HomeMy WebLinkAboutPermit Building 1985-9-23
.. RESIDfaTlAL"
APPLICAT IJf!PERMIT
225 North 5th Street
Springfield. Oregon 97477
Building Division
726-3753
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Job Location:
9Jt50 P~tLC{
Jl7 0 3 -3 'I I ex 1= Lot N
00 roo
A8Ge8GOl'~ Nap.,I
Subdivision:
CUneI':
T fl.-d
~RO
Msut rl..d:h
p~
Phone: '7 C/7- 1;;0"/
Zip:
()1 ~lt1J\d 11lLtJ~_ (t~b - 305 g .
DfLN~' '7f~ / r: '_ p. \
n Additicn 19 d -l~)
n Remodel
n .'!ob-:.le Home
Awess:
City:
Dato of AppZicaticn
0-(2- ~
:,:onr;l'Gctors
VaLue~ 6 aon
. GeneraL (~.J\QDn h Ctl+t".l- ~
. numbing
ELectricaL lJ ~ - lAJ ~_ c;: 0 ~
. Mechar.ical' U
Construction Lender
Address
z...U cl',u 0
c.J
9- J-) (' J1~
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.ii f6 bs 333
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Signed:
Date:
QC--
q - Z.3-~
Lise. it
.1/ ,?; if C; .L/
Eroil'iJS
Phone
/tfJ-/2-f'C)
It is the responsibility at ehs permit holder to see that all irwpections CJ:1fe made at the proper tim~~ tr.at each .:ddresB is l'a~:c
from the stroeet, and that the permit cazod is 'Located at the fl'Ont of the praperty.
.tEu:i!dir-.g Divit:ior: appzooL"ed Fl.a1:z shcU remain on thi; BuiLding Sit~ at all times.
?I?OCEDUHE FOR INSPECTION REQUEST:CALL 726-3769 (rccorder) state your City designated job nur.:ber..
requested a~.d when you will. be ready for inspection.. Contractors 01' Owners ncme end phone ntoWer.
:..'iz.z. be made thf: same day.. requests mGde after 7:00 am wiz.z. boz made the nczt ;.)()rking day.
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Bl?mn:,=~d' r7T.,,:n'p(!+:1:m:II"l
I SITE INSPECTION: To be rmde after
~ excauation.. but preior to se't up of
forms.
:J
UIIDERSLAB PLU/.IBIIIG. ELECTRICAL &
NECHJl.,'JICAL: To be made before any
work is .:!ovcred.
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FOOTING ~ FOUNDATION: To be mlde
after trenches are excavated and
forms are erected~ but prior to
pouring concret~.
";:II UNDSRG.r?OUND PLUMEING,. SSWER, W.1TER.
~ ('t?HA~ To be m:ute prior to fil.-
ti~ches.
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UNDEHFLOOR PLU/..'BING I: MECHANICAL:
To be made prier to instal.Lation of
/1001' insulation or decking.
POST AND BEAU: To be rrmic pl'ior to
instal.l.aticn of floor' ins~'Lation or'
decki"!; ,
ROUGH PL[p'~IHG""r,F:CTRICAL \~ MECH-
ANICAL: lIo wor'k. t.8~OC covered
.until. these inspections have beer.
made and approve.:!.
FIREPLACE: P'rCor.to placir.g facing .
material.s and before framing inspec-
tion.
FRAHING: Must be requeated after
approval. of rough pl.~bing~ el.ectri-
cal. & mechanical.. An roofing
bracing d chimneys.. etc. nr~st be
. completed. !lo work is to be CGn-
-' cec.led until thia inspection has
. bt:~n made and approved.
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Your City Desigr.ated Job Nwnb€1' Is:
O INSULATIONIVAPO;q BARRIER INSPECTION:
To be made after all. insu~ti:m a:-..d
. required vapor barriers are in place
. . but before any Zath~ gypswn board or .
wU covering is applied~ and before
any inuuZation is conceaZed.
O DRYWALL IllSPECTION: Tc be made
after a ZZ dryw ZZ is in p lace ~
but prior to any taping.
1~1 ~SONRY: Steel location.. bona
^ beam3~ grouting 01' vertical,s in
accordance with U.B.C. Section
2415,
D WOODSTOVE: After instal,Zation is
compZeted.
o
CURB & APPROACH AP.WN: Afte;o forms
are crected bu t prior to pouring
oo~rete.
SIDEWALK & DRIl'EfrAY: For aU con-
crete paving within street right-
of-wc.y~ to be made after aU exca-
vating complete & foPom work & sub-
base material in p~e.
job address, type of in3pec~icn
RequeB~l; r~ceived befcro 7: 00 .::":"i
DEUOLITIOH OR ;....Ov:::J EUILDI;lCS
~ Sani'tary se.Jer capped ::t ~op~rt-:i Zir.e
.~ Septic tank p~~d and fitle~ with gra~oZ
----, Final - fl'hen ab..."'Ve ite:71s are ccmpletcd
~ ar.d when demolition is complete or s~~-
ture moved and pr;xrLses :;leaned up.
Nobile Homes
~ Blocking and S8t-~p
~ Plumbing connections -- scwer and IJa'tSl'
---, Electrical Connection - Blocking~ set-u~
~ and plumbing connections nr~st bo approvec
before requesting eZec'trical inspec:ion
~ Accessory Building
---, Final - Aft;)r porc1:es.. skirting~ dcck8~
.--J etc. are camplotcd.
D
All project conditions~ such as the instaLlation of s'treet trees, c~~lotion of t~
requirad landscc:pir.g~ etc. ~ must be satisfied before the BUILDING FINAL can be r:zquost3d.
:J FIliAL PWII.BIIIG
:J FIliAL MEoHANICAL
XI FIliAL ELECTRICAL
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FINAL BUILDING: The Final Building Inspection must be requetlted after the Final Plumbi1'l3
ELectrical~ and Mechar.ical Inspectiona have been made and approv~d.
D
O PENCE: Wher. compl.ite -- Provide.
gates or movable sections through
P.U.E. .
o
"ALL f.fANHCLES AND CLEANOUTS }lUST BE ACCESSIBLE, ADJUST!fEtJT TO BE J.!/J.DE AT /.'0 C:'ST TO CI'!'Y I P!l~C ! of 2
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Occur;anclJ G~""'/ - .- ..
LOT TYPE I Lot Faces
I
I P.L.
INorth
lEast
ISouth
IWest
r I JOB N<<]/)'f,qO.
IZ""e: ~-I
I Let Sq. Ft;.
:: :Jf lot C.:roeragi:
# of Stonos
Total Height
Topogrophy
lITEM
IUa.in
SQ.FTG
~
I
I
1frM~~ I I ~c:>
Ca::raa~
Careort
I Acaessol'u
IS.Doc.
TOTAL VALUE
(val-lAc)
1.5 :r
Building Permit
State Sld'charge
Total Cha,.ges
lITEM
I Fi...-tuI'os
I Residential (1 bath)
NO'1
I
I. I
I' I
I I
Sanitaroy Sewer
Water
Plumbing Perr::i t
State Surcr.a.roge
Total Chal'aos
lITE:'.!
I Res..t:in. rta.
IN~/E~~end Circuits
I Tem;Jorary SeMJice
SOLAR ACCESS REQ.-
Ir:terio1'
Cornel'
Panhandle
Cul.-de-sac
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,f~'1
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I
I :g 2. tile>
1 / . 2,fii:
I ?$.28j.
Value
FEE
CHARGE
.
...'iiARGE
~s:-
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I
~E:~I
. e(~1
IS~' .
ClJARCE I
I ilO. FEE I
I:r... .NI6fIi
I I I
I I I
Ele~tl'ical Permit
State Su:r::!harQO
Total Charcos
lITEM II/c. FEE
Furnace ETU'S I
E::haust Hood I
I Vent Fan. 1
Wi>odsto:Jo I
I
Pe-rmit Issuance
Me::hanic::! Permit
State SurCfuntaC
Tota l Charl"um
I -- ENCROACHMENT --
I SeC'.4M.t1! DZ'OO3it
l Storage
I Maintenart.:!e
I Permit
Total. Charaes
ICurbaut
I Sidew lk
I Fcn::c
I Electrical
i
! Mobi le Hame
Label
I TOTAL ANOU.'11' DUE:.
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# '1$.$8
"-::ipe/Cor..st:
L-COG~
A"", Beiro"'"s::N A- ~
irEnerm,so:J.rces 1".J:"e
" I Heat
Water H(!atpr'
I I Ra"Fe
I I Fir'eplacc
: ~ Woodctor;e
11
Setbacks
I House Caraae
I
,
I
I Access.
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F2es
Building Value & Permit
This perrrr;t ia granted on the express condition that the sfiid. construction
8hall~ in an respects, conf01'f1l to the Ordinance adopted by the City of
Springfield, including the Zoning Crdinance~ regulating tha ccnotructicn
and use of buildings, and m~y be suopended 01" revoked at cr.y time upon vic-
Lation of any provisions of said O:rdir~nces.
.
PR-ID
I (a - 00
Q'- (,.;2-R'S
/.3 05.:2 \?'lO
0"_
Pe r m i t
,
Plan Check Fee:
Date Paid:
Rec;;ipt #:
IS,;g,:ed:
Plumbing
No pereon ohali construct~ install, aZter or change cny new 01" 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 person may do
plumbing work to property which is OLmed~ leased or operated by tho appli-
cant.
Electrical Permit
Where State La1.J requires tr~t the electrical LJOrk be done by an Ele~trical
Contractor~ the electrical. portion of this permit shall roOt be valid untiZ
the label has been signed by the EZecmcal ~ontractor.
Mechanical Permit
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I HAVE CAREFULLY EXA.Ir.JINED the completed application for pennit~ and do
hereby certify that all. ir:fo:oma.tion hereon is tpue and correct, and I
fo..lrther certify that any ar.d aZl. work perfo~ed shaZl. bs do:1e in ac~oJ"-
danae :.lith the Ordinances of the City of Springficld~ and th:: La.JS of tho
. State of Oreg~n p~rtaining to the work describcd herein~ and that NO OCCU-
PI:NCY will. be rTr'lde of any stpuctU1"2 withou.t permission of the Building Di-
vision. I further' certify that ~ly contractors ar~ enpl.~yec8 who are in
oompliance with ORS 701.055 wil.l be used on this project
ycauY aU
Signzd
9 la-As
Date
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