HomeMy WebLinkAboutPermit Building 1989-7-17 (2)
Rece-:.pt !I
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. .
.. RESIDUJTIAl"
. APPLlCATI.PERMIT
225 North 5th Street
SpringfieZd"Oregon 97477
BuiZding Division
726-3753
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Address
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Job Location:
Assesoors Map 1/
Subdivision:
Ol.Jner:
Address:
City:
,
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I
I t.{ :-Iobile 1I0me
New
Mdi tion
Remodel
1-'. - 2-1 - 87
Date of Application
Contractors
General
Plumbing
Hechanical
E],ectrieal
I Supervising Eleetrjeian
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SPRINGFIELD
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Phone.:"(p. y; 0, rQ6fl~
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Zip:
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Describe fiork:
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Value
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Sigr:ed:~~'_
Date: q~/7--
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BIdrs Board Reg.
Expires
1Jhonp
It is the responsibil~ty of the permit holder to see that all inspections are made at the propel' tim~, that ~c.ch ~dress is readable
from' the street, and that the permit card is located at the front of the property.
~Bui7,ding Divicion appro!"'ed plan shall l'emain on the Building Sit:;; at all times.
.
PROCEDURE FOR INSPECTION RSQUEST:CALL 726-3769 (recorder) state your City desigl1o'lted job nw.;ber, job address, type of inspectich
requested ar:d when you will be ready for inspection, Contractors or OlJnel's ncme end phone number. Requests l'eceived befcl'e 7:00 a.'l
~ill be made the same day, requests made after 7:00 am will be made the next ~rkil1oJ day.
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Reouired InsDp.cticns
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
. j. work is covered. ~ .
rv FOlr.ING & FOUNDATION: To be made
L . after trenohes are exoavated and
forms are erected, but prior to
pouring ccncret~.
D. UNDSRGROUND PLUMBING. SEWER, WATER,
DRAINAGE: To be made prior to fil-
Zir.g trenohes.
D UNDERFLOOR PLUMBING & MECHANICAL:
, To be made prior to installation of
12001' insulation or decking.
O POST AND BEAM: To be made prior to
installation of floor insulation or,
decking.
D ROUGH PLUMBING, ELECTRICAL & MEClI-
.ANICAL: No work is to be covered
.until these inspections have beer:
made and approved. .
D FIREPLACE: Prior to placir.g facing
materials and before framing inspec-
tion.
D FRAMING: Must be requested after
approval of rough plumbing, electri-
cal & mechanical. An roofing
bracing & chimneys, etc. nr~st be
.- completed. No work is to be cen-
.., cealed unti l thio inspection has
~ been made and approved.
o FINAL PLUMBING
o FINAL MECHANICAL
o FINAL ELECTRICAL
o
2>
Your City Deoignated Job Nwnber Is:
.0
INSlJf,AT.TON/VAl'OR BARRIER INSPECTION:
To be made after all insulution a~~
required vapor barriers are in place
but before any lath, gypsum board or
waU covering is applied, and before
aJlY insulat.ion is concealed.
DEMOLITION OR ,.:OVED BUILDINCS
~ Sanitary se'..Jer capped :It p~operty line
:==J Septic tank p~cd and filled with gra~el
D
DRYWALL INSpeCTION: To be made
after all drywall is in place,
but prior to any taping.
MASONRY: Steel location, bond
beams, grouting or verticals in
accordance with U.B.C. Section
2415.
I Final - f{hen above items are completed
~ and when demolition is oomplete or struo-
ture moved and pl'emises cleaned up.
o
I Mobile Hcmes
D
After installation is ~ () Flocking and Set-:lp
t; 3 i2]' Plumbing connections s&Wer and water
CURB & APPROACH APRON: After forms ~lectrical Connection - Blocking, set-up
are crected but prior to pouring S)..k:J and plumbing conr:ectiolls nr~st ce approved
concrete. . beforc requesting electrical inspection
WOODSTOVE:
completed.
D
o
SIDEr';ALK & DRIl'Ef';AY: For all con-
crete paving within street right- :=J Accessory Building
pf-way, to be made after all exca-
vating ccml?let~ & form wrk & sub-~("" ~inal - Aftar p:Jrches,
. base matel"'/,al 'Ln place. '. .~ -=-.J etc. are completed.
skirting, decks,
D
FENCE: ~~en complete -- Provide
gates or movable sections through
P.U.E.
o
o
,.-
All pro.fect conditions, such as the i.nstaLZation of street trees, co::rpZetioll of tne
required landscaping, etc., must be satisfied before the BUILDING FINAL call be requested.
PINAL BUILDING: . The Pinal Building Inopoction must be requested a/tel' the Final Plumbing
Electrical, and Mechar:ical Inspections have been made and appro,vad.
~ALL MANHOLES AND CLEANOUTS MUST BE ACCESSIBLE, ADJUST!fENT TO BE MADE AT NO COST TO CITY
I Pa~;c 1 of 2
L - C 0 G~
ffo2Z.YOLAR ACCE ~ S R EQ.-
Occupancy Gre P ~-
LOT TYPE' . ~-i Lot
(VClUCJI!1.)91,OO I ~R? .PtL, .- '}-)..
I
I
l~ ,UU
~n .CX)~"?:,; .
1- \ . SOl
13 \ .(:01 ~
JO B NO.
Zone: \_ \)'
Lot Sq. Ftg.
S of lot Coverage
# of Stories
Total Height
Topography
Interior
COrner
Panhandle
Cul-de-sac:
ITEM
SQ.FTG
Va lue
x
Main
I Gm>aae
CarDort
Accessorl/
TOTAL VALUE
S.D.C.
1.5 x
Building Permit
State Surchar(Te
Total Charogea
lITEM
I~..~~' m H
IResidential (1 bath)
I Sanitary Sewer
I Water
~m
'NO.' FEE
, CHARGE
J~CU
I
~n .CQ.
I\S.CUI
txl.CO I
ITT[) .c:o.'-~I
I ~,~
l'l~ .8l)~
Plumbing Perr.:it
State Surcharge
Total Chc:rqes
ITEM
NO.
CHARGE I
lco .00 I
I
FEE
JRSB. Ctt.
I~J.m ;N
New/Extend Circuits
T~OrarYI Sel'ViQ{
\ ~
Electrical Permit
State Surcharqe
Total Charqes
ITEM.
I Furnace ETU' S
I E:::hauB t Hood
FEE
CHARGE
NO.
Vent Fan
I
I
I
I
I
I
I
Woodstove
I
Permit Issuanca
Mechanica l Permi t
State Surcharqc
Total Charaes
I -- ENCROACHMENT. --
I Se:curitl./ Davosit
I Storage
I Maintenance
I Permit
I
I Curbcut
I'Sidewalk
I Pence
I Electrical Label
I Mobi le Home
I
I
I
I
I
( ~
''f\'fL; I
r\ ('.J I
Total Cha'1'qes
'fOTIIL IIMOUNT DUE:'
I
I~CS~
1"1/)5
I
Yl~ b ~ ~J~~
"
~
Type/Cor.st:
_I
I
Bedrooms: ~ ~
I Enarql/ SOU'1'CeS ,." t"" T!IDe
I. Heat r~
I r-later Heater t:.-
I Range t:p_
I Fi'1'eplace
I Woodstove
I
Faces
P.L.
INOl'th
lEast
ISouth
Irlest
Setbacks
I House Carage
I Acc:ess.
Fees
Building Value &. Permit
This permit ia g'1'anted on the express condition that the sa'id construction
shall, in all respcets, conform to the Ol,dinance adopted by the City of
Sp'1'ingf~eld, ine!uding the Zoning Ordinance, regulating the construction
and use of buildings, and may be suspended 0'1' revoked at any time upon vio-
lation of any provisions of said Ordinances.
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-
Check Fee: t.1, rL6
LI ~ LA ... fj-j
JJ./ l.Bot
1lA1L
Pe r m it
~
Plan
Date Paid:
IReeeipt #:
jSigned:
Plumbing
No person shall constn/ct, instal!, alter 0'1' change any new or existing
plumbing or drainage syste~ in whole or in part, unless such person is the
legal possessor of a valid plumber's lieense, exeept that a person may do
plwnbing work to property whic:h is owned, leased or operated by the appli-
eant.
Electrical Permit
Where State Law requires tr~t the electrieal work be done by an Electrical
Contractol', the eleetric:al portion of this permit shall not be valid until
the Zahel lws been signed by the Electrieal Contraetor.
.i
Mechanical PermH
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J:'12WV
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lo -?)~ . ~~
uate
I HAVE CAREFULLY EXAfilINED the completed application for permit, and do
hereby certify that all inforomation hereon is true and correct, and I
further eertify that any ar.d all work performed shall be dcme in accor-
danee with the Ordinances of the City of Springfield, and the L~~s of the
State of Oregon pertaining to the work described herein, and that NO OCCU-
PANCY will be made of any structura without permission of the BuiZding Di-
vision. I further certify that only contractors and e~ployeeB who are in
c~~pliance with ORS 701.055 will be used on this project
-'1)
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Sigl2d
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