HomeMy WebLinkAboutPermit Building 1982-5-3
.. RESID'NTIAL"
COMBINATION APPLICATION/PEP.MIT _ SPRINGFIELD _ ~
- 225 North 5th Street . .
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~ SpringfieLd~ Oregon 97477
- BuiLding Division
-' 726-3753
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./ ~ Job Loca.tir:m:
SI/1.. t>IIIS Y S:C _5 fJl<f /4oitE6(J).J _'-.7..Y17
\'1-D').- 33"" 3~ Tc:z: Lot 1# !7;zl,
Asaesao1'3 Map !i
Subdivision:
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I I O:.mel': ~.s ePJI K u H 11 Ie J J<..
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. ~ Add:I'ess: S' /2.. l)A J S Y Sr.
:VCity: 5 f~J /J ~t- J iEI-D
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Phone: "7 '11,,- 311./.3
Zip: 97"177
Describe ~101'1<:
Additicn
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RemodeL.
.~fobiLe Homa
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Date of AppLication
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': Conr:l'actors
f ~ .. Genera L
; PLumbing
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\: EZectrical
/ [)Je=har.ic.:::Z W 5
. Constl'Uction Lendel'
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Add..~es3
750. ~
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Signed:
Date:
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E=:7:Iires
Phone
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It is the responGibiZity of the permit holder to see that an inspections are made at the proper time, that eech .::ddresfl is rec.::a~~e
fl'om the stl'eet, and that the permit card is z..,cated at the front of the propert-;.
= 'Bui!ding [)ivi::ior: appro-r-'ed p7..an shaZZ remain on tha Building Site at all times.
PROCEDURE FOR INSPECTION REQUEST: Call (?'ecorderJ state your City designated job number, job address, type of inspecticn
- requested ar.d when you ;.n;ZI be l'eady fol' inspection, Contractcl'S "1' Owners ncme .::nd phone numbel'. Requests received befcre '1:00 w.l
:..'iZZ be Trade the same day, requests made aft;::r 7:00 am wiH b8 made the n::zt ;.;orking day.
Pqaui~~d T~so~~tinnR
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: [J: SITE INSPEC':ION: To be made aftezo
, ezcavati:m, but prior to set: up of
fol'ms., '
- '[J ' UNDERSLAB PLUMBING. ELECTRICAL &
MECHANICAL: To be made before any
work is .::ovcred.
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W1DE!~FLOOR PLu.I~nlG 8 MECHANICAL: ~'WOODSTO'IE.:
To be made prior to inatalZation of . ccmpletea.
floor insuZation or decking.
FOOTING ~ FOUNDATION: To be rrr.zde
.after trenches are ezcavated and
fcl'ms are erected, but prior to
pouring ccncreto.
UNDERGROU!!D PLUMBING. SEWE.'? W.1TER,
DRAINAGE: To be made prior to fa-
Zir.g trenches.
POST AND BEAM: To be made priOl' to
instalZaticn of floor inslOZatior. 01'
decking .
ROUCH PW:.1BI!IC. F;r.ECTR!CAL & MECH-
ANICAL: No ~rk is to oe covered
ur.tiZ these inspections have beer.
made and approve::. .
FI."?EPLACE: Prior to pZecir.g feeing
u~teriaZs and before framing inspec-
l';ior:.
PRANING: Mu3t be reouested after
approval of rough plWr.bing, electri-
cal & mechani.::aZ. AI! roofir..g
b,T'acing ~ chimneys, et.::. m-..st be
cmrroleted. :10 work is to be con-
cecZed until~thia inspection has
been made and approved.
Your City Desigr.ated Job Numbsr 10:
D INSULATION/VAPOR EARRIER INS?E:C'I'!ON:
To be made after all insulation ~4
required vapOl' barriers are in p Zace
but before any Zath, gyps-.u7I board or
wZ'Z covering is appi.ied, and before
any insulation is conceaZed.
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DRYWALL INSPECT!ON: Tc be made
after aZI drywaZI is in place,
but pl'ior to any taping.
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DENOZ-ITIO!l OR .I10!7J 3UIL":JCS
::=J Sanitary SelJSI' crzpper:: ::t p::,o'?&!'t":i Zir.e
~ Septi= tank p~ed ar~ fil~ed ~th graveL:
--, FinaZ - .Ilhen above it;Ol::'!S are ccrrrpLsted ,
---l and when ::emo~itior. is co~Le~e 01' struc-:
tUZ'e moved arA pr~~sos =Zeansi up. .
MobiZe Homes
~ Blocking and Sat-~p
Y- Plumbing connections -- s:~er and weter
---, Electricel Ccnnection - Blockir~, set-up
~ and pZ~bing aonr.ecticns ~..3t;e G?provea.
before l'equesting eZs~;ricai. ir.spection
=:J ACCeS30l".:i Bui7.di~
--, FinaZ - Aft;;l' .?:)rc.r.es, sk-::rtina, de=ks,
---l et~. are aamp~at~a.
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AIZ project conditions, auch as the instaZZation of street trees, cc~!~:ivn of :ne
required Landscaping, ~tc., must be satisfied before the BUILDI~C FI~AL ~an =e raquestad.
o FINAL PLUMBING
o FINAL ME'::HANICAL
D. FINAL ELECTiuCAL
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O ~MSONRY: steel location, bond
, beam3, grouting 01' verticals in
accol'dance with U.B.C. Section
2415.
After installation is
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CURB & APP!?OACH APRON: After' forms
are erected but prior to pouring
.::on...--rete.
:?IN.4L BUILDINC: The, FinaL BuiLding Inspection must blJ l'equeate.:: altar the fina.Z ?!ur.:b-::nq
ElectricaZ, and Hechar.icaZ Inspectiona i'lQvlJ been made and approved.
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SIDEWALK d DRn'E'.-IAY: For aZZ con-
crete paving within street l'ight-
of-wcy, to be ma:ie after azz. e:cca-
vatina convlete & fo~ work & sub-
base mater1:a.Z in pZa=e. -
~ALL UMlHCLES AND CLEAl/OUTS IIUST 8E ACCESSIBLE, ADJUSTHEN'!: TO SE M1DE AT NO cas,;, TO CIT"! I F.;;e 1 of 2
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fENCE: ~'her. compZ;;te -- Pl'ovide
gates 01' movable secticns through
P.U.E.
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(520t.fOg
OCellpanc!, Gre
LOT TYPE
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;Jcb Number:
~ Zone:
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;Lot Sq. Ftg.
:~ ~f lot C~verage
Iii of Stories
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iTotal Height
: :topogl'aphy
lITEM
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!Main
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I Ga.1'ac;e
i
i Carport
I Accessorl/
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SQ.FTG
TOTAL VALUE
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IS.D.C.
(lJa'ueJ
1.5 x
Euildir.g Permit
State Surcha.rge
Total Charoges
ITEM
Futures
NO.
Residential (1 bath)
Srmitary Sewer
Water
Plumbing Perrr:i t
State Surcr.ax>ge
Total Charaes
lITEM
FEE
, NO.' FEE
Res. Sa. fta.
NelJ/Extend Circuits
Temporary Seroice
Electrical Permit
State Sur=haI'qe
Total Char~es
ITEM
NO.
Furna.ce ETU'S
j E::;haust, Hood
I Vent Fan
Woodstove
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Permit Issu=a
Me=hanica.l Permit
State Surchcrae
TotaL Charaer;
ENCROACHMENT --
Se~~ritl/ D3Posit
Storage
I Maintenan.::e
Permit
TctaL Charqes
I C'urbcut
I Sidewa.Zk
Fen~e
ELectrical Label
I Mobile Home
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TOTAL AMOUNT DUE: ~
FEE
Intericr
Corner
Panhandle
Cui-de-sac
x
Value
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CHARGE I
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CHARGE I
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Reference Numbers:
L-COG #:
Type/Const:
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Type
I Lot Faces -
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I P.L.
INorth
East
South
Iriest
Access.
Bedrooms:
Eneral/ Sources
Heat
Water Heater
Range
Fireplace
~/oodstove
Setbacks
House Garage
..- Fees
Building Value & Permit
This permit is granted on the express condition that the said construction
shail, in all respects, conform to the Ordinance adopted by the City of
Springfield, incZuding the Zoning Ordinance, regulating the construction
and use of buildings, and ma.y be suspended or revoked at cny time upon vic-
Zation of any provisions of said Ordinances.
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Plan Check Fee:
Date Paid:
Receipt #:
I Signed:
Plumbing Permit
No person shall construct, install, alter 01' change any neW cr existing
plumbing or drainage system in'whole 01' in part, unless such person is the
legal possessor of a valid plumber's license, except that a person may do
plumbing work to property which is owned, leased or operated by the appli-
'cant. .
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Electrical Permi t
Where State LOlJ requires tr.at the electrical work be done by an Electrical
Contractor, the electrical portion of this permit shall r~t be valid until
the Zabel has been signed by the Electrical Contractor.
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CHARCE Mecha nical
Permit
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Plan. Exam'/.ner a e
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I HAVE CAREFULLY EXAJJINED the completed -application for permit, and do
hereby certify that all inforomation hereon is true and ccrrect, and I
further certify that any arA aZI work performed shall be done in aaaor-
dance with the Ordinances of the City of Springfield, and the La;,JS of the
* State of Oregon perta.ining to the work described herein, end that NO OCCU-
PANCY wiZZ be TTrlde of any structure without permission of the Building Di-
vision. I further certify that only contractors ar~ e~loyees who are in
compliance with ORS '101.055 will be used on this project
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Date
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