HomeMy WebLinkAboutPermit Building 1988-7-13
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. APPLICATI.ERMIT
225 North 5th Stpeet
Springfield, Orei'on 97477
Building Division
726-3753
Job Location:
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17 0':3
"f.. ocl ,1- 'P .u
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(l ~'LQ.xC
Q.mer:~P./\.U'~ ? KtlJ1 't <bJon VY'
Address: . ~,~.Q Lj ~M IA '-'1 (l.t-
City: SfVl"'~~eIAl \
Y'vlntisY ,N()~ ~~-L.-
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A8Ge8S01'~ Map II
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Subdivision:
n
fYJ
n
n
1J"M
Addi ticn .
Remodel
HabiZI'} 'Loma
Date of Application
c.:on'tl'actOl'B
"0-3.iJ)-BB
t')w n e.r
Genel'az.
PLumbing
Electrical
Mechanic::l
ConstJ"'tletion Lcndezo
Tax Lot #
O:z,qQO
I
II 10 v'
Pr.one:
'7 ~I.o ~ 13'03
C17<-t 11
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Signed:
Date:
cu
/}-13-%''l
zip:
Describe f,'ork:
Value
it. ',' of)
3~ ()(5'G
Lise. Ii
i
Phone
Address
Exoires
(
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It is the J06spono;.bility of ths permit holder to see that aLl i7Wpections are r.la.de at the proper timc1 that ecch .::ddres8 is l'ea:iah!.e
fl"OlTl the street, and that the permi t card is Located at the f1'07lt of the property.
"BuiZ.di~ [)t:'vi::ior: apprOlJed plan shell remain on the Buil.ding Sit:; at aU times. .
PROCEDURE FOR INSPECTIOl/ RSplJEST:CALL 726-3769 (recorder) state your City designated job nW7:ber~
reques"CCd ar.d when you will. be ready for inspection, Contractors or Owners name end phone number.
;..~ll be rrr::de the same day~ requests made afta' 7:{)O am wilt b:z made the next :JOrking day.
.f?~rrU7:""~tJ. T'!J.!ir.P'f!tiqn.!J
I v'1 SITE INSPECTION: To be made after
,/\ excavation~ but prior to set up of
. forms, SI;?~ VR&;. '...r" ._.... . .
!"'-J : U1IDERSLAB PLUMBING, ELECTRICA': &
U . MECHANICAL: To be made before any
lJOrk is covered.
v I FOOTING f FOUNDATION: To be rraae
/) after trenches are excavated and
farms are erected~ but prior to
pouring ccn.cret~.
)(l UNDERGROUND PUlMBING. SErVE.? W.1TE.r?,
..::::..J ~INA(;E> To be made prior to fiZ-
.lir.g trenches.
~
UIIDERFLOOR PW/.!BING & I-fECHANICAL:
To be made prior to inataZ.lation of
11001" insulation or decking.
POST AND BEAM: To be made prior to
instal."lation of floor insu.lation or
decki,," .
ROUG!! PLlJ!1BING. ET,ECTHICA[, & MECH-
ANICAL: No :JOrk is to be covered
.ur.tiZ these inspections have been
made and approved.
FIR.EPLACE: Prior to placir.g facing
material.s and before framing inspec-
tior:.
'7l FRARING: Must be requeated after
~ approva.l. of rough pl.wr.bing~ el.ectri-
.cal. & mechanical. AU roofing
, bracing 1!J chimneys, etc. nr~st be
:" corrrpl.eted. /10 wrk is to be con-
~".."'""ceal.ed until. thio inspection has
..~ bG~n made' and. approved.
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Your City Desigr.ated Job Nwnb(;1" Is:
O INSULATION/VAPOR BARRIER INSPECTION:
To be made after an insukti:m w.d
" required vapor barriers are in p Zace
.;" : but before any lath, flYpsum boa:rd or
wZl. covering is applied, and before
. any insulation is concealed.
D DRYWALL IllSPECTTON: To be made
after all drywaZl. is in place~
but prior to any taping.
O MASONRY: Steel location~ bona
beam3~ grouting or verticats in
accordance ~th V.B.C. Section
2415,
D WOODSTOVE.... After instaU.ation is
ccmpl.eted.
D
CURB & APPROACH APRON: 'After> forms
are erected but prior to pouring
corwrete.
SIDEWALK & DRIl'EWAY: For all. con-
crete paving ~thin street right-
.of-way, to be made after all exca-
vating comptete & form work & zub-
. base material. in place.
D
,
D PENCE: Wher: compl;zte -- Provide
gates or movable sections through
P,U,E. '
D
?\'R'D'571
job adiress~ type of ir~pec~ien.
Requests received befere 7:00 ~
I
i
DE!.JOLITIOH OR ;~:OVEJ) BUILDIWJS
=.J Sanitary sewer capped c.t rn:..opcr~. lir:e
=:J Septic tank rro4o~cd and fiZl.e~ ~th grcr~el .
i
--, Final - r~'hen ahove items are ccmpleted
~ and when demolition is complete. or struc-
ture moved and pr;:miaes cleaned up.
('
"~ ./
Nobil.e Hemes
~ Blocking and Sat-up
~ Plumbing connections s~er ~ water
~ Electrical. Connection - Blocking~ set-up
--.J and plumbing conr:ections rrr....st 1;e approvec
before requesting electrical inspectio~
:=J Acces30r':t. Bu.i'Lding
--, Final - Aft;;r p:Jrcf:es~ skirting, decks,
~ etc. are completed.
o
AU project conditions~ such as the installation of street tr6es~ co.-:rpl.eti.?n of the
required landsccpir.g~ etc. ~ must be satisfied beforc the BUILDING FINAL can be rzquestad.
,-
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=:J FIliAL PWI(JJIlIG
~ FIliAL I-fECHAIIICAL
:=J FINAL ELECTRICAL
:=J
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FINAL BUILDING: Tho Final Buil.ding Inspection must be requested alter the Final PlumbinJ
El.ectrical~ and Mecha.r.ical Inspectiona have been made and approved.
-ALL MANHOLES AND CLEANOUTS MUST BE ACCESSIBLE, ADJUST!fEIIT TO BE M.1DE AT NO COST TO CITY I Page 1. of 2
._, I ._.
NO. S? X' n57/ :;UI-At< A~~t:."" t<t:.y,~
I .JJK.... Occuoanc" GreA ~(
Lot Sq. Ft;;. LOT T'IP~ Lot Faces -
7; of lot CJt)erag~ Interior 1 Setbaeks
I P. L. House Caraae
.f of Stories Corner 'North
Total. Height Panhandle lEast
Topography CUL-de-sac iSouth
IWest
IJOB
I Zone:
rT=M
I;lain
lGt::ra~e
SQ.FTG
q'~
Caroort
Accessol'"U
I
TOTAL VALUE.
IS.D,C.
(l)Cl.UC)
1.5 :r
Building Fermi t
State Sw'charge
Tota 1. Cha......ges
I ITEM I NO.
I Fixtures
I ResidentiaL (1 bath) i
kanitary Sewer I
~~t~ I
I i
PL:unM.ng Pe:=;. t
'State Surcr.aroge
Jq.ta 1. Charaes
I !TEI.I NO'1
I Res. Sa. fta.
I N""'/E.rtend Circui t~ I
I Tempora:ry Service I
I I
Ele~trical Permit
State Sur~ha.rae
Total ChaPces
lITEM
NO. t
F'urn.:ice ETU' S
E::haust Hood
rvent Fan
I .
I JI:;odsto:Je
Pemt Issuance
Me::hanical Permi t
State SurchaJooe
TlJta! C1urrtrP.8
-- ENCROACHMENT --
i Sec:'.J.M.ttI D2'OO3it
i
. Storage
Maintenanae
Permit
Total Cha:rac8
Curbcu:
/-/8'
SidezJaLk
Fen::e
Electr>ica 1. Labe 1.
Nobile Home
TOTAL AMOUNT DUE:'
x
I Value I
Iq~.-'I
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FEE
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9&.9> I
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~O. 93 .
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CHARGE
FEE
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CHARGE
CHARGZ
FEE
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l/z.'70
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53,l3
- -_.~. --....
L-COG-
T':1'pe/Cor.st: ~. Bec.roor.:s:
II En2rGU SO"..u'ces
I Heat .
Access. I Water .l/~(Jtpr
I Ra,,"e
I Fircp lace
I Wood.:Jtove
I
Tuve
F2es
Building Value & Permit
This permit io granted on the express condition that thB said construction
shall, in all respects, conform to the Ordinance adopted by the City of
Spnngfield, incZuding the Zoning er-dinance, regulating the ccnstruction
and UDe of buildings, and may be suspended or revoked at c:ny time upon vio-
lation of any provisions of said Ordinances.
PLan Check Fee: ~O:~
" -~-88
(18'~
(""I. ,Crl 7.v..,.,J-
Pe r m i t
Date Paid:
Receipt #:
Signed:
Plumbing
No person Dhall cons"tPuct, install, alter or change any netJ or e--isting
plumbing or drainage system in ~hole or in part, unless such person is the
legal possessor of a valid plumber's license, except that a pe:oson may do
plur..bing work to property which is owned, leased or operated by the appli-
cant.
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Electrical. Permi t
Where State I.a1J requires tr.at the electrical work be done by. an Eleatrical
Contractor, the electrical portion of this pernrit shall roOt be valid until
the Zabel has been signed by the Elec::trical Contractor.
YC!J7'?/T'r' /r ~/?~./'C~~ :$~,,/.c.<F /5
/#rE#PED,~ ~.z;>, ~/L-'7/'rlp $::::.,
No 11 E c.c..-
Mechanical Permit
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4~ ~A~
,l'f'Lp!/! E=ner { /' ,-
7-//- ea
va"e
I HAVE CAREFULLY EXAMINED the completed application for permit, and do
hereby certify that all inforrmation hereon is true and correct, and I
f'..lrther certify that any ar.d all work perfoM/ed shall be done in accor-
dance rdth tha Ordinances of the City of Springfield, and th~ La:.:s of tha
. State of Oregon pertaining to the work described herein, and that NO OCCU-
PANCY will be m::zde of any struCtur2 withtr..lt parmission of the Building Di-
vision. I further certify that only contractors ar~ emp~yees who are in
compliance with ORS 701.055 will be used on this project
.
,:!f:y~.~
~ -J~ -s'-X
Date