HomeMy WebLinkAboutPermit Building 1988-10-11
Rece-:.pt #
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.. RES I r .-". \I T I A L . ·
APPLICATl'uNjPERMIT
225 North 5th Street
SpringfieZd, Oregon 97477
BuiZding Division
726-3753
'.
Job Location: /~;J.. '7 /7/1 tie y, < /) f/J )... Jl},
ASllessors Map # 1'7 03 ;;J.. f ..'1.."1 T= Lot # /34(::)(.':)
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Subdivision:
Owner:
Address:
Ci ty :
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I I Addi tien
I I Remodel
I I Mobile Home
;111) Phone: '1,t!./? -:SCJ go
Zip: 7'7A,/??
Describe il'ork:
B"ntT N;;' ,~., e py-....- . -J .~
I: d~'
Date of Applicatien
Contractors 11' '#- ,=
General
Plwnbing
I' Electrical
I Mechar:ica l
I Conatzouction Lender
Value
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r,.tlC,.. Address :J.r~..r/t1~ f).,.. Lisc.#
7 ~ 7-5'b8:l> .sfrCl'''!r~~::Zb
Expires.;t --40 - f"'t;' Phone?<t ""1);
Y-"<9-a9
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Signed:
Date:
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-II 85
It is the responsibility of the permit holder to see that all inspectiona are made at the proper time~ that each ;;ddress is readabZe
from the street. and that the permit aard is Zoaated at the front of the property.
*Building D-f.vi~ior. approved plan shall remain on the Building Sits at all times.
PROCEDURE FOR INSPECTION REQUEST:CALL 726-3769 (reaorder) state your City desig1Ulted job nwnber. job address, type of inspeatien
requested and when you will be ready for inspection, Contraators or Owners ncme and phone nwnber. Requests received befere 7:00 iT.1
...'ill be made the same day, requests made after 7:00 am LYill be made the n::xt :Jorking day.
Y~r CUy Desigr.ated Job Nwnber Is: 880887
Reoui~ed Insvectiens
SITE INSPECTION: To be made after
exaavation, but prier to set up of
forms.
UNDERSLAB PLUMBING. ELECTRICAL &
, MECHANICAL: To be made before any
work is covered.
'~ ~,'
j '\/ I FOOTING & FOUNDATION: To be made
" after trenches are exaavated and
forms are ereated, but prior to
pourir~ cencret~.
D
o
O UNDERGROUND PLUMBING. SEWER, W.1TER,
L 'DRAINAGE: To be made prior to fiZ-
Ur.g trenches.
0:
D
UNDERFLOOR PLUMBING & MECHANICAL:
To be made prior to installation of
fioor insulation or deaking.
POST AND BEAM: To be made prior to
installation of floor insulation or
. deaking.
ROUGH PLUMBING. ELECTRICAL & MECH-
, ANICAL: No work is to be covered '
,until these inspeations have been
made arui approved. ' -
FIREPLACE: Prior to placir.g faaing
materials and before framing inspec-
tion.
o
o
I v,' FRAMING: Must be requested after
/' approval of rough plumbing, eleatri-
1_ aal & mechanical. All roofing
\D' bracing & ahimneys, etc. /1/'.,/st be
;' cOTTTpleted. No work is to be aon-
,,~ cee. led unti l this inspeation has
,~be~~ made and approved.
O INSULATION/VAPOR BARRIER INSPECTION:
To be made after all insul~tion ar~
, , " required vapor barriers are in p laae
, , but before any lath, gypswn board or
wall covering is applied, and before
'any insulation is concealed.
o
DRYWALL INSPECTION: To be made
after aU drywaU is in plaae,
but prior to any taping.
O MASONRY: Steel loaation, bond
beams, grouting or verticals in
aacordanae with U.B.C. Seation
2415.
D WOODSTOVE: After installation is
tXTTTp leted.
o
o
CURB & APPROACH APRON: After forms
are erected but prior to pouring
conorete.
, DEMOLITION OR gOVED BUILDINGS
:=J Sanitary se'..Jer capped :It p~opcrt':i Zine
~ Septic tank pumped and filled with gra~el
I Final - r"hen above items are aeTTTpleted
---l and when demolition is cOTTTplete or struc-
ture moved arui premises cleaned up.
Mobile Hemes
:J Bloaking and Set-up
:J Plumbing connections -- sewer and water
~ Eleatriaal Conneation - Blocking, set-up
~ and plumbing aonneations nr~st be approved
, before requesting elec~rical inspec~ion
~ Aacessory Building
I Final - After porches, skirting, deaks,
~ eta. are completed.
o
All project aonditions. such as the installation of street trees. co~letion of the
required landsaapir.g~ eta., must be satisfied before the BUILDING FINAL can be requested.
D FINAL PLUMBING
o FINAL MECHANICAL
o FINAL ELECTRICAL
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FINAL BUILDING: The Final Building Inspection must be requested after the Final Plumbing
Eleatriaal, and Meahaniaal Inspections have been made and approved.
SIDEWALK & DRIl1EWAY: For all con-
arete paving within street right-
pf-way, to be made after all exca-
vating aomplete & form work & sub-
, base material in place. ,
o
PENCE: h'hen aompl~te -- Provide..
gates or movable seations through
P.U.E.
'ALL MANHOLES AND CLEANOUTS MUST BE ACCESSIBLE. ADJUST!ff:NT TO BE ~L~DE AT NO COST TO CITY I Page 1 of 2
o
JOB NO.
'- .......:;:tl,;. u
L -CO G-1t
Zone:
Occupancy GI
SOL A RAe ,C E S S R E Q.-
_~,J.
Type/Cor:st:
Bedrooms:
EnerGY Sources
Heat
Water Heater
Range
Fireplace
Wood~tove
Ti.JDe
I(li~ (lL.50 I
I I I
I I ?2 .5 '? 1-::::::J \E:-c-~~ C~ '" "0,
I l-.\ 5 . <:0_ L.t
I 'Z..~ I
14~.261*
Lot Sq. Ftg.
~ of lot Coverage
!I of Stories
Total Height
Topography
I
lITEM
I Main
SQ.FTG
Ga:rac;e
Carport
Accessorll
I
,
/-1 -:<90#
/-1 &/6 ~
TOTAL VALUE
S.D.C.
(va~ue)
1.5 x
Building Permit
State Sza>charge
Total Charges
lITEM NO. FEE
I Fixtu:l'es
I Residential. (1 bath) I
I Sanitary Sewer I
Water I,
I
PZumbing Permi t
State Sza>cr.arge
Total. Charoes
, ITEM NO. FEE
Res. So. fto.
New/Extend Circuits I \
Temporary Ser>vice I
rz.CO~? I
El.ectrical Permit
State Sza>charqe
Total 'Charqes
ITEM
NO.
FEE
Furnace E'rU' S
I Exhaust Hood
I Vent Fan
I Woodstove
I
Permit Issuance
Mechanical Permi t
State Surcharoe
Total CharGes
-- ENCROACHMENT --
Se~~rity Deposit
Storage
I Maintena7U!e
Permi t
Total Charqes
I Curbcut
I Sidewa lk
Fen::!e
Electrical. Labell?'-
I Mobile Home
I
I
I
LOT TYPE
Interior
Corner
Panhandle
Cul-de-sac
x
Value
I
I
1'1'6<: LO
I
I ~T~{LC)
I \.J l ~; *
(;'E5~ So ,.~ )..
7-931
7/ . 9:3 *
CHARGE
CHARGE
ClIARCE
15lo~ I .26
I
I
I
fF //7, '38
TOTAL AMOUNT DUE: *
Lot Faces -
Setbacks
P.L. House Carage
North
East
South
West
Access. I
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II
Fees
\.,
Building Value & Permit
This permit is granted on the express condition that the said construction
shall, in all. respects, conform to the Ordinance adopted by the City of
Springfield, incl.uding the Zoning Ordinance, regulating the construction
and use of buildings, and may be suspended or revoked at any time upon vio-
lation of any provisions of said Ordinances.
PZan Check Fee: 4l\.. \J3 _
/ - Date Paid: U - ~O- '&. S.
Receipt #: \r?~)
Signed:r",-l"'-- ~~~.
- - .. I.."
Plumbing Permit
No person shall construct, install., alter or change any new or existing
plumbing or drainage system in whole or in part, unless such person is the
'legal possessor of a valid plumber's license, except tr~t a person may do
plumbing work to property which is owned, leased or operated by the appli-
cant.
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Electrica I Perm it
Where State LCILJ requires tr~t the el.ectrical work be done by an Elec:trical
Contractor, the electrical portion of this permit shall not be valid until
the Zabel has been signed by the Electrical Contractor.
(J'^-.J ~~,
Mechanical Permit
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I HAVE CAREFULLY EXAMINED the completed application for permit, and do
hereby certify that all information hereon is true and correct, and I
further certify that any arn an uJork performed shan be done inaccor-
dance with the Ordinances of the City of Springfield, and the L~~s of the
* State of Oregon pertaining to the work described herein, and that NO OCCU-
PANCY win be made of any structure without permission of the Building Di-
vision. I further certify that only contractors ar.d e~loyees who are in
compliance with ORS 701.055 will. be used on this project
*21 ~ 4J!d&
del
Date
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