HomeMy WebLinkAboutPermit Building 1987-6-8 (2)
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.. RESIDE fIAL--
APPLICATION/PERMIT
225 North 5th Street
. '
Springfield" Oregon 97477
Building. Division
726-3753 .
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Rece-:.pt #
A. t, '6 '3 f'5(
SPRINGFIELD
Job Location: 5f.o (PO [) ~./.A . ~P/P-C€# 26
Assessors Map # I' Ta:r: Lot #
CR.mer: '!fli, lJiW M 1-1 ~
Address: Io/OS S~ d-n d sr.
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City: ~
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7ffo1JL ~
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5/'/~ -f7~;:/~~' ~//6<<;:
W/YW1A:a (~Pj '.
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Subdivision:
I '1m,) . .'.
I Addi tion
I I Remodel-
I YI UobHe Home
.r
'Date of Appl-ication
Contractors
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A.
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General-
Pl-umbing
El-ectrical-
Mechanical
Construction Lender
Phone:! LJ ? - tj fJTJ r
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Zip:
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Cu
& -- '(S.....g'I)
Signed:
Date:
Address
Lisd. #
Expires
Phone
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It is .the responsibility of the permit holder to see that all inspections are made at the proper time. that each (.;f]tlress is readabZe
from the street. and that the permit card is located at the front of the property.
*Bui!ding Divicion approved p'Lan,shall- remain on the Building Sits at all- times. .
PROCEDURE FOR INSPECTION REQPEST:CALL 726-3769 (recorder) state your City designated job number. job address. type of inspecticn
requested and when you will be ready for inspection. Contractors or OWners name and pbgne number. Requests received before 7:00 am
u.'ill be made the same day, requests made after 7:00 am wi'Ll be made the nr,;:z;t :,JOrking day.
Reaui~Bd TnSDp.ctions
D' SITE INSPECTION: To be made after
excavation. but prior to set up of
. ,forms. . .
O : UNDERSLAB PLUMBING. ELECTRICAL &
, MECHANICAL: To be made before any
. work is aovered. .
f\7l"FOOT7lic ~OUNDATION:- To be made
~ after trenches are excavated and
. forms are erected, but prior to
pouring concrete.
D ,UNDERGROUND PLUMBING~ SEWER. w'4TER.
,DRAINAGE: To be made prior to fil-
U7".{J trenches.
O · 'UNDERFLOOR 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.
D ROUGH PLUMBING. ELECTRICAL & MECH-
,ANICAL: No work is to be covered
.,until these inspections have beer.
, made and approved. '
D FIREPLACE: Prior to placi7".{J facing
materials and before framing inspec-
tion.
D FRANINC: Must be requested after
approval of rough plwrhing. electri-
cal- & mechanical-. AU rOOfing
.' bracing & chimneys, eta. l7r.lst be
..:',completed. No work is to be con-
..."."-..cealed until this inspection has
. :/,bee.n made and approved.
. '. ,"
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D FINAL PLUMBING
o FINAL MECHANICAL
o FINAL ELECTRICAL
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(8)
Your City Desigr.ated Job Number Is:
~10 :?Io '
'0 INSULATION/VAPOR BARRIER INSPECTION:
To be made after all insulation and.
'. .' required vapor ba:t'T'iers are in place
,r, . 'but before any lath. gypsum board or
, 'wan covering is applied. and before
" ':,any insulation is concealed.
DEMOLITION OR ,',JOVED BUILDINGS
=:J Sanitary seJer capped at pr:.opert'd Zir.e
,
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==:J Septic tank pumped and fill-ed with gra~el
" DRYWALL INSPECTION: To be made
----1 after an drywan is in pZace,
but prior to any taping.
---, Final,,:" f{hen above ite:lls are compl-eted
~ and when demolition is complete or struc-
ture moved and premises cleaned up.
0, ~SONRY: Steel- location, bond
beams. grouting or vertical-s in
accordance with U.B.C. Section I Mobile Hcmes
2415.
D WOODSTOVE: After instanation is ~O ~OCking and Sat-up
eompl-eted. .' ~.. and
' . -vi P"umb'/-ng connect'!-ons -- sewer water
:.' , ,', 5~~
D CURB & APPROACH APRON: After forms ~ctricaZ Connection - Blocking. set-up
are erected but prior to pouring 5'? 2S.J ~;;a' plumbing connections l7r.lst be approved
corwrete. . . . before requesting electrical- inspection
SIDEWALK & DRIVEWAY: For an con-
crete paving within street right- S I, ~ Accesso1";i Building
pf-wc:y, to be made after an exca- .'
vating cOl1ll?let~ & foI'rr} work & sub- ~...Final _ After porches.
. base matenal '/-n place. . . ~( .LSJ etc. are completed.
L
, .'
D
.' ;
.t', .
.Lo .....'
skirting. decks,
D
PENCE: flThen complete -- Provide..
gates or movabl-e sections through
P.U.E. .'
D
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, '
---
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All- project conditions, such as the installation of street trees. completion of the
required landscapi7".{J. etc., must be satisfied' ~efore the BUILDING FINAL can be requested.
"
FINAL BUILDING: The Final Building Inspection must be requested after the Final Plumbing
Electrical. and Mechanical Inspections have been made and approved.
~AL[' MANHOLES AND CLEANOUTS MUST BE ACCES.C;TRT.R. AD.TTJ.<;THRNT ;0" RR MADE' AT NO r.oST TO CT'!'Y' I Pnop. 1 of 2
'. . ".: -
/:'age ~
I JOB NO. t1D2r5 SOLAR ~ESS REq,-
I Zone: M# ~ Pu p Occ:upancy Group: M<lS8.1't:: E ~G
- / ' I' '
Lot Sq. Ftg. LOT TYPE Lot Faces -
% of lot Coverag<: Interior
# of Stories Corner
Tota'l Height Panhandle
Topography CU'l-de-sac
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I ~/~ 88 1 * i"'l
10. ~ ""'\
. 0/6 ~ d
/t? $/b *
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lITEM
SQ.FTG
x
Value
Main
Garaae
I Ca:t'Por t
IAcCeSSOrl/
Fa!>r/~."
c
Is.D.c.
TOTAL VALUE
(va~ue)
1.5 x
Building Permit
State Surcharge
Total Cha.~ges
lITEM
I Fixtures
IResidentia'l (1 bath)
I Sanitary Sewer
NO.
FEE
CHARGE
,
I~
Water ,.,,-
T~O/hV? .#44.:P
, .
I
I
I
I
Plwnbing Pe:rrr.it
State Surcr.arge
Total Charaes
'ITEM
NO. FEE
CHARGE
Res. Sa. fta.
New/Extend Circ:uits
Temporary Service I
L:'L'~~7: R~}.rA
/,>~
If?; ~
E'le~trical Permit
State Sur~harqe
Total Charr;es
lITEM
NO. FEE
CHARGE
F'urnace PTU' S
E:::hau8t Hood
I Vent Fan
I Woodstove
I
I
I
I
I
I
I
Pe1'171'it Issuance
Mechanical Permit
State Surcharae
Total Charaes
-- ENCROACHMENT --
Se~KI'itl/ Deposit
I Storage
I Maintena~e
IPe1'171'it
I
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I
I
I
I
I
I 3~-e>
I
I
# ~5Y. ?8
Total Charqes
I Curbcut
I Sidewalk
I Pence
I E'lectrica'l LabeZ
I Mobile Home P~l:f~~ r;,,;p~
I
I
I
,
I TOTAL AMOUNT DUE: *
Type/Cor.st:
.'
L -CO G~
Bedrooms:
P.L.
North
East
South
West
Setbacks
House Carage
I I I
Enerq,l/ Sources TilDe I
Heat
Access. Watel' Heater
I Range
I Fireplace
I Woodstove
I I
-- Fees
Building 'Value & Permit
This permit is granted on the express condition that the sdid construction
shall. in all respects. conform to the Ordinance adopted by the City of
Springfield. including the Zoning Ordinance. regulating the ccnstructicn
and use of bui'ldings. and may be suspended or revoked at any time upon vic-
Zation of any provisions of said Ordinances.
\
PZan Check Fe~: 6.50
Date Paid: (~ - y --'l:'i
Receipt #: f1 t:,% :3 t{ Y
Signed: C/,-
Pe r m it
Plumbing
No person :shall constrUct. install. alter or change any new cr existing
p'lumbing or drainage system in whole or in part. unless such person is the
~egal possessor of a valiq p'lumber's license. except that a pe:oson may do
plUmbing work to property which is oumed. 'leased or operated by the appZi-
cant.
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Electrical Perm it
Where State La1J) requires t'h.at the e'lectrica'l work be done by an E'lectrica'l
Contractor. the electrical portion of this permit shall not be valid until
the Zabel has been signed by the E'lectrica'l Contractor.
Mechanical Permit
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PYap'Examiner .
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r' I HAVE CAREFULLY EXAMINED the completed application for permit. and do
I hereby certify that an infomzation hereon is true and correct. and I
further certify that any ar.d an work performed shan be done in accor-
f dance with the Ordinances of the city of Springfield. and th<: L~~s of the
* State of Oregon pertaining to the work described herein. and that NO OCCU-
PANCY will be made of any structure without permission of the Building Vi-
I vision. I further certify that only contra~tors and ~~loyees, who are in
I comp'liance with ORS 701.055 will be used on this project '
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6'-?-7f7
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