HomeMy WebLinkAboutPermit Building 1987-7-17 (2)
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.. RESIOITIAL"
APPLICATION/PERMIT
225 North 5th Street
Springfield, Oregon 97477
Building Division
726-3753
_ Rcce~pt #
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13 (;; ~(o 0/1'
SPRINGFlEl..C
,
! Job Location: ,}t;.;tJ?() 0-tJ '.t A1~
I Asoessors Map # Il{ J 0 Z.., () 4 -/1 ([
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-=tt 33
Taz Lot # (PI / 9
Subdivision:
19.~ () cJdij I A
Address: h/l()(2f) U/aJ~ /)J If ~
?lIChfU1d / ()!Z
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OI.mer:
City:
Zip:
qo) ,( ~ I
Phone:
~1\?0
Date of Application
Contractors
v~zue1
~f/ JAOvO ~
6/50100
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.1-/'7 ~f 1
Signed:
Date:
Genera Z
PZumbing
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Address
Lisc.#
Clr:a41lJ7/J
Expires
Phone
"3 -lcJ-~[(,
bgc:;; -b~
I EZectricaZ
.1
Mechar.icaZ
Constl'Uction
Lender
It is the responsibi'Lity of the permit holder to see that al.1. inopections. are made at t;he propel' time, that each .:;ddress is readaD7.e
from the street, and that the permit card is Zocated at the front of the property.
*Bui!ding rr~vicion. approved FZan shan remain on tha BuiZding Sit~ at an times.
PROCEDURE FOR INSPECTION REQPEST:CALL 726-3769 (recorder) state your City designated job nw.;ber, job addre,ss, type of inspec-;icll
requested ar.d when you wiZZ be ready for inspection, Contractors 01' OI.mers n.cme end phone number. Requests received cefere 7:00 I:r:'l
:..'iZZ be made the same dey, requests made after 7:00 am wiZZ be made the na;t :JOrking day.
i Reaui~ed TnsDecticns
: 0 SITE INSPECTION: To be made after
I excavation, but prior te set up of
i . .forms.
lD ' UNDERSLAB PLUMBING. ELECTRICAL &
; 'MECHANICAL: To be .'made before any
I ' work is covered. ,
Your City Deoigr.ated Job Number 10:
~1{)4ro /
D INSULATION/VAPOR BARRIER INSPECTION:
To be made after alZ insuZat~n and
" required vapor Ca:r>1'iers are in p Zace
. . but before any lath, gypsum board or
wan covering is appZied, and before"
'any insuZation is conceaZed.
, DEt./OUTION OR ,~:OVED BUILDIilGS
=:l Sani tary se'..Jer capped at p~op<::rt"d Zir.e
~ Septia tank p~~ed and filZed with gra~el
;0
FOOTING & FOUNDATION: To be made
after trenches are excavated and
forms are erected, but prior to
pouring cencrete.
UNDERGROUND PLUMBING. SEWER. WATER.
DRAINAGE: To be made prior to fil-
,Zir.g trenches.
D DRYWALL INSPECTION: Te be made
after an drywan is in pZace,
but prior to any taping.
D' MASONRY: SteeZ Zocation, bond
beam3, grouting 01' verticaZs in
accordance with U.B.C. Section
2415.
--, FineZ - [,'hen above items are cerrrpZeted
~ and when demeZition is compZete 01' strua-
ture moved and premises cleaned up.
,
,
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MobiZe Hemes
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,
,
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WOODSTOVE:
corrrpZeted.
After instaZZation is
~ BZocking and Set-up
~ PZumbing connections s<::wer and water
~ EZectricaZ Connection - BZocking, set-up
---l and plumbing connections m"~st be approvsd
, before requesting eZectricaZ inspection
!D
CURB & APPROACH APRON: After forms
are created but prior to pouring
co=rete.
D SIDEWALK & DRIl'EWAY: For an con-
prete paving within street right-
, of-wc:y, to be made after an e:r:ca-
vating~compZete & form work & sub-
, 'base materiaZ in pZace.,
D
~ ACCeS301"d Bui Zding
.~. .
--, PinaZ - After porcr.es, skirting, decks,
~ etc. are complet<::d.
D
PENCE: r.'hen compli>te '.;.- Provide'
gates 01' movabZe sections througr.
P.U.E.
D
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....-
FIliAL PLUMBING
14
(9
AZZ project conditions, such as the installation of street trees, c~~Zetion of the
required Zandscc:pir:g, etc., must be satisfied before the BUILDING FINAL can be requested.
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.
~D
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FINAL MECHANICAL
\.\~
FINAL ELECTRICAL
FINAL BUILDING: The Final BuiZding Inspection must be requested efter the FinaZ Plumbing
ElectricaZ, and Mechar.ical Inspections have been made and approved.
;
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*ALL MANHOLES AND CLEANOUTS MUST BE ACCESSIBLE, ADJUST!fENT TO BE. ftMDE AT NO COST TO CITY I Page 1 of 2
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12~#APn~ I
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I JOB NO. y,?() q~ I
Zone:
Lot Sq. Ftg.
Z of Zot C:JlJerag;;
1# of Stories
TotaZ Height
I
Topography
lITEM
SQ.FTG
Main
Ga>aoe
Lf62
Carport
IAccessor!l
I
I
TOTAL VALUE
S.D.C.
(va~ue)
1.5 x
Building Permit
State Surcharge
TotaZ Charges
I ITEM NO.
I Fixtures
I ResidentiaZ (1 bath)
I Sanitary Sewer
I Water
I
PZumbing Pem t
State Surcr.arge
Total. Charaes.
!ITEM
I Res. Sa. fta.
I New/Extend Circuits
I
I Temporary Serovice
I
NO.
EZectriaaZ Permit
State Surcharqe
Total Charr;:es
SOLAR .ESS
Occupanc!i Grouu:
LOT TYPE
x
FEE
FEE
I NO. I FEE
I l
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I I
Storage
Maintenance I
,
. Permit I
TotaZ Charaes I
Curbcut; I
SidewaZk I
Pence I
EZectricaZ LabeZ I
Mobile Home I
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I
.-OTAL AJ.!OUN'i' DUE::' t;f' &9."2 b
lITEM
I Furnace ETU' S
I
i Exhaust Hood
I
i Vent Fan
,
,
, .
I Woodstove
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Permit Issuance
Mechanic:::. Z Permi t
State Surcharae
TotaZ Charaer;
-- ENCROACHMENT --
Se~~rit!i Deposit
- .....;::;.... -
REQ.-
L -CO G"t
-
Type/Const:
1
Access. I
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Setbacks
House Carage
Bedrooms:
Enero!l Sources
Heat
Water Heater
Range
Fireplace
Woodstove
Interior
Corner
PanhandZe
CuZ-de-sac
I Lot Faces -
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I P.L.
North
TiJr>e
East
South
West
-- Fees
VaZue
Building Val~e & Permit
C/5"'t!J. ~
This permit is granted on the express condition that the said construction
shaZZ, in aZZ respects, conform to the Ordinance :::.dopted by the City of
SpringfieZd, incZuding the Zoning Ordinance, regulating the construction
and use of buiZdings, and may be suspended or revoked at any time upon vio-
Zation of any provisions of said Ordi~nces.
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CHARGE I
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PZan Check Fee: 1-;0 ~63
",,) Date Paid: /- /c C) -8' ~ .'
AV' Recdpt #: / ~ h gr h .-:<)fiJ- 3
I Signed: ~~
Plumbing Permit
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No person shaZZ construct, instaZZ, al.ter 01' change any new cr existing
pZumbing 01' drainage syste~ in whoZe 01' in part, unless such Ferson is the
Zegal possessor of a valid plumber's Zicense, 'except that a person may do
pZumbing work to property which is owned, Zeased 01' operated by the appZi-
cant.
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CHARGE
Electrical Permit
-;:z '2. s.e>1
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":2 :2,.9>!
/./3'1 _1.-(
~ .(6:?1 *
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Where State Law requires tr~t the eZectricaZ work be done by an EZeatricaZ
Contractor, the eZectricaZ portion of this permit shalZ not be vaZid untiZ
the labeZ has b;;en signed by the EZectricaZ ~Olltractor.
CHARGE
Mechanical
Permit
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I I HAVE CAREFULLY EXAMINED the completed appZication for permit, and do
" hereby certify that aZZ information hereon is true and correct, and I
further certify that any ar.a aZZ work performed shaZZ be done in acaor-
I dance :.Jith the Ordin:::.nces of the City of Springfield, and thE: Lcr..;s of the
'* State of Oregon pE:rtaining to the work describcd herein, and that NO OCCU-
PANCY :.JiZZ be made of any structure without permission of the BuiZding Di-
vision. I further certify that only contraators mui e~ployees Wr.o are in
compZiance with ORS 701.05S wiZZ be used on this project
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