HomeMy WebLinkAboutPermit Building 1981-12-1
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-- RE'SIDENTa--
CO~BINATION/APPLICATIbN PERMIT
. RECEIPT '"
(Fj 7...1.t? G/ (~
crrr 0: SPRlilGFIELD
2~5 1~'O.rrrH SiR S::~EET
SPRliIGFIELD, OREC.()N 97477
Buitdi..,..g Divisio!':
726-5153
~.
Job c.ocation:
~,~-D1fW # U
:4.88:Jssors Uap II
17-03-~1o - 4-1
Ta:: Lot M I) } r;crn
--{)cucU'
cbL.:1) /98/
Subdi.v':' sion:
I ~B" \d\ rL('\ . ct{\ '\\.9.. "\Q...l gJ
AdJW.. r9 (~, (\'\0. 1"1\ -f</j/ / PIlons ,
ci~MJ IrN IClAf J Zip
,- ,- /) - - /...; -
DB8cNB work
*
n IVt/'.]
n Addition
n .~enr0d8 t
fJ1# . ro/v ·
~~) ~...-~Q.,
~
G~"rat
C'01l:tmc~!"s NarM Addrclss
(\)~ l Ji\ QA.-
Usc;;
E:r:pirB.
Phone I
Ptwrrbing
!l.ctri oat
'.
f.JtlCnar.:i.aa.l
Constzou..-1:iort LcndJno
REQUIRED INSPECTIONS
It is the responsibility of the permit holder to seo th3t all ~spections are made at the proper
readable flrem the s'treat, and that the pe:'1llit card is lacatod at the front of the property.
o All. lllaDholes and cleanou1:S are to be adjusted at no c:ost to the City
O SI'l't nrsptCTICN: To be mad.e after 0 FIREPLACE: Prior to
exeava1:10n, but prior to SS1: U? of materials and befere
fon:s. tion.
time, that eac:h address Is
placing fac:ing 0
frDing in.peo-
WOODSTOvtS: After ins'taUation \
is completed.
o
UNDERSLAB PLUMBING\. EU:CT~IC."L &
HECHAfUCAL: 1'0 be made before any
vork is c:overed.
o
FRAMING: Must be requested after 0
approval of rough plumbing. elec:tri-
c:al & mecbanic:a.l. All roofing,
brac:ing & c:him:1eys, ete. must be
completed. No work is to be c:on-
cealed until tbis inspection has
beeD made and approved. .
CURB &. APPROACH
are erected but
eonc:rete.
APP.ON: After forms
pr10r to pouring
o
FOOTHIG S rOWIDATION: To be made
after trenches are e::c.avated and
forms arc erecttJd, but prier to
pouring c:oncrete.
UNDERGROUND PLUMBItlG... SEllER, WATER.
DRAIUAGE: To be made prior'to Ul-
Ung '::renches.
o
SIDEWALK & DRIVE".lAY: For all c:on-
c:rete paving w1thin street right-
~f-way, te be cade atter all exc:a-
vating c:omplete 6. form work & sub-
base materi3.l in plac:e.
o
o
INSULATION/VAPOR BARRIER INSPECTION:
To be made after aU insulat10n and
required vapor barriers are in plac:e
but before any lath, gypsum board or
wall.oovering is applied, and befOUl ' ~0TIl!:R INSPEcrIONS: may be requir~d
any lnsulation is c:oncealed. ~ in acc:ordanc:e with Building Coce,
. to be indic:at~ in ,14:".5 or by no-
tic:e from Building Inspector.
.:~f
~
o
tlnDERrr..ooR PLUMBING ~ MECHANICAL:
To be made prior to installation of
floor insu13tion or decking.
o
POST . B!:AH:
installat ion
or decking.
1'0 be reade prior to
of' flQor insulation
o
DRYWALL INSPECTION: To be IlUde
after all drywall is in pla.c:e,
but prior to any taping.
o
RQUCH PLUM9!NG. ELECTRICAL & MECH-
ANCI~L: No ~ork is to be c:overed
un~il these ins~ec:tior~ have been
made and approv.~.
o
MASONRY: Steel lacstion. bond
b83mS, grouting cr ve~ic:als in
accordance with U.8.C. Section
2415.
o
D
All projec:t condi~ions, such as the installation of street trees, co~plction of the
required landscaping, etc:., must be satisfied befOre .the BUILDING FINAL can be requested.
nNAL eUILDHIG: The Final Building Inspection must be requestod after the Fin.al Plumbing
Electrical, and Mec:hanic:al Inspec:tions have ~een made ~d approved.
D
FINAL PLUMB ING
F!NAL tL~CT~IC^L
?a.go 1 Qf 2
I
No occupanc:y of the premises C3n be made until the Final Buildins Inspection has been
made and arr.- ~l, and a CERTIFICATE or OCCUPANCY HAS B~~ ISSUED BY TNt BUILDI~G DIVI-
SION k~D POSTED ON THE PREMISES.
PROCEDURE FOR INSPECTION REOUEST: eall 726-3769 (recorder)state your City designated job
number. job ad~ress. type of inspection requested and when you will bo ready for in8~ec-
tion, Contractors or Owners name and phone numbers. Requests received before 7:00 a.m.
will'be mado the sa%e ~Y. requests made 5fter 7:00 a.m. will be made t~e next working
day. YOUR CITY D~SIGNAT~D JOB NUH~~R IS: 8/ ()~ -=<- '
~ FINAL MECHANICAL
~~" _~.,.o..=..c~______.
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IJOB NUHEER
I ZONE
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P.Jge 2
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OCCUPANCY CoROUP
REFERENCE NI'!!BERS
TYPE/COr;ST1l.UCTION
L-COr, ;;
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I ?7.:'i-.::!.c.~a I
:.'o~.:. S;:>:lO. - I
~O~~. I
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BEDROO~!S
l.ot Square Ftg.
:~ of Lot Covered
if. of S~riee
TotaL Hsigh-:-
:opograp~y
Lot Ty?e
Ir.tsM.or- Lo"t
CO'l71.er P.T."
Pf.1r.handLe !lor~h
Oth:ns Eas t
I South
West
Setbacks
I
I
I..p, t"tn_ ',ftf-i",
ISq. Ftg. C~j6
Sq. Ftg. CaJ"'For~
ISq. Ft~. A::CB:80~
Isa. F./;c.
Val!lB
Fa.ces:
I Hot18e
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FEES
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I '.ial'ar-, ACC02S,;1 :
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El:Br?y So:.:.'~e3
I ;f'1t:
I ;/~te%" He!lts%"
I .~a:r..ge
I ?ool.
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B!JILDINt; VALlJE/PER!fIT
,r
::
a
'1?rfs pcrmU is grantgd on tns ezpress c~ndi;-:.on -:hat
the said construCtion ohatl, in al~ reS=BC:l, confo'!':'::
~ ths O!"di."I4r.::es adoptsd by the Ci~ 0;. Spl--:.ngj'ietd,
incl:.uii':1g tha Zoning O!-dinance, req-;.Lat-::ng -;,;... con-
8tr'.lCtion and US6 of l1""l.iZdings, anti."faY ;'8 4".lB?Br.dad
or rqo.;oksd at any tUns upon vioZati.;n of at:' previ-
sions of /Jaid Ordinancss.
.::
::
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::
~g~t CJtaM6S
St~R .C)'4"f!hfTr/7R
J~OU
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Plan Check Fee
Da~e Paid
Rcaeipt #
I
I-
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1
TOTAL CI/.4RGES
IS!/stem DClJeZO't"ment Charae
11.5 ::: Va-Z:,ur
PLUMBING ffRMIT
~L-1:"..I.l'es
I fEE
CHARGE
NO.
SUBTOT.4L
Stat. SuzochDrg.
TOTAL CHARGES
I ',S.CJJ
i . rOO
v <. (t.:()
No p61'son shatt constl'uot, inst:ztz., :zl./;sl' or chango
any new or Bristing plumbing or drc:t.nags sys:1Im in
whols or in part, unless such parsor;. is :he :sgaL
possgssor of a valid pZ,~ber's lieer~s, ~~e?t that
a person may do plumbing l..'Ork. to pZOO?6r::--:/ w!:7.ch is
awned, Zeased aI' opera~ed by ths IIp?Ziccnt.
Watsr Ssrvics
S!lni~1 Sfl'.Jer
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ELECTRICAL PERMIT
INO.
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Sa. Footaa(J J FEE
!1tZL1 or- e.rtBnsion/Ci.~i
T~rar"./ Ct7.":8~:iem
. CHARGE
SU!!TOTAL
St"J%t~ SUrchart:.
TOTAL C!/A!I(;ES
flhsrs Sea.ts La1.' requires that ths s~sot:-ica! work bs
done by an ElactricaL C-:ntraIJtol', t;',S steot:.-:.ca~ for-
tion of this permit shall not bs va.~id unt-;z. tha la-
boL has bSmI 3igned by the ~1.8ctric.:t Cantr-""-'tor.
The EZ,scmaal Safsty Laz.J does not !"equ~r6 ~ p6~Son
to obtain a licsns. as an "Z,sctricicn ar~/or dsa-
tricaZ CO"l~'tor to maks an electr-:.aa'L ~ns-=.:ll.::tion
on propsrty which is owned by h1.msBZl or a .~&:tbs:" of
his Umtedia;s family which is not i'r.ten:i~d .-'~r sale,
lsase or rant.
I!IO.
I
MECHANIC.a PERMIT
."FE
CH,4RGE I
I
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I
I
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;U"""'17!'!1l! _ 9'!"U'S
eznaust Hood
Vant Fan
Waod Stove/Heater
SUBTOTAl.
State SW'Charqe
7'O'!'AL CHA.t1GES
1
i I HAVE C.4REFULLY EXAMINED ths aamp1.sted appliaatian far pe_t, and dD
I ~ hsraby certify that all in/c."............ hereon is truo and corrsct, and I .
,;; f1a'ther c61't1.fy that any and all wrk performed shaLl. bs dons. i11 alJCOf"o-
I danae wtih ths Grdinanc.. of ths City af Springfie1.d. a71d the LoLIe of ths
I ~ State af Oregan pBZ'tlrining to the ",,~k dDsari.bed hsrein. and that NO DC-
=: C!JPANCY tJiU be nrzds of any stro..wture lJithout permiasiem of the Building
:: Di'Jision. I f'gthsr certify that only contractors and empLoyeBs who are
_ in ccmplianas lJith ORS 701.05S lJiZ-L be ussd em this project.
.
.
ENCHOACH/rEllT
ISeau~ty ~eposit
~ Starage
I Naine1UD'fCs
Ip._t
I TOT.4L AMOUNT DUE
IC..trb':!Ut
i SidawaZk
I FtJnc'J
I ,Zectri"" Z !.abe Z
I
PLan E::a:zmi."1er
Dat.
\ "fn(d) -
~~~
Butla":':; Oi~eion app1'O"Jed pl<rt .halZ r~
times.
J~~/- 81
'fOTAL AMOU!IT DUE
LJa:e
Building Sittl at all
.
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CITY OF SPRINGFIELD--BUILDING DIVISION
346 MAIN ST. 726-3753 (BUSINESS) 726-3769 (INSPECTIONS)
APPLICATION FOR ELECTRICAL LABEL{S} BY A BUILDING OWNER
The Electrical Safety Law of the State of Oregon does not require a person to obtain
a license as an electrician and/or electrical contractor to make an electrician ~n-
stallation on property which is owned by himself or a member of his immediate family
which is not intended for sale, lease, or rent. .
(PLEASE PRINT)
APPLICANT'S NA/oIE F Lo V' 0 pi} L LItA/ fll1/C re- V
ADDRESS :J- ") /.f 0 M It /11/ '5 /. ;:r:F / / PHONE
i 1-03-36-tI /
. ()I';'~
ADDRESS FOR PROPOSED I-lORK
'5..q.JI1 E"
fl5
J/8a//P
ADDRESS
PHONE
~-
.~
,
BUILDING OWNER (IF OTHER THAN APPLICANT)
viA-
I
,.
I certify that all of the above information is true and correct, an~ that no portion
of any wiring system requiring a label as applied for herein and intended to be con-
cealed by any permanent portion of, the building or structure ,shall be concealed until
inspected and approved. 'When the installation of the system is complete, an additional
and final inspection'shall be made.
Inspections are generally required for at least the following conditions and or stages
of construction:
1. Temporary Service
2. Underground Service
3. Service
4. Rough Electric
5.,' Cable Heat
6. 'New Circuits or
Extensions
7., Mobile Home
Connections
8. Signs
9. Swimming Pools
I further certify that I will notify the Building Division when any of the above ELEC-
TRICAL INSPECTIONS are ready, that all work 'will be done in accordance with the Electri-
cal Safety Law'of the State of Oregon, and that if not the building owner, I am a member
,of his or her immediate family.
Signat~re_~J~__ ~V">.-
~A../l AA.f../-o\.
(.... c-)
Date II -, II - 8/
INSPECTION REQUESTS SHOULD BE MADE ON THE
LINE. THE INSPECTION NUMBER IS 726-3769.
FOR 7 A.M. WILL BE MADE ON THE SAME DAY.
BUILDING DIVISION'S 24 HOUR A DAY INSPECTION
INSPECTION REQUESTS WHICH ARE CALLED IN BE-
FOR OFFICE USE ONLY
:::::-:::::::---;;-~-~-~---~-------------------------:::::-::::::::-~::-~;~~-;;'-~-----~t1~t1/(3
~
DATE
1/- 30-R/
RECEIVED BY
#" B 576tf.s-
9/oR33 60