HomeMy WebLinkAboutPermit Demolition 1985-7-11
.. RESI~JTIAL"
APPLICATION/PERMIT
225 North 5th Street
Springfield, Oregon 97477
,Building Division
726-3753
Job Location:
31&OIlIJUl//L- ~t
11-0Z-3/-ij'Z- Tc.xLot# 1J1d-{X)
ABSeS801'Z Map #
Subdivision:
Eut'U/J'f..L tI~.I-
3?~ ~~l () Phone:
Q) rf zip:
ptI
OI.mer:
Address:
City:
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NPJ,}
'ltf'7 - 9(/$10
Q7(JlF
Describe l\'ork:
Addi ticn
~~
Remodel
.'.!obi La Home
/}-. /kt~
-Date of Application
Contractors
f!tytLA Ji:I drJ Ca-.-r y/ , d /J 1""
Value
Address
,'5'7I.~Q, Ii J/tuA, 0
General
Plwnbing
Electrical
MBchar.ical
Con8t~ction Lender
.
, ~ -,f:Lf '157
I
Rcce:pt fI.
GU\~~
[lvvM . /cf~
~ /O.()O
Suve/ t'f' 7'fo . rlO
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Sigr.ed:
Date:
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Eroires
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Phon(l
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It is tho responsibility of ths permit holder to Bee that all. iMpections are mads at the propel' timG;" that each ::ddrSBs is l'oai!a.bZe
fr-om the street, and that the permit ctll'd is tocated at the front of the property.
ABuilding Divi=io'r. approved P'la1: shalt remain on tha Building Sit8 at aU times.
PROC:?)~JRE F9R INSPECTION RE:.QUEST.'CALL 726-3769 (recorder) state your City designated job number, job address, type of in3pec;icn
requested ar.d when you will be ready for inspection, Contractors or Owners name end phone number. Requests received beforB 7:00 ~
:..'iLZ be made the same day, requests made after 7:00 am wil.l be made the next :JOrking day.
Rp.~{i~~q T~pq~~T.ir.np
D. SITE INSPECTION: To be made after
excavation, but pY'ior to set up of
" forms.
0: UNDERSLAB FLU/.fflING. ELECTRICAL ~
. MECHANICAL: To bs mads befors any
lJOrk is covered.
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FOOTING & FOUNDATION: To be """e
after trenches are excavated and
forms are erected, but prior to
pouring concrete:.
LJ
UNDERGROUND PLUMBING. SEWER, w'1TER,
DRAINAGE: To be made prior to fiZ-
.Zir.g trenches.
ii,' UNDERFWOR PWftfflING & MECHANICAL:
~ To be made prior -to in3tal.Zation of
j100r insulation or decking.
<,C], POST AND BEAM: To be made prior to
instal.l.ation of j100r insutation or
,decking.
O ROUGH Pr,lnt!BING. ELECTRICAl, & MECH-
ANICAL: No work is to be covered
~ur.til. these inspections have beer.
made and approved. .
~ FIREPLACE: Prior to p1.acir.g facing
---.J mcterial.s and before framing inspec-
tier:.
-, FRAJ.!ING: Must be l'equeDted after
---.J approval of rough plwr.bing, electri-
.cal & mechanical. All roofing
bracing a chimneys, eta. 1IT'..lst be
;. completed. No work is to be con-
,~..~..cealed until. thin inspection has
.~.b(;~? made and approved.
....-
Your City' Desigr.ated Job Nwnba In:
O INSULATION/VAPOR BARRIER IIISPECTION:
To be made after all insulati:m aY'.d
. . - required vapor barriers are in place
,;<. ~ but before any tath, flYpsum board or
wall covering is applied, and before
. cu:y insutation is concealed.
D DRYWALL INSPECTION: To be made
after all drywall is in place,
. but prior to any taping.
0" ~SONRY: Stee l location, boiul
beams, grouting or verticals in
accordance with U.B.C. Section
2415.
, D WOODSTOVE: After installation is
ccmpleted.
o
D
CURB & APPROACH AP.'1ON: After' forms
are erected bu t prior to pouring
C!Onarete.
SIDEWALK & DRIVEWA Y: FOI' all con-
crete paving within street right-
of-wcy, to be made after all exca-
vating ccmplete & form work & sub-
base material in plaae.
5?505 ~ 7----
DEUOLIJ-ION OR ;\'OVED BUILDIilCS
Wanitary se:Jer aapped ~t p~op<zrty line
==:J Septi~ tank tr~ed and fille~ with gra~el
---,.4nal - r{hen above ite:~fs are completed
..0";;;d when der.rclitior. is complete or st:ou..::-
ture moved and premises cleaned up.
Nobile Hemes
:::J Blocking and Set-~p
:::J Plwnbing connections -- scwer and water
:::J Electrical Connection - Blocking~ set-up
and plwnbing connections rrr",st be approved
. before requesting eZec:rical inspec:io~
:::J Ac~essory Building
:J Final - Aft~r p~rcr..es~ shrting~ decks,
etc. a:t'e comple:~d.
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All project conditions, such as the installation of street trees~ c~~lation of the
required landsccpir.gJ etc., must be satisfied before the BUILDING FINAL can be requsntad.
::::J FIliAL PLUMBIIIG
::::J FINAL MECHANICAL
::::J FINAL ELECTRICAL
::::J
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FINAL BUILDING: The Final Building Inspection must be requeoted alter the Final Plwnbing
Electrical, and Mechanical Inspectiono have been made and approved.
O PENCE: When co:npZ;;te -- Provide-
gates or movable sections through
P.U.E. '
.,.
o
~ '--.:::s-
itAr:!.. MANHOLES AND CLEANOUTS HUST BE ACCESSIBLE,
, .
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ADJUST!!ENT TO BE MlIDE AT ,",0 COST TO CITY I Page 1 of 2
Page 2
JOB NO, '650532.., SOLAR AeSS REQ.-
Zone:
Lot Sq. Ftg.
S of lot Coverag;;
'# of Stories
Total Height
Topography
I
lITEM
I ,\bin
I Gc:roaaB
I Cal'OOrt
I ACCBssoru
SQ. FTG
Is.D.c.
TOTAL VALUE
lvat.uc}
1.5 "
Building Permit
State Su1'eharge
Total Charges
lITEM
I Fixtures
I ReeidentiaZ (1 bath)
I Sanitary Sewer
Water
~JJJff ~
PZwnbing Permi t
State Surcr.apge
Total Charaes
lITEM
I Res. So. fta.
I N3W/Extend Circu.i ts
l Temporary Service
El.e::trica 1. Permi t
State Surcharae
Total Charces
lITEM
I Purna:ce ETU' S
I Exhaust Hood
I Vent Fan
11I00dstove
I
Permit Issuance
Mechanical Permi t
State Surcharae
T(Jt(11 CharruUJ
NO.
I NO'1
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I NO.
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-- ENCROACHMENT --
SeC'u.M. tu D20031. t
Storage
Maintenance
I Permit
I Total ChaY'QCB
I CUrbcu;
sidewaZk
Fen::e
Electrical Label.
I Mobile Home
I~
TOTAL AMOUNT DUE:.4
OccuVancll G1'OU""
LOT TYPE
Interior
Corner
PanhandZe
Cut-de-sac
x
Value
FEE
CHARGE
10.00
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(/0 I
IO,(,IOl.
FEE
CHARGE
FEE
CIlARCE
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'-(JIB. 2f!) l .
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IflJ= I
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L:"COG~
Type/Cor.st:
Bedroor.:s:
I Lot Faces -
I
I P.L.
North
I En21'GU Sources
i Heat
II
II
II
II
TUDe
Setbacks
House Carage
Access.
Wate1" .4p.atp.1"
Range
Fireplace
Woodatove
East
South
West
Faes
Building Value & Permit
This pel'mit ia gmnted on the e:rp1"ess condition that the s,did. constzouation
shall, in all respcats, conform to the Ordinance adopted by the City of
Springfield, including the Zoning Czodinance, 1"egulating the ccnstI"Uction
and use of buildings, and m::::.y be suspended 01" 1"evoked at cr.y time upon vic-
Zation of any p1"ovisions of said Ordinances.
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IPlan Check Fee:
I Date Paid:
IRecdpt #:
I Signed:
Plumbing Permit
No person shall construct, install, alter or change any new or ezisting
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 pe1"son may do
plumbing work to property which is owned, leased or operated by the appli-
cant.
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Electrical Permit
Where State LabJ requires tr.at the e lectrica l work be done by an Elect:r>ica l
Controctor, the electM.cal portion of this permit shall not be valid until
the label has been sir;ned by the Electrical Contractor.
Mechanical Permit
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PLan Exarmner va t:e
I HAVE CAREFULLY EXAMINED the completed application for permit~ and do
hereby certify that all. infoT'mation hereon is true and correct, and I
further certify that any ar.d all work perfo'P:1led shall be done in accor-
dance :vith the Ordinances of the City of Springfield, and the La:.Js of tha
State of Oreg~m p2rtaining to the work cesc:r>ibcd herein, c:nd that NO OCCU-
PANCY will be nr:de of any structuzta without permission of the Building Di-
vision. I further certify that ~ly cont1"Qctors ar~ ~loyee8 wr.o are in
compliance with ORS 701.055 wiLL be used on this project
.;:;~
Signad ~ /
"'~
Date