HomeMy WebLinkAboutPermit Building 1987-3-13
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.. RESIDITlAL"
. APPLICAT ,/PERMIT
225 North 5th Street
SpringfieZd, Oregon 97477
BuiZding Division
726-3753
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'~14 J./ ..2b;'j 1tIv/~
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I
It is the zoesponoibi1.ity of ths permit holder to 8ee that all. inDpeations a:t'e made at
[zoom ths street~ and that the permit card is l.ocated at the front of the propert;y.
ASuiZding o-;vicio'!': approved plan shc.Z1. remain on thE Building Sit:;; at all times.
PROCEDURE FOR INSPECTION RE'QUEST:CALL 726-3769 (recorder) state yOUI' City designated job nun=bep, job adiI'cssJ type of in.3pec~icn
requested Q:,,:d when you. wiU be ready fOI'ir.spcction, Contractors or Ctme:rs ncme c:nd phone number. Requests received befere 7:00 cr:'l
i.>iZl be made the same day, requests mczde afta 7:00 am will be made the next :JOrking day.
. . .' .Y~r City Decigr.ated Job Number If]: g 70/& g
Job Loca.tion:
/;2 & ,3 /J1~
J!1 D 3 35 Lj /
A8GeSD01'.;;o }.fap #
Subdivision:
ll:.mer:
Ad.d:t'ess:
City:
nNm"
n Addi ticn
n Remodel
I7f .'-!ob-:.le Hom:)
Date of Application
3-/3 c"Y1
Con~ractors ~ ~
General ~
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CU:JY6A1d
Plumbing
Electrical
Uechar.ic.::t
(I
/fUlL-
Constroction Lender
j Rp.~i.r11 T~~~p.~ti.r.~~
. 0 SITE INSPEC':'ION: To be made after
I excavation# but prior to set up of
i forms.
O UllDERSLAB PLUMBING. ELECTRICAL &
: . MECHANICAL: To be made bejoroe any
, . IIJOrk is .:!ovcred.
,0
FOOTING & FOUNDATION: To be nr:z.de
after trenches are excavated and
forms are eroected# but proior to
pouring ccncret~.
UNDERGROUND PLlJMl3ING. SEWER. W.1TER.
DRAII1AGE: To be rrade prior to fiZ-
7.ir.g trenches.
.0
,0
UNDERFLOOR PLUgBING & MECHANICAL:
To be made prior to installation of
floor insulation or decking.
POST AND BEAM: To be made prior to
installation of noor insulation or
deaking .
ROUGH PLUMBING. ELECTRICAL & MECH-
ANICAL: No work is to be cOI..'ered
,until. these inspections have beer.
made and approved.
FIREPLACE: Prior to plc.cir.g facing
materials and before framing inspec-
tion.
O FRAJHllG: Must be requested after
. approval of rough pl~hing~ electri-
cal & mechanical. AlZ. roOfing
bracing .!1 chimncYB# etc. l7rJ.st be
; completed. No lJOrk is to be con-
,.;. cealed until this inspection has
~be~n made and approved.
,0
.0
I
I
10
Nobile Hcmes
After in8talZation is SO ~lOcking and Set-up
~~ ~ Plumbing connections -- scwer and water
CURB & APPROACH APRON: AfteT' .forms ""\;'7(Electrical Connection _ Blocking# set-up
are erected but prior to pOUM-ng S"}....xl- and plumbing connections nr..:st be appl'oved.
concrete. before request~ng eZec=rical inspec=ion
SIDEWALK & DRIVEWAY: For all con-
crete paving lJithin street right-
of-liJC.Y# to be made after all exca-
vating ccml?let~ & form work & sub-, _/ \7f Final _ Aft;:r porcr.es# sk-:.rt-:.ng~ decks~
, rose ma:teM-al 'Ln pla::!e. . t:;"'\ ~ etc. are comple=ed.
, ,
*I 3?
T= Lot #
D ~ tJ on
../fU~OIC
t::' ~,/~
\ \ \ \
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Siqr.ed:
Date:
CY.-
.3 -/3 -?'1
Phone: (tJg"fR ,;tiP'-<I
Zip:
~,~r<be Z':~Jr~;f/(-/
Vfd-ut "
Value
Address
O INSULATION/VAPOR BARRIER INSPECTION:
To be made after all insul.::.ti:m a:".d
. ,. requ-:.red vapor barriers are in place
. but before any Zath# gypsum board or
wll covering is applied, and before
any insulation is concealed.
o
DRYWALL INSPECTION: To be made
after all <ll>yLXlll is in place #
but prior to any taping.
Lise. #
ErDirl!s
Phone
O MASONRY: Steel location# bona.
beams# grouting or verticals in
accordance with U.B.C. Section
2415.
O WOODSTOVE:
ccrrrpleted.
o
o
O :'ENCE: When co:npl~te -- Provide
gates or movable sections through
P.U.E. '
o
A
~Il
~
'l
the proper tim€~ that 2a.Ch ~ess
is rea::iabZe
DE,'.:{)LITION OR ;....OVET; BUILDI,7CS
~ Sanitary se'.Jer capped ~t pz:.opel't":1. lir:.e
~ Septic tank 1T~~ed and f-:'lle~ uith Gra~eZ
I Final - f{hen abv""Ve ite.'7ls are cC:71pleted
~ and when demolition is complete or stru~-
ture moved and premises cleaned up.
~ Accessory Building
D
All project condition8~ such as the installation of s=reet trees~ ca~letion of the
requiroed landsccping# etc. # must be satisfied before the BUILDING FINAL can be rsquestsd.
o FIliAL PLUMBIIIG
o FIliAL I1E~HANICAL
o FINAL ELECTRICAL
':::J
o
FIliAL BUILDING: The Final Building Inspection must ba requested after the Final Plu.m.bina
Electroical~ and Mechar.ical InspectionD have been made and approv~d.
*ALL MANHOLES AND CLEANOUTS MUST BE ACCES$IBLE~ ADJUST;'[E,'/T TO BE MADE AT NO CaST TO CITY I Pag'e 1 of 2
I JOB
I Zone:
No31()/6 y Oc::~:"RG:WSS
LOT TYPE
Lot Sq. Ftg.
: ;;[ lot Caverag~
!I of StoPies
TotaL Height
Topography
I
lITEM
IMain.
I Gerace
I SQ.FTG
I
I
I
Carvort
ACC8SS01'U
TOTAL VALUE
Is.D.c.
,vct..UC}
1.5 :r:
Bui Zding Pe:t'lTti t
State Surcharge
Total Cha......gea
I ITEM I NO.
I Fixtures
I ResidentiaL (1 bath) I
I Sani tary Sewer I
I Water I
I
Plumbing Pe-rrd t
State Surcr.a:rge
Tetal Charces
lITEM
I Res. Sa. fto.
I New/EXtend Circuits
I Temporary Service
I
rD"
I I
I I
I I
Eleotrical Permit
Sta.te Surcharae
Total Charces
lITEM
PUl"'nac-8 ETU'5
I Ezhaust Hood
I Vent Fan
I .
1 Waodsto"Je
11/0. I
I I
I I
I
I
I
Permit I:;suanca
Mechanic:zl Permi t
State Surcharae
TDta l Cha:rntuJ
-- ENCROACHMENT --
I
ISe~~~tu D2pQait
i
I Storage
i .
1 Mat.ntenan:::e
i Permit
Total Chal'l1cS
Curbcu-:
, SidewaLk
Fence
EZectl'ica Z Labe l
Mobile Home
. TOTAL Al,!OUNT DUE:"
Interior
Corner
PanhandLe
Cut-de-sac
X I Value I
I I
I I
I I
I I
I I
I I
I , '
I
I
I
I'
FEE CHARGE
I
I
I I
I 15,00 I ~ \
I .<001
I I '
FEE
I
I
I
I
I I
I /5. ItdO I
I " 00 I ~ )-
1/5.~ol'
I
I
I
I
I
I
I
I
CHARGE:
I
FEE
CHARGE
f~
REQ.-
L-COG~
Type/Cor.st.' . Bedrooms:
~1 ;nerau Soul'ees
I I Heat
I Access. I I
II
II
II
II
I
,
I Lot Faces -
I
I P.L.
INorth
lEast
ISouth
IWest
Tut'e
Setbacks
I House Caraae
I
I
Water' !It'atl'p
Ra"!ie
Fil'eplace
Wood~tot.:e
F2es
Building Value & Permit
This peI.'fflit iG granted on the expl'e88 condition that the sa"id. construction
8hall~ in aZl respects, conform to the Ordinar~e adopted by the City of
SpPingfield, incZuding the Zoning Ordinance, regulating the constru~ticn
and use of buildings, and may be suspended 01' revoked at cr.y time upon vio-
Zation of any provisions of Baid Ordinances.
P7.an Check Fee:
Date Paid:
Receipt #:
I Signed:
Plumbing Permit
No perean shall construct, instal!, alter 01' change any r~ or e:isting
plumbing or drainage sY8te~ in whole or in part, unless such person is tho
legal possessor of a valid plumber's license, except tr~t a person may do
ptwnbing work to property which is Olu'ned, leased or operated by the appli-
cant.
Electrical
Perm it
Where State La1J requires tr.at the electrical work be done by an Ele::trical
Contractor, the etectricat portion of this permit shatt r~t be valid untit
the Zabel has been signed by the Etectricat Contractor.
Mechanical
Permit
PLan Ezcmt.ner
",,"e
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I HAVE CAREFULLY EXA.J.fINED the completed application for permit, and do
hereby certify that all ir:fo=mation hereon is true and corrcct, and I
further certify that any ar.d aZ1. work perfomled shall be done in aecor-
dance with the Ordin::znces of the City of Spr>ingficld, and thE: LtL;s of tha
State of Oregon p~r~ining to the work described herein, end that NO OCC'-
PI:NCY will be mde of any structure without permission of the Building Di-
vision. I further certify that ~ly contractors ar~ ~LJyees who are in
c~pliance with ORS 701.055 witl be used on this project
'3-/
J
Date