HomeMy WebLinkAboutPermit Building 1984-6-25
.. RESh~o,JfiAL..
APPLICATION/PERMIT
225 North 5th Street
Springfield, Oregon 97477
Building Division
726-3753
Job Looation: 1.~15 ~ ~
ABaeBGOrS Map # \ \tJ~'?'FA \ Taz Lot # D 'A? ('f)
Subdiuision:
CUner:
nu'o~U)
k'l,
Address:
~'/,
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1r ~ ()9
City:
aNm,
n Addition
n Remodel
n Nobile Home
~~J:
Date of Application
Contractor's
G-~s-~c(
General
PLwnbirzg
Electrical
l1echar:ic.:: l
Construction Lender
-~-
Phone: 71/7- j?(oQ (
Zip: ql '{ 77
Describe fl'ork:
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{o 3/ 0 I
- (]v'OJ
Value II ~,J.6-0
Addres3
,
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Signed:
Date:
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1.'2S"'~
Lise. II
Expires
Phone
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It is the responDibility of the permit holder to sse that aU inspections al"e made at the proper tim.:, that eaeh .:ddress is reail.abZe
f7"Cm ths stro6et, and that ths pcrmi t ca:t'd is located at the [POnt of the property.
A!Jui?di~ DilJi::io~ approved plan shell- remain on thz Bu-:.lding Sits at aU times.
PROCEDURE FOR INSPECTION RE:,QUEST:CALL 726-3769 (recorder) state your City designated J'ob nwnbeI'3 job address3 type of in::;pec~icn
~equcsted a~~ when you will be I'eady for inspcction3 Contractors 01' Owne~s name and phone number. Requests I'eceived befcre 7:00 ~
iM'iLZ be made the same daY3 I'equests made after 7:00 am !.Jill bs rrr:uie the next :.JOl'king day.
Rl?p1f.,!I?A rtlfJn~f!tir.l1.q
O SITE INSPECTION: To be made after
excavation3 but pPiOl' tc set up of
foT'T1ls.
O UNDERSLAB PLUMBING, ELECTRICAL &
. MECHANICAL: To be made before any
. work is oovered.
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FOOTING ~ FOUNDATION: To be made
after trenches are excavated and
forms are eI'ected3 but prioI' to
pouPing ccncret~.
UNDSRGROUND PLUMBING. SEWER. W.4TER3
DRAINAGE: To be made pPior to fiL-
lir.g tI'cnehes.
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UNDERF~/JOR .1?T.TfU!}ING &. UY:CHANICAL:
To be made pp~or to-~n::;taL~tion of
11001' insuLation or decking.
POST AND BEAM: To be made pI'ior to
instaLlation of fLooI' inBlilation or
decki,," .
ROUGH PLUMBUlG. ET.ECTRICAL & MECH-
ANICAL: No work is to be eOL'eI'ed
,untiL these inspections have beer.
made and approved. "
FIREPLACE: PrioI' to pl.a.eir.g faaing
materiaLs and before framing" inspea-
tior:.
O FRAl!ING: Must be requested after
approval. of rough pl.wrbing3 2l.ectri-
.001. & meahanioal.. ALl roOfing
braaing d chimncys3 eto. Trr..lst be
:' completed. No work is to be con-
.~.cealed until. this inspection has
~ bee:r made and approved.
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YOUl' City Desigr.ated Job Number Is:
O INSULATION/VAPOR BARRIF:R nlSPECTION:
To be made afteI' al.l. insul.ati.:m ar.d
'. required vapor barriers are in pLace
. .' but cefore any Lath3 gypsum bomod 01'
UXll.Z (!Overing is appUed3 and before
'l27!Y insuLation is conceal.ed.
O DRYWALL INSPECTION: To be made
afteI' all. drywall. is in pLace3
but prior to any taping. .
O MASONRY: Steel location3 bond
beams3 gI'OUting or vertical.s in
accoI'danee UJith U. B. C. Section
2415.
O WOODSTOVE..: After ins ta 1. l.ation is
acmpLeted.
O CURB & APPROACH APRON: Afte~ for>ms
are created but prior to pouring
oar/.Crete.
'0" SIDEWALK & DRIYEWAY: For all con-
crete paving within street I'ight-
Of-I.JCY3 to be made afteI' all exca-
vating compl.ete & form work & sub~
base matenal. in pLa::Je.
O PENCE: MTher: compl.;;te -- Provide-
gates or movabl.e sections through
P.U.E. '
o
g YJ () V'f(
I DElfOLITION OR ;'.fOVEfJ BUILDIiiGS
~ Sani ~ary se'.JeI' ::apped at ~op;;r~:1' l ir:e
.=J Septi::J tank P:A.7ed and fiz.za~ tJith gra~e~
::J Final. - rl'hen above ite:ns are cc:rrpleted
and when d~litior. is complete or stru~-
ture moved and premises cl.eaned up.
I Mobil.e Hemes
::J Blocking and Set-~p
::J Plumbing conneations s&Wer and water
::J El.ectrical Connection - Bl.ocking3 set-up
and plumbing connections rrr..:st ce appI'Gvec I
, before requesting eZectriaal. in~pec~io~
.=J AC::Jesso1"d Buil.ding
::J Final. - AftcI' pGrar.es3 skirting3 decM3
etc. are compl.e~~d.
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Al.l pI'oject conditions3 such as the instaZl.ation of street tI'eeS3 co~l.etion of the
required Landscapi7".g3 etc. 3 must be satisfied before the BUILDING FINAL aan be I'aquestsd.
~~L BUILDING: The Final. BuiLding Inspection must be requeated after the Final. PLumbing
~ El~ctriaal.3 and Mechar.ical. Inspectiona have been made and approved.
D FINAL PLUMBI/lG
o FIliAL ME~HANICAL
o FINAL ELECTRICAL
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*AiL MANHOLES AND CLEANOUTS MUST BE ACCESSIBLE3 ADJUST!fENT TO BE M.1DE AT NO COST TO CITY I Page 1 of 2
1''':V.
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I Zona:
Lot Sq. Ft{;.
~ of 1.ot C(JI}el'age
# of Stories
TotaL Height
Topography
lITEM
I Main
lGc:r>aaEl
I Caroort
I Accessoru
TOTAr, VALUE
Is. D.C.
IVC:t.UC)
1.5 :r:
Bui1.ding Permit
State 5u:r'charge
Total Cha.."'ges
lITEM
I Fi:rtu:res
I ResidentiaL (1 bath)
sanitary Sewer
WetElI'
Plumbing Pern:i t
State SU1'cr.arge
Total Charaes
lITEM
I Res. Sa. fta.
I New/Extend Circ:ui ts
I Temporary Service
I
Eleotrica l Permit
State SU1'charqe
Total Charces
lITEM
I Furnace ETU' S
I Exhaust Hood
Vent Fan
Jloodsto:Je
Permit Issuanca
Mechanical Permit
State SurchaPae
Total CharrUUJ
Oc~::;'G_ - - --
LOT TYPE
SQ. FTG
I NO.
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I NO.,
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INO'/
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-- ENCROACHMENT --
I SOC'.J.n"tu Dzvosit
I Storage
I Maintent2nt!e
I Permit
I Total Cha'PQcs
I Curbcut
I SidewaZk
I Pence
I EZectrica l Labe Z
I Nobi le Home
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I TOTAr, AMOUNT DUE:-
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l. 1lD~~
~ ~9. 12.(l J Signed
Interior
Corner
PonhandLe
Cul-do-sac
x
Value
FEE
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~ q, \-z.-
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CHARGE
FEE
CHARGE
FEE
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CIIARCE
. -::;,'" ~
I Lot Faaes -
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I P.L.
Worth
lEast
ISouth
IWest
.
Type/Cor.st:
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Access. I
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II
Water YtmtP-1'1
Range
Fireplace
Woodo tave
Bedroor.:s:
EnerGu Sources
Heat
T:J':.e
Setbacks
House Cm>age
Fees
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Building Value & Permit
This pe1'l'11it is granted on the express condition that the sfiid. construction
shall, in all respects, conform to the Ordinance adopted by the City of
Springfield3 inc!uding the Zoning ardinan.ce, regulating the ccnstp'.4aticn
and use of buildings, and may be suspended or revoked at c:r.y time upon vio-
lation of any provisions of said Ordinances.
IPlan Check Fee:
I Date Paid:
IRecdpt #:
ISi!1"ed:
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Plumbing Permit
No person shall construct, install., alter 01' change any new 01' e--:.sting
plumbing or drainage system in whole or in part3 unless such person is tr~
Zegal possessor of a valid plumber's license, except tr~t a pe~son r.4y do
pll$lbing work to property which is OLJned3 leased or operated by the appli-
cant.
Electrical Permit
Where State Law requires tr.at the electrical work be done by an Electrical
Contractor, the electrical portion of this permit shall not be valid until
the label has been signed by the Electrical Contractor.
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Mechanical
Permit
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PLan Examiner
vate
I HAVE CAREFULLY EXA.Ir.fINED the completed application for permit, and do
hereby certify that all info::>mation hereon is true and corrcct3 c:ru1 I
further certify that any ar.d all. work perfoP.7led shall. be done in accor-
dance :dth the Ordinances of the City of Springficld3 and th~ La:.:s of tho
State of Oregon p~rta.ining to the work described hor6in3 and that /0'0 occu-
PANCY will be rrrlde of any structura without p~rmis8ion of the BuiZding Di-
vision. I fU1'ther certify that only contractors ar~ ~Loyees who are in
compliance with ORS 701.055 wilZ be used on this project
b-').S~ fLf
Date