HomeMy WebLinkAboutPermit Demolition 1988-4-27
.. RESIr&NTlAL"
. APPLIC~N;PERMIT
225 North 5th Street
Springfield, Oregon 97477
Building. Division
726-3753
Job Location:
//? $1''/ MAl/A-- -57:
Tc:r:Lot#Or~
OJner: d:)Ec..'::::t:> U6:Z>/T V.4/~A/
Addre88: /.o/O/?7A'/N ~ .'
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A888880rs Map # / 7..o~- y ')'- ',1.'/
Subdivision.:
City:
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U"m"
n Addition
n Remodel.
n !1obiZe 80m3
Phone:
Zip:
~Y;;>7
Rcce~pt !I
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Describe II'ark:
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L/- -2.7-~
Date of Application
C.:011tractors
CeneraZr~d:"'/N;"J/-''''''''''' ;"
PLumbing
Electrical
Mechar.ical.
. ConstJ'UctUm Lendw
It ill ths l"Bspon.si.bility of tJrs pBl'm'it hoUle to 86e that all inopec:tions are made at ths proper tUn€, tr.at each .:dd:t-e88 1.8 rea.dab~lO
fl"Om tn. st,.sst, and that ths permit card is located at the f'l"Ont of the property.
"Bui!di~ DitJi::ior. approved plan sJu:lt remain on tha Building Sit$ at aU times.
PROCEDURE Fon INSPECTION REOUEST:CALL 726-3769 (recorder) state your City design.:::zted job ntD';:ber, job czdaoCBS, type of in:;pec-t;icn
raquostcd ar~ w~en you will be ready for inspcction~ Contractors or OWners name end phone number. Requests received befere 7:00 ~
r..'iZZ be made th~ same dcy# requests made after 7:00 am LJil1. be madl1; the ncrt :iXJrking day.
Value
Address Lise. #
Siqr.ed:
Date:
E:rvil"8S
Phone
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R~mJi~cff Tu~~c~tir,~~
O SITE INSPEC'J'ION: To be made after
excavation# but prior to set up of
forms.
O ' U"DERS~AB PLUMBING, E~ECTRICA~ &
MECHA,'JIC:'L: To be made before any
. work is aOlJcred.
D
FOOTING & FOUNDATION: To b8 nnde
after trenches are excavated and
forms are 6rected# but prior to
pouring ccncret~.
UNDERGROUND PLUMBING. SEWER, W.1TER.
DRAI/lAGE: To be made prior to [il-.
,lir.g trenchec.
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0, TUllDbERFmadLOOR PW/!BING & MEC';1~ICAL: f
o e e pr~or to ~nsta~~t~on 0
'. fLoor insulation or decking.
--, POST AND BEAM: To. be made prior to
~ installation of floor insklatior. or
decki'f1{; .
o
ROUCH P['lP.1BI?'C, E[,ECTRICAL & MECH-
ANICAL: No work is to be COtJered
,until these inspectior.s have beer.
made and, ap'prove.::.
FIRF:PLACE: Prior to placir.g facing
materials and before framing in spec-
tior..
---, FRA!!I!JG: Must be reque3ted after
~ approval of rough pl~hing, electri-
cal & mcchaniaal. Al!. roofing
bracing ~ chimneys, et~. TlT'..lst be
;'completcd. flo work is to be con-
.~.osaled until thin inspection has
~be~n made and approved.
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Your City Desigr.ated o!ob Numba' ID:
O INSULATION/VAPOR BARRIER INSPECTION:
To be made after aU insubti.:m w.d
'. required vapor barriers are in place
. . but before any Zath# gypswn beard or
LXlZl covering is applied, and before
any intJulation is concealed.
O DRYWALL INSPECTION: To be made
after all drywall is in place,
but prior to any taping.
O MASONRY: Steel location, bona
beams, grouting or verticals in
accordance with U.B.C. Section
2415.
o
WOODSTOVE: After installation is
completed.
3~~"c-yo/
&80337
VEnOLITION OR gOVED BUILDli/'CS
Xl Sanitary se'.Jer capped at vz:..opt:rt":i lir.e
~ Sep.ti:) tank tr..&q)ed and fi Z. Z.e~ L1i th gra~e::
--v1 Fina l - Ifhen ah...--ve it e.ons are camp leted
~ ar.d when de:":lOlitior. is complete 01' 8tru~~
t.ure moved and premises cleaned up.
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Mobile Hemes
::J Blocking and Set-dp
::J Plumbing connecti,ons scwer and rua~er
::J Electrical Connection - Blocking~ set-up
and plumbing connections TlT'..lst te approve~
before requesting elec~rical inspection
=:l Acaes,:;o2"'.::i Building
:J Final - Aft;:r porcr..es, skirting# decks~
etc. are campleted.
o
All project conditions, [Juch as the i,nstalZation of street trees, co.":Tpletion of tits
required landscapir.g, etc., must be satisfied before the BUILDING FINAL can be request:zd.
::J FINAL PLUMBIllG
::J FINA~ MECHANICA~
::J FINA~ ELECTRICAL
:J
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FINAL BUILDING: The Final Building Inspection must be requested after the Ft7U1.l PZumbina
. Electrical, and Mechar.icaZ Inspectw7W hclua been made and aF!proped.
o
CURB & APPROACH APRON: Afte:> forms
a:t'e erected but prior to pouring
concrete.
D SIDEWALK & DRIVEWAY: For all con-
crete paving within street right- .
of-way, to be made after all exca-
.vating cUf/plete '& for:'."l work & sub-
, base material in pla:Je'. ,
O :'ENCE: Wher. compl~te -- Provide
gates 01' movable sections through
P,U.E, '
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"ALL MA!.'HCLES AND CLEANOUTS HUST BE ACCESSIBLE, ADJUST!.,!:,'J'!' TO EE f.!.4DE loT /.'0 C'ST TO CITY "paf1e:1 of 2 .
SOLAR ACCESS REQ,-
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I JOB NO,
IZ""e:
Lot Sq, Ft;;o
S of lot C""eragt
!1 of Sto'riea
Total Height
Topography
OCcurxmcl! C.
LCT TYPE
InteM.oz-
Corner
Panhandle
CuZ-de-sac
lITEM
SQ,FTG
x
Value
Main
Cc20ace
Cartlcrt
ACCBS80l"'I/
TOTAL VALUE
Is,Doc,
(val-we)
1. S :J:
Building Permit
State Surehargs
Total Cha.~ges
lITEM 1110, FEE
I Fi:rtures
IResidential II bath) I
I Semi tary SOOJer C::;"p I, I
I Wcter'. ~. I I
I I I
Plumbing Perr.:it I
State Surcr.arge ,
Tctal C1u:.raes j
lITEM I NO, FE=: I
I Res. Sa. fto.
IN~/EXtend Circuits I I
Temporary Service I I I
1-,,1' I'
Ele~trical Permit I
State Sur~ha:rqe
Total Charces
CHARGE
:;:ii':'HGE
lITEM
I Pra-nace PTU' S
I EXhaust Hood
I Vent Fan
I '
, lIoodsto:JB
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FCC
CHARCE
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Pe'PT1Tit'Issuance
He~hanic:::l Pernrit
State Surcharae
TCJtcl Charnp.t'J
I
I SeC"..lritll
-- ENCROACHMENT --
De"OO3tt
i Storage
! Maintenan.:!B
I Permit
Total Cha1'OCS
. Curbcut
Sidewalk
Pe~e
Electrical Label
Mobile Home
TOTAL AMOUNT DUE:-
~
I Lot Faces -
I PoL.
1N0rth
lEast
ISouth
IWest
L-COC~
T;.;pe/Cor.st: ~ Bea-oor.:s:
...,. I Enernu Sources
II Heat
Access. I I Watel'" Hl?atp'1"
I I Range
I I Fireplace
I I Woodctot:e
II
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TUr'le
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Setbaeks
House C(ll'Q{1e
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Fzes
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Building Vallie' &'. Permi,t, I
This pGrmit io granted on the express condition that the sdid constl"Ucti01l !:
shaU~ in all l"e8pccts~ conform to the Ordinance adopted by the City of I:
SpringfieldJ inc!uding the Zoning Crd:.nance~ regulating the ccnstru.:ticn ;
and uce of buildings~ and m:zy be suapended or revoked at c:r.y time upon vie.
lation of any pr:Jvisior.s of said Ordir.ances. ..
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!Plan Check Fee:
IVate Paid:
I Rectip_t #:
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P lumbi n'g.'pe r r11 it
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No pereon Dhall construct~ instal!~ alter 01" change any ~ cr e--isting
plumbing or drainage system in ~hole 01" in partJ unless sueh pel"son is the
legal p08BeSBOl" of a valid plwnber's licen8e~ except tr.at a pe:-Bon may do
pZ~bing work to property which is ownedJ leased or operated by the appli-
cant.
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Electrical
Permit
Where State La1.J requires tr.at the electrical work be done by an Electrical
ContractcrJ the electrical pOl"tion of this permit Bhall r~t be valid until
the 1.ahel has been signed by the Electrical ~ontractor.
Mechanical
Permit
/2~~~~
P~Ezcmtner -~ /'
Y-/9-8is
ua,e
I HAVE CAREFULLY EXA.'-1INED the completed application for permitJ and do
hereby certify that all ir:fo:omation hereon is tPUe and correct, and I
f:trther certify that any ar.d all IJOrk perfor:ned shall be do:-re in accol"-
dance :.Jith the Ordin:znces of the City of Springficl.d~ and th:: La:.:s of tho
State of Oregar. p~r~ining to the work described hcpe~n~ end that NO OCCU-
PANCY will be m:z.:ie of any BtructurZ without p~n'mi83ion. of the Building Di-
vision. I further certify th:lt o:-rly contra.:!tors ar.d c:rrp1:JyeeB who are in
~pliance with ORS 701.05E will be used on this project
Sig"(!~ ~ ~
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