HomeMy WebLinkAboutPermit Building 1990-7-25
Reae-:''Pt "#
!'}k",!,<,,' )
.. RESlDeITIAL"
APPLICATIUN/PERMIT
225 North 5th Street
Springfield, Oregon 97477
Building Division
726-3753
Job Location:
~lq V1.. -vi. .'(L~ ~.
# \1 )LB-~sq~
# O~4Q()
~~~.
.. ~.~ <UJJYr~
f) -~?) _q(}O?f\ / oJ
'Date of Application
'Contractors
General
: Plumbing
fHechanical
fEl,ectrical . ('.18 POQ,.\\T'J:' ~~.'l../~p1" IHill J~. ~-I4-e o~jgJ.jq
S\lpe",,~;;,..lgElectricianf':;./,..~ ,:1/. ~ ' J(, tll ) .
,. It is the respomribiZity of ths ~ermit holder to ~e8 tNlt all incpections azoe made at the proper tim€# tr.at each ~eBs is readable
frao ths stJoest. and that ths pm-mit card is /.ccated at the front of ths property.
*l1u.i!dirrg Divi::ion. apprcn:ed plan shalt. remain on the Building sits at aU times.
PROCEDURE FOR INSPECTION REQUEST:CALL 726-3769 (rccorder) state your city designated job nw;;ber... job add1'css... type of inspecticn
requested. ar.d when you 1.Ji7.t be ready for inspection... Contractors or OI.Jners ncme and phone number. Requests received before 7:00 am
i.>i.ZZ be made the same day... requests made after 7~OO ,am will bs made the na:t :,)Orkin;; day. fl),Y'\/VlA /1
Your Cit;y Dssigr.ated Job Number Is: '""1'f ~. J
Assessors Map
Subdivision:
_ lA.mep, . \..1.'rfY1) tJ.IJ. 0. () ,
. Addres", ~?/ q'Yj. ~ Q} ..Jt..
. City' .~'
n
n
n
n
NmJ
Addi Hon
Remodel
.'.1obill! Homo
. Ref'{!Ji",:pn T7'lfm",-<'!+:1:r.l1A
O SITE INSPECTION: To be rrade after
exC!avation~ but prior to set up of
.fo1'f1'ls.
o
UNDERSLAB PLUMBING. ELECTRICAL &
. MECHANICAL: To be made before any
wrk is ~overed.
o
FOOTING & FOUND,1TION: To be rrade
after trenches are excavated and
forms are erected, but prior to
. pouring eoncret~.
UNDSRGROUND PLUMBING; SEWER. W.1TE.~
DRAINAGE: To be made prior to fi"t,-
.U1".g trenches.
o
o
o
UNDERFWOR PLUMBING & I>fECHANICAL,
To be made prior to instalZat1.on of
[loor insu lation or decking.
POST AND BEAM: To be made prior to
instal.lation of floor insulation or
decki"fi .
ROUGH PLUMBING. E[,ECTRICAL & MECH-
ANICAL: No work is to be eOL'sred
. w:tH these inspections have beer.
made and approved. .
Fn::ePLACE: Prior to. pkcir.g faeing
materia"Ls and before framing inspec-
tion.
FRA}.!INC: Must be requested after
approval of rough plwr:bing:. aZectri-
cal & mechanical. AU roofing
bracing & chinmcys:. etc. nrJ.st be
;' completad. No work is to be con-
""cealed u.ntil this inspection has
'be~? made and approved.
D
D
D
Ta:r: Lot
Phone; '74/ - A 5/1--..
Zip' q'T.d!J.J
Describe fl'ork:
~
Signed:
Date:
. ) ". .
t,VJlJ _
1-J)S.q( )
Address
-Lise. a FP
Bldrs Board R,c.
Pnonp
Expires
q-I-q()
'14-1- M. "310
D INSULATION/VAPOR BARRIER INSPECTION:
. To be made after all insulati::m ar.d
','.:.. '.-' required vapor barriers are in place
, ,.... but before any lath~ gypsum board or
wZl covering is applied... and before
. ~y insulation is concealed.
O DRYWALL INSPECTION: Tc be made
after' aU drywaU is in place~
but prior to any taping. .
O MASONRY: Steel. location~ bo1u1
beam3~ grouting or verticals in
accordance with U.B.C, Section
2415.
D WOODSTOVE.: After installation is
ccmpleted.
O CURB & APPROACH APRON: After fol'TllB
azoe erected but prior to pouring
con:::rete.
D
SIDEWALK & DRIVEWAY: For all con-
orete paving within street right-
of-'WC.y... to be made after all exca-
vating complete & form work & sub-
base material. in plaae.
I DEUOLITION OR ;',:OVED BUILDII'lCS
:=J Sanitary sC'.Jer capped at ~opert-~ line
~ Septic tank [T.Jr.rPed and fille~ lJith grav.,el j
I Final - ffhen above ite.'7Is are completed
--.J and when demolition is complete or st:-u.c- .
ture moved and premises cleaned u.p.
I Mobile Hcmes
=:J Blocking and Set-up
=:J Plumbing oonnections -- scwer and Water
--, Electrical Connection - Blocking... set-up
-.-J and plumbing connections rrr...st be approved
before requesting eledrical inspectio~
~ Aocessol''';i Building
--, Pinal - Aft~r p:)rcr..es~ sHrting~ decks...
.--J eta. are completed.
o
All project conditions~ such as the 1'.nstallation of stl'eet traes~ co;.rplation of tne
required landsccpir:g... etc.:. must be satisfiad before the BUILDINC FINAL can be requested.
o FINAL PLUMBING
o FINAL MECHANICAL
o FINAL ELECTRICAL
o
o
FINAL BUILDINC: The Pinal Building Inspection must be requested after the Pinal Plwnbin;;
Electrical, and Mechar.ical Inspection3 hava been made and appl'ov2d.
O PENCE: When compl.zte -- Provide
gates Or' movable sections through
P.U.E.
o
*ALL MANHOLES AND CLEANOUTS JfUST BE ACCESSIBLE~ ADJUSTUE/lT TO BE g.1DE IT NO CJST TO CITY I Page 1 of 2
I JOB NO.
I Zone:
Lot Sq. Ftg.
% of Zot Coverag;:
# of Stories
Total Height
Topography
I
lITEM
IMain
, SQ.FTG
GcY'tzae
Carv01"t
I I Aecessol'u
I
TOTAL VALUE
I S.D.C'
1.5 x
(vc.t-ue)
Euil.ding PeT'mit
State Surchcrrge
Total Charges
lITEM
Fi.xtuPes
jResidentiaZ (1 bath)
'I Sanitary Sewer
I Wat.:?!'
I
Plwnbing Permi t
State $urcr.a.rge
Total Charaes
ITEM
I Res. Sa. fta.
/New/Extend Circuits
I Temporcrry Service
3:' b-/; Cp c.l'4 i\!I<< r'
\=.,' ,.() ~~,Vl1: a-~{
. Electrical- Permit
i NO.1
I I
,I I
1/ I
State Surcharqe
Total r:ha.rc;es
lITEM
Purn::We ETU' S
I Exhaust Hood,
I Vent Fan
I
I Woodstov.e
Permit Issuance
Mechanical Permi t
State Surcharae
rotal Charmm
-- ENCROACHMENT
15ec-.Aritl.f Deposit
I Storage
t Maintmumcp..
I Permit -
I
leurb""t
I Sidewa Zk
lFe~e
, I EZectrica Z
I.
IIMobile Home
I
I
Total Charqes
labeL
I TOTAL AMOUNT
DUE:"*
.~;:.qe
SOLAR ACCESS R EQ.- L-COG""
Occupancl./ G~ T.:'lpe/Cor.st: . Bec.roor:;s:
LOT TYPE I Lot Faces - I I Enerrl}J Sources T:'I:]e
Interior I Setbacks I I Heat
I P.L. I House I Caraqe I Access. I Watp-r Hf?atp-r
Corner INorth I I Range
Panhandte lEast 1 I Firerlace
Cut-de-sac ISouth I I I Wood;; tove
lflest I I I
,.
NO. I . FEE
FEE
I JIG. I FEE
I I
I
I
I
I
x
Value
CHARGE
I
I,
CHARGE I
.1 I
\~~I
\SW
rt5
lS.Y'\S I,
CIIARGE
-- Fees
Building Value & Permit
This pernr;t is granted on the express condition that the s~id.constructio~
shatz, in all respects, conform to the Ordinance adopted by the City of
Springfietd, incZuding the Zoning ordinance, regulating the ccnstl'U~ticn
and use of buildings, and m~y be suspended or revoked at cny time upon vic-
lation of any provisions of said Ordir~nces.
,
I
I
I,
Iplan Check Pee:
Icate Faid,
I Receipt #,
ISi~ed,
Plumbing Permit
-- No perf;on shall construct, instaU;' aU;r or' change any new Cr' existing
plumbing or drainage syste~ in whOle or.in part, unless such person is tr~
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.
Electrical
Permit
Where State La:J.J require8 tr.at the electrical work be done by an ElectPical
Contractor, the electrical portion of this permit 8hall not be vatid until
the "lahet has been signed by the Etectrical Contractor.
Mechanical Permit
I
I '
I.
I
I
Plan Excminer
uate
,
I RAVE CAREFUL[.Y EXAMINED the compLeted application for Fe:rmit~ and do
hereby certify that a'll info~ation hereon is true and correct, and I
further cerotify that any ar.d all work perfor>71ed ahaU be done in accor-
dance :Jith the Ordin::mces of the City of Springfietd, and th~ La:.JS of the
State of O"l'egan p:o:rtaining to the lJ}()rk described ,herein, end that NO OCCU-
PANCY wi'll be made of any structure without p~rmis3ion of the Building lr~-
vision. I further certifv that o~ly contractOr'8 and e~layee8'who ~e in
ca~ptiance with ORE 701.055 wilt be used on this project
I,
a--c~~ }~y~/ )hJ-~{/
Scgn9d "(. D.2:;- I 'f