HomeMy WebLinkAboutPermit Building 1988-7-19
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. APPLICATIOlJJ!ERJ1IT
225 North 5th Street ..,
SpringfieZd, Ore(-on 97477
BuiZdir~ Division
726-3753
n Describe rl'ork: .:- / .
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n Additicn' , ~eGr~~s /,Cll:':>'~ :....-, jJ1 If ~-;t'
Remodel ,./ _ .LL..._.., I.J
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I ~t~ !:;:::Z:::icn ,C-f~ f(d-;';:'~v~zuet ;;~:z I ()
J J Address ;,-,
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Electrical. ~ ~
Job Location: '3 6'7'
\.J/'.~s
ABO.B.ors Map # 17-05-'<"/ _/~
Subdivision: L,..,'7' '2 ~.~
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t'A.mel':
!y_WYrg-~
AcidPess:
City:
(,.'om::ract"ors
General
Plumbing
, -
Mechanic:: t
Constl"llction Lender
~ fft~
T= Lot # ?--rAr~ /,09=
M t1/Ld / &-t r
Phone:
Zip:
110/'.-;./ ~
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Siqr.ed:
Date:
ExPires
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Pnone
;-~sc.#(~g
O INSULATION/VAPOR BARRIER INSPECTION:
To be made after an insul..::twn w.d
. .' required vapor barriers are in place
. ~ but before any 'Lath, gypsum board or
wU covering is applied, and before
. any insuZati:On is concealed.
O DRYWALL IllSPECT~ON: To be made
afteI' aU dryLJaU is in pZace~
but prior to any taping. 0
location ~ m>>ui
or vertica l.s in
U.B.C. Section
~
SIDEWALK & DRII~AY: For all con-
crete paving tJithin street right- S I
9f-way~ to be made after all exca-
vating compl.ete & fo~ work & cub-
. base material in p~e.
O PENCE: When compl.ete -- Provide.
gates or movable sections through
P.U.E. '
.'to.
o
'~ i?2.:;"f.zI?/
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It is the responoibil.ity of tho permit holder to see that all inopections al"e made at :he proper timG;~ that 2CCh .::ddrBSS is rea.::abZe:
from the street, and that the pc:Pmit card is "Located at the f1'Ont of the property.
"Bui?di~.g Divi=ior. approved pZan shan remain on the Building Sittz at all times.
, PROCEDUF!E FOR INSPECTION REbWEST:CALL 726-3769 (recorder) state yOUI' City designated job nur.:ber..
\ raques&cd a~~ when you ~iZZ be ready for inspcction~ Contractors or OWners name end phone number.
, ;.'ilZ be made the same: dc.y.. requests made afteP 7:00 am tJiz.z. btZ made the next :.xJrking day.
I Your City Desigr.atcd Job Number IG: !tJ?V,1!!) 99
O MASONRY: S:~el.
beam3~ gr>oU_1.ng
accordance 1Ji. th
2415.
O WOODSTOVE: After installation is ~O :.1l Bl.ocking and Set-up
compZeted.
&)0 ,e; I 6'" 21 PZumbi"fl connections ."",er '7' water
f)(l CURB & APPROACH APRON.: 'After forms,;'? Nl Electrical Connection - Blockir..g.. Bet-up
~ are ere::!ted but prior to pouring J .nJ and plumbing connections m-",u;t ce approved
ao~rete. before requesting electrical ins?ec:io~
job address.. type of' ir.:;pcc=ic,1
Requests received befere 7:00 ~
I
,
I DEUOLITION OR ;'.:OVE'D BUILDIjiGS
~ Sanitary Be:Jer capped .:::t propert:J. lir:.o
--.J _ ,
"
~ Septic tank p-..;r.:ped and fi l l.ed ~ th :p"a~e l 0
, !
--, Final. - !\Inen ah..."Ve ite-ns are completed :
~ ar.d when der.lOlitior: is completei or Bt~c- :
ture moved and pr;;mi3es cle.:uw:i up. (_'
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I }.lobi l.e Homes
~ Accessol"h' Building
'5<)
/.Yl Fin::zl - After p:1rcr.es~ skirtin9' decks,
r..y etc. are ccmrpZetsd.W/J'JF//Y 3t> ~~
t:!>~ ~.c<~.7";::)C5-:
I "r/pt'1J1':""'Pl't Tl1~n~l?tir.!!!l
:I SITE INSPECTION: To be m:zde after
, ~ excavation~ but prior to set up of
. forms.
I' UIIDERSLAB PLU/mING. ELECTRICAL &
I ---1. J.!ECHA.'IICAL: To be made before any
~rk is ~overed.
,. -.,.
-vl f'OOTI~~ FOUNDATION: To be m:U!6
~ after trenches are excavated and
forms are el"ected~ but prior to
pourir.g ccncreto..:w :L\.> '
UNDSRG.WUND PLUMBING~ SEWER. W.1TER.
DRAINAGE: To be rrruie prior to fi"L-
.l ir.g trencMe.
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UIIDERFWOR PWI,.'8ING & l,fECHANICAL:
To be made prior to in3taUation of
fLool" insulation or decking..
POST A,':V BEAM: To be made proior to
insta~"La~ion of f100r ins~z.ation or
decking. L..I).-
ROUGH PLC/!:'BIlJG.qLECTRICAL ~ MECH-
ANICAL: No :.JOrk 1.S---rooc covered
,unti"L thcse inspections have beer.
made and approved.
Fr.r::EFLACE: Pl'ior to plc.cir.g facing
materiat8 and before framing inspec-
tior:.
"Vl FRAf!ING: Must be requetJted after
CJ approtJil"L of rough pl.wr.bing~ el.ectri-
.cal & mechani~al.. Al.Z. roOfing
to. bracing & chimneys.. etc. nr~st be
;. completcd. lIo wrk is to be con-
~"o.-.cealed until this inspection has
..~ bBen made and approtJed.
"
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FIliAL PWl,fBIIIG
.-
\
AU project conditions~ such as the instaUation of street trees.. co.":-rploti:m of' the -
required Zandsccpir.g~ etc... must be satisfied before the BUILDIl:C FINAL can be rzquest:zd.
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FIliAL MECHANICAL
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FINAL BUILDING: The Final Building Inspection must be reque3ted after the Final Plumbing
Electrical.. and Mechanical Inspecti.o7W hcltJo been made and apprOVed.
FINAL ELECTRICAL
4~
"'ALL MANHOLES AND CLEANOUTS MUST BE ACCESSIBLE, ADJUS1'!fE/lT TO BE ftMDE J!T NO COST TO CI'!'Y I Page! of 2
I JOB NO.~057'~ :;ULAK A~~t.:;:; Kt.Y,- L-COG'
Izon.: c..P7?--Y'77#S Occuoonc. Ge ...>7?-/ -01 ~/C~ TypeICo"..t: a""P":7'. Bedrooms:
I Lot Sq. Ft;;. '7........-_ LOT TnfI' Lot Faces - ~Th . _I Enerau SO'",".es
- ....--6-. __ . Setba.~k8 Heat
t of 1-ot C""erag< ?::> -~ V InteMoor P L I H - C A
~ .. (JUse araae acess. Water 9~atpyo
~ of lito1'ies / C01'rler North ' '5/ Ranse
Total Hei.ght Panhandle East J'?' S' Fil'cpZace
..... South /.Jt<" Wo_tove
Topography a'2 A:> CUL-de-sac
!West L;' /
;tt,y// 7fcV/C=~ /i;.-€ 5#O"oc.b #??vc
TOTAL VALUE. :P..3'/<:?.seI, 8c=~ '6 ZB.~?!. C?i'iEp/T ~/)
1.5 :z: '';';~,c:> X' I~%I 7'23./5""!"\ C> y~ P1'- tp;;;?c97T ::;-~!f> ?lee C-c. ~
'11/.50 1 )").- ~an Check Fee: ,r~la' <1/
:z - -:?;$ 1 ').. J"6 ,ell Cate Paid: 1-/3 - if' ,
ot:.I ? I ~ / - IR~cdpt #: .// '617
/6.7,,/ IS,gr.ed: /'/'_
CHARGE I
/.<;:0=1
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/,<;: -=-1
::?~ .-::>
70..-01\
~ ..JOI
7:?~o l.
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I /<:;:" cool
I /:~..el
I ~. --1-n
I - /, /<:;d
I 3).9>l.
I
I
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1-.
IIT::/I
l;bin
I Gc:race
I CarooI"t
IAcce8so~
IF~"""""5
I
Is.D.c.
SQ. FTG
x
Value
:$3'6
~<f
7'3a oe
I
/...............-: -I
Building Permit
State Surcharge
Total Cha.--ges
I;~~:--,
NO.
FEE
Residential (1 bath)
#~~;r:> I
/
I'Water /
~ Z&A'/""~ ~
-Sanitary SeLJel'
Plumbing Pern:i. t
. State Surcr.arge
Total Charaes
lITEM
I Res. So. f'ta.
INGI.J/E:r:tend Circuits
1':1":'''',--- ..~ Service
~G-JP
I NO.
J
1/1
II I
FEE
CHARGE
Ele~trical Permit
St:::.te Sw>~ha.rQe
Total Charces
lITEM
I f\aon.7cp. P'T'U' S
r E::hauB~ ~ood
I-vent Fan
I '
I Jloodsto':Je
I
I NC. I
I I
I I
I I
1 I
i I
FEE
CIJARCE
Pel"rrTit Issuance
Me=han.ic:::l Permi t
State Surcharoe
Tnta.l C'harotum
-- E/lCROACHME.'I'T --
i SeC".J.ritTl Deoo3it
,
, Storage
Maint~e
Permit
Total Cha1'aCB
Curbcu~
Sidewlk
Fen::e
/ -'20 I
-;?O/
I'J.~
"2'.:'. 5"0
1"o.Jve
-- Faes --
I
I Building Value & Permit
This permit 1.0 granted on the express condition that the said constl"Uction
shall.. in all respects.. conform to the Ordinar.ce adopted by the City of
Springfield, inc!uding the Zoning Crdinance.. regulating the ccnstructicn
and uoe of buil.dings.. and m:zy be suspended or revoked at a:y time upon vio-
lation of any provisions of said Ordinances.
Plumbing Permit
No person DhaZ! construct.. instalZ... alter 0'1' change c:ny new or e--isting
plumbing or drainage system in whole 0'1' in part.. unless such person is the
legal possessor of a valid plumber's license.. except that a pe~son may do
plur.-.bing work to property which is owned.. leased or operated by the appli-
cant.
,
, ,
Electrical Permit
Where State LaLJ requires tr.at the electrical work be done by an Ele~trical.
Contractor.. the electrical pO'1'ticn of this permit shaH roOt be valid until.
the label has been signed by the Elect;rical Contractor.
Mechanical
Permit
.
I,
I
I
I I HAVE CAREFULLY EXAMINED the completed application for permit.. and do
I hereby certify that all info:oma.tion hereon is true and correct.. and I
, f'..trther certify that any ar.d all work performed shall be don.e in accor-
I dance >lith the Ordinances of the City of Sp1'ingfic1.d, and th< La:Js of tho
.. State of Ol'egon pzrtaining to the tJOrk descn-bed herein.. and that NO OCCU-
PANCY will be rmde of any structura withtr.J.t p3rmission of the Building Di-
n vision. I further certif:J that o':1ly contrac:tors ar.d e:rrpt::Jyees who are in
I'; =pliance "ith ORS 701.0,5 "in be used on this project
fi..-9~~......~
~~ner ' /
7-/9--&B
va!:e
E1.ectrica l Labe l
Mobil. Home j)..."I'?!I!.~ W;M 3')':-=-- () J/ .- /)
'%P$~_~TI- ;.~~: .?:fi1 ~(; a ~/
TOTAL AMoUNT OUE:' t1fl6'"'3 ;:< 65" '
7/;9JFF
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