HomeMy WebLinkAboutPermit Demolition 1986-3-12
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.. RESIDE"'IAL"
APPLICATION/PERMIT
225 North 5th Street
Spl'ingfieZd, Oregon 97477
BuiZding. Division
726-3753 .
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Job Location: 'Yb '7t. t!! ~~_
As.ss.or. Map # 17 o;L ?'d... l/ 'l
Subdivision:
(}mer:
R-L. '!
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Ad.d1oess:
City: .RtfJ
QN"'.,
n Addition
n Remodsl
n f.wbilB Homo
Date of Application
Contractors
GeneraL ~'f;j.:....
PLwnbing
Electrical
MBChar.ical
Construction Le11dmo
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Phone:
Zip:
Describe "'ark:
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Value
Address
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Sigr.ed: t?
Date: J ') - I ').. ,.
Phone
Lise.1f ,.;:J~'ll Eroires
(J ~ .A. ,V \.U~1 "A" ~ n
$' 7..!:U.:' .
#>'/-<l~.I'.:51
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It is tis. Nsp01lltibitity of thB permit holdezo to ss. that atz. inopecticms ar'e made at thB P"Oper timsl t1-.at each ddrS88 is readabLe
fl'Om thll strBBtl and that tluJ pel"mit OaN is 'Located at the fJ.'lOnt of the property.
"Building IH.vi::ion approved plan shalt. remain on th.3 BuiZdi~ 'Sits at all times.
pROCEDURE FOR INSPECTION RE:,QUEST:CAll 726-3769 (rcc:orderJ state YOUI' City designated job number~ job addrC6s~ type of in3pec-;icn
requested ar.d when you win be ready for inspcation~ Contrac:tors or OWners name and phone number. Requests received before 7:00 a::1
!Jill be madB th~ sam8 dt::.y~ requests made afta 7:00 am wiU be rrruie the next :.)()rking day.
~ nO} foQ
Reaui'l"p.d T'l'W",,,,t:ir.J'!.q
D. SITE INSPECTION: To be made after
excavation~ but pY'ior to set up of
. . forms.
D ~re~UBnU~MG. ~ECTM~L&
. MECHANICAL: To be made before any
. lIJOrk is aOlJered.
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FOOTING & FOUNDATION: To be nrzde
after trenchea are excavated and
. forms are erected~ but prior to
,pouring concrete.
0, UNDERGROUND PLUMBING. SEWER. W.4TElf,
DRAINAGE: To be "rule prior to fiZ-
.l.i7".g trencMs.
D,- UNDERFWOR PWUBMG & MECHANICAL:
.. j To be made prior to instaLlation of
. ,:. floor i7I8Ulation or decking.
O POST AND BEAM: To be made prior to
instaLlation of [Zoor insulation or
.,decki....
O ROllGY PLUMBING. E~ECTRICAL .4 MECH-
ANICAL: No work is to be covered
~ur.tiL theBe inspections have beer.
. made and appl'oved. .
D FIRF:PLACE: Prior to p7.c.cirfJ faci...
materiaZs and before fI'a1l'ling inspec-
. tion.
O PRANING~ Must be requeated aftel'
approvaL of rough plwr.bing~ electl'i-
,caZ & mechanical. All roOfing
bracing .5 c:hinrncys~ eta. Drolst be
:'.compZetcd. No work is to be con-
..~,~..CBaZed untiZ thia inspection haB
. :.~.bB~ made and approved.
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Your City' Desigr.ated Job Number Is:
O INSULATIONIVAP08 BARRIER INSPECTION,
To be made after aU insulation CL"'A
. - _ roquired vapor bal'Tiers are in place
. '.' but before any lath~ gypsum board or
wlZ. covering is appl.ied~ and before
~.. . - any insulation is concealed.
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O DRYWALL INSPECTIDN: To be nrzde
after aU drywaU is in pZace3
. . but pl'ior to any taping. ,
O MASONRY: Stee l Zocation 3 bo1ui
beam3~ grouting or verticals in
accordance with U. B. C. Section
2415.
O WOODSTOVE: After installation iB
ccrrrpZeted. . . , .
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CURB & APPROACH APRON: Aftezo forms
are created but pl'ior to pouring
oona1'6te.
SIDEWALK & DRIVEWAY: Por at.z. con-
crete paving within street right-
of-llJay~ to bc made after all exca-
vating aarrplete & foI'm work & sub-
base material in place.
DEf.!OLITION DR ;~:OVEE BUILDIilGS
Xl Sani::~ BetJer aapped at rn:.op~r~:i lir:.e
~ Septia tank 1T~ed and fill~~ with 9Ta~el
:J Pinal - (Yhen ab..."'Ve items are completed
and when demolition is complete or Bt1'U~-
ture moved and premises aleaned up.
Mobile Hcmes
=:J Blocking and Set-up
=:J PZumbing connections -- sauer and water
--, EZectl'icaZ Connection - Blocking3 set-up
--.J and plumbing connectionB Dr..tst e6 app'l"oved
before requesting electrical inspection
=:=J Ac;eBsory Building
] Final - AftDr p:Jrches~ skirting~ decks~
etc. are completed.
D
All project condition8~ Duch as the 1.'.n8taZlation of street trees3 co.-:rplctibn of ths
required landsac:pir.g~ etc. ~ must be satisfied before tr.e BUILDING FINAL can bs requ6sted.
o FIIlAL PW~IIlG
o FINAL IfECHANICAL
o FINAL ELECTRICAL
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PINAL BUILDING: The FinaZ Building Inspection must be r6queated after the Final Plumbi~
Electrical~ and Mechar..ical Inspectionn have been made and appl'otJed.
D PENCE: When complete -- Provide-
gates or movable Bections through
P.U.E. '
D
"ALL MANHOLES AND CLEANOUTS MUST BE ACCESSIBLE~ ADJUST!fENT TO BE MADE AT NO COST TO CITY I Page l' of 2
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Page 2
NO. SWJ/oD SOLA.CESS REQ.-
IJOB
I Zone:
Lot Sq. Ft{;.
S at lot C.:nJerag.
II of SteM-es
Tota~ Height
Topography
ITEM
SQ.FTG
}.bin.
Caraae
Occupanctl Croup:
LOT TYPE
Interior
Corner
Panhand~e
Cul.-de-sac
x
Value
CaroOl't
I Accessol'ZI
.,fl'
/ +--;G\ v-
TOTAL VALUE
IS.D.C.
(vat.u~J
1.5 :r:
Building Perrm.t
State SuI'cha:rge
Total Cha......ges
lITEM
I Fi:J:tu:res
I Residentia~ (1 bath)
I Sani tary Sewer
IND.
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I
Water I I
~\.UfA 'cJ~hQ
,
Plwnbing Pe=it
State SurC}o.a:l'gB
Total. Charaes
ITEM
I Res. So. fta.
I New/Extend Cireuits
j Temporary Service
NO'1
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Ele~tl'ica 1. Penni t
State Surcharqe
Total Cha.rces
lITEM I NO. FEE
Furnace ETU'S
Exhaust Hood I
Vent Fan I
I JlOodstove I
I
Permit Issuance
Me=hanical Pernri t
State SUrcharae
'Thtnl r.J.ayo(1nn
-- ENCROACHMENT --
I SeC"mtll Deoosit
I Storage
I MainttnUl7tCe
I Permit
I Total ChaNOS
I Curbaut
I sideLJalk
I Fen::e
I Electrical Label
I MobiZe Home.
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I TOTAL AMOUNT DUE:-
FEE
CHARGE I
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I \ 0. \...lei
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FEE
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CHARGE
ClIARGE
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CLH
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.
L-COG~
T.:roe/Cor.st:
Bedrooms:
I Enel'ol/ Sources
I ,<leat
I Water' Hnotp'f'
Range
Firevlace
wood3tove
TilDe
I Lot Faces -
I Setbacks
I P. L. I House Cal'aqe
INorth
lEast
S""th
IWest
I Aaeess.
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Fees
Building Value & Permit
This permit i3 granted on the express condition that the sfI"uf. construction
shall, in aZl respects, confonn to the Ordinance adopted by the City of
Springfield, including the Zoning Ol'dinance, regulating the ccnst1'Ucticri
and use of buildings, and m~y be suopended or revoked at cr.y time upon vie-
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IPlon Check Fee: \J r. ~
I Vote Paid: l
IReedpt #:
ISig>:ed:
Plumbing Permit
No person ohalL C07Z8truct, instal!, alter or change any r.ezJ or e:;:isting
plumbing 01' drainage syst~ in ~hole 01' in part, unless such person is the
legal possessor of a valid plumber's license, except tr.at a pe:'son 1lX1y do
plzm:bing work to property which is oz.med, leased or operated by the appti-
aant.
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Electrical Permit
Where State 'LaJ.) l'equires tr.at the electroical tJOrk be done by an Electrical
Contractor, the electrical portion. of this permit shall r.at be valid until.
the Zabel has been signed by the Electrical Contractor.
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Mechanical Permit
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I (~:1~~,-'~\- ].;-\'2-00
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I HAVE CAREFULLY EXAMINED the completed application for pel'mit, and do
hereby certify that all. info:'T1'1ation hereon is true and correct, and I
f"oU'ther certify that any ar.d all IJOrk perfomled shall be don.e in. accor-
dance :.nth the Ordinances of the city of Springfield, and th& Lcr..;s of tho
State of Oreg:m p~rtaining to the work described herein, end that NO OCCU-
PANCY will be mde of any structura witho~t pe:rnrissio:1 of the BuiZding Di-
vision. I flU'ther certify that o':1ly controctors and e:rrpl.::Jyees who are in
compliance with ORS 701.055 will be used on this projeat
~(O~
Sign8d
kJ A/J-I<u -
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Date