HomeMy WebLinkAboutPermit Building 1987-7-2 (3)
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.. RESIDENTIAL..
APPLICATION/PERI1IT
225 North 5th Street
Springfield, Oregon 97477
Building Division
726-3753
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Job Location:
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Asoessors Map #
Subdivision:
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Ci ty :
nNP.W
I I Addi ticn
I I RemodeZ
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17' I !fobi Ze Bom3
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, Date of AppZication
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Rece~pt ,~~ ~ 1~.;I S'
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SPRINGFlEl..C
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Taz Lot #
Phone:
Zip:
Describe 11'01'1<:
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. Date:
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Signed:
Value
Cont:racr:ors
Lisc.#
Phone
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. . Address
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GeneraZ
Plumbing
ElectricaZ
Mechar.icd
Constl'Uction ierider
1xpires
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It is 'the responriibiZity of the permit holder to see that all inopections are made at t;he proper time, that ecch .:;ddress is readaDZe
from the street, and that the permit card is Zocated at the front of the property.
4Bui!ding Divicior: approved FZan shalZ remain on thz BuiZding Sit~ at all times.
'""PROCEDURE 'FOR' IllSPECTION REQUEST:CALt'726-3769 (recorder) state your City designated job nw.;ber, job address, type of inspec-:icn
requested ar.d when you wilZ be ready for inspection, Contractors 01' Owners n.cme cnd phone number. Requests received befcre 7:00 ~
..'iZZ.be made the:' same dc:y, requests made after 7:00 am wiZZ be made the nczt :JOrking day.
O ~SONRY: SteeZ Zocation, bond
beams, grouting 01' verticcZs in
accordance with U.B.C.',Section ftfobiZe Hcmes
2415. --"-1 ~
',0' UNDERFLOOR PLU/.:BING & MECHANICAL: 0 WOODSTOVE:. After' 'insta'ZZation is 9J -6- ~ocki~g and set~:.tp
-. ,To.be rr.acie prior to instalZation .t2f ;.. ,ccmpZeted. ~ _..3
. '1'7 . . 7 - . d k' '.. , '~.l: ,." , i~. ..C07l7lsctions ..--.uS&LJe1',=, wat;er
" .. ':':J,..OOr.~:I..1lSU....t'l;on ~or... ec 'l;ng. ~>
D POST ArID BEAM: To be made prior to D CURB & APPROACH AP."?ON: After forms ==;~ccZ Connection _ Blocking, set-up
: instaZZation of [Zoor insz.oZation 01' are created but prior to pouring ~') ...6";;;:t;i~bing conr:ections rrr..st ce approved
decking. conorete. ' before requesting electrical inspec;ion
O ROUGH ?LlP.!Bl!lG. ELECTRICAL & MECH-
ANICAL: No work is to DC covered
,until these inspect;ions have been
made and approved.
O FIREPLACE: Prior to plc:cir.g fccing
materials and before framing inspec-
tion.
Reauired InsDP-cticns
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SITE INSP:;CTION: To be made after
excavation, but prior to set up of
forms.
UllDERSLAB PWNBING. ELECTRICAL &
NECHA:IIC:'L: To be made before any
work is oovered.
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FOOTING & FOUNDATION: To be made
after ~renches are excavated and
forms are erected, but prior to
pourir.g ccncrete;.
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UNDERGROU!!D PLUMBING.
DRAINAGE: To be made
,lir.g r:renchee.
SEWER. WATER,
prior to fi l-
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FRANING: Must be requeoted after
approval of rough pZumbing, aZectri-
caZ & mechaniaaZ. AU rOOfing
bracing ~ chimneys, eta. rrr~st be
:" completed. No work is to be con-
~ cec:led until this inspection has
. be~n made and approved.
~ FINAL PLU/t8IlIG
~ FINAL ffECHANICAL
~ FINAL ELECTRICAL
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Your City Deoigr.ated Job Number Ie:
xt;f()4~/
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. DEt.!OLITIOH OR "JOVE:; BUILDI;lCS
==:J Sanit;ary s~~er capped at ~oper~d Zine
~ Septic tank p;g;:pe~ and fiZZa~ IJith ~a~al
INSULATION/VAPOR BARRIER INSPECTION:
To be made after all insul.ation ar.d'
required vapor ba1'1'iers are in p Zace
Cut before any Zath, gypsum bcard 01'
wall covering is appZied, and before
any insuZation is conceaZed. '
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I FinaZ - II'hen above items are ccmpZeted
---J ar.d when demcZition is compLete 01' st~o-
ture moved and pr~ses aZeaned up.
DRYWALL INSPECTION: To be made
after aU drywaU is in pZace,
but prior to c:ny taping.
D
SIDEWALK & DRIVEI-IAY: For aU con- ~ ~ . Bu 'Zd':
crete paving within street right- --..J Ac_essor;, 1. ~ng
of-wc..y,to be made after aU exca-. . '.__" ,
vating corrrt;Zett:; & form work & sub- ".....- --, ~Aftcr p:Jrcr.es,
base matel'1.aZ 1.71. pZaae. " 5<) ,,&tc. are completed.
skirting, decks,
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FENCE: r.'hen complc:te -- Provide
gates 01' movabZe sections through
P.U.E.
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AZl project conditions, such as the installation of street trees, co~letion of the
required Zandscc:ping, etc., must be satisfied before the BUILDING FINAL can be request:zd.
FINAL BUILDING: The Final Building Inspection rrrust be requeoted after the Final PZwnbinJ'
ElectricaZ, and Mechanical Inspectiono hauo been made and approved.
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I JOB NO.<rn,
Zone:\J\ \~~ ,Y\ ')\
Lot Sq. Ftg.
S of lot Coverage
# of Stories
Total Height
Topography
ITEM
SQ. FTG
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SOL A R Ace E S S R E Q.-
-
-.''00. ~"'~:-'I;.c.~',~ . " . .
. . ~ '. . ~ "'e L,. LJItlJiP.
Occ:upancl! Grou~:
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J~'Pf!ICo':IIt.!
Main
I Garaae
I Caruort ~
IAcce~~oru I
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I . 'TOTAL VALUE
(va~ue) "') '7 /)C"'2
S.D.C. 1.5 % ~~,~ ~
BuiZding Permit
State Surcharge
Total Cha.~ges
I ITEM 'NO. FEE
I,Fixtures
'I ResidentiaZ (1 bath) I
I Sani tary Sewer I /1
I Water I" I
~'<:..- \. '\J I I
,
PZwnbing Perr.:i t
State Surcr.arge
Total Chcrooes
I ITEM NO. I
I Res. So. fta. I
IN~/Eztend Circuits I
i Temporary Se:rvice I
~\L\y I
EZeatricaZ Permit
l- .State Surcharqe
I TotaZ ChOPces
FEE
i ITEM I NO. I FEE
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! Furnace ETU' S
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: E%haust Hood
i Vent Pan I
, Woodstove I
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Permit Issuance
Meahanical Permit
State Surcharae
Total Charaer;
-- ENCROACHMENT --
Se~~ritl! Deposit
Storage
Maintenan:!e
Parmit
TotaZ Charoes
.
eurbc:u :
SidelJalk
Fen~e
EZectrica 1- Labe l
.'ofobile Home
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:::JTAL AJ.!OlJll~' DUE':'
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8( Perm it,.:; I~
, This pe~t is granted on the ezpreS$ condition that tlso ~:
shaH. '!.n aZZ respects. conform to the Ordinar.ce ado"t .. b' ~.." '-':;-~"":!f, ;(
5 . f"d ' 1ud' "h 7" r e.. !t ~ .......'... .'
pr'!.ng '!.e~ ,~nc: -:.ng ~ e ~on'!.ng Crd-:.nance. regulating the CCftAtCnut" "
Il and,use of bu'!.Zd'!.~s~ and may ~e suopended or revoked at cr.y tJ-m. ~... ~tD.
, . Zat'!.on of any prov'!.s'!.Ons of smd Ordinances. " ,'.:.' ," .J~,r "
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1.'1'f:f,YfL *\j~~'0~\.~
'\D?U"~ .<:_ / PZan Check Fee~ . Co ~~ ~ .
j . to '"~ ' ., Date"Paid~:'-""r \. 0~, "f c\\. \\\i~L-
I \ (') f() '* \ ~. '.' R~c;;;iPt #: J
" "., '..; IS'!.gned:. ,
I Plvmbing Permit -,'
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Itt-p
LOT TYPE
Interior
CoMier
PanhandZe
Cul-de-sac
x
Value
CHARGE
~o.<:;9
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I~a.~
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I ':\ ~_, 60
CiiARGi::
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1\8.C()
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'"?{'),GO
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1~\.sO
I CHARGE
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Lot Faces -
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Worth
lEast
lSouth
IWest
Setback,:
House I Cararu:
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-- Fees
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Building Value
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No person ohalZ construct, inst;aZ!, alter 01' change any new cr e--isting
pZumbing 01' drainage system in ~hoZe or in part, unZess such Ferson is the
ZegaZ possessor of a vaZid pZumber's Zicense, except tr~t a person may do
pZumbing work to property which is owned, Zeased 01' operated by the appZi-
cant.
*
Electrical Permi t'
,
Where State Law requires th~t the eZectricaZ work.,be done by an EZeatricaZ
Contractor, the eZectricaZ portion of t;his permit'shaZZ not be valid'untiZ"
the ZaheZ has been signed by the EZectricaZ Contractor.
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Mechanical Pexmit"
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Fran Excminer-
C) -\ (')-81
uate'
I HAVE CAREFULLY EXAMINED the compZeted appZication for permit, and do
hereby certify that alZ ir.fo~ation hereon is true and correct. and I
further certify that any ar.d aZZ work performed shaZZ be done in accor-
dance with the Ordinances of the City of Springfield, and th~ L~~s of the
* State of Oregon p$rtaining to the work described herein, and that NO OCCU-
PANCY !JiZZ be nr;zde of any structure without permission of the Building Di-
vision. I further certify that only contraators ar.d empl~yees who are in
compZiance with ORS 701.05S wiZZ be used on this project
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