HomeMy WebLinkAboutPermit Building 1987-6-2
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APPLICATIONIPERMIT
225 North 5th Street
Springfield, Oregon 97477
Building Division
726-3753
Job Location:
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Subdiuision:
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Address:
City:
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n Addition
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RemodeZ
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Date of Application
( LofJ/:7 )
Taz Let # :J '((){)
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Rcce:pt #
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Phone:
Zip:
Describe rl'ork:
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Value
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Date:
(,'ontractors Addres3 Lise. II
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General 1""t.A'l-i..t_t L"\ J.h-v_r- /79.l.' .:...t'nC.J.{-...::)1-- t=.W,f;. .....""'1',7
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Plumbing .r:..I,", Lnit..vi'I"_t.,,,_ 1'06..,,,.J.:73 u,#'ScG-aalL .;J.7sol
Electrical Kou...... JJr r- ~...~..i E-lr...f- :::; 11D~ ~1:6"'4. I;ufl~. ~. L IO.J ",7r".._L-....( :JJ:,.- F- 3i.o
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It i.s tho responDibitity of tho pernrit holder to see that alZ. inDpections aPe r::ade at the proper timr;~ that each ::.ddrB8G is reaiah:c
frcm the street, and that the pcrrrrit card is located at tho front of the property.
"Bui!ding [r;vicio~ approved plan shc.l"l remain on tha Bu.-:.lding Sits at all times,
P,70CEDUP.E FOR INSPECTION REplJEST:CALL 726-3769 {recorder} state your City designated job nur;;berJ job adircss, typo of impec:.icn
requested a~d when you wiZZ be ready for ir~pcc~;onJ Contractors or Owne~s name end phor.e number. Requests received before 7:00 ~
r..'iH be made the same day, requests made afta' 7:00 am Llill ba made the next :.JOrking day.
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All project conditions, Duch as the instalZation of street trBes, co~Zotion of the
required Zandscc:pi,..gJ etc. J must be satisfied before tr.s BUILDING FINAL can be raquestad.
Romd'f'p.d Insvp.ctions
O SITE INSP:;CTION: To be made after
e.:ccauation.. but prior to set up of
forms.
O UNDERSLAB PLUMBING. ELECTRIC,lL &
NECHA,'IICAL: To be made before any
work is "ovcr€.,d.
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~)( FOOTING ~ FOUNDATION: To be ".,de
after trenche:J are excavated and
forms are erected~ but prior to
pourir.g ccncret:;.o n ')...{
UNDERGFKJUND PLUMEING] 'l~R, W.1TER,
DRAINAGE: To be 1TXld.e prior to fiL-
lir.g trenches.
WIDERFu?o) PWf.!BING & MFCHANTCAT.:
To be made prior to in3tallation of
floor in,tion 01' decking. .
rv1 POST AND lEAf.!: To be made prior to
'~ instalLation of floor insulation 01'
decking. ~ ~ l/ ').. '?,)
RDUGH PLlJ.'!BI!!G. ELECTRICAL & MECH-
ANICAL: No :Jork is to be covered
.ur.tiL these inspections have beer.
made and approued. J'"'t.
FIREPLACE: Prior to ptc!C1.r,g facing
materials and before framing inspec-
tion. (.,
I IV I FRAl!INC: Must be requeated after
V1 approu.::1. of rough plwr.bing~ electri-
cal & mechanical. AU :roOfing
bracing & chimneys~ et". nr~st be
,completed. 110 work is to be can-
.' '" cealed until. thio inspection has
'bse:n made and app:roued.
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FINAL PLW.fBI!IG
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FINAL I1ECHANICAL
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FINAL ELECTRICAL
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FINAL BUILDING: The Final Building Inspection must be requeDted after the Final Plumbin;
Electrical~ and Mechar.icaZ Inspectio7UJ have been made and approuo?d.
Your City Deaigr4ted Job NUmber Is:
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I VI iNSULATION/VAPOR BARRIER INSPECTION:
/" To be made after all. insul:..ti:m aY'.d
. rcquired uapor barriers CIJ"e in place
,: . but cefore any lath~ gypsum board or
wl.l couering is applied~ and before
any inaulation is concealed.
I'
I vi DRYWALL INSPf:CTION: Te be made
.1\ after azz. drywaLl is in place,
but prior to any taping.
O MASONRY: SteeL location, bo1ui
beam3~ grouting or verticals in
accordance with U.B.C. Section
2415.
O WOODSTOVE: After installation is
ccmpZeted.
C/o
CURB & APPROACH APRON: AfteI' forms
crre erected bu t: prior to pouring
co~rete.
&I,
SIDEWALK & DRIt'F:WAY: For alL con-
crete paving within street right-
of-wc:.y~ to be made after azz. exca-
vating cC7Tlpletc'& form wrk & nub-
base material in pla::le.
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O :'ENCE: Whor. compl6te -- P:rouide
gates or movable sections through
P.U.E.
o
I DE,~!OLITION OR gOVE; BUILDIj,1GS
.=:J Sani:ary sauer ~apped ::t pz:.opl:rt":i
:=J Septia tank P""Ped and fiUad ..nth ;;rao.l
l.i"f':e
--, Pinal - rl'hen cbcve ita.~s are cempleted
~ and when demclitior. is complete or stru~-
ture moued and pr~mi8es cleaned up.
Mobile Hemes
~ Blocking and Set-~p
:=J Plumbing connections -- scwer and wa:er
---, Electrical Ccnr.ection - Blocking~ se;-up
--1 and plumbing conr.ections nr...st ce approved
before requesting e!ec:rical in8p6c:io~
:=J ACC6SGOl"::i BuiZd:.ng
I Fin.:zl - Aftl:r p:Jl'c1:es, skirting, decks,
~ etc. are comple:~d.
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/tALL MANHOLES AND CLEANOlJTS MUST BE ACCESSIBLE. ADJUSTl!EUT TO BE /,~1DE I!T ,,"0 CDST TO CI'!'Y I Page! of 2
I JOB NO. r1D 3:;'Q SOLAR AiiESS REQ.-
I Zor.c: L. f) If<.... Occupanc" Grc-P ;l?-"3 ..f M-/
Let Sq. Ftg. ,c.~ LOT TYPE I Let Faces -
S ~f l~t Couerago -::2 '2. "?t> A Interior I
P.L.
,q of Stories / Corner INorth
Total Height /~~" ~ Panhandle lEast
A" "?eo,~ ISouth
TopogMphy '-' ~~~ CUl-de-sac
IWest
lITEM
I Main
I Garaee
I Carool"t
I Accessol'u
Is.D.c.
, SQ.FTG
IS-o/
7'S )5,
TOTAL VALUE
ClJc:.tuc)
J.5 "
Building Permit
State Sza>charge
Total Charoges
I NO. I FEE
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1
II I
If I
~/<-,Rh7 ~/~k-
lITEM
Futures
I Residential C2-bathJ
Sani tarry Sewer
Watel'"
Pl:Jr.lb"'~ng Permi t
State Surer.apge
TctaZ CharGes
lITEM
I Res. So. ftc. 15.::. f
I Now/Extend Cirocui ts
I
I Temporary Service
I
IN;.
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I I
FEE
Ele~tl'ical Permit
St:::.te Swocharqe
Total Charces
lITEM
I
! Furnace ETU' S
I E=hau.st Hood
i Vent Fan
I .
i WXJdstove
IIIG. I FEE
III
1/1
I~I'?
I 1
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Permi t Issuance I
Mechanical Permi t
State SurchaJoac
Tnta Z Cha:rrum
Se~~rit~ Deposit
-- ENCROACHMENT --
Storage
Maintenance
Permit
Total Char>ocs
Cu:rbcu-:
Sidewalk
Fence
Electrical Label
Mobile Home
TOTAL AMOUNT DUE: ~
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~2.
I HAVE CAREFULLY EXAMINED the completed application for permit, and do
hereby certify that aU ir:fo:mation hereon is true and correct, and I
further certify that any ar.d a'lZ /X}rk perfor:ned shaz.z. be done in accor-
dance with the Ordinances of the City of Spl'ingficld, and the; [q..JS of the
'* State of Oregon p~rtaining to the work described herein, and that NO OCCU-
PANCY will be m.:ie of any structure lJithout permission of the Euilding Di-
I?.. '7'0' ./) vision. I further certify that OI1ly contractors and e.71pl,:)yees who are in
I? compliance with ORS 701.0~5 lJill be used on this project
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I CHARGE I
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Value
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CHARGE
CHARCE I
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i!f/ 16 '23.60
L-cod>:>
T,pe/Cor.st: ~~
I I Enernu Sources
I I Heat ~I"J~
Access. I I Water Y~t1tp1' .,
I I Range
II / ~ Fireplace
I I Wood:;tol.:e
II I
TiJr'le
F#
Bedroor.:s:
'3
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Setbacks
I House I Cal'aqe
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i '2::) ,
1/2' I
I~'I
Fees
Building Value
&
Permit
This permit is granted on the express condition that the sdid.construction
shall, in all l'espccts, conform to the Ordinance adopted by the City of
Springfield, including the Zoning Crdinance, regulating the ccnctruo:zticn
and uce of bui~ings, and m~y be suspended Or revoked at any time upon vic-
lation of any provisions of said Ordinances.
/Plan Check Fee: . '.?Z;7-. '16-
( __ Date Paid: /~ ~~sOf)
IRecdpt #: ~-?-z.- rx?J
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I Signed: ..... eLl
Pe r m i t
Plumbing
No percon shall construct, install, alter 01' change any new or e:isting
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 pe~son may do
plumbing work to property lJhich is OlJned, leased or operated by the appli-
cant.
Electrical
Permi t
Where State La:LJ requires tr.at the electrical work be done by an Electrical
Contractor~ the electrical portion of this permit shall not be valid until
the label has been signed by the Electrical Contractor.
Mechanical
Permit
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