HomeMy WebLinkAboutPermit Building 1986-6-17 (2)
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.. RESI~TIAL 00 SPRINGFIELD
. APPLICl~N/PERMIT
225 North 5th Street
SpringfieZd, Oregon 97477
BuiZding Division
726-3753
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CkJner: ;(/}If/ri /0 r td{pff
Address: C/O <- ~/11 r/
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Job Location:
ASGessors Map #
Subdivision:
/J.
City:
I Np.w
I Addi tion
I I RemodeZ
1~1 UobiZe Home
( Date of AppZication ..,,~ / ~ -:-:f K .
Contractors
=IF ~
Ta::: Lot #
, D l/J II q
, ' . 1
Phone:
/) r(1,- I/tilJ ?
Zip:
.."'&7le - M~
VaZue
/9 r f B:
~~O.552'-;
Address
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7~cf /JAH
P..t:'..nA ,. o-$~LA\ J
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GeneraZ
PZumbing
EZectricaZ
Mechar.icaZ
. Constrouction Lender
Receipt #
/ /-;40
~o\~
Ill:] -l\OO<6
Sigr.ed:t0
Date: I ? - f I-'&.
,
Lise. # Expires Phone
.
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It is the responsibiZityof the permit hoZder to see thataZZ inapections are made at the proper time~ that each :;ddress is readabZe
froom the street, and that the permit card is "located at the front of the property.
*Bui!ding Divi::ion approved pZan,shaU remain on tha BuiZding Sit:; at aU times.
PROCEDURE FOR INSPECTION REQPEST:CALL 726-3769 (recorder) state your City designated job nwnber. job address. type of inspec~ien
requested and when you wiZZ be ready for inspcction~ Contractors or Owners name ~nd phone number. Requests received before 7:00 ~
r...>i.ZZ be made the same d~y. requests made after 7:00 am wiZZ be made the next :;JOrking day.
Reaui~~d TnSD~ctions
SITE INSPECTION: To be made after
excavation. but prior to set up of
forms.
UNDERSLAB PLUMBING. ELECTRICAL &
. MECHANICAL: To be made before any
work is .:Jovered.
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o
. ".:0-
~.M . FOOTING & FOUNDATION: To be made
!?"..l\! after trenches are excavated and
, , ' forms are erected. but prior to
pouring concrete.
lY;I", UNDERGROUND PLUMBING. SEWER, W.1TER.
bf}'S,. DRAINAGE: To be made prior to fiZ-
\' -', " ,Ur.g trenches.
D. UNDERFLOOR PLUMBING & MECHANICAL: .
, To be made prior to instaUation of
, floor insuZation or decking.
O POST AND BEAM: To be made prior to
instaZZation of floor insuZation or
decking .
O ROUGH PLUMBING. ELECTRICAL & MECH-
ANICAL: No work is to be covered
,ur.tiZ these inspections have been
made and approved.
D FIREPLACE: Prior to pZacir.g facing
materiaZs and before framing inspec-
tion.
D FRANINC: Must be requeGted after
approvaZ of rough pZwnbing~ eZectri-
caZ & mechaniaaZ. AU roofing
bracing & chimneys~ eta. nr~st be
)' compZeted. No work is to be con-
,." ~,ceaZed untiZ this inspection has
~been made and approved.
p'._'-
Your city Desigr.ated Job Number Is:
'I INSULATION/VAPOR BARRIER INSPECTION:
---1 To be made after aZZ insulation ar4
, ' required vapor barriers are in p Zace
". . but before any Zath, gypsum board or
waZZ covering is applied~ and before
'any inauZation is conceaZed.
~
DRYWALL INSPECTION: To be made
after aU drywaU is in pZace.
but prior to any taping.
D' ~SONRY: SteeZ Zocation~ bond
beams, grouting or verticaZs in
accordance with U. B. C. Section
2415.
D WOODSTOVE: After instaZZation is
ccmpleted. ,
D CURB & APPROACH APRON: After forms
are ereated but prior to pouring
conare te.
D SIDEWALK & DRIVEWAY: For aZZ con-
, crete paving within street right-
, pf-wc:y. to be made after aZZ exca-
vating compZete & form work & sub-
. base materiaZ in pZace.
D
PENCE: When compZete -- Provide'
gates or movabZe sections through
P.U.E. '
ffrDl(f~
\
. DEMOLITION OR ,',JOVED BUILDI,VGS
~ Sani ~ary se'.Jer capped at p~opcrt"~' Ur:e
'~Septic tank pumped and fiZZed with gra~el
---, FinaZ - h~en above it~~s are compZeted
---1 and when demoZition is compZete or struc-
ture moved and premises cZeaned up.
. Mobi Ze Hemes
. ~ BZocking and Set-up
,~ PZumbing connections sewer and wa~er
~ EZectricaZ Connection - BZocking~ set-up
~and pZumbing connections nr~st ce approved
. before requesting eZectricaZ inspec~ion
~ AccessoI"",' BuiZding
V1 FinaZ - After porches.
~etc. are compZeted.
,,", "'.,
skirting~ decks.
. ~'. '.
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D
AZZ project conditions, such as the instalZation of street trees. c~~Zetion of the
required Zandsc~pir:g~ etc.. must be satisfied before the BUILDING FINAL can be requested.
D FINAL PLUMBING
D FINAL MECHANICAL
o FINAL ELECTRICAL
o
o
FINAL BUILDING: The FinaZ BuiZding Inspection must be requested after the FinaZ PZumbing
EZectricaZ, and Mechar:icaZ Inspectiona have been made and approved.
*ALL MANHOLES AND CLEANOUTS MUST BE ACCESSIBLE, ADJUSTHENT TO J?E MADE AT NO COST TO CITY I Page 1 of 2
I JOB NO.
tro rfrJ ac:::::IlESS
Zone:
Lot Sq. Ftg.
% of Zot Coverag~
# of Stories
TotaZ Height
Topography
ITEM
SQ.FTG
Main
Ga:raae
Carvort
Aacessor!/
LOT TYPE
Interior
Corner
PanhandZe
CuZ-de-sac
x
VaZue
TOTAL VALUE IO{)O ~
,
I (Va~ue)M().4~ ~.,E I 30i!!!2....:B 7 l
S.D.C. 1.5 x ~,~ Z7 *
BuiZding Permit
State Surcharge
TotaZ Charges
I ITEM NO.,
Y . --- Ua9~U? I
ResidentiaZ (1 bathi
Sanitary Sewer
, I
I I
I
riater
I
J~~/) ~
'.:.';"
/1.5'0 I
.S~ I
le.3f> 1*
PZwnbing Pemt I SO.(JJ<)
State Surcr.a.rge I Z.~
TotaZ Charaes 15Z.~O *
ITEM NO. FEE CHARGE
Res. Sa. fta.
New/Extend Circ:uits
LL.p>~.uv Service '\ '/ .
Ht:Olt:.lI II . I I
,
EZeatricaZ Permit
State Suraharqe
TotaZ Charqes
ITEM
NO.
Furnace ETU' S
I Exhaust Hood
I Vent Fan
I Woodstove
I
Permit Issuance
MeahanicaZ Permit
State Surcharcre
TotaZ Charaes
-- ENCROACHMENT --
Sec:unt'l/ Deposit
Storage
Maintenance
Permi t
TotaZ Charqes
, Curbc:u~
I Sidewa Zk
IFence
I EZectricaZ LabeZ
I MobiZe Home"])~
I TOTAL AMOUNT DUE: *
::';.
FEE
CHARGE
/5.'0
2.0.60
I S. ~ ()
I I S;e>o
I J 5.'~ 0
I :< 0 "0
I I,SO
l 3J. SO *
FEE CHARGE
I
I
I .'
j
I " .', .
I
I
I
I .~.5. ()f)
I /. '15
I :3t;,f1J""
~ #~ 5"0
t'age Z
1
I
I
REQ.-
I L-COG~
Type/Cor.st:' I . 'Bedzoooms:
I I Enero!/ Sources
Setbacks i .lfeat
House Carage Access. I Water Heater
I Range
I FirepZace
I I Woodstove
- I I
TUDe
Lot Faces -
P.L.
North
East
South
West
-- Fees
Building Value & Permit
This permit is granted on the express condition that the said construction
shaZZ. in aZZ respects. conform to the Ordinance adopted by the City of
SpringfieZd, including the Zoning Ordinance, reguZating the construction
and use of buiZdings. and may be suspended or revoked at any time upon vio-
Zation of any provisions of said Ordinances.
"
PZan Check Fee: ~.. sO
Date Paid: . (p ~ {a. -.If {
, Receipt #: If ~ Cf X'.
Signed: (]j!/ ..
Plumbing Permit
No person shaZZ'construat. instaZl. aZter or change any newer existing
pZumbing or drainage system in whoZe or in part~ unZess such person is the
ZegaZ possessor of a vaZid pZwnber's Zicense~ except that a person may do
pZwnbing work to property which is owned. Zeased or operated, by the appZi-
cant. . y" :
.
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Electrical Permit
.
Where State LCl1JJ requires tr.at the eZectricaZ work be done by an EZeatncaZ
Contractor, the eZectncaZ portion of ~his permit shaZZ not be vaZid untiZ
the ZabeZ has been signed by the EZectricaZ Contractor.
Mechanical Permit
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PLan Examiner .
~/J7~~
ua~o/ ' /
,. I HAVE CAREFULLY EXAMINED the compZeted appZication for permit. and do
I hereby certify that aH information hereon is true and correct, and I
' further certify that any ar.d aH work performed shaH be done in acaor-
r dance with the Ordinances of the city of SpringfieZd, and th~ LT~s of the
* State of Oregonpartaining to the work described herein, and ~hat NO OCCU-
PANCY wiZZ be made of any structure without permission of the Building Di-
vision. I further certify that onZy contractors ar~ e~Zoyees who are in
ca~pZiance with ORS 701.055 wiZZ be used on this projeat
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Date
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