HomeMy WebLinkAboutPermit Building 1987-1-12 (2)
.. RESIDialTIAL"
APPLICATJf!!If;PERUIT
225 North 5th Street
Springfield~ Oregon 97477
Building Division
726-3753
Job Location: S"b0 D~~ :)T. ~ 1?b9'
,.' . 'I'
Asaessors Map # Tax Lot #
Subdivision: M~~~/~ V/~W Z5j/A'/e-~
.~~<-~. &.r /7 tI ,W6~/ /he?F'.,L~r"/~'
q .' .
Ol.mer: ~:-<.~.IV t:t:D~ ~)$~~0V~~
Address: :92. 1~$~Evvex If"p.
~/fJ~d-~ u/
I Describe r"or":
N~ I~~
I Addition5~r-t/?' 76:P'~C€ ,.,,-,pG"
I I Remodel ;Vlt::>~/Cg ,4{;mcE Jw'~7)C/
C/9;<~i*</ ~ 7); - '
I )< I .',fo"tJile Home ~~~~JjfSR/e ~ t.A- 0
Date of Application 1- 7-Z!ii:r Value ::z t ~&t:::)
Conrl'Cc:;ol'S AcULVJes3 L~. sc. #
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Phone: 68'9- 74!9 \
Zip: Q77'Slg
tC~A-L'..,~ ~//.,& "~~-"'J
~_RCO ""7<"~e5
Electrica l ~At!:::::.(>1k/
-
Mechm:.ic.::l
General
Pl.wnbing
Constl'Ucticm Lender
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Date:
E=vircs
Phar.:;
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It is the l'esponaibi7.ity of the permit holder to see that a7.Z inapections are made at the proper. time, tr.at each ::diJxoess is rea.::.a.o~e
f1'OlT/ the street, and that the permit ca:rd is 'Located at the front of the property.
~Bui!.di1".g Divicior: approved plan shaU l'emain on thz BuiZding Sits at aU times.
?ROCEDUPE FOR INSPECTION REQUEST:CALL 726-3769 (recorder) state your City designated job mq;;ber, job czd6oess, type of ir.spec::ien
requested a~.d when you will. be ready for ir.spcction, Contractors 01' Owners nane and phone number. Requests received before 7:00 .:=:;
:..>iZl. be made the same day, requests made afta 7:00 am wiZl. be made the next :JOrking day.
Y~r City Deaigr.ated Job Number IS:~?C!'O 2(!;>
Reouipp.d TnsDp.cticn~
--, SITE INSPECTION: To be made after
--' e:z:cavation, but prior to set up of
. forms.
r
I . U!lDER~~A~ _ PLU!1BING. E~ECTRICAL &
.-1 . gECHA,,~ Cd.,: To be maae before any
work is covered.
~
FOOTING !! FOUNDATION: To be made
after trenches aree:z:cavated and
forms are erected, but prior to
pourir~ concreto.
UNDERG.90UND PLUMBING. SErfER. WATER,
DRAIIIAGE: To be made prior to fil.-
Zir..g trenches.
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UNDERFLOOR PLUf.~ING & MECHANICAL:
To be made prior to instalLation of
1100'1' insulc:tion or decking.
POST AND BEAU: To be made prior to
instal.lation of fl.oor ins~Lation or
decking.
ROUGH PLlP.fBING, ELECTRICAL & MECH-
ANICAL: No work is to bc covered
,until. these inspectior.s have beer.
made and approve=.
FIREPLACE: Prior to pl.acir..g facing
material.s and before framing inspec-
tior..
] FRA.'fIflG: Must be reque3ted after
approval of rough pl.umbing, el.ectri-
cal. & mechanical.. AU roofing
bracing & chimneys, etc. nr~st be
. compl.eted. No work is to be con-
, "ceded until. thia inspection has
'been made and approved.
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D INSULATION/VAPOR B,4RRIER INSPECTION: .
To be made after al.l. insul.ation ar~
" required vapor barriers are in p1.ace
': but before any Lath, gypsum board or
wa1.Z covering is appLied, and before
. any insulation is concealed.
DRYWALL INSP'ECTION: To be made
after a1.Z drywa1.Z is in pLace,
but prior to any taping.
O MASONRY: Steel l.ocation, bond
beam3, grouting or vertical.s in
accordance with U.B.C. Section
2415.
D
D
WOODSTOVE: After instalZation is
completed.
\
, DEt.fOLITION OR gOVEIJ EUILDI.'.'CS
:J Sanitary se'.Jer capped :::t p:..opcrty Zir.e
~ Sep~ic ~ank p~~ed and filled ui~h Gra~eZ
~ Final - f"hen above ite~s are cc..'rpl.eted
d h ~ · '+-" . t "-
ar. w en ~~O~~v~or. ~s compLe e or Sw~~-
ture moved and premises ol.eaned up.
Mobil.e Hemes
~ Blocking and Set-up
~ Plumbing connections sewer and water
~ Electrical Connection - Bl.ockina, set-u~
~ and pl.umbing ,conr.ections nr~st c~ appro~ec
before requesting el.ectrioal inspectio~
~ Acoesso'l"d Buil.ding
'\11 Final. -.After porches, skirting, decks,
~ etc. are compl.eted.
D
Al.l. project conditions, suc~ as the instal.l.ation of street trees, c~~l.etion of the
required Landscaping, etc., must be satisfied before the BUILDING FINAL ,can "tJe r:!lquest:!ld.
:=J FINAL PWNBIf/G
~ FIN;'L NECHA:/ICAL
:J FINAL ELE::-:.':ICAL
:=J
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FINAL BUILDING: The Final Building Inspection must be reque3teda.fter the Final PLumbing
El.ectrical., and Mechar.ical. Inspections have been made and approved.
D
CURB & APPROACH AP_90N: After' forms
are ereoted but prior to pouring
COTU:rete.
"ALL f.1ANHCLES AND CLEANOUTS HUST BE ACCESSIBLE, ADJUST!!2,'!,!, TO BE f,~~DE /'.T ':0 C='ST TO CITY' I P::::e ' of 2
D
SIDErlALK & DRIVEr-lAY: For a1.Z con-
crete paving within street right-
of-wc;y, to be made after aZZ e:z:ca-
vating comp7..ete & form work & sub-
base material in pZaae':'
D
~ENCE: K~en ca~pl~te -- Provide
gates or movabl.e sections through
P.U.E.
D
JOB No.8~<C
: Zone: JYJ/l-5" POz::;
iLot Sq. Ftg.
': ~f Zot C~erag~
:!I of Stories
,TotaZ Height
: Topography
1 TfT1r-.,
.....OJ...'
, SQ. FTC
. ,ifai-n
. 'Jc:race
12~~
I ~"2
I2-rzjC~,sl 0
Carcc"!'t
Acccssor:J
TOTAD VALUE
L -CO G~
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SOL A RAe C E S S R E Q.-
Occupanc:J GrO'~~~~A"'nc"'i /117' T;,'pe/Cor_~t:
LeT TYPE ' I Lot Faces - _'
Interior SetoaCKG
I P.L. House Carape
Worth
East
South
I(>'est
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/7....5'01
.. 70 I
1/$ 040 I ~
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l/Sr .ens I
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Corner
PanhandZe
CuZ-de-sac
x
Va lue
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~A-~de-
S.D.C.
evc.L.Uc)
1.5 =
BuiZdi-ng Permit
State SUI'ch.:a>ge
Tote!
Cna:'ges
TrT1~.'.~
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_t'.-...,'""r, ,~~?
ResiCentia Z (1 bath) I
Sc:r:i tar:J Sek'er
;';ater
~~nm
PZ -, D .
;Ar.:D-..ng . eZ'r.:'!. t
State SUI'cr.arge
Teta! Charaes
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lic:zJ l:,=",enc ....t."!'cut. s
~:. ~::: ~ervice
~iI~P
EZectricaZ Permit
St:::.te SUI'charae
Total Charces
-71-:'11
""dr..2Ce ETU' S
:.::haust Hood
;tent Fan
'';oodsto''Je
Perrr:it Issuanca
Mecr..2r:ic:::.Z Permit
State Surcharae
Tote l ct'<.arae:;
-- Ei/CROACHf.!E:\'l'
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CHARCE
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Teta l Ci:a1'ncs
:.a'bcut
ide'..JaZk
cn~e
lectricaZ Labd
:;bi le Home Uu l!~ t!:
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Enern:; SO:lrCf?S .
J Hear;
I Water ~cat~r
I I Han(."e
I I Firenlacr.
I Wcoa~r;ove
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I I.ccess,
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-- Faes
Building Value
&
Permit
This permit is granted on the express condition that the said' ~onstruction
shaZl, in aZZ respects, conform to the Ordinance adopted by the City of
Springfield,~ including the Zoning Crdi-nance, regulating th~ ccnstl"'~cticn
and use of buildings, and m:::.y be suspended or revoked at cr.y ti-me upon vic-
Zation of any provisf.on$ of s,a,id' Or:dir:.ances. ,,:\ \, " , ''''-; 'r .'
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IPZan Check
I Date Pai-d:
Recdpt #:
Sign.ed:
Fee:
"
Plumbing, Perrrdt
No person sha,ZZ construct, instal!, 'a!r;er or change any new cr e=i-sting
pZumbing, or drainage syste~ in whole or in part, unless such person is the
legaZ possessor of a vaZid plumber's Zicense, except tr.at a pe~son ~a~ do
pl~bing work to property which is ow~ed, leased or operated by the appli-
cant,. _ .,
.
, .
.
Elee tri eel
Perm it
Where State Law reouires th.at the eZectrical work be done bu an
, v
Contractor, the elect~~caZ ~ortion of this permit shaZl not be
the labeZ has been signed by the EZectricaZ' ~ontractor.
EZc~tricaZ
valid ur.tiZ
tv'\echanical
Permit -
0<2 ,.,-~?y-~
?rxcminer - I
I HA l'E CAREFULLY EXIL'1INED the corrrpZeted application for permi t, and do
hereby certify that aZZ in.fo~ation hereon is true and correct, and I
further certify that any arn aZZ work perfor.ned shall be done in accor-
dance ~th the Ordinances of the City of Springfield, and the L~~s of the
~ State of Oregon pertaining to the work cescribed herei-n, and tr.at NO OCCU-
PANCY wiZl ba made of any structura without parmission of the 3uiZding Di-
vision. I further certify that onZy contractors m;d c~pZoyees who are in
co~pZi-ance wi-th ORS-?Ol.05E wiZZ be used on this project
I-C' 87
JJar;e
Si~~ ~~'L fO\ O~
{-;Zi1
Date
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.. RES I D 6.W T I A l .. SPRINGFIELD
:~' APPLICAT.PERMIT
225 North 5th Street '
Springfietd~ Oregon 97477
Buitding_ Division
726-3753 .
Job Location: 5660 Daisy St. #11
AODesoors Map H' 17-02-33-4-4:
Mt. View Estates
Subdivision: '
h'cce:pt ,~
I (f1SS7 ./
'~ .....;, -
._, .Ta:c Lo t H 1 4 1 5 & N. ~ 1 4 l,f
OWner: Alfred A. Allen
Address: 1405 So. 2nd St. Phone: 747-8711
\
Springfield, OR Zip: 97477
Ci ty :
I ~,.,
I Addition
I Remode't
I Nobi'te lIoma
Date of AppZication
Contractors
: General
! Plumbing
I Hechanical
EJ,ttctrical
Deocribe 11'01'1<:
8 .
t^ ~ \ e-C-- '
Va'tue
Signed:
Date:
\..../
'l'{JJ ~'
3 - 'ly(-'1()
Exoires
rhn!1P
. 'Lisc. II
Bldrs Board Reg.
Address
_7/f1/1! t2U -G/6 7C#:LA
Suoerv~~in~ Electr~cian ~ .~~~
. /; }u--'
It is the reoponoibility of the pe~it to ~. that a't't inopections are made at the proper tim€, that sach ~ddres8 is readab:e
from thB streBt, and that thB p(Jl'm1.t az.d,;s located at the front of the property.
4Bui!.ding Divicion approved pl.an s,hall l'emain on the Buildinf1 Sit;; at aU times.
.
PROCEDURE FOR INSPECTION RSQUEST:CALL 726-3769 (rccorder) 'state your City designated job nw:;ber, job addrcss. type of in:Jpec~iclI
requested ar:d when you wiH be ready for inspection, Contractors or OWners 1lGI7le and phone number. Requests received befcl'e '1: 00 c:':I
:..'ill be made the same day, requests made a~ter '1~OO ,am will be mad~ t.'Je next :,JOrking dayn i'.i1 L.-~ I
. Your City Deoigr4ted Job Number 10: ~l l,)l..J~ .
\
Reauired Inspections
---" SITE INSPECTION: To be made after
.-J excavation, but prior to set up of
forms.
O ' UNDERSLAB PLUMBING. ELECTRICAL &
, MECHANICAL: To be made before any
, work is covered.
FOOTING & FOUNDATION: To be made
after trenches are excavated and
forms are erected, but prior to
pouring ccncrete.
UNDSRGROUND PLUMBING. SEWE'R. W.1TEl?)
DRAINAGE: To be made prior to fU-'
,Ur.g trenche8.
D, UNDERFLOOR PLUMTJING & MECHANICAL:
. To be made prior to insta'tl.ation of
!zoor insutation or decking.
D
D
POST AND BEAM: To be made prior to
instal.l.ation of f'toor insul.ation 01'
decking .
ROUGH PLUUBIllG, ELECTRICAL & MECH-
ANICAL: No work is to be covered '
,ur:til. these inspections have beer:
made and approved. '
FI!?EPLACE: Prior to ptacir.g faoing
materia'ts and before framing inspec-
tion.
D FRAMING: Must be requeoted after
approva.'t of rough plwr.bing, e7.ectri-
oal & meohanical.. Al7. roofing
bracing ~ ohimneys, etc. must be
:' completed. No work is to be con-
" cealed until thio inspeotion has
'been made and approved.
"
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--, INSULATION/VAPOR BARRIER INSPECTION:
.-J To be made after alL in8ul~tiQn arA
. required vapor barriers are in p l.ace
,:. " but before any l.ath, gypsum board or
, ' LJaU covering is applied, and before
" . "anY inaul.ation 'is concealed.
D DRYWALL INSPECTION: To be made
after aU drywall is in pl.ace,
but prior to any taping.
O MASONRY: Steel location, bona
beama, grouting or verticals in
accordance with U.B.C. Section
2415.
D WOODSTOVE: After ins ta'tl.ation is
compLet€d.
D
CURB & APPROACH APRON: AfteI' forms
are created but prior to pouring
con::rete.
DEMOLITION OR !,:OVED BUILDINGS
:=J Sanitary seuel' aapped :It p~op<:rtii lir.e
:=J Septic tank p~cd and filled with Gra~el.
I Fina't - Ilhen abcve items are completed
~ and when demolition is comp'tete or stru~-
ture moved and premises a'tea.ned up.
. MobUe Hcmes
~ B'tocking and Set-~p
~ PLumbing connections -- scwer al~ water
~ E'tectl'ica't Connection - B'tocking, set-up
~ and plumbing connectiono nr~st ce approved
, before requesting electrica't, inspection
1 Acaessory BuiLding
--, Fina't - Aftor porches, skirting. decks.
~ etc. are completed.
D
-
All project conditiona, ouch as the instaLlation of otreet trees. c~~Lotion of tne
required 'Landscaping, etc., must be satisfied before the BUILDING FINAL can be requested.
D FINAL PLUMBING
o FINAL MECHANICAL
o FINAL ELECTRICAL
o
D
SIDEWALK & DRIVEWAi": FOI' aU COII-
crete paving within street right-
(}f-way, to be made after aU exca-
vating comp'tete & form work & sub-
, base materiaL in pl.aae.
o
FINAL BUILDING: .7'he Final Bui'tding Inspeotioll must be requested after tho FinaL PLumbing
Electrical, and Mechal:ical Inspectiono 1lavO been made and approv2d.
D
FENCE: K~en comp'tete Provide
gates or movable sectiono through
P.U.E.
4ALL MANHOLES AND CLEANOUTS MUST BF: ACCES$IBLE, ADJUST/fENT TO BE ~L1DE AT NO COST TO crn I Page ! of 2
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JOB NO,
Zone:
Lot Sq. Ftg.
~ of Lot Coverag~
.~ of Stories
TotaLHeight
Topography
I
lITEM
IMain
Ccraae
CarpOI't
AccessorII
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Is.D.c.
SQ.FTG
TOTAL VAWE
(vaLue)
1.5x
Buitding permit
State Surcharge
TotaL Charges
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SOLAR ACCESS
Occupancll G~
LOT TYPE
.'
REQ.-
L - C 0 G~
Type/Const:
. Bedrooms:
.. I Enerq,u SOl/rces
I Heat
Water !/eater
Ra'lfJe
FirepLace
WOod3to~e
Tripe
Lot Faces -
Setbacks
/louse Carage
Interior
Corner '
PanhandLe
CuL-de-sac
Access.
P.L.
North
East
South
~West
-- Fees
I I
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X Va Lue
Building Value & Permit
, ,
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, incZuding the Zoning Crdinance, reguLating the ccns tructicn
and use of buiLdings, and m~y be suspended or revoked at any time upon vic-
Lation of any provisions of Baid Ordinances.
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PLan Check Fee:
Date Paid:
Receipt N:
I Signed:
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NO.
FEE
CHARGE
Plumbing Permit
ITEM
Fixtures
I Resident,iaL (J bath)
Sanitary Sewer
Water
ITEM,
filS. &8.
PLwnbing Pern:it
State Surcharge
TotaL Charges
No person shalL constnlct, instaLL, aLter or change any new or ezisting
pLwnbing or drainage syste~ in whoLe or in part, unLess such person is the
LegaL possessor of a vaLid pLwnber's License, except that a person may do
pLumbing work to property which is owned, Leased or operated by the appLi-
cant. .
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CHARGE
t~.CU
, NO.' FEE
Electrical Permi t
Na. \'\\ t\
NelJ/Extend Circuits
Temporary Se1'Vi~e _ '~rl! 1
c ~ 0 f'ULI/
\ ).LectricaL Permit
~tate Surcharae
Total Charges
ITSM
fUrnace ETU'S
Exhaust /load
Vent Fan
Woodstove
Permit Issuance
MechanicaL Permit
State Surcharae
TotaL Charaes
-- ENCROACHMENT --
Security Deposit
Storage
Permi t
Maintenance
eurbcut
SidewaLk
TotaL Chal'qes
Fen:::e
I ELec tl'ica 1
I Mobile /lome
I
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, "'(\"'.41"
wbo 1
JlIU'll',~,m nIlf:'. A
1
Where State Law requires that the eLectricaL work be done by an ELectricaL
Contractor, the eLectricaL portion of this permit shaLL not be vaLid untiL
the tabeL has been signed by the ELectricaL Contractor.
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NO.
FEE
\ S oc)
,?i)OCX) I
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3\ . ~O I ~
I CI/ARGE
Mechanical Permit
-,
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PLan Examiner
uate
I HAVE CAREFULLY EXAMINED the compLeted appUcation for permit, and do
hereby certify that an ir:formation hereon is true and corl'ect, and I
further certify that any ar.d an lJOrk perfor:ned shatz. be done in accor-
dance with the Ordinances of the City of SpringfieLd, and th~ Ur~s of the
~ State of Oregon pertaining to the lJOrk described herein, and that NO OCCU-
PANCY wilt be made of any structura without permission of the Building Di-
vision. I furthel' certify that onLy contractol'S and e~pLoyees who are in
compLiance with ORS 701.055 wiLL be used on this pl'oject
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Si!7l1.'~d
Date