HomeMy WebLinkAboutPermit Building 1983-8-1
~~9ce-i.pt. ,ij.
In\y2{Y
.. RESIDENTIAL"
APPLICATION/PERMIT
225 North 5th Street
Springfield) Oregon 97477
Building Division
726-.3753
. i.
, I '
Job Location: 2/0 l,..<../~r Ce~r~~~/.A1<:
'Assessors Map # I ;J...O ~ .. "'2/- '/ '7 T= Lot # ~ ~
Subdivision:
Cl.mer:
~ ~~R ~'
~,~
~' I'
'::;??~ ~
{' '~ 1',
~~
~&J
Q
/~;z;>~
Address:
City:
I
I I
IXI
I I
Nm.J
Addi tion
C.ONv~r
E#rA/L~
Remoc.el
:'fobiZe Flome
Date of Application
COn-!;ractors
B-/-8S
~~'
Genera l
Plumbing
i Electrical
I Mechar:ic::zl
I, Const?"'.4ction l,ender
Phone:
7Y".~<CC;;
~7~ 7?
Zip:
Describe riork:
QA?f~
~~
-
e::--
?o
"
~ ~f1clLu
P)-I-R,~
!
i
I
I
I
i
VaZue /~~O'
Siqr:ed:
Date:
CU::. ,
Address
Lisc. ,ij
E....'l..Iires
Phone
It; is the resFonsibility of the permit ho~erto see that aZZ inspections are made a't the proper timE:, that ,each ~ess is rea.::a~:e
fl'Otll the street, and tha't the permit card is located at the front of the property.
'3ui~ir~ Divi~io~ approved FLan shaZl remain on the Bu~Zding Sits at'all times.
PROCEDURE FOR INSPECTION REQUEST:CALL 726-3769 (recorder) stat~ your City desig"'.ated job nur,;ber, ,job ac.C:!oess, type of inspection
rgquested ar.d when you wiZZ be ready for inspection, Con'tractors or (J!.;ners nc:me c.nd phone number. Requests received be/ere 7: 00 c::l
:.->ilZ. be made the same dc:y, requests mc:d.e .after '1: 00 am wiZZ be 'made the n=t :,}Orking day. '
Your City, Desigr';'ted Job Nwnber Is: ~!3/9< '?
Reaui",p.d !nsDp.~ticns
SITe INSPE:CTION: To be made
excavation, but prier to set
forms.
o
0:'
after
up of
UNDF:RSLAB PEL'MBING. ELECTRICAL &
MECHA.'IICAL: To' be made before any
work is c:overed.
o
POOTING :1 FOUNDATION: To' be made
after trenches are excavated and
forms are erected,. but prior to,
pourir~ concreto.
UNDz::RGROUHD ?~UMJ3ING. S'C'''/cR. W.1TER,
DRAINAGE: To be made prior "to f"iZ-
Zir'~ trenches.
[J
o
UNDERFWOR PW,'.'BING & MECHANICAL:
To be made prier to i!!S1:aZl.ation of
[Zoor insuZation 01' decking.
POST AND BEAM: To be made prior to,
instaZlation of floor inslOl.atior. or
decki7!f;. '
ROUGH ?~[R.f8nlG~[ECT?ICA~~ NECF!-
ANICAL:, No '-lork w'"''' o~eoL'ered.
ur.'tiZ these inspections ~.ave been
made a:Yui app!'Ov'e:i.
FI-'''FPLACE:: ,Prior to ?Zacir~ facing
materials and bejore framing inspec-
tion.
I~ F~~1ING: ~~stbe recuested after
~ approval. of rough plWr.Ding, electri-
cal & mechani.::al. AZZ roofing,
bracing ,& chimn~ys, et.::. ~~st be
,corrroleted. !lo ,work is to ,oe con-
, ~ cea'led u?'!ti l this inspecticn r.as
'been'made and approved.
o
[R]
o
[J FIliAL PWt,.'BnIG
[J FINAL ME::BAtlICAL
cg] FINAL ELECTRICAl,
[]
o
f\7l INSULATION/VAPOR BARRIER D!SPgCTION: DE:lfOLITIO.'! OR ;',fOV2D, BUILDnlGS
~ To be made after aU insulatwn a!".d
" requ~red vapor barrier,S are in place '~SanitiXl"dS8'.Jer ~apped :zt p~op~rt"dZir.e
but before any lath; gypsum beard 01',
wE covering is c.ppZied, and before, ---"l Septi~ tank rTcAr.?d,a;ul f~ZZed with gr~;;eZ
any insulation ~s concealed. ----l
:lRJ
:J Final - [{her. c.bcve ite:ns 'cZre cC,m:Jleted
.. A .~.. ~.....
ana, when ~emcl:.,,"on '"s complete 01' S,,;:>U':)-
'ture moved and premises ~leaned up. '
DRY'tlALL INSPgCTION: Te be, made
after aU cJ.r.d!.JaU is in place,
but prior to any taping.,
o
MASONRY: Steel location, bond'
beams, grouting 01' verticals in
accordance with U.B.C.Section
.2415.
Mobile Homes
o
~ BZocking and Set-~p
~'Plumbing connect~ons s~er and water
.', I Electrical Cennection - Blockir'~, s~t~U?
~ and plwnbing connections m-.:.st 1;e approved
before requesting eZectrical inspec~ior.
=:J Accessor:," Bui Zd~ng
WOODSTOVE: After instalZa'tion is
ccmpleted...
D
CURB & A..t."PROACR AP."10N: After forms
are erected but prior to pouring
, concrete.
SIDEWALK &' DRIYEYAY: For aU con-
crete paving within street riaht-,
of-:-wc.y: to be made after aZZ ~xca-
vating complete & forn work & sub-
basema'terial in ;;la::e.
~ Fi~.aZ - Aft~r ;~rcr.es, skirting, de::~$,
--.J etc. are ccmp.ze-::~d.
D
~
PENCE: When compl.;;te -- Provide
gates 01' movable sections through
P.,U.E.
D
., .....
o
AU Fro,jec't cor.di;ions, sue,!; as the -':'nstaUation of street trees, '::o::7;;Zetian of the
required landscc:pir~, etc., must be satisfied before the BUILDENG FINAL oan be '!'zquestsd.
FINAL BUIl,DING: The FinaZ BuiZdir'~ Inspectipn ,~.4st be reaueated after the Final PZumbing
Elec"rical, and Mechar.icaZInspections have been made and approved.
*A[[' MANHOLES AND Cl,EANOUTS NUST BE ACCESSIBLE:, ADJilS'i'NEtIT TO BE ,',W;E .'1'1' NO C')ST TO CITY P::z:;e, of 2
Pc.ge 2
JOB N O~ "Z 3 ) C12'$ 0 L A R ,C E S S R E Q,-
I Z~e.. .77__,~'
v'" ~.... Occou::anc:; G1":7U::l:
Lot Sq. F1;g.
I:: of ~t C,jlJeragc
,#- of Stories
I Total :ieight
I
, , Topogra?hy
ITEt\f
, c:n ""'G
-,.."...
I
I
I"'fain
,I Gc:zoac:e
!
! C.21'~er,;
I
1,4ccessoro-1
F~&l~L
IS.D.C.
l
7'0'1'.41; VALUE
I t:a~;;.e)"
1.'5 :::
Bui1.ding Permit
State Surch.:JTge
Total cr.a.~ges
I IT2:.! NO.
I Fi---tuI'es
I Residzntial (1 bath)
Sanitar:f Sewer
I
I
I
"'ate!'
I
Pl;,qnbing Perr.:i t
State Surcr.a:rge
Total Chtz!ooes
ITE.\J
I NO.,
I
Ix
I
I
Res. So. 'fto.
I NaJ/E-""tend Circ'J,its
I Temporary Service
E!eotrical Permit
St::te Surcharoe
Total Charces
IT~.'1 I ilO. :;r~,~
,~~
F'urn:zce ETU' S I
EZhaust Hood 'I
Vent F=n I
I "';'odsto7Je I
I I
Permit Issuance
Mech.anic:::. l PeI'mi t
State SurcJu:::rqe
Tot:'7f. r;".-'!r'I~f}
I -:- ENC?CACHl-!ENT--
I Sec-J.Z"'~~o.! Der;osit
Stor=ge
Maintenar~,g
I Permit
I Total C''laroes
I Curocout
I sid=lk
Ife~e
I F:Zectrical Label,~ 0' -.f2-,
I
! Mobi le aome
.1 TOTAL A..\;OUNT DUE:'
WT rYE
Inr;erier
,Col'1ler
Panhandle
Cul-de-sac
x
Value j
I
I
I
I
/~~
I
I ·
I
/a. 0&:' I
.0/01
/oo/t>l,
CEA?CE I
I
I
I
'I
FEE
I
I
I
I
I
I I.
F::E C.~.?GE I
I I
"2 &>I ~ Mt:>/'f E I
/5~I'
.601
~~I,
C!!ARCE
I
I
I
I
I
I
I
I
I
I
18.~1
I ,-ZO
I
I
I
y~<O
L-COG~
Type/Const:
'1'uca
Bedrooms:
Lot Faces-
I p,[,.
!North
East
S01":" th
IWest
Setbacks
I House I Carage
I
.I
I
Water Heater
Range
I lireo lace
I Woodatove
L
I Access. :
I I I
I
I
Fees
Building Value & Permit
'This permitiagranted on the e:rpress,condition that the said construction
shall, in all respects, confe'f'm"to the Ordinance ':w.opted oy the Ci.ty of
Spr'~ngfield, ~na!ud~ng :::he, Zoning Crd-::ncmce,regulati1".q the con.stro-'/ction
and use of buildings, and m~y be suspended or revokec at an.y time upen vio-
lation of any prDvisions of said Ordir~nces;
"3. O~
~~/- e:=s
Plan Check Fee:
Date Pa~d:
IReceipt Ii:
I Signed:
Plumbing Permit
No person shall construct, install, alter or change any r~W or e--isting
plumbing or drainage system in whole 01" in part, unless such Ferson is the
legal possessor of a valid plumber's license, except tr~t a pe~son may do
pl'UTi':binq work to propert'::I which is oumed, leased ,or operated by the appli-
cant.
/,
/
Electrical Permit
Where State LaLJ requires tr~t the electrical work be done by an Electrical
Controctor, the electrical portion of this permit shall not be valid until
the Zabel has been sitJMd by the El.ectrical Contractor.
Meche n ica'l Permit
~'
-~~~
~a~ner . , . .,
t
~-/ -lSs
Var;e
I HAVE: CAREfULLY EXA.'1INED t,'w completed application for permit, and do
hereby certify that all info~ation hereon is true and cerrect, and I
f..l.Z'ther certify that any ar.d all u;ork performed shall be done in accor-
dance ~th the Ordinances of the City of Spr'~ngfieUi, and thz L~~s of the
· State' of Oregon pzrtaining to the work described here~n, and that JO OCCU-
Pf.flCI Will oe made of any struct'..I.Z'e withou.t permission of the 3uiZding Di-
vision. I fUrther certify th~t only contractors ar.d ~~l~yees who are in
compliance with CRS 701.05& will be used on this project
.~.~ . YVf4'.).~. /.//~.~
~~~11 (;II~ , _!/
~; S1,gJ.~d '..,
, .
, ,
8-/'!-'f53
Date