HomeMy WebLinkAboutPermit Board of Appeals 1987-5-4
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APPLICATION/PERMIT
225 North 5th Street
SpringfieZd, Oregon 97477
BuiZding Division
726-3753
Job Location:
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/70;' 35 cfl
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T= Lot # cY71fJ()
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Assessors Map H
Subdivision:
City:
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n Addition
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S,.,Cf~K1
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t13'5 72l'~
'135 - 7.3&'~
Zip:
Value
Address
Contractors
General
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Rcce~pt ,;;.
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Signed:
Date:
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Lise. #
EXDircs
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Phone
Plumbing , l
f:?cctrical _____\,_1
Mschar.i.ca.l
Const1"\lction Lender
It is thB responoibiLity of ths permit holder to Bse that aZt. iniJpections are made at the proper tim€~ tr.at each ;:;ddrS88 is readabLe
f1"Om ths street, and that the permit card is located at the front of the prope1'ty.
~Bui!ding Divi::io~ approt.'ed plan shell remain on the Building Sits at all times.
,PROCEDURE FOR INSPECTION RE:aUEST:CALL 726-3769 (rccorder) state YOUI' City designated job nwr:ber3 job addrCS83 type of in:;pec-:.icn
requested ar.d when you r.JiZl. be ready for inspection, Contractors 01' Owners ncme end phone number. Requests received before 7:00 c::z
:..>iLL be made the same daY3 requests made afte:z> 7:00 am will be made the next :.JOrking day.
r?,,!,!,.'''~:,''''~ T~t'?~~":":''?~,q
D SITE INSPECTION: To be made after
excavation3 but p-rior to set up of
fo1"ms.
O UNDERSLAB PLUMBING. ELECTRICAL &
MECHANICAL: To be made before any
. work is covered.
O FOOTING & FOUNDATION: To be nrzde
after trenches are excavated and.
forms are erected3 but pPior to
pouPing ccncret~.
D. . UND~GROUND PLUMBING.. SEWER. W,1TEl1
I DRAINAGE: To be nr:zde prior to fil-
'. J.ir.g trenches.
10
UIIDERFLQOR PLUMBING & MECHANICAL:
To be made prior to insta Uation of
ftoor insulation or decking.
POST AND BEAM: To be made prior to
installation of [2001" ins~U7tion or
decking.
ROllGH PUlMBING. ELECTRICAL & MECH-
ANICAL: No work is to be covered
,w:til these inspections have beer.
made and approved. .
FIREPLACE: Prior to pZc:.cir.g facing
materials and before framing inspec-
tior..
O FRAMING: Must be requested after
approval of rough plUli.bing, electPi-
.cal & mechanical. All roofing
bracing 8 chimneys, etc. m'.lst be
:' completed. 110 work is to be con-
,,,...,cealed until this inspection has
~ be~~ made and approved.
o
D
D
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Your City Deaigr.ated Job Nwnber Io:
O INSULATION/VAPOR BARRIER INSPECTION:
To be made after all insulatian w.d
'. required vapor bccrriers are in place
. . but eefore any lath~ gypswn board or
wZZ covering is applied, and before
. any in/Julation is concealed.
O DRYWALL INSPECTION: To be made
after all drywall is in place,
, but prior to any taping. ,
O. MASONRY: Steel location3 bo1ui
beams, grou ting or vertica ls in
accordance with U.B.C. Section
2415.
O WOODSTOVF.: After installation is/O
rxmpleted. ~
D
(,.2,
CURB & APPROACH APRON: Afte~ forms
are erected but prior to pouring ~)-
concrete.
O SIDEWALK & DRIVEWAY: For a'll con-
crete paving within street right-
of-r.x:.y, to be made after all exca-
vating complete & for.m work & sub-
. base rrr::tePial in p~e.
D PENCE: When complete -- Provide
gates or movable sections through
P.U.E. '
o
'Z'ifJ.29()
I DEUOLITION OR nOVED BUILDIilGS
~ Sani -:.ary seuer capped aJ rn:.oper~:i lir:.e
=.J Septic tank fT.il?ed and fi l l~ wi th gra~e l
:J Final - rlhen ab...""'Ve items are ccmpleted
and when demolition is complete or stru~-
ture moved and premises cleaned up.
I Mobi le Hcmes
~ Blocking and Set-up
~ Plumbing connections -- sauer and wa-:'el'"
~ Electrical Connection - Blocking, set-up
~ and plumbing connections nr~st be approved
. before requesting elec:rioal inspection
:J Acaesso1"d Bui lding
(,,<;
't1- Fina l - Aftar p::Jrcr..es,
~ etc. are completed.
skirting~ decks~
D
All project condition8~ such as the i.nstaLZation of street trees~ co.-:rpletion of the
required Zandscc.pir.g, etc., must be satisfied before, the BUILDING FINAL can be requestad.
o FIliAL PLUMBING
D FINAL MECHANICAL
o FIliAL ELECTRICAL
o
o
FINAL BUILDING: The FinaL Building Inspection must be requested after the Final PlwnbirJg
Electrical, and Mechanical InspectwnD have been made and approvad.
>fALL MANHOLES AND CLEANOUTS MUST BE ACCESSIBLE. AD.JURTHR,v'T' T() R]:' UIlTl1': 1t'T' ~m rn.~". 'TIn f'Tf1lV ,0......... T "",I'!) I
1z~~:B NO. 810 c2Cf~a::~:"RG,yss
Lot Sq. Ft{;.
S of lot C.71Jerog<
# of StOM.BS
Total Height
Topography
ITEM
IMain
I Gerace
I CarvOl"'t
IACCBssoru
SQ. FTG
Is.D.c.
TOTA~ VALUE
(vat.ue)
1.5 :r:
Building Permit
State SU:f'charge
Tota l Cha..~ges
lITEM I NO. FEE
Fixtures
Residential (1 bath) I
Sanitary Sewer I
Wa.ter I I
I I
P1.;gnbing Pel'r7':i t
State Swocr.arge
Total Charaes
I ITEM NO.
f Res. So. fta.
IN6tJ/Extend Circ:uits
Temporary Service
Eleatrica1. Permit
State Surcha:rqe
Total Charc:;es
IITSM
I Furnace ETU' S
I Exhaust Hood
I Vent Fan
I WOodsto;;e
NO'1
I
I
I
I
Permit Issuance
Mechanical Permi t
State surcharae
Tnt:nl CharoaRS
-- ENCROACHMENT --
I SeC'..noi t1l DZrJOsi t
I Storag9
I Maint~e
permi t
Total Charqes
I Cla'bcut
I sid=lk
I Fen:!e
I Electrical. Label
I Mobile Home
I
I
I TOTAL AMOUNT DUE:-
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I-IS.()~
I I &0 1-- ~ \
lis .er,O I-
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1
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II S 0-0
I . &013.')-
1/5.(;"D l-
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1
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WT TYPE
Interior
Corner
Panhandle
Cul-de-sac
x
Value
CHARGE
FEE
CHARGE
FEE
CI/ARGE
t'aga i:
,l
, I
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I
I
REQ.-
I l-COG~
Bedrooms:
I I En,81'GU Sources
I I Heat
I I Water Ht?atp1'
I I Range
I t Firer; lace
I I WoodG tove
II
T.'i.fDe
Type/Cor.st:
I Lot Faces -
I Setbacks
I P. L. I House Caraqe
!North
lEast
Isouth
West
Fees
I Aaeese.
Building Value & Permit
This permit is granted on the express condition that the sa'id eonstruction
shall, in all respeets, conform to the Ordinar~e adopted by the City of
Springfield, including the Zoning Ordinance, regulating the construction
and u.ce of buildings, and may be sUDpended or revoked at c:r:y time upon vio-
lation of any provisions of said Ordinances.
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IPlan Check Fee:
I Date Paid:
IReadpt #:
ISigned:
Plumbing
Permit
No pereon shalt constr"Uct, install, alter 01' change any new or e::isting
plumbing 01' drainage system in whole or in part, unless such person is the
legal possessor of a valid plumber's license, except tr~t a person may do
pZwnbing work to property which is mmed, 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 Electzoical Contractor.
Mechanical
Permit
I
1
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Plan Eramtne1"
va"e
I HA VE CAREFULLY EXAMINED the completed application for permit, and do
hereby certify that all infoT'mation hereon is tI'Ue and e01T'cct, and I
further certify that any ar.d all work pe1"fornred shall be done in accor-
dance '.J!ith the OT'dinances of the City of Springfield, and the; La:,)s of tha
State of Oregon pC1"taining to the wo1"k described herein, and that NO OCCU-
PANCY will be TTr:1de of any stI'UctUI'a without pa.rmission of the Building Di-
vision. I further certify that only contracto1"S ardi ~Loyees who a1"e in
compliance with ORS 701.055 will be used on this project
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510. W! - Signed v---
C::s-tf-flfJ
Oat.