HomeMy WebLinkAboutPermit Building 1985-7-8
.. RESID .'4 IAL..
APPLICATION/PERMIT
225 North 5th Street
Springfield3 Oregon 97477
Building Division
726-3753
.ece-:-pt '# .
"1 -...:.J 1 to~ct'1~
, rrvW
QVVXt 'blc6
~lh-oruJ
AddIoess: c9f?' 0 S S/ST
~~:' r~~A~C~a'
~-L/ / cJI
7c&~ / /Jd/;
, /1//7+
-f'( b Sr; ~
I}/r{,' /?S value,f/ ~ ;;200
Job Location:
rQhO S
/7-0,.. 33.33
Assessors Map #
Suhdivision:
Otmer:
'/~
I I
1'7<.]
n
I I
Nebl
Addition
Remodel
Mobile Home
Date of Application
Contractors
.I..l
P-L
T= Lot # CJO'It:X:J
S/sr
Phone:
11/1- f~jL
Zip:
Address
""""aZ '~:~RI9N ~J1j~d
Plumbing (j '~/O JAL." ~
EZectricaZ :l=lJA ~ D\ T~L.E-.sEtJ ~~,&
, {JI
Mechanical
Construction Lender
Lisc.#
405 f-J
5J 2- 2..0
/;,~ 1J
Z [)J~
-
f
!
Signed:
Date:
Expires
(0-13- 'i?t::,
f/I~/Rk
Phone .
f)qJ) -qq ('-f
7 J/t,-/J)t, /
It is the responsibility of the permit hoLder to see that all inspections are made at the proper time, that each ~ess is readab:e
from the street, and that the permit card is located at the front of the propeI'~.
*BuiZding Division approved plan shall remain on the Building sits at all times.
PROCEDURE POR INSPECTION RE'QUEST:CALL 726-3769 {recorder} state your City designated job nwnber, job address, type of inspection
requested and blhen you blill be ready for inspection, Contractors 01' Otmers name and phone number. Requests received before 7:00 ~
:.vi'll be made the same day, requests made after 7:00 am wi'll be made the next :.Jorking day.
<g-~I() S ;) 3
Reoui~p.d InsDp.ctions
O SITE INSPECTION: To be made after
excavation, but prior to set up of
forms.
,MI, UNDERSLAB PLUMBING. ELECTRICAL &
lbJ~Yv-':';', To be made before any
work is covered.
[RJ
FOOTING & POUND,1TION: To be made
after trenches are excavated and
forms are erected, but prior to
pouring concrete.
XJ.
UNDERGROUND PLUMBING} SEWER. WATER,
DRAINAGE: To be made prior to fil-
,Zing trenches.
=:J:
'~
UNDERPLOOR PLUMBING & MECHANICAL:
To be made prior to installation of
f100r insulation or decking.
POST AND BEAM: To be made prior to
instalZation of floor insulation or
decking.
ROUGH PLUMBING. ELECTRICAL & MECH-
ANICAL: No work is to be covered
,until these inspections have been
,made and approved.
FIREPLACE: Prior to placing facing
materiaZs and before framing inspec-
tion.
IX]
~
V1 FRANING: Must be requested after
~ approval of rough plwrhing, electri-
cal & mechanical. All roofing
bracing & chimneys, etc. nr~st be
"comp leted. No blork is to be con-
,~~,cealed until this inspection has
"been made and approved.
tJ FINAL PLUMBING
:1J FINAL MECHANICAL
.&l FINAL ELECTRICAL
~
o
Your City Desigr.ated Job Nwnber Is:
o
INSULATION/VAPOR BARRIER INSPECTION:
To be made after all insulation ar.d
required vapor barriers are in place
but before any lath, gypswn board or
wall covering is applied, and before
any insulation is concealed.
DEMOLITION OR MOVED BUILDI,IGS
~ Sanitary s~~er capped at p~oper~d line
~ Septic tank pumped and filled with gra~el
I Pinal - Tihen above items are completed
~ and blhen demolition is complete or struc-
ture moved and premises cleaned up.
Mobile Homes
~ Blocking and Set-up
~ Plwnbing connections sewer and water
~ Electrical Connection - Blocking, set-up
~ and plwnbing connections nr~st be approved
before requesting electrical inspection
:=J Accessory Building
I Final - After porches, skirting, decks,
~ etc. are completed.
o
All project conditions, such as the installation of street trees, co.~letion of the
required landscaping, etc., must be satisfied before the BUILDING PINAL can be requested.
fZ]
DRYWALL INSPECTION: To be made
after all drYblall is in place,
but prior to any taping.
O MASONRY: Steel location, bond
beams, grouting or verticals in
accordance with U.B.C. Section
2415.
D
WOODSTOVE: After installation is
completed.
FINAL BUILDING: The FinaZ Building Inspection must be requested after the Pinal Plwnbing
Electrical, and Mechanical Inspections have been made and approved.
o
CURB & APPROACH APRON: After forms
are erected but prior to pouring
concrete.
'ALL MANHOLES AND CLEANOUTS MUST BE ACCESSIBLE, ADJUST!1ENT TO BE !,t1DE J1T NO COST TO CITY Page 1 of 2
D
SIDEWALK & DRIVEWAY: Par all con-
crete paving blithin street right-
pf-uJay, to be made after all exca-
vating complete & form work & sub-
base materiaZ in place.
o
FENCE: x~en complete -- Provide
gates or movable sections through
P.U.E.
o
I JOB NO.J)t) S()3
I Zone: ;e ;. t..
Page 2
cPA'"
I
l ~CO G*
.-'- '~ I
~
j
I
I
)
I
j
!
SOL A R .. -'C E S S R E Q.-
Je-3
1 Lot
I
I P.L.
INorth
East
South
,lWest
Oc~pancl/ Gr,,~,):
-:z~r: c'>C>
II. ~C
I =<6. ~l *
I CHARGE I
I
IWha=Y1~1
I
I
I
'(.. I I
I J
-~-
I I
I I
I I
I I
I I
I I
I
# ;/'1. $10
Lot Sq. Ftg.
% of lot Coverag~
II of Stories
Total Height
Topography
..8~-:s-s.
/1I9
/
9.1'1:/'
~- :?4>
I
lITEM
SQ.FTG
Main
Ga:raoe
Carport -
Accessorl/
ACL?_
~/~
TOTAL VALUE
Is.D.c.
1.5 x
(va~ue)
Building Permit
State Surcharge
Total Charges
lITEM
\ Pi:t:tul'es
IResidential (1 bath)
I Sanitary Sewer
I Water
, NO. FEE
-6 ,.-r:~
Plumbing Pe1'Tr:it
State Surcha:rge
Total Charoes
lITEM
I Res. So. fto.
I Naw/Extend Cir~i ts
I Temporary Service
NO.
Electrical Permit
State Surcha:r>ge
Total Charges
ITEM
NO.
Furnace BTU' S
Exhaust Hood
II I
II
I
I
Vent Pan
Woodstove
I
Permit Issuance
Mechanical Permit MIH.
.'"!IJ
State Surcharoe
\
Total Charoes
-- ENCROACHMENT --
Se~~ritl/ Deposit
Storage
Maintenance
Permi t
Total Charges
Curbcut
SidewaZk
Fence
EZectrical Label
I Mobi le Home
TOTAL AMOUNT DUE: *
I .'
LOT TYPE
~
Interior
Corner
Panhandle
Cul-de-sac
x
Value
-I
I
1l,zA1>. 01>
III-A~
~. tt>f> I
-;<. ~ I
6;z. '1C; I *
CHARGE I
~~
FEE
tS:~
I
FEE
I
I .. 6C> I
I /S:~l *
I
I
I
I
I
I
/~~
CHARGE
~. S&>
~.~
/0., Dc:>
."10
/a7'OI*
t
r"'-=' AI
I
I
Access. I
I
I
Tl/ue
Bedrooms:
A-bP
Type/Canst:
Faces - ~-r
Setbacks
House Carage
Enerql/ Sources
Heat
Water Heater
Range
I Firep lace
Wood3tove
-- Fees
I
Building Value '7&
Perm i't
This permit i3 granted on the express condition that the said construction
shall. in all respects. conform to the Ordinance adopted by the City of
Springfield. including 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 Ordir~nces.
*
IPlan Check Fee: ~~~
i Date Paid: 1- f( - ~rs-
R~cdpt #: ~h;;.,1tL/q (/0
S'l-gned: (I/h ~ '/L
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 that a person may do
plumbing work to property which is owned. leased or operated by the appli-
cant.
Electrica I Perm it
Where State Law requires tr~t the electrical work be done by an Electrical
,Contractor, the electrical portion of this permit shall not be valid until
the Zabel has been signed by the Electrical Contractor.
Mechanical
Permit
~_.
.,r ~C:;aminer
~
~
7-/.JIP...as
~
I HAVE CAREFULLY EXAMINED the completed appUcation for permit. and do
hereby certify 'that all information hereon is, true and correct. and I
further certify that any ar.d an work performed shan be done in accor-
dance with the Ordinances of the city of Springfield. and thz L~~s of the
* State 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-
vision. I further certify that only contractors ~ad e~ployees who are in
compliance with ORS 701.055 will be used on this project
7$~~
Signed
7#?/RS-
., Date .
*'