HomeMy WebLinkAboutPermit Building 1988-10-20
.. RESIDaNTlAL"
APPLICA~NIPERMIT
225 North 5th Street
Springfield, Oregon 97477
Building Division
726-3753
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Job Location:
t..{ 33 5cotlc;,
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AS08SDors Map /I
Subdivision:
CUneI'":
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Address:
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City:
P'lof... '1-(jllof!-
,;
~m,'
n Addi ticn
n RemodeL
rn ,'!Qbi le Hom;;
&;AT~
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Rcce~pt .iI
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Taz Lot # viA
Phone: t..bg- c.t. 71
Zip: q 7'10 ).J
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Describe II'ark:
fV\..O b: l.z 61-0""", ~4 - '-'P .
C-CV\,CA..:t( €:.+>-~
ti..CC/JA;J~~ Se ~ p/d PI-J<l
GeneraL Ft2-v/.... ex. .."b"",'",
PLumbing (' ~...&,; A/~ ;7/",_,/'1/
ELectricaL R A-{ /J h {I,;rJw",-1
l1echar.ic~L ,(;:,n'Jt"."6/,f Evl"u"",.lTilU/
Date of Application
ContractOrS
lo-t>-gC
COP1lJt~ction Lendszo
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1J1I-(<-<L'~1/ ~t:), . '
t!.-L-
10 -;?O --Y1:
Value
1'1 CLf~
Signed:
Date:
Address
v..!2:2t"'J A1/:J'OJrr t:J/1
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"Pr,/J CL.
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ExPircs
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Phone.
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It is tJuJ 1'6Sp011lribility of the permit holder to Bse that all inDpections CU"e made at the propB1' ti.m~, tr.at each .=ddrSBS is readahZe
f1"Om tho street, and that the permit caN is located at the front of the property.
-'Bui?di!'t{} Divi::ior: approved plan shaZ'L remain on the BuiZding Sits at all times.
PROCEDURE FOR INSPECTION RE.QUEST:CALL 726-3769 (rccorder) state your City designated job number~ job addrcss~ type of in3PQcticn
r&qucstcd and when you will be ready for inspcction~ Contractors 01" OWners name and ?hone number. Requests received before 7:00 ~
~'iZZ bQ made the Bame day~ requests made after 7:00 am z.JiU ba made the next :.,)Orkin; day.
RPlYJ1iYOfl~ Tt7ll:n1{!f:1:r.'!.q
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SITE INSPECTION: To be oode after
e:rcavation~ but prior to set up of
forms.
UNDERSLAB PLUMBING, ELEC'l'Rrr:1l r, ,ll
MECHANICAL: To be made before any
wrk is .::ovcred.
, ~ ~
FOOTIim") FOUNDATION: To be rn::zde
after trenches are excavated and
forms are erected~ but prior to
pouring cancreto. :)C\~)~:,,1 l{
UNDERGROUND PLUMBING. SEWER, W.4TER.
DRAINAGE: To be TlKld~ prior to fiZ.-
,l-ir.g trenches.
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UNDERFLOOR PLUI,$ING & MEC,9ANICAL:
To bQ made prior to in8taZ.l.ation of
fioor insul.ation or decking.
POST AND BEAN: To be made prior to
instaLlation of floor instoZation or
decking. ''-\ J.
ROUCH PLW!BI/JCLELECTRICAh & MECH-
ANICAL: No work l.S to bc c07)ered
,until. thcse inspections have beer.
made and appl'oved.
FIR.EPLACE: mol" to pZc.cir.g facing
materials and before framing inspec-
tion.
O FRANING: Must be l'equested after
appl'oval .of rough plwr.bing~ el.ectri-
cat & mechanical.. AU roofing
bracing & chimneys, et.::. lTr..lst be
:'completcd. No tXJrk is to be con-
..cealed until this inspection has
~b6~ made and approved.
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[E] FIliAL PLUMBIIIG
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FINAL MECHAIIICAL
11'"
FINAL ELECTRICAL
Your City Desigr.ated Job Numba' Is:
O INSULATION/VAPOR BARRIER INSPECTION:
To be made after all. insulati:Jn CC".d
'. required vapor ba:rriers are in place
. but before any 'lath~ gypsum board 01"
LXlU covel'ing is appZied~ and before
any insulation is conceal.ed.
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I DE,',.VLITION OR ;'.;OVED BUILDIilCS
:=J Sani'tary Be'Jer ~apped at r:.op;,;rt":i lir.e
:=J Septic tank p-..cr.:ped and fiU~~ with ~a~el
O DRYWALL INSPECTION: To be made
after all drywall is in pZace~
but prior to any taping. .
Zocation, bomt
or verticals in
U.B.C. Section
--, Final. - riken above items are completed
~ and when demolition is complete or 8tl'U~-
ture moved and pr~3es cleaned up.
O I1ASONRY: SteeL
beam8~ grou.ting
accordance wi th
2415.
D WOODSTOVE.:
ccmpLet~d.
I Mobile Homes
After installation is !;IJ :J] Blocking and Set-:lp
~; ~ Plumbing connections s~el' and Water
O CURB & APPROACH APRON: After .forms~? 71 Electrical. Connection - Blocking, set-up
are crected but prior to .i.OU1"tng ~ and plumbing connections lTr..lst be approved
con...'Tete. qO C1 / . before requesti.ng elec:rical inspectio:-:
. rv1 SIDEWALK & DRIVEWAY: For all con-""7l . .
~ crete paving within street right- ':,,( ~ ACCBSSOl"'d Bu1.Zd::.ng
.of-way, to bc made after all exca- . ~ . .
vating c~let~ & form work & sub. '. \71 Final _ After p:Jl'cr.es, skirting, decka~
'base matert.aL .n plaae. , ,($ ..'6J etc. are c,,"pLetcd. W/r$~ ,:;,p/)Pr.s
,'," ~ ~F ':>O<:<p ?A"-b"C Y. .
O PENCE: When complGte -- Provide.
gates or movable secti.ons through
P.U.E,
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AZl ppoject conditi.ons~ ouch as the installation of street trees, co,~lation of the
requil'ed l.andscapir.g, etc., must be satisfied before tho BUILDING FINAL can be rsquestad.
FINAL BUILDING: The Final Building Inspection must be requeDted after the Final Plwnbin;J
Electrical~ and Mechar:ical Inspecti07UJ hava been made and approved. ..
!tALL MANHOLES AND CLEANOUTS MUST BE ACCESSIBLE~ ADJUST!fEllT TO BE NADE AT NO COST TO CITY 'page! of 2 t
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I..? 19, 4' 2- , .. ').")..
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.9$" I
/'7.9,')" I.
I JO B NO.rf(V cfC!,
I Zone:
Lot Sq. Ft{;.
S of lot CJlJerag<
# of Stories
Total Height
Topogl'aphy
SOLAR ACCESS
OeCU'Danc'l! G~
LOT TYPE
Interior
Corner
Panhandle
Cul-de-sac
I
lITEM
I Main
I Ga:race
I Cazooort
I AccesBoru
1?""""7/.-.s
I
SQ.FTG
x
Value
.--r~
TOTAL VALUE
IS.D,C.
(va"uc)
1.5 :r:
Building Pernri.t
State Surcharge
Tota I Cha."ges
lITEM
1.----0
I~'I
I I
1/1
1/ I
-5"72>~.-"7> D1~/h'k.J:-
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IResidential 11 bath)
I Sanitary Sel.Jel'
I Water
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7t?-=- I-&,/
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73,s~l.
FEE
CHARGE
PZwnbing Pern:i t
State Su:rcr.arge
Total. Charaes
~ ITEM
I Res. So.
I NO.'
II
1/ I
1/ i
FEE
CHARGE I
1
/!). csC I
/5,-1
fta.
N2l,J/Eztend Circuits
'1'"",\?"'YI~ Sel"Vice
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I 7-'7.2:51.
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Page 2
REQ,-
L-COG~
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II
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Type/Cor.st: .
I I Enerau Sources
I I Heat
Access. I I Water Hp-atpT'
I', Rarlfle
Fireplace
I I Woodztove
II
Bedrooms:
I Lot Faces -
I Setbacks
I p, L, House Caraoe
INorth
lEast
South
IWest
T1I'Oe
-- Fees
I
Building Value &
Permit
This permit is granted on the express condition that the said constrru.ction
shall, in all respects, conform to the Ordinance adopted by the City of
Springfield, including the Zoning Ordinance, regulating the const:ruction
cmd use of bui"Ldings, and ma.y be suspended or revoked at cny time upon vic-
lation of any provisions of said Ordinances. '
!Plan Check Fee:
, - Date Paid:
IR~ceiPt #:
S'I.ff"ed:
Plumbing
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11'J-/7-f'l
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ce-
Pe r m i t
No person shall construct, install, 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 plumber's license, except that a pe:>son may do
plumbing work to property which is oz.med, leased or operated by the appli-
oant.
Electrical Permit
W1wre State LalJ requires tr.at the electrical work be done by an Electrical
Contractor, the electrical portion of this permit shall not be valid until
the label has been signed by the Electrical ~ontractor.
Electrical Permit
/,.'): .......
?"S. <0_ ~ J-.
State Surcharqe
Total Chart;es
IITSM
Pwtna:ce !!TV'S
I E:::haust Hood
Vent Pan
NO.
FEE
CHARGE
Woodstove
Permit Issuance
Mechanic::.l Permit
State Surcharae
Tatf'1.1 CharORD
-- ENCRVACHMENT --
See-..trit'll Da'DOsit
I Storags
I Maint~8
I Permit
I
I Curbaut
I Sid_lk
j Pence
lElectrical Label
I Nobile Home 7:hb'23LEI#/~
I ~
I
I TOTAL AMDUNT DUE:'
Total Chal"l7cS
A31
19. 9'S-
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1
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t'/7f/6.9'::2
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Mechanical Permit
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I I HAVE CAREFULLY EXAMINED the completed application for permit, and do
I hereby certify that all. inforrmation hereon is true and corr'ect, and I
further certify that any ar.d all. work perfo?11ed shall be done in aceor-
I dance :vith the Ordinanee8 of the city of Springfield, and th;: Lcr..;s of tha
~ State of Oregon p$r'taining to the work ae8cr'ibod herein, and that NO OCCU-
PANCY will. be nrzde of any struetur2 without permission of the Building Di-
vision. I further' ce1'tify that o~ly contr'actors and employees who are in
,_compliance with ORS 701.055 will be used on this project
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- J:l'fYE=Mz<o-7 ---':v -
/<?-/C:3hS"8.
Lar;e
s~ t. ~
\t'I . n-~
Date
Signed