HomeMy WebLinkAboutPermit Building 1989-7-17 (3)
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.. RESIOWTIAl'.
" APPLICAT~PERMIT
225 North 5th Street
Springfield~ Oregon 97477
Building Division
726-3753
.
SPRINGFIELD
bLthD /J1iS1./ fspaLi- '61
I BOQ()4 f i Tax 'Lot Ii ()(f) { ( q
Job Location:
AsoesGors Map H
Subdivision:
CkJner:
fYV1JrJ) I f1 /J7 Ikf40 /1'5
if)9J uJ. 2;;-15-
0JA
Address:
City:
Np.w
..tJ
Mdition
RemodeL
~.fobi Le Home
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.
Phone:
&9u'J'52~:
17tfdb
\lsV
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Zip:
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Describe rl'or1<:
.
Signed: ~/.? G..Mj"~
Date: tl 7-/7- K 9
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,.: /.f~Zt-Bj
0.2-
Address
cNtfl'-t/lfL ~L:.
Date of AppLication
Cont.raetors
, General
, '
! Plumbing
I Heehanieal
I E),ectrieal
I Supervising Eleetr~cian
, Lise. /I
Bldrs Board Reg.
Expires
PhOJ1P
It is the responoibiLfty of the permit holder to see that all inspections are made at the proper tim€, that ~~ch ~dreso is readab~e
from the street, and that the permit card is Located at the front of the property.
~8uiZding Divi:;ior: approved plan ~haLL remain 011 the BuiLding Site at aLL times.
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PROCEDURE FOR INSPECTION REQPEST:CALL 726-3769 (recorder) state your City designated job nw;;ber, job ad6-ess, type of inspec:ich
requested and when you will be l'eady for inspection, Contractors or Owners name c:nd plwne Ilumbcr. Requests received before 7: 00 a:-:1
:,.'ill be made the same day, requests made after 7:00 am will be made the next ;;)Orking ~11() L n 'I, '
Your City Desigr~ted Job Number Is: ~I le~,
ReouirRd InsDp.ctions
D SITE INSPECTION: To be made after
excavation> but prior to set up of
forms.
O UNDERSLAB PLUMBING. ELECTRICAL &
: MECHANICAL: To be made before any
, ,wor ~is covered. , """1-
, d-. . 0./,
I FOOTING & FOUNDATION: To be made
after trenches are excavated and
/ . forms are erected, but prior to
pouring concrete.
o
UNDSRGROUND PWMBING, SErvER. W.1TER,
DRAINAGE: To ,be made prior to fiL-
,Zir.g trenches.
0:
o
UNDERFLOOR PWMBING & MECHANICAL:
To be made prior to instaLlation of
floor insulation or decking.
POST AND BEAM: To be made prior to
instalLation of fLoor ins~lation or
decking.
ROUGH PWMBING. ELECTRICAL & MECH-
,ANICAL: No work is to be covered
,untiL these inspections have been
made and approved. '
FIREPLACE: Prior to pZacir.g facing
materiaLs and before framing inspec-
tior:.
FRAl1ING: Must be requested after
approvaL of rough pLumbing, eLectri-
cal & mechanicaL. All roofing
bracing & chimncys, etc. nr~st be
1 completed. No work is to be con-
" cealed untiL this inspection has
'been made and approved.
D
D
D
D INSULATION/VAPOR B/IRRIER INSPECTION:
To be made after aU illsul{<tion a1u1
, required vapor barriers aI'e in place
but before any ?atlz, gypswn board or
wall covering is apptied> and before
any insuZation is conceaLed.
DEMOLITION OR ,~:OVEr; BUILDINGS
~ Sani=ary seWel' .:)apped at p:,op.r;)'ty line
==:J Septi~ tank p~ed and filled with gra~el
DRyrvALL INSPECTION: To be made
after all drywall is in p?ace,
but prior to any taping.
O MASONRY: SteeL location, bond
beams, grouting 01' verticaLs in
accordance with U.B.C. Section
2415.
FinaL - II'hen above ,items are completed
and when demoLition is compLete 01' struc-
ture moved and premises oLeaned up.
D
'Mobile Homes
D
After illS tallation is SO
~1,
~Lockillg and Set-~p
~umbillg conllections sDWer and water
~~ctricaL Connection - Blockil~, set-up
.J:1'~,~d' plumbing connections nr...st be approved
beforc requestillg elec=rical illspection
WOODSTOVE:
completed.
D
CURB & APPROACH APRON: After formsl'
are erected but pl'ior to pouring ~,
.:!oncrete.
o
SIDEr';ALK & DRIlIEr';AY: For aU con- ---, A ~ ~ 'B 'ld-'
crete paving within street right- ~ c~es~orh u~ -ng
of-wc.y, to be made after aU exca- ' , .
vating comr:let~ & form work & sub- ---,AnaL - Aftor porches,
. base mater~al UI p?ace. . ~ 5' :.0'~tc. are compLet;;;d.
skirting, decks,
D
PENCE: ~'her: complete -- Provide
gates or movable sections through
P.U.E.
D
o
All proJect conditions, sue!: as the i,nstallatioll of street trees> co.":1pleti.:m of tile
required landscc.pir:g, etc., must be satisfied before the BUILDING FINAL call be raquested.
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h~INAL BUILDING: The FinaL Buildillg Inspection must be requested atter the Final PLumbi/lg
\0 ~Lectr'icaL, and Mechanical Inspections have been made and approved.
o FINAL PWMBING
o FINAL MECHANICAL
o FINAL ELECTRICAL
o
~Ar.L MANHOLES AND CLEANOUTS MUST BE ACCESSIBLE> ADJU5T!fENT TO BE N,1DE I1T NO COST TO CITY ! Pa(7e 1 of 2
.
r-~O B NO. _ ~C<.ct\~o L~~- AC C E S S _ R EQ.-
I Zone: \ \..\~__ Occupancy Gre R; ~
Lot Sq. Ftg. . LOT TYPE .,.
S of lot Coverag;; Interio1'
# of Stories Corner
TotaL Height Panhandle
Topography Cul-de-sac
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(UCiue)/~ffi'l JI~K~-")~
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-{.So
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. CHARGE '
I
lITEM
IMain
I GaPaae
I Ca1'Po1't
I AcCeSS01'll
I
I
Is.D.c. 1.5 x
SQ.FTG
x
Value
I
I
TOTAl, VALUE
BuUding Permi t
State Sw'charge
Total Chfl'r'ges
I ITEM NO.
I~ ~..ues \'{\ -\\ '
l;esidentiaL (1 bath)
I Sanita1'Y Sewe1'
I Water
I~W\"(\
FE'E
CHARGE
\~P-J
k-Q n .CD I
1\5.00
t&)() .CD
IfJO .OUr ~ I
I ~,~Ol
1r'\3 .3:)1 *
CHARGE I
\~.cDl
Plumbing Perr.:it
State Surcharge
TotaL Charqes
I nEfti NO.
IJl~'1 "'1. ftn. f'0~
I Naw/Extend Circui ts I
I T~orary Se1>vice I
r'\ 0 )(' I
FEE
EZeotrical Pe1'1T1it
State Suroha1'qe
Total Cha1'c;es
lITEM
I Fur~ce 13TU' S
I Exhaust Hood
I Vent Fan
I Woodstove
I
. NO.'
FSE
I
I
I
Permit Issuanc8
Meohanical Permi t
State Surcharqe
Total Cha1'aeo
-- ENCROACHMENT --
Security Deposit
Storage
Maintenance
Permit
Total Cha1'oas
I Curbcu:
I Sidewalk
I Penoe
I EZect1'ical
\.\ I(\l )
1[\ \CL/
Labe I
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1_~~r;tJ t- 11
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/:t;lO. Lcd *
Mobile Home
ssn
1'['07'11[, I1MOUNT DUF:: *
L-COG~
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I l,ot Faces -
I
I P.L.
INol'tlz
&1I;t
South
jWest
Type/Cor.st: A Bedroomsl...'-)
.. I Enel'{fzl Source~r
I !/eatj- r
I1ccess. I l::.. Watel' !/eatel' -
I <(!~Range
I . F.i 1'ep lace
I I Woodstove
II
Tl/De
.
./
Setbacks
I /louse Car'age
I
-- F8es
Building Value & Permit
I
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This pe1'1T1it is granted,on the express condition that the 'said constructiOIl
shall, in all respects> confol'~m to the Ordinance adopted by the City of
Springfield, ine!uding the Zoning Ordinance, r>egulating tlze constr>Zlcticn
and use of buildings, and may be suspended or> revoked at cny time upon vio-
lation of any pr>ovisions of said Ordinances.
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IPlan Check Fee: '1,.1'5
I Date Paid: /" -1j';' lj'1
f- I Receipt II: III 113 Cj
I Signed: III /J 11-
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Plumbing Permit
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No percoll shalL constMICt, instalZ, alter or change any new or> existing
plwnbing or> dr>ainage syste~ in whole or in part, unless such person is the
legal possessor> of a valid plumber>'s License, except that a person may do
plwnbing w01'k to pr>opel'ty which is owned, leased or operated by the appli-
cant.
Electrica I
Per m i t
Ifher>e State l,aw r>equi1'es tr.at the cZectr>icaL wor>k be done by an Electrical
Contr>acto1', the eLectrical portion of this per>mit shall not be valid until
the label has been signed by the Electrical Contractor.
:,.
Mechanical Permit
l ·
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\~~)
ptan Exannner>
11iJ . RC_
I HAVE CAREFULLY EXAMINED the completed application for per.m~t, and do
hereby ~ertify that all info~mation hereon is true and cor>r>ect, and I
further cer>tify that any ar~ all work performed shall be done in accor-
dance with the Ordinances of the City of Spr>ingfield, and,thz l,~~s of the
State of 01'egQn p$r>taining to the work described herein, and that NO OCCU-
PANCY will be made of any structure without per>mission of the Building Di-
vision. I fUr>the1' certify that only contractors and e~ployees who ar>e in
compliance with ORS 701.055 will be used on this pr>oject
k~
Sitn:;d
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/Dat~
/7 /1'11
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