HomeMy WebLinkAboutPermit Building 1985-8-3
.. RESI_NTIAL.. SPRINGFIELD
. APPLICA'IroN/PERMIT
225 North 5th Street
SpringfieZd, Oregon 97477
BuiZdin~ Divisi~n
726-3753 .
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Job Location:
AsoesGors Map
Subdivision:
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OlJner: t1? Q~,",- ro ,(2 f2AL0-,,,12 Q...
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Address: t?'... a ~ b y I '> ~ ,...
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I I Addi tion
I I Remodel
I I Mobile Home
Date of Appliaation
Contraators
General
Plumbing
Eleatriaal
Q~~W'
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Meahar.iaal
Construction Lender
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Phone:
Zip:
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Desaribe 11'01'1<:
Address
Rcaeipt fI ~ ~)J'~)~f~lt
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Signed:
Date:
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Expires
Phone
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It ie. the responsibility of the permit holder' to eee that all inopections are made at the proper time~ that each :;;ddress is readab7.e
from the street. and that the permit eard is Zoeated at the front of the property.
*Bui!ding Divicion approved plan shall remain on the Building Sits at all times.
PROCEDURE FOR INSPECTION RSQPEST:CALL 726-3769 (reaorderJ state your City designated job nlo7;ber. job add:r>ess. type of inspea-;ien
requested ar.d when you wiZl be ready for inspeation. Contraators or OlJners ru:me and phone number. Requests received before 7:00 am
..'i ZZ be made the same day. requests made after 7: 00 am wi U be made the next :uorking day.
O POST AND BEAM: To be made prior to
installation of floor insuLation or
deaking .
D ROUGH PLUMBING. ELECTRICAL & MECH-
ANICAL: No work is to be aovered .
'. ur.tiZ these inspeations have beer.
made.arJd approved. .. . '...
D FIREPLACE: Prior to plaair.g fiiaing' ".-.,;f
materials and before framing inspee- ..
tior:.
Reaui~p.d TnSDp.~ticnR
D. SITE INSPECTION: To be made after
exaavation. but prior to set up of
. . forms.
D : UNDERSLAB PLUMBING. ELECTRICAL &
. MECHANICAL: To be made before any
. work is aovered. .
IX]
FOOTING & FOUNDATION: To be made
after trenahes are exaavated and
forms are ereated. but prior to
pouring acnarete.
D. . UNDERGROUND PLUMBING. SEWER. WATER,
. DRAINAGE: To be made prior to fiZ-
. .lir.g trenahes.
D. UNDERFLOOR PLUMBING & MECHANICAL:
.. . To be made prior to instalLation of
{toor insuLation or deaking. ,.. , . .
~ FRAMING: Must be requested after
~ approval of rough plwrbing. eleatri-
,cal & meahaniaal. AU roofing
.,' braaing & chimneys. eta. rrr~st be
',:'.completed. No work is to be aon-
....<"'-:cealed until this inspeation has
'.~.been made and approved.
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Your city' Desigr.ated Job Number I~:
.1 INSULATION/VAPOR BARRIER INSPECTION:
---1 To be made after aU insulation a.>'.d
: .,.. ,., required vapor barriers are in p Laee
'. '.::-'" but before any lath. gypsum board or
: . " waU aovering is appZ-ied. and before
":. .... any insulation is conaealed.
. .' \
O DRYWALL INSPECTION: To be made
after aU drywaU is in plaae.
, but prior to any taping.
O MASONRY: Steel loaation. bona
beams, grouting or vertiaals in
aaaordance'with U.B:C. Seation
2415.
D WOODSTOVE: After installation is
eompleted. . ' .
D
CURB & APPROACH APRON: After forms
are ereated but prior to pouring
aonorete.
koto I
DEMOLITION OR NOVED BUILDINGS
=:J Sanitary se'..Jer aapped at pz:.Opcrtii Zir.e
=:=J Septia tank v~ed and filled with gra~eZ
1 Final - mIen above items are aompleted
---1 and when demolitior: is aompZete or struo-
ture moved and premises aZeaned up.
Mobile Hernes
~ Bloaking and Set-up
~ Plumbing aonnections sewer and water
~ Electriaal Connection - Blocking. set-up
~ and plumbing aonr.eations rrr~st ae approved
.' before requesting eleatriaal inspea-;ion
::8l Aaaesso1"d Building
.... ".,'
"\/I Final - After porches. skirting. deaks.
~ eta. are eOlT/pleted.
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FIlIAL PLUMBING
All project aonditions. suah as the installation of street trees. a~~letion of the
required Landscapir:g. eta.. must be satisfied before the BUILDING FINAL aan be requested.
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FINAL MECHANICAL
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FINAL BUILDING: The Final BuiZding Inspeation must be requested atter the Final Plumbing
Eleatrical, and Meahar.ical Inspeations have been made and approved.
FINAL ELECTRICAL
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SIDEWALK & DRIVEWAY: For aU aon-
arete paving within street right-
pf-way. to be made after aU exca-
vating aomp?ete. & form work & sub-
base materiai in pLaae.
-
*ALL MANHOLES AND CLEANOUTS MUST BE ACCESSIBLE. ADJUS~!/ENr TO BE ftMDE' AT NO COST TO CITY Page 1 of 2
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PENCE: Wher: aomplete -- Provide-
gates or movable seations through
P.U.E. .
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CHARGE ., . I ' b ·
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No person shaH aemstruat. insta.!ZtttaZter or change any new or existing
pZumbing or drainage syste:ll inrttto\Zle ~r Yin p~t. unZess suah person is the
ZegaZ possessor of a vaZid pZwnber's Ziaense; except that a pe::oson may do
pZwnbing work to property whiah is owned. Zeased or operated by the appZi-
cant. . "V_.,~.,;,.l
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iZ:~,B NO. ceO., aa:::,RG:WSS
WTTYFE
Lot. Sq. Ftg.
S of Zot Coverag~
# of Stories
Total Height
Topography
Interior
Corner
PanhandZe
CuZ-de-saa
lITEM
I Main
I Ga:raae
I CaZ'Por t
I Acaessoru
SQ.FTG
x
VaZue
,liSt:>
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S:~
.d1f1,~~li
TOTAL VALUE
IvatueJ
1.5 x
S.D.C.
BuiZding Permit
State Suraharge
TotaZ Cha....ges
lITEM NO.
I Fi:xtures
IResidentiaZ (1 bath)
FEE
--
Sanitary Sewer
Water
~~p
PZwnbing Pem t
State Surcr.a.rge
TotaZ Charoes
lITEM
I Res. So. fto.
I New/Extend Cirauits
~..!'.....~ Service
.I_~A"'~
NO.
PEE
CHARGE
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Q I '4'. - ~ ........
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EZeatriaaZ Permit
State Suraharqe
TotaZ Charqes
ITSM
NO.
FEE
CHARGE
Furnaae PTU' S
Exhaust Hood
Vent Fan
I Woodstove
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Permit Issuanae
Meahanieal Permit
State Suraharoe
TotaZ Charoes
-- ENCROACHMENT --
Securitl/ Deposit
Storage
I Maintena.~e
Ipermit
'.
TotaZ Charoes
Curbaut
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~Og0qBI ,<4>
I -rs: _0
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~2~. So
SidewaZk
Fen:::e
EZectricaZ LabeZ
Mobi Ze Home
,
TOTAL AMOUNT DUE: *
Ll.oo.tf""' tJ
REQ.-
L ':"CO G~
.
Bedrooms:
EneI'm, Sourees
Heat .
Water Heater
Range
FirepZaae
Woodstove
TUDe
Type/Cor.st:
Lot Faaes -
P.L.
North
East
South
West
Setbaaks
House Garage
Aaaess.
-- Fees
Building Value &,.. PerlTl'it
This permit is granted on the express aondition that the sa'id aonstruation
shaZZ. in aZZ respeats. conform to the Ordinar.ae adopted by the City of
SpringfieZd. incZuding the Zoning erdinar.ae. reguZating the aonstruction
and use of buiZdings. and may be suspended or revoked at any time upon vio-
Lation of any provisions of said Ordinanaes.
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PLan Cheak Fee:
Date Paid:
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Electrica I Perm it
Where State Law requires tr.at the eZeatriaal work be done by an EZeatriaaZ
Contractor. the eZeatriaaZ portion of this permit shaZZ not be vaZid untiZ
the ZabeZ has beer. signed by the EZeatriaaZ Contraator.
Mechanical Permit
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Exam1-ner
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,. I HAVE CAREFULLY SXAMINED the aompZeted appZiaation for permit. and do
I hereby aertify that aU ir.formation hereon is true and correct. and I
' further aertify that any ar.d aZZ work performed shaU be done in aeaor-
f danae with the Ordinanaes of the City of SpringfieZd. and th~ L~~s of the
* State of Oregon pertaining to the work desaribed herein. and that NO OCCU-
PANCY wiU be made of any struature without permission of the Building Oi-
l vision. I further aertify that onZy aontractors and e~pZoyees who are in
I aompZiance with ORS 701.055 wiZZ be used on this projeat
,
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Date