HomeMy WebLinkAboutPermit Building 1986-3-24
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.o~ RESIIY.TIAL 00
APPLICATION/PERMIT
225 North 5th Street
Springfield~ Oregon 97477
Building Division
726-3753
~l;?eceiPt fI
SPRINGFlELD~~ .
~J ~1-
.... ___ i
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Job Location:
~~.~
\1 63
,w,
2j
Asaessol'S 'Map #
Subdivision:
C 'E. "1 --r- 'Cy\'n ) A C
Lj~'
()1900
T= Lot #
CA.mel': VA r\)~ \\Jftl\J<:'~) KA lL, C Ie
Address: ~"33 lJ0, C?,n'1-(":nlllt.:1 1 Phone: 7~)~ /5) It,
City: ~~\"f) zip:
NRW
Addition
I ~)~~
Remodel
MobiZe Home
Date of Application
· 3 - d-.-'J"" '6<:0
Conr;racr;oT'S
C"\~E y
Genel'al
Plwnbing
I E1.ectrical
Meshar.ic.:zZ.
Construction Lendel'
Describe 11'01'7<:
AS? 1.51-
IJdJ LuA}c: t.:
19 b-b{0' ':t,:':
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~C\V
~
J~
4)
,
o\~
vall
J '"to 0
:'-,
'.
Signed:
g3~
d-'-Jr-U
Ad..t:L......ess
Date:
Lise. #
EX'Dires
Phone
.0 .r...
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It is t1ul l'espoiwibil.ity of the perntit holder to Bee that al.Z. inspections aPe made at' the -proper tims, tr.at each =ddress is l'ea::abZe '
from the street, and that the permit caI'd is located at the front of the property.
'+Bui!ding Division approved pLan shell l'emain on thz Building Sit:;; at all timss.
PROCEDURE FOR INSPECTION REQuEST:CALL 726-3769 (recol'derJ state YOUI' City designated job nw;;bel', job adC.:rcss, type of ir.3pec::icn
l'equested ar.d when you wi1.l be l'eady for inspection, Contractol'S 01' CA.mers name and phone nwnber. Requests received before 7:00 ~
;..'iZZ be made the same dc.y, requests made after 7: 00 CC1l L)ill be made the nc:r:t :xJl'kil'.,j day.
Re~!i~q~ Tr~~~~tiGn5
O SITE no'SP2CTION: To be made aftel'
e.xcavation, but prior to set 'up of
. forms.
O UNDERSLAB PLUMBING. ELECTRICAi &
. MECHAilICAL: To be made befol'e any
wol'k is .::overed.
o
FOOTING & FOUNDATION: To be made
after trenches al'e e.xcavated and
forms are erected, but pl'ior to
pouring cenCl'et~.
UND'SRGROUND PLUMBING. SEWER. W.1TER,
DRAll/AGE: To be made priOl'- to fiZ-
,Ung trenches.
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0:
UllDERFLOOR PLUt\23ING & MECHANICAL:
To be made pl'ior to installation of
[2001' insulation or decking.
o
POST AND BEAM: To be made prior to
insta1.lation of flool' ins14lation or
,decking. ,
~ '
ROUGH!fLU!!B~ELECTRICAL & MECH-
ANICAL. "u ork is to be covered
,unti1. these inspections have beer.
~e and pppl'ov,!-=.
FIREPLACE! . Prior to
materia1.s and before
tion.
~
D
placir.g facing.': -
fl'aming in spec-
i'/l. FRANINC: Must be requested aftel'
~ approval of 1'0ugh plumbing, electl'i-
cal & mechanical. AU 1'00fing
bracing & chimneys, etc. nr~st be
;' completed. No wOl'k is to be con-
.-..~,cealed until this inspection has
~ bee,n made and appl'oved.
Your City Desigr.ated Job Number Is:
o
INSULATION/VAPOR BARRIER INSPECTION:
To be made after a1.l insulation ar4
required vapor bClZ'T'iers are in place
but befol'e any lath, gypsum board or
wall covel'ing is applied, and befol'e
any insulation is concealed.
~60)q j
DEf.fOLITION OR ;',:OVE:; BUILDIiiGS
:J Sani::a:ry SB'..Jel' capped =.t pz:.oP<:l't':i line
~ Septic tank p~cd and filled with gra~el :
, :
i
,
I
;
I Pinal - I{hen above ite...ns are cemvleted '
~ and when demolition is complete ~1' struo-
tu:recmoved and pl'emises sleaned up.
I Mobi le Hemes
:J Blocking and Set-up
:J Plumbing connections -- sewer and watel'
~ Electl'ical Connecti?n - Blocking, set-up
--1 and plumbing connections rrr",st ce approved
befol'e requesting electrical inspec::io~
=:=J AccessoI",i Building
I Final - Aftel' pOl'ches, skirting, decks,
~ etc. are comple::cd.,
o
All pl'oject conditions, such as the insta1.lation of street trees, co~letion of the
l'equil'ed landscaping, etc., must be satisfied before the BUILDING PINAL can be requested.
;EJ FINAL PLU!$I!/G
~ FIliAL ~.fECHANICAL
=:J FINAL ELECTRICAL
~
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FINAL BUILDING: The Pinal Building Inspection must be l'equested aftel' the Final PZ.umbing
Electl'ica1., and Mechar.ical Inspections have been made and appl'oved.
DRYWALL INSPECTION: To be made
after all. drywall. is in place,
but pl'ior to any taping.
'0 MASONRY: Steel location, bond
beams, grouting or verticals in
accordance with V.B.C. Section
2415.
D WOODSTOVE: After installation is
ccmp Zeted.
~
o
CURB & APPROACH APRON: After forms
are el'ected but pl'ior to pouring
cO=l'ete.
*ALL MANHOLES AND CLEANOUTS HUST BE ACCESSIBLE, ADJUST!fE!/.T TO BE ':MDE A~ ,:"0 COS~I'!'Y , I Page 1 of 2
o
SIDEWALK & DRIVEWAY: Por all. con-
crete paving within street right-
of-way, to be made, aftel' all e.xca-
vating complete, & forr."l wol'k & sub-
base material in p~e; ,
-~
D
PENCE: Il'hen compZ~te -- Provide
gates 01' movable sections thl'ough
P.U.E. '
D
,JOB :No:~D 1 q J
I Zar.e:
\Lot Sq. Ft:;.
% Qf lot Caverag~
if of Stories
. Total Height
I
I Topogra;hy
I
I ITE:,!
I Main
I Gc:race
I Car:Jcrt
I Accessor'1./
I s::,UlfJ({ t/J~/r
r ;
Is.D.c.
I
SQ. FTC
TOTAL VALUE
1.5 ::
IVC::~W::)
,BuiLding Permit
,State Surcha:rge
Total Charges
iITZl.!
I Fi=tv:res
,
I
IResidential (1 bath)
i
Scrnitary Sewer
Wcter
i
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SOLAR ACCESS
OCCl-mancu c4
LOT TYPE
Intericr
Coroner
Panhandle
Cul-de-sac
x
Value
/$~.
I #~.
29. s;:::>
/./B
~.6t3 *
I NO.
1/
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FEE
CHA?CE I
~5~ I
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1..5:00 I
.~
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State Surcrarge
Plumbing PeI'cit MIN.
Tetal Charaes
, ITEr:
,
i Res. Sa. fta.
IN~/Extend Circuits
I,
I Temporary Service
I
Ele~trical Permit
St:::te Sur~harae
Total Charces
I'I~.'.1
F'urn::xce ETU' S
E:::haust Hood
Vent Fan
1 Woodsto:Je
I
, Permit Issuance
Mechanic:zl Permit
State Surcharae
Total C1urraea
i -- ENCROACHMENT
,
ISe~~rit1./ Devosit
i
,I Storage
I
I Maintenance
I Permi t
Tota l Charaes
,
i eurbcut
i Sidewalk
i Pe=e
i Electrical Label
'Mobile Home.
I "'O""L AI 'OU "7' DUt'. *
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CHARGE
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REQ.-
L -CO C-1t
Type/Const: .
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Setbacks I I
House Caraae Access. I I,
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P.L.
North
East
S=th
West
Be&ooms:
En2rr::J Sources
-'iear:
Water .'feater'
Range
FireD lace
WooaGr:oz.;e
Lot Faces -
Tur:<!
-- Fees
Building Value & Permit
This permit is granted on the express condition that the said construction
shall, in all respects, conform to the Ordinance :zdopted by the City of
Springfield, including the Zoning Ordinance, regulating the ccnstmcticn
and use 'of buildings, and m~y be suspended or revoked at ar.y time upon vic-
Zation of any provisions of said Ordir~nces.
I};
Fee: ~", 1'~)9. J~
"3~ -;:t-J-?'lo
B 6-i.o, ~
Plan Check
Date Paid:
IRecc:ipt #~
ISig~ed: :J
Plumbing Permit
No person shall construct, install, alter 01' change any new or e::isting
plumbing or drainage syste~ 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 ok~ed, leased 01' operated by the appli-
cant.' ,
Electrical
Perm it
Where State LCILJ requires tr~t the electrical work be done by an Ele~trical
Contractor, the electrical portion of this permit shall not be valid until
the Zabel has bc:en signed by the Electrical '~ontractor.
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Mechanical Perm'H
~ >..;>~-~
/~ Exc:mwer -cr:.- A -
f-<~.~6
'j)ate
I HA VE CAREFULLY E:XAM,INED the completed app l ication for permi t, and do
hereby certify that all information hereon is true ,and corrcct, and I
further certify that any arn all work perfo~ed shall be done in accor-
dance ~th the Ordin:znces of the City of Springficld, and the L~~s of the
* State, of Oregon pertaining to the work described herein, ar.d that NO occu-
PANCY will be made of any structure without permission of the Euilding Di-
vision. I further certify that only contractors wui e~plQyees who are in
ca~pliance with ORS 701.05S will be used on this project
Signed
!
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I
00 RESIDtl~TIAL 00
APPLICATION/PERMIT
225 North 5th Street
Springfield, Oregon 97477
Building Division
726-3753
! -----.-
Job Location:
-::2) ~ 7)
\1 b'~
W,
:2j
Asoessors Map #
Suhdivision:
O:.mer:
\)A I,)
~~3
~rp Y'()
/
SPRINGFIELD
1
i:-:..';',
,~III
L_" I ~ I
C 'C " r 'CY'\ VI ) A L
old
'-- I T= Lot #
()19o 0
-[, '\\) f\ 1\..)Cq k-A fL) C )e
\.Aj, C ~n;Yf- 1'\ YlI~ , Phone:
Address:
Ci ty :
NR'uJ
Additien
~)-A~
Remo.:el
Mobi!e Home
Date of Applicatien
, 3 - d--"I..-, 8(,
:....'on;;::rcc:;ors
General
P1.umbing
E1.ecr;rica1.
(') LV\) E. Y
7~1)~15)v,
Zip:
Describe fiork:
A5t5/7T
IfciJ lAJr-rrc: f
, Rcce:pt 1/
G b~ / ')'1-.
valJf
J 'i:O 0
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Acuiress
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do. \
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Si(Jr.ed.:'Y~ /y~#
Date: v'~ -- :::l qr- <;~
~isc. ,~.
E:r:Jir[?s
Fr.onf:
Mechar.ic.::1.
COnst1"Uct:i07l Lender
It is ths l'esponsibi1.ity of the permit hoZde2- ,to see that a1.Z i7Wpections are made at the proper time, tr.at each =dd:re8s is rea.::abZe
from the street, and that ths permit card is 1.ocated at the front of the property.
*Bui!dir-.g D-ivi::ior: appz"01..'ed plan shaU remain on thE Building Sit;; at aU times.
PROCI::DURE FOR INSPE:CTION REQUE'ST:CALL 726-3769 (recorder) state uour Citu desicm:zted job number, JOO adCress, type of ir.zpec:;icn
l'cquesr;ed a~.ci when you wiZ l be ready for inspccr;ion, Contractors 0;' O:.mers' =me ''C:r.ci ~hor.e number. Requesr;s received before 7: 00 :.;
:.>iZ1. be rr.aae the same dcy, requests made aft= 7: 00 am LJiZ1. b~ made the n=t :JOrking day.
R2aui~~d T~s~p~ticns
o
SI7'E I:"/::?~C7' IO:/: To be made after
excav~=iQn, but prior to set up of
forms.
UllDERSLAE PU?,f3ING. ELECTRIC,lL &
1.fECi-:'/::.:/IC/iL: To be made before any
work is ;;Jovcred.
o
o
FOOTING ,I; FOUNDATION: To be made
after "rencnes are excavated and
forms are erected, but prior to
pouring cencrete.
UND'E:RG?OU!W PLU!,fBING. SEWER. WATER,
DRAINAGE: To be made prior to fi1.-
,1:ir.g r;renches.
CJ
il
~ .
UNDERFLOCR l'W!,13ING & MECHANICAL:
To be made prier to instaZZation of
floor insu~tion 01' decking.
POST AND BEAM: To be made prior to
instalZar;ion of floor ins~Lation or
decking. '
~ '
ROUGH(!'L[F.,13I~ELECT!lICAL & MECH-
ANICAL: ,,0 :.JorK is to be covered
,ur.r;il these inspections have beer.
made ar.ci approved.
FIREPLACE: Prior to placir.g facing
mar;enaZs ar.d before framing inspec-
tior:.
:\7l FRANnIG: Must be requeated after
~ approv~l of rouqh plumbing, electri-
cal. & mechanical.. AU rOOfing
bracing & chimneys, etc. ~~st be
,'comp1.er;ed. !,'o w:Jrk is to be con-
,'.. ~,cealed unti l thia inspection, has
~been made and approved.
[]
~
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Your City Desigr~tedJob Number Is:
D
INSULATION/VAPOR BARRIER INSPECTIO~:
To be made afr;er all insuZ~ti:Jn a7~
required vapor barriers are in pLace
but before cm.y Lath, gypsum beard or
wa1.l covering is applied, and before
cm.y insuLation is concealed.
~60)q i
DEl!OLITIO,',' OR ;~!OVE:; i3UILDI:lGS
~ Scm.itary se'..Jer ;;Japped =t p~opert":i 1.ine
~ Septic tcm.k p~~ed ~.d fiZZed LJith gra~e"
---, Pind - f{hen above ite:71s are ce=1.eted
---l cm.d when demelition is co~Zete ~r S~;;J-
ture moved and premises cleaned up.
I Nobi le Hemes
~ Blocking and Set-up,
~, Plumbing connections ~ewer and water
~ Electrical Connection - B1.ocking, set-up
~ and plumbing connections ~..st ce CZ?proveC:
before requesting electrical inspectio~
~ Accessory Building
---,Pinal - After p:Jrches, skirting, decks,
~ etc. are comple=ed.
o
A1.1. pro,iect conditions, ouch as the installation of street trees, co,-,rpletion of tiul
required Landscaping, etc., must be satisfied before the BUILDING FINAL can be rsquesr;:;d.
Xl FINAL PLWBIl/G
==:J FINAL !,!E;;HA::ICAL
~ FINAL ELECTRIC:'L
=:J
o
FINAL BUILDING: The Pinal. Building Inspection must be requeated after the Final Plu:r:bir.:;;
Elecr;rica1.,' and Mechar.ical Inspectiom; nave been made and approved.
~
DRYWALL INSPECTION: To be made
after aU arywaU is in pLace,
but prior to any taping.
"ALL MANHOLES ANDCLEAlIOUTS HUST BE ACCESSIBLE, ADJUST.'S:."!' TO BE f.t1DE n NO C::JST TO CI':''! I Page of 2
o
MASONRY: Steel location, bond
beama, grouting 01' verticals in
accordance with U.B.C. Section
2415.
WOODSTOVE: After insta1.1.ation is
ccmpleted.
u
D
CURB & APPROACH AP."?ON: Afte=- forms
are erected but prior to pouring
co~rete.
D
SIDEWALK & DRIlTEf';AY: For aU con-
crete paving within street right-
of-way, to be made after aU exca-
vating complete & form work & sub-
base material in p1.a:!e. '
D
TENCE: ~~en complete -- Provide
gates or movable" sections through
P.U.E.
o
JOB 'No.'~D I q I
I
; Zor.c:
i
ILot Sq. Ft.;.
jz af lot Caverag~
i ,i/ of 'Stories
I", .. 1 U . h
!..oval.; uet.g t
ITopography
I
I. rmr:", ,
I Main
I ,.
!'<Garace
" ~a~cr::
IACCeSSOl'~ I
~?,II-;q ~/r
"
I
,5./D. C.
i
1 T'T'=-l.~
i Fi=7:".a'es
<
I SQ. FTC
1.5 ;:;
TOTAL VALUE
IVC~UC)
Buikiing Permit
State S:u'charge
Totd Cha:oges
iResidential :1 bath)
; ,
I Sc:r.i ta.~:! Se-uJer."
j
I W'Ct2~
SOLAR,
,E S S R EQ.-
1172:': j ;:J.,
i
i Res: Sa. f::c.
Dccur::ancu GrO',,(':J:
LCTTYFE
Interior
Corner
Panhan,dLe
Cu1.-de-sadi.
X Value
I
1t?~1
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#,.#' .*
29. s;:::>
f./?!>
I ~.68I*
;H).
Cii.4?C:: I
~5~ I
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/5:t:l? I
.~,
/~~I*
FeE
/
State S:u'cr.ar(]e
P1.ur.:binq Permit M/h'.
Tete! cr.c.raes
;
INzw/E=ter~ Cir~~its
IT~arary Service
I
I 1-:::,"
I... '~ ,0""1'5
..UI'r'_ce _ _ _
I,
11'"-r.aust Hoo.i
I Vent Fan
"
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I Woodsto:Je
I
E1.ectrical Permit
St:::te S:u'cr.arae
Total Ch.cr'~es
Permit I3SuanC8
Mecr.anic:::l Permit
'State 'Surchapae
To::cl Charar!G
'. EllCROACHJ.fENT
i Storace
;1~~ i
. I S~~J.ritu D2"O03i-t
i f,!aintenar.ce
,
, P "4-
:" Cl'1'1""v
; CurbC"~t
, Sidewalk.
; :c~(?
Total Charaes
Mobile Hame
; ::Zec!ri~aZ kb.:;l
i~;J:-~r. ANOU.~:r DTrr;'....
,-,.i.r:...-;~':'
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CH/;..J,::;CZ
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~ Ll6. :::?8
L-COG~
'Type/Cor-st:
cec.roor.':s:
Lot Faces' -
I 5:n2rn:: So:~r~cs
I .:'car:
Access. 1 WatAY' !-!cc:=(?~
I fiance
I Pi reD iG.cc
:1 WOOQuCOl..:e
, I
'J';;,::~
P.L.
SetbaCKS
I House :' Caraae
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North
East
S01A.th
West
-- F:2es
Building Value & Permit
This permit iG granted on the express condition that the said construction
shall, in all respects, conform to the Ordinance adopted by the City of
Springfield, incZuding the Zoning Ordinance, regulc.ting the constl'".<ction
and w;e of buildings, and may be sUGpended or revoked at c.r.ytime upon vio-
lation of any provisions of said Ordinances. '
Plan Check
Date Paid:
IReceipt #:
I Sig,-:ed: .t(
Jb
Fee: :11. ;4-') 19, J~
3- :2"-1- 'is Co
B 6f.c../ "Y1
'-"'
Plumbing Permit
No person shall construct, install, alter or change any new or e;:;isting
plumbing or drainage syste~ in whoLe or in part, unless such person is the
Legal possessor of a valid plumber's license, except tr.at a pe:>son ma":f do
plumbing work to ppoper~d which is ok~ed, leased or operated by the appli- ':
cant. '
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E I e c t rica I
Permit
Where State Law reQUires tr.at, the electrical work be done b~ an Electrical
Contractor, the eL~ctrical portion of, this permit shall not be valid until
the ~eL has been signed by the ELectrical Contractor.
Mechanical Permit
I.
.~d~
5- -;;' b . :!iP6
vate
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I HAVE CAREFULLY EXAMINED t,lw completed appl.ication for permit, and do
hereby certify that all i,-:fo:omation hereon is true and correct, and I
further certify that any ad all work perforned shall be done 'in a(!cor-
dance ~th the Ordininces of the City of SpringfieLd, and the' L~~s of the
State of Oregan pertaining to the 'work described herein, and tr.at NO OCCU-
PANCY will be made of anti stpucture without permission of the 3uilding Di-
vision. I further certify that only contractors ro.d e~ployees who are in
compliance with ORS 701.055 wilL be used on this projsct
; I ~
l' '\. fLU (',
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