HomeMy WebLinkAboutPermit Building 1991-1-25
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.. RESIDalTlAL.:
COMEINATIONiP1fl!CATION/PERMIT
225 North 5th Street
Springfield, Oregon 97477
BuiZding Division
< 726-3753
.lob I.ocation:
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ABD'BDor; Hap *
SUbdivision:
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City:
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n Additicn
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Dat. of Application
,,'ontractOJ"8
C6118ral.
Plumbing
Electrical -\ 1~. -
11.,har.i"", 1 \ rf ('[) ~
Suoervisfn;' E1ectrici an
f
'Valu.'
AddrU3
All )1'bn\YlQlrt.> I).. 1'.to )~
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. S4med:
Da.tD:
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Use. II
Expiros
Phone
CfYJ-CLJDj31.fiLr40-IMl
It is :h. r.sponoibitity of ths permit holdBl"to 8116 that all inop8ocions are mads at -eJUJ prop.1- timc~ t1:at I:cah .:ddrsso is r.ada~!"
from th. atr8.t.. and that ,ths pDJ"mit can:! is located at th. front of the property. .
.Buit.di.'1!1 O-;ui::i.or: approved plan shal.l. remain on tha Building siCa at aU timss. .
PROCEDU.'?E Fon INSPECTION RE.".QUEST: Catz. 7~6":371i9 lrccordtw) stat" your City .:fssignatsd job nwr.bsr, job at!drcss# typ. of in3pfloticn
rcJquctaCQd ar..cl w.':4In YOLe ~l.L b. ready fof' inspection, ContNctors or QJMrs nc:me and phon. number., .~.~8t8 r.atlilJad bsfcrri 7:00 a":'l
,",'in be iIcd. the samtl day, rdquflsts ma.cLJ alte 7:00 an will be m:u:ltl tits nat' :uorki~ daq (
lOW' City D...ignated Jab Numbu Ia: . \ r{l {n 0
R'Z!Uf 1:""" r'1<<.I'l.....nr.'l" - - t
. D: srr~ INSPEc:rON: To bs mad. alhr D INSULATION/VAPOR BARRIER INSPECTION: I D~U();'ITIO!JOR ,v.o17' 3UIr.:::ICS
ucav~ti"n, but prio.,. to set up of To bs made aftll'" aU inBula:tian mui
. forma. , raqu..:.red lJapor barrisrs are in place :=J Sani~ atAJfI:e =c;psc ::t p:oP.::ot'i tir.4lI
UNDERStAB PWH9ING. ELECTRICAl. .. but bsfors any lath, gypsum boa1'd or
NECHAlIICAL: 7'0 ba mad. bllfor. any wll colJllnng ia applisd, and b.forfl' --, Sflpt'i.:J tank p-.mrp~d ar..i fit"l1d :Ji~h ;N:Jat
work is ,",ouored.' any, inoulation is conc.al.d. --.J
o
o
FOOTING 4 FOUNDATION: ' To b. rmds '
aftsr trenchoa are ucauat.d and
forma are flrflcted, but prior to
po~ng ccnereC..
D
D UI1DE.~FUJOR PLUlaJING & lIoC1lANICAL:
, To bB mads prior to -&:notaUat1.on of
{toor i~su,latio~ or d.cking.
D POST AND BEAM: To b. nruI. prior to :
instal14ticn of floo.,. insulation or
d.aking.
r7'Jrlimtqlf f'tmmINC. Er.EC'fll!CA~ .. ,NEeR-
~ AN/CAL: No wrk is to be c t.'Bl'"ea
ur.t~t thDB. inspeceionB hau be
mads and appl'OtI,~. '
D n~EPLACE: 0 Pl'iorto ptc.ciriu faci~
mat,naL. ,a~ before, framing inspec-
tier.. : . ' , " '
D
UNDrnGROUND ~WHIJING, SEIIOR. V.1TE.~..
ORAII/AGo: To b. ma.:i. prior ta ft.-
l ir.g trllnchll8.
FRA'1ING: Mu3t btl rsquB::Jted af~.l'" ,
approtlal of. rough ptwrbing# dBCtJti...
cat & .-r:8chani.:aL. At! l'OofiNJ
bracing', ~ chimneys, Bt.:. nr~st bs ,
camp t.tDd. No wrk is to b. con-'
ofIGled "until chiD inspecticn has
.b..n modo andapprou.d.
-.
D DRYJlALL INSPECTION: To be mads
aft.r all. drywll. is in pl.aCB,
but prior to any taping. ,
O MASONRY: StB.l Zccation, bo1ut
" bflama, grouting or tI,Qrtiaals in
a,....~ l.....cB with U.B.C. Ssction
241~.
D WOODSTO'IE:, Aftsr installation is
,ccmplst'd., '
O CURB & AP~ROAClI A~.'10N: After fo",",
, aN ers=tBd but prior to pouring ,
.:onartlts.
0' SIDEWALK" DRIVEWAl: Fo", all con-
crdts paving ~thin strsDt right-
of-wey, to bo mads aftsr all. ezCQ-
uating ccrrrplsts & form'wOrk .. sub-,
, bass mcttsriat in pla.::e;
O !'ENCo:.. fo'her. comp~t. -- """"id..
gatBs Of' mouable sections through
P.U,E,
D
:J Final - .''''tln ahou. ie:::'Is ar. C"'...r.rpl,t.d '
ar.d when ::lsmcLition iff com:;)l.c. or atrue-
turs motl.d and prcmi3J' =L.an.~ up.
I Nobi loe HemB'
j
::J Blocking and S.t-,p
::J :lumbing ~~nnsetians .- .cusr end woesr
::J EltJot'riccl Ccn~ul'ction - Blockir~, sst,-up
and plumbing conr.sctians tr....3t ;. Cl?Provea
, before l'SquBstinU 9l'.1:rical ~r.8peo-::io:1
::J AC~.Bao~' Buf.:di":
:J F~l .. Aft::.,. .,?:Jrc1:ss, sk-!rti"f, cIseks,
etc. are ccmp:.,tcd.
D
'AU projeot conditions, such as 'the installation of strtlet trtll1B,' cO.':Tpl.JtwJ1 of ;;..
J'6quit'fld ~scc:pir.g, 6tO., must be Batisfiad bofol'Q tJ-.s Bt'ILDlj':C FI."!AL .:an !:. 1'Iqu.8~.Jd.
o 0 lINAL BlJILDINC: Ths Final Building Inspsotion must ba .,.crquQotQa a.f~.r ~iur FinaL numbinq
El.otrica~, and Mechanical ,fnBpectiono hatlO bun mads and apPl'OlJ,d. ,
,.
'AU IlANHOLES AND CLEANCUTS MUST BE ACCOSSIBLE, ADJUSTI1F:NT TO BE H.1Do OAT NO . COST TO crn
o FINAL PWII8ING'
tP FINAL NECHANICAL
o FINAL E~CT.UCAL
o
IF",. !
of:
j,
I
I,'cb Nwnber: q I CO(PCfl
1 Zona:
Iwt Sq. Ftg. .
1 ~ "I lot Coverag&
N of Storiee
Total Height
iTopography
,
I
lITEM
I Main
I GaraG~
I Caroort
I ACeeS80l'll
I
I
I SQ.FTG
TOTAr, VAWE
Is.D.c.
(vat.we)
1.5 :t:
Building Permit
State Suraharge
Total Cha."ge.
lITEM
I Fixtures
I Re.idenHaL (1 bath)
I Sanitary Sewer
I Water
Plwnbing Pem:i t
State Surcr.arge
Total Chara/18
ITEM NO.
Res. Sa. rta.
NElJ/&t8nd Circui ts
I Temporary Se~ioe
I
Ele~trical Permit
State Suroha.rq8
Total Chaf"aes
lITEM
I F'w'nacc ETU' S
I Exhaus t Hood
l Vent Fan
I Woods tove
1\\~tML/
Permit I38uanca
Mechanic:J.l Pemt
Stato Surcharae
Total Chara80
-- ENCROACHMENT --
Sea.olr1.ttl Daoosit
Storaq8
l1.faint~1Unwe
Permit
Total CJU1.l'QC8
I CU1'bcut
ISUebl,lk
I Pen:Hl
I Electl'ica 1. Labs l
I'Mobile H{Xf/Q
I
I
I TOTAr, AMOUNT DUE:'
Occupancy c.'
WT TYPE
IntePwr
Co.rner
PanhandLe
Cut-do-sac
x
Value
NO.
CHARGE
FEE
FEE
CHARGE .
NO.
I
I
I
I
I
I
~I
~~~OUI
I,.Q ') I
.b)(o.~ .
I
FEE
CIIARCE
0.00
:-)00
3.00
0..1)(o.JS
Rc[cl'cr.ce Nwncel's:
L-CUC H:
Tyve/Cor.at:
. Bedrooms:
. ~ I Enernu Sources
Heat
Water Heate"
Range
Fireolace
Wood:Jtove
TUDe
I wt Faae. -
I . Setbacks
I P. L. I House G<ll'age
INorth
lEast
South
IWe.t
I Access.
..- Fees
Building Value & Permit
10.
This ps~t is g~nted on the express condition that the said construction'
shaLL, in aLL respects, conform to the Ordinance adopted by the City of
Springfield, inctuding the Zoning Ordinance, regulating the construction
and use of buildings, and may be suspended or revoked at cny time upon vio-
lation of any provisions of said Ordinances.
.
I'
IPZan Check Fee:
I Date Paid:
IRecdpt H:
I Signed:
Plumbing Permit
No person ohaZZ construct, install, aLter or change any n~w or existing
plumbing or drainage system in 'whole 01" in part, unless such person is ths
legal possessor of a valid plwnber's license, except that a person may do
plumbing work to property. which is oLmed, leased or . operated by the appZi-
oant. '
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Electrical Permit
Where State Law requires that the electrical work be done by an Electrical
Contractor, the electricaL portion of this permit shall not be valid until
the labsl has been signed by ths Electrical Contractor.
I
J .
Mechanical Permit
Plan 5xaminer
u,n.
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I HAVe CAREFULLY EXAMINED the completed application for pennit, and do
hereby certify that all information hereon is true and COl'l'cctJ and I
further certify that any and aU work performed shatz bB done in accol'-
dance II1ith the Ordinances of the City of Springfield, and the La:.Js of tha
State of Oregon pertaining to the tJOl'k dsscribad hel'ein, and that NO OCCU-
PANCY II1iZZ bs rrrJde of any structura II1ithout permission of the Building Di-
vision. I further certify that only co~tractor8 and ~ployee8 who are in
compliance with ORS 701.055 will be used on this project
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Date
1- Z5 ._q)