HomeMy WebLinkAboutPermit Building 1987-10-28 (4)
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APPLICATION/PERMIT
225 North 5th Street
Springfield, Oregon 97477
Building, Division
726'--3753 '
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SPRINGFIELD
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Job Location:
ASGessors Map
Subdivision:
OlJner:
Address:
Ci ty :
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NmJ
Ad.di tion
Remodel
Mobile Home
Date of Application
Contractors
Genera l
Plumbing
I' Electrical
I Mechar.ical
I Constl'Uction Lender
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Taz Lot # - 0(, n q
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f?;gCf -54! t/-
Zip:
Describe (yorl<:
Rcce~pt I;
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Signed:
Date:
ee
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Expires
Phone
It is, the responsibility of the perwrit holder to see that all inGpections are made at the proper time I that each ::tltJress is readabZe
f1'Ol1l the street, and that the permit card is located at the front of the property.
*Bui!ding zr;vicior: approved plan ~hall remain on the Building Sits at all times.
PROCEDURE FOR INSPECTION RE'QPEST:CALL 726-3769 (recorder) state your City designated job ntD7:ber, job add:ress, type of inspecticn
requested and when you will be ready for inspection, Contractors 01' OlJners name and phone number. Requests received before '1:00 ar.l
..'ill be made the same day, requests made after '1:00 am will be made the ncxt :JOrking day.
Reaui~ed Tnsoecticns
D: SITE INSPECTION: To be made after
e:r:cavation, but prior to set up of
, .forms.
O ' UNDERSLAB PLUMBING. ELECTRICAL &
. MECHANICAL: To be made before any
, work is covered.
,.',,'
~ FOOTING & FOUNDATION: To be made
L::J after trenches are e:r:cavated and
.: ,forms are erected, but prior to
pouring concrete.
D, UNDERGROUND PLUMBING~ SEWER. w'4TER.
,DRAINAGE: To be made prior to fil-
,lir'.{J trenches.
O :UNDERFLOOR PLUMBING & MECHANICAL:
.. : To be made prior to instaUation of
floor insulation or decking.
O POST AND BEAM: To be made prior to
' installaticn 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 placir.{J facing
materials and before framing inspec-
tion.
r-;l FRANING: Must be requested after
~ approval of rough plwnbing, electri-
,cal & mechanical. AU roofing
bracing & chimneys. etc. nr~st be
,:',completcd. No work is to be con-
,...,."-,cealed until this inspection has
',~,been made and approved.
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. Your city' Desigr.ated Job Nwnber Is:
D INSULATION/VAPOR BARRIER INSPECTION:
To be made after all insulation ar.d
" " required vapor barriers are in place
, '::' '.. but before any lath, gypswn bocnod ,or
wall covering is applied, and before
'any insulation is concealed.
o
DRYWALL INSPECTION: To be made
after all drywall is in place,
but prior to any taping. .
D MASONRY: Steel location, bond
beams, grouting or verticals in
accordance with U.B.C. Section
2415.
u
WOODSTOVE:
completed.
After installation is
g-70?"q
I DEMOLITION OR ,~;OVED BUILDINGS
. =:J Sani ~ary S8'..Jer capped at p:..opert":i line
~ Septic tank pumped and filled uith gra~eZ
I Final - ("hen above items are completed
~ and when demolition is complete or struc-
ture moved and premises cleaned up.
Mobile Homes
~ Blocking and Set-up
~ Plwnbing connections s~er and water
,~ Electrical Connection - Blocking, set-up
~ and plumbing connections nr~st be approved
, before requesting electrical inspec~ion
Al AcceSS01"d Building
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)5]' Final - After porches" skirting,
etc. are completed.
, ,
decks,
D
CURB & APPROACH APRON: After forms
are erected but prior to pouring
conarete.
D
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All project conditions, such as the installation of street trees, c~~lation of the
required landscaping, etc., must be satisfied before the BUILDING FINAL can be requested.
D FINAL PLUMBING
o FINAL MECHANICAL
D FINAL ELECTRICAL
D
o
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FINAL BUILDING: The Final Building Inspection must be requested after the Final Plumbing
Electrical, and Mechanical Inspections have been made and approved.
O SIDEWALK & DRIVEWAY: For all con-
, crete paving within street right-
pf-wc.y, to be made after aU exca-
, vatin'g complete Iii form work & sub-
. base material in place.
, .
D
PENCE: h'hen compliZte -- Provide ,.
gates 01' movable secticns through
P.U.E.
~ALL MANHOLES AND CLEANOUTS MUST BE ACCESSIBLE, ADJUST!fENT. TO: BE M~DE liT NO COST TO CITY I Page 1 of 2 I
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I HAVE CAREFULLY EXAMINED the completed application for permit, and do
hereby certify that, all information hereon is true and correct, and I
further certify that any ar.d alL work performed shall be done in accor-
r dance with the Ordinances of the city of Springfield, and thr: La-.;s of the
* State of Oregon psrtaining to the work described herein, and that NO OCCU-
I. PANCY will be made of any structur2 without permission of the Building Di-
vision. I further certify that only contraators ar.d e~loyees who are in
ca~pLiance with ORS '101.055 wilL be used on this project
JOB
No.R1o 'lIrA o.:::,.RG:,ESS
Zone:
Lot Sq. Ftg.
S of lot Coveragr:
II of Stories
TotaL Height
Topography
LOT TYPE
Interior
Corner
Panhandle
Cul-de-sac
ITEM
I SQ. FTG
X
Value
-,
Main
/-;?,2 f? '3
,
Garace
"?~O/
Accessoru - 3 A I
~N~':'> lk'~~ /,~.
( -.
TOTAL VALUE I? "2 tE 3
S.D.C. 1.5 x (vaLue) I /~ "<;5" *
/?.. os;:::>
-e8
/Z5. ~8 *
Caroort
Building Permit
State Surcharge
Total Charges
lITEM
I Fixtures
I Residential (1 bath)
I Sanitary' Sewer
I Water
11I~/7'~
NO.
FEE
CHARGE
/1
III
I I
~~I
k5:. ~ - I
;6:~1
~t!). ~
Plumbing Permi t
State Surcr.arge
.2. ~'SC> I
$''2.,. s-~I *
CHARGE I
I
I
Total Charaes
ITEM
NO. I FEE
Res. Sa. fta.
I New/Extend Circuits
141.,:.;,,1:' ,.' ...,.~ ..service
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1/ I
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I /.Se:>
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CHARGE t
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Ifr,.-~l ~
ELectrical Permit
State Surahal'qe
Total Charqes
lITEM
I NO.' FEE
Furnace BTU' S
E:::haust Hood
I Vent Fan
I Woodstove
I
I
I
I
I
I
Permit IsSuanc2
Meahanical Permit
State Surchal'ae
Total Charaeo
-- ENCROACHMENT --
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Sea-.,tritu Deposit
I Storage
I Maintena';'e
lpermit
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~ I 2S;c:.=- r
I /.2sl
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?3~.:<"c& 1*
Total Charqes
eurbcut
I Sidewalk
Fen::e
Electrical Label
I Mobile Home ~'::::;C$
I rf:> /~
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.1 TOTAL AMOUNT DUE: *
rage <,
REQ,-
L -CO G~
.
, Enerqy Sources
I Heat
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Type/Const:
Bedrooms:
I Lot Faces -
T"De
P.L.
North
East
South
,West. I
Fees
Setbacks
House Carage I Access.
Water Heater
Range
Fireplace
Woodstove
Building Value & Permit
This permit is granted on the express condition that the said construction
shall, in all 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 any time upon vio-
lation of any provisions of said Ordinances.
PLan Check Fee: / /. ~~
Date Paid:
Receipt #:
Signed:
Plumbing Permit
No person shall construct, instalZ, alter or change any new cr existing
plumbing or drainage system in whole 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 or operated by the appli-
cant.
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Electrical Permi t
Where State Law requires tr~t the electricaL work be done by an Electrical
Contractor, the eLectrical portion of this permit shall not be valid until
the Zabel has been signed by the Electrical Contractor.
Mechanical Permit
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