HomeMy WebLinkAboutPermit Building 7-7-87
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APPLICATION/PERMIT
225 North 5th Street
Springfield, Oregon 9?4??
Building Division
726-3753
Job Loc:ation: .
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t7()3-;;2~ 41/
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Assessors Map #
Subdivi~ion:
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'T= Lot #
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It is the responsibility of the permit holder to see that all inspec:,tions are made at the proper time, that ecah ~ess is reada:O:e
from the street, and that the permit card is 'located at the front of the property.
~BuiUiing Lr~vision approved pLan shall remain on the Building Sits at all times.
PROCEDURE FOR INSPECTION RE'QUEST:CALL 726-3769 (rec:orderJ state your City designated job nzq;;ber, job adC.ress, type of inspec::;icn
requested ar.d when you will be ready for inspection, Contrac:tors 01' Owners ncme and phone number. Requests received before 7:00 ~
;,.'ill be made the same day, requests made afte:r 7: 00 am UJill be made the next working day.
. Your City Desigr.ated Job Number Is: f -1 () '39;;;.
91<? .
r-;;yfNSULATION/VAPOR BARRIER INSPECTION: I DEMOLITION OR i!OVED BUILDI:IGS
~ To be made after all insulation ar~
required vapor barriers are in place
but before any lath, gypsum board 01'
wall covering is applied, and before
any insulation is concealed. '
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n j;,{YWALL INSPECTION: Te be made
L=:::J after aU drywall is in place,
but prior to any taping.
Owner:
Address:
City:
I I Nl?w
1)(1 Addi tien '>
I I Remodel
I I Nobile Home
, ft;~/2~t1
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U!f AuvU
Date of Applic,:tion
~:::::tors /J-rM--1)J1
Plumbing 1/
1/
i Electric:al
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Mechar.icd
Construction Lender
Reaui,.,pri. InsDI?c:ticn8 \
~TE INSPECTION: To be made after
~ excavation, but prier to set up of
forms.
D UNDERSLAB PLUMBING. ELECTRICAL &
i . MECHANICAL: To 'be made before any
I ..work;/;: covere~
~OTING !! ,FOUND;1TION: To be made
~ after trenches are excavated and
forms are erected, but prior to
pourir~ ccncrete.
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I[J' , UNDERGROUND PLUMBING, SEWER, WATER,
I! DRAINACE: To be made prior to fi l-
! Zir~ trenches.
iO UNDERFLOOR PLUMBING & MECHANICAL:
I . . To be made prior to installation of
I floor insulation 01' decking. ..'
I ~:;:;'ND BEAM: To be made prior to
l~ i~stallaticn of floor ins~lation 01'
I ' decki1J:fi. LI:J, 3 I
1r-1 ~;3pLUMBI!JG. ELECTRICAL & MECH-
~ANI~~L: No work is to be covered
,until these inspections have beer.
1 made and approved.
iD FIREPLACE: FriOI' to plac:ir.g facing
1 materials and before framing inspec:-
!~ti n. k, ,
:i FRANING: Must be requested after
ii approval of rough plumbing, elec:tri-
i ,cal & mechanical. All roofing
brac:ing & c:himncys, etc. ~~st be
; ,comp leted. No work is to be con-
,~cealed until this inspection has
~ been made and approved.
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Phone: _ 1djIJ -C/2L5rj
zip:
~td
Value f; ()J !ft2{)
AdcLness
O MASONRY: Steel
beams, grouting
accordance UJith
2415.
location, bond
01' verticals in
U.B.C. Section
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WOODSTOVE:
completed.
After installation is
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Signed:
Date:
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CURB & APPROACH APRON: After' forms
are erected but prior to pouring
concrete.
- -
/1-[( -2{ /j
Lise. #
Expires
Phone
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SIDEWALK & DRIVEWAY: For aU con-
crete paving within street right-
.of-wcy, to be made after all exca-
vating complete & form work & sub-
base material in place.
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=:J Sanitary se'.Jer capped c.t p:r:.opcrt'd Zine
~ Septic tank pumped and filled with gra~eZ
,
~ Final - ~~en above items are cempleted
~ and when demolition is c:omplete 01' struc-
ture moved and premises cleaned up.
Mobile Hemes
~ Blocking and Set-up
~ Plumbing connec:tions sewer and water
~ Electrical Connection - Blocking, set-uD
~ and pZumbing c:6nnections nr~st ce approved
, before requesttng eZec:trical inspec:;io~
==:J Accessory Builring ,
,
I Final - Aft;;r porc:hes,
~ etc. are c:omplrted.
i
skirting, decks,
D
PENCE: h~en complete -- Provide'
ga~es 01' movable sections through
P. U..E.
D
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All project c:onditions, such as the installation of street trees; c:o~letion of the'
required landscaping, etc., must be satisfied before the BUILDING FINAL c:an be requested.
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PINAL BUILDING: The Final Building Inspection must be requesteda.fter the Pinal Plumbing
Electrical, and Mechanical Inspec:tions have been made and approv~d.
o PINAL PLU!l.BIlIG
o PI..NAL MECHANICAL
i ~AL ELECTRICAL
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~ALL MANHOLES AND CLEANOUTS MUST BE ACCESSIBLE, ADJUST!fEN'I' TO BE !-L1DE AT NOepST TO CITY I P:xge 1 of 2
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JOB No.r1D312- SOLAR A_ES~ REQ.i \)'(
I Zone: OceupanC;,lf GrJf!!l(\) 0 I
Lot Sq. Ftg. LOT TYPE - "\ Lot Faces -
% of lot coverage:'~ Interior I
'" _ I Fi.L.
I' # of Stories@;.,.,\:cornerINollth
,Total Height' y- Panhandle lEaSt
I' --::;./ . ISoUth
/Topography ~ Cul-de-sac
IWeSt
I Fkes
lITEM , SQ.FTG X Value
I Main
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~.~I <LCL.fD I
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f2..CL ~ I
ctC\ ~y
1~?1.L\a '* '
I CHARCE I
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II
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Garaae
Carport
I Accessor1f
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,TOTAL VALUE
S.D.C.
(va~ue)
1.5 x
Building Permit
State SUI'cha:r>ge
Total Charges
I ITEM I NO.
I Fixtures I
Residential (1 bath) I
I SanitapY Sewer
I Water
I, '
~<;!'
, '''.
\ Plumbing Permit
State SUI'cr.cu>ge
Total C'tUlraes
l'ITEl,!
I Res. Sa. fta.
i New/Extend Cireui ts
I
I Tempora:r>y Service
NO.
.I.
Electrical Permit
State SUI'charqe
Total Charqes
!ITEM
,
,
i Furnace ETU' S
I Exhaust Hood
i Vent Fan
i Woodstove
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I NO'1
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Permit Issuance
Mechanical Permit
State SUI'cha:t>ae
Tatal Ch.araes
-- ENCROACHMENT
Se~~rit1{ Deposit
Storage
Maintenance
Permit
Total Charaes
CUI'beut
Sidewalk
Fence
Electrical Label
Mobile Home
rOTAL A/10UNT DUE:'
L - C 0 C-1t:
\ ,- \.. '" ' Beirooms:\. \\ ~
I Enerau Sources TUDe
I Heat
I Water Heater
I I Range
I I Firer lace
I WGoastoz;e
I
Type/Const:
~\ ')~~
Setbacks
I House I Caraqe : Access.
i I (<'\'0 I
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Building Value
&
Pe r m i t
This permit is granted on'the express condition that the sdid,constrUction
sl~ll, in all respects, conform to the Ordinance adopted by the City of
Springfield, incZuding the Zoning Ordinance, regulating the construction
~~ use of buildings, and may be suspended or revoked at any time upon vio-
l6:tion of any provisions of said Ordir4nces.
FEE
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CHARGE
.1 Plan Check Fee: ,-5;2 , 35:3
I Date Paid: 6 --- /2 - f /1
/- IReceipt #: (j ~6 4;;2 7
I Signed: ~
Plumbing Permit
N~ person shall construct, instalZ, alter or change any new cr existina
p~umbing or drainage syste~ in whole or in part, unless such person isv the
legal possessor of a valid plumber's license, except that a person may do
p~umbing work to property which is owned, leased or operated by the appli-
cant.
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FEE
CHARGE
Electrical
Perm it
Wh1re State Law requires tr4t the electrical work be done by an Electrical
CG~tractor, the electrical portion of this permit shall not' be, valid until
th1 label has been signed by the Electrical Contractor.
FEE
Mechanical
Pe r m it
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Plan Exaii'rwer - . - .
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I HA VE CAREFULLY EXA1'1INED tJw comp leted app 1 ication for permi t, and do
he}eby certify that all information hereon is true and correct, and I
fu~ther certify that any ar.d all work perfor:ned shal~ be done in acC!or-
dahce with the Ordinances of the City of Springfie~q, and the L~~s of the
* Sthte of Oregon pertaining to the work described herein, and that NO OCCU-
PANCY will be made of any structure without permission of the Building Di-
vi1ion. I further certify that only contractors ~ad e~ployees wr.o are in
cOhpliance with ORS 701.055 will be used on this project
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