HomeMy WebLinkAboutPermit Building 1984-9-17
";';:'RESIfa.JTIAL ..
A'pPLIC~NipERMIT
225 North 5th Street:
,'SpringfieZd, Oregon 97477
BuiZding Division
726-3753
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ABoeBaors Map H\?-, ffi {'f21 rz.. \ (j T= Lot H lO\' Co \
Subdiviaion: \\ C '\{J:\ '\7 ,d \.~ \. ~\ <:..
Job Location:
ctmer.~~ ~ \'\\~\ l- \-\\U'f\l.p 0 N-
Address: ~ \ 0 \1\ ~ ~~ Q l\f'\ ~p,:one: \:J
City: (\ \-n ~'S, 'T\.~ ~ (\\\+~ r.~iP: G.c)Lo I ()
(~ J
f0'lliJ'
n Addition
n Remodel
n .'Jobi le Home
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9-/ /"'.BY
Date of Application
t:ontractol'S
GeneraL 11M 'A/I\Lre
PLumbing
Electrical.
Mechanical.
ConstJ"'Ucticm icnder
Describe rl'ork:
~?"o
..
Rcae:pt .il
.
Sigr.ed:
Data:
Lisc. H
E::piras
PhonE!
?47-9t:.f::?
VaLue 7,7. t) 1'3. '7eJ
Address
It is the respcmaibitity of the :permit holder to S8e that all. irwpections are made at the proper time, that each .:&:!ress is readaC7..e
fl"Ol'll the street, and that the permit card is tocated at the front of the property.
.4BuiUing rr;vi:;io'!': apprOl,.'ed F~ shall remain on thE Building Site at all times.
,PROCEDURE FOR INSPECTION REQUEST:CALL 726-3769 (reaorde.rJ state your City designated job number, job adCrcss, type of in3pec-;icn
requested ar.d w,":en you will 'be r'eady for inspection, Contractors 01' OLmers ncme end phone nw:IDcr. Requests received 1;efore 7:00 c:.'7
;.~ZZ be made t,h€ Bame day, requetts made a~,t€J" 7~OO ,am wilt be made the next :JO~king. day. \.
I " Your City Deoigr.ated Job Numba' Io: AU () I d ()( )
Qbll1t'::,,~-;i T"'<:'1"~~"'_,;""q
i v1' 2'ft INSPEC':'ION: To be rtKlde after
excavation, but prior to set up of
'~~s. '
, 0 . UNDERSLAB PLUMBING. ELECTRiCAL &
MECHtl.NICAL: To be made before any
work is ~ovcred.
~TING & FOUNDATION: To b9 rrruie
L::J after trenches are excavated and
. fo.rms are erected, but prior to
pouring concrete. 1
~RGROUND Pl.UMBING; SEWER'; W.1TE.~
~ D.:AINAGE: To be rrade priori to fil-
i ,l.1.7'.g trenahes. I
~' ,qPWOR PWI,.'BING & MECHANICAL:
. .. be made prior to insta l Lation of
; loor insulation or deaking.' '.'
'r1 ~AND BEAM: To be rode prior to
,~i~;ta'Uation of floor insulation 01'
; decking. :
ir--l ~!BnJG_ Er.ECTRICAr: I: UECH-
;~ ANICAL: No work is to be cOlJered
; ,until these inspections have beer.
made and approved. 1 .
O FIREPLACE: Prior to plcair.g facing
materials and before framing inspec-
tion.
Must be l'equ.eDted lafter
approval of rough plwr.bing, 'electri_
.cat & mechanical. AlZ roofing
. bracing & chimneys, et~. nr..!~t be
:'completad. No work is to be con-
....,...:cealed until thia inspection has
, ..~ bee.n made and approved. :
~ PLUMBlllG
~<E~HA:IICAL
'~CT,qICAL
nI~TION/VAPOR BARRIER INSP:XTIOil:
L.:::::rTo be made after all insulati::m w.d
'. required vapor barriers are in place
. . but before any lath, gypsum boan:! 01'
wz.z covering is applied, and betol's
any inauZ.a.tion is concealed.
n ~ INSPECTION: Tc be made
L::::::J after alL drywall is in place,
. but prior to any taping.
O MASONRY: Steel location, bona
beams, grouting 01' verticals in
accordance with U.B.C. Section
2415.
O WOODSTOVE: After installation is
ccrrrpletf:d.
r--1 ~PROACH AP.'!ON: After' forms
G::::r'~~'" c;e';ted but prior to pouring
aon::l'e te.
, n ~ DRIVEWAY: For all. ~on-
~ arete paving within street right-
of-way, to be made after all exca-
vating complete & form work & sub-
bass material. in pla:::e.
D
FENCE: When complete -- Provide.
gates or movable sections through
P.U.E. '
- DEl.'OLITIO!.' OR ;~,'OVE!:i BUILDIi,1GS
~ Sani -:a.ry Se:Jer :::apped ~t p:.op<=rty l.ir.a
~ Septi:: tank p~ed and tilla~ with GT'a:.:eZ
--, Pinal - rl'hen above items are conrplstf:d
---1 and when demolition is complete 01' Btru~-
~"'e moved and pr~3es cleaned up. .
I Nobile Homes
=:J Blocking a7Ui S8t-~p
~ Plumbing aonnections s~er and water
---, Electrical Conr.eation - Blocking,_set-up
--.J and plumbing connections m-...:st ce....approved
, before requesting elec:rical insp6a:ion
~ Ac::essol'Y Building
---, Final - IIftCJl' porcr..es, skirting, decks,
~ etc. are aomplet~d.
o
All project conditions, such as the instaZlation of street trees, ao~lotion of the
required landscaping, etc., must be satisfied before the BUILDINC FINAL can be raquestad.
AL BUILDINC: The Final Building Inspection must be l'equeGted after the Pinal. PZumbi"3
Electrical, and Mechar.icaZ Inspectiona havo been made and approved.
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*ALL1 UANHCLES AND CLEAt/OUTS !WET BE ACCESSIBLE, ADJUSr!fE,'IT TO BE :,~1DE AT rlO C~ST TO CITY Page! of ~__ J
!Z~~:B ~~'LXW()l DI0,~CU:::G:J;~';EQ.-
I Lot Sq. Ft;;. 3(pU()
i z ~f lot CJlJerag< ?. ~ q....
i ,1 of Storie. 7-
I Total Height ? r 0
I Topography ()-'5
I
IITE:M
IMain
lGc::t'aC8
I CarvOl't;
IAceessol'U
, SQ.FTG
"2~~
~39
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Is.D.c.
TOTA& VAWE:
(Vat.u.cl
1.5 z
Building Permit
State Surcharge
Total Cha......ges
IITE:M
IFi:.r:tures
lid'
I Res entuzl
(1 bath)
I Sanitary Sewer'
I Wctel'"
b~,,~~~ \
PLwnbing Pe=i t
State Surcr.arge
Total Charaes
IITE:M
I Res. So. fta.~
IN~/EXtend Cil'cuits
I Temporary Service
I
Eleatrical Permit
State Suraharqe
Total Cha:rC8S
ITSM
LOT TYPE:
-L Interie1"
Cornel'
Panhandle
Cut-de-sac
x
;;l~<a..,l.,
53~-!
I
~5': ~
/d.-
'7~/'j. ;ll'
IN.'!,
, 12/. $l:I I
~.S61
1<s:s~l.
NO.
FE:E:
CHARGE:
\
"2~-
\f2..~
\07"
0.00
\'I.EO
'0
\?. '2D
J NO. I FEE
, 1-:l,5.-
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I '(~ .l.\0 I.
I CHARCE:
I 7., oc::>
r?,V5
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I C.., ."'0
I '2.~
I '1.0'2...
CHARGE
\'l\.~
\
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~.co
I 'L~.~O
I NO. I
FEE
P/a"n:zce PTU' S \
E=haus t Hood
I Vent Fan ~~
I '
I Woodsto;;e
Permit Issuance
Mechanic::l Permi t
State Surcharae
7'otal Charap.G
I -- E:IICROACHI,fE:NT --
I Ssc-.aoit7.; D2POsit
I Storage
I Ma.int~e
Permi t
Total CharoGa8
I Ourbcut
I side1JaLk
I Fen::e
I EZectnca I
I
l Mobile Home
Q,q'
Label
l TOTAL AMOUNT DUE:"
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::.:....:r.:
P.&.
r10rth
L-COC';:'
T;;pe/C~r..t: \J & Bedroom.: \
<:<'t ~'"' I r E:nar" Saurees'
Setooek. I I HeatH r.:,T
House' .. Caraqe Access. 1 j Hater .t/p.atp.1" ~I ~
~q I i Ratlf'e .
~' 1 11 FireDlaee r\~'k)~
\ f.'N' I I Woodctove
~. II.
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I Lot Faces -
I
':';;~e
East
,South
IWest
Faes
Building Value &
Permit
This permit ia granted on the express condition that the said construction
shall, in all respects, conform to the Ordinance adopted by the City of
Springfield, inc!uding the Zoning C'rd~nance, regulatil".g the construction
and UDe of buildings, and may be sUGpended or revoked at cr.y time upon vio-
lation of any provisions of said Ordinances. .
IY.::>r8; /J,;qt./<,4;7-'YY .c:r~F/ES ~
~ 11';/< A ;::..~S,
.
Pion Check Fee: (f? /. 00
Cj- ITJ_nU
Reedpt H: 1^...~t)1 riLl
I Signed: <"1J,./YLJ
Plumbing Permit
Date Paid:
No person ahall construct, instal!, alter 01' change any new or e:::isting
plumbing or drainage system in whole or in part, unless such person is the
legal possessor of a valid plwnber's license, except that a person may do
plumbing work to property which is cnJned, leased or operated by the appli-
cant.
Electrical
Permi t
Where State LaJ..J requires tr.at the electrical l.JOrk be done by an Ele~trical
Contractor, the electrical portion of this permit shall I".ot be valid until
the Zabel has been signed by the Electrical Contractor.
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Mechanical
Permit
,
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P7.an. ~ner
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I HAVE CAREFULLY EXANINED the completed application for permit, and do
hereby certify that aU ir:foromation hereon is true and correct, and I
f'..trther certify .that any and all work pel'fomled shall be done in accor-
dance with the Ordinances of the City of SpPingficld, and tho; La-.JS of tha
State of Oreg~n p~rtaining to the work described herein, and that NO OCCU-
PANCY will be mde of any structure L>ithout parnrission of the Building Di-
vision. I further' certif:! that only cont:ra~tors ar.d e.'11pI"yees who are in
compliance with ORS 701.0SE will be used on this project
Signed
Date