HomeMy WebLinkAboutPermit Building 1985-5-1
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APPLICATION/PERMIT
225 North 5th Street
SpPingfield, Oregon 97477
Building Division
726-3753
Job Location:
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/7 0;2 35 .~L.j ()
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A8D8800rs Map #
Subdivi8ion:
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Addl'e8s: '1;;;Z;;L[' ~~
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CUne:r:
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Additicn
Remodel
Nobile Home
Date of Application
(,'ontl'acto1'S
Den.rel 'borJ
Plumbing
Electrical
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Ta;r; Lot #
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Zip: / bOIL! M(!.R/9,E )
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.Your City Deoigr.ated Job NumbSX' ID:
r\7l INSULATION/VAPOR BARRIER INSPECTION,'
l!:.J To be made after' all insulation w.d
~.o .' required vapor barriers al"8 in place
.: .: but before CUly lath, gypswn board 02"
. uxzlZ covering is applied, and before
- a,!.y insulation ia concealed.
rvJ DRYWALL INSPECTION: Tc be made
~ after all drywall is in place,
, but prior to any taping. .
0, MASONRY: Stee l location, bc>>ui
beama, grouting or verticals in
accordance with V.B.C. Section
2415.
D WDODSTOVE: After ins1:fzlZation i8
completed.
D
D
CURB & APPROACH APRON: After forms
are created bu t prior to pouring
eoncpete~
SIDEWALK & DRIVEWAY: For all C01'l-
crete paving within 8treet right-
of-way, to be made after all exca-
vating ccmplete & form wrk & sub-
base matePial in pla::!e.
$tm
Value
Address
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Date: -0~
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Phone
h,17- 9775.
Exoiras
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Mechar:1.cal
COnstJ"UCti07l Lender
It is the responsibility of ths permit holder to Bee that all irwpections are made at the proper time, that each ~e88 i8 rea:da.bZs
from ths street, and that the permit oard is located at the front of the property.
~Bui?-ding rr;vicior: approved plan 8hall remain on tkz Bu.:.lding Sits at all times.
PROCEDURE FOR INSPECTION RE,:QUEST:CALL 726-3769 (recorder) state yoUP City de8ignated job number, job tuJ.6oess, type of in:;pec~icn
raquestcd ar-.d when you !Jill be ready for inspection, Contractors or OI.me::"s name and phone number. Requests received before 7:00 C":7
...-ill be made the same day, request8 made after 7:00 am will be made the next :Jerking day.
RI'!I'f'Ji.r.~~ T'J'l,<'tr,?(!t1:r.rlJ:J.
0, SITE INSPECTION: To be made after
excaJJation.. but prior to set up of
. forms.
0: UNDERSLAB PLUMBING, ELECTRICAL ~
. MECHANICAL: To be made before any
, work i8 ~ovcred.
IKJ
FOOTING & FOUNDATION: To be nrzde
after trenches are excavated and
forms are erected, but prior to
pouring aoncret~.
UNDERGROUND PLUMBING.. SEWER. W.1TER~
DRAINAGE: To be nrzde prior to fi 1-
.iir.g trenahes.
0.. UNDERFWOR PLUI.!BING & MEC!lANICAL:
, To be made prior to installation of
floor insulation or deaking.
O POST AND BEAM: To be made prior to
in8tallation of floor insu.lation or
. decking.
n/I ROUGH PLl1MBI/JG~.-t:L~qTRI..C~Ll& MECH-
~ ANICAL: No work. l..S-'''tlrl:lc cOL'ered
~ ur.ti l these inspection8 have beer.
. made and approved. '
O FIREPLACE: PrioJO to plc.cir.g facing
materials' and before framing inspec-
tion.
o
f\7l FRAMING: Must be requeoted after
!ill approval of rough plwr.bing, alectri-
.cal & mechanical. An roOfing
_' bracing & chimneY8.. et~. nr~st be
":'completad. No work is to be aon-
."....:cealed until thio inspection has
~.b6~? made and approved.
,.'.-.-
D PENCE: When complete -- Provide"
gates or movable section8 through
P.U.E.
y
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&SO ?dS
DEMOLITION OR NOVED BUILDINGS
~ Sanitary 8(J/JeI' capped at p~opert-d 'l.ir.e
~ Septic tank tr.c;:ped and fil'La~ with gra~el
\ I Final - rfhen aboJJe ite:l'/s are cO:l1pleted
---J and when demolition i8 complete or 8tru~-
ture mOJJod and premise8 oleaned up.
Nobile Hcmes
::J Blocking and Set-~p
::J Plumbing connection8 8CWSJO and water
::J Electrical Conneation - Blocking, 8et-up
and plumbing connections nr~8t te approved
, before reque8ting elea:ncal inspect~o~
::J Acce8soP'd Building
] Final - Aftar p:Jrches, 8kirting,
etc. are completed.
decks,
o
AlZ project conditions, suah as the instaLlation of 8:reet trees, ca~lotion of the
required Zandsac:pir.g.. etc., must be satisfied before tr.e BUILDING FINAL aan be raquest3d.
o FIliAL PLUI,!BIIIG
o FIliAL MECNANICAL
iKl FINAL ELECTRICAL
o
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FINAL BUILDING: The Final Building Inspection must be requeoted after the Final Plumbi1'l{J
EZeatrical.. and Mechar.ieal Inspectiono have been made and approved.
~ALL MANHOLES AND CLEANOUTS MUST BE ACCESSIBLE, ADJUST!fEtlT TO BE I.MDE AT /10 COST TO CITY Page:1 of 2
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NO,'iD'{) !!J5' SOLAR A.S REQ.-
.P-L OcCl<=" G1'Ol<P: ,1<'-"'3
Ft{;. WT TYPE ' I Lot Faces -
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INoPth
East
South
IWest
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I JOB
I Zone:
Lot Sq.
S of lot C{Jl)erag~
#- of Stories
Total Height
Topogroaphy
I
lITEM
I Main
I Ga:IyrCR
I Caruort
I Acc6sBoru
SQ. FTG
~J.~.I41oL ~
TOTAL VALUE
Is.D.c.
(va.t.UC)
1.5 x
Building Permit
State Surcharge
Total Cha.~ges
lITEM
I Fi:r:tW'es
Residential (1 bath)
Sani tmw Sewer
I Water
Plumbing Penri t
State Surc;:apge
Tota t Charaes
lITEM
I Res. Sa. 'to.
I Naw/Extend Circuits
I Temporary Service
I NO. I
I
Ele~tl'ical Permit
State SUl"charge
Total Charc;es
lITEM
Furnace !!TV'S
I Exhaust Hood
I Vent Fan
I JlOodstove
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I NO.
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Permit Issuance
Mechanical Permit
State Surcharae
Total Charae~
-- ENCROACHMENT h
Ise~~tu Deoosit
I Storags
I Maintenance
I Permit
I
I CurbCl<t:
Total Chal'pes
Sidewalk
Fe~e
I Electrica'L Labe l
! Mom 1.8 Home
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I TOTAL AMOUNT DUE:."
Interior
Corner
Panhandle
Cut-de-sac
x
Value
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11/601.
CHARGE I
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FEE
FEE
CHARGE
15"':"''''
j,<;;-
_~ol
IS:~I.
FEE
CHARGE
.2CJ
Type/Cop.st: ,~
I I Enera.;u Sources
I Heat
Access. I I
II
II
II
II
L':'COG~
Bedrooms:
T:'1'06
Setbacks
House Caraqe
Water Hp.atp.rt
Range
Firep lace
WOod3tove
Fees
Building Value & Permit
This permit iG granted on the express condition that the said constl"Uction
shall, in all respects, conform to the Ordinance adopted by the City of
Springfield, incZuding the Zoning Crdinance, regulating the construction
and UDe of buildings, and ma.y be 8uDpended or revoked at cny time upon vio-
lation of any provisions of said Ordinances.
INan Check Fee: .L ;2,(),00
IDate Paid: g..; I.f -SS
IRecdpt N: .8 (o514f
I Signed: {!.c..~
P . /
ermlt
Plumbing
No percon shall construct, instazz., alter 01' change any new or e=isting
plumbing 01' drainage system in whole 01' in part, unless such person is the
legal possessor of a valid plumber's license, except that a pe~son may do
plumbing work to property which is otJned, leased 01' operated by the appli-
cant. \
,.
Electrical Permit
Where State LaLJ requires tr.at the electrical work be done by an Electrical
Contractor, the electrical portion of this permit shall not be valid until
the label has been signed by the Electrical Contractor.
Mechanical
Permit
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I HAVE CAREFULLY EXAl.fINED the comp'Leted application for permit, and do
hereby certify that a'll infor>mation hereon is true and correct, and I "
further certify that any ar.d all work perfomred shall be done in accor-
dance with the Ordinances of the City of Springfield, and th~ In...:s of tha
State of Oregon pertaining to the work described herein, and that NO OCCU-
PANCY will be rmde of any structure without permission of the Building Di-
vision. I further certify that only contractors cer.d e:rrpz"yees who are in
ccmpliance with ORS 701.0SS will be used on this prtoject
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