HomeMy WebLinkAboutPermit Building 1988-5-20 (2)
.. RESI[)il.JTIAL 00
. APPLICA!flN/PERMIT
225 'North 5th Street
Springfield" Oregon 97477
Building Division
726-3753
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Job Location:
Assessors Map #
Rece-:.pt #
I) c:;5Q
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SPRINGFIELD
5PFj~,.. C) Rb_
O~f/c,
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Es: f/j te:;s
Tcz Lot #
Subdivision:
/7JOU,YJ.fA..ill/ -UeJl,.../ #lahile
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,
OlJner: C hrlS ~L)ker l).' Sc:J1rn i'tt-
AddPess: S'~ ~ 0 .0 A-'.5l.j- . 4;l.. Phone:
City: .5Pf../iVroF/clD :-r9~S Zip:
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LXI
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Np.uJ ' ~t9rA a:.t:"
Addition
Remode'L
:!obi'Le Home
,,7' ~c(-11',
sooo ete
Sigr:ed:
Date:
Date of Application
Contractors
General ,I<)~
Plwnbing (.\ ~ _
Electrica'L r'>t~ ~
Mechar.ical l"~
Constl'Uation Lender "~
7 :LCo.'f 6 ~?.
9 7c,f 76
001 II
\ 166
Desaribe fl'orl<:
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S-2.0 .-Y'~
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Value
Address
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Lisa. #
Phone
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Expires
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S,~e.._ ~ A..eo~
It is the responsibility of the permit holder to see that aZ'L inopections are made at the proper time. that each ~ess is readab1.e
from the street. and that the permit card is 'located at the front of the property.
*Buirding Divi::ior: approved F'Lan,shal'L remain on the Building sit:;; at a'Ll times.
PROCEDURE FOR INSPECTION REQPEST:CALL 726-3769 (recorder) state your City designated job number, job address. type of inspection
requested ar.d when you wil'L be ready for inspection. Contractors 01' OlJners name and, phone nwnbcr. Requests received before 7:00 ar.l
1..'iZ'L be made the same day. requests made after 7:00 am will be made the nr-;xt :.JOrking day. '
Reoui~p.d TnSDp.ctions
D' SITE INSPECTION: To be made after
excavation. but prior to set up of
forms.
"0 : UNDERSLAB PLUMBING. ELECTRICAL &
, MECHANICAl,: To be made before any
, work is covered.
];<1 ?oOTING i>FOUND~TION:' 'TO be nKZde
after trenches are excavated and
forms are erected. but prior to
pouring concreta.
UNDERGROUND PLUMBING. SEWER. WATER.
DRAINAGE: To be made prior to fil-
,li1".{J trenches.
o
O UNDERFWOR PLUMBING & MECHANICAL:
, : To be made prior to installation of
floor insuLation or decking.
D POST AND BEAM: To be made prior to
installation of floor insuLation or
, , decking. ,L{)_ "
I Y I ROUGH PLClMBIlJGcJ.j;ECTR/C;;D & MECH-
ANICAl,: No work is to be cOIJered ,
~ur.til these inspections have beer.
made and approved.
D FIREPLACE: Prior to pLaci1".{J facing-
materials and before framing inspec-
tion.
I vi FRANING: Must be requeoted after
V\. approval of rough p'Lumbing. e'Lectri-
,ca'L & mechanical. AZ'L rOOfing
, ~' bracing & chimneys. etc. ~~st be
'P :'completed. No work is to be con-
",,~,cealed until this inspection has
~been made and approved.
, ".
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FINAl, PLUMBING
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FINAL MECHANICAL
\-\ P)
FINAL ELECTRICAL
Your City Desigr.ated Job Number Is:
cg&o3t10
I INSULATION/VAPOR BARRIER INSPECTION: ,
---l To be made after al'L insulation ~~
, required vapor barriers are in place .
,: but before any Lath. gypsum board 01'
waZZ covering is appZied. and before
'any insuLation is' concealed.
DEMOLITION OR ,~;oVED BUILDINGS
:=J Sani tary S8'.Jer ::apped at pz:.opert":i Zine
, =:J Septic tank pwrrped and fiZ'Le~ with gra~eZ
'0 DRYWALL INSPECTION: To be made
after all drywall is in place,
but prior to any taping.
O MASONRY: Stee'L location, bond
beams, grouting 01' verticals in
accordance with U. B. C. Section
2415.
D WOODSTOVE: After installation is
comp'Leted.
I Final - f>'hen above items are corrrp'Leted
---l and when demo'Lition is complete or stru~-
ture moved and premises cleaned up.
D CURB & APPROACH APRON: After forms
are erected but prior to pouring
concrete.
Mobile Homes
=:J B'Locking and Set-up
=:J Plumbing connections sewer and water
~ E'Lectrical Connection - Blocking. set-up
~ and plumbing connections ~~st ce approved
, before requesting e'Lectrioa'L inspectio~~
~ Accessol"d Bui lding ",
D SIDEWALK & DRIVEWAY: For all con-
, crete paving within street right-
, of-way. to be made after aZZ exca-
vating complete & form work & sub-
- . "base material in place.,
.'
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I Final - After porches. skirting. decks.
-.--J etc. are completed.
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PENCE: When complate Provide..
gates 01' movable sections through
P.U.E. '
D
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-
-
A'Ll project conditions. such as the installation of street trees, c~~lation of the
required landscaping. etc.. must be satisfied before the BUILDING FINAL can be requested.
FINAL BUILDING: The Final Bui'Lding Inspection must be requested after the Final Plumbing
Electrical. and Mechanical Inspections have been made and approved.
~ALL MANHOLES AND CLEANOUTS MUST BE ACCESSIBLE. ADJUST!fENT, T~; BE ,}L~DE AT NO COST TO CITY I Page 1 of 2 J
JOB NO.
<6rbSCjo SOLAR ACCESS
Occupancu G~
LOTTYFE
Zone:
Lot Sq. Ftg.
Z of lot Coverage
# of Stories
Total Height
Topography
Interior
Corner
Panhandle
Cu'l-de-sac
ITEM
SQ.FTG
x
Value
Main
Garaoe
720-?
.~c>'4!I
Car"Oort
Accessoru
S.D.C.
TOTAL VALUE
(va~ue)
1.5 x
Ci..i.'::ft::" G
REQ.-
L-cod~
Type/Cor..st:
t,
TUDe
I Lot Faces -
I
I P.L.
North
East
South
West
Access.
Bedrooms:
I Enerau Sources
Heat
Water Heater
Range
Fireplace
Wood:;tove
Setbacks
House Carage
-'." .
, ,
--' Fees
'-
,
Building Value & Per'mit
'This 'permit i:; granted on the expres~ condition that the said construction
shall. in aZl respects. conform to the Ordinance adopted by the City of
Springfie'ld. incZuding the Zoning Ordinance. regulating the construction
and use of bui'ldings. and may be suspended 01' revoked at cny time upon vio-
lation of any provisions of said Ord~nances.' '
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CHARGE J ,
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I /.738
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72~. ~/I * Signed ..
BuUding Permit
State Surcharge
Total Charges
I ITEM NO. FEE
I Fi:r:tures
I Residential (1 bath)
~
J' Sanitary Sewer
Water
Plumbing Perrr.i t
State Surcr.arge
Tota'l Charaes
lITEM
NO. FEE
CHARGE
Res. Sa. fto.
New/Extend Circuits
I Temporary Sepvice
~)Zf </~~I/I
Electrical Permit
State Surcharqe
Total Charc;es
ITEM
NO.
FEE
CHARGE
Furnace ETU' S
I Exhaust Hood
I Vent Fan
I Woodstove
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Permit Issuance
Mechanical Permit
State Surcharae
i\
Total flharaes
(' -- ENCROACHMENT --
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Secr.lI"Ltu De"Oo:nt
I Storage
Maintenance
Permit
Total Charqes
Curbcut
Sidewalk
Fen::e
Electrical Label
I Mobile Home
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I TOTAL AMOUNT DUE: *
P'lan Check Fee: '5,;;(.., Y:3
S- -C/-f f
( I 'If{ '7
CC
Pe r m it
~
Date Paid:
Receipt #:
Signed:
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Plumbing
No person-shal'l construct. instalZ. alter 01' change any new 01' existing
p'lumbing '01' drainage system in whole 01' in part. un'less such person is the
'legal possessor of a valid plumber's license. except that a person may do
plumbing work to property which is owned. leased 01' operated by the appli-
0" cant.
I *
Electrica I Perm it
Where State LCllJJ requires tr.at 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.
Mechanical
Permit
/Z?Z-- I~~M~
YL~JE Examiner - , · /' r
5""'7& ..
uate
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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 performed shaZZ be done in accor-
dance with the Ordinances of the City of Springfield. and the L~~s of the
* State of Oregon p:;;rtaining to the work described herein. and that NO OCCU-
PANCY wiZZ be rmde of any structure without permission of the Building Di-
vision. I further certify that only contractors ar.d enployees who are in
compliance with ORS 701.055 will be used on this project
..5 /f/'b8?
Date
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