HomeMy WebLinkAboutPermit Building 1987-10-28 (3)
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APPLICATION/PERMIT
225 North 5th Street
SpringfieZd, Oregon 97477
BuiZding Division
726-3753 '
Job Location: 5 b Co 0
ASGessors Map # I g OJ./O '-/ Il
QJner: -S D ct Gcu1X <~
Address: ~q~q Lf CtuLf'Crl~ \ELf
City: '7 ---u (( M Q..., \
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Subdivision:
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AdditiC1l
Remodel.
Uobil.e Bona
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Receipt ,II
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SPRINGFJ~I n
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Taz Lot #
Phone: ro ?; q ~ L/{ +
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Zip:
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Sigr.ed:
Date:
Date of Appl.iI:ltrticn
Contractors \ Address
General. r.., AJY\~ ' . 'I
X/~O~+~
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Pl.wnbing
. El.ectrical.
Mechar.ical.
Construction Ltmd8r
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Lise. #
E:r:oires
Phone
It is the respcmsibi1.ity of the perwri.t holder to see that al.l. inDpections are made at the. propel' time~ tr.at each r:ddress is readabZ
ftom the street~ 4nd that the perrrrit card is 1.ocated at the front of the property.
~Buit.ding Divi::ior. approved plan shaZl. remain on tha Building Sit8 at aZl. times.
PROCEDURE FOR INSPECTION REQPEST:CALL 726-3769 (recorder) state YOUI' Pity designated job mD7;ber~ job address~ type of inspec~icn
requested ar.d when you wil. l be ready for inDpecti.on~ Cont;ractors or Owners ncme and phone number. Requests received before 7: 00 a::;
wil.l. be made the same dc.y~ requests made after 7:00 am wiZl. be made the ne:r:t :JOrking day.
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Reauired Insvections
.0. SITE INSPECTION: To be made after
excavation~ but prior to set up of
. . forms.
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O : UNDERSLAB PLUMBING. ELECTRIC,1L &
. MECHANICAL: To be made before any
. IVOrk is aovered.
'~ .
Ix' I '~OTING & F~DATION: To be made
after trenches are excavated and
" forms are erected~ but prior to
pouring concreta.
0, UNDERGROUND PLUMBING, SEWER, w'1TER,
DRAINAGE: To be made prior to fiZ-
, Zing trenches.
0: UNDERFLOOR PLUMBING & MECHANICAL:
. . To be made prior to instal~tion of
,'. .:, floor insu~tion or decking.
O POST AND BEAM: To be made prior to
instal~tion of [tOOl' insu~tion or
, decki7lfi.
D ROUGH PLUMBIllG. ELECTRICAL & MEC.H-
,ANICAL: No work is to be covered
,ur.til. these inspections have beer.
made and approved.
D FI!?EPLACE: Prior to placir.g facing
materials and before framing inspec-
tion. I...
I XI FRAJ1IN(f: Must be requeated after
approval of rough plwrhing. alectri-
cal. & mechaniaal. AZZ rOOfing
bracing & chimneys. eta. l71'oolst be
;' completed. No work is to be con-
, "",cealed until. this inspection has
. b6~n made and approved.
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D FINAL PLUMBING
D FINAL MECHANICAL
o FINAL ELECTRICAL
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Your city Desigr.ated Job Number 10: '
810 ~ '7 ftI:l
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D INSULATION/VAPOR BARRIER INSPECTION:
To be made after aZZ insulation ar.d
: : " required vapor barriers are in p ~ce
,:. . but before any lath. gypswn board or
waZZ covering is applied~ and before
any inDu7.ation is concealed.
, DEMOLITION OR ,~:OVE[; BUILDINGS
:J Sanitary SelJer capped at p~opert':i Zir.e
=:J Septic tank p-...r.:ped and filla~ with gra~e,
D DRYWALL INSPECTION: To be made
after aU drywaZZ is in p~ce.
but prior to any taping. .
O MASONRY: Steel location. bona.
beams. grouting or verticals in
accordance with U. B. C. Section
2415.
D WOODSTOVE: After inDtal7.ation is
completed.
I Final - r,Then above items are completed
---1 and when demolition is complete or struo::.
ture moved and premises cleaned up.
..
Mobile Homes
~ Blocking and Sat-~p
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Plumbing connections
saJer and water
... . . . 5~
D CURB & APPROACH APRON: After forms
. are erected but prior to pouring !:ll
. con.::rete. "7
Electrical. Connection - Blocking~ set-up
and plumbing connections nroolst be approvec
before requesting electrical inspection
D SIDEWALK & DRIVEWAY: For all con- I
crete paving within st;reet right- r ~ Accessory Building
pf-way. to be made after all exca-
vating ccrrll?let~ & form work & sub- \t1 Final _ After porches~
. base matenal 1.71 place. . ~<::;; j::::J. etc. are completed.
skirting. decks~
D PENCE: When complete -- Provide
gates or movable sections through
P.U.E. .
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Al.l. projeat conditions. ouch as the install.ation of street trees. c~~l.etion of the
required ~ndscapir.g~ etc. ~ must be satisfied before the BUILDING FINAL can be requested.
FINAL BUILDING: The Final Building Inspection must be requested alter the Final. Plumbing
Electrical. and Mechar.ical InspectionD have been made and approved.
,
~ALL MANHOLES AND CLEANOUTS MUST BE ACCESSIBLE. ADJUST/fENT TO BE MADE AT NO COST TO CITY
I Page 1
of 2
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Accessorl/ '=3 2
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TOTAL VALUE .J? :283 \
,
I /9~.2S -.A;'~
17. -:)0
,.98 ,_ ')..
, /8" '88
'20. ~
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Where State La1J requires that the electrical work be done by an Electrical
Contractor, the electrical portion of this permit shaZZ not be valid until
I' /5. -e> the Zabel has been signed by the Electrical. Contractor.
1-/.5'. ~
I 36'.-.1>
I /. $P -ji)t
I 3.1..s;o~ *
JOB NO.
SOLAR .ESS
Occupancl/ Group:
WT TYPE
Interior
COl'1ler
Panhandle
Cul-de-sac
Zone:
Lot Sq. Ftg.
S of Zot CJl)erage
# of Stories
Total Height
Topography
ITEM
SQ.FTG
x
Value
Main
/~;:;g'3
Garaae
Car-oort
Is.D.c.
(vc./.ue)
1.5 :r:
Building Permit
State SUI'charge
Total Cho.....ges
lITEM NO. FEE
I F1ztuIoes
Residential. (1 bath) I
Sanitary Sewer. II I
Watezo II I
~A" L..J P I I
CHARGE
Pl.umbing Permit
\'
State SUI'cr.arge
Total Charaes
ITEM
, NO.' FEE
CHARGE
Res. Sa.' fta.
NewlE:t.:tend Circuits
l~, ~ ~" "'';' ,Service
J1~g (..) p
1/ I
III
....
El.ectrical. Permit
State SUI'charqe
, ,
,......?:'\::
Total Charqes
lITEM NO. FEE CHARGE
Furnace ETU'S
&haust Hood I
I Vent Fan I I
Woodstove I I
I I
Permit Issuance
Mechanical Permit
State Surcfzarae
Total Charaes
-- ENCROACHMENT --
SeC"~ritl! Deposit
Storage
I Maint~e
I Permit
I Total. Charqes
rCurbcut
I Sidewal.k
I
I
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I
I
I
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'3'3~. ~6
Fe~e
Electrical. Label
I Mobile Home ~H~C4= M~
I r-~
I
'25:-11";
/. :?sl
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TOTAL AMOUNT DUE: *
<'age "
-
REQ....,
.
l-cod~
I Lot Faces
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I P.L.
North
East
South
West
Ti!pe/Cor.st:
./
Setbacks
House Caraqe
Access.
Bedrooms:
Snarel/ Sources
.
Heat
Water Heater
Range
, Firep lace
Woodstove
Tu'Oe
I I
-- Fees
Building Value &
Pe r m i t
This permit io granted on the e:r:press condition that the said construction
shall, in all respects, conform to the Ordinance adopted by the City of
Springfield, including the Zoning Ordinance, regulating the construction
and use. of buildings, and may be suspended or revoked at any time upon vio-
lation of any provisions of said Ordinances.
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Plan Check Fee:
Date Paid:
Recdpt #:
Signed:
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Plumbing Permit
No person shall. construct, install., al.ter or change any new 01' ezisting
pl.umbing or drainage system in whole 01' in part, unless such person is the
legal. possessor of a valid plumber's license, e:r:cept that a person may do
pl.umbing work to property which is owned, leased 01' operated by the appl.i-
cant.
,/
Electrical Permit
Mechanical Permit
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~ Examiner ( '/,.'
/L;..2?-&:::>
uate
I HAVE CAREFULLY EXAMINED the compZeted application for permit, and do
hereby certify that aZZ info:'l11ation hereon is tl"Ue and correct, and I
furthezo certify that any ar.d aZZ work performed shaZZ be done in accor-
dance with the Ordinances of the City of Sp1'ingfieZd, and the L~~s of the
State of Oregon pertaining to the work described herein, and that NO OCCU-
PANCY wiZZ be mde of any stl"UctUI'e without permission of the Building Di-
vision. I further certify that onZy contractors ar.d enpZayees who are in
c~~pZiance with ORS 701.055 wiZZ be used on this project
(JlJrkl8l?d /:,;~f
S~gnad -
1f);;~/i7
Date
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