HomeMy WebLinkAboutPermit Miscellaneous 1984-12-4
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APPLICATION/PERMIT
225 North 5th Street
Springfield, Oregon 97477
Building Division
726-3753
Job Location:
L/'3<:f-=3
7J1~J
ASGe6001'C Map H
Subdivision:
Tax Lot #
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"cce:p .
0~9S0
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(2&
rAmer: ;:.1n ^ ~'I l/JA ~ .,
Address: r~rj7 (~':------Mf~-J#.ane: 3<;1,j- - 9s-9.r-"
City: 8'f1A,d: C?f(J Zip: 9'7<1r; /
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Date of Application -1,:)/ ~/ (j-(! , Value
Contractors
General.
Plwnbing
El.ectrical.
Mechar.ica 1.
Constl"'Ucti011 Lender
Address
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/<J...Q~ C7.-#1 ce/~ r'---
Siqr.ed:
Date:
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1t7, /L// Jl t,/
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Lise. if
E:r:r;ires
Phone
It is the responsibility of the permit holder to see that all. inapections are made at the proper timE~ that ea.ch .:ddrSS8 is l'oadabZe
f1'Ol1l the stroet, and that the pe:rmit card is 'Located at the front of the property.
4Bu.i?ding rr:uicior: approved plan shell remain on thE Building Sits at all times.
PROCEDURE FOR INSPECTION RE:QUEST:CALL 726-3769 (recorder) state YOU!' City design.:lted job number" job address" type of in3pac~icn
requested and when you will be ready for ir~pection" Contractors or Owners ~e and phone number. RequBsts received before 7:00 ~
;".>iLl be made the same day" requests made after 7:00 am LJill be made the nc.xt :.JOrking day.
5<L/087 '7
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O SITE INSPECTION: To be m:z.de after
excavation" but pPior to set up of
fo1'11/s.
0, UNDERSLA8 PLUM8ING. ECECTRICAc &
MECHANICAL: To be made before any
lAJOrk is .::ovcred.
o
roOTING & FOUNDATION: To be rrade
after trenches are excavated and
fo1'11/s al'e erected" but prior to
pouPing concrete:.
UNDSRGROUND PLUMBING. SEWER. W.4TEl1
DRAINAGE: To be m:z.d'e prior to fil-
J-ir.g trencRes.
O UNOERFWOR PWI,.'8ING & MECHANICAL:
. . To be made prior to installation of
[loor irwuZation 01' decking.
O POST AND BEAM: To be made prior to
irwtallation of flooT' insu.lation or
decking.
O ROUGH PU1MBTllr:. El,ECTRICAl, ,I; MECH-
ANICAL: No work is to be covered -
.ur.til these inspections have beer.
made and appl'oved. .
O FIREPLAg: Prior> to pZacir.g facing
matel'ials and befol'e framing inspec-
tior..
o
O FRANING: Must be r>equeoted aftel'
appl'oval of l'ough plwr.bing" alectl'i-
ca l & mechanica Z. A l t. 1'00 fing
bracing & chimneys" et.::. nr~st be
:" completed. No wor>k is to be con-
..'"-.cealed until thio inspection has
~be~? made and approved.
Your City. Desigr.ated Job Nwnb€1" Io:
O INSULATION/VAPOR BARRIER INSPECTION:
To be made after alL insulation ~A
'. T'equired vapOT' barriers are in place
'.: .: but before any lath" gypswn boa2'd. or
. t.XZU covering is appLied" and before.
. ~y inouZation is conceaLed.
O DRYWALL INSPECTION: To be made
after aU dI'ywaU is in place"
but prioT' to any taping.
0" MASONRY: Steel location" bona
beam3" grouting or verticals in
accol'dance JJith U.B. C. Section
241'\.
,-
r). ,fvODSTOVE: After installation is
L.:::J completed. .
O CURB & APPROACH APRON: Afte~ forms
are el'ected but priOI' to pouring
oon.:!rete.
'0. SIDEWALK & DRIt'EWAY: For aU con-
crete paving within street right-
of-l.JC.Y" to be made after all exca-
vating ccmplete & form wrk & sub-
base matePiat. in place.
DEl-KJLITIOH OR ;~:OVEE BUILDIilGS
=:l Sani tary seJer capped at p:.oPCl't"~. line
.=J Septic tank ;r.i.yed and fiZZil~ Io1ith :3"M~6Z
:J Final - rl'hen above ite:ns are cC.'1rpleted
and when demolition is complete 01' stru~-
ture moved and prcmises cleaned up.
Mobile Homes
::J Blocking and Set-~p
::J Plumbing connections -- sewer and Wa~61'
::J Electrical Connection - BLocking, set-up
and plumbing connections nr~st be approved
. before requesting et.ec:rical inBpec:~on
::J Accessol"d Building
:J Final - Aft~r PQrcr.es" skirting, decks"
etc. are completed.
O PENCE: When complG;te -- Pl'ovide.
gates OT' movable se~ticns through 0
P.U,E.
JB T~fM-"(j ~
AU pl'oJ"ect conditions" such as the i.nstallation of stl'eet tl'eeSJ co.-:7pletion of the
l'equired Zandscapir.g" etc." must be satisfied befoT's the BUILDING FINAL can be requested.
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'ALL MAIIHOLES AND CLEAIIOUTS IfUST BE ACCESSI8LE,
o FIliAL PLUMBIIIG
o FINAL MECHANICAL
o FINAL ELECTRICAL
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FINAL BUILDING: The Final Building Inspection must be I'equested aftel' the Final Plumbing
Electrical, and Mechanical Inspectiono hava been made and appl'oved.
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ADJUST!!ENT TO BE '.MDE AT NO C:JST TO CITY I Paga 1
of 2
r JOB
I Zona:
Lot Sq, Fto,
S af lot Ci>ZJerag&
11 of Stories
Total Height
Topography
NO,??4! OZ71s0LAR eES;
,
OCCU'Danc'l.{ Group:
I
lITEM
I Main
I CaTace
I CarvOl't
I Accessoru
, SQ.FTG
IS,D.C,
TOTAL VALUE
lvc.t.uc)
1.5 "
Building Permit
State Surcharge
Total Cha.~ge8
I ITEM I NO.,
Fi:r:tures
I Re8ident~ l (1 bath! I
I Sani tary Sewer I
Iwater I
I
Plwnbing Perr::i t
State Suzocr..a.rge
Total Charaes
lITEM
I Res. Sa. fta.
I NJU)/Extend Cil'cui ts I I
I Tempor~Se1'V:ce ~
~ LljO (I
I NO'1
Ele::tr>icaZ Permit
State Sur::ha.rae
Total CharC6S
IITSM
I Furnace ETU' S
I Exhaust Hood
I Vent Fan
I JlOodStOV6
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I NO'1
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permit Issuance
Me::hanica.l Pem t
State Burchmoae
To'ta1. Chara~1J
-- ENCROACHMENT --
Se~drit'l.{ Deposit
Storage
Maintenanae
Parnri t
Tota Z Charcros
Cta>bcu-;
I Sidewalk
I Fen::e
I Electrical. Label
Mobile Home
0'601
I TOTAL AMOUNT DUE:"
LOT TYPE
Interior
Comer
Panhandle
Cul-de-sac
x
Value
FEE
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. q'61
/0-401.
CHARGE I
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CHARGE
FEE
CHARGE
FEE
P>
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('-.;ge .::
REQ,-
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L:"COG~
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Type/Cor..st:
Bedrooms:
I Enerall Sou.rebs
I !ieat
I Watel' Rea tel'
I Range
I I Fireplaae
I I Woodi to"e
I J
TUDe
I Lot Face8 -
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I P.L.
North
lEast
South
IWe8t
.c;P,+'baCkR
House - - ~ Ca:t'aqe
Access.
Fees
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Building Value &
Pe r m i t
This permit is granted on the express condition that the sa"id construction
shall, in aZl respects, confo~ to the Ordinance adopted by the City of
Spl"ingfield, including the Zoning Ordinance, regulating the construction
and use of bui~ing8, and may be suspended or revoked at any time upon vie-
lation of any provisions of said CJrodinances. ~
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Plan Check Fee:
Date Paid:
Receipt #:
I Signed:
Plum'bing' Permit
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No person chall construct, install, alter or change any new or e=isting
plumbing or drainage system in ~hole or in part, unless Buch person is the
legal possessor of a valid plwnber's "license, except that a pe:>son may do
plwnbing work to property which is owned, leased 01' operated by the appli-
cant,
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Electrical Permi t
Where State LaLJ requires tr.at the electrical work be done by an Eleatl'ical
Contractor~ the electrical portion of 'this permit shall not be valid until
the Zabel has been signed by the EZectr>icaZ ~ontractor.
Mechanical Permit
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Pl.an Examtner
uar;e
I HAVE CAREFULLY EXA.'t1INED the aompleted apptiaation for pemrit~ and do
hereby certify that aU infor"mation hereon is true and aorrcat~ and I
fuPthezo certify that any ar.d aU fJOl'k performed shaU be do~e in aaaol'-
dance :vith the Ordinances of the City of Springfictd~ and th~ La:.,;s of tha
State of Oregon p8rtaining to. the work described herein~ c:nd 'that NO OCCU-
PANCY lJ>il'L be rrr:zde of any StructUl'2 lJ>ithout parmisaion of the Building Di-
vision. I further certify that only contractors ar.d errptoyees who are in
compliance r.Jith ORS 701.055 /Jill be used on this project
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Date
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