HomeMy WebLinkAboutPermit Building 1989-6-29
.. RESI~NTlAL"
APPLICA".J.ON/PERMIT
225 North 5th Street
SpringfieZd, Oregon 97477
Building Division 0, . I
726-3753 i:\ """ Np_. l.es>-v
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Job Location: X'
AsoesGol'O: Map #
Subdivision:
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OlJner: Lnr I...Me, /J
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Address:
110q /II,
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City:
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Tcz Lot #
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Phone:
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Zip:
Describe Uork:
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Addition
Remodel.
Q((~S&'fLd- ~
Nobile Homo
Date of Application
Contractors
Genera l
P!wnbing
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Electrical
Nechar.ic.:J.l
Constl"tlcticm l.ender
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Receipt #.
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Addres3
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Sigr:ed:
Date:
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Phone
Li3C.#
Expires
LJ III 9''7
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It is th8 responsibility of ths penttit holder to S6e that all inDpoations lll"6 mado at ~h6 propsr ti.m&~ that each :uJdrG88 is rea:.
from ths strost, and that the porrrrit caPd is t..ocated at ths frent of the propsrty.
~BuiZding Divi~ior. approved plan 8haZl remain on tha Building Sits at all times.
PROCEDURE FOR INSPECTION R~QUEST:CALL 726-3769 (rcaorderl stato your City dssig7U1ted j;b nw:':b6r~ job adUcss, typs of in3PQc:~'
requested ar~ when you will be ready for ir~pcction, Contraators or OWners ncme a~d phar.e number. Requssts recBiv~d aetere 7:0C
:..'izz. be made th& sarno dc.y, requests mGde afta' 7:00 a:n wizz. be made the nat :.;orking day.
P?1()Lo9:S
Rl?ml1.Y>l.?n Tnm?pnf;1:n'YLQ
D SITE INSPEC':'ION: To be made after
e.xcavati,;m, but prior to se: up of
forms.
O UIIDERSLAB PLUMBIIIG. ELECTRIC,lL &
. NECHA,'/ICAL: To bs mads bsfors any
work is aovcred.
r---I~ING & FOUNDATION: To be rrads
~ ~f~~r trsnches are excavated and
forms are erected, but prior> to
pouring ccncret~.
rI U~.rroUND PLUMBING, SEWER. W.1TE.~
~DRAIfIACE: To be rra:ie prior to fil-
.Ur.g trenchGS.
o
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UNDERFWOR FLU/fBI/IG & MECHANICAL:
To be made prior to instalLation of
floor> insulation or> decking.
POST AND BEAU: To be 17'ade prior to
instalLation of floor insulation or
decking.
ROUCH PUJUBI!JG. ELECTRICAL & MECH-
ANICAL: No work is to be covered
.until these inspections have been
made and approved. .
FIREPLACE: Prior to placir.g facing
materials and before framing inspec-
tior:.
FRAJ1ING: MUst be requested after
approval of rough plwr.bing, electri-
cal & mechanical. At! roOfing
bracing & chimneys, etc. nr~st be
: completed. !Io work is to be con-
.. cealed until thiD inspection has
:b6~n made and approved.
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Your City Desigr.atcd Job Number 10:
O INSULATION/VAPOR BARRIER II!SPECTION:
To be made after all insul~ti::m a~.d
. roquired vapor barriers are in place
but before any lath, gypswrl board or
walt. covering is applied, and before
any inauLation i3 concealed.
DRYWALL INSPECTIO!f..: To be made
after a z.z, drywa II is in place,
but prior to any taping.
O ~SONRY: Steel location, bond
beam3, grouting or verticcls in
accordance with U.B.C. Section
2415.
O WOODSTOVE: After installation is
ccmpleted.
o
O CURB & APPROACH AP.~N ~ After. forms
are erected but prt.or to pounng
E0"",rete.
, SIDEWALK & DRIVEWAY: For all ~on-
crete paving within street right-
of-wc.y, to be mads after all exca-
vating complete & for.m work & sub-
. base material in pZa;,e.
O !'ENCE: Whet: cO:7fplg:te -- Provide.
gates or movable sections through
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'DENOLITIO!! OR ;'.fOVED BUILDIiJCS
:=J Sani:ary seuer ~apped at p~oP';l.t:i Zi,.
=:J Sept1.': tank P:'.!9cd and ff.1.Z<J: uith G1'
I Pinal - rl'hen aboVE!! itO:7fB are cC:1Tplotc
~ and when demolition is complete or 8t
tUrs moved and prcmi30B ~lsaned up.
NobiZo Hames
~Ocking and SBt-~p
~ing connections -- s&Wer ar.d wa:.
-:::t~ctrical Connection.. Blockina, sot
~ and plumbing connections nr~Bt co appl'
before requesting elec:rical ins?oc:i
.
:=J AccosGcry Buil.ding
:., 4"- Aft.r porcl:es, skirting, deck.
..::::::r;,;,-:-- are complet~d.
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All project conditions, such as the instaLlation of s:reot trees, c~~lation of tne
required landscapir:g, etc., must be satisfied before tJo.6 BUILDING FINAL aan be 1'aquesta
o FINAL PLUMBING
o FIliAL I1E~HAIIICAL
o FIliAL ELECTRICAL
o
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FINAL BUILDING: The Final Building Inspection must bB requooted aft-or ths Final PlumbiJ
Eleatrical, and Mechanical InspectionD havo beGn made and approved.
AALL MANHOLES AND CLEANOUTS }IUST BE ACCESSIBLE, ADJUST!fElIT TO BE MADE AT NO COST TO CI'!'Y , Pafo ! 0;
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L-COG""
I JOB NOFRnb..'3S SOLAR AC:CESS REQ.-
IZona: l....-l'l~ Ocauoanc" Gr~~
Lot Sq. Ft.. LOT TYPE I Lot Faces -
I
S of lot Coverag~ Interior
I P.L.
# of Stories Cornel" Worth
Total Height Panhandte lEast
South
Topography Cul-de-saa lWest
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lITEM
I Main
ler.:raae
I Cal"vort
SQ.FTG
Aaae8sor~
TOTAr. VALUE
IS. D.C.
1.5 :r
Buitding Permi t
State Sta'charge
Totat Charges
x
Value
frJlYY..L
I
FEE
CHARGE I
II~,CD I
I
W,lJOl
(2).0?1
1-10.00
7)n,cJ.J
(~,~UI
,fT3,SQI,
I (.'HARGE _ I
11~.oU I
I' I
I I
IJ~.()O
I?-{) .ry )
I ~1.Yll
1,3/.&)1.
I
I ITEM NO,
f;::_.~." ffiM
I Residential (J bath)
I Sani tary SelJel'
W~~UI
PZ:mlbing Perr.:i t
State SUI'cr.arge
Total Charaes
I ITEM NO.
1.,. ~a. 1~
I New/Extend Circuits
T~orary Service
( =*~e::a;pe~
J St:;,te Surcharqe
Total Cha:ftces
FEE
FSE
CHARGE
ITEM
I Furnace
I NO.
I
BTU'S
Exhaust Hood
Vent Fan
I Woodstove
Peoo t Issuance
Mschanical Permi t
Stato SurCharaE;
Total Charaes
-- ENCROACHMENT --
Securit't/ DZrJosit
Storaqe
I Maint~e
I Permit
I Total Charoqes
I Ourbaut
ISide1Jalk 4C\ '
I Fanes
I Electttical Labsl
1 Mobi le Home
I
I
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I TOTAL AMOUNT DUE:'
Type/Cor.st: .
I 1 EnzrGlJ SOU-l'aea r"'" <""
I I Heat r <....-;0
Access. 1 I L Watep YM tpr
I I? ....-Hange
I I - Fireplace
I I WOod3tove
II
TjJ~e
Bedrooor.:s:
Setbacks
House I Caraqe
i
I
I
Faes
Building\Value & Permit
This permit io gl'O.nted on the express condition that the s~id.conDtructi(
shall, in all respects, confoI'm to the Ordinance adopted by the City of
Springfield, inctuding the Zoning Crdinance, regu.lating the CC1tDtructicn
and u~e of buildings, and m~y be sUDpended or l'evoked at any time upon v~
lation of any provisions of said Ordinances.
Ptan Check Fee: J }
1\. : /1 //
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Permit
Date Paid:
Receipt #:
ISigr.ed:
Plumbing
No pereon ohall const~ct, instal!, a2ter or change any r~w or e~isting
plumbing or drainage syste~ in whole or in part, unless such pe~son is t
tegal possessor of a valid ptumbett's license, except tr~t a pe~son may c
plumbing work to propel'ty which is owned, teased or opettated by the appl
aant.
Electrica I Perm it
Where State Law'requires tr~t the electricaL work be done by an Sleatric
Controctor, the electttical portion of this permit shalt not be valid u~::
the label has been signed by the Electrical Contractor.
Mechanical Permit
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I HAVE CAREFULLY EXAMINED the completed application for 'permit,.and do
hereby certify that aU ir.forvnation hereon is true and correct, and I
further certify that any ar.d aH work perfor:ned shaH be done in accor-
dance ...nth the Ordinances of the City of Spl'ingfiald, and the LC'..:s of t
State of Oregon'psl'taining to the work described herein, and that NO OC,
PANCY will be made of any structure without p3rmisaion of the Building
vision. I further certify that o:1ly contra~tors ar.d (?7Ipk;yees lJl:o are
compliance with ORS 701.05t will be used on this project
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Date
Signad