HomeMy WebLinkAboutPermit House Move 1985-4-17
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APPLICATION/PERMIT
225 North 5th Street
Springfield, Oregon 97477
Building Division
726-3753
Job Location:
'/2 XG Q'r~ .J./:;} f/7
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AsnesGol'S Map
Subdivision:
Imler: ~ X;/
AddPes;) hind)
City: ~_'_d.
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NtTI,l
Addi ticn
Remodel
,'.!abile Boma
Date of Application
(:ontractors
Genera L 1/ .J AI]'/;
PLwnbing
Eleotrical
I-fBchar.i.c.:z1
Const"-tction tender>
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SITE INSPECTION: To be made after
excavation" but prior to set up of
forms.
UNDERS~AB PLUMBING. E~ECTRICAL &
: MECHANICAL: To be made before any
work is \:ovcl'ed.
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FODTING & FOUNDATION: To b. made
after trenches are excavated and
forms are erected" but prior to
pouring ccncret~. .
UNDERGROUND PLUMBING. SEWER. W.4TER,
DRAINAGE: To be made prior to [i1--
}ir.g trenches.
0, UNDERFWOR PLU/,$ING & MECHANICAL:
, To be made prior to instaLlation of
floor insulation or decking.
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POST AND BEAU: To be made prior to
instaLlation of f7,00l' insz.latiOl1 or
, decking.
ROLlGR PLUMBING. ELECTRICAL & MECH-
ANICAL: No work is to be cot.'ered
,untiL these inspections have beer.
made and approve.:!.
FIREPLACE: Prior to pZacir.g facing
materiaLs and before framing inspec-
tion.
O FRANING: Must be requeDted after
approval of rough plwr.bing, eZectri-
,cat & mechani::al. AU roofing
bracing & chi.r11ncys, eta. nr.lst be
:' completed. No work is to be con-
, ,.~,cealed until thiD inspection f1aS
.~ be,:" madc and approved.
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D
~ FIliAL PLUM/JIlIG
D FINAL I1E~HA/lICAL
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I' D FINAL ELECTRICAL
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Tax Lot # ()~['{)5
.,~ Rcce~pt #
0<1\33
Pr.one: ~11-1P6'/O
Zip:
Describe [Iork: 1~~ 4C<<1R..-
::II:- -<!Jl'i{j Q~ .l..fag7 otJ JiziJ
Jo-tY. ,- #tJ
Value '"'~
AddPess '" \) x 7 71
OJ1r fl1JJ / f ,,-r LIi-A..J ~
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Data:
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K
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'.....\:x- Lise. # "I7tl.<fr)Ezr>ires ,.... ell / 1If~
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Phone' /l('7-6W'/
DEUOLITION OR .~:OVE!J BUILDIi/GS
~ Sani:a::ry se"..}er ~apped ::::t p:..opt:.rt'::i lir:e
=:=J Septic tank p-.;..ycd and fine~ LJith gra:;e1.
:J Final - rYhen abcva ite.'ns are co:rrpletcd
ardi when demolition is complete or stru=-
tura moved and pr~3es aleaned up.
Mobile Homes
:=J Blocking a7Ui Set-up
:=J Plumbing connections s~er and water
~ Electrical Conr.ection - Blocking, sot-up
--.J and plwnbing connections lTl"..lst be approv6d
- before requesting electrical inspectio~
:=J AccesGol"'d Building
:J Final - Itft:Jr p:;rcr.es, skirting,
etc. are comple:~d.
decks,
It is the responoibility of ths permit ho1.der to see that all inDpections are made at the propel" tims, that each .:ddress is readahZe
fl"Cm ths street, and that the permit ca:t'd is Zccated at the front of the propezoty.
.Bui!di~ Diuidor.. approl;ed plan shall remain on the Building Sits at all times.
PllOCEDUPE FOR INSPECTION REQUEST:CALL 726-3769 (recordezoJ state your City designated job number, job adircss, type of il13pec-:icn
reequcstcd ar.d when you will. be ready for inspection, Contractors Ol" Owners ncme and phone nwnbcr. Requests received befere '1:00 C':'l
:..'ill be rmde ths Bame dcy, requests made after 7:00 am will be TTWie the nat :.JOrking day.
, ' ',", y~ 'City Desiqr.ated Job Number Io: 3 ~ 3 til <I
O INSULATION/VAPOR BARRIER II/SPECTION:
To be made after all insul~tion ~d
.. required vapor barriers are in place
. - but before any lath, gypsum board or
wlt. covering is applied, and betol's
. any il1fJulation is concealed.
D DRYWALL INSPECTION: Te be made
aftar az.z. dryLJall is in place,
but prior to any taping. _
O MASONRY: Steel location, bond
beam3, grouting or verticals in
accordance with V.B.C. Section
2415.
D WOODSTOVE: After installation is
ccmpZeted.
O CURB & APPROACH APRON: After forms
are crected but prior to poun.ng
aonarete.
D
SIDEWALK & DRIVEWAY: For all con-
crete paving within street right-
of-way, to be made after> all exca-
vating ccmplete & fom lJOrk & sub-
base maten.al in plaae.
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All project conditions, Guch as the installation of street traes, c~~lotivn of the
requil'ed landscapir.g, etc., must be satisfied before the BUILDING FIliAL can be l'2quest3d.
kX FINAL BUILDING: The Final Building Inspection must be reque3ted alter the Final Plwnbina
~ Electrical, and Mecha.r.ical Inspectionn hava been made and appl'o1.lad.
D
D
PENCE: When complGte -- Provide-
gates or movablc sections through
P.U.E. '
.4ALL MANHOLES AND CfEANOUTS HUST BE ACCESSIBLE, ADJVST"IE.t1T TO BE NADE AT '.'0 COST TO CITY I Page! of 2
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Page 2
I JOB No.3\03aQSOLAR .ESS REQ,-
Zone: Oacuoancu Grou.'o:
Lot Sq. Ftg.
S of Lot CJlJerage
!I of Stories
Total Height
Topography
I
lITEM
I Main
I Gc:roaae
I Caroort
I Aco8sBoru
SQ.FTG
IS.D.C.
TOTAL VALUE
'l)(ZLuc)
1.5 x
Buil.ding Permit
State Su.r>oharge
Tota l Cha.....gea
lITEM
Futures
NO.
ResidentiaL 11 bath)
I Sanitary Sewer /1"P
~
Wate!"
I
Plumbing Perr.:i t
State Surc}:apge
Total Charaes
ITEM I NO., FEE
I Res. Sa. fta.
I Now/Extend Ci'Pcui ts I I
Temporary Service I I
I I
Eleotrical Permit
State Sraooharae
Total eJuuoC8S
lITEM I NO'j FEE
I Furnace ETU' S
I Exhaust Hood. I
I Vent Fan I
I WOodStOV8 I
I I
Pet'1rri.t Issuance
I Meohanical Permit
I
I,.
State Surcharae
'1'ntal Charaes
I -- ENCROACHMENT --
SeC"..tM.t1! Da'OO3it
I Storage
I Maint~e
Ip"""';t
I
I CUrbcut
I Sidewa Lk
Total Chal'acs
\.
I Fcru:e
I ElectI'ical Label
I MOM le Home
Jl;Z=J'7j/7LI..-5#
.
LOT TYPE
Interior
Corner
Panhandle
Cul-de-sac
x
Value I
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CHARGE
FEE
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I /~_",pl
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I /O./-/C? I.
CHARGE I
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CHARCE
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2/;bV"'>E'\ $.
-I TOTAL AMOUNT DUE:"
.-;.C>
JJ
f$ 6/0. C/Y-
.
L-COG~
Tyoe/Cor.at:
Bedroor.:s:
I Ener'm.1 Sources
I .~eat
I Water' Hlmtp.r
I I Range
II I Fireplace
Woodatove
II
Ttl'oe
I Lot Faces -
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I P.L.
rlor'th
Setbacks
House Carage
Access.
East
South
IWest
Fees
Building Value
&
Perm i t
This permi t is granted on the express condi tion that the sdid construction
shall, in all respects, conforom to the Ordinance adopted by the City of I
Springfield, inc!uding the Zoning Ordinance, regulating the ccnstruction
and use of buildings, and m:J.Y be suspended or revoked at cr:y time upon v'ic- ~
lation of any provisions of said Ordinances.
I Plan Check Fee:
Date Paid:
IRecdpt #:
I Signed:
Plumbing Permit
No person shall construat, instal!, aUel' or change any new or existing
plumbing or drainage system in ~hole or in part, unless such person is the
legal possessor of a valid plumber's license, except tr~t a pe~son may do
plwnbing work to property which is owned, leaaed or operated by the appli-
cant.
Electrical Permit
Where State LCllJ requires tr~t the electriaaL work be done by an Electrical
Contractor, the electrical portion of this permit shalt not be valid until
the label has been signed by the Electrical Contractor.
Mechanical Permit
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PLan Ezann,ner
va"e
I HAVE CAREFULLY EXANINED the completed application for permit, and do
hereby certify that all information hereon is true and correct, and I
further certify that any ar.d all work perfor:ned shall be done in accozo-
dance t.Jith the Ordinances of the City of Springfield, and the La-..JS of tha
State of Oregon pertaining to the work described herein, end that NO OCCU-
PANCY will be rrr:zde of any structure without parmission of the Building Di-
vision. I further cezotify that cr.'Ily contraators ar.d e::rrployees who are in
c~pliance with ORS 701.055 will be used on this project
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Date
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