HomeMy WebLinkAboutPermit Building 1989-11-7 (2)
.. RESIO_TIAL..
APPLICATION/PERMIT
225 North 5th Street
Springfield~ Oregon 97477
Building Division
726-3753 '
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CkJner: \'\ \{\ \\ \. ~ \\ \ '\ \(\ \\O()\ .lJ~0 ,'I I
Address:A)Dm ~ D I !:)~~ Phone: l.o<?t 0 - b)~
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,Lise. # ,Bldrs Board
Job Location:
Asoessors Map
Subdivision:
I New
I Addition
I Remodel
I Mobile Hort/a
Date of Application
'Contract~. _ .~ ~ \
iGeneral ~\\.Q ~
iplumbing
I H~chanical ( _ '\
E),ectrical '\\ \(').. ./
Stlpe~i"'S~ng_)i~c t r. ~c ia n
SPRINGFIELD
Describe 1.'or1<:
Address
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Signed:
Date:
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Re~.
Expir,es
'POl1np
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It is the responsibility of the permit holder to see that an inspections are made at the proper time. that each :;ddress is readab~e
jioom the street> and that the permit card is located at the front of the property.
~Bui!ding Divi:;ior: approved p?an shan remain on tha Building Sit$ at an times.
.
PROCEDURE FOR INSPECTION REQPEST:CALL 726-3769 (recorder) state your City designated job number, job address, type of in3pec:icll
requested and when you will be ready for inspection. Contractors 01' CkJners name and phone number. Requests received before 7:00 CIr.l
r..'ill be made the same day, requests made after 7:00 am wiZZ be made the next working day.
I'.' .,' y:rnr 'City Deoigr.ated Job Number Is: g'()RfJ
ReouirRd TnsuRctions
I /1' SITE INSPECTION: To be made after
V excavation> but prior to set up of
, forms.
O "UNDERSLAB PLUMBING. ELECTRICAL &
: MECHANICAL: To be made before any
. work is aovered.
ca
FOOTING & FOUNDATION: To be rrrzde
after trenches are excavated and
forms are erected, but prior to
pouring ccncret".
D. UNDERGROUND PLUMBING. SEWER. W.4TER,
DRAINAGE: To be made prior to fil-
Zir'.g trenches.
D, UNDERFLOOR PLUMBING & MECHANICAL:
, To be made prior to instaUation of
floor insulation or decking.
o
POST AND BrJAM: To be made prior to
installation of floor ins~Zation or
decking.
ROUGH PWMRING. ELECTRICAL & MECH-
ANICAL: No work is to be covered
.until these inspections have beer.
~e and approved. _
FIREPLACE: Prior to pZacir'.g facing
materials and before framing inspec-
tion.
I_ /1 FRAMING: Must be requeoted after
\r approval of rough plwrhing, electri-
cal & mechaniaal. All roofing
bracing & chimneys, eta. must be
; completed. No work is to be con-
,"-' cealed until this inspection has
. ~ been made and approved.
"
D
D
,',-
O INSULATION/VAPOR BARRIER INSPECTION:
To be made after aU insulation ar>.d
" required vapor barriers are in p ?ace
,,' ',' but before any ?ath, gypsum board or
, wan covering is applied, and before
" ',' any insulation is concealed.
O. DRYWALL INSPECTION: To be made
. after aU drywaU is in p?ace,
but prior to any taping.
D' ~SONRY: Steel location, bond
beams, grouting or verticals in
accordance with V.B.C. Section
2415.
D WOODSTOVE: After installation is
ccmpleted.
D
CURB & APPROACH AP!?ON: After foms
are areated but prior to pouring
aonarete.
DEMOLITION OR MOVED BUILDINGS
/
:=J Sani :ary SelJer aapped at p~operty Zir:e "
==:J Septic: tank pumped and fiLLed with gra,eL\
\
I Final - l.'hen above items are completed
~ ar.d when demolition is complete 01' strua-
ture moved and premises aleaned up.
Mobile Homes
~ Blocking and Set-up
~ Plumbing connections -- scwer and water
~ Electrical Connection - Blocking, set-up
~ and plumbing connections ~~st be approved
before requesting electrical inspection
~ Acaessol"d Building
.~. . .
~ Final - Aftar porches, skirting, decks,
~ etc. are completed.
D
I
AU project conditions, Buch as the i,nstaUation of str'eet trees, co::rpletion of the
required landscaping, etc., must be satisfied before the BUILDING FINAL can be requested.
o FINAL PLUN!JItIG
D FINAL MECHilNICAL
D FINAL ELECl'l?ICAL
CJ
D' SIDEWALK & DRIl'EWAY: For aU con-
, crete paving within street right-
of-way, to be made after aU exca-
vating complete & form work & sub-
, base material' in p?aae.
D PENCE: When compl..te -- Provide'
gates or movable sections through
P.U.E. .
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FINAL BUILDING: The Final Building Inspection must be requested after the Final Plumbing
Eleotrical, ana Mechanical Inspections have been made and approved.
'AU MANl/OLES AND CLEI!NOUTS MUST BE ACCESSIBLE, ADJUST!fENT TO BE t,MDE .~T NO CaST TO CTTY Pa!~e' of 2
~~ ',.. I'
I JOB
NO.
Type/Const:
.
"
L - CO c;'-'~
Zone:
SOLAR ACCESS
Occupancy Gr. .
WT TYPE
REQ.-
Bedrooms:
Lot Sq. Ftg.
I of lot c.overage
# of Stories
Total Height
Topography
. Lot Faces -
"
P;L..
'forth
East
SoUth
West
-- Fees
I
I.
I
I.~
Enerqy Sources
Heat
Water !leater
Range
Fireplace
Wood:;tove
Tzme
Interior
Corner
.. j Panhandle
Cul-de-sac
, .,
Setbacks
House Garage
Access.
lITEM
SQ.FTG
x.
Value
Building Vc;due & Permit
Main
Caraae
Carport
Accessory
,!I f)/?;-:- 10. 10 ~'05'J. ~o.: ,,:
This permit is granted on the'express condition that the said construction
shall" in aZZ respects, confoi'm to the Ordinance adopted by the City of
Springfield, incZuding the Zoning Ordinance, regulating the construction
and use of buildings, and may be suspended 01' revoked at en)! time upon vio-
?ation of any provisions of said Ordinances~ .
, .
Is.D.c.
TOTAL VALUE
(va/.uc)
1.5 x
Building Permit
State Surcharge
Total Chal'ges
lITEM NO.
I Fixtures
IResidential (1 bath)
FEE
~
b8.50
3.43
7/.93 ~
CHARGE
Plan Check Fee:
Date Paid:
Recdpt /I:
Signed:
44 .5~_'
(()'Lf5' ,;XSq
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I ()n -
Pe r it
..'
Water
Plumbing
No person shall c~nstruct, instalZ. aZter'or change any new 01' existing
plumbing or drainage syste:nin 1JJhole or in part, unless such person is the
legal possessor of a valid plumber's license, except that a person may do
plumbing 1JJork to property which is owned; leased or operated by'the appli~
cant.
Sanitary Sewer
Plumbing Permit
State Surcr.arge
Total Charaes
I ~. I .
, ,
ITEM
, NO.' FEE
CHARGE
Electrica I Perm it
Res. Sa. fta.
NeuJ/Extend Circuits
Where State Law requires that the electrical work be done by an Electrical
Contractor, the electrical portion of this permit shall not be valid until
the Zabel has been signed by the Electrical Contractor.
Temporary Service
I
~ Electrical Permit I
State SUraharqe I
Total Charc:es l ~
ITEM NO. FEE CHARGE
Furnace ETU is
I Exhaust Hood
I Vent Fan
Woodstovel I
II
Permit Issuance I
Mechanical Permit I
State Surcharae
Mecha nical Permit
. Tota l Charoes.
-- ENCROACHMENT --
I
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4
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Security Deposit
Storage
-.7
/tt:?- <~j- '07 .
uate
Examiner ( ~
Total Charqes
I
I
.
I HAVE CAREFULLY EXAMINED the completed application for permit, and do
hereby certify that aZZ info1'TTlation hereon is true and correct, and I
further certify that any ar.d all work performed shall be done in accor-
dance with the Ordinances of the City of Springfield, and th~ L~~s of the
~ State of Oregon pertaining to the work described herein, and that NO OCCU-
PANCY will be made of any structure without permission of the BuiZding Di-
vision. I further certify that o:-zly contractors and e:nployees who are in
compliance with ORS 701.055 wiZZ be used on this project
Maintenance
I Permit
,
I CU1'bcut
I SideuJalk
I Fence
I E7.ectl'ica7. Label
I Mobile Home
r ' ;
I I ~ ;~
I I k ? /9/9
7fJJ7:J I ~ned t? Date /
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I TOTAi AMOUNT DUE: ~