HomeMy WebLinkAboutPermit Demolition 1986-10-28
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.. RESID.TIAl--
APPLICATION/PERMIT
225 North 5th Street
SpringfieZd, Oregon 97477
BuiZding_ Division
726-3753 .
~'WAJ~
'750 UCi/nL/ze;uU
'2u~~ 01
1\:, Contractors
General
,iil Plumbing O\:U)'\QJ'lJ
Electrical
II Mechar:ica7.
II Construction Lender
II It is the roespontJi.bi7.ity of ths pel'1ffit holdezo to see that all inopections are made at ths proper tim&, that 2aCh ~'ess is readabZe
fl"Cm ths atroeot, and that the pePrtrit can:l is "located at the froont of the property.
I .ltBuiUi'!1fJ D!.uicior. approved plan s.haU remain on the Building Sits at aU times.
PROCEDURE FOR INSPECTION RE:QUEST:CALL 726-3769 (recorder) state your City designated job number,
! requested ar.d when you r.JiH be ready for inspection, Contractors or Owners nGme end phone number.
I will be made the same day, requests made aftezo 7:00 am LJiU be made the nat 'tJXJrking day.
I Your City Desifl".ated Job Number Is, 5? 1.0 0 I) f) {
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r Job Location:
J Asoesoor3 Map
.L/ 1('1'1 /1/ tuAu
# /'70;;2 3;;200
Subdivision:
GUner:
Address:
City:
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N"'M
Addi tion
Remodel
Mobile Home
Date of Application
. t 0 ~20-'6 -~ b
T~~~"'r!tir."'A
SITE INSPECTION: To be rrr:uie after
excavation.. but prior to set up of
forms.
UNDERSLAB PLUMBING. ELECTRICAL &
: MECHANICAL: To be made before any
work is aouered.
POOTING & FOUNDATION: To be made
after trenches are excavated and
forms aroe erected, but prior to
pouring ccncret~.
d UNDSRGFKJUND PLUMBING. SEWER. W.4TER~
!..2S.J. DRAINAGE: To be made prior to fil.-
, .lir.g trenches.
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UNDERFLOOR PLU~mING & MECHANICAL,
To be made prior to installation of
j100r insulation or decking.
POST AND BEAM: To be made prior to
instaUation of floor insulation or
decking.
ROUGH PLUMBING. ELECTRICAL & MECH-
ANICAL: No work is to be COt,oered
,until these inspections have beer.
made and approved. .
FIREPLACE: Prior to placir.g faoing
material.s and before frcuning inspec-
tior..
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FRANING: Must be requested after
approval of rough plwr.bing, electri-
cal & mechanical. Al!. roofing
bracing d chimneys, eta. nr~st be
;' completed. No lJOrk ie to be con-
..:..cealed until thio inspeotion has
~be~n made and approved.
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IFIIIAL PW/fflIIIG
All project conditions, such as the installation of street trees, co~Zetion of the
required landscapir.g, etc., must be satisfied before tr.e BUILDING FINAL can be r2questad.
o PINAL MECHANICAL
D FINAL ELECTRICAL
ID
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FINAL BUILDING: The Final Building Inspection must be requested after the Final Pl.wnbina
Electrical, and MecJ:ar.ical Insp~ction:J have been made and approved.
SPRINGFIELD
~
T= Lot #
00 {ot)
. Rccef,pt ~
8f/J r/ 3f ~
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PJ-.one:
gcf2-/f3~
1
+8~/c
Zip:
1S;~e !{orl1 , 11 _ I
. ''\,L~v\)l~
. ~-~ CCLf
Value
Address
o c?l?~' ",1/
t, 'V\
r;;/'l~~) )~rV
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Signed:
Date:
{,/J
fty 2-<;- -ff 0
Lisc.fI
Phone
E::r:pires
*
c',
job adCrcss.. type of ir~pec~icn
Requests received before ?: 00 a;':l\."
D INSULATION/VAPOR BARRIER INSPECTION: DE/.!OLITION OR NOVED BUILDIilCS
To be made after all insulatian caui ~
. .' required vapor bCIlTiers are in plAce/ Sani~ary S8'..)er capped at propo;rt":;j line
'.: ., but before any lath, gypsum board or -
, txlll .coveri~g i-: applied, and before V1 Septic tan.k p:.L"iped and filZed with gra-.;el
. any l..nGulatt.On l..S concealed. 6J '
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DRYWALL INSPECTION: To be made
after aU dryw.U is in place,
but prior to any taping.
\/t Pinal - rl'hen above ite:'lIs are ecrrrpleted
~ ardi when demolition is complete or stru~-
ture moved and premises ~leaned up.
, Mobi le Homes
=:J Blocking and Set-up
=:J Plumbing connections 8~er and water
~ Electrical Connection ~ Blocking, set-up
---1 and plumbing connections rrr~st be approved
. before requesting electricaZ inspec~ion
=.J Accessory Bui lding
:J Fina.l - Aft.,r p:Jrcr.es, skirting, decks..
etc. are completed.
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"ALL MANHOLES A~D CLEANOUTS MUST BE ACCESSIBLE, ADJUST!fENT TO BE f./lIDE AT NO COST TO CITY, Page 1 of 2
O MASONRY: Steel. location.. bona
beams.. grouting or verticals in
accordance LJith U. B. C. Section
2415.
O WOODSTOVE..: After installation is
ccmpleted. .
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CURB & APPROACH AP.o/)N: After forms
are erected but prior to pouring
COMrete.
SIDEWALK & DRIVEWAY: For all con-
crete pauing UJithin street right-
of-fiJa.Y, to be made after aU exca-
vating ccrrrplete & tom work & sub-
base materia l in p Za::e.
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O~: When corrrpl.;te -- Provide.
gates or movabZe sections through
P.U.E. .
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JO B No.<;'c-'o011
I Zone:
Lot Sq. Ftg.
S of lot COlJerag<
# of Stories
Total Height
T...t'''':J~''""t'hy
Poge Z
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REQ_-
L-COG~
SOLAR AWSS
Occuoancu Grouo:
lITEM
I/ok:in
I Ga:raae
I Caroort
I ACee8801'U
S~.FTG
Is.D.c.
TOTAL VAWE
(vct.UC)
1.5 :r:
Building Permit
State Surcharge
Tota I Cha..-ges
I ITEM liD. I
Fixtures I
IResidential (1 bath)
I Sani tary Sewer
I Water I
KPII o-<'-L (.'~ .1
PlwnMng .=t
State Surar.arge
Total Charaes
I ITEM 110'1
I Res. So. f'ta.
I N61..)/E:ctend Circui ts I
Temporary Service I
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Ele~trical Permit
State SurehaI'qe
Total Cha:rces
lITEM
I Furnace ETU'S
I E:::haust Hood
I Vent Fan
I WOodstove
1
1110'1
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1 I
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1 I
Perrrrit Issuance
Me::hanica.l Permi t
State Sureharae
7',,-tnl r.ha:rt:1Rn
-- ENCROACHMENT --
I SeC"MM. tu D;rooai t
I Storage
I Maintenance
I Permit
I Total Charcres
leurbcu;
I Sid_lk
IFen::e
I Electrical Label
I ~bile Home ". ~
I ~^^-~ J.. ~,
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I TOTAL AMOUIIT DUE:'
LOT TYPE
x
FEE
FEE
FEE
.
T'-/De/CO,..st:
Bedrooms:
I I Enel'CTl.f Sources
I I Heat
I I Watel' .t/'Ultp7"
I I Range
I I Firep lace
I I Woodstove
1,1
. ,
Interior
Cornel'
I Lot Faces -
I Setbacks
I P. L. I House CaPaqe
INorth
lEast
ISouth
IWest
I AccesB.
Tuoe
Panhandle
Cul-de-sac
-- Tj'!';f?!;
Value
Building Value & Permit
This permit io granted on the express condition that ths sdid construetion
shalt, in all respects, conform to the Ordinance adopted by the City of
Springfield, including the Zoning Crdinance, regu"Lating the construction
and UDe of buildings, and may be sUllpended or revoked at c:r.y time upon vio-
lation of any provisions of said Ordinances. . .
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!Plan Check Fee:
I Date Faid:
I Recdpt #,
ISigned,
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I 15.190<;'"
I .100
I \S .CoD .
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CHARGE
Plumbing
Permit
No person oha7.Z construct, instaU, alter or change any nmJ or e::isting
plumbing or drainage system in ~hole or in part, unless such person is the
legal possessor of a valid plumber's license, except that a per-son may do
plumbing wol"k to property which is ot.med, leased or operated py the appli-
cant. '
Permit
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CHARGE
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Where State LaLJ requires tr.at the electrical work be done by an Electrical
Contractor.. the elecrncal portion of this permit shall not be valid until
the Zabel has been signed by the Electrical ~ontractor.
Electrical
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CHARCE
Mechanical Permit
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I I HAVE CAREFULLY EXAMINED the completed application for permit, and do
I hereby certify that all infoT'rrrltion hereon is true and correct, and I
further eertify that any ar.d all lJOrk perfor:ned shall be done in ac=:or-
I dance :vith the Ordinances of the City of Springfield, and th& La-..;s of tha
~.It State of Oregon pzrtaining to the work describad herein, and that NO OCCU-
1 FANCY LJill be I1t1de of any structur.3 withou.t permission of the Building Oi-
vision. I further certify that only contractors arKi empLoyees who are in
I f;'(fJ;:t:~ ""~"".
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L<b.oo V - IJ ' 7;)- ;. n...-flo.ll
1(t'.//lP , VJ
I 11~ _ .'__ . G ~ U
\.5.lo0 I. Sign8d U
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Plan Exannner
uar;e
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