HomeMy WebLinkAboutPermit Building 1986-3-3 (3)
00 RESIDEATIAL 00
APPLICATI6f!!'iPERMIT
225 North 5th Street
SpringfieZd, Oregon 97477
BuiZding Division
726-3753
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SPRINGFIELD
oTob Lor:ation: S-~6t' V#,/S ~ ~7: ,,' #~C>
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A8nesnor~ Map # . TGX Lot #
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Ctmer: r:h?~ y~ ~ d?f#"h .
Add1'ess:.~ ~rfS" .m~/H ~~ ;;;'>78
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Cit1J: ~~~Z;>. t?-/?
- 1 /.
Subdiv':"sion:' Lt:>r /t(.. 7l-(.A' I,~
4r,./ c:: ~
I .\' Np.:.J
I I Addition
I I Remodel.
I X I :fob':" l.e Homa
Mp~.d/A/# 'V/eh'
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Phone:
?y/-/,,?,~
~7 y;> 8
Zip:
Desr:P"'~be Il'or]{:
/~r~~ -:;'~'yS2' )'n~'B'~ #,//?~
w/T# /6 X 2~' <$A7Y~iE #dP
1~')(7.~' qR"P~T-,'~'JrI"iJ' '/Wb'/~.
/tI1J1N< ~ /Itt>/ttf~ ~_ 'Z_f/ y'd . - 0
'2 ~/'2-S6. ($~n~afuef~~. '1$/8...
. Date of AppZir:ation
:,'O':::l....:::::;ors
Genera?'
PZumbir.g
EZe.nrir:al.
I.fecn...."r.ir:::. l.
bW"'e-~' .
Cons:rur:tion Lender
_.
Acaress
!I
G'), ( ~,f/") 0 c.. b
C" d
v"/.gr:e :
Date:
t/l
:?-3-5((O
Lisr:.~
t.X'D'1.,PCS
Fi~onc
It is the responsibil.ity of the permit hoUier to see that al.z. inopections are made at ihe proper time, that ear:h =ddress is re~D:e
jrom the street, and that the pcrmit card is l.ocated at the front of the property.
.Bui!dir'4 Divicio~ aD~roved ~Lan sr~l.l remain on the BuiLdinq ~ite at al.l. times.
... ~ . ~ ~
?FiOCEDT.!!?E FO.'? INSPSC'l'IOl! RE'QUE'S'l':CALL 726-3769 (rcr:order) state your City design::zted job nzc;;ber, job acircss, tLJpe of ir.::per:~icT:
requested a~c w~en you wiLL be reacy for insper:tion, Contractors or Owne~s name ~nd pr~ne number. Reques~s rer:eived befere 7:00 ~~
~i~l be made the same day, requests made after 7:00 am wiil. b:: made the next working'day.
. Re07.l.iped TnSDp.cticn..c:
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SI::E ItiS?SC':'ION: To ba made after
e=cavati.:m, but prior tc set up of
foms.
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U!lDERSLA3 PLU!BING, EDS:::'l'PIC,1L &
,'.XCHA:}IC;,L: To be made before any
worK is ~ovcped.
ZJ
FOOTING !1 FOUNDATION: To be mace
after tl'enches are excavated and
forms are erected, but prior to
pouring'ccnr:ret::.
U!.':J2RG."!Ou:\'!) PLUMBING, SEI,':::R. 1>'.1TER.
D3AIllAGE: To be ma.ie prior' to fiZ-
lir:g trenches.
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UNDERFLOCR !.'LUt.'!3ING & !.:C:CHANICAL:
To be mace prior to instaLLation of
f100r insul.ation 01' decking.
POST AND BEA!.~: To be made prior to
instaZZ-c.doll of fl.ool' ins:.lation 01'
deckin;.
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ROUCh' ?LU,'rBI:",1C. ELEC';'!?ICA~ (: /.tECh'-
AI"lICA!.,: ;/0 :"'iorj~ is to DC aoz.:ered
ur.~il thcse inSDectio,:s h:we oem;
made and aPPl'Oved.
FI."!E'PLACS: Prior to pLadr.g facing
materials and bcfol'c fr'aming insper:-
tior..
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FRA!.'If!r;: Must be reque3ted after
approvc.l. of rough pl.~bing, el.er:tri-
r:al. & mer:r..anical.. AE roofir.g
brar:ing B chimneys, etc. ~~st be
r:omoleted. !lo u,ork is to be r:on-
. r:ea'l.ed until. thia inspcction has
'been made and approved.
Your City Desigr.ated Job Numba Ia: Rt:::..(!:>C;JB?
D
I/}SULATION/VAPO.r? BARRIER DlS?ECTION:
To be made after al.l. insul.ation ar~
required vapor carriers are in plar:e
but befere any lath, gypsum board or
wz.z. covel'ing is appZied, and befol'e
any insulation is conceal.ed.
DE:.!DLITIO!! OR ;~:DVE:; BUILDIj:CS
=:J Sani -:ary Se'..Jel' capped :::-: p~operty' line
"
~ Septic tank p~~ed and fil.l.ed with gra~e"i
"'".,
~"" .'
---, Final. - Il'hen abcve ite,ons are co,~letc.i
-! and when der.rol.ition is compLete or st:""..~-
ture moved and premises cLeaned up.
D
DRYlo/ALL I,'lSPSCTION: To. be made
aftep all drywall. is in place,
but pl'ior to any taping..
Nobil.e Homes
~ Bl.ocking
LJ Plumbing
~ El.cctrical. Conr.ection - Bl.ockiT~, set-u=
~ and pl.umbing co/!ner:tions rr...st .!;~ appr:;v~d
beforo requesting eZec::rical. inspectio~:
and Sat-:.Ip
r:onnec~ions
sewer ar.d wa-:el'
o
MASONRY: SteeZ
. ..."
Dearr;3" grou ./tng
accorciance ~~th
241E.
l.ocation"bond
or vertica l.s in
U.B.C. Section
. ~ Ar:ces~or:b" Buil..iing
. . . ~. . ,. . ~
~ Final. - Aftel' porc~es,
~ eta. ape ccmple=~d.
skil'ting, decks,
D
k'OODSTOVE:
ccmpleted.
After installation is
o
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Az.z. pro.ject cor.ditions, auc,': as the ~'.nstaz.z.ation of street t2'ees, r:c~l.et;:..:m of tne
requi2'ed l.andscapir.g, etr:., must be' satisfied before the BUILDING FINAL r:all be requested.
~ FIliAL PLU!-1BIlIG
::J FINAL f.fE(;HA:lICAL
.~ FIliAL ELE'CT!?IC!.L
~
o
FINAL BUILDING: The Final. BuiZ-ding Insper:tio/1 must be requested after the Final. Pl.umbil1.J
Electrical., and Mechanir:al. Insper:tions have been made and approved.
D
CURB & APPROACH APRON: Afte::> fol'TT/s
Ql'e erected but pl'ior to pou2'ing
I:!on.::rete.
*ALL MANHOLES AND CLEANOUTS lfUST BE ACCESSIBLE, ADJUST/fENT TO BE !,t~DE AT NO C:JST TO CITY
D
SIDEIIALK Ii DRIVEW.Y: 1"01' an co/!-
r:rete paving with~/! stl'eet right-
of-uX::!), tii bc'made afte2' aU. exca-
vating complete & fol'm ~~l'k & sub-
base matel'ial. in place.
o
~ENCE: k~er. r:ompl.ete -- Provide
gates 02' movabl.c sections through
P.U.E.
o
Paf:e 1 of 2
I
i JOB NO,
,
'7
!t-one:
SOLAR A*SS
Or:r:upanr:.2I Gr~
ILot Sq. Ftg.
,
!% of l.Qt Coverage
I
,.. f C't .
i~.o v ones
!Total. Height
,
I Topography
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IITEN
.IMain
i ,
I Gc:race
LCTTYPE
Interior'
Corner
I SQ. FTG
I
13'~
12'~
I I'
I Ar:cessorl/
1.M,e/~€ ~~
i
Is.D.c.
,
Panhandle
Cul.-de-sac
x . Val.ue
1/~40
Is~p I
I I
I I 2Si 'I/&>
I ~()S'8
I /fS"~. 72
~.SC>
2.62
5'Z.SZ
,
I Carvort
TOTAT., VAWE
1.5 x
(vaLue) .
BuiZ-ding Permit
State Surr:harge
Total. Charges
l NO. FEE I
ZJf~~r I
I
I
I, I I
iMD~/(~#z:?~ ~'-P I
i Pl.umbing Pe~t I
1,1 I
State Surcr.arge
i TotaZ Charaes I
lITEM
i-' ~
!'t._...""'"'"'t:..... .;Tl:'''~
I
iResidentiaZ '(1 bath)
! Sanitary Sewer
I
i i>'ate:!'
II I
IITEf.;
! Hes. Sa. fta.
I New/Extend Cirr:uits
NO. I
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..,-.-.,
J....;:,,~
i
! rOT! '-I'~ Seroice
El.e~trical. Permit
St:::.te Surcharae
Total. Cha:!'qes
,
! ITEl.~:
I
,
t F'urn::zr:e PTU' S
,
i &:haust Hood
INC.
I
I
I
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"'-.-1
,...,t'~..
r....w
: Vent Fan
1 Woodstove
Permit Issucmr:e
Mechanical. Permit
State Surcharae
Total. Charaer,
-- EllCROACHMENT --
"'. .
~~e~~nt.21 Depos"/.t
Storage
-'1aintenan~e
Pcrmit
Total. Charaes
.
Curbr:ut
SidewaZk
Pcn:::e
El.ectrical. Label.
Mobile Home J4,p'~e-
TOTAL AMOUNT DUE:"
?ZCD
/378
REQ.-
.
L - C 0 G~
'l'ype/Cor.st:
Bedrooms:
Lot Far:es -
I EnerGu Sourr:es
I Heat
, Ar:cess. I Water Yeater
I Range
I Fireolace
I Woodztove
II
T;.J:::e
Setbacks
P.L. 'House Carage
North
East
ISouth
IWest
Fees
Building Value & Permit
This permit is granted on the express condition that the said construr:tion
shal.l., in all. respects, conform to the Ordinanr:e adopted by the City of
Springfiel.d; inr:Zuding the Zoning Ordinance, regul.ating the construction
and use of buil.dings, and m:::.y be suspended or revoked at any time upon vio-
Zation of any provisions of said Ordi~nces.
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*
Pl.an Cher:k Fee: ~.83
Datc Paid: q,;.5..-zb
I Receipt #: r?,. & (P () 5 t-,
11_. _
I Signed: c.c.-
Plumbing Perrrdt
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CHARGE I
,20.UW> I
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2t>.~1
IS: aral
64
70_-0
r;z .80
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67$: ~7
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v.1AtiLrI:.
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CHARGE
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No person shall. r:onstruct, instal.Z, aZter or r:hange any new or e:isting
pl.umbing op drainage syste~ in ~hol.e or in part, unl.ess sur:h person is the
l.egal. possessor of a val.id pl.umber's l.ir:ense, exr:ept that a pe~son may do
pl.umbing wopk to ppopepty which is owned, l.eased or operated by the appl.i-
r:an t .
Electrical Permit
Where State Law requipes tr.at the el.ectpical. work be done by an EZe~trir:al.
Contractor, the el.er:trical. portion of this permit shal.l. not be val.id until.
the l.abel. has been signed by the El.ectrir:al. Contractor.
Mechanical Permit
~-- ~--n
~%::;=in"r :....,..< -~ .
uate
I HAVE CAREFULLY EXAJ.1INED the compl.eted appl.ication for permit, and do
hereby r:ertify that al.Z information hereon is true and corrcr:t, and I
further certify that any arn.al.l. work performed shal.l. be do~e in ac~or-
danr:e with the Opdinanr:es of the City of Sprinaficl.d, and th= L~~s of the
State of Oregon partaining to the wopk desr:ribed here~n, and that NO OCCU-
PANCY LJil.l. be made of any strur:ture without parmission of the Building Di-
vision. I further certify that onl.y r:ontmctors a;;d e~pl.oyees wilo are in
r:ompl.ianr:e with ORS 701.055 wil.l. be used on this project
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Signed
Date