HomeMy WebLinkAboutPermit Building 1986-12-5
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SPRINGFIELD
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.. RESID.T1AL"
APPLICATION/PERMIT
225 North 5th Street
SpringfieZd. Oregon 97477
BuiZding Division
726-3753 '
Job Location: tC fJ q d 112 ~ .J
ABaeBaors Map # I If 0 ;;( 3 L/ L/ / Taz Lot #
Subdivision:
f)hhl'3
1 I fuU-O/6
llJner:
P.1kJIl/id /-~~..uJA"~
?/Iq~ /it ~cJ (/ PI-.one: 1'2 k:, -s'i'ld-..
Address:
City:
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Nm,l
Addi tion
Remodel
Zip:
jtd::"!- ~
.be.clA.OD ~
,~1obi.le Home
'1 \..- \ 7_ -'?'~ ' Value II 5200
Date of Application
(.'ontractors
Ad.d:res3
q-~s N-u~~,7.
Plumbing I ~A-&Y>- PI U/l-'n~
Electrica I Ll./LfI~ ~ ;; .tZ.u Jt;;.J. ~ .
MBchm:ical t&vl a-1'~.DLi pAL,)
General
-=?qzzrn
S? '13 rfD
/('''7'-100
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Signed:
Date:
fii2-
/:7-)-.8)
Lise. #
Phone
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81/ L{ - Nh '1..-
Exoiras
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ConstJ"'Uction Lender
It is the respontJi.biLity of the permit holder to see that aU inapections are made at the proper timE# tr.at ecch .:;ddress is rea::'aD:e
froom the Btreet# and that the permit ca:zod is 1.ocated at the fl'Ont of the property.
"Bui!ding Dividor: approved pLan shaH remain on tha BuiZding Sit;; at all times.
PROCEDURE FOR INSPECTION RE"QUEST:CALL 726-3769 (recorder) state yOUI' City designated job number, job adC.rcss# type of inspec-;icn
requested ar.d when you !.'Jill. be ready for inspcct-:-on# Contractor's or OI.mer-s ncme and Fhone number. Requests received before 7:00 C':7
:..'iLZ be made the same day# requests made after 7:00 am !Jill be TTKlde the next :JOrking day.
.r?et"1}Jir-"n T'1?n-,,(!t;.,:r.?t,Q
O SITE INSPECTION: To be made after
exaavation# but p-rior to set up of
forms.
O ' UNDERSLAB PLU/1BING. ELECTRICAL &
MECHANICAL: To be made before any
work is <:overed.
D
FOOTING & FOUND,1TION: To be nxzde
after trenches are excavated and
forms al'e ereeted# but prior to
pouring ccncret~.
UNDERGROUND PI.UMBING/ SEWERrW.1TE.~
DRAINAGE: To be nn.:ie prior to-yrr:r-
.lir.g trenches.
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UNDE.9FLOOR PWI,.'BING & MECHANICAL:
To be made prior to instaUa.tion of
1'001' insuLation or decking.
POST AND BEAM: To be made prior to
instal.l.ation of floor insuLation or
decki,,".
ROLlGH PLlP.fBIllG. Ef,ECTRICA[, & MECH-
A/lICAL: No :.JOrk is to be covered
,until these inspections have been
made and approved.
FIREPLACE: Prior to pZacir.g facing
materials and before framing inspee-
tior..
Vl, FRAHINC: Must be requested after
i.!::.J approval of rough plwrhing# electri-
cal. & mechan~al. AU roofing
bracing & chimncys# et<:. nr~st be
,completed. No work is to be con-
'.. cealed until this inspection has
.b6~n made and approved.
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YOW' Ci-ty Desigr.ated Job Number Is:
1)< I INSULATION/VAPOR BARRIER INSPECTION:
To be made after all insulati:m a:".d
'. required vapor barriers are in place
. but before any lathJ gypsum board or
lX1.ZZ covering is applied# and before
any inJJuZation is conceal.ed.
I xl DRYWALL I1ISPECTION: To be made
after all d:t>ywa.ll is in pZace#
but prior to any taping. .
O MASONRY: Steel loeation# bond
beam3J grouting or verticals in
accordance with U.B.C. Section
2415.
D WOODSTOVE: After installation is
compl.eted.
o
CURB & APPROACH APRON: Afte~ forms
are crected but p-rior to pouring
concrete.
SIDEWALK & DRIt'Ef-lAY: For all con-
crete paving lJithin street right-
of-ucy# to be made after all exca-
vating complete, & form work & sub-
base material in pZaae.
8'bf()'?)OO
DEllOLITIO!! OR ;',:OVED BUILDIilGS
~ Sani -;ary Se'..Jer capped c.t p:..opc:rt'":i lir:.e
=:J Septic tank pu,':':ped and fiZ.la~ with gra-;)e~
:J Final - m-zen above ite."ns are cC:1l'oleted
ar.d when d~litior. is complete or st~~-
ture moved and premises cleaned up.
Mobile Hcmes
:::J Blocking and Sat-up
:::J Plumbing connections s~er and water
:::J Electrical Connection - Blocking, set-up
and plumbing connections ",~st ce approvec
before requesting eZec~rical inspec~io~
:=J Accesso1"'d Building
:J Final. - Aft<:r p::Jrcr..es# skirting., decks,
etc. are completed.
D
All project conditions# such as the installation of street trees, ca~letion of the
required l.andscapir.g# etc. # must be satisfied before the BUILDING FINAL can be requested.
~ FIlIAL PLUl.fBIllG
:!J FINAL MEoHAIIICAL
~ FINAL ELECTHIC~L
::::J
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FINAL BUILDING: The Final Building Inspection must be requested after the Final Plumbing
Electrical# and Meehar.ical Inspection8 have been made and approoed.
D
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FENCE: Wher. compl~te -- Provide
gates or movable sections through
P.U.E.
*ALL UAllHCLES AND CLEANOUTS HUST BE ACCESSIBl-E# ADJUSTNEllT TO B~ M."tDE 1'..'1' !,'0 C:JST TO CITY' I P3.qe 1 of 2
o
I JOB NO,~OOOO SOLAR ACCESS REQ,-
IZone: l.pP? OccuDanc" G~f?~'3
Lot Sq. Ftg. LOT TYPE I f.ot Faces -
: "I lot CJlJerag;: Interior I Setbacks
I P. L. I House Caraoe
.II of Stories Corner INorth .
TotaZ Height PanhandZe lEast
ISouth
Topography CuZ-de-sac I
West
-- Fees
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~5"::<~-
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I #.,4-.
5"6. $"0
~-~61
158.761.
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I SQ.FTG
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Accessol'U I
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lITEM
I Main
I Gc:r>ace
1 Caroort
Is. D.C.
x
fVe:tu.C)
1.5 :r:
TOTAG VAWE
Building Perrrri.t
State Surcharge
lITE/-!
Total Cha....ges
FEE
Fi:rtures
Residential (1 bath)
Sani taroy SetJel'
I Water <:::'et1V/~E
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IND.
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1
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Plumbing Perrd t
State SW'cr.arge
Total Charaes
IITEI,!
j Res. Sa. fto.
IN~/EXtend Circuits
1
~ Service
I lIO'j FEE I
1:z~I, ..~I
~E' I,
I I
Electrical Pe~t
St::.te Surcharae
Total Cha:rces
lITEM
I F'urn:1.oe ETU'S
I E=hau.et Hood.
I Vent Fan
I '
I Woodstove
iIlC., FO
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II
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~-nc:-....m .~ ~A"
Permi t Issuance
Me:::"'.anic:zl pernrit ~ -1<5: i:fIii>
State Surcharae . 6t::>
[~be> I..
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1
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. -Totf'll ChaY>a~m
-- ENCROACHMENT --
Ise~d~~ Depo3it
j Storage
I Maintenan::e
J Pcrmi t
Value
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15':-1
.~c:::>1
IS6C> I .
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'22.~1
t5: Ct> I
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;1"7 , 5"bl
I /.,501
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CHARGE
CHARGE
ClJARCE
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cP /28. 7~
Curbcu.t
Total CharGrJs
sid_Zk
Pen::e
Electrical Label
Mobile Home
TOTAL AMOUNT DUE:"
. . L-CC;-G~ "
/~ Bedroor.:s: ~_! *,#".-~ /
.1- .
En2Pl1U Sources T:.J'::le
Heat
Water Rnat(>'1'
Range
Fireplace
Wood::; tOL'e
T.:fpe/Cor..st:
I Access.
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II
Building Value
&
Permit
This permU i3 granted on the express condition that the said construction
shall, in all respects, conform to the Ordinance adopted by the City of
Springfield, including the Zoning Ordinance, regulating the construction
and U8e of buildings, and m::zy be suapended 01' revoked at c:r.y time upon vie-
Lation of any provisions of said Ordinances.
.
'Ipzan Check Fee:, ~b, 73
Date Paid: 11-/'2--'(6
IRecdpt U, fBin J73f:, <1
I Signed: G.e-
Permit
Plumbing
No person ahall construct, install, atter 01' change any ne/J 01' e=isting
plumbing or drainage system in ~hole or in part, ur.less such person is the
legal possessor of a valid plumber's license, except tr~t a pe~son may do
plumbing work to property /Jhich is owned, leased or operated by the appli-
cant.
Electrical
Permit
Where State Law requires tr~t the electrical work be done by an Electrical
Contractor, the electrical portion of this permit shall, roOt be valid until
the Zabel. has been signed by the El.ectrical Contractor.
Mechanical
Permit
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p 1:.xcmin~ ,.
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Va,e
I HAVE CAREFULLY EXA11INED the completed application for pe1"l11it, and do
hereby certify that all i~fo~tion hereon is true and correct, and I
f'.J.rthel' certify that any ar.d all. work performed shall be done in accol'"-
dance with the Ordinances of the City of Springfield, and the L(T";s of tha
4 State of Oreg~n pertaining to the work described herein, and tr~t NO OCCU-
PANCY will be made of any structura without parmissian of the Building Di-
vision. I further certify that only contractors ar~ empl~yees who are in
c~pliance with ORE 701.055 /Jill be used on this project
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Date