HomeMy WebLinkAboutPermit Building 1984-5-14
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.< ' APPLICATIA'PERMIT
225 North 5th Street ..,
SpringfieZd~ Oregon 97477
BuiZding Division
726-3753
I
.. RESIDENTIAL..
SPRINGFIELD
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Job Location: 5 3 ~ ~ ''0C1. i' ['\~').. ~~t\\ 0 D .t) -#= ~ I
Asoesoors Map H \ fj D ~ '3 ~ 00 \j.aJ: Lot H t) \ ?Jnn
""d"".,o", ~ h () rr ~ w . . -
CAJner: ~~ 0'\\ ~ \ \.) _
Address: \.\r)~ ~ 9_~~.5\\\\(,.D) Phona:\4\O ~\Q\D1-
City: ~l\t'f\f\-OQ ~~6+e) Zip: ~~\l
, \ - -\\ 0 .
'1v1~w
I I Additicn
I I Remodel
I I :.Iobile Homa
Descnbe 11'01''':
~ulJ~ W\OJL t\\, \{-
CO-\'\-BC
Date of Applicaticn
Cont.ractors
,General \") 'S ~
: Plumbing \.'-..
i Nechanical
El~etricCll (U..l")" Q
SupervJ~ing, Elec t r.i c i;1 n
Value
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Rcoeipt .II
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Date:
(l'KCf
Bldrs Board Reg.
~RC\"O'
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Address
Lise. 'II
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Extiir.es
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It i8 the reoponoibility of the permit holder to see that all inopeotions' are made at the p~ope~ tim&, that ~aoh ~ees is readab:e
j'room the street, and that the PCI'mit oard is located at the front of the propel'ty.
"Bui!.ding Oivi::ior: appI'ol:ed Flan shall remain on the Building Sit$ at all times.
PI?QCSDURE FOR INSPECTION R::QUEST:CALL 726-3769 (rccorder) state your City des~gnated job nwr.ber, job addrcss, type of in3pec~iclI
requestcd a~d when you will be ready for inspection, Contractors or Owners name and phon~ number. Requests l'eceived before ?:oo ~
:..'ill be made the same dey, requests mede aftc~ ?:oo am will be made the nC:J:t :JOrkirt{J day.
, ' , Your City Deoigr.atcd Job Nr:u"bcl! IO:~q c:f\-lo'1
Remlil"p.d TnSDp.cticn.q
I SITE INSPEC'J'ION: To be made after
~ ezcavation, but prior to set up of
forms.
I UNDERSLAB PLUMBING. ELECTRICAL &
~ 'MECHANICAl-: To be made before any
work is ~ovcred.
D
FOOTING & FOUND,1TIOII:, To be made
after trenchcs are excavated and
forms are erected, but prior to
pouring ccncret~.
UNDERGROUND PWM!JINC. S::rlF:I? rl.1TER.
DRAINAGE: To be made prior to fil-
lir.g trenchee.
O UNDERFLOOR PLUI.!BING & NF:CHANICAl-:
, To be made prior to inutallation of
}1oor insu~tion or decking.
o
o
POST AND BEAM: To be madc prior to
installation of floor ins~Lation or
decking.
ROUClI PW."!8T!1G. F.l:F:CTR!CA!.. & MECFI-
ANICAl-: No work, is to bc eOL'el'ed
ur.til thcse inspectior.s have beer.
made a~ul approve=!.
FIREPLACE: Prior to pZecir.g facing
matel'ials and bcfore framing inspec-
tior..
FRA/1INC: Must be rcqucoted after
approval of rough plumbing, electri-
cal & mechanical. Al~ rOOfing
bracing & chimneys, etc. ~~st be
; completcd. No work is to be con-
, cealed unti l thio inspcction has
. been made and approved.
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D
D
D INSULATION/VAPOR BARRIER INSPECTION:
To be made after all insulation and
" required vapor barriers are in plaoe
but before any lath, gypsum boa~ 01' '
wall covering is applied, and befol'e
any insulation is concealed.
D DRyrlALL INSPECTION: To be made
after all drywall is in pLace,
but prior to any taping.
O MASONRY: Steel location, bond
beams, grouting or verticals in
accordance with U.B.C. Section
2415.
WOODSTOVE: After' installation is
ccmpleted.
D
D
CURB & APPROACH APRON: Afte:- forms
are areated but prior to pounng
~onarete.
DEMOLITION OR MOVED BUILDINGS
:=J Sanitary s6lJel' capped :it p:.opcrty lir.e
, :=J Septic tank pumped and'lilled with tJra:Jel
I Final';' rfhen above items are completcd
-..:..l and when demolition is oomplete or strll~-
tUl'e moved and prcm1.sescleaned up.
Nobile Hcmes
J::}-Blooking and Set-up,
~lumbing connections .- scwer and water
~ Eleotrioal Conneotion .'Blooking, set-uF
-1.:hmd plumbing conneotions ~~st ce approlJed
befol'c requesting eleotrical inspeotion
~ Aocessol";j Building
~ Aftal' porohes, skirting, decks,
~ etc. al'e oompleted.
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SIDEIIAf,K & DRIVEIIAY: For all con-
crete paving within street right-
of-r.JCy, to bc made after all e:J:ca-
vating complete & form work & Dub-
base matenaZ in pLace.
:All project cond'itions, such as the 1'.1!stallation of street trees, co::rplotion of the'
required Zandscepir.g, etc., must be satisfied before the BUILDING FINA4 can,:be rsqueat:1d.
D FIliAL PLU/.!8l!/G
o FINAL NE(;IIA.'lICAf,
o FINAL ELECTRICAL
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FINAL BUILDING: The Final Building Inapection must be requeoted aftol' tha Final PlumbilliJ
Electrical, and Mechar:ical Inspectiono havo been made and approved.
D
['ENe!?: ~'1ler. complozte -- Provide
gatec 01' movable sections through
P.U,E.
'AU f.fANIIOLES AND CLF.ANOUTS HUST BE,ACCESSIBLE, ADJUSTnENT TO BE ~L4DE AT NO COST TO CITY I Pa!7a f of :l
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j JOB N2. ~qr'Al09 SO. LAR j(CE~S_REQ,-
I Zona: L\ \~, OcculJancl{ _: K- )
.. . I Lot Faces -
I
I P.L.
North
8ast
ISouth
IWeot
Lot Sq. Ftg.
S of lot Covel'agc
fI of Etol'ies
TotaL Hei(J~'t
Topography
. LOT TYPE
'. .
Intel'u"r"'.'. ....
COMer ,'Y
Panhandle
",'
Cul-de-sac
I
I TTm
I Main
I GaraGe
I Carpol't
I Acceaaoru
I
I
Is.D.c.
SQ.FTG
1 X Valua
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I
I I;
I
I
I
I
I
TOTAL VALUE
(vcl.uc)
1. S :r:
.', :' Building Permit
.'
.Stat6 Sul'oharge
. Total Chal'ges..
ITEM . I NO. FEE
Fi:z:tures
I Residential (1 bath)
I Sanitary SelJer I I
I Water II
II I
CHARGE
I
I
1\5.00
I "~S
I \'3.15
Plumbing Pern:it
State Surcr.arge
Total Charoes
IIT8M
I Res. So. (to.
IN~/8:r:tend Cil'cuits
I Temporary Seroice
I
, NO. 'FEE
CHARGE
I I
I, I
j
/:
I
ItS.CD
I .~
1\~.'lSI..
Ele~trical Permit
State Surcharf1e
Total Chart;es
lITEM
I Ful'nace T!TU' S
l8:r:haust Hood
I Vent Fan
IlIoodstove
I
I NO.,
I
I
I I
I I
I I
FEE
ClIARCE
I
I
I
I
I
I
L
Pel'lllit Issua1lOe
M6chanical P6l'11rt't
StatD Sul'c~e.
Total C1ia1'offo
-- ENCROACHMENT --
SeC"~rit~De1XJ3it :
,.. ,-,. ,I'ti".",,...,,, ..
Storaae
. ;. j . ; ~ I . ,'. . : 'I J t'. .
; ...W..''''l '\~,.irlI,,':'I~:""I""'.1 '!I'IJ,(Ay."~;' ,II"I~':".'
Maintenanae
Pcrmit
I Total Chal'fros
I Curbcu~
I SidelJa lk
l
I
I
"r:'cn::e
Electrical Lab6l
I Mobile Home
I
I
I TOTAL AMOUNT DUE: ~
I ,fJTl
Il~~rn
I \,"~
I
In Q 4-~
.', S~)
l
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. ..
T~'/Je/Cor:8t: .
r
L - c~~
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r.L '
Bedrooms: ,_ J
'1
Setbacks
House . Garage
I E/lerqu SO:II'cas
I Heat. ~c...,
I Watm' .'faatn' f:-
I Range r
I ' Firer> Zace -1\ I .
, Wood:; tor;e \ '-J A
I I \ '
I
T:iI:oe
Access.
-- Fees
Building Val'ue
&
Pe'rm i t
Thio. parmi. t in (1ran tcd on the e:r:preaIJ condi tion tha t the /IOlid co'w tl'Uc't/:on
shaU, in all renpcctn, conform to the O,.dl:I1W:CC :uJoptt",) iJ'y ti,e City of
Springfie Zd, incZuding the 20nina Ordinance, r'cgu k t ill~l the cellG t I'U':: t ien
and UGe of buildings, alld m.:AY bo sUGpendad 01' I'evokcd at C'IY t:'.m'r.? upon vie-
'Zation.of any provisions of Gaid'Ordinances,
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Plan Check Fee:
Datc Paid:
Recdpt 1/:
Signed:
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Plumbing Permit
No person ahall conotl'Uct, inotal!, aZter or clulI1ga any newel' e:::isting
plumbing or drainage ByOte.71 in whole or in part, w:leGs such pel'GOn is the
legal pOGOeSROr ofa valid plumbar's licenlJe, e:r:capt that a pe:'30n may do
plumbing lJork to propm.ty which is olJned, leaoed or operated by the appZi-
. cant.
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Electrical
Perm i t
Where State fAtJ require.9 tr.at the cZectrical worK be done by all Electl'Lcal
Contractor, the electrical portion of ~hi8 pal''mit ohall not be valid wltil
the. Zabel has been aigned by the Electrical ~Ol1tractor,
Mechanical
PermB
t
~
Plait E:r:amillel'
vatc
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I HAVE CAREFULLY EXAMINC:D t.1w completed application for permit, and do
hereby certify that all info:'mation hereon is true and corrcct, and I
further certify that any a1".d all lJOrk perfor:ned shal!. be done in accor-
dance with the Ordinances of the City of Springfield, and th: Ur.J8 of tho
State of Oreaon pataining to the lJOrk described herein, !Z.l1d tllQt NO OCCU-
PANCY will be made of any structura'witho~t p8rmisnion of the Buildina Di-
vision. I further certify that only contractors a;~d e.71pl.:Jyees wr.o are in
compliance with ons 701.05~ will be ueed on this projsat
y R ~ -p.
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