HomeMy WebLinkAboutPermit Building 1987-3-16
.. RESI~T1AL"
APPLICATION/PERMIT
225 North 5th Street
Springfield, Oregon 97477
Building Division
726-3753
Asaessor= Map #
1_ n _0;) ..::>,<1-3..:.2..
,~:'- 5:?Yr' -71~~
;0...jJ.~.:'7~, Describe I,'ork:
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Job Location:
Subdivision:
Q.mer:
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Address:
City:
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Addi ticn
Remodel
,'1obi le Homa
Date of Application
.3-/b-!r1
l.:on't"l'ac't"ol'S
Generatc'\th<-<. .~.t,
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Uechar.ic.::.l \
Construction L~ndel'
Tc:r Lot #
/':t'170?)
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Rcce:pe.ii lP I I '-r' J }.Y'\. ~
. I] ?-r~-87
lt77r?17 p ~??~3
71fc..7>7 . t
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Phone: '7C/6- {)1.//7
Zip: 9''7 <( 7 f
Value
1J cJZSoJ
'10\' 111\
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j rM- 0(0
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Signed:
Date:
Expires.
Phone
,{" J'f'. 'lcJ 9-2.
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Address Liac. if
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It is the responcibi"Lity of the permit holder to see that atz inapections are r.1ade at the proper tim€~ that each .:;.dd:resB is rea:iab:i:
from ths streetJ and that the permi t eaPd is 1.oc:ated at the front of the property.
~Bui!.ding DitJi::wr. approved plan shall remain rm tJu; Bu::.lding Sit~ at aU times.
PROCEDURE FOR nlSPECTIO" REQUE~AlL 726-3769 ~ecol'der) state yOUI' City designated job mo;:berJ job a.di.rcss, type of ir.:;pec-=.icn
requested aJ':d wh.en you wal be {",,<.<.(..I.Y J"L :.._.,.._~~, Contl'actors or Owners name end Fhor.e number. Requests received cetcrlJ 7:00 c:-::
:..'iU be made the same dc.y, requests made afta' 7:00 am tJiZZ bz made the next :.JOrking day.
RP.~li~~1 T~~"p.~tir.n~
O SITE INSPEC':'ION: To be made after
excavation, bu.t prior to set up of
forms.
D. UllDERSLAB PLU,~fBIllG, ELEC'i'RIC,lL &
MECHA,'/Tr.':'L: To be made before any
. work is .::ovcred.
,..~ ?:,
fl71 FOOTING & FOUNDATION: To be rrade
l.!.J after trenches are excavated and
forms Gtl'e erectedJ but prior 1;0
pouring ccncret~.
WWSRGRDUHD PLUMBING} SEWEP, W.1TE!1
DRAINAGE: To be ma.:ie prior to fil-
Zir.g trenches.
o
o
VNDERFLOOF? PLUI.:snlC & NFr.,f{4NTCA[,:
To be made prior to installation of
11001' insuLation 01' decking.
POST AND BEAN: To be l1'.ade proior to
ins1;allaticn of floor insv,l.atior. 01'
decking.
D ROUGH PLU,','BI!lG. Er.ECTP.ICAT. & MECH-
ANICAL: No :.JOrk is to bc c01)cred
,untiL these inspectior.s hatJ~ beer.
made and approved.
O FIREPLACE: Prior to plc.cir.g facing
materials and before framing inspec~
tiar.., ~
pi, FRANI'iIC.. Must be requested after
~ approtJal. of rough plwr.bingJ electri-
cal & mcchani.::al.. All roOfing
bracing & chimncysJ et~. nr~st be
,compl.eted. No wrk is to be CGn-
,,0 cecled until thia inspecticn ha:;
." bec.n made and app1'Ot,'ed.
o
yOU!' City Desigr.atcd Job Number Is:
O INSULATION/VAPO.9. BARRIER INSPECTION:
To be made after aU insuZ:=tion w.d
, ,. rcquired vapor barriers are in place
. , but before any lathJ gypsum bca:t'd 01'
lXlLZ couering is appl.iedJ and before
any insulation is concealed.
DRYWALL INSPECTION: Tc be made
after alL d.ry1.xz.U is in place,
but prior to 'any taping.
D ~SONRY: Steel. location~ bona
beamsJ grouting 0'1' vertiaals in
accordance tr;th U. B. C. Section
2415.
D WOODSTO'lE: After instaUation is
ccmpleted.
o
D
CURB & APPROACH AP.t?ON: Afte:o forms
are crected but prior to pouring
con.::rete.
'SIDEWALK & DRIr'EWAY: For aU con-
arete paving within street right-
of-wcy, to be made after al.l exca-
vating complete & form work & suO-
, base material in place.
D
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:ENCE: When aompl~te -- Prouide
gates or movable secticns through
P.U.E. .
];10/70','
r DDIOLITIOl,l OR ;'.:OV:;:: BUILDI.7GS
~ SanitGtl'y seJer ::apped =t p:.op<::rt;,. li-r:.e
:J Septi~ tank p:.<.-:;p;.;d cmd fiUe~ uith GTa:::et
I Final - !rnen ab....--ve ite::rs are ccnroleted
~ and when d~clitior. is complete 01' st~~-
~e moved and pr~ses ::le:=ned up.
. Mobile Hcmes
:::J Blocking and Set-:Ap
:::J Plumbing connections s~er ar~ water
:::J Electrical Connection - Bl.ocking J set-up
and pZwnbing connections nr...;st be appl'ovec'
beforc requesting electri::al inspectio~
~ Ac::es::or'd Building
I FinaL - After p:;rcr.es, skirting~ decksJ
~ etc. are comple;~d.
D
FIliAL PLUNBIllG
All project conditions, auc~ as the instaLlation of street trees, c~~la;ion of the
required 7Andsccpir..g, etc., must be satisfied before the BUILDIl,'C FINAL can be r2quest::d.
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FINA.L !1Er.:HANICAL
l.jC<\
FINAL ELECTHICAL
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FINAL BUILDING: The Final Building Inspection must be requested after the Final PZumbing
ElectricalJ and Mechar.ical Inspectionn have been made and apppotJ~d.
D
~ALL MANHOLES AND CLEANOU'I'S nUST DE ACCESSIBLEJ ADJUST~!E:,1T TO BE !-:"1DE t.'!' !.'O C~ST TO CI'I'Y I Page 1 of 2
I JOB No..~16173
! Zone: I,..J) e
ILot Sq. Ft;.
Ii of Lot Coverag<
!# of Stones
I Total Height'
I
I Topography
I
IITm
Main
I SQ.FTG
I
I
I
I
Cc:r>ace
CarrJor+;
Accessol'U
S.D.C.
TOTAL VALUE
(VCl-UC)
1.5 r
Sui lding Permi t
State Surcharge
Total Char-ges
lITEM
!Fi:::tuI'es
I Residential (1 bath)
i Sanitary SetJer
I
1 Water
!
I NO.,
I
Plumbing Perd t
State Surcr.llI'ge
Tetal Chc:raes
lITE;':
.1 NO'1
I I
I I
.5€Zfwc~L~k
I Res. Sa. fta.
I NaJlExtend CiI'cuits
I
I Temporary Service
EZe::tricaZ Permit
S't::.te SUI':)harae
Total Charces
lITEM
I F'urn:u:e PTU'S
IIIC, ,
I I
,
j Ezhaust Hood
j Vent Fan
i .
I W:)ods to~e
Permit Issuance
Me:::ha.nic::: Z. Permi t
State Surcha:rae
Tnti'll CharoP.!:J
-- ENCROACHMENT --
:Sc~~rit~ Dzposit
Storage
Maintenan.::e
Farmit
Total C'naT'Ocs
Curbcu.t
Sidewalk
,1;'en:::e
Electrical Label
Nobile Home
':'OTAL AJ.!OU.'IT DUE:"
SOLAR A.ESS
Occupancu G~
WT TYPE
Interior
COPner
Panhandle
Cut-de-sac
x
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12")~-j
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3g :J<f>
/. ,',0/
19'~ .0
Value
FEE
CHARGE
FEE
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li,):'- 1-1-\
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CHARGE
FEE
CHARCE
~~51.
REQ.-
L-COG~
1'1
1,
.
Bedroo~s :
T;'peICor.st:
I Lot Faces -
Setbacks
I P. L. House Garaae
[North
lEast
ISouth
IWest
I fn.?ra:J Soarces
j Heat
I
I
II
II
II
T;;~e
I Access.
I
,
I
Water .'!p.atp1"
Rant;c
Fircvlaca '
Wooa:J tOL"e
F2es
Building Value & Permit
This permit is granted on the express condition that the s~id.construction
shall, in all respects, conform to the Ordinance ~dopted by the City of
Springfield, incLuding the Zoning Ordinance, regulating the construction
and use of buildings, and m~y be suspended or revoked at cny time upon uic-
lation of any proauisions of said Ordir.ances.
*
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I P1.an Check Fee: c:l "'- C.~
Date Paid: .J -/(~ -!(~
IRec<ipt #: /~
!Sig"ed: ,--",tt~
Plumbing Permir
-')..
*
No pereon DhaZl construct, instal!, aLter or change any new ar e:::isting
plumbing or drainage sY8te~ in ~hole or in part~ unless such person is the
ZegaZ possessor of a valid plumber's license~ except trAt a person r.ay do
plumbing work to property which is ol.med~ leased or operated by the appli-
oont.
Electrical
Permit
Where State La1JJ requires tr.at the electl'ical work; be done by an Electrical.
Contractor~ the electrical portion of this pel'mit shall r~t be valid until
thf:! ZaheZ has been signed by the Electrical (;ontractor.
Mechanical
Permit
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::t~{:;;?~~ !a~
3'-/5--&7.
JJar;e
I HAVE CAREFULLY EXAMINED t,1,.e completed application for permit, and do
hereby certify that all i~fo~ation hereon is true and correct, and I
f'~rther certify that any ar.d all lJOrk perfor:ned shall be do:-ze i:-z accor-
dance with the Ordinances of the City of SpringficZd~ and th~ La-..;s of tha
State of Oreg~n pertaining to the work cescribcd herein, end that NO OCCU-
PANCY will be made of any structure without parmission of the Building Di-
vision. I further certify that o:-zly contractors w~d e~pZ~yees who are in
compliance with ORS 701.055 will be used on this pl'oj~ct
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