HomeMy WebLinkAboutPermit Building 1989-4-4
.. RESID.iNTIAL..
APPLICA~/PERMiT
225 North 5th Street
Springfield~ Oregon 97477
Building Division
726-3753
~. I '
'-
SPRINGFIELD
Job Location: 1) '5 ~~~ i2tli?:5"2.r :s /.. #' 9t,;
Asoesoo1'$ Map # / 1 () 2 .3 3 Y ()O" T= Lot #
Subdivision:
() (3 ()1)
Or.mel': t1(4Y~/]/P 7 6v,;5/f./~ ,nr5C:#//~
Address:_~t:;'t? I1w999 5,':,<:;> 7/' 2? 3 Phone: 9Y"7~~///
City: L""'6/"7 7-~ 4/f'.ofc&'; -c?7< Zip: 97 q';? y"
I
I
I I
IXI
I~ ~7?f?c.L ~)< b;'~ ~~/C 2
fy ?;~/p~/17#:75~'
New
Addition
Remode7.
.'-fobi7.e lloma
'1- 0/'- B '7'
Descroibe f>'ol''':
'A
~'l?-,..G:
VaZue
Date of App7.ication
Contractors Address
,General ~;t?-~~7 ~?/'e::-/?:N .
: Plumbing 'I( e:--/
i Hechanical
Electrical c::!?Wr/~X
Supervising ~Jec t r:ic i;Jn
Reosipt ,II
/ ,350 to
Signed:
Date:
.cd LfJ
L/ -L/ .J- '1('1
,
Ex~ires Phnnp
Lise. {I
Bldrs Board Re~.
YOUl' City Deoigr~ted Job Numbel' 10:
o
DRYWALL INSPECTION: To be made
after' aU dl'YwaU is in p7.ace,
but pl'iol' to any taping.
MASONRY: Stee7. 7.ocation, bond
beamo, gl'outing 01' vel'tica7.s in
accol'dance with U.B.C. Section
2415.
WOODSTOVE: Aftel' insta7.7.ation is
ccmp7.eted.
It is the responoibi7.ity of the per>mit ho7.der to see that a7.? inopections are made at the proper time, that aGch ~ess is l'eadab:e
from the street, and that the permit card is 7.ocated at the front of the property.
~Bui!ding Divi[:ior: approved p7.an sha7.7. l'emain on tho Bui7.ding Sit::: at a7.7. times.
PROCEDURE FOR INSPECTION REQUEST:CALL 726-3769 (recol'der) state your' City designated job number, job address, type of in3pec-;icll
requested a;o;d when you wiU be l'eady fol' inspection, Cont1'acto~s or Or.me!'s name and phone number. Requests received befel'e 7: 00 a-.
:,.'iZ7. be made the same day; l'equests made after 7:00 am'wi7.7. b::: made the next :.JOrking day.
Requil'ed InsD~cticn~
O SITE INSPECTION: To be made after
excavation, but pl'iol' to set up of
forms.
D, UNDERSLAB PLUMBING. ELECTRICAL &
NECHANICAL: To be made befoI'e any
WOl'k is ~overed.
D
o
o
o
D
D
D
FOOTING & FOUNDATION: To be made
after trenches are excavated and
forms are el'ected, but pl'ior to
pouring ccnCl'et~.
UNDSRGROUND PLUMBING. SEf-lER. W.1TER,
DRAINAGE: To be made pI'ior' to fi 7.~
7.ir.g, trenchee.
UNDERFLOOR'PWMBING & MECHANICAL:
To be made pl'ior to inata7.7.ation of
11001' inau7.ation 01' decking.
POST AND BEAM: To be made pl'ior to
instaUation of f7.ool' ins!.7.ation or
decking.
ROUGH PLUMBING. ELECTl/rGA" ,r, MECH-
ANICAL: No :Jorl: is to be co~'er'ed
ur.tiZ these inspections have beer.
made and appl'oved.
FIREPLACE:, Pl'iol' to p7.acir.g facing
mater'iaZs and befol'e fl'aming inspec-
tior:.
FRAftlINr:: Must be l'equea ted aftel'
appl'ovaZ of 1'0ugh p7.wnbing, a7.ectl'i-
ca7. & mecha.nioa7.. AE 1'00fing
bl'acing & chimneys, eto. ~~st be
,comp7.etcd. No wOl'k is to be con-
, cea7.ed until. thio inspection has
. been made and app~oved.
&>9(;/<70
u , ,4 'Li I ~t,
O INSULATION/VAPOR BARRIER INSPEciJ!'itJN~" 'DEMOiiTi6.;1'IOR ',~:aVEDI;BUILDi; as :'
To be made aftel' aU insu7.ation ai'.d I ' I, "
l'cquil'ed vapol' barl'iers are 'Lb'n ~.~C!.,.., ._.,..I.~~.~,:~~..~.~.Jel' "capp~d ,at pl'Op<::I'ty
but befol'e any 7.ath, gypsum oaI~ 01' ' ,~
uaZZ covering is app7.ied, and before
any inau7.ation is concea7.ed.
o
D
D
CURB & APPROACll AP."?ON: After forms
are al'eot~d but pI'ior to poul'ing
.:!on~pete.
.",..,\1, '"
".. "r-:
W'
7.ir:e
D
SIDEf{ALK & DRIVEW,Y: Fol' aU con-
crete paving within stl'eet l'ight-
of-way, to be made aftel' 'a7.7. exca-
vating comp7.ete & fol'm WOl'k & sub-
baee mater'iaZ in p7.aoe.
~ Septic tank pumped and fil7.ed with gl'a~aZ
--, Fina7. - f.'hen above items are ccmp7.eted
..-.I ar.d when demo7.itior: is comp7.ete 01' stl'U:J-
ture moved and pl'emises c7.eaned up.
I ftJobi 7.e llemes
~7.ocking and Set-up
~P7.umbing connections scwel' and wa:er
::i1 E7.ectl'ica7. Connection :- B7.ocking, set-u;;
~and p7.umbing conr:ections ffl'~st be aPPl'ovad
befol'e requesting e7.ec:1'ica7. inspec:ion
tl Accessol'!i Bui7.ding
~ Pina7. - Aftel' pOl'cnes, skil'ting, decks,
~etc. are completed. ,:
"
;-.
D
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A 7.Z pl'ojeet cond-i tions, ouch as the 1',nsta7.7.ation of- street tl'ees, cO.':7p7.ction of the
l'equil'ed 7.andscapir:g, etc., must be satisfied before the BUILDING FINAL can be l'squestsd.
o FINAL PWMBING
D FINAL MECllANICAl,
o FINAL ELE'CTRIGAL
o
D
PENCE: f,'Iwr: comp7.:::te -- Pl'ovide
gates 01' movab7.e sections thl'ough
P.U.E.
([)
FINAL BUILDINC: The Fina7. Bui7.ding Inspection must be requeDted afteI' the Fina7. PZwnbing
E7.ectl'ioa7., and Mechar:ica7. InspectionD halJe been made and appl'ovad. ,
,0
.
AAU MANHOLES AND CLEANOUTS NIJST BE ACCESSIBLE, ADJUST!fENT' TO BE ftJ,1DE AT NO COST TO CITY I Pa[7e ' of :;
v
Lot Sq. Ftg.
% of lot Coverage
# of Stories
Total Height
Topography
NO. ~02'7b 50(AR ACI' '55
Occupancy GrouP.
LOT TYPE
REQ.-
L - CO G~
I JOB
I Zone:
Type/Const:
..... Bedrooms:
~ Enerr!ll Sources
I' ,'Ieat '.
. ,,~.,~}i1
Access. :' I r';ater !lea tel' ", ~'':-J''
I Range
I I Fireplace
I Woodotove
I ,,'
, '
,,'
.-
Lot Faces -
, TilDe
lITEM
Interior I P.L.
Corner North
Paithandl.e East
Cul.-de-sac South
West
Fees
SQ.FTG X Val.ue
Setbacks
House Carage
"
"
>,.1
, ...
Main
Building Value & Permit
CarpOl't
'7..? "&- /. ~ :.-&.r;...:;;~D , '
This permit iG granted on the express condition that the said construction
shall., in all. respects, conform to the Ol'dinance adopted by the City of
Springfield, including the Zoning Crdinmwe, regulc.ting the Cci18tructicn
and UGe oj' buildings,. and m:lY be sUGpended or revoked at CI:Y time upon vic-
l.ation of any prov'isionG of Gaid Ordinances.
Gc.raae
Accessol'l/
I
Is.D.c.
TOTAL VALUE
(vaLue)
1.5 :r:
~
NO;
/5:~
~7'
I fS:7~ ~
I CHARGE
Plan Check Fee:
Date Paid:
I Recdpt 1/:
\ Signed:
Building Permit
State Surcharge'
Total. Charges
lITEM
I Fixtures
I Residential (1 bath)
FEE
Plumbing Permit
ITEM
NO.
FEE
I
I
?):'--z:? l
6:~
.-...
./5'
L-'):-Z;- ~
CHARGE
No person Ghall. construct, install, aUer or change a.ny new or existing
pl.umbing or drainage syst~~ in whole or in part, ur.less such person is the
legal possessor of a valid plumber's license, except that a perGon may do
pl.umbing work to property which is olu'l1ed, leased or ppe1'ated by the appli-
cant.
Sani tary Sewer '
Water
. P).V/?/"Z5~ ~;4~P
. '
Numbing Permit
State Surcr.arge
Total Charqes
Electrical Permit
Res. Sa. fto.
Where State Law requires th.at the electrical work be done by an Electrical
Contractor, the electrical portion of this permit shall not be valid until.
the label. has been signed by the Electrical ~ontractor.
"
New/Extend Circuits
Temporary Service
8'cc/: /e:..--~~,b
I
Electrical. Permit
b--:~
/ -s:- --=--
''>7S
/'/;): 25 -~
State Surcharge
Total. Charges
ITEM
NO.
FEE
CHARGE
Meche nical Permit
Furnace ETU' S
I Exhaus t Hood
I Vent Fan
I
I Woodstove
I
Permit Issuance
Mechanical Permit
State Surcharae
Total. Charaea
-- ENCROACHMENT --
~
Se~~rity Dep03it
Storage
~~~---~
t/-'r--8-5.
Uate
Total Charqes
I HAVE CAREFULLY EXAMINED the compLeted appLication for permit, and do
hereby certify that aLL information hereon is true and correct, and I
further certify that any ar~ al.L work performed shall be done in acaor-
dance with the Ordinances of the city of Springfield, and th~ L~~s of the
,~ State of Oregon pertaining to the work described herein, ~nd that NO OCCU-
PANCY will. be made of any structure without permission of the Building Di-
vision. I further certify that onLycontl'actors and e,~ployees who are in
c~~pliance with ORS 701.055 will. be used on this project
Maintenan.:::e
Permit
eurbcut
Sidewalk
I F<;')31,. ,
I n;~~:llaber#. .c/ ~r-..s B
I Mobile Home~2YC~W/~
I ~':/~/~
I
4 'LO
;;::)-:=6>
~7S
tJ1-gnad
p;u;/ l?t-
l'rOTAL AMOUNT DUE: ~
I
~ 2Z>
. ~
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,"",\ ' .. RES I D.E N T I A L · ·
APPLIC~N/PERMIT
225' North 5th Street
Springfield~ Oregon 97477
Building Division
726-3753
~'--:
Rc()e~pt #
SPRINGFIELD
~'?1~~ ill\l\t ~'~ "
# \f\C)d0~()() - ~j T= Lo;" D\~l~
Job Location:
Asoesaol'S Nap
SUbdivision:
\Q519L\
(A.mel': V-C\~\\ 1.:1~,/ b 1 Q DUt \ ffi[)?\,
Addl'ess:(~&~~) \X~,'!\ #4 Phone: f\~\O~ D\C\'Z.. 6.
city~~'\l N)~G~ru1f:)f---, Zip' qrytr\B
Il/""'r Np.w
I I Addi tien
I I
II
DeocI'ibe rioT'/(: ,
, "
::::'H~" A Ii) on ~~(
of Appli()atien '--r ~ L-( _) -....:\ VaZue f\ A
Date
1 ~ '
s,gr.",,(J\ lJfl) _.._
,Date: '-...-/~,:.\II_...-t51
_ Lise ~ 1/ I Bldrs Board Reg.
Vf') ~'\~15S, ' ~~,)_5'~
BDt ,'li~ ~\}i(\.\\()
Expires
/J/9-LJ
\ ,r ;-\
Phon."
Contractors _ Address
General "':\S\'l\.\'\.\::i.-t f')L (d\ffi Q \rl (\ l'A.J
: Plumbing \, l)' ,...
i Hechanical
I Electrica 1
I SUDervisinl-\_Elec t J'.i I: [;1 n
It is the reaponoibility of the pe"f'mit hoUieT' to see that alt inapections are made at the propel' time, that each ~ess is readab:e
from the street, and that the pC1'mit card is located at the front of the property.
~Bui!ding Ir:visior: appI'oved plan sJu.:ll l'emain on the; Building S'i.ts at all times. ,
PROCEDURE FOR INSPECTION REQUEST:CALL 726-3769 rl'ccol'del'J state YOUI' City designated job nwnbel', job addrcss, type of inspecticli
l'eqtwstcd ar:d when you wi II be l'eady fol' inspcction, ContT'actol'S 01' (A.mel"S ncme and phone mUlzbcr. Requests I'eceived 1;efol'e 7: 00 C:,j
"-'ill be made the same dcy, T'equests made after 7:00 a:n will bz made the next :JOrkiYI{J day.
RQ02D3
Re01IiY'ed Insvf?ct7:CIlS
O SITE INSPECTION: To be made aftel'
excavation, but priol' to set up of
fol'Tlls. '
O UNDERSLAB PLUt>mING. ELECTRIC,IL &
'/OOfECHANICAL: To be made befoT'e any
WOl'k is ~ovel'ed. '
D
FOOTING & FOUNDATION: To be made
after tl'enches are excavated and
forms are eT'ected, but pl'i01' to
poul'ing oencret~.
UNDSRGROUND PLUMBING, SEr';E.'?, W.1TER,
DRAINAGE: To be made pT'iol' to fiZ-
lil"..g trenches.
o
o
o
UNDERF'LOOR PLUMBING & MECHANICAL:
To be made pl'iol' to installation' of
j1001' insulation 01' decking.
POST AND BEAM: To be madc pl'iol' to
installation of flooT' ins~lation 01'
decking.
ROUGII PLUMBIlIG. ELECTR!CAL ,~ MECH-
ANICAL: No WOI'K is to bc covered
,ur.til these iltspectior.s have beer.
made and appl'ove~.
FIREPLACE: Priol' to placil"..g facing
matel'ials and before framing inspec-
tion.
FRAMING: Must be l'equeated aftel'
appl'oval of 1'0ughplwnbing, electl'i-
cal & mechani(Jal. AU T'oofing
'bl'a()ing &'chimncys, et~. nr~st be
: completed. No work is to be con-
" cealed until thio inspection has
'been made and appT'oved.
D
D
D
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YOUI' City Desigl"~ted Job Numbel' 10:
D INSULATION/VAPOR BARRIER INSPECTION:
To be made after all insulation aro.d
l'equil'edvapol' barl'iel's are in pZa()e
but 1;efol'e any lath, gypsum boar>d 01'
wall aoveT'ing is applied, and befol'e
any inauZation is concealed,
D
DRyriALL INSPE:CTION: Tc be made
afteI' all dr>ywall is in pZa()e,
but pl'ior to any taping.
MASONRY: Steel location, bond
beams, gl'outing 01' vel'ticals in
aacol'dance with U,B.C. Section
2415.,
WOODSTOVE: Aftel' installation is
ccmpleted.
DEMOLITION OR ,\JOVED BUILDINGS
:=J Sanitary SelJel' (Japped at P~OPC1'ty Zir.e
:=J Septic tank pumped and filZed with gT'a~el
---, Final'- h~en above it~~s are ccmpletcd
---l and when demolition is ()omplete 01' stru~-
tUl'e moved and premises cleaned up.
'Mobile Homes
1::J~~looking and Set-up
~umbiYI{J oonnections scwer and watel'
~le()tri()al Connection - Blooking, set-u?
~ and plumbing conne()tions nr~st ce apPl'oved
befol'c l'equesting electl'ical inspection
~ Accessol",j Building
~ ~ - Aftar' pOl'cnes, skil'ting, decks,
~tc. are completed.
D
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,All,pl'ojeet eondi.tions, :;uch as the {,nstallation of stl'eet tl'ees, oo,-:rpletion of tire
l'equired landscaping, etc., must be satisfied befol'e the BUILDING FJNAL oan be l'equcstzd.
D FINAL PLUMBING
D FINAL MECHANICAT.
D FINAL ELECTRIC!.L
o
o
D
D
CURB & APPROACH AP.WN: After fol'Tlls
are cl'e(Jted butpl.iol' to poul'ing
aoYU!rete.
o
,FINAL BUnnING: The Final Building Inspection must be l'equeated aftel' the f.ina"z Plwnbillg
'El~ctT'i~al, and Mechar.ical Inspectiona have been made and approved.
o
SIDEr';ALK & DRIVEr.;!.y: Fol' all. con-
Cl'ete paving within stl'eet l'ight-
of-way, to bc made after all exca-
vating complete & foI'm wol'k & sub-
base material in pla(Je.
'AU, MANHOLES AND CLEANOUTS MUST BE ACCESSIBLE, ADJUST!fENT TO BE MADE AT NO COST TO CITY I Pa~?a 1 oj' :;
D
PENCE: ~~er: compl;;te -- Provide
gates 01' movable sections thT'ough
P.U.E,
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JOB NO.~(~SOLAR ACCESS
Zone:, Occupancy Group_
Lot Sq. Ftg. WT TYPE
% .:;;f lot C.:;;verag;; Interior
,# of Stones Corner
Total Height Panhandle
Topography , Cul-de-sac
REQ.-
L -CO G~
Type/Cor.st:
.... Bedrooms:
' ,.,. EnelYll1 So:u'ces
I !leat
Access. I r';atel' !lea tel'
I Range
I Fireplace
I Woodctove
I
f
---,-'
I Lot Faces -
I
I P.L.
!North
lEast
ISouth
lr';est
T!iDe
Setbacks
House Carage
Fees
ITEM
SQ.FTG
x
Value
, Building Value & Permit
This permit is granted on the express conditi.:;;n that the said construction
shall, in all respects, conform to the Ordinance adopted by the City of
Springfield, incZuding the Zoning Ordinance, regulating the ccmitructicn
and use of buildings, and may: be suependedor revoked at c.I:Y time 'upon vic-
lation of any pr.:;;visions of said Ordinances.
Main
I GaraGe
Carpcrt'
tlccessorll
Is.D.c.
TOTAL VALUE
(va~ue)
. ,1. 5 x
I
*
Building permit
-State Surcharge
TotaL Cha."gea
*
I Plan Check
I Date Paid:
IRecdpt H:
\ Signed:
Fee:
lITEM
I Fixtures
NO.
FEE
CHARCE
Plumbing Permit
\,
Sanitary Sewer
No person ehall construct, instaZZ, aUer 01' change any neW cr existing
plumbing or drainage syst~~ in ~hoLe or in part, unless such person is the
legaL possessor of a valid plumber's license, except that a pe~son may do
plumbing work to property which isow~ed, leased or opel'ated by the appLi-
cant.
,
Residential (1 bath)
Water
N\~
, \ ,
~~tD
t <6. (yj
. U)C)
~*
, Plumbing Permi t
state Surcr.arge
Tctal Charges
j ITEM NO.
I Res. Sa. fta.
New/Extend Circuits
, FEE
CHARCE
Electrical
Perm it
Temporary, Sel'Vice ,
,y\,~ I \
Where State Law requires th.at the electrical work be done by an Electrical
Contractor, the electrical portion of this permit shall not be valid until
the Zabel has b;;en signed by the Electrical Contractor.
State Surcharae
Total Charges
I~,OO
15,'00
, i_ r) !5
l~./'ls
*
Electrical Permit
lITEM
NO. I FEE
CHARGE
F'UI'nace ETU'S
Exhaust Hood
I Vent' Fan
I
I Woodstove
I
"
,
Mechanical PermH
I
Permit Issuance
Mechanical Permit
State surcharae
, ,
Total Charqea '
I -- ENCROACHMENT --
Ise~~rity Deposit
I Storage'
I Maintenance
I Permi t
*
I,
Plan Examiner
Vate
fj"
,
I HAVEjcAREFULLY EXAMINED the completed application fo!' permit, and do
hereby , certify that all ir.fo~ation hereon is true and correct, and I
further certify that any ar.a all work performed shall be done in accor-
dance :,rith the Ordinances of the City of Springfield, and th;; Lcr,,;s of the
* State of Oreg.:;;n pertaining to the work described herein, and that NO OCCU-
PANCY :,rill be made of any structure without permission of the Building Di-
vision.I fur the!' certify that only contractors and ~~ployeeswho are in
compLiance with ORS 701.05S wiLL be used on this project
"
I'
TotaL Char(1os
Curbcut
I Sidewalk
I Fen:Je
Electrical Label
Mobile Home
C!)S.CU
I .c!1C\
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?i~~h7
Date' /
i
!
l'f07'AL AMOUNT DUE: ~
Gf) f) S
/
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