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Home My WebLink AboutPermit Building 1987-10-28 (3) Rcce~pt # / /Jtf 3~ .. RESI NTIAL" APPLICATION/PERMIT 225 North 5th Street SpringfieZd, Oregon 97477 BuiZding Division 726-3753 . SPRINGFIELD Job Location: ,~hWJ (c:u.;;/,-y 180;;lO<-Jlf (J -=t=t- 7{J' Ta Lot # OCt, ( l q ASGessors Map # . , Subdivision: OlJner: /lJrt B . ~JCj ~ 9L( a' tJ~j{J ~1,M1L 0 J Address: f?;gCf-54! t/- 'l~~ ?-\ Phone: r' , , City: , Zip: NmJ -w(~ /YIH W~Ut /b<r3-~1 v~lull /?J. ~~-3 .~ ,T~ss J y~~-~~ ~CU~- "~AA) Describe '({ork: fI'OI ~ I I I I I\LJ , M.di ticn Remodel MobUe Home Signed: Date: ce, 10.... :J-.f' /f'~ Date of AppZicat.icn Contractors Lisc. # Expires Phone General Plumbing I. Electrical I Mechar.ical . I. f!onstl'Uction Lender It iiI. the resp()7J8'j,.bility of the perwrit holder to see that all i1Wpections are made at' the proper tim&1 tr.at each ::tltJress is rea.dabZ, from the streetl and that the permit card is located at the front of the property. ~Bui!.ding Divicior: approved plan shall remain on tha Building Sits at all times. PROCEDURE FOR INSPECTION RE'QPEST:CALL 726-3769 (recorder) state your City designated job ntD7:bBl'1 job add:l'ess, type of in3pec~icn requested ar.d w,l:en you wil l be ready for inspection, Contractors or OlJners name and phone number. Requests received before 'I: 00 ar.l will be made the same day, requests made after '1:00 am will be made the next :JOrking day. ,:,':\: .1~'~~' , Your city Desigr.ated JO,b Number Is: g- ? 0 ?" q " . Reaui~ed TnsoectionR D' SITE INSPECTION: To be made after e:r:cavation, but prior to set up of ,.forms. . O : UNDERSLAB PLUMBING. ELECTRICAL & , MECHANICAL: To be made before any , IA10rk is aovered. J X', "~~G & FOUND;;ION: ;0 be made . after trenches are e:r:cavated and .: ,forms are erected, but prior to " ' pouring concrete. D MASONRY: Steel location, bona 0, ,UNDERGROUND PLUMBING. SEWER. WATER. beam31 grouting or verticals in ,DRAINAGE: To be made prior to fiZ- accordance with U.B.C. Section ' ,li7".g trenches. 2415. 0: UNDERFLOOR PLUMBING & MECHANICAL: D WOODSTOVE: After installation is ~ CJ Blocking and Sat-:lp .. 'To be made prior to instalZation of completed. , ~ floor insuZation or decking. ." . , S ~ W Plumbing connections S&WBl' and wa'ter O POST AND BEAM: To be made prior to D CURB & APPROACH APRON: After form? "1' 7"i Electrical Connection _ Blocking, set-up instalZaticn of floor insuZation or are ereated but prior to pour-r..ng ~J U and plumbing connections rrr.:st 1;e approved ,decking. c01lOrete." " before requesting elec~rical inspec~ion D ROUGH PLUMBING. ELECTRICAL & MECH- O. SIDEWALK & DRIt'EWAY: For all con- ~ . . ,', '..' ,ANICAL: No work is to be covered crete paving within street right- 5' ..dJ AcaeSSOl"d Bu'lold-:.ng , . ,ur.til these inspections have been pf-wc.y, to be made after all e:r:ca-' . " .. made and approved.' , vating cOllll?let~ & form work & sub- S' Final _ After p:Jrcr:es, skirting, decks, D FIREPLACE: Prior to placir.g facing , 'base mate1"loal 'Ion plaae. , / r- etc. are complet",~d.' " , materials and before framing inspec- ~.) tio7"t it r;1 FEW/triG: Must be requeGted after lLJ approval of rough plumbing, alectri- cal & mechanical. All roofing bracing & chimneys, eta. rrrJ.st be :' completed. No work is to be con- ",~ cealed until this inspection has ~be~n made and approved. ~ .'".: '11;,,'" " . O INSULATION/VAPOR BARRIER INSPECTION: To be made after all insulatum ar.d ',' ,. required vapor barriers are in pZace ,:', ': but before any lath, gypswn board or . , wall covering is applied, and before .":. .,.. any i1Wulation is concealed. , DEUOLITION OR gOVEl) BUILDINGS , =:J Sani'tary se.Jer :::apped 2t ~opert':i lir.e ~ Septia tank p~ed and fill8~ with gra~eZ . D DRYWALL INSPECTION: To be made after all d2yrJall is in place, but prior to any taping. --, Final - (,'hen above items are completed ---l and when demolition is complete or stru~- ture moved and premises aleaned up. 'Nobile Homes D PENCE: When complete -- Provide' gates or movable sections through P.U.E. ' o o ,...~.- - - D FINAL PLUMBING D FINAL MECHANICAL o FINAL ELECTRICAL o \~ o All project conditions, such as the installation of street trees, c~~letion of the required landscapi7".g, etc., must be satisfied before the BUILDING FINAL can be requested. - I , '. FINAL BUILDING: The Final Building Inspection irrust be requested after the Final Plumbing Electrical, and Mechar.ical Inspectiorw have been made and approved. . " ~ALL MANHOLES AND CLEANOUTS }fUST BE ACCESSIBLE, ADJUSTHENT, TO: BE MADE AT NO COST TO CITY .1 PCl!1e 1 of 2 I -:;;~O/ ?A ~&,.., /-~'~,~~ -4~'-- TOTAL VALUE .I~ :::?~!!:"31' . i (va~ue) I /~ ~. S.D.C. 1.5:x: 1'7. ~ v -- ') /?..~ -S8 -- - j /g. ~8 >l I JOB No.R10 !floq Zona: Lot Sq. Ftg. S of lot COIJerage # of Stories Total Height Topography ITEM SQ.FTG Main GaraGe Carvort Accessoru Building Permit State Surcharge Total Cha."ges ITEM NO. Fi.:rtures Residential (1 bath) Sanitary Sewer Water /i~/f~ 1/ 1/ I Plumbing Perrr:i t .,w.....' , ',,',;:i,' State Surcr.arge ",~"",~ ' ",<f,"- Total Charaes ,lITEM I NO. I I I II /1/ I , -','""I Res~Sa. fta. New/Ertend Circuits . 41~.... .,' J"'L..8ervice -I/~Jif~ ;'\. :,~ ! '. . Eleatrical Permit ""," ~..;,:\~ .:,;:'.....: , .'~" ~ 4. :. State Surcharqe . '., . .'. , ' Total Charqes ITEM t'age ;; SOLAR .ESS Occupancy GrOUp: LOT TYPE . L-CO G~ REQ,- Type/Cor.st: Bedrooms: , Eneray Sources , Heat Water Heater Range Fireplace Woodatove " Lot Faces - Tu-oe Interior Corner Panhandle Cul-de-sac Setbacks House Carage Access. P.L. North East South West x -- Fees I Pe r m i t Value Building Value & /:?,~*"3 r This permit is granted on the express condition that the sdid construction shall, in aZl respects, conform to the Ordinance adopted by the City of Springfield, incZuding the Zoning Ordinance, regulating the construation and use of buildings, and may be suspended or revoked at ar:y time upon vio- lation of any provisions of said Ordinances. I Plan Check Fee: I Date Paid: ,- Receipt #: I Signed: //.~ FEE CHARGE Plumbing Pe r m it No person shall construct, instaZl, aZter or change any new or e:isting plumbing or drainage system in whole or in part, unless such person is the legal possessor of a valid plumber's license, e:r:cept that a person may do plumbing work to property which is owned, leased or operated by the appli- cant. FEE I~~I I t:5:. ,-_J I PS-: C"'lP I ;;-t'. ~ ( 7 I 2 ..~C> - ~ I $'";4., 5'~1 >l I Perm it I CHARGE Electrical I l'/&;:~ I I ~&pl /~J . I ~ ~ I. _'g\?- ., I /.Se:>> I . . I ~/.::0' >l Where State Law requires that the electrical work be done by an Eleatrical Contractor, the electrical portion of this permit shall not be valid until the label has been signed by the Electrical Contractor. NO. FEE CHARGE Mechanical Permit " " I I j I I I I ~ I 2S;-=- /1 I /'2S'''/' .1 ,?3 ~ :::?& Furnace ETU'S E:x:haust Hood Vent Fan Woodstove Permit Issuance Meahanical Permit State Surcharae Total Charaes -- ENCROACHMENT -- Se~Kritu DeDosit Storage Maintenance Parmi t Total Charqes eurbcut; Sidewalk I Fen:!e I Electrical Labe l I Mobile Home ~&:;cC'E I rG"?e:> I 'TOTAL AMOUNT DUE: >l I I I I I I >l l I I r d~.24~ p~E=1.-ner.... /' /~-:Z-;>-8 ? uate I HAVE CAREFULLY EXAMINED the completed application for permit, and do hereby certify that. all info~ation hereon is true and correct, and I further' certify that any ar.d all work perfoP.1led shall be done in accor- dance :.rith the Ordinances of the City of Springfield, and th;; Ltr..:s of the >l State of Oregon p;;rtaining to the work describcd herein, and that NO OCCU- PANCY will be made of any structure without permission of the Building Di- vision. I further certify that only contractors ar.d enpZoyees who are in compliance with ORS '101.055 will be used on this project , IO/icr/Y7 . Date, : / ' >l . , .' . ..~. . ", ". . ." "