HomeMy WebLinkAboutPermit Building 1987-7-21
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.. RESID~T1AL"
APPLICATION/PERMIT
225 North 5th Street
Springfield, Oregon 97477
Building Division
726-3753 .
Job Location:
~ 5 (Ff
Deb Y,;L
ASGesGors Map #
Subdivision:
Ot.mer:
Racle.- DlJ.n~
;}~l/q LUJniL 1~
1-r/t /) iYlL(fN>-
Address:
City:
Q;:'J
n Addition
n Remodel
n Hobile Homa
Dy;u~
Ta:c Lot #
Phone: ')LI? - 6 q 5; ~
Zip: '1 7 i/ ? '7
Describe fl'ork:
A:r~ ..k>' ~, , -/'
Lv ~t~~JJ ~-1~'10
1- 'lj}-g'7
:i Electrical
'I I<e=har.i.d
~I C~nstruction Lender
I It; ia tho resporwibility of the permit holder to Bee that aU inDpecti071S are made at the proper time, tr.at each .::ddress is rea:iah.....e
fl"OtTr the street, and that the permit card is 'Located at the front of the property.
! -Suilding [}t~vi::ior: approved plan sha'Ll remain on the Bui'Lding Sit;; at a'll times.
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i PROCEDURE FOR INSPECTION REQUEST:CALL 726-3769 (I'ecoI'der) state yOUI' City designa.ted job nwnber, job adiI'ess, type of in$pec-;icn
j roquestcd ar~ when you will be ready for inspection, Contractors or OWners ncme and phone number. Requests received befcI'e 7:00 ~
I :..'il.'L be made the same day, requests mcde aft;;:r 7:00 am win be made the next ':XJI'king day.
I ~p~,i"f~ T"""po"io"" YouP City Deaigr4ted Job Numb.p Io:
10
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Date of AppZicaticn
c.:ontractors c;,oo..( Q~II').'
1"1......"',
General
PLumbi"il
SITE INSPECTION: To be mde
s.:::cavation, but pPior to Set
forms.
UNDERSLAB PLUMBING. ELECTRICAL &
. MECHANICAL: To be made before any
work is ~ovcI'ed.
afteI'
up of
lO
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ID
10
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FOOTING ~ FOUNDATION: To be rrade
afteI' tI'enches are excavated and
forms are erected" but prior to
pouring ccncret~.
UNDERGROUND PLUMBING. SEWER, W.1TE,~
DRAINAGE: To be mad~ prior to fil-
.'Lir.g trenches.
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U1JDERFLOOR PLUl..'BING & MECHANICAL:
To be made prioI' to installation of
11001' insulation OI' decking.
POST AND BEAM: To be made prioI' to
instalLaticn of fl,oor insl,;,Zation or
deckiTtfi .
ROUGH PLWfBTllr;. ELECTRICAL & Ml?CH-
ANICAL: No work is to bc cot.-ered
.until these inspections have beer.
made and approved.
FIREPLACE: Prior to pl.acir.g facing
materials and before framing inspec-
tior:.
FRAJ.!ING: Must be requeDted after
approval of rough plwr.bing, electri-
cal & mechanical. AlZ roofing
bracing & chimneys, et.:. 17f'..lst be
;. completed. flo work is to be con-
-""cealed until this inspection has
'be~n made and approved.
Value
~C~
. Rcce-:.pt .~
C, ~<O 5"'"
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v~
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(?('I'I..1.,r,I-I\Address C):~j.IJ. t'v\" r..,; S -b .Lisc. #
J:rvC .
Se r: Id,
n V'~ .
q)-)-
(j ~17 ?/
Sigr:ed:
Date:
~(1
1)-2,\-&,
O INSULATION/VAPOR BARRIER INSPEC'l'TON:
To be made after an insulati:m tr.d
.. required vapor baI'riers a:re in place
. but before any lath, gypsum board. or
waU covering is applied" and before
any insulation is concealed.
DRYWALL I/lSPECTION: Tc be made
after aU drywU is in place,
but prior to any taping.
O MASONRY: Steel location" botul
becun:;, grouting or vezotieals in
accoI'dance with U. B. C. Section
2415.
r-:::vwoODSTOVE: After installation is
~ rxmpleted.
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CURB & APPROACH APRO": Afte:- foI'ms
are created but prior to pouring
aon.:rete.
SIDEWALK & DRIVEWAY: For aU con-
crete paving within street right-
of-wc.y, to be made after aU exca-
vating complete & form work & sub-
base matePial in p'laae.
:).c. i 43Db
ExPires
till5/n
71./t..._"~",
o
PENCE: When aompl~te -- Provide
gates or movable sections through
P.U.E. .
Phone
~ /o5tJS
DEUDLITIO!! OFf ;~:OVE;:; BUILDIiiCS
:=J Sanitary Se'.JeI' ~apped at p:.oPCl'ty 'Line
~ Sept~ tank p-....~ed and fill;;~ vith ~~ei.
:J Final - [{hen above ite:~s are cC:1TDleted
and when demolition is complete or stru~-
ture moved and premises cleaned up.
Nobile Hcmes
:::J Blocking and Set-dp
:::J Plumbing connections -- sc.wer and water
:::J Electrical Connection - Blocking, set-up
and plumbing connections trr...st be approved
before requesting e lec-;riaal inspec-;io~
:::J Ac~esso1"'.:i Building
:J Final - After p~rcr.es, skirting, decks,
etc. are completed.
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All project conditions, such as the installation of street trees, c~~lction of the
required 'Landscapir.g, etc., must be satisfied before the BUILDING FINAL can be r2quest:zd.
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FINAL BUILDING: The Final Building Inspection must be requeated alter the Final Plumbing
Electrical, and Mechar.ical InspectiornJ hava been made and approved.
.[J FINAL ELECTRICAL
'CJ
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!~d-
-ALL MANHOLES AND CLEANOUTS MUST BE ACCESSIBLE, ADJUST/!EUT TO. BE gliDE AT NO COST TO Cr!'Y I Page 1 of 2
I JOB NO. b7Q50~
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1 Zona:
Lot Sq. Ft;;.
$ "I lot CJl)erag~
.II of Stories
I Total Height
I
I Topogrcphy
I ITE/.! I SQ. FTG
JMain
Gl:I'ace
Cartlort
I
IAccessol'U
TOTA~ VAWE
Is.D.c.
(vaLUe)
1.5 x
Bui'Lding PeI'I1Iit
State Surcharge
Total Cha......ges
lITE/-!
I Fixtures
lResidentiaL (1 bath)
I Sanitary Sewer
I Water>
Plumbing Pern:i t
State Surcr.a.:rge
Total Charaes
, ITEN
I Res. Sa. fto.
I NawlExtend Circuits
,
I Temporary Service
Ele~trical Permit
State Surcharae
Total Charces
lITEM
I FUrnace ETU' S
1 E=haust Hood
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ry-^-,-.~l.J' t7..:1
, \)
1 Perrm.t Issuance
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,
I Vent Fan
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i W::JOdsto;;e
Mechanical Permit
State Surcharce
Tntnl CharoeD
-- ENCROACHMENT --
Sea-~'rittl Deposit
Storage
!1aintenar..::e
Permit
Total Characs
CUI'bcut
SidewLk
:Oenee
Electrical Label
Mobile Home
:JTAL A..'.I<)U:..2' DU=.";"
SOLAR AWSS
OCCUDancu GrouY
1110'1
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I NO.,
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INC.,
LOT TYPE
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FEE
PEE
FEE
In.tericr
Corner
PanhendLe
Cul-de-sac
Value
CHARGE
CiiARGZ
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1\$.00
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CHARGE
\5.00
.1
REQ.-
. -,,~
L-COG~
T.;'pe/Cor.st: .
I I Enel'GU So:~rces
I I Heat
I Access. I I Water> Yrmtf'7'
I I Ra"Fe
I I Fil'aolace
I J Wood;; z;ot:e
II
Bedroor.:s:
I Lot Faces -
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I P.L.
IlIorth
lEast
ISou th
IWest
-- Fees
T;;=,e
Setbacks
I House I Caraga
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Building Value & Permit
This pe1'm"~t is granted on the express condition that the sa'id construction
shall, in all respects, conform to the Ordinance ~dopted by the City of
Springfield, incZuding the Zoning Ordinance, regulating the ccnstl'U~ticn
and UDe of buildings, and m:lY be suspended or revoked at cr.y time upon vic-
lation of any provisions of said Ordir~ces.
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I PLan Cheek Fee:
I Date Paid:
I Ree.ipt #:
IS,;g,,~d:
Plumbing. Permit
No perean Dhal'L construct, ino"taZZ, alter or change any neW cr e=isting
plumbing or drainage system in whole or in part, unless such person is the
legal possessor of a valid plumber's license, except tr~t a pe~son ~~y do
plur.:bing work to property which is cn..."ned, leased or operated by the appU-
ecmt.
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Electrical Permit
Where State Law requires tr~t the electrical work be done by an Ele~trical
Contpactor, the electrical portion of this permit shall r~t be valid until
the label has been signed by the Electrical ~ontractor.
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Mechanical Permit
PLan Examt.nel'
UQt=e
I HAVE CAREFULLY EXAMINED the completed application for permit, and do
hereby certify that all i~fo~tion hereon is true and corrcct, and I
further certify that any ar.d all. work pel'fomled shaU be done in acaor-
dance :vith the Ordinances of the City of Sprinaficl.d, and th:: fn.,,;s of tho
State of Oreg:m pertaining to the work describcd heroin" and that NO OCCU-
PANCY will be made of any structura without parmis3io~ of the Building Di-
vision. I further certify that ~ly contractors ar~ empl~yeeB who are in
compliance with ORS 701.05E will be used on this project
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