HomeMy WebLinkAboutPermit Building 1989-9-28 (2)
.. RESID~TIAL" SPRINGFIELD
.". APPLICAT.PERMIT
225 North 5th Street
Springfield~ Oregon 97477
Building. Division
726-3753 .
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Job wcation:
ASDessor3 Map
Subdivision:
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ReQUired Insop,ntionn
O SITE INSPECTION: To be made after
e:&cavation, but prior to set up of
. forms.
O UNDERSLAB PLUMBING. ELECTRICAL &
: MECHANICAL: To be made before any
. work is covered. .
r:-::::r'FOOTING & FOUNDATION: To be made
~ after trenches are e:&cavated and
forms are erected, but prior to
pouring concrete. '.
~ UNDSRGROUND PLUMBING, SEWER,W.1TE!?)
t:J DRAINAGE: To be maae prior to fil-
.7.ir.g trenches.
D. UNDERFLOOR PLU~mING & MECHANICAL:
, To be made prior to inotallation of
floor insulation or decking.
O POST AND BEAM: To be made prior. to
installation of floor insulation or
decking .
D ROUGH PLUMBING. ELECTRICAL & MECH-
ANICAL: No lJOrk is to be covered'
. .until these inspections have beer.
; made and, approved. .. . '. I
D. FIREPLACE: Prior to pZacir.g facing
materials and before ~'. ......;ng inspec-
tion.
D FRAMING: Must be requested after
approval of rough plwrbing, electri-
cal 8 mechanical.. Al.l. roofing
.' bracing" chimneys, eta. must be
:' completod. No work is to be con-
", cealed until this inspeotion has
'be~n made and approved.
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o FINAL PLUMBING
D FINAL MECHANICAL
o FINAL ELECTRICAL
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Describe h'or/{:
Your City Desigr4ted Job Number Is:
D INSULATION/VAPOR BARRIER INSPECTION:
To be made after. all insul.:oti:m and
", roquired vapor barriers are in place
',:: ., but before any lath, gypsum board or
, .' wa1.1. covering is applied, and before
.. '.' any insulation is concealed.
O DRYWALL INSPECTION: To be made
after all drywall is in place,
. but prior to any taping.
O MASONRY:. Steel location, bona
beamo, grouting or verticals in
accordance with U.B.C. Section
2415.
D WOODSTOVE: After instal.lation is
completed.
CURB & APPROACH APRON: After' forms
are created but pl'ior to pouring
concrete.
D SIDEWALK & DRIVEWAY: For all. con-
crete paving within street right-
pf-way, to be made after all. exca-
vating complete & form work & sub-
,I ;', base T1IC1:terial in p7Aae. .
D
D
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~ENCE: R~en complGte -~ Provide
gates or movable sections through
P.U.E.
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Address: t)\ . ~, "~ ~ \3 phone:'14,-4f'f'6
City:~~ ~ [C}eJ (.J .' Zip: qlL\l~
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I I Nl?w
II II Addition ,,~lJ~ \D~ ~
Remodel 0
I' A ' 1 J OC().() Signed:
~. :.Iobile Homc () J /.l 0 A 0 Date:
Date of Application ,.: '-1~ 0 . n9. ~f.~J '"t ~
Contrac tor.s ~ 'Lisc. IIBldr~. Board Ref!.
. General ~600S ,f..lYL 't'\4qrJ
i Plumbing ~.~, ~...ai -n. ~~ loR4-'
I Hechanica \\ l~ ) 0 ".'
EJ,t!ctricali:;t!1'L-.tP/. Lt~~A. r 261-?9 c..
SUDervi::siri~ E~ectr~cian A ~ - - .
[t is the responsibilf.ty of 'the permit .... to see ~ a7l inspections are made a~ the prqper time, that e(;ch .:ddres3 is readab~e
fl'om ths street, and that the permit c . 'Located at the front of the property. .
~Bui!di11!J Dividor. approved plan s.hall remain on the Building Sit;; at all times.
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PROCEDURE FOR INSPECTION R::QUEST:CALL 726-3769 {recorder} state your City designated job number, job address. type of in3pec~iclI
requested ar.d when you wil.l be ready for inspection, Contractors or O/Jners nane and phone numbor. Requests received, before 7:00 <:.1
r..,al be made the same day, requests mad~. after 7:00 am wil.l ba made the next ;JOrking day.
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DE:NOLITION OR f.:OVED BUILDINCS~
i
:=J Sani~ary SelJel' aapped .:It p~op;;rty Ur:e
\ :=J Septi.:: tank p:<mpcd and fil.led with ;jra:loL
. .
I Final - I.~en above items are completed
---l ar.d when demolition is complete or stru~-
ture moved and p~~3es cleaned up.
I Mobi l.e Ilemes
I _
~.Blocking and Set-~p
~lumbing connections -- scwer and wa~er
~ ~lectrical Connection - Blocki,tg, set-up
~nd plumbing conr.ections nr~st be approved
before requesting elec~rical inspec~ion
~ Acaessol"i Building
---, ~l - Aft;r p~rches,
~etc. are completed.
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skirting. decks,
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Az.z. project conditions, such as the i.nstaLl.ation of street trees, co"~plation of the ,
required landscaping, etc., must be satisfied before the BUILDING FINAL can be raquestad.
FINAL BUILDING: Thn Final Building Inspection-must be requested alter tho Final PlumbilLJ
Electrical, and Mechar.ical Inspections hava.~een'made and approv2d.
~ALL MANlIOLES AND CLEANOUTS MUST BE ACCESSIBLE, ADJUsi'nENT TO BE MADE AT NO COST TO CITY I Pa!:c ! of 2
L - C 0 G~
Type/CoT:st: .. BedroomS:
I Enerq,u Sources
I Heat
Access. I Water Heater
I Range
I Fireplace
Wood:;tol:e
JOB NO.mmto{ SOLAR AC~E~S REQ.-
Izona: I nR Occupancy G~
wt Sq. Ftg. LOT TYPE ., I Lot Faces -
S f l t C Interior I Setbacks
~ 0 OlJeragc I P. D. Rouse Carage
,~ of Stories Cornel' INorth
Total Height Panhandle East
ISou th ,
Topography _ Cul-de-sac lrvest
'1rm~
I ,(ro pL
(vaLue) l '7.A\4.ci>1 ~5'8.'~T ~
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J6.38
ITEM
I SQ.FTG
x
Main
Garaae
Carport
I AccessorII
TOTAL VALUE
S.D.C.
1.5x
~--
Building parmi t
State Surcharge
Total Char'gea
ITEM
I NO.
FEE
F1.-t.'"~R t'\\ H
IResidential (lbathJ
Sanitary Sewer
Water
~ JrID{ijYl
Plumbing Pel'1r.it
State Surc1'4rge
Total Chargos
IT/:.'M
FL, .j,,, ?to. m. N
I New/Extend Circuits
I Temporary Service .
I NO.
FEE
I'
I
Eleatrical Permit
State Surcharge
Total Char~eB
ITSM
NO.
FEE
Furnace ETU' S
I Exhaust Hood
I Vent Fan
I Woods tove
I
Permit Issuance
Mechanical Permit
State Surcharae
Total Charoes
-- ENCROACHMENT --
Se~~rity DepOsit
Storage
I Maintenance
I Permi t
I Total Charges
I eurbaut
I Sidewalk
I Fence
I Electrical Label
I Mobile Home
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Va lue
CHARGE
15.00
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16.
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CHARGE
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-- Fees
Building Valuel.& Permft'
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This permit iB granted on the express condition that the said construction
shall, in all respects, conform to the ordinance adopted by the City of
Springfield, incZuding the Zoning Ordinance, regulating the ccnstruaticn
and use of buildings, and may be suspended or revoked. at any time upon vic-
.lation of any provisions of sai4Ordinances..
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I Plan Check Fee: I I . ~~ >?
I Date Paid: ct . - I '3. 8'1
IR~ceiPt H:. J.A4 '6liR
dS1-gned: c::${Jfn f "
Plumbing Permit
No person ohall construct, install,. alter or change any new cr ezisting
plumbing or.drainage system in, whole or in part, unless such person is the
legal possessor of a valid plumber's license, except that a per' son may do
pll~bing work to property which is owned, leased or operated by the appli-
cant. ' . "
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Electrica I
Permi t
Where StAte raw requires that the electrical work be done by an Electrical
Contractor, the electrical portion of this permit ahall not be valid until
the label has been signed by the Electrical Contractor.
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Mechanical Permit
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I HAVE CAREFULLY EXAMINED the completed application for permit, and do
hereby certify that all information hereon is true and correct, and I
further certify that any ar.d all work perfor:ned shall be done in accor-
dance with the Ordinances of the City of Springfield, and thc Ur~s of the
State of Oreg~n psrtaining to the work described herein, and that NO OCCU-
PANCY will be imde of any structure without permission of the Building Di-
vision. I further certify that only contractors and e~pl~yee8 who are in
compliance with ORS 701.055 will be used on this project
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Sign:'ld
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Date