HomeMy WebLinkAboutPermit Building 1987-4-7 (3)
.. REseENTIAL"
SPRINGFlE.LC
APPLICATION/PERMIT
, 225 North 5th Street
\",--Springfield, Oregon 97477
Buud:i!!fl Divisio.n
726-375~
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Job Loca.tion: ~G;:;O ~,'. - r?<r 5r r #,:5:j- . ,
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ASl1essol'Z Map # IB--c;::?...o~-// Tc::: Lot # t::7C-/I "f1 ~J/(.j.
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Receipt ./1 /~ /{l f "" /1 f.J
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/" Nobile Home r~/~'5" .,/ ~d> .ar~
Date of Application tf ..,.{;~~;>, .., VaZue- - ':.:?~ i ~c:>. ---
Cont;raot;ors Add:ress Lisc. #
General PMeR~7;:::> 7~~6-"'-:~A~..z:::""":::--_
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PZwnbing e:>W.A/ c-/"?
Electrical C::::S>V1/~(5"~.
Mechm:ic.::l
Construction Lender
It is the responoibiZity of the permit holder to see that aZZ inspections are made at the proper timE:. that each .:ddress is rea:iab~e
from the street. and that the permit card is 1.ocated at the front of the property.
4Bui!ding Divicior:. approved plan shall remain on tha Building Site at all times.
PROCEDURE FOR INSPECTION REQUEST:CALL 726-3769 (recorder) state your City designated job number. job adil'ess. type of inspec-::icn
requested and when you will be ready for inspection. Contractors or OWners ncme end phone nwnbcr. Requests received before 7:00 ~
1..oiZZ be made the same dc.y. requests made after 7:00 am wiZZ be made the next :JOrking day.
Subdivision:
OWner:
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C5"'$ s~ S/~ft'-<?Phone:
5?rc-p.., .vA - Zip:
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7'7/-/~'3';r
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Add:ress:
Ci ty :
I NP.LJ
I Addi tion
I \- Remode'l
Describe f>'ork:
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Signed:
Date:
(]C,
1./-7-$(/7
(
Exoires
Phone
Your City Desigr.ated Job Number Is: ~76 ~<<:.f
Reoui~p-d Tnsop.~tions
. 0 SITE INSPECTION: To be made after
. excava.tion. but prior to set up of
. . forms.
D : UNDERSLAB PLUMBING. ELECTRICAL &
. MECHA,'lICAL: To be made before any
. . work is covered.
,'. ~ ~
jx I FOOTING & FOUND,1TION: To be made
after trenches are excavated and
forms are ereoted. but prior to
pouring concret.>'
UNDERGROUND PLUMBING. SEWER. W.1TER.
DRAINAGE: To be made prior to fil-
.Zir.g trenohes.
I INSULATION/VII PO.'? BARRIER INSPECTION:
--.J To be made after aZZ insul::.tion and
" . .. required vapor barriers are in place
.: but before any lath, gypsum board or
wan covering is appZied, and before
. any insulation is concealed.
D DRYWALL INSPECTION: To be made
after aZ'l drywaLl is in place.
but prior to any taping.
0, ~SONRY: Steel location. bond
beams. grouting 01' vertioals in
accordance with U. B. C. Section
2415.
D WOODSTOVE: After installation isS-O
completed.
~~
CURB & APPROACH APRON: Afte:o form~)
are erected but prior to pouring
oon::rete.
o
o
UNDERFLOOR PLUMBING & MECHANICAL:
To be made prior to installation of
f'Loor insulation or decking. . .....
:0
D
POST AND BEAM: To be made prior to
installation of floor insulation or
d.eckirl{; .
ROUGH PLUMBING. ELECTRICA[, & MECH-
ANICAL: No work is to be covered
,ur.til these inspections have beer.
made and approved.
FIREPLACE: Prior to pkcir.g facing
meterials and before framing inspe~-
tior:.
'0' SIDEWALK & DRIVEWAY: For aH .con-
crete paving within street right- ~\
pf-wcy. to be made after all exca-
vating complete & form work & sub-
. base material in place. , SS-
:0
:0
01 FRANnie: Must be requel1ted after D
approval of rough plwrhing, electri-'
cal & mechanical. AU roofing
bracing & chimneys, etc. m"..lst be 0
: completed. No work is to be con-
. ~ cealed until thil1 inspeotion has
~be~n made and approved.
PENCE: When compl.>te -- Provide.
gates or movable sections through
P.U.E.
DEUOLITION OR ;,.:OVED BUILOIilOS
~ Sani tary SB'..Jer capped at p~op~rt':i Zir:e
~ Septic tank p~cd and fille~ with gra~eZ
I Final - f\'hen above ite..~s are completed
~ and when demolition is complete 01' strua-
ture moved and premises cleaned up.
Nobile Homes
~ Blocking and Set-~p
~ Plumbing conneotions -- 8cwer and wa-::er
~ Electricel Connection - Blocking. set-up
~ and plumbing connections m"..tst ce approved
before requesting electrical inspection
::zJ Accessory Building
\.' .
L/I Pinal - Aft~r porches, skirting. decks.
~ etc. are comple-::~d.
D
All project conditions. such as the installation of street trees. ca~letion of tne
required landscepir:g, etc.. must be satisfied before the BUILDING FINAL ~an be request:;:d.
o FINAL PLUNBIIlG
[J FINAL MECHANICAL
[J FINAL ELECTRICAL
~
@
FINAL BUILDING: The Final Building Inspection must be requested after the Final Plumbing
Electrical. and Mechar:ical Inspections have been made and approved.
"ALL MANHOLES AND CLEANOUTS HUST BE ACCESSIBLE. ADJUST/fEUT TO BE !.~1DE AT NO COST TO CITY I Pa~e 1 of 2
I
I JO B NO. 970'2'2. 'I
I Zona: /,,/JI/:5/ 1>0-0
I Lot Sq. Ftg.
!
Z of lot Caverag~
# of Stories
Total Height
I
I Topography
I
I ITEM SQ. FTG
IMain
I Garac;e
CQ.1'!)ort
Accessoru
r;;~/#-4S
I TOTAL VALUE
S.D.C.
(va~ue)
1.5 :J:
Building Permi t
State Surcha:rge
Total Cha.~ge8
ITEM NO.
Fi:r:tures
I Residential (1 bath)
I Sani ta.ry Sewer I ,
Watel' /
,{ll.//./76CY< ~p
Plumbing Pem t
State Surcr.arge
Total Charoes
ITEM
Res. So. fto.
!New/Extend Circuits
I:..,,,.,.ooo"'.:l:f-Seroice
lI~uup
I
1/1
I I
Electrical Permit
Sta.te Suraharqe
Total Charqes
SOLAR ACC. RE~.-
Occupancy Grou".J:ttIPeIt.t: /b~
WT TYPE I Lot Faces -
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I P.L.
North
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Interiol'
COl'ner
~~,-
FEE
CHARGE
NO.
FEE
CHARGE
lITEM NO. t FEE
Furnace PTU' S I
F::::haust Hood I
Vent Fan I
I Woodstove I
I I
I
1
I
I
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Electrical LabeZ~ 1311 R I .26' - ~L (
MobiZe Home c::; ~r'-->p I f): ~ t- II
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I C~q
t/I SOB. IS;-
Permit Issuance
Meahanical Permit
State Surcharoe
Total Charoes
-- ENCROACHMENT --
;
I Sec-..ri ty Deposit
i Storage
i
i Maintenan:::e
, Parmi t
Total Charoes
Curbcut
Sidewalk
Fen::e
TOTAL AMOUNT DUE: *
ClIARGE
I
f I HAVE CAREFULLY EXAMINED the completed application for permit, and do
I hereby certify that aZZ ir.foromation hereon is true and correct. and I
' further certify that any ar.d aZZ work performed shall be done in accor-
I dance with the Ordinances of the City of Springfield. and thz L~~s of the
'* State of Oregon pertaining to the work de~cribcd herein, end that NO OCCU-
I PANCY will be made of any structure without permission of the BuiZding Di-
vision. I further certify that only contractors ~~d e~ployees who a:re in
I compliance with ORS 701.055 will be used on this project '
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Type/Cor.st:
A!,,/-1rAl
Setbacks
House Carage Access.
/YJ/AI.?'
MH.""""
141 n'/'e;"
M/N. -5''''
Bearoor.:s:
I Enerau Sources
Heat .:.
Water Heater
Range .
Fireplace
Wood:;tove
q Tur>e "
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Building Value & Permit
This permit il1 granted on the express condition that the said construction
shall, in aZl respects, conform to the Ordinance adopted by the City of
Springfield, incZuding the Zoning Ordinance, regulating the construction
and use of buildings, and may be suspended or revoked at eny time upon vio-
lation of any provisions of said Ordinances.
Plan Check Fee: (f; 4' 5'c:::>
Date Paid: L,/~- 25?
Recdpt #: -a?;~C6 /
Signed:.// ~~
. /".ry ~ 41" .. ~...........
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Plumbing Permit
,
No person shall cOnstruct. instalZ, alter or change any new 01' e:isting
plumbing or drainage syste~ in ~hole or in part, unless 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-
cant.
..
Electrica I
Permi t
Where State LaLJ requires tr.at the electrical work be done by an Eleatrical
Contractor. the electrical portion of this permit shall not be valid until
the Zabel has been signed by the Electrical Contractor.
Mechanical
PermH
:~.
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PZ~'F:xaminer
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, P"
'1,,7-&7
uate
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Date
4-7-81
Sign:zd
*