d all wol"k perfoP.1led shall be done in accor-
dance :.lith the ()rodinances of the City of Spl"ingficld~ and the UUS of tha
State of Ol"egon pertaining to the work described hcrein~ and that NO OCCU-
PANCY will be TTr1.de of any struCtur8 lJithout permission of the Building Di-
vision. I furthel" cel"tify that O:'1ly contractors ar~ ew,pL,yees who are in
~pliance with ORS 701.05S will be uBe~ on this project
t!YR~
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Signzd
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