HomeMy WebLinkAboutPermit Building 1989-5-17
~
.< ' APPLICATIA'PERMIT
225 North 5th Street ..,
SpringfieZd~ Oregon 97477
BuiZding Division
726-3753
I
.. RESIDENTIAL..
SPRINGFIELD
, .,
"
,
Job Location: 5 3 ~ ~ ''0C1. i' ['\~').. ~~t\\ 0 D't) -#= ~ I
Asoesoors Map H \ fj D ~ '3 ~ 00 \j.aJ: Lot H t) \ ?Jnn
""d"".,o", ~ h () rr ~ w . . -
CAJner: ~~ 0'\\ ~ \ \.) _
Address: \\r)~ ~ 9_~~.5\\\\(,.D) PhOl1a:\4\O ~\Q\D1-
City: ~l\t'f\f\-OQ ~~6+e) Zip: ~~\l
, \ - -\\ 0 .
'1v1~w
I I Additicn
I I Remodel
I I :.Iobile Homa
Descnbe 11'01''':
~ulJ~ W\OJL t\\. \{-
CO-\'\-BC
Date of Applicaticn
Cont.ractors
,General \ ') 'S ~
: Plumbing \.'-..
i Nechanical
El~etricCll (U..l")" Q
SupervJ~ing. Elec t r.i c i;1 n
Value
\\
~
Rcoeipt ,II
I,~ f(q'l
...
J
.~~
t
. ,,1', >1,.1','1'1" II . I
I' ,I! !". I I,
~
Date:
(l'KCf
Bldrs Board Reg.
~RC\"O'
\,1..
\\"\ \\\ S
Address
Lise. 'II
'-\
f" )
Extiir,es
'OJ IGC)
t ,
Phnnp'
It i8 the reoponoibility of the permit hoLder to see that all inopeotions' are made at the p~ope~ tim&, that ~aoh ~ees is readab:e
j'room the street, and that the PCI'mit 0lU"d is located at the front of the propel'ty.
"Bui!.ding Oivi::ior: appI'ol:ed Flan shall remain on the Building Sit$ at all times.
PI?QCSDURE FOR INSPECTION R::QUEST:CALL 726-3769 (rccorder) state your City des~gnated job nwr.ber, job addrcss, type of inspec~iclI
raqucsted a~d when you will be ready for inspection, Contractors or Owners name and phon~ number. Requests l'eceived before 7:00 ~
:..'ill be made the same dey, requests mede aftc~ 7:00 am will be made the nC:J:t :JOrkirt{J day.
, ' , Your City Deoigr.atcd Job Nr:u"bc-r. IO:~q c:f\-lo'1
Remlil"p.d TnSDp.cticn.q
I SITE INSPEC'J'ION: To be made after
~ ezcavation, but prior to set up of
forms.
I UNDERSLAB PLUMBING. ELECTRICAL &
~ 'MECHANICAL: To be made before any
work is ~ovcred.
D
FOOTING & FOUND,1TIOII:, To be made
after trenchcs are excavated and
forms are erected, but prior to
pouring ccncret~.
UNDERGROUND PWM!JINC. S::rlF:I? rl.1TER.
DRAINAGE: To be made prior to fil-
lir.g trenchee.
O UNDERFLOOR PLUI.!8ING & NF:CHANICAL:
, To be made prior to inutallation of
}1oor insu~tion or decking.
o
o
POST AND BEAM: To be madc prior to
installation of floor ins~Lation or
decking.
ROUClI PW,"!8T!1G. F.l:F:CTR!CA!. & MECH-
ANICAL: No work, is to bc eOL'el'ed
ur.til thcse inspectior.s have beer.
made a~ul approve=!.
FIREPLACE: Prior to pZecir.g facing
matel'ials and bcfore framing inspec-
tior..
FRA/1INC: Must be requeoted after
approval of rough plumbing, electri-
cal & mechanioal. Al~ rOOfing
bracing & chimneys, et~. ~~st be
; completcd. No work is to be con-
, cealed unti l thio inspection has
. been made and approved.
D
D
D
D INSULATION/VAPOR BARRIER INSPECTION:
To be made after all insulation and
" required vapor barriers are in plaoe
but before any lath, gypsum board 01' '
wall covering is applied, and befol'e
any inoulation is concealed.
D DRyrlALL INSPECTION: To be made
after all drywall is in pLace,
but prior to any taping.
O MASONRY: Steel location, bond
beams, grouting or verticals in
accordance with U.B.C. Section
2415.
WOODSTOVE: After' installation is
ccmpleted.
D
D
CURB & APPROACH APRON: Afte:> forms
are areated but prior to pounng
~onarete.
DEMOLITION OR MOVED BUILDINGS
:=J Sanitary seuel' capped :it pr:.opcrty lir.e
, :=J Septic tank pumped and'liZlad with tJra:Jel
I Final';' rfhen above items are completcd
-..:..l and when demolition is oomplete or strll~-
ture moved and premises o leaned up.
Nobile Hcmes
J::}-Blooking and Set-up,
~lumbing connections .- scwer and water
~ Eleotrioal Conneotion -'Blooking, set-uF
-1.:hmd plumbing conneotions ~~st ce approved
befol'c requesting eleotrical inspeotion
~ Aocessol";j Building
~ Aftal' porohes, skirting, decks,
~ etc. are oompleted.
~
- -
'-
D
SIDEIIAf,K & DRIVEIIAY: For all con-
crete paving within street right-
of-r.JCy, to bc made after all e:J:ca-
vating oomplete & form work & Dub-
base matenal in pLace.
:All project oond'itions, ouch as the 1',nstallat-:.on of street trees, co::rplotion of the'
required Zandscepir.g, etc., must be satisfied before the BUILDING FINA4 can,:be rsqueat:1d.
D FIliAL PLU/.!8l!/G
o FINAL NE(;IIA.'lICA['
o FINAL ELECTRICAL
o
o
FINAL BUILDING: The Final Building Inapaotion must be requeoted aftol' tho Final PlumbilliJ
Eleotrical, and Mechar:ical Inspectiono havo been made and approved.
D
['ENe!?: ~'1ler. complozte -- Provide
gatec 01' movable seotions through
P.U.E.
'AU f.fANIIOLES AND CLF.ANOUTS HUST BE,ACCESSIBLE, ADJUSTnENT TO BE ~L4DE AT NO COST TO CITY I Pa!7C f of :l
o
j JOB N2. ~qr'Al09 SO, LAR j(CE~S_REQ.-
I Zona: L\ \~, OcculJ<2ncl{ _: K- )
,. . I Lot Faces -
I
I P.L.
North
8ast
ISouth
IWeot
Lot Sq. Ftg.
S of Lot Coverage
fI of Stories
TotaL Hei(J~'t
Topography
'LOT TYPE
" '
Interic,r"',', ',,'
Corner ,'Y
PanhandLe
",'
CuL-de-sac
I
I TTm
I Main
I GaraGe
I Carpol't
I Accessoru
I
I
Is.D.c.
SQ.FTG
1 X Valua
, .
I
I I;
I
I
I
I
I
TOTAL VALUE
(vcl-ue)
1. S :r:
,', :" Bui1.ding Permit
.'
,Stat6 Sul'charge
,Total Cha1'ges"
ITEM ' I NO. FEE
Fi:z:tures
I Residential (1 bath)
I Sani tary SelJer I I
I Water II
II I
CHARGE
I
I
1\5.00
I ..~S
I \'3.15
Plumbing Permit
State Surcr.arge
TotaL Charoes
IIT8M
I Res. Sa. fta.
IN~/8:r:tend Circuits
I Temporary Seroice
I
, NO. . FEE
CHARGE
I I
I, I
j
/:
I
IlS.CXJ
I .~
1\~.'lSIA
Ele~trical Permit
State Suraharf1e
TotaL Chat't;es
lITEM
I Furmce T!TU' S
l8:r:haust Hood
I Vent Fan
IlIoodstove
I
I NO.,
I
I
I I
I I
I I
FEE
ClIARCE
I
I
I
I
I
I
L
Permit 1S8Ua1lO8
M6chanical P6l'11rt"t
StatD Sul'o~e'
Total C1ia1'offo
-- ENCROACHMENT --
SeC'~rit~De1XJ3it :
,.. ,-,. ,I',i".",,...,,, "
Storaae
. ;. j . ; ~ I . ,'. . : 'I J t'. .
; ...W..''''l '\~,.irlI,,':'I~:""I""'.1 '!I'IJ,(Ay."~;' ,II"I~':".'
Maintenanae
Pcmit
I Total Charf70s
I Curbcu~
I SidelJa lk
l
I
I
"r:'cn::e
Elect1'ical Lab6l
I Mobil6 HOf'IIe
I
I
I TOTAL AMOUNT DUE: A
1 ,fJTl
Il~~rn
I \."~
I
In Q 4-~
.', S~)
l
I
I'
I
\ ~
. A
T~'/Je/Cor:8t: .
r
L - c~~
~" .
r.L '
Bedrooms: ,_ J
'I
Setbacks
HaU8e . Garage
I E/lerqu SO:II'ces
I !leat, ~c...,
I Watm' .'Ieatr'r f:-
I Range r
I I FireT? lace -1\ I .
, Wood:; tor;e \ '-J A
I I \ .
I
T;iI:oe
Access.
-- Fees
Building Val"ue
&
Pe'rm i t
ThiiJ, parmi. t in (lran tcd on the e:r:pre08 condi tioll tha t the I;aid co'w t/'Ucdon
shaU, in all renpcctD, COliform to the O,.dl:I1W:CC :uJoptt",) iJ'y ti,e City of
Springfie ld, inc!uding the Zonina Ordinance, r'cgu k t ill~l the CCIIG t I'u.:: t ien
and UGe of buildings, alld m.:AY bo sUGpended 01' revoked at C'IY t:'.mf.? upon vie-
'Zation,of any provisions of Gaid'Ordinances.
~
I
Plan Check Fee:
Date Paid:
Recdpt 1/:
Signed:
~
Plumbing Permit
No person ahaLl constl'Uct, instaZ!, alter 01' clJanga any newel' e:::isting
plumbing or drainage sylJte.71 in whoLe 01' in part, udeGe such pel'GOn is the
Legal pOGOeSROr ofa valid plumbar's licenlJe, e:r:capt that a pe:'30n may do
pLumbing /Jork to propm.ty which is owned, leased or operated by the appZi-
,cant.
A
Electrical
Perm i t
Where State fAtJ require.9 tr.at the dectrical work be done by all Electl'ical
Contractor, the electrical portion of ~hi8 permit shaLl not be valid wltiZ
the, Zabel has been aigned by the ELectricaL ~ol1tractor.
Mechanical
PermB
t
A
Plait E:r:amiller
uatc
-'
I HAVE CAREFULLY EXAMINE:D t,lw completed application for permit, and do
he1'eby certify that all info:'mation hereon is true and correct, and I
furthe1' ce1'tify that any ar.d all lJOrk perfor:ned shaZ! be done in accor-
dance lJith the Ordinances of the City of Springfield, and th: Ur.J8 of tho
State of Oreaon pataining to the lJOrk described herein, !Z-l1d tlJat NO OCCU-
PANCY will be made of any otruotura'without parmionion of the Buildina Di-
vision. I further ce1'tify that only contractors a;~d e.71pl.:Jyees Wr.O are in
compLiance with ons 701.05~ will be used on this projsct
y R ~ -p.
I ;ign3(J- - - ,
'......
~~
[)ute
\v~
.,.r "',
e
.
/1\
+\
o
\ /
-
,
'E- \D...\-- ~ '--
/
'"\.
.>r
\D-'7
+,
,
l.()
~
/1'
\ /
)
)
(
'-
R#Jc.