HomeMy WebLinkAboutPermit Building 1984-10-12 (3)
.. RESIO.T1AL"
APPLICATION/PERMIT
225 North 5th Street
Springfield, Oregon 97477
Building Division
726-3753
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Location: ~ \L\. '--<\\)'\~\ \fu ~ f\.. ')
ABceBsors Map H\?-, m {'f2 ?, \ (.J T= Lot H lO\' Co \
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Subdivision: \\ C 'LJ:\ '\7 ,~
ctmer~~ ~ \'\\t~,jC\ l- \-\\~O N-
Address: ~\ 0\1\ ~ ~\~ QI\f'1~PJ:.one: \:)
City: r\\-,,~'S, 'T\.~ ~c~\\+~},~iP: qrsLo/f)
IRNm.,"
i n Addition
In
Remode l
n Mobile Home
Date of Application
(:ontI'a~tOI'8
General
PLumbing
Describe fl'ork:
6J.'{.
9-1/-.BY VaLue 7.:'. ~ 1'3. ,?t1
Address
Electrical
: Il.fBChar.iC.:J.l
Construction icndor
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f R~mJ1:~i!rJ. Tl'l~'2"VP':7:r.,.,.q
i ;--'. ~ INSPECTION: To be I1tIde after
!,', b e.xcavation3 but proioI' to set up of
forms.
10 UNDERSLAB PLUMBING. ELECTRICAL &
: MECHANICAL: To be made before any
I work is aovcred.
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~TING & FOUNDATION: To be mde
L::J after trenches are excavated and
i forms are erected, but prior to
I poul"ing ccncret~.
i~GROUND PLUMEING. SEWER. W.1TEH,
lLi::::J DRAINAGE; To be rrruie proior to fiL-
i lir~ trenches.
l:--l ~FLOOR PLUMBING & MECHANICAL:
I ~ ~~"'b~' made prior to installation of
j [loor in8~Zation or decking. . -
jrl ~AND BEAU: To be made prior to
:~i~;taZ~tion of 11001' ina~Zation or
, decking.
III~ ~UMBIlIG. ELECTRICAL & lfECH-
I~ ANICAL: No work is to be Cot:ered
! ,unti Z thcse inspections have beer.
i made and approved. .
10 FIREPLACE: Prior to placir~ facing
1 materials and before framing inspec-
tio~
rl ,.nfM1ING: Must be requeDted after
"L.:::J approval of rough plwrhing, electri-
.cal & mechanical. AU roofing
bracing a chimneys, et.:. Trr.lst be
~'completcd. flo LX>rk is to be COTl-
._.....:cealed until this inspectiOrJ has
. :,~"b6~~ made and approved.
_Reoeopt' \_q ~ 11{ )'r')
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GJCULt
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Siw.ed,0./ltj )
Date: ~L J7ur,f ,.16)., /.'1Cf1
Lisc.H
EXiJire8
Plwnc
It is the respOTIoibility of the permit hoZdeJo to see that all incpections are made at the proper tim~, that each .:::ddr6S8 is reada:.?~e
froom the street. and that the permit card is located at the front of the property.
*Bui!.ding Divi:;io~ approved plan shall remain on the Building Sit:;: at all times.
PROCEDURE FOR INSPECTION REpUEST:CAll 726-3769 (recorder) state your City desig7Ulted job mo;;ber, job addrcss, type' of in3pec~icn
raqucsted ar.d when you will be ready for inspection, Contractors or OtmeI'S ncme and phone ~C1". Requests l'eceit:ed befol'e 7:00 c:'l
:"'iZl. be made t.hO same day, requests made a~tcr 7:00 am will ba made the nc:rt :iJOl'king. daY.,. "\
" Your City Desirrr.ated Jab /lumber Is: RU,() 1 d (){ }
n IIi8t!PTION/VAPOH BAHHIEH INSPF:CTION:
L..:::f To be made after aU insul.::zti:Jn w.d
'. required vapor bcr:rrier8 are in place
. but before any lath, gypsum board or
waU covering is appUed, and before
any insulation is concealed.
Ii ~ IIISPECTION: Te be made
L::::::J after all drywaU is in place,
. but prior to any taping. .
O MASONRY: Steel location, bona.
beams, grou ting or vertica ls in
aceordance with U. B. C. Section
2415.
O WOODSTOVE..: After inataUation is
ccmpleted. "
.r-1 ~PROACH AP.I:f()N: Afte-;:o forrns
~;:~... c;e7:ted but prior to pouring
conarete.
. n. ~ DRIt'F;WAY: For all ~on-
~ crete paving within street right-
of-wc.y, to be made after all exca-
vating acmplete & form LX>pk & sub-
base material in pla:Je.
D
PENCE: When complete -- Provide-
gates 01' movable sections through
P.U.E. '
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i~PLUMBIIIG
!~ECHAIIICAL
!~CTHICAL
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I DE/.10LITIO!! OR :'-:OVE'D BUILDINGS
~ Sani taI'Y S8'..Jel' :Japped a.t v:,op~rt':i Zir.e
==:J Septi:J tank p~~ed and fiZZ~~ with gra~el
I Pinal - r~'hen ab...."'V8 ite:ns are ccmpleted
~ and when demolition is complete 01' 8tru~-
ture moved and pramis6s ~leaned up. "
Nobile Homes
:::J Blocking and Set-up
:::J Plumbing connections -- sewBr and water
:::J Electrical Connection - Blocking, set-up
and plumbing connections nr~st ce approt:ed
. before requesting electrical inspec~io~
:::J ACC06SS01",i Sui Zding
--, Pinal - After porcr.es, skirting, decks,
~ etc. are camplet~d.
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All project conditions, such as the instaLlation of street traes, c~~Zetivn of the
required landscc.pir:g, etc., must be satisfied bcfore the BUILDINC FI!IAL can be requestad.
AL BUILDINC: The Final Building Inspection must be requested after the Final Plwnbing
EZectrical, and Mechar:ical InspectionD have been made and approved.
~ALL MANHOLES AND CLEANOUTS HUST BE ACCESSIBLE, ADJUST!fENT TO BE NADE AT NO COST TO CITY Page 1 of 2
, JOB NO, gW()YoI{)1)OLAR A~SS REQ,-
I Zone: Q - L Ocaupanc" Group: Q - ~ '
3lo1.4O
'2.Wb
7-
?Co
l'l- '5
Lot Sq. Ft;;.
s ~f l~t C:JVerago
#- of Stories
Total Height
Topography
TotaL Charge.
lITEM NO. FEE
Fixtures
Residential (J bath) \ 'l~-
Sanitary Sewer I
Water
~~"\N."t>I ~',\ \ \[)-:-
PLwnbing Pern:i t
State Surar.apge
Total Charaes
lITEM NO. FEE
'Res. Sa. fEL:..~ \ ":1,'5.,-
I New/Extend Circuits
I Temporary Service \ \D:-
I I I
EleetPical Permit
State Surcharqe
Total Charces
I ITSM 11/0.
I Furnace ETU' S ~ \
I E:haust HoodVlV"UA....1 \
~nt p~ ~~ 1\
I WOodstove I
I I
~:-
LlfO
~<:C
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Permit Issuance
Me::hanicaZ- Permit
State Surcharae
Total Chart'llUJ
, -- EI/CROACHMENT --
Ise~~tv DeDOsit
Storage .
I Maint~e
Permi t
Total CharGos
Curbau; ':2. L\ I
1 sid€walk
Fen::e
I Electrical Label
I Mobile Home
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I TOTAL AJ~OUNT DUE:'
'l.u.1..\
FEE
LOT TYPE
-L In.terior
Corner
Panhandle
Cut-do-sac
-- Fees
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7/ ~<.a.* .
53,." .,
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Value
'7~/3. ~I
I/Y.". I'
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'1.U I
/<s:s~1 '
CHARGE
\~.'SC
I 5.00
I \'1.60
I "lD I
I \?- '2D I,
CHARGE I
\'l\.~ I
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I :,\,00 I
I I
I ?,'L: '50 I
I 00 I
I '(~ .l.\O l,
C/JARCE I
3OC::> I
?,'l.5 I
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(,.,.~5
'2.'J
'l.O~
'1.'-\L\
~.'1'2.
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\ 9. s,. (,. '-\
Type/Const: \J'-)
':<'t ~'""
Setbacks
House Carage Access.
::>0.
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\fI'N'
:'I'
L-COG~
Be&ooma: \
I Lot Faces -
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I P.L.
[North
lEast
'ISouth
IWest
Ti.J'oe
En21'aU Sources'
BeatR (::CT
Water .Ilp.atp.1' Co~
Range
or Fireplace n~)~
WOod3tove
Building Value &
Pe r m i t
This permi t is granted on the express condi ticn that the said construction
shalt~ in all respects, conform to the Ordinance adopted by the City of
SpPingfieZd, including the Zoning Ordinance, regulating the construction
and USe of buildings, and may be Buopended 01' revoked at cr.y time upon vio-
lation of any provisions of said Ordinances. ~
IV~II: ~',IIfV~P'~ ~F/ES ~
~ J?w<# r~S.
I PLan Check Fee: ( () (. 0 U
IDate Paid: Y-I'7_-KU
IRecdpt H: (",..:~~!:')( nCf
I Signed: (t::j., J.fYL/
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Plumbing Permit
Nq pereon shall construct, install, alter 01' c~e any r~u 01' existing
pLumbing 01' drainage system in whole or, in part, unless Buch person is the
lEgal possessor of a valid plumber's license, except tr~t a person may do
plwnbing work to property which is owned, leased or operated by the appli-
cant.
Electrical Permit
Where State La1J requires tr.at the electrical work be done by an Electrical
Contractor, the electrical portion of this permit shall. root be valid until
the label has been signed by the Electrical Contractor.
Mechanical
Permit
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\1k, J.~\=( ,.-=\ \\
~ner . ~
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I I HAVE CAREFULLY EXAl.fINED the compZeted application for pernrit, and do
I hereby certify that aU information hereon is true and correct, and I
further certify that any ar.d an work perfol":1led shall. be don.e in accor-
I dance lJith the Ordinances of the City of Springfield, and th~ Ltr..;s of tha
'~ State of Oregan PQrtaining to the work described herein, and that NO OCCU-
I FANCY !.JiZZ be nnde of any structura !.Jithout permission of the Building ()i-
vision. I further- certify that on.ly cont1'a::tOl"S ar.d e:npZvyees who are in
compliance with ORS 701.055 wilZ be used on this pr-oject
)f)-? ~~'-\
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0J:JJ~ ~ ~ ~.~ (!A
I Signed DatY
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