HomeMy WebLinkAboutPermit Building 1989-7-20
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.. RESID6NTIAl"
APPLICA1f[;N/PERMIT
225 North 5th Street
Springfield, Oregon 97477
Building Division
726-3753
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AddrBGS: / /, ,..JJ__J,tljf_~fl"N'1. Phone: UlOCl lUurl
City: PleUAA...L 0 Zip: Q-JctO::J
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DatB of Application 1-/'S-rf9 ,Value R lc9 \ ,!.JfJ
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It is the responsibility of the psrmi holder to see that aU intJpeations a:re made at the proptu' tim,;" tr.at each .:ddre88 is readabte
froom the street, and that the permit card is located at the f1"01tt of the property.
-Bui!ding Divicior: approved plan shall remain on tha Building Sit:; at all times.
!21!2fKT)~/.~E POR..L'ISPECTION RE"QUEST~CAll126-3769 (rccorder) state your City designated job number, job adCI-CS8, type of in3poc~icn
raqucstcd ar.d when you wi'll be ready for inspection, Contractors or Or.mers ncme and phone TlUr./bcr. Requests recoivod befere 7:00 a-:1
r..'iH be made th,; same day, requests made a~t:::r 7~OO am will be made the next :JOrking day. <::)
, Your City DeGigr.atad Job Number IG: (~)q6...~ 7
Job Location:
CUner:
rvr~M'
n Additien
n Remodel
n !.!obile 80ma
Contractors
General
Plwnbing
Electrical
I1Bchar.ica 1..
-
Rp.f7JJi""pil T"V"T?"'f'"~~r.!,:'l:
D SITE INSPECTION: To be made after
excavation, but proior to set up of
fo1'tTls.
D. UNDERSLAB PLUMBING_ ELECTRICA.T. ~
MECHA,'lICAL: To be made befor6 any
work is (]CJl)cred.
r::I ;foOTING & FOUNDATION: To be made
l.i.l.d after trenches are excavated and
forms are erected, but prior to
pouring ccncret~.
o
UNDERGROUND PLUMBING. SEWER. w'4TER,
DRAIllAGE: To be mad'e prior to fi~-
"Lir.g trenches.
o
UND8RFWOR PW~$ING & M8CHANICAL:
To be made prior to insta ~ Zation of
floor insulation or decking.
O POST AND BEAM: To be made prior to
installation of floor insulation or
decking.
n i/QUGH PWI!BIllC. ~8CTR~) & MF:GR-
L..=:t' ANICAL: No work~ covered
.until these inspections have beer.
made and apPl"Oved. .
O PI.f?EPLACE: Prior to pLa.cir.g facing
materials and before fmming inspec-
tier:.
Q FRAJ!ING: Must be requested after
approva.l of rough plwrbing, electri-
cal & mechanical. AU roOfing
bracing & chimneys, eta. l1r..lst be
:'completcd. No wol'k is to be can-
...: cealed until this inspection has
'bs~n made and approved.
G-/~
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041 nOt)
Receipt .'!
144"'6U
Tax Lot #
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Describe f..'ork:
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D INSULATION/VAPOR BARRIER INSPECTION:
To be made after aU insulati:m w.d
'. required vapor ccaTiers are in p lac,!
. . but before any lath, gypsum board 01'
waU covering is applied, and b6for'6
any insulation is concealed. .
D DRYWALL INSPE:CTION: Tc be madB
after all drywall is in place,
but prior to any taping. .
O MASONRY: Steel location, bomI
beam:3, grouting or verticals in
accordance ~th V.B.C. Seation
2415.
O WOODSTOVE..: After installation is
ccmpleted.
O CURB & APPROACH APRON; After forms
are orected but prior to pouring
, concrete.
SIDEWALK & DRIVEWAY: For all con-
crete paving within street right-
of-way, to bc made after all e:cca-
vating complete & for.m work & sub-
- base rmterial in ?~e.
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D PENCE: When complGte -- Provide-
gates or movable sections through
P.U.8, '
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Signed:
Date:
)c)1 J'CL) ,
V 1-" 1)1\ 'V( A
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Eroircs PhOn~ _
l.P Xl\. ~{ (} loLf-(
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DENOLITION OR l:OVED BUILDINGS
~ Sani tary se:.Jer ~apped at p::"opoCrt"::i lir.e
:=J Septic tank pU"i:ped and fille~ with gra~eZ
:J Pinal - rfhen above ite.'1l8 are completed
and when demolition is complete or stru~-
ture moved and pr~ses clsaned up.
Mobile Hcmes
:=:J Blocking and Sat-up
:::J Plumbing connections -- sewer and watSl'
:::J Electrical Connection - Blocking, set-up
and plwnbing connections 111"...st be approv(ld
beforc requesting elec~rical inspection
~ Accessop;" Building
"",
:J Pinal - Aftor parcr.es, skirting, decks,
etc. are completed.
D
All project conditions, such as the installation of streot trees, c~~lotion of the
required Zandscc:pir.g, etc., must be satisfied before tr.s BUILDING FINAL can be requestad.
o FIliAL PLUMBIIlG
D FINAL MECHANICAL
I vi FINAL E:L8CTRICAL
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FINAL BUILDING: The Final Building Inspection must be I'equeotod after the Pinal Plwnbing
Electrical, and Mechar.ical InspectionD hava been made and approved.
AALL MANHOLES AND CLEANOUTS MUST BE ACCESSIBLE, ADJUST!fENT TO BE MADE AT lIO COST TO CITY I P::lg"e 1 of 2 1
JOB No.!39Q357s0LAR ACCESS
Z""e: Ii') \::' ) Ocauoonc" G" 1\
Lot Sq. Ftg.
S of lot Coverage
# of Stories
Total Height
Topography
ITEM
I SQ,FTG
5'7 ( D \4.l0
M:zin
Gc:Joace
Caroort
AcceS80r>u
TOTAL VAWE
Is.D.c.
{vct.UC}
1.5 "
Building Permit
State Surcharge
Total Cha."ges
lITEM
I FirtuZ'es
I Residential !1 bath)
I Sanitary SetJel'
NO. FEE
Water
Plumbing Pem t
State Surcr.a.pge
Tota 1. Charaes
ITEM
I NO'1 FEE
k{)'V-
I I
I I
Res. Sa. fto.
Nsw/Eztend Circuits
Temporary Service
Ele~trical Permit
State Surcha.:raB
Total Charc;es
lITEM
I Purnace ETU' S
I E:rhaust Hood
I Vent Fan
IIIOodstO'IJ6
,
NO. FEE
Permit Issuance
Me::hanica 1. Permi. t
State Surcharae
Tot:n. l r.haral'UJ
i -- ENCROACHMENT --
I SeC'.4M.tu Deoosit
I Storage
I Mainten.an.ce
I Permit
I Total C'harqC8
Curbcut
SideJ,xzlk
I Fen::e
j Electrica 1, Labe l
I Mabi le Home
I
I
I TOTAL AMOUNT DUE:'
WT TYPE
Interior
Cornel'
Panhandle
Cul-de-sac
x
Value
K \~l.Inn
, <K,\2kloO
I \\ In...-A'
1/4'.~1
3n,~
7 F<"rl '?-J .
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l--Q.Q. 50
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'r49, cy ')
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CHARGE
CHARGE
CllARCE
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(0/,551.
Page 2
REQ,-
L-COC-{;
~ ) Bedrooms:
I I Enel'Gu Sou1"ces
Heat
T.UDe
T:;ipe/Cor.st:
I Lot Faces
I
I P.L,
INorth
lEast
ISouth
IWest
Setbacks
House CCU'aqe
Access.
Water Yp..atp.1'
Rance
Fil'eplace
Wood:;tove
Fees
Building Value & Permit
This permit is granted on the express condition that the said construction
shall, in all 1'8Spects3 c:onform to the Ordinance adopted by the City of
Springfield, including the Zoning Ordinance, regulating the constrouction
and use of buildings, and m:::y be suspended 01' revoked at cr:y time upon vio-
lation of any provisions of said ordir~ce8.
I Plan Check Fee:
Date Paid:
IRecdpt #:
I Signed:
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Plumbing Permit
No person shall construct, instal!, alter or change any new or existing
plumbing or drainage system in whole or in part, unless such person is the
Zegal possessor of a valid plumber's license, except that a pe:'son may do
plumbing ~ork 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 Eleotrical
Contractor, the electrical portion of this permit shall not be valid until
the label has been signed by the Electrical Contractor.
Mechanical Permit
I.
Pt.an E:z:amt.ner
va"e
I
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I HAVE CAREFULLY EXA.Ir.1INED the completed application fol' permit, and do
hereby certify that alL info~tion hereon is true and corrcct, and I
further certify that any ar.d all work pel'formed shall be done in accor-
dance :Jith the Ordinances of the city of Springficld, and the Lcr..:s of tho
State of Oregon pertaining to the oork described herein, and that NO OCCU-
PANCY :Jill be rtrlde of any struatura without permission of the Building Di-
vision. I further certify that only aontroct01"S ar.d e:npt",yess who are in
~liance with ORS 701.055 will be used on this project
S-n.QJU ~- vy\ ,lQ.ID/\d
Signed
'7-10-89
Date
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