HomeMy WebLinkAboutPermit Building 1986-3-5
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.. RES I D r ~'T I A L . .
APPLICATION/PERMIT
2:25 North 5th Street
SpringfieZd, Oregon 97417
BuiZding Division
726-3753
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Job Location: I _~ .~ / J!7 Q Y -r
ASGessors Map # 1/-63- ZS - ?--"3
Subdivision:
OLmer:
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G ('~- Cj
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Address:
Ci ty :
fJ /.,a://7~
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New
R c=par-c:,..
Additien
Remodel
Nobile Home
,. Rece:r:;t II
[-5 ~I t? 0 {o (n
3rd. .
T= Lot # Ol17J
Phone:
(C?~~-(o79S
zip:
Describe
riork:
o ,arY\ a. 8'~
F,:,,~
............
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-:
/Ju~'-dJ-D1C
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Signed:
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Contractors
Date of App l icatien ()'\ a C"c;.. A. ".<)" 1'1 Cf 8e..
&.le~ ('!."'N ('...,~ f
Date:
Value -=3 _~Itt:'t!)O. ~c ~
Address ~ q~ YO r')'lcf(,,":'2,I,isc. J! Expires q-.. ,,,\ ->rCO
PhonrJ747 ., )( ~
General
Plwnbing
Electrical
Mechar.icd
Construction Lender
6u. ~ ld. e I'"
t:". .)c.r.r,
It is the responsibility of the permit houter to see that alZ inspections are made a~ the~proper time, that each ~ess is readabZe
fpom the street, and that the permit caY'd is located at the front of the property. ...: ~
*Bui!ding Divi~ion approved plan shall .remain on the Building Sits at all times.
PROCEDURE FOR INSPECTION REQUEST:CALL 726.,.3769 (recorder) state your City designated job nwnber, job add:!>css, type of inspec.;icl'
I requested an.d when you will be ready for inspection, Contracters or OLmers ncme and phone number. Requests received befere 7:00 ~
:.'ill be made. the same day, requests made after 7:00 am wil7.. b., made the next :.Jor-kir'{i:-day":' '0...
Reauired InsDP-ctions
O SITE INSPECTION: To be made after
excavation, but prior to set up of
forms.
!D
UNDERSLAB PLUMBING, ELECTRIC,1L &
. MECHANICAL: To be made before any
work is covered.
o
FOOTING & FOUNDATION: To be made
after trenches are excavated'and
forms are erected, but prior to
pourir~ cencrete.
UNDERGROUND PLUMBING, SEWER, WATER,
DRAINAGE: To be made prior to fil-
ling trenches.
[J
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, .
UNDERFLOOR PLUMBING & MECHANICAL:
To be made prior to instaZlation of
f100r insulation or decking.
POST AND BEAM: To be made prior. to
installation of floor insulation or
deckir/{j .
iYl ROUGH PLUMBING. ELECTRICAL & MECH- _
.c..:s... IfNICAL: /VO work 1:STO be - covered .
until these inspections have been .
made and approved.
.Oi'. FIREPLACE: Prior to placir.g facing
materials and before framing inspec-
tion.
o
fh71. FRAMING: Must be requested after
~ approval of rough plumbing, electri-
cal & meciumical. AU roofing
bracing & chimneys, etc. nr~st be
. completed. No work is to be con-
.., cealed unti l this inspectien has
. been made and approved.
!ZJ FIlIAL PLUMBING
o FINAL MECHANICAL
':xI FINAL ELECTRICAL
:=J
Your City Desigr4ted Job Number Is:
~Sll S'l
171 INSULATION/VAPOR BARRIER INSPECTION: DEMOLITION OR ,'.{oVED BUILDlilGS
~ .To be made after aU insulation ar.d .
. required vapor ba:t'riers are in place ~'"Sanitary sC'.Jer capped O1t propert,i lir.e
. . but before any lath, gypsum bea:t'd or.. -
wall ,coveri~g i~ applied, and befo!,~ . . ~ Septic tank p:.<mped and filled with gra;;el
any 1.nsu lat'wn 1.S concea led. ~ \ --.J. "~ ..
M DRYWALL INSPECTION: Te be made
~ after all drywall is in place,
. but prior to any taping.
O MASONRY: Steel location, bond
beams, grouting or verticals in
aocordance with U.B.C. Section
2415.
D
WOODSTOVE:
completed.
After installation is
----, Final - rihen abcve ite:ns are ce.'1roleted
-.-J and when demolition is complete ~r stru~-
ture moved and premises cleaned up.
Mobile Hemes
~ Blocking
~ Plwnbing
~ Electrical Connection - Blockil~, set-u;
.--J and plwnbing connecl;ions nr~st ce approved
. beforc z.equesting elec.;rical ins-pectio:,;
and Set-up
connect~ons -- s~er ar~ water
~ Accessory Building
----, Pinal - After porches, skirting, decks,
~ etc. are completed.
o
All project conditions, such as the installation of street trees, co~letion of tne
of required landscaping, etc., must be satisfied before the BUILDING FINAL can be rsquestsd.
FINAL BUILDING: The Final Building Ins-pection must be requested after the Final Plumbing
Electrical, and Mechanical Inspections have been made and approved.
o
CURB & APPROACH APRON: After forms
are erected but prior to pouri~J
conore te.
*ALL MANilOLES AND CitANOUTS MUST BE ACCESSIBLE, ADJUSTHENT. TO BE !.L~DE AT NO COST TO CITY I Page 1 of 2 I
SIDEWALK & DRIVEWAY: . For all con~
crete paving within street right~
of-UJC.y, to be made after all exca-
vating, "domplete' & form work & sub-
:PflSf! material inplace.,.
...,
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PENCE: h'hen complete -- Provide.
gates or movable sections through
P.U.E.
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I JOB NO. ((-oj (5~
I Zone:'" ,
ILot Sq. Ftg~~
% uf lot~Cov~~ag~
,# of Stori'es "
! Total Height "'. '
I J
Topography', "
L - C 0 G~
~
Type. I, I
I
I
I
I
I
I
SOL AR P -E S S R E Q.-
Occupancy GrdUo:
LOT TYPE
IITEU
I Main
I GaYae<er
I carpoJ.t i'l
I Accesso)Z/ I I
.fj~ ~~c ~~fl
SQ.FTG
TOTAL VALUE
S.D.C.
(vatucJ
-,1.5 x
,"",
Building Permit
State Su:r>charge
Total Charges.
lITEM NO. I FEE
I Fixtures I
I (1 bath) I I
I Residential
i Sanitary Sewer I I
I f./ater I I
,V6yL&p/~.1 I
Plumbing Permi t m/~ .
State Su:r>cr.arge
Total Charaes
I .
J ITEM
NO. I' FEE
I
I..,.. I -. 6'.4'.-'
- ~~/T~
I .'
I I
I Res. Sa. fta.
I. N:::i,;/B+tend Ci'J1~ui.1;fJ
I
I Temporary Service
I
Electrical Permit
State Su:r>charqe
Total Cha::f'qes
IITSM
NO.
Furnace ETU'S
Exhaust Hood
I Vent Fan
I -
i Woodstove
I
i
I
I
I
I
Permit Issuance
Mechanical Permit
State Su:r>charGe
Total CharGes
I -- ENCROACHMENT --
I
Ise~urity Deposit
I Storage
Maintenance
I Permit
I Total Charoes
Curbcut
I Sidewa lk
I Fence
I
I Electrical Label
! Mobi le Home
I
! TOTAL Af.fOUNT DUE: *
F"'I;'
uu
Interior
Corner
Panhandle
Cul-de-sac
x
Value
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I
I
3'~~.
I #dt'. 1 *
~~ 5(:>"1
g.62 I
12.2 ~ . / 2
CHARGE I
I
I
tS~1
t5: c:se:: I
.60 I
l<>~t) 1*
CHARGE. I
:4' ~.$i!!1'
f
"I
~ <' -c5Z> I
_90 I
:4?.... 9'~ l *
CHARGE I
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1
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, *
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I I
I l *
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~~,(,---, *
Type/Cor-st:
Bedrooms:
I Lot Faces -
.I Setbacks
/- I P. L. House Caraqe
INorth
lEast
ISouth
IWest
I
I Access. I
I I
i I
I I
I I
EnerC!Z! Sources
Heat
Water Heater
Range
Fireplace
Woodatove
-- Fees
Building Value & Permit
This permit is granted on the express condition that the said construction~
shall, in all respects, conform to the Ordinance adopted by the City of
Springfield, including the Zoning Ordinance, regulating the construction
and use of buildings, and may be suspended or revoked at any time upon vio-
lation of any provisions of said Ordir~nces.
Plan Check Fee:
Date Paid:
IReceipt #:
I Signed:
Plumbing Perrrdt
No person shall construct, install, alter or change any new or existing
plumbing or drainage syste~ in whole or in part, unless such person is the
legal possessor of a valid plumber's license, except tr~t a person may do
plumbing work to property which is owned, leased or operated by the appli-
cant.
Electrical Permit
fmere s.tatp. [aN rRQuiY'es tlu;::t-the '~e'Zer::i;llicu.Z.'w;ji'k be done by an gZ"ectrical
Contractor, the el~ctrical portion of this permit shall not be valid until
the label has been signed by the Electrical Contractor.
Meche n-ical Permit
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praf Exa.m~ey. '"
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Uate
I HAVE CAREFULLY EXA~INED the completed application for permit, and de
hereby certify that all info~ation hereon is true and correct, and I
further certify that any ar.d all work perfor:ned shall be done in accor-
dance ~th the Ordinances of the City of Springfield, and the La~s of the
State of Oregon pertaining to the work described herein, and that NO OCCU-
PANCY will be made of any structure without permission of the Building Di-
vision. I further certify that only contractors and e~ployees who are in
compliance with ORS 701.055 will be used on this project
Ok 1Jt~
(;fined
/
I/J<JJ'-e A.- ~ - ~
'Date