HomeMy WebLinkAboutPermit Building 1990-4-24
.. RESIO(, rIAl--
APPLICAT ION/PERMi ~
225 North 5th Street
SpringfieZd3 Oregon 97477
BuiZding Division
726-3753
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Job Location:
Asoessor>s Map #
Subdivision:
Rcce~pt 1#
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CMner>: ~CJ).~ Q. ~\' 0 Of\.\fQ ~ _ _
Add1'ess: 4~~~~~ ~i Phone:f}iJ)-Cfa4 (IJ
City, ~ ~ i ,_Q{> -1 Zip qf\4(j '6
Describe 11'0r>7<:
. ~~oyt em 0Xwhn9
'~\DJj , '/959:"~ Signed:
Date!:;:::l::::icn4 ! 4 /9 n value'~F Date:
Contractor~ \ . _ Address -Lise. ttBldrs Board Reg.
General \. A--A Il. ')\\~ )
Plumbing
Heehanical
E],ec.t r:i..ca 1
NI'!UJ
Addi ticn
Remodel
Sl:lPell-Vclfiang
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Eiehtr~cian
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Expires
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It is the r>esponsibility of the permit holder to see that all inspections are made at the proper time. that eaeh ~ess is rea:iabZe
from the street. and that the permit aaI'd is located at the front of the property.
"Building Dividor. appr>O't;ed plan shall remain on tha Building Sit::: at all times.
PROCEDURE FOR INSPECTION RE'QUE8T:CALL 726-3769 (rccorder) state your City designated job nwnber>, job add:!'ess, type of inspection,
r>equested and when you will'be ready for inspection, Contractcr>s or CMners ncme and phone numbcr. Requests received befcr>e 7:00 am
...>ill be made the same day, requests made after 7:00 am will b3 made the n=t :;JOrking day.
ctrD400
Reauir>ed InsDP-cticns
O SITE INSPECTION: To be made
excavation, but prior> to set
, forms.
o
after
up of
UNDERSLAB PLUMBING. ELECTRICAL &
: MECHANICAL: To be made before any
work is covered.
o
FOOTING & FOUNDATION: To be made
after trenches are excavated and
forms are erected, but pr>ior to
pouring concrete.
0'. ,UNDERGROUND PLUMBING, SEWER. WATER,
I DRAINAGE: To be made pr>ior> to fil-
,lir.g tr>enches.
0:
D
UNDERFLOOR PLUMBING & MECHANICAL:
To be made prior to installation of
f7oor> insulation 01' decking.
POST AND BEAM: To be made prior to
installation of f700r ins~lation or
decking .
D
ROUGH PLUMBING. ELECTRICAL & MECH-
ANICAL: No wor>k is to be cover>ed
,ur.ti l these inspections have been
made and appr>oved. '
FIREPLACE: Pr>ior> to placir.g facing
mater>ials and before fr>aming inspec-
tion.
D
n FRAMING: Must be r>equested after>
~ appr>oval of r>ough plwrhing, electr>i-
cal & mechanical. All r>octing
bracing & chimneys, etc. nr~st be
, completed. No wor>k is to be con-
,.., cealed until this inspection has
~ been made and appr>oved.
I
I
I
,-
Your City Desigr.ated Job Number Is:
D INSULATION/VAPOR BARRIER INSPECTION:
To be made after all insulation ar.d
, ," requir>ed vapor> barr>ier>s are in place
, "but befor>e any lath, gypsum board 01'
wall cover>ing is applied, and befor>e
any insulation is concealed.
O DRYWALL INSPECTION: To be made
after> all drywall is in place.
but prior to any taping.
O MASONRY: Steel location. bond
beams, gr>outing or> ver>ticals in
accor>dance with U.B.C. Section
2415.
O WOODSTOVE: After> installation is
acmpleted.
D
CURB & APPROACH APRON: After forms
are er>ected but pr>ior> to pouring
co=re te.
, DEMOLITION OR gOVED BUILDIilGS
~ Sanitary se'..Jer> ~apped at px:.oper>tb' line
~ Septic tank pumped and filled with gra~el :
I Final - I.'hen above items are completed !
~ and when demolition is complete or> struc- I
tur>e moved and premises cleaned up.
Mobile Homes
:J Blocking and Set-up
:J Plumbing connections s~er and water>
~ Electr>ical Connection - Blocking. set-up
~ and plumbing connections nr~st ce approved
befor>e r>equesting eZec~rical inspection
~ AccessoT";j Building
I Final - After> por>ches, skirting, decks,
~ etc. are completed.
o
All pr>oject conditions, such as the installation of str>eet tr>ees, co~letion of the
r>equir>ed landscaping. etc.. must be satisfied before the BUILDING FINAL can be r>equestr1d.
D FINAL PLUMBING
:D FIlIAL MECHANICAL
10 FINAL ELECTRICAL
I
I
[J
o
FINAL BUILDING: The Final Building Inspection must be requested after> the Final Plumbing
Electr>ical, and Mechanical Inspections have been made and appr>oved.
o
SIDEWALK & DRIVEr-lAY: For all con-
crete paving within str>eet r>ight-
of-way, to be made after> all exca-
vat.ing complete & form work & sub-
, base' material in pla::;.e.
o
PENCE: h'hen complete -- Pr>ovide
gates 01' movable sections thr>QUgh
P.U.E.
"ALL MANHOLES AND CLEANOUTS MUST BE ACCESSIBLE, ADJUST/tENT,TO BE M.~DE I1T NO COST TO'CITY IpGfe,1 of 2
o
"
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L -co G-It
JOB NO,
SOL A RAe C E S S R E Q.-
Type/Const:
Bedrooms:
I EnerqlJ Sources
I Heat
Water Heater
I Range
Fireplace
Woodstove
T"De
I
I Zone:
Occupancy Gre
L02' TYPE,
Lot Sq. Ftg.
% of lot Coverag~'
# of Stories
Total H.eight
Topography
ITEM
I Main
, SQ. FTG
Ga:raae
Carport
-;2l./ C/
I/~/o
Accessoru
,CRC72LT/-~R ~~8
I ' 'TOTAL' VALUE V' ,
S.D.C.
(va~ue)
1.5 x
Building permit
State Surcharge
Total Charges
ITEM
Fixt:ures
NO.
FEE
Residential (1 bath)
sanitaI'y Sewer
Water
Plwnbing Permi t
State Surcr.a.rge
Total Charaes
I ITEM
I Res. Sa. fta.
1 NewlExtend Circuits
I NO.
Temporary Serviae
Ele~trical Permit
State Surcharqe
Total Charges
lITEM
I Furnace ETU' S
Exhaust Hood
I NO.
I
Vent Fan
Woodstove
I
Permit Issuance
Mec:hania:xl perrrri t
State Suraharae
Total Charaes
-- ENCROACHMENT --
Se~~rity DeDosit
Storage
I Maintenanoe
I Permit
Total Charaes
I Curbcu;;
Sidewalk
Int"rior
Corner
Panhandle
Cul-de-saa
x
Value
I Lot Fqces -
I Setbacks
I P.L. House 'Carage 'Access.
Worth
East
South
IWest
-- Fees
Building Va'lue & Permit
This permi t is granted on the express condi tion that the said constT'Uction
shall, in all respects, conform to the Ordinance :xdopted by the City of
Springfield, inaluding the Zoning Ordinance, regulating the aonstT'Uction
and use of buildings, and m:xy be suspended or revoked at any time upon vio-
Zation of any provisions of said Ordinances.
*
*
IPlan Check Fee: 2j~,j3
I Date Paid:
IReceipt #:
I Signed:
1
7.tl2 ~.~l
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t/g';S. -
1'7 ~7-.-c
I
--2-17?~ I
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12tJ:',lB
CHARGE
FEE
CHARGE
~', .
,,' ",': Plumbing Permit
'N \ \ "ha'll . l1 1 1.~~ . .
o person s , 'construct, ~nsta v, avter or c,~,~e any new or ex~st~ng
pl~ing or ~ainage systen in ~hole or in part, unless such person is the
legal possessor of a valid plwnber's'liaense, except that a person may do
plwnbing work to property which is owned, leased or operated by the appli-
aant.
*
Electrical Permit
Where State Law requires tr~t the eleatrical work be done by an Electriaal
Contractor, the eleatrical portion of this permit shall r~t be valid until
the label has been signed by the Electrical Contractor. '
*
Meche nical Permit
i *
~~
t;!-2 L,/_~
Ud'te /" ~
FSE
CHARGE
I HAVE CAREFULLY EXA."1INED the completed application for permit, and do
hereby certify that all information hereon is tT'Ue and correct, and I
further certify that any ar~ all work performed shall be done in accor-
dance ~th the Ordin:xnces of the city of Springfield, andth~ L~~s of the
* State of Oregan pertaining to the work described herein, and that NO OCCU-
PANCY will be made of any structure without permission of the BuiZding Di-
vision. I further certify that only aontractors ar.d e~ployees who are in
aompliance with ORS 701.055 will be used on this project
Fenoe
I EZeatrical Label
I Mobile Home
P~/9' ??=....V/$a.-' ~ 2.9;';4;.'3
. ;"" - ,'"
TOTAL AMOUNT DUE: *
,55:'2.6
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