HomeMy WebLinkAboutPermit Building 1988-5-9 (2)
.. RESIQil\JTIAL"
. APPLICA~N/PERl1IT
225 North 5th Street
Springfie~d> Oregon 97477
Bui~ding Division
726-3753
Job Location:
19"5(,
~JM I'~A.
AsoeS80rs Map #-
Subdivision:
Ta:c Lot #-
()Jner: ~AA{" 1-k,~.~
AddrBBB: 14 2, l.. A. o..Jr..,. ~.
City: ~~Ul
~,
n Addition
n Remodel
n !.fobile Boma
P}ume: ,),;J(;-~) 5 (,
Zip: c; 7<17 ")
Describe r{ol'k:
'.~
~o-oD~.
..(?~~
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Date. of Application
Contractors
General.
Plumbing
E'Lectncal
Uechar.ica7.
Value
Address
5::::\.. "J) l~), ,0 ~,JJ
""\::>'2.9, ~st ~1/'O
,,'~,;-"". -." -...-
Rcce:pt #.
IN1i
,
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'IV
. 1\\1
V,')"> .
l.lU
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Siqr.ed:
Date:
QQ...
<5-'i -'S '6
Lisa. #
Exvil'es
PhonE;
..iJ';//"7l(soo
,
S/Z~<;. R
Constl"Ltction Lender
It is ths 1'Bsponoibil.ity of ths permit holder to sse that all. inspections are made at the proper tim€" tr.at each address is l'ea::1ah!e
froom ths street.. and that the permit oaPd is located at thll front of the property.
"Bui!di~ [)-o:vi~ior!. approved pZan shaa remain on tha Building Sit:; at aU times.
PROCEDURE FOR INSPECTION RE:QUEST:CALL 726-3769 (rccol'der) state your City designated job nwnbel'.. job adCrcss" type of inspec-;icn
requested ar-.d when you /.Jar be ready for inspection, Contractors or Owners name end FOOne number. Re~sts l'eceived before 7:00 c:z
...~lZ be made the same day, requests made afte:t' 7:00 am L>ill be made the next :.JOrking day.
R~~i~?1 T~p~~~r.ir.nR
O SITE INSPECTION: To be m:zde after
excavation, but priOI' to set up of
forms.
O . UNDERSLAB PLUMBING, ELECTRICAL &
MECHANICAL: To be made before any
work is ~overed.
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FOOTING & FOUNDATION: To be mde
after trenches are excavated and
forms fU'e erected, but prior to
pouring concret~.
UNDERGROUND PLUMBING, SEWER. W:tTER,
DRAINAGE: To be m:zd~ prior to fi7.-
Ur.g trenches.
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UNDERFLOOR PLU~fBING & MECHANICAL;
To be made pl'ior to insta7.l.ation of
floor insuZation or decking.
POST AND BEAM: To be mad;,: prior to
instaHation of fLool' insuLation 01'
deckirl{; .
ROUGH PLUMBING. ELECTRICAL & MECH-
ANICAL: No work is to be cOL'ered
,w:ti 7. these inspections have beer.
made and approved.
FIREPLACE: Prio?' to placir.g facing
materia7.s and before framing inspec-
tion.
PRAJ~ING: MUst be requested after
approval of rough plwr.bing, electri-
cal If mechani~al. Azz. roOfing
braaing d chimneys, etc. '"'..tst be
;" completed, No work is to be CGn-
... cealed until this inspection has
. bec:n made and approved.
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Your Cit;y Desigr.ated Job Number Is: -
O INSL'LATION/VAPOR BARRIER INSPECTION,
To be made after aU insuZati:m w.d
'. required vapor barriers are in place
. . but before any lath, gypsum board or
waz.t. covering is applied, and before
any insuZation is concealed.
O DRYWALL INSPECTION: To be made
after all drywall is in place,
but prior to any taping. .
O MASONRY: Stee l location, bmut
beam:;;, grouting or verticals in
acco~e with U.B.C. Section
2415.
rlIflOODSTOVE: After instaZZation is
~ ccmpletod. ~'1
O CURB & APPROACH APHON: After forms
are created but prior to pouring
con.:!rete,
. D SIDEWALK & DRIt'EWAY: For aU con-
crete paving within street right-
pf-wcy, to be made after a'll exca-
vating acmplete & form work & sub-
base material i,n place.
O PENCE: When compl~te -- Provide-
gates or movable sections through
P.U,E. .
o
'2S~~9R
I DEl.'!OLITIOH OR ;',;OVED BUILDINGS
~ Sani:ary seJer capped !It p~op~r~:i line
~ Septic tank p~ed and fiZl~~ with gra~eZ
:J Final - rVhen above ite:718 are completed
ar~ when demolition is complete or stru~-
ture moved and premises cleaned up.
I NobiZe Hcmes
:::J Blocking and Set-up
:::J PZumbing connections scwer and water
:::J EZectrical Connection - Blocking, set-up
and plumbing connections nr~st ce approved
. before requesting eZec:rical inspection
:::J Accessory BuiZding
:J Final - After p:Jrcr.es, skirting, decks,
etc. are completed.
o
All project conditions, :;;uch as the installation of s:l'eet trees, c~~lation of the
r'equired landscc.pir.g, etc., must be satisfied before the BUILDING FINAL can be r2qu.ested.
D FIliAL PWI.fBIIIG
D FIliAL MECHANICAL
D FINAL ELECTRICAL
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PINAL BUILDING: The Pinal Building Inspection must be l"eque(Jted after' the Final Plumbing
EZectrical, and Mechanical Inspectwnn have been made and apPl'ov2d.
~ALL MANHOLES AND CLEANOUTS MUST BE ACCESSIBLE, ADJUST!rEIIT TO BE NADE AT NO COST TO CITY Page 1 of 2 f
I JO B NO. ~ <is'D39~
izone:
Lot Sq, Ft{;-
S of lot Ccn;erag~
!i of Stories
Total Height
Topography
I
lITEM
I "bin
I Cc:raae
I CaM::/Ort
I Acces80ru
I
i
IS.D.c,
lITEM
Fixtures
I SQ. FTC
TOTAL VALUE
(vaLue)
1.5 ;c
Bui1.ding Perrrrit
State SUI'chcrrge
Total Cha..."""gea
Residential (1 bath)
I Sanitary Sewer
Water
Plumbing Perrd t
State Surcr.arge
SOLAR ACCESS
Occupanct/ G.
LOT TYPE
Total Charaes
I ITEM NO_I
I Res. Sa. fta.
I N6tJ)/Extend Cirocui ts I
Temporary Ser>vice I
I
Ele~trical Permit
State Suzocha:t'ge
Total Cha:!'qes
I NO,
I
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I ~d8tO;)e I
~,!l' -~~I
ITEM
I Furnace ETU' S
I E:::haust HCJ<?d
I Vent Pan
Permit Issuance
Mechanical. Permit
State Surcharae
T()tal Cha:rop.!J
NO. I
I
FEE
-- ENCROACHMENT --
I Sec-.lr1.tz; Deoo3it
I Storage
I Maintenance
, Permit
I CUrbcut
SideLJaZk
Total CharacB
Fe~e
I Elect1'ical Label
MobiZe Home
I TOTAL AMOUNT DUE:-
Interior
Corner
Panhandle
Cut-de-sac
x
Value
FEE
CHARGE
FEE
CHARGE
I
CHARGE
''>.0 '-'
1<;;; c> ()
6.QU
Page 2
REQ.-
L-COG~
Type/Cor~t: ~
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I Access. : l
II
II
II
I Lot Faces -
I Setbacks
I P. L. I House ' Carage
INorth
lEast i
ISouth I
IWeBt I
Bedrooms:
I EnerGu So-..u'ces
Heat
WateI' Yp..atP.l'
Range
Fil'evlace
wood:;tove
T:roe
Fees
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Building Value & Permit
This peI'mit ia granted on the express condition that the said construction
shall, in all respects, conform to the Ordinar~e adopted by the City of
Springfield, including the Zoning Ordinance, reguZating the ccnstI"Ucticn
and use of buiLdings, and m~y be suspended 01' revoked at cr.y time upon vic-
lation of any provisions of said Ordinances.
I Plan Check Fee:
I Date Paid,
I Recdpt 6:
iSigned:
Plumbing Permit
No person shall construct, ins taU, aUe!' or change any new 01' e::isting
plumbing 01' 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
plwnbing lJOrk to property which is owned, leased or operated by the appli-
C01'lt.
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Electrical Permit
Where State LaL1 requires tr.at the electrical 1.JOrk be done by an Electrical
Contractor, the elec"trical portion of this pemit shall not be valid until
the Zabel has been signed by the Electrical Contractor.
.
Mechanical Permit
Ljl
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PLan Exarrn.ner
va"e
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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
f'.4rther certify that any ar.d all WOI'k perfom/ed shall be done in accor-
dance :.nth the Ordinances of the City of SpringfieZd, and th:; La-...:s of tha
State of OI'egon pzrtaining to the work described herein, and that NO OCCU-
PANCY will be rmde of any structure without peI'mission of the Buildin.g Di-
vision. I further certify that o':1ly contractors ar.d e:npl:Jyees who are in
compliance with ORS 701.055 will be used on this project
~/ 2'--xl~uJ
l!ign.Sd)' -
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