HomeMy WebLinkAboutPermit Fire Damage Report 1986-4-15
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.. RESI"'HI.~L"
APPLICATION/PERMIT
225 North 5th Street
SpringfieZd, Oregon 97477
. BuiZding. Division
726-3753
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Job Location:
l3.'7S-
/702
/JIJ.11'1/ N
3'1'- ~
ASlJ68BOl'S Map II
Subdivision:
Q.me,,: ':"<:. oc::: F ClM.J l.Ja,
Address: fz..'1.7..,- M-1~.
City: ~'{f, ''':''''01 1. ~.IrL
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Receipt !i
'6 (.,{.. ?J ;).:S'
Value
Address
Lise. It
<711" ~
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>. PpIIVI2..PJE/.o
Ta;z: Lot 6 C)C)~I
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Deacribe Work:
.~ 'pJ~f-~~
.'~~. .~J.. ~~Cl.~-e.-
fll0 '000
It ill tn. 1"tlspon.sj.bil.i.ty of ths permit ho'LdJzr to Bee that aU. inDpections are r.rade at
fzaom tn. 8t:reet~ and that th.s permit otmi is located at the j'wmt of the property.
ItBui!ding /J'f;ui=i<rn approvsd plan B,han remain on tha BuiZding Sit:; at aU times.
PROCSDURE FOR INSPECTION RE:QIlES~:CALL 726-3769 r"cco"d...J state your City designated job numbe",
raquestcd ar.d when you LJiU be ready for inspcct";on~ ContractOl"S or OI.mers ncme end -phone number.
wilZ. be m:zde th& 8ame day~ requests made afta' 7:00 am will be made the nczt :.JOrking day;
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Addi ticn
Remodsl
!.fobila Boma
Date of Applicati.on
C:ontractors
Geneml
Plumbing
~J(~;"::::-/
~-'~<.::
i EZectricaZ
I Mschar.iccl
I
J~ t< fI J?, J..I n/Yl.
Conatl'"Uanma Limder
Reaui~p.d T"Rup.ctic~~
~ SITe INSPECTION: To be rrr:zde after
~ ucavation.. but prior to set up of
I fol'mB.
i 0 : UNDERSLAB PW/.fBING. ELECTRICAL &
. MECHANICAL: To be maae before any
. work is covered.
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FOOTING & FOUNDATIGN: To be made
after trenches are excavated and
. forms are erected.. but prior to
: pouring ccncret~.
D. ,U,"Dr::RGROUND PLUMEING, SF:WER, W,1TE.l?
DRAIlJAGE:' To be nn:i.e pnor to fil.-
,Iir.g trenches.
0: UNDERFWOR PLWBING & MECHANICAL:
I To be made prior to instal.Lation of
'. ,:, floor insulation or decking.
0, PoST AND BEAM: To be made pr>ior to
instaHation of floor insulation or
. dscki.ng. _
. -."
~ ROUCH PtlP..f8IlJ~"ECTRICAr. ~ MECH-
. ANICAL: No ;&':':..8 r;~bc covered
#ur.til. these inspections have been
mads and approved. '
!D FIREPLACE: Prior to pl.a.cir.g facing
material.s 'mid before framing inspBC-
tion. \
-a FRAJ.!INC: Must be requeoted after
~ approval of rough pZurr.bing.. eZectri_
,oaZ & mechanical.. AU roOfing
braaing & chimneys.. etc. must be
~~,comptetcd. No work is to be con-
,.~....,.osaZed. until this inspection nas
)'.be~ made and approved.
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Pr.one:
71-i-'Z:~ ?3
0/7 ~? 1
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,
Siqr.ed:
Date:
//:0~
4,J/sfp,t:.
Zip:
YOU:t' City' DeBigr.ated Job Number 10:
rvI INSULATION/VAPOR BARRIER INSPECTION:
~ To be mads after all insulation ar.d
. - .. required vapor barriers are in place
. : but cefore any lath.. gypsum bctU'd or '
wlZ covering is appZied.. and before
. aJ'!Y insulation is concealed. .'
~ DRYWALL INSPECTION: To be made
~ after all drywall is in place..
, but prior to any taping.
O MASONRY: S:~eZ
beam3.. grou~1.ng
accordance wi th
241:;.
O WOODSTOVE: After installation is
ccmpZeted.
location.. bo1ui
or verticals in
U.B.C. Section
o
CURB & APPROACH APRON: After fo"",s
are 91'e:Jted but prior to pouring
conarete.
Expires
7- I'j'-'><'t"
Phone
~Yl'-9:c-r...('/i
, ~?~ I
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1
is readabLe
.0 SIDEWALK & DRIt~AY: For all con-
crete paving within street right-
. of-way, to be made after aZZ e:rca-
vating cc:mplete & [orm LXJrk. & sub-
~. base material in plaae..
..
O !'ENCE: When complete -- Provide.
gates or movabZe sections through
P.U.E. .
o
ths proper tim~", tr.at QCCh :ddre88
job address.. type of in3pec=.icn
Requfsts received befere 7: 00 a::l
~.../}'24./
DEU"LITION DR ;~:OVEIJ BUILDIilGS
~ Sani'tary Se'..J81' ::!apped ::zt ~opc;rt"~' Zir.e
.3 Septia tank p:.tr.:ped and fiZ~e~ with grav,el
---, Final. - IVhen abcve items are cc:rrpleted
--.J and when der.rolitior. is compZete or strua-
ture moved and premises cleaned up.
Mobiie Homes
:J Blocking and Set-~p
:J PZwnbing connections -- BCbJBr and rJater
--, Electrical. Connection - SZocking.. set-up
--1 and plwnbing connections rrr....st ce approved
before requesting elec:rical inspec=.ion
~ AcceBsol"b' Builf!ing
--, Final. - Aftel' p:Jrcr.es, sk:il'ting.. decks,
--l etc. are corrrpleted.
.
o
AZl project conditions.. such as the installation of street trees, co::rpletion of tits
required landscc:pir.g.. etc... must be satisfied before tr.e BUILDING FINAL can be raquested.
=:J FIlIAL PLUMBING
:J FINAL MECHANICAL
~ FINAL ELECTRICAL
=:J
~
FINAL BUILDING: The Final Building Inspection must be l'equeDted after the Final Plumbing
Eleatrical.. and Mechar.ical Inspectiono have been made and approlJed. I
. '. '.. : ~ ..1 t.
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'ALL MANHGLF:S AND CLEANOUTS MUST BE ACCESSIBLE, ADJUST/lENT TO BE MADE: AT NO COST TO CITY I Page 1 of 2
,
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!Z~::B NO. ~()0~!~::~"R'~ESS
Lot Sq. Ft,;. j3 '32./ WT TYPE
S "f lot CJt}e~g:: ~eriOl"
li of Stories Comer
Total Height Pcmhandle
SQ.;~~'~ / ~
4.s~ 1~fJ!.1 46'r~
I 360 I .,;"tRc.j}:jPOr:!.
I I I I
I I~'
TOTA& VAWE '
IVC/..ucJ I _ .
1.5 :r:
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I/IIP.50 I
I 4.~
l/~. I' I.
FEE I Cl/ARGE I
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FEE I CHARGE: I
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FEE: I CHARGE I
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Topogra;;hy
ITEM
Main
Ccrtaae
CaJ'"tIOl't
ACC8S801"U
I
I
Is.D.c.
Building Pe:rmit
State Su:f'charge
Total Cha.~ge3
lITEM
Fi.rturss
IRe3idential (1 bath)
I Sanita1"J.l SelJ8'!'
fwater
I
Plumbing Pern:i. t
State Surc:r.arge
Total Charaes
lITE/.!
Res. So. fta.
I Na.;/Eztend Cir>eu.i ts
I Temporary Sel"Vice
I
EZe~tl"icaZ Permit
State SUI"::ha:rae
Cut-de-sac
n
I I
I I
I I
I I
n
I~I
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I .1
Total CharC8S
I ITEM ~
I PuJ'"nace ETV'S I I
I E::hau.st Hood
I Vent Fan
I JlOodStO'J8
I
Perorrrit Issuanca
Me::hanica l Peztrrri t
State Surcharae
I .
I
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I
,.
f
,
1
I
I
I
X ?JJd 1# ~~_
/ ..... S1.gn~
.
Total Charaes
I ENCROACHMENT --
See-~rit%! D200sit
I Storage
I Maint~e
f Permit
I
ICUrbcut
I SideI.!a lk
Total CharacB
I Pen::e
I Electrical Label
I
I Mobile Home
~
!
I TOTAL' AMOUNT DUE: 4
rage ~
~
REQ.-
.
..
"'" . -,
L-COC"-
'f-dpe/Cor..st:
Bedroor.:s:
I Enero:J SO'.aoces T"oe
J I Heat
1 I Water Yp.atp.1'
I I Range
I I I Firevlace
: I. Woo,," tove
I Lot Faces -
I Setback3
I P. Lo, House I Caraqe
INortn
lEast I
ISouth i?
IWeet I
PaBs
I Acces3.
Building Value
&
Perm i t
This permit io granted on the express condition that the said construction
8haZl~ in all respects, conform to the Ordinar.ce adopted by the City of
Springfietd, including the Zoning Crdinance, regulating the ccnstrueticn
and use of buildings, and m:zy be suspended or revoked at cr.y time upon vic-
lation of any provisions of said Ordir4nC8s.
/Plan Check Fee:
Date Paid:
IRecdpt #:
I Signed:
?5 ?.1
Plumbing
Permit
No perean ahall construct, instal!, alter 01' change any nelJ 01' e=isting
plumbing or drainage system in whole or in part, unless such person is the
legal possessor' of a valid plumber's license, except that a pe:oson may do
plumbing tJork to property which is owned, leased or operated by the appli-
cant.
h?w~. State &= ~~!:e~ ~~~ ~~ !lec~:~ ~ki !. done by an Electrical I
Contractor, the electrical portion of this permit shall "'.ot be valid until
the label has been signed by the Electrical Contractor.
Mechanical
Permit
~~~
#r..
I HAVE CAREFULLY EXAMINED ths completed application for permit, and do
hereby certify that all ir:for-mation hereon is tl'"Ue and correct, and I
t.J.rther certify that any a,...d. all lJOrk perfoM/ed shall be do:-Z8 in accor-
dance :vith the Ordinances of the City of Springfield, and the: Lcr..;s of tho
State of OregQn psrtaining to the work described herein, and that NO OCCU-
PANCY will be m:1de of any structura without pernrission of the BuiZding Di-
vision. I further certify that only contra.:::tOl'S and e:nplQyees who are in
oarnpliance with ORS 701.055 will be used on this project
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