HomeMy WebLinkAboutPermit Building 1985-3-20
.. RESlrWNTlAL"
APPLICATION/PERMIT
225 North 5th Street
Springfield, Oregon 97477
Building Division
726-3753
Describe fl'ol'k:
~~ ~~-I2- -
6!dg :;! ~, ~tuA..--
~~ d/3 J - value.$ C( a 6 (1 C(!J
::::~tE up;,,,A4 ~. 20(P?;~tW::::;U &&/Rx.g 6K!.. Li3";;~ J;!
Plwnbing . "7' 'n 17 -c.? ./1 . . 9 7(,10;;l..
Klectrica~~' 2,rlo{U I!~ C;'Jlih,dJ ~
MechanicaL V'7VO:X til / :;;'SI
C~natl'"Uction Lender
It; is tits roespmwibitity of the permit holder to see that all. inDpections are r:uzde at the proper timc~ tr.at each .:;dd:res8 is readab'Z.e
f1"Ol1l ths street, and that the permit card is Located at the front of the proper"ty.
-Bui!ding l}t;ui:ior. apFroved plan ehaU remain on thE Bu~Zding Sits at aU times.
PROCEDURE FOR INSPECTION RE.:QUEST:CALL 726-3769 (recorder) state your City designated job number, job address, type of in3pecticn
requested and when you will be ready for inspection, Contractors 01' Owners name and phone number. Requests received before 7:00 ~
r.."iZl be made the same day, requests made after 7:00 am wilL ba made the next wrking day.
Job Location:
,;) 30
'7/.
Asoessors Map #
Subdivision:
ctmer:
P /) / C!...,
Address:
City:
?Yo-t /1.f'l!.4~;I / c:) k
n
n
n
n
NPM
Addi ticn
Remode l
Hobi 1.e Barna
Date of Application
Rp.mJi~p'n T~p~p~~ir.nR
D. SITE INSPECTION: To be made after
excavation" but prior to set up of
forms.
O ' UNDERSLAB PLUI.fBING. KLECTRICAL &
MECHANICAL: To be made before any
. work is covered.
o
FOOTING & FOUNDATION: To be m::zde
after trenches are excavated and
forms are erected" but prior to
pouring concrete..
D
UNDERGROUND PLUMBINGI SEWER. W.1TEi~
DRAINAGE: To be ma:i.e prior to fil-
.Ur.g trenches.
o
UloJDERFLOOR pr,!IM8TNG & MECHANICAL:
To be made prior to installation of
ttoor insulation or decking.
POST AND BEAM: To be made prior to
instaUaticn of fioor insulation or
.decking.
I'\'A" ROUCH PLUMBIllG. E[,ECTRICAL & MECH-
~ ANICAL: No work is to be covered
~ ~ur.til these inspections have been
made and approved.
D FIREPLACE~ Prior to placir.g facing
materials and before framing inspec-
tion.
o
D FRAl-!ING~ Must be requeoted after
approval of rough pZwnbing, alectri-
.cal & mechanical. All roofing
bracing & chimneys" etc. trr..lst be
;- completed. No wol'k is to be con-
-...-cealed until this inspection has
.,~ bee:: made and approved.
SPRINGFIELD
~
7</ 0. Pf
Tax Lot #
Phone:
';)Cl3 - 0//7
970<.
. Rece-:.pt #-
V; c../C; 10
Zip:
Your Cit;y Desigr.ated Job Number Io:
O INSULATION/VAPOR BARRIER INSPECTION:
To be made after aU insulatian a"'.d
, .. required vapor barriers are in place
. 'but before any lath" gypsum board or
tXlZZ covering is applied" and before
any intJuZation is concealed.
O DRYWALL INSPECTION: Tc be made
after all drywall is in place"
but prior to any taping.
O MASONRY.' Steel location, bona
beama, gl'OU ting or vertica ls in
accordance with U.B.C. Section
2415.
O WOOD$TDVE: After installation is
ccmpleted.
D
CURB & APPROACH APRON: Afte-:- forms
are erected but prior to pouring
aoncl'ete.
SIDEWALK & DRIVEWAY: For aU con-
crete paving within street right-
of-wc.y" to be made after aU exca-
vating ccmplete & form work & sub-
base material in place.
, ,
rJ
D
D
PENCE: When compl;;te -- Provide.
gates or movable se?tions through
P,U.K.
Siqned:
Date:
A-r/
2"Z 0/6' J-
r, ,
o
/ :j9/8 r-
PhonE'!
InRIJ 10/ 77
~;;:?&C-;
6,J{71 fs /
I
?? So IC/.J
r DEMOLITION OR ;~:OVED BUILDIilGS
=:J Sanitary SelJeI' capped at p~op;;r"t'd line
~ Septic tank p~~d and filla~ with gra~el
::J Final - T{hen ab...""Ve ite.'?Is are completed
ar.d when demoLition is complete or Btru~-
ture moved and premises cleaned up.
. Mobile Hemes
=:J Blocking a7Ui Set-up
=:J Plumbing connections -- sewer and water
---, E2ectrical Connection - B2ocking, set-up
.--..J and plumbing connections rrr....st be approved
before requesting elec~rical inspec~io~
~ Accessory BuiZding
--, Final - Aftar parches, skirting" decks,
~ etc. are camp1.e~ed.
o
All project conditions, such as the installation of street trees, co~letion of the
required Zandscapir:g" etc." must be satisfied before the BUILDING FINAL can be requested.
D FINAL PLUMBING
o FIliAL IJKCHAI/ICAL
I2St FINAL ELKCTRICAL
o
z
FINAL BUILDING: The Final Building Inspection must be requested after the Pinal Plumbing
EZectrical, and Meahar.ical Inspectionn have been made and approved.
*ALL MANHOLES AND CLEANOUTS MUST BE ACCESSIBLE, ADJUST!fENT TO BE MADE AT NO CDST TO CI'I'Y I PczFe 1 of 2 J
Page 2
I JOB NO, g\'O/7"J---SOlAR .ESS REQ,"
Zone:
Occuvanc~ Grou~:
Lot Sq. Ft:!,
S of lot Coverage
# of Stories
Total Height
Topography
WT TYPE
ITEM
SQ.PTG
x
Main
.I Ca.raae.
I
Accessol'u I I
F rhnhf.e ~ /
I TOTAL VAWE
IS.D,C,
Carvort
(val.uc)
1.5 z
Building Permit
State 5u:t'charge
Total Char>ges
I ITEM 1110.
I Fixtures I
I Residential (1 bath) I
\ Sanitar>y Sewer>
I Water
FEE
Plumbing permi t
State surcr.ar>ge
Total Charaes
I NO.
FEE
lITEM
I Res. Sa. fta.
I New/Extend Cir>cuits I
Temporary Seroioe I ~I
kt~t::~t Ie
I
j
State Surcharqe
Total Charces
lITEM
I Furnace STU'S
I Exhaust Hood
1 Vent FCUl
I WOodstove
I NO,;
I I
I
I
I
FEE
Permit Issuance
Mechanical Permi t
State SUrcharae,
Tnta 1 ChaT"{M3
I -- ENCROACHMENT --
I SeC"Mri~ Deposit
I Storage
I Maintenance
I Parmit
I
Total Cha1"qcs
CUztbcut
Sidewa Zk
Fe~e
Electrical Label
Mobi le Home
I TOTAL AMOUNT DUE:'"
In.terior
Cornel"
Panhandle
Cul-de-sac
Value
,541 ~
~t'/tyl'
q?>
~~~,'
I
CHARGE
I
I
I
10 ~
CHARGE
~o
IOe/.
CIIARGE
I
I
3.S 7<0
.
l-COG.,)j,
Type/Canst:
Be&oor.:s:
1 Lot Faces -
Setbacks
I P.L. I House ' Carage
INorth
lEast
ISouth
IWest
I \ Enerq,"tf Sources
I 1 Heat
II
: I I
II
II I
TUDe
I Access.
I
I
I
Water Hp.f1tp.1'
Range
Firep lace
WOod3tove
-- Fees
Building Value & Permit
This permit is granted on the express condition that the said con8t~ction
8hall~ in aZl respects, conform to the Ordinance adopted by the City of
Sp1'ingfield, incZuding the Zoning Ordinance, regulating the ccnstruction
and use of buildings, and m~y be suspended or revoked at cny time upon vic-
lation of any provisions of said Ordinances.
.
I Plan Check Fee:
I Date Paid,
IReodpt #,
I Signed,
Plumbing Permit
No pereon shall construct, install, alter or change any new or e~isting
plumbing or drainage sY8te~ in whole 01' in part, unless such person is the
Zegal 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-
oant,
.
Electrical Permit
Where State LaLJ requires tr.at the electrical, work be done by an Electrical
Contractor, the electrical portion of this permit shall r~t be valid until
the Zabel has been signed by the Electrical Contractor.
Mechanical
Permit
,
,
I
I
I
l.
'P7.an Exarm.ner
var:e
I HAVE CAREFULLY EXAMINED the completed application far> permit, and do
hereby certify that aU infomJation hereon is true and correct, and I
further certify that any ar.d aZ1.. lJOrk perfomred shall be done in accor-
dance with the Ordinances of the city of Springfield, and thz La;,;s of the
State of O1'egan p~rtaining to the work described h~rein~ end that NO OCCU-
PANCY will be m:::zde of any struatUX'2 without permission of the Building Di-
vision. I further certify that only aontra~tors ar~ ~l~yees who are in
compliance with ORS 701.05E will be used on this project
6f~4
Sign$d
7- Z o'-? cr--
Date
.