HomeMy WebLinkAboutPermit Building 1987-4-7
.. REseENTIAL"
SPRINGFIELD
APPLICATION/PERMIT
, 225 North 5th Street
\",--Springfield~ Oregon 97477
BuUdi!!f!. Divisio.n
726-375~
L . _.lJ. _ ...
Job Loc.:ztion: ~G;:;O ~,.,' r?<r 5r r #,:5:j- , ,
,C:::;;(! I ... /
ASGeSSON Map # IB'Y:!)::?...C)~-// T= Lot # t::7C-/I "f1 ~J/(,j.
"
e
I
Receipt ,/I /~ /{l f t1' /1 f.J
, "'"- -....... ,
5c:-~? ~P/C:C:= /j~~' ~
'5(;/~ PI' V/';5/60;>- ,
I V I /tl/-/.' ~"f,/7 ~'c:>. -b
I Nobile Home r~/~'5' .,/ ~d> .ar~
Date of AppZicatien tf ..,.{;~~;>, '" VaZue- - ':.:?~ i ~c:>. ---
Cont;ract;ors Add:ress Lisc. #
General PMeR~7;:::> 7~~6-"-:~A~..z:::""":::-'_
. ..' , r - - -
Plwnbing e:>W.A/ c-/"?
Electrical C::::S>V1/~(5"'~.
Mechm:ic.::l
Construction Lender
It is the zoesponaibiZity of the permit holder to see that aZ1. i7Wpections a1'e made at the proper tims, that each .:dt:Jress is rea:iab~e
from the street, and that the permit card is 'Located at the fI'01tt of the property.
4Bui!ding Divicio~ appro~ed plan shall. remain on tha Building Site at all. times.
PROCEDURE FOR INSPECTION REQUEST:CALL 726-3769 (recorder) state your City designated job number, job adiress, type of inspec-::icn
zoequested ar.d when you will be ready for inspection, Contractors 01' OWners ncme cnd phone nwnbcr. Requests recei~ed before 7:00 ~
1..'iZ'l be made the same dc.y, requests made after 7:00 am will. be made the next :JOrking day.
Subdivision:
Ot.mer:
C~ftc. Me.. L/~./~;:::::;
C5"'$ s~ S/~ft'-<?Phone:
5?rc-p.., .vA - Zip:
II'
7'7/-/~'3';r
~?y/~ '
Add:ress:
Ci ty :
I NP.LJ
I Addition
I \. Remode'l
Describe f>'ork:
ll~' HI f
(#
\,f ,Q
Sigr:ed:
Date:
(]C,
1./-7-$(/7
(
Exoires
Phone
Your City Desigr.ated Job Nwnber IG: ~76 ~<<:.f
Reaui~p-d Tnsop.ctions
'0 SITE INSPECTION: To be made after
, excavation, but prior to set up of
, ,forms.
D : UNDERSLAB PLUMBING. ELECTRICAL &
, MECHA,'lICAL: To be made before any
, , work is covered.
", ~ ~
jx I FOOTING & FOUND,1TION: To be made
after trenches are excavated and
forms a1'e erected, but prior to
pouring cencret.,.
UNDERGROUND PLUMBING. SEWER. W.1TER.
DRAINAGE: To be made prior to fil-
,Zir.g trenches.
I INSULATION/VIlPO,q BARRIER INSPECTION:
--.J To be made after an insul::.tion and
" . .' required vapor barriers a1'e in pLace
,: but before any Lath, gypswn bOa1'd or
LXl'LZ covering is appLied, and before
'any insulation is concealed.
D DRYWALL INSPECTION: To be made
after aZZ drywall. is in pLace,
but prior to any taping.
0, ~SONRY: Steel location, bond
beams, grouting 01' verticals in
accordance with U. B. C. Section
2415.
D WOODSTOVE: After installation isS"O
ccmpleted.
~~
CURB & APPROACH APRON: Afte:o fol"li1~)
a1'e erected but prior to pouring
con::rete.
o
o
UNDERFLOOR PLUMBING & MECHANICAL:
To be made prior to installation of
floor insuLation 01' decking. . ..,,,
:0
D
POST AND BEAM: To be made prior to
installatien of floor insulation 01'
deckirl{; .
ROUGH PLUMBING. ELECTRICAl, & MECH-
ANICAL: No work is to be covered
,until these inspections have beer.
made and approved.
FIREPLACE: Prior to pLacir.g facing
mcterial.s and before framing inspec-
tior:.
'0' SIDEWALK & DRIVEWAY: For all. ,con-
crete paving within street right- ~\
pf-wc.y, to be made after aZl. exca-
vating compl.ete & foI'm work & sub-
, base material in place. , SS-
:0
:0
01 FRANnie: Must be requeGted af-::er D
approval of rough plwrhing. electri-.
cal & mechanical. AU roofing
bracing & chimneys, etc. rrr..lst be 0
: completed. No work is to be con-
,~ cealed until thiG inspection has
~be~n made and approved.
PENCE: When complcte -- P1'ovide'
gates 01' movable sections through
P.U.E.
DEUOLITIO!! OR ;',:OVED BUILDIiIGS
~ Sani ta1'Y se'..Jer capped at p~op~rt-:i Zir:e
~ Septic tank p~cd and fill.e~ with gra~eZ
I Final - f.'hen above ite:~s a1'e completed
~ and when demolition is complete 01' stru~-
ture moved and premises cleaned up.
Nobile Hemes
~ Blocking and Set-~p
~ Plwnbing connections -- sewer and wa-::er
~ Electrical Connection - Blocking, set-up
~ and plwnbing connections rrr~st ce approved
before requesting eZectrical. inspec;ion
::zJ AccessoY",,' Building
\.' .
L/I Final - Aft~r porches, skirting, decks,
~ etc. are comple-::.,d.
D
All projeot conditions, Guch as the installation of street trees, ca~letion of tne
required Landsccpir.g, etc., must be satisfied before the BUILDING FINAL ~an be requested.
o FINAL PLUNBIIlG
[J FINAL MECHANICAL
[J FINAL ELECTRICAL
~
@
FINAL BUILDING: The Final Building Inspection must be zoequeGted aftezo the Final PZwnbing
Electrical, and Mechar:ical. InspectionD have been made and approved.
~ALL MANHOLES AND CLEANOUTS HUST BE ACCESSIBLE, ADJUST/rEliT TO BE !,~1DE AT NO CaST TO CITY I Pa~e 1 of 2
I
I JO B NO. 970'2'2. 'I
I Zone: /,,/JI/:5/ 1>0-0
I Lot Sq. Ftg.
!
Z of lot Coverag~
# of Stories
Total Height
I
I Topography
I
I ITEM SQ. FTG
IMain
I Ga:race
Car"'Oort
Accessoru
r;;~/#-4S
I TOTAL VALUE
S.D.C.
(va~ue)
1.5 :J:
Building Permit
State SurchJI'ge
Total Cha.~ge8
ITEM NO.
Fi:r:tures
I Residential (1 bath)
I Sani tJI'y Sewer I ,
Water /
,{ll.//./76CY< ~p
Plumbing Pem t
State Surcr.a:1'ge
Total Charaes
ITEM
Res. Sa. fta.
!New/Extend Circuits
1:"'''''.000 ,.;.:l:J-Seroice
lI~uup
I
1/1
I I
Ele~trical Permit
Sta.te Sur~harqe
Total Cha.rqes
SOLAR ACC. RE~.-
Occupancy Grou".J:ttIPeIt.t: /b~
WT TYPE I Lot Faces -
I
I P.L.
North
13 7Cf. :p,-?J~ )'")-
lo.~1
. ~C> L ~
I~ v&'l * .
I
I
I
':? tt:J, 4C> I
I IS:~I
I /s:~ I
1--;5""~ ~ I~~I
I :?_~0>1
1 /~2. ~ I *
I
I
I
I . 1:5-:c-7::> I
I/s~-1
,'3a~1
/.2C> - ~).
"3/.2D *
,
I
I
I
I
I
I
Interior
Corner
~~,-
FEE
CHARGE
NO.
FEE
CHARGE
lITEM NO. t FEE
Furnace PTU' S I
E:::haust Hood I
Vent Fan I
I Woodstove I
I I
I
1
I
I
I
EZectrical. LabeZ~ 1311 R I .26' - ~L (
MobiZe Home c::; ~r'-->p I f): ~ t- II
I .
I C~q
t/I SOB. IS;-
Pernrit Issuance
Me~hanic.:zl Permit
State Surcharae
TotaZ Charaes
-- ENCROACHMENT --
;
I SeC"..1'i ty Deposit
i Storage
i
i Maintenan:::e
, Permi t
Total. Charaes
Curbcut
Sidewalk
Fen::e
TOTAL AMOUNT DUE: ~
ClIARGE
I
f I HAVE CAREFULLY EXAMINED the completed application for pe1'l1lit, and do
I hereby certify that all ir:foT'mation hereon is true and correct, and I
' further certify that any ar.d aZZ work perfoI'med shall be done in accor-
I dance with the Ordinances of the City of Springfield, and thz L~~s of the
'* State of Oregon pertaining to the work de~cribed herein, and that NO OCCU-
I PANCY will be made of any structure without pa1'l1lission of the Building Di-
vision. I further certify that only contra~tors ~~d e~ployees who JI'e in
I compliance with ORS 701.055 will be used on this project '
, *
s,
L -CO G-1t
.
Type/Cor.st:
A!,,/-1rAl
Setbacks
House Carage Access.
/YJ/AI.?'
h'J/N,""'i'"
141 n'/'e;"
M/N. -5''''
Bearoor.:s:
I Enerau Sources
Heat .:.
Water Heater
Range '
Fireplace
Woodatove
q Tur>e "
),
L:~: .
:i
,'~
"ol
I
I
II
" '
'"~~
, '"j
..,.....
Building Value & Permit
This permit io granted on the express condition that the said construction
shall, in alZ respects, conform to the Ordinance adopted by the City of
Springfield, including the Zoning Ordinance, regulating the construction
and UGe of buildings, and m.:zy be sUGpended 01' revoked at any time upon vio-
lation of any provisions of said Ordinances.
Plan Check Fee: (f; 4" 5"'c:::>
Date Paid: L,/~- 25?
Recdpt #: -a?;~C6 /
Signed:.// ~~
. /".ry ~ 41" .. ~...........
/r "';
Plumbing Permit
,
No person shall cOnstruct, instal!, alter 01' change any new or e:isting
plumbing 01' drainage syste~ in ~hole 01' 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 is owned, leased or operated by the appli-
cant.
!
Electrica I
Permi t
Where State LaLJ requires that the electrical work be done by an Electrical
Contractor, the electrical portion of this permit shall not be valid until
the Zabel has been signed by the Electrical Contractor.
Mechanical
PermH
:~.
~4~-,
PZ~'F:xaminer
,_/~-~ .$")
, P"
'1,,7-&7
i)ate
~
) - r
.//~f~
, ~ -.:.. - - --' -
Date
4-7--81
Sign:zd
~