HomeMy WebLinkAboutPermit Building 1-12-14
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RESIDENT,
COMBINATION/APPLICATION PERMIT
CITY OF SPRINGFIELD
225 ,':O!?TH 5TH ST.'?EET
SPRI:1GFIELD, OREC.lJN 97477
EuiZdi~~ Divisio~
726-5753
Job Location:
:59/f(o
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Subdivision:
.4ssessors nap #
17 -{J2- -.-34 - UJ
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Add.reas FJct/{ {}
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City
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- SPRINGFIELD-
tIiL~
5iree"f-
T= Lot /I
o 360 h
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Phone /I ?()(/)- 8-157
Zip q '/ </ '1-1
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O~
I ~.ve-"
I Addition
I Remodel.
DesrnCG Work
(J.Joods io (/ G
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Address ~ ~scil
Contractors Name
Ceneral.
Pl.umbing
~l.ectri oo.!.
f.fechar.icc:.z.
G/j)fL~ ,r
Constru~tion Lander
__ RECEIPT II
5' 7 7~f7
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Authorized Ci~J'Agcnt
E:r:pires Phone II
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REQUIRED INSPECTIONS
It is the responsibility of the permit holder to see that all i~spections are made at the proper time, that each address is
readable frcm the street, and that the permit card is located at the front of the property.
* All manholes and cleanouts are to be adjusted at no cost to the City
LJ
SITE INSPECTICN: To be made after
excavation, but prior to set up of
forr:o.s .
UNDERSLAB PLUMBIN~. ELECT~ICAL &
HECHANICAL: To be made before any
work is covered.
FOOTING & FOUNDATION: To be made
after trenches are e::cavated a~d
forms are erected, but prier to
pouring concrete.
UNDERGROUND PLUMBING, SEWER, WATER,
DRAI1IAGE: To be made prior'to fil-
ling trencheS.
UNDERFLOOR PLill1BING & MECHANICAL:
To be made prior to installation of
floor insulation or decking.
POST & BEAM: To be ~4de prior to
ins~allation of flco~ insula~ion
or decking.
I '
ROUGH PLUMB!NG, ELECTRICAL & MECH-
ANCI.\L: No '.Iork is to be covered
until these inspections have been
made and approved.
FIREPLACE: Prior to plac ing facing ~ j/
materials and before framing inspe~-
don.
FR....HING: Must be requested after I
approval of rough plumbing, electri-
cal & mechanical. All roofing,
bracing & chimneys, etc. must be
completed. No work is to be con-
cealed until this inspection has
been made and approved.
INSULATION/VAPOR BARRIER INSPECTION:
To be made after all insulation and
required vapor barriers are in place
but before any lath, gypsum board or
wall covering is applied, and before,
any insulation is concealed.
DRYWALL INSPECTION: To be made
after all drywall is in place,
but prior to any taping.
MASONRY: Steel location, bond
beams, grouting or verticals in
accordance with U.B.C. Section
2415.
WOODSTOVES: After installation
is completed.
CURB & APPROACH AP~ON: After forms
are erected but prior to pouring
concrete.
SIDEWALK & DRIVEWAY: For all con-
crete paving within street right-
9f-way, to be ~4de after all exca-
vating complete & form work & sub-
base materisl in place.
OTHER INSPECTIONS: may be required
in accordance with Building Code,
to be indicated in ?lans or by no-
tice from Building Inspector.
FINAL PLUMBING
All project conditions, such as the installation of street trees, completion of the
required landscaping, etc., must be satisfied before the BUILDING FINAL can be requested.
FINAL ELECTRICAL
FINAL BUILDING: The Final Building Inspection must be requested after the Final Plumbing
Electrlcal, and Mechanical Inspections have ~een made a~d approved.
No occupancy of the premises can be made until the Final Building Inspection has been
made and approved, and a CERTIFICATE Of OCCUPANCY HAS BEEN ISSUED BY THE BUILDING DIVI-
SION AND POSTED ON THE PREMISES.
PROCEDURE FOR INSPECTION REQUEST: Call 726-3769 (recorder)state your City designated job
number, job address, type of inspection requested and when you will be ready for inspec-
tion, Contractors or Owners name and phone numbers. Requests received before 7:00 a.m.
will be made the same day, requests made after 7:00 a.m. will be made the next working
day. YOUR CITY DESIGNATED JOB NUM'3ER IS: 2f J ()2(/J J(
FINAL MECHANICAL
Page 1 of 2
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I JOB NUHEER g'J 08-(0 g'
I ZONE OCCUPANCY GROUP
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P3ge 2
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REFERENCE Nt'MBERS
TYPE!C01'JSTRUCTION
L-COr, ::
BEDROO~!S
Lot Square g'tg.
~.,: ~f Lot Covel'ed
#- ;of Stories
7'Stal Height
':o-pogl'apl..y
[,ot Ty-;e Setbacks
Intel'iol' [,0-1; Faces: I
COl'1'ler P.~. Hoase, Garare Acc'?S$ I,
Panhandle NOl'<l:h
Other East
South
West
, Ene!'~y SO:c.::'I~es
I :'e'1t , I
I '....atel' Heater
I i'!ange
I Pool
I ~:--:Y'~:: rc.::e
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,io::.: St:;ve. - f
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FEES
BUILDING VALUE/PERMIT
811. _"'tl1. _.f:'ai~
Sq. Ftg. C-araq e
Sq. FtJ. Carport
Sa.- Ftq. Aaee~so:ry
Sa. Ftq.
Value
:c
?am-i t Cltaroes
i ;C) f'Y'li"'t1
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This'permit is granted on the ezpreas co~.di~~on that
the said cons~7'Ucti-On shatz, in al Z l'es-;ectif!, confom:
to the O!'dinar.~es adapted by the City 0.-' Spl..:.ngfieUl,
including the Zoning Ordinance, re~Alating t~~ con-
stl"..tction and use of lr..J.Udings, :71lIi ,-ray be $:lspf!r'.ded
or revoked at any time upon vioZati~n of any previ-
sions of said Ordinances,
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.': t.?t: P. '<;'JP(!;'f1T'I1P.
Plan Check Pee
Date Pdd
Receipt If. I _
,
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TOTAL CH.4P.GES
Is~stem Develorment Charoe
11. 5 :r: Value
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PLUl.fBING PERMIT
INO.
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g'i::tul'es
r,rate!' Sel'Vice
Sanita1"J S(!!,)er
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No person shaZZ construct, instaZZ, aZter or change
any new or existi7VJ pZumbing or dzoa-:.nage sys-;em in
~hoZe or in part, unZess such perso~ is ~he :egaZ
possessor of a vaZid pZumber's Zi~er~e, ezce?t that
a person may do pZumbing ~ork to pro?er~ ~r.~ch is
ownad, Zeased or operated by the ap;Zicc:nt.
, CllA.'IGE
SUBTOT.4L
State Suzochazoge
TOTAL CHARGES
ELECTRICAL PERf-1IT
\NIJ.
FEE
CHARGE
Sa. Footaae
I New or E.":tensiol't/r;il'~it,
Te"~Dora1";f Ctr.:s~c=ion ,
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Where State Laz..' requires that; the e:ect;ricaZ ~ork be
done by an EZect;r-.;caZ C?ntractor, thz ez.ect;r-:caz, for-
tion of this permit shaZZ not be vaz.id tmt-:.Z the Za-
beZ has been signed by the EZectric.:.Z. Contrc:tor.
TOTA[' CHARr.ES
The EZectricaZ Safety LazJ does not requ-:.re = ?erson
to obtain a Zicense as an '3le~trician ar.d/o!' eZec-
trica! cO"ltnctor to make an eZectr-:.caZ ins-::::ZZa:tion
on property ~hich is owned by himseZj or a ~zmber of
his immediate famiZy ~hich is not ir:ten::.ed ;';1' saZe,
Zease or rent.
SU!!TOTAc'
Str,ztz Suzocharae
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MECHANIC.4L P'5:EIMIT
"t).
PEE
I CHARGE
F'urna~e - 3TU'S
Ezhaust Hood
Vent Fan
I Wood Stove/Heater
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SUBTOTAC,
I /'5 . ()(,;
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State Suzocharqa
TOTAL CHA.1fGES
ENCROACHgENT
I Se~.lr-!. ty Deposi t
I Storage
I Maincnance
I Permit
! TOTA[, AMOUNT DUE
I C'Al'b~t
ISidmJalk
1.:;Oqnca
~Zeatril1aZ LabeZ
TOTAL AI.fOUrlT DUE
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$/5 00
Plan Ezaminer
/~-/</,FI
Date '
I HAVE C.4IlEFULLY EXAMINED the compZeted application for permit, and do
hereby certify that aZZ information hereon is true and correct, and I
fuzother certify that any and aZZ uJOrk performed shaZZ be done in accor-
dmu:e ~tih the Ordinances of the City of SpringfieZd, and the LazJs 'of the
State of O~gon pertaining to the uJOrk described herein, and that NO OC-
CUPANCY win be made. of any str>.lcttu>e without permission of the BuiUling
Division. I fUZ'ther certify that onZy "ontractol'S and empZoyees ~ho are
in compZiance with ORS 701.055 wiZZ be used on this project.
1YJ I~
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dJ. kdd-LJ
~"gnea Uate
BuiZding Division appr~Jed pZan shaZZ remain on the BuiZding Site at aZZ
times.
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