HomeMy WebLinkAboutPermit Building 2-7-20
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Subdivision:
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SPRINGFlE1..D ",... ,,'," ",,,.,
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Address::G~a/\ ~ \\:\ tS\~
C'Oj' ~ ct ') C~ L~
.. RESIDENTIAL..
APPLICATION/PERMIT
225 North 5th Street
Springfield~ Oregon 97477
Building Division
726-3753
Job Location:~~ql\4\(ft\'l '6'dOt xl Q_ /
Assessors Map # '\I()~ ~O~ T= Lot # OO'SDO
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Addi tion
Remodel
l~!obi le Home
Date of AppZication
Contractors
General
Plwnbinq \ Ut <l <J~
Electrical
,I!echar:iccl
Const~~ction L~nder
1\phone:-(ru, lC')llo
Ol4/1
zip:
DescI"'~be fror":
Value
Add..~ess
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Date: '\Ju j} ~ f r\ ']() 62-/
EJ:D(j 0 p~~n~
It is the responsibility of the permit hoZder to see that all inspections are made at the proper time, that each ~ess is ren~~~:e
from the street, and that the permit card is 'located at the front of the propert;y.
~Bui!di~4 Divi=io~ approved p~ shall remain on tha Building Sita at all times.
PROCEDURE FOR INSPECTION REQUEST:CALL 726-3769 (rccorder) state YOUI' City designated job number, JOO adc.ross, type of in3pecticn
requested ar-d when you will be ready for inspection, Contractors or Ow~ers ~~e and phone r~~cr. Requests received befcre 7:00 ~
:..>iZ'l. be Trade the same day, requests mGde afta' 7:00 am wiZZ be made the n=t :JOrking day.
Reaui~~d !ns~~cticng
O SITE INSP!::CTION: To be made after
e=:cavation, but pricr to set up of
fOl'TTl8.
0, UNDERSLAB PLUMBING. ELECTRICAL &
MECHA:1ICAL: To be made before any
work is covered.
o
FOOTING !i FOUNDATION: To be made
after trenches are eXcavated and
fcl'TTls are erected, 'but pI'"':cr to
pourir~ ccncret~. ,
U"D"'RGoOU"D :>r",",OI"IG ~ Am!;,,,
.. 1..1 ~t .. ... ...Jl.Ji'J~ ~ (SEWER, W..1...L.....,-,
DRAINAGE: To be made~. ;,,,. ~o fiZ-
,Zir'4 trenches.
is
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UflDERPWOR l'LUHBD1G & ,I!ECHANICAL:
To be made prior to in3tallation of
fioor insulation 01' decking.
POST AND BEAU: To be made prior to
installaticn of fioor insulation or
decking .
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ROUCH PLTF.1Bl!IG. ELECTRICAL & l"!ECH-
ANICAL: No work is to bc cOllered '
until these insvections have been
made and app!'ov~~. /)
FIREPLACe:: Prior lto placir4 facing
materials and before framing inspec-
tion.
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FR.4NINC: Mu.st /be reqU.2sted after
approval of rough plwrJJing, electri-
cal & mech.anical. AE roofing
bracing & chimneys, etc. must be
,conroletad. No work is to be cOn-
'ceaied until this insvecticn has
. b~en made and approved.
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Your City, Desigr.ated Job Number I3:
'0 INSULATION/VAPOF/ BARF/Ie:R INSPECTION:
To be made aftero aU insul.;;;twn cr.d
" required vapor ba2'!'iers are in place
, , bu.t befere any lath, gypsum beard 01'
txlZZ covering is applied, and before
any insulation is concealed.
o
DRYIIALL INSPECTION: Tc be made
after aZZ drywaZZ is in place,
but proior to any taping.
'fsh)\O;),
'De:l10LITION OR :',:OVZ;; BUILDIilGS
=:J Sani tcry se'..Jer capped ~t p~opert":t' line
~ Septic tank p~ed a~.d j~lled with gTa_el
I Final - f{hen above ite:ns are cc=letec
~ and when de~clition is complete 01' struc-
ture moved ar~ premises cleanec ~?
, Mobi le Hcmes
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MASONRY: Steel location, bond
beams, grouting 01' verticals in
accordance with U.B.C. Section
2415.
WOODSTOVE: After installation is
ccmpleu:d.
::J BZocking and Set-~p
::J Plumbir4 connections s~er ~.d water
::J Electrical Connection - Blockir~, set-u.~
and plumbing connections rrr,,;,st !;e appr:Jved
.. before request~ng' eZec~ricaZ in~Fec=io~
:=J Acces$o1"~' 3ui ld.inq
I Final - Aft~r ?~r~r.es, sk~rting,
~ etc. are ccmple=~a.
decks,
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CURB & APPROACH APRON: Afte:- forms
are erected but prior to pouring
co=r8 te.
SIDEWALK & DRIVEf';AY: For aZZ con-
crete paving within street right-
of-way, to be made after an exca-
vatina comolete & form work & sub-
base ;ate;';al in p"lace.
o
All project condi:iens, suc~ as the installa~ion of street ~rees, c~"?"a,~Qn of the '
required landscaping, etc., must be satisfied bajore the aUILDI~G lINAL ::~n be r2quast3C.
o FINAL PWMBnlG
o FIliAL ,lfECHANICAL
o FINAL ELECTRICAL
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FINAL BUILDING: The Final 3uildir~ Insvection ~~st be ~e~~ested cf:er the Final 2!~bir~
EZectrical, and Mecher-icel Inspections h.ave been made a~~'cppreved~ ~
*AU, MAl/HOLES AND CLEANOUTS NUST BE ACCESSIBLE, .4DJUST,'::;,'1T TO 3E /.t,1DE ,1m NO C:JS'I' 70 CITY
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O FENCE: f./her. comp lete -- Provide,
gates 01' movable aecticns tr~ough
P.U.E. '
D.
I ':)~~e
.
of 2
I Z01'!e:
I JOB'NO. <D'd/ro1 SOLAR A
Lot Sq. Ftg.
~ ~f l.ot C~erag~
! # of Stories
! Total. Height
,
I Topography
ITEM
SQ.FTG
Nain
Cc::-ace
,
i
j CaP~crt
I
I.
i .~ccessor".1
Is. D.C.
!
TOTAL; VALUE
I :;c.t..u€;)
1.5 :::
Building Permit
State Su:t'charge
I
Total. cra:rogea
lITEM
I FL-7:ta'es
I Residential. Ubath)
i SanitaT"-{ Sewer
I Water -
I
Pl.umbing Perr::i t
State Su:t'ar.a:rge
Total. C1'c.roes
IITEil NO. I
I
I Res. Sa. fta.
IN~/Exterzd Circuits
I Temporary Service
I
El.ectrical. Permit
State Surcharae
Total. Ch.a:rces
IITEli
I Furn:zce
I E::haust
PTU'S
Hood
Vent Farz
1 Woodstove
I
Permi tIs Sua:nce
Mechanic:::. l. Per>m"~ t
State Surchc:rae
Total cr.ar08S
-- ZNCRCACHMEHT
ISe~~~~tu Davosit
Storage
Ndinterr.ance
I P eZ'm"'~ t
I Total. Chc.rqes
Ic-.ubcut
I ., 11
I Swewavi<.
I Fence
I
I E7..ectricaZ Lc:.bel.
I
j Mobile Home
tAU ,-R ~_HJ L
i
I;OTAL AMOUNT DUE:'
Page 2
L -CO G~
Occu::;anc:J Gl'O".I.D:
E S S R E Q.-
T;p,eIConst:
3ec.roo,ns:
LOT TIPE
Interior
Corner
Panhandl.e
Cul.-de-sac
x
Val.ue
6WLJfb. IOfJ GO l
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NO.
FEE. CHARGe: I
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1!().40I.
l..~'c.[j
~\if;L~-GE
NO.
eH.ARCE
Fr;'''?
I -
I Lot Faces -
I
I P.L.
INorth
IEasr
ISou rh
IWest
I I e:nerau Sources
I Heat
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I I
I I
I I
TUrJe
Setbacks
I ,'touse I Carage
I I
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I Access.
Water .'!eate'!'
Range
."'ireol.ace
Wooa.:,tolle
-- F3es
Building Value & Permit
This permit is granted on the express co~4ition that the said.const~~ction
sh.aZZ, in a!l. !'espects, conform to the O'!'dinxr:ce adopted D'y the City of
SpringfieLd, incZuding the Zoning Crd:nanae, regulcting ;he ccnstr~cticn
ar4 US3 of buiZdings, and may ,be suspe~4ed or revoked at cr.y time upon vic-
Zation of any prQvisions of sai.d Or.dinances.,
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IPZan Check
I Date Paid:
I Recd~t :~:
ISig:-:ed:
Fee:
P.lumbing Permit
No person shall. construct, instal.l, alte~ or change any new or e:::isting
pl.umbing or drainage system in whol.e or in part, unl.ess such person is the
7..egal. possessor of a val.id pl.umber's l.icense, except trc.t a person may do
pl.umbing work to property which is ~~ed, 7..eased or operated by the appl.i-
cant.
Electrical' Permit
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Where State LCIhJ requires tr.at the el.ectrical. work be done by an E7..ectrical.
Contractor, the el.ect!"1'~al. portion of this permit shail. not be val.id until.
the label. has been signed by the E7..ectrical. ~ontractor.
Mechanical Permit
Pi~a Examiner ua~e
I riA VE' CAREFULLY EXA.llINED th.e compl.eted app l.ication for permi t, end de
her3by certijy that all. info~ation hereon is true and correct, ar4 I
f'~rthel' certify that any ar4 ail work performed shaU be done in accor-
dance ~th the Ordi~-nces of the City of Springfield, and the Lc~s of th~
State of Oregan psrt~ining to the work des~~bcd herein, ar~ thc.t NO OCCU-
PANCYwill. be ~ade of any struCtU1'3 without permission of the 3uil.ding Di-
vision. I furth3r certify that onZy contractors ro:d ~l.ayees who are in
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~gnzd
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Date