HomeMy WebLinkAboutPermit Building 1990-9-24
.. RESIO_TIAL-..,
APPLICATION/PERMIT
225 North 5th Street
Springfield, Oregon 97477
Building Division
726-3753
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,'Job Location:
AsaesGol's Map
SPRINGFIELD
Rcce~pt .II
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Ol.mer.: \'<\(). "( -\-,'"'f\ ..:..-r~ 0. 0 ~~V] e'\ (L')pJ, ?'Iq - "2 ~""'? J
Adcb>ess:~~~\~ <;. Un-r1"\" (\o\.~y Phone: 121o-S~q4
City: C)\WJ we 1/ J \. Zip: 17'1210
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JX I ,'10bi le lloma :
Date of Application 15-/f>'~o '
Contractors Ot"\')(\JlcY' Ad0:r:-ess
. General (!u.J~ 'f
() w i'\2.. V-
I, Hechanical r\\\.) N ..,..
EJ.~ctri.!:al f)\^~
,I Sl1De!i~c:.fi;;r_lg_ E~.eetr~eian ~,
Subdivision:
I .-' '.
. , NeLl '" .:-.,., .. ...~
. ~ .
I Addition :, ~~ ~~ . . ::<,-
r ~a~~d~'Z,:':0 '" ,,,,,_., "
j Plumbing
Describe f,'ol'lc
Value
/'7/'-'- - . -0
I' ~4r'
\S.5t100U
Bldrs Board
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Sigr..d, 0\\(0) . .
Date: Y -&:4- ycJ
,
Reg.
Expir.es
Phnnp
.'
, Lise. 11
It is the responsibility of the permit holder to SBB that aZZ inspections CU'e made at the propel' tims. that each .:ddress is l'eadabZe
fl'om the stl'eet, and that the permit card is located at the front of the propel'ty.
~Bui!ding Dtvi=ion approved plan shall remain on the Building Sit$ ~t all times.
PJ?QCSDUP.E FOn INSPECTION RSQUEST:CALL 726-3769 (rccol'der) state your City designated job nwr.ber. job adcb>css. type of in3pec:icll
'J-equcstcd ar;d when yvi,A wi:Z be ;::~ady fer: -i....::;;:.~c..-:,;~v;;~~ Co.Tt;paato"ps 'Ol'-OiJnc;rs- nL;J71e~ ~;:d pJu;r:a. ,n~l.hc11. - Re"vues"i;a :"w"!eived cefcre ?:O{) .':":'1
l..'i ZZ be made th~ same day. requests made afta' 7: 00 am wi ZZ b:J made the next :xJl'king day.
Remlil"ed ITlsDecticTl,q
O SITE INSPECTION: To be made after
exoavation. but prior to set up of
forms. ,
O ' UNDERSLAB PLUMBING. ELECTRIC,1L &
MECHANICAL: To be made before any
work is ~ovcl'ed. '
r:::r FOOTING & FOUNDATION: To be made
~ aftel' treTlches al'e excavated and
forms CU'e ereoted. but prior to
pouring concrete:.
~ UNDSRGl?OUND PWM!3INC. SEWER. W.1TER.
L.:J DRAINAGE: To be made prior to fil-
Zir.g tl'enohes.
o
UNDEl?FWOR PLUMBING & MECHANICAL:
To be made pl'ior to inctallation of
floor insulation 01' deoking.
POST AND BEAM: To be made priOl' to
installation of floor insulation 01'
decking.
ROUGIl PLU.'1BIflG. Ef,ECTRICAL & MECll-
ANICAL: No work is to bc oovered
,until thcse inspeotions have beer.
made and approved.
FIREPLACE: ?riOl' to plaoir.g facing
matel'ials and befol'e ;. ....,.:ng inspec-
tior..
FRAMING: Must be requested aftel'
approual of l'ough plwrbing. eleotri-
cal & mechani~al. AU l'oofing
bracing & chimneys. eta. nr~st be
,oompleted. No w:Jrk is to be con-
, ceaZe~ until this inspection has
. bsen made and approved.
o
:0
I
:
,
;0
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YOUl' City Decigr.ated Job Nwnbel' Is:
D INSULATION/VAPOR BARRIER INSPECTION:
To be made after all insulation ~M~
., l'equil'ed vapor bClI'riers ClI'e in p laoe
',;:'," ;'.';: but b'efore any lath. gypswn boal'd 01'
wan covering is applied. and befol'e
any insulation is oonoealed.
DRYWALL INSPECT!ON: To be made
after aZZ dPywall is in place.
but pl'ior to any taping.
0, MASONRY: Steel location. bond
beams. grouting or verticals in
accordance with U.B.C. Section
2415~
D WOODSTOVE: After installation is
ccmpletsd.
D
D
CURB & APPROACH APRON: After' forms
CU'e crected but p,'iorto poul'ing
aonarete.
9a/tP57
DEMOLITION OR ;\IOVED BUILDINGS "
\
---, Sani :ClI'y SB!Jer :1apped at propel'ty Zir:e
---1 " " , , ' ",t IVIo~ "".,l'lIw~r.f~"'I,I",al r.,ll'iM;"I;~'
~ Septic tank p;:crrped and fiZZed with gra;;eZ
I Final - f{hen above items CU'e completed
~ and when demolition is complete or Bt1'U~-
ture moved and pl'emises cleaned up.
Mobile Hemes
~lOCking and Set-up
~lumbing connections -- scwer and water
---'_Electrical Connection - Blocking. Be~-up
~and plUmbing connections nr~st ce appl'oved
before l'equesting elec:rioal inspea:ion
~ Accessory Bui lding
--.;;;rfinal - Altar p:Jrcnes.
~ etc. are completed.
skirting. decks,
D
SIDErtALK & DRIl'Er/AY: Fol' all con-
crete paving within street l'ight-
of-way. to bc made after aZZ exca-
vating complete & fo~ work & sub-
base material in plac~. .
~
AZZ "projebt ~onditions, cuc!: as the 1~TlstaZZation of street trees. "co.':7pletion of tne
required landsocpir.a. etc.. must be satisfied bcfore the BUILDINC FINAL oan be l':JquBstsd.
o FINAL PLUMBlfIG
1:,'0
FIliAL MECHANICAL
i
lD FINAL ELECTRICAL
,
I
ICJ.
I'
,
o
FINAL BUILDINC: The Final Building Inspeotion must be requested after t/1C3 Final Plwnbing
Electl'ioal. and Mechar:ical Inspections haue been made and approved.
D
!'ENCE: r.'her. compl.::te -- Provide
gates 01' movable sections through
P.U.E.
~A['[' MANllOLES AND CLEANOUTS nUST BF. ACCESSIB[,F., ADJUST!fENT TO BE ~MDE AT NO COST TO CITY Par7e' of 2
o
JOB Nof{OI031J SOLAR eESS ~EQ.-
I Zona: f...Jl ) I ) OccupanCl/ Group: fcJ ~ ;-)
Lot Sq. Ftg. WT TYPE
:r; vf lot Cvvel'age: Interior
# of Stories Corner
Total Height Panhandle
Topography CUL-de-sac
~ -;1'" ...
T:;pe/Cor:st:
.
L-COG~
P.L.
North
Setbacks
House Cal'age
Access.
Bedrooms: :~
I Enel'fJ}! Sources r-' /' .
I Heat r C-/
I Water Heater ~
I Ra/lge .p -'
I e-l....J'irep~
I ~J,,!61~
I /'"
T,(r>e
Lot Faces -
East
South
West
-., Fees
Value I
\4JD'~
ITEM
SQ.FTG
x
-Ifg; 'J
\(\~
Garaae
Carport
'I ACCe~SOl'U
,-..1 \nD
\ 'Y ~ TOTAL
, - -~.>
C-- "
VALUE
.'\~FO?,)
\'~~'Qj
1~~..s6 A
;LJ5 . c:t5
- J.~s
.cPlo.~5- A
S.D.C.
(vaLue)
1.5 x
Building Perrrri t
State Surcharge
Total Charges
\
I
I
I
N~.OO
Water . rQ~ .,00
~ OO~,~r9~.()~
Plumbing Pern:i t Q. - f) S .00
i (), .')5
IJ R. '1'\ A
ITEM
I NO. I
FEE
CHARGE
Fixtures
Residential (1 bath)
Sanitary Sewer
State Surcr.a.I'ge
Total Chal'aes
ITEM
NO.
FEE
CHARGE
~:2!L~lL:._
Naw/Extend Circuits
Temporary Seroice
Ele~tl'ical Permit
State Surcharge
Total Charc:es
ITEM
NO.
FEE
CHARCE
F'urn:lce PTU' S
I E.::hau8t Hood
I Vent Fan
I Woodstove
Pernrit Issuance
Mechanical Permi t
State Surcharae
Total (,haralJE!
-- ENCROACHMENT --
Ise~~ritl/ Depo3it
I Storage
I Maintenance
I Pcrmi t
f'\JO
Total Charges
Curbcut
Q5
~
SideuJalk
I Fence
I Electrical Label
I Mobile Home
I ,,110 +- Q ) -~ f'\J)
I-'.~ ~
I TOTAL AMOUNT DUE: A .
m,(is
1~.1~. '
'5 ,A.~
L\41 :l~. A
Building Value
&
Perm it
This permit is granted on the express condition that the said construction
shall. in all respects, conform to the Ordinance adopted by the City of
~ Springfield, indUding the Zoning Ordinance, regulating the construction
,- . Cuid' use ''or 'buildings. and may be suspended 01' revoked at c.ny time upon vic-
'. , Zatio.n"of It~y pl'ovi~i-ons of said Ordinances.
.._-..... ,.
.IPZan Check Fee: /~ .-::<~
I Date Paid: %4/<;'.'7 e>
IRecdpt H:./$i'~~ ~
, ISigned:~~.p"'>r~ _
" \" ' 1'; r. ~
.Ph~.~bing Permit
~..
No pereon GhaH constI'Uct" instaZZ. aZtIii,r or chp.nge a.ny new Cl' existing
plumbing 01' drainage syste~ in whole or in 'part, unless such person is the
legal possessor of a vali4 plumber's license, except that a person may do
plumbing work to property which is owned. leased or operated by the appli-
cant.
Electrical Permit
Whel'e State LaIJJ l'equil'es tr.at the eZectrical work be done by an El.ectl'ical
Contractor, the electrical portion of' this permit shall r~t be valid until
the Zabel has been signed by the Electrical Contractor.
0)
0'(\
A
Mechanical Permit
~. J: .
'~
)A
Pl.an Examiner
Uate
I
I I HAVE CAREFULLY EXAMINED the completed application for permit, and do
I' hereby certify that al.Z information hereon is true and corrcct, and I
further certify that any ar.d aZl. work pel'fol":'fled shaH be do:-ze in accol'-
I dance with the Ordinances of the City of Springficld. and the: Ur~8 of tho
A State of Ol'egvn pCl'taining to the work described herein, end that NO OCCU-
PANCY wiZl be madlii af any stl'uature without permisaian of thlii Building Di-
vision. I further cel'tify that only aontl'a.:!tol'S ar.d e7lplvYliies who are in
co~pl.iance with ORS 701.055 wiZZ be used on this project
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SiO/l.'ld
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