HomeMy WebLinkAboutPermit Building 1988-10-28
.. RESIIaNTIAL" SPRINGFIELD
. APPLICAWON/PERMIT
225 North 5th Street
Springfield~ Oregon 97477
BuiZding Division
726-3753
Job Location: 5<:0 (p() UfuS-1 1
Assessors Map H / ff {) 2.-0LJ -1/ .J .
,4/ +rfr:l <"}{{ LVI 1/1 e [b
174(") Ad kiYls ~t.:ti4
ItLbJ ,,:$eJ- ~ ov-J '
Lot-
Subdivision:
Ot.mer:
Addz.ess:
City:
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IXI
Np.w
Additien
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Remodel
Mobile Home
Receipt #
(7-0 ro
:#:8\
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~ y? 1):1 "# 7q
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T= Lot #
Phone:
{j1s -to 348
Q7Y-O/
II 3
II}O:
Zip:
Describe 11'01'7<:
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vjl :20 f)tJ7J. iJ
cu .(
J 11 r "2-V'-' y (
Date of AppZicatien
Contractors
"Q'-2Q'-g'G'
Signed:
Date:
Address
E.~ytj t'l-:-(). ~~ ~'~A- ,'575
'Yt=: ~() - ;'i..,6 t2- t'L.....
$~CM, F~.,
General
Plwnbing
Electrical
Mechar.ical
Constl"Uction Lendel'
Lisc.#
ExPires
Phone
7Y?- ~O-~
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3~
~I').s-O()
LO[::;.J~
~lz41 R'R'
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It is the responsibility of the permit holder to see that all inspections a1'e made at 'the propel' tim€~ that each ::ddress is readabZe
from the street, and that the permit card is 'Located at the fI'01tt of the property.
~Bui~ing Diviaion appro~ed plan s,hall remain on tha Building Site at aU times.
,
PROCEDURE FOR INSPECTION REQPEST,:CALL 726-3769 (recorder) state YOUI' City designated job nw;;ber, job address, type of inspection
requested ar.d when you will be ready for inspection, Contractors 01' OWners name and phone nwnbcr. Requests received before 7:00 ~
r...'iZZ be made the same day, requests made after' 7:00 am wiU be made the nr,;;:ct :xJrking day. ,
, ", ':,' YClUl' city Desigr.ated Job Nwnber Is: '~ f!})o f?8'o
Rem~i~ed Tnsoection9
0, SITE INSPECTION: To be made after
excavation, but prior to set up of
forms.
O ' UNDERSLAB PLUMBING. ELECTRICAL &
: MECHANICAL: To be made before any
, work is oovered.
~ 'tooTI:r & FOUND~TION: To be made
~ after trenches are excavated and
forms are erected, but prior to
poUl"ing cencrete. ?-~,:>(;P.,."" ,
lxl UNDERGROUND PWMBING~ SEWER. WATER.
DRAINAGE: To be made prior to fil.-
,Zir.g trenches. '
o
UNDERFLOOR PLUMBING & MECHANICAL:
To be made prior to installation of
12001' insulation 01' decking.
POST AND BEAM: To be made prior to
installatien of floor insulation 01'
deckiTl{; .
ROUGH PLUMBING. ELECTRICAL & MECH-
ANICAL: No work is to be co~ered .
,until these inspections have been
made and approved. '
FIREPLACE: Prior to placir.g facing,
materials and before framing inspec-
tion.
I FRANINC: Must be requested after
---l approval of rough plwnbing, el.ectri-
,cal & mechanioal. AZZ roofing
bracing & chimneys, eta. rrr.lst be
,'completed. No work is to be con-
,~,cealed until this inspection has
~been made and approved.
D
D
CJ
",-'-
?CJ
[Xl FINAL PLUMBING
o
~
o
,~
o
FINAL MECHANICAL
L..t&\
FINAL ELECTRICAL
.
D INSULATION/VAPOR BARRIER INSPECTION: .
To be made after aU insula.tion and
. . " required vapor barriers a1'e in place
,: "but before any lath, gypswn bOa1'd 01'
waZZ covering is appLied, and. qefol'e
'any insulation is concealed.
'DEf.fOLITION OR :'-:OVED BUILDINGS
~ Sanitary s~~er aapped at p~oper~d lir.e
~Septia tank p~ed and fil.l.e~ with gr~~eZ
~
I Final - '>'hen above items are completed
~ and when demolitior. is complete 01' struo-
ture moved and premises cleaned up.
DRYWALL INSPECTION: To be made
after aU drywall is in place,
but prior to any taping.
0, ~SONRY: Steel location, bond
beams, grouting 01' verticals in
accordance wi th U. B. C. Section
2415.
O WOODSTOVE:, After installation is sa ~BlOCking and Set-up
ccmpleted. , lb"
S"') P wn 't.ng connect1.ons
. Mobile Hemes
s&Wer and water
D
CURB & APPROACH APRON: After forms{ 3
are ereated but prior to pouring ~
aonare te.
n Electrical 'Connection - Blocking, set-up
~and plumbing connections rrr..lst be approved
, before requesting electrical inspection
D
SIDEWALK & DRIVEWAY: For all con-
crete paving within street right- =:J Acaesso1"d Building
pf-way, to be made after aU exca- .
vating c077ll?let~ & form work & sub- 71 Final _ After porches,
' base matenal 't.n pLaa~. , , SS~ S:J etc. a1'e completed. .
.\.. .....
skirting, decks,
',' .
o
PENCE: When compli>te -- Provide.,
gates 01' movable sections through
P.U.E.
D
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Al.l. project conditions, such as the install.ation of street trees, c~~letion of tne
requir>ed Landscapir.g, etc., must be satisfied before the BUILDING FINAL can be requested.
FINAL BUILDING: The Final Building Inspection must be requested after the Final Plumbing
Electrical~ and Mechar.ical Inspections have been made and approved.
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*ALL MANHOLES AND ~LEANOUTS MUST BE ACCESSIBLE, ADJUSTHENT TO BE MADE AT NO COST TO CITY I Page 1 of 2
ra.ge ;:;
I JOB NO.'r!S{)f!;() SOLAR AC,CESS REQ.-
I Zone: /'1~ PvO Occupancy Gr. ~/tC~#~~
Lot Sq. Ftg. LOT TYPE Lot Faces -
S of lot Coverag<: Interior
# of Stories Corner
Total Height Panhandle
Topography Cul-de-sac
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I ~l-4 ~ _::> D l T ')..")...
I
I .15":~ I
I/G:~I
I ~~.\- ")
I /'I~
I ~.S~, *
I,
I
I ITEM SQ. FTG
I Main
I Ga:raae
I Cl21"Oor t
I Accessoru I
r~#~;st'
x
Value
S.D.C.
TOTAL VALUE
(va~ue)
1.5 x
Building Permit &//V.
~5':oe> +).
.7S
I ;5:7$. *
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I
~~-:~I
/5:-0 I
.I
~.-o -~f
State Surcha1'ge
Total Cha.....ges
lITEM
1.Ei-,~..., ik>A:oP
" Ii' "
Resident'!.al (1 bath)
I Sanitary Sewer
:1 Water- ., ;:
I
I NO.
FEE
CHARGE
/
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/~~
1/ I
III
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I
I 5'"'2...:so
I
Plumbing Perrr:it
State Surcr.arge
"2.-z;x:...-'
Total Charaes
ITEM
NO. FEE
CHARGE
Res. Sa. fta.
I New/Extend Circuits
I..:Z:.....I' ~.'.....~' SeI'Vice I /
l17~r lL
Eleatrical Permit
State SUI'aharqe
Total Charc;es
lITEM
NO. FEE
CHARGE
Furnace ETU' S
Exhaust Hood
I Vent Fan
I Woodstove
I
I
I
I
j
I
I
I
Permit Issuance
Meahanical Permit
State Surcharae
Tot;al. Charaes
-- ENCROACHMENT --
Se~~ritu Deposit
Storage
I Maintena~e
I Permit
. '
Tot;al Charqes
I
I
I,
I El.ectrical Label I I
7)~...i7f~~W;~ I -:g~~ 1-/7
",r-s ~&:'. I ~ /."/ f) l.
I
q5~~j*
Curbcut
Sidewalk
IFen::e
I Mobi le Home
I
I
TOTAL AMOUNT DUE: *
.,
L-cod~
P.L.
INorth
lEast
South
West
TypelConst: .
I I Enerau Sources
.
I I Heat
Access. I Water Heater
I Range
I Firep lace
I Woodsto~e
II
I
I
"
Bed:rooms:
Ti./De
Setbacks
House Carage
..:- Fees
I
I
Building Value & Permit
This permit is granted on the express condition that the said construction
shall, in aZl respects, conform to the Ordinance adopted by the City of
Springfield, including the Zoning Ordinance, regulating the construaticn
and use of buildings, and may be suepended 01' revoked at any time upon vic-
lation of any provisions 'of said Ordinances.
(-
PZan Check Fee: q, 7 S
q- :;)-9-~'i
Y:2 l..f \C) '1
I
.n.-/'./
Date Paid:
Recdpt n:
Signed:
Plumbing
Pe r m it
No person shall construct, instal!, alter or change any new 01' existing
plumbing or drainage syste~ in whole or in part, unless such person is the
legal possessor of a valid plumber's license, except; that a person may do
plumbing work to property which is owned, leased or operated by the appli-
cant.
:,'
*
Electrical
Perm it
Where State LaLJ requires tr.at the electrical work be done by an Eleatrical
Contractor, the electrical portion of this permit shall not be valid until.
the Zabel has been signed by the ElectricaZ Contractor.
Mechanical
Permit
~, '
~
l
I
I
,. I HAVE CAREFULLY EXAMINED the completed application for permit, and do
I hereby certify that aZl info~ation hereon is true and correct, and I
further certify that any ar.d aZZ work perfornled shaZZ be done in acaor-
f dance with the Ordinances of the City of SpringfieZd, and th<: La',,;s of the
* State of Oregon pertaining to t;he work described herein, and that NO OCCU-
PANCY wiZZ be made of any structUI'e without permission of the Building Di-
vision. I further certify that only cont;raators and e~loyees who are in
compliance with ORS 701.055 wiZl be used on this project
~:'~-:'
I~.:::<B-Dh
uar;e
Id ~2 8' ...g~
Sign~d
f
Date