HomeMy WebLinkAboutPermit Building 1987-4-1
00 RES.ENTIAL 00
APPLICATION/PERMIT
225 North 5th Street
SpringfieZd, Oregon 97477
BuiZding Division
726-3753
Job Location:
333 /11 (!tl~rUcJJ,
/ IJ ~"8 ;j 7 f'~ T= wt #
D19f)f)
ASGessors Map #
Subdivision:
Otmer:
Qtf/rl J N0tc~ /:uu;c
t?3.-:<; I J). ~,n1J Phone: 141- /5/ft;
Address:
Ci ty :
NmJ
Additien
Remodel
Nobile Home
~l---/~ g 1
Date of Applicatien
Contractors
General
Plumbing
El.ectrical.
Mechanical.
Construction Lender
~-' t/LfUI...J
Zip:
r;x""rkI ~~
~,
Value
Add...~ess
Receipt 1/ /!> /,0 '2{ 6)3 C;
t/ ~ aJ-O/G
~~ / ,y
t~ . V"'...
, ~rI, d/~
~' -\
Signed:
Date:
CC-
4-(-<;[-1
Lisc.#
Expires
Phone
It is the responsibility of the permit holder to see that aZZ inspections a:re made at ~he proper time, that each .::dd:ress is rea:kWZe
from the street, and that the permit ca:rd is located at the front of the property.
*Bui!ding Divicion approved F~ shall. remain on the Building Site at all times.
PROCEDUPE FOR INSPECTION RE'QUEST:CALL 726-3769 (recorder) state YOUI' City designa.ted'job number, job adC:t>ess, type of inspec~icn
requested ar.d when you will be ready for inspection, Contractors 01' Otmers ncme and phone number. Reques"s received before 7:00 ~
...'iZZ be made the same day, requests made after 7:00 am uJiZZ be made the next :uorking day. ~0 D(f} /
Your City' Desigr~ted Job Number Is: ~
Reauired InsDectienB
O SITE INSPECTION: To be made after
, excavation, but prier to se~ up of
, forms.
D UNDERSLAB PLUMBING. ELECTRICAL &
. . MECHANICAL: To be made before any
work is covered.
o
FOOTING & FOUNDATION: To be made
after trenches are excavated and
forms a:re erected, but prior to
pouring concrete.
[J
UNDERGROUND PLUMBING> SEWER. WATER.
DRAINAGE: To be made prior to fil-
Zing trenches.
o
UNDERFLOOR PLUMBING & MECHANICAL:
To be made prior to installation of
f100r insulation 01' decking.
POST AND BEAM: To be made prior to
installation of floor ins~lation 01'
deckirl{i .
ROUGH PLUMBING. ELECTRICAL & MECH-
ANICAL: No :uork is to be covered
,until these inspections .have been
made and approved.
FIREPLACE: Prior to placir.g facing
materials and before framing inspec-
tion.
FRANING: Must be requested after
approval of rough plwrhing, electri-
cal & mechanical.. A1.Z. roofing
bracing & chimneys, etc. ~~st be
" comp leted. No work is to be con-
~ cealed until' this inspection has
~been made and approved.
o
,D
I
:0
D
lf9 FI~~LU!'fBItlG
D FINAL !1E':HANICAL
o FINAL ELECTRICAL
~
D INSULATION/VAPOR BARRIER INSPECTION:
To be made after all insul~tion ar~
.' required vapor barriers a:re in place
, . but before any lath, gypsum board 01'
wall covering is applied, and before
any insulation is concealed.
DRYWALL INSPECTION: To be made
after aU drylJaU is in place,
but prior to any taping.
O ~SONRY: Steel location, bond
beams, grouting 01' verticals in
accordance with U.B.C. Section
2415.
~
D
WOODSTOVE: After installation is
completed.
DEMOLITION OR ,~!OVED BUILDIilGS
=:J Sani ta:ry se'..Jer :Japped at pz.:.opcrt"d Zine
==:J Septic tank p~ed and filled with gra~el
I Pinal - lihen above items a:re cempleted
~ and when demolition is complete or struc-
ture moved and premises :Jleaned up.
Mobile Hemes
~ Blocking and Set-up
::J Plumbing connections s~er and water
~ Electrical Connection - Blocking, set-up
~ and plumbing connections nr~st be approved
" before ,requesting electrical inspectio:1,
==:J AC:Jessory Buil.ding
I Final - After porches, skirting, decks,
~ etc. are completed.
D
All project conditions, such as the installation of street trees, co,~letion of the
required landscaping, etc., must be satisfied before the BUILDING FINAL can be requested.
o
FINAL BUILDING: The Final Building Inspection must be requested after the Final Plumbing
Electrical, and Mechanical Inspections have been made and approved.
D
D
CURB & APPROACH APRON: After' forms
are crected but prior to pouring
cOn.:Jre te.
SIDEWALK & DRIVEWAY: For aZZ con-
crete paving lJithin street right-
of-way, to be made after al~ exca-
vating comp~ete & form work & sub-
, base material in place.
"
";::
'ALL MANHOLES AND CLEANOUTS MUST BE: ACCESSIBLE, ADJUST!fENT TO BE f.L1DE I!T NO CaST TO CITY I Page of 2
D
PENCE: A'1zen compl;;;te -- Provide,
gates 01' movable sections through
P.U.E.
D
I JOB NO. rg[;o/9/
I
I Zona:
ILot Sq. Ftg.
1% of lot Coverag~
! #- of Stories
\ Total Height'
I
Topography
SOL A RAe C F;'" '5 R E Q.-
Oacuoana~ Grou~:
LOT TYPE
lITEM
I Main
I GaraGe
I Ccznjort
I
I Aaaessorl./
I
I
SQ.FTG
TOTAL VALUE
S.D.C.
(va~ue)
1.5 x
Bui lding Permi t
State Sux>charge
Total Charges
i ITEM
Fi:J:1:UI'es
I NO. I
I I
I I
I I
I I
I I
Residential. (] bath)
I
I Sanitary Sewer
i
I Water
I
Plumbing Perrr:i t
State Sux>cr.aI'ge
Total Charaes
I ITEM NO. FEE
Res. Sa. fta.
New/Extend Circuits
I Temporary Service
I
El.ectrical Permi t
State Sux>oharqe
Total Charges
ITEM NO. ' FEE
Furnaae ETU' S
I Exhaust Hood
I Vent Fan
i .
i Woodstove
I
Permit Issuanae
Meohanical Permit
State Sux>charae
Total. Charaee;
-- ENCROACHMENT
I . .
ISe~d~ty Depos"t
I
1 Storage
; Maintenarwe
Permi t
Total Charqes
Curbcut
Sidewal.k
Fen::!e
El.eatrical. Label
Mobile Home
TOTAL AMOUNT DUE: *
Interior
Corner
Panhandle
Cul,,-de-sac
x
Value
I
I
I.
I
FEE
1*
I CHARGE I .
I I
I I
I I
I I
I I
I 1.6)_ 00
I -0V
I 1__'), ~O, *
CHARGE I
I
I
CHARGE
(5'< ~O
l- CO G~
, Type/Const:
Bed:rooms:
I Lot Faces -
I Setbacks
I P.L. House Carage
North
lEast
ISouth
IWest
I I
Enerau Sources
I Heat
I
I
TurN
Access.
Water Heater
Range
Firepl.ace
Woodstove
Fees
Building Value & Permit
This permit is granted on the express condition that the sdid,construction
shall, in all respects, conform to the Ordinance adopted by the City of
Springfield, including the Zoning Ordinance, regul.ating the construction
and use of buil.dings, and may be suspended or revoked at any time upon vio-
Z-ation of any provisions of said Ordir~nces.
*
Pl.an Check Fee:
Date Paid:
Rec~ipt #:
jSigned:
Plumbing Permit
No perBon shall construct, ,install, alter or change any new or existing
pl.umbing or drainage syste~ in whol.e or in part, unl.ess 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 ow~ed, leased or operated by the appli-
cant: .' . ' .' .~ ~ /uu;e fo ~
~fudhh~
S es;~4
Electrical Permi t
Where State Law requires tr~t the el.ectrical. work be done by,an El.ectrical.
Contractor, the el.ectrical. portion of this permit shal.l. not be val.id until.
the Zabel. has been signed by the El.ectrical. Contractor.
I
I
I *
Mechanical Perniit
*
Plan Examiner
Uate
I HAVE CAREFULLY EXAMINED thE compl.eted applicati6n'for permit, and do
hereby certify that all. info:'lTlation hereon is true and correct, and I
further certify that any ara aU work performed shaU be done in acaor-
dance with the Ordinances of the City of Springfiel.d, and the L~~s of the
* State of Oregon pertaining to the work described herein, and that NO OCCU-
PANCY wiU be made of any structux>e without permission of the Building Di-
vision. I further aertify that onl.y aontpactors and e~pl.oyees who are in
compl.iance with ORS 701.055 wil.l. be used on this project
1/;~r~
Sned ~
4,...( - r1
Date