HomeMy WebLinkAboutPermit Building 1986-3-3
00 RESIDEATIAL 00
APPLICATI6f!!'iPERMIT
225 North 5th Street
SpringfieZd, Oregon 97477
BuiZding Division
726-3753
I
i
SPRINGFIELD
oTob Lor:ation: S-~6t' V#,/S ~ ~7: ,,' #~C>
. ,'/
A8nesnor~ Map # ' TGX Lot #
-IP~~
Ctmer: r:h?~ y~ ~ d?f#"h .
Add1'ess:.~ ~rfS" .m~/H ~~ ;;;'>78
-- - ,,;-,
Cit1J: ~~~Z;>. t?-/?
.. 1 /.
Subdiv':"sion:' Lt:>r /t(.. 7l-(.A' I,~
4r,./ c:: ~
I ,\' Np.:.J
I I Addition
I I RemodeZ
I X I :fob':" Ze Homa
Mp~.d/A/# 'V/eh'
-~~
Phone:
?y/-/,,?,~
~7 y;> 8
Zip:
Desr:p"~be I>'or]{:
/~r~~ -:;'~'yS2' )'n~'B'~ #,//?~
w/T# /6 X 2~' <$A7Y~iE #dP
1~')(7.~' qR"P~T-,'~'JrI"iJ' '/Wb'/~.
/tI1J1N< ~ /Itt>/ttf~ ~_ 'Z_f/ y'd . - 0
"2 ~/'2-S6. ($~n~afuef~~. '1$/8...
, Date of AppZir:ation
:,'O':::l....:::::;ors
Genera?'
PZumbir.g
EZe,nrir:aZ
I.fecn....,.,-;ir:::. Z
bW"'e-~. .
Cons:rur:tion Lender
-,
Acaress
!I
G'), ( ~,f/') 0 c.. b
C" d
..//.gr:e :
Date:
t/l
:?-3-5((O
Lisr:.~
t.X'D'1.,PCS
Fi~onc
It is the responsibiZity of the permit hoUier to see that aZZ inopections are made at ihe proper time, that ear:h =ddress is re~D:e
jrom the street, and that the permit card is Zocated at the front of the property.
.Bui!dir'4 Divicio~ aD~roved ~Lan sr~Zl remain on the BuiLdinq ~ite at aZZ times.
... ~ . ~ ~
?FiOCEDT.!!?E FO.'? INSPSC'l'IOl! RE'QUE'S'l':CALL 726-3769 (rer:order) state your City designated job nzc;;ber, job adircss, tLJpe of ir.::per:~icT:
requested a~c w~en you wiLL be reacy for ir.spcr:tion, Contractors or Owne~s name ~nd pr~ne number. Reques~s rer:eived befere 7:00 ~~
~i~l be made the same day, requests made after 7:00 am wiiz b:: made the next working. day.
. Re07.l.iped TnSDp.cticn..c:
~
SI::E ItiS?SC':'ION: To be made after
e=cavati.:m, but prior tc set up of
forms.
~
U!lDERSLA3 PLU!BING, EDS:::'l'PIC,1L &
,',XCHA:}IC;,L: To be made before any
worK is ~ovcped.
ZJ
FOOTING !1 FOUNDATION: To be made
after tl'enches are excavated and
forms are erected, but prior to
pouring'ccnr:ret::.
U!.':J2RG,"!Ou:\'!) PLUMBING, SEI,':::R, 1>',1TER.
D3AIllAGE: To be ma.ie prior' to fiZ-
Zir:g trenches.
I]
~
UNDERFLOCR !.'LUt.'!3ING & !,:ECHANICAL:
To be mace prior to instaLLation of
f100r insuZation or decking.
POST AND BEA!.~: To be made prior to
instaZZar;ioll of fZoor' ins:.lation or
deckin;.
~
~
ROUCh' ?LU,'rBI:",1C. ELEC';'!?ICA~ (: /.tECh'-
AI"lICA!.,: ;/0 :"'iorj~ is to DC aoz.:ered
ur.~il these insDectio,:s have oem;
made and aPPl'Oved.
FI."!E'PLACS: Pr>ior to pLadr.g facing
materiaZs and before fI'aming insper:-
tior..
~
~
FRA!:If!r;: Must be reque3ted after
approvaZ of rough pZ~bing, cZer:tri-
r:aZ & mer:r..anicaZ-. AE roofir.g
brar:ing B chimneys, etc. ~~st be
r:omoleted. !lo u,ork is to be r:on-
, r:ea'Zed untiZ thia inspection has
'been made and approved.
Your City Desigr.ated Job Numba Ia: Rt:::..(!::>C;JB?
D
I/}SULATION/VAPO.r? BARRIER DlS?ECTION:
To be made after aZZ insuZation ar~
required vapor carTiers are in pZar:e
but befere any Zath, gypsum board or
wan covering is appZied, and before
any insuZation is conceaZed.
D[,'.!()LITIO!! OR ;~:DVE:; BUILDIj:CS
=:J Sani -:ary Se'.Jel' capped :::-: p~operty' 1.ir.e
"
~ Septic tank p~~ed and fiZZed with gra~eZ
"'".,
~"" .'
---, FinaZ - I>'hen abcve ite,-ns are co,~lete.i
-! and when der.rcZitior. is compLete or st:'"..~-
ture moved and premises cLeaned up.
D
DRYlo/ALL I,'lSPSCTION: To, be made
aftep all drywaZZ is in pZace,
but prior to any taping,.
NobiZe Homes
~ BZocking
LJ Plumbing
~ EZectricaZ Conr.ection - BZockiT~, set-u=
~ and pZumbing cOllner:tions rr...st .!;~ appr:;v~d
beforo requesting eZec::ricaZ inspectio~:
and Sat-:.Ip
r:onnec~ions
sewer ar.d wa-:el'
o
MASONRY: SteeZ
. ./.'
Dearr;3" grou ./tng
accorciance ~~th
241E0.
Zocation"bond
or vertica Zs in
U.B.C. Section
, ~ Ar:ces~o~b' BuiZding
. . . ~. . ,. . ~
~ FinaZ - After' porc~es,
~ eta. ape ccmple=~d.
skil'ting, decks,
D
k'OODSTOVE:
ccmpleted.
After installation is
o
-
An pro.ject cor.ditions, auc,': as the ~'.nstaUation of str>eet trees, r:c~Zet;:..:m of tne
required Zandscapir.g, etr:., must be' satisfied before the BUILDING FINAL r:all be rcquested.
~ FIliAL PLU/.1BIlIG
::J FINAL UE(;HA:lICAL
,~ FIliAL ELE'CT!:IC!.L
~
o
FINAL BUILDING: The PinaZ BuiZding Insper:tio/1 must be requested after the FinaZ PZumbilt.J
ElectricaZ, and Mechar.ir:aZ Insper:tions have been made and approved.
D
CURB & APPROACH APRON: Afte::> forms
Ql'e erected but prior to pouring
I:!on.::rete.
*ALL MANHOLES AND CLEANOUTS lfUST BE ACCESSIBLE, ADJUST/fENT TO BE !,t~DE AT NO C:JST TO CITY
D
SIDEIIALK Ii DRIVEW,Y: 1"01' an COIl-
r:rete paving with~n stl'eet right-
of-uX::!), tii be 'made after aU' exca-
vating complete & form ~~rk & sub-
base materiaZ in pZace.
o
~ENCE: k~er. r:ompZete -- Provide
gates or movabZe sections through
P.U.E.
o
Paf:e 1 of 2
I
i JOB NO,
I
'7
!t-one:
SOLAR A*SS
O~~u:r;an~2! Gr~
ILot Sq. Ftg.
,
!% of lQt Coverag~
I
,.. f Ct .
i~,o v ones
!Total Height
,
I Topography
I
I
IITEN
'IMain
i ,
I Gc:race
LCTTYPE
Interior'
Corner
I SQ. FTG
I
13'~
12'~
I I'
I A~~essorl/
1.M,e/~€ ~~
i
Is.D.c.
,
Panhandle
Cul-de-sa~
x , Value
1/~40
Is~p I
I I
I I 2Si 'I/&>
I ~()S'8
I /fS"~. 72
~.SC>
2.62
5"z,SZ
,
I CarDert
TOTA[, VAWE
1.5 x
(vaLue) ,
Building Permit
State Sur~hJI'ge
Total Charges
l NO. FEE I
ZJf~~r I
I
I
I, I I
iMD~/(~#z:?~ ~'-P I
i Plumbing PeI'"-it I
1,1 I
State Sur~r.arge
i Total Charaes I
lITEM
i-' ~
!'t._...""'"'"'t:..... .;Tl:'''~
I
iResidential '(1 bath)
! Sanitary Sewer
I
i i>'ate:!'
II I
IITEf.;
! Hes. Sa. fta.
IN~/Extend Circuits
NO. I
I
I
I
I
..,-.-.,
J....;:,,~
i
! rOT! '-I'~ Servi~e
Ele~tri~al Permit
St:::.te Surcharae
Total Cha:rees
,
! ITEl.~:
I
,
t F'urn.:2~e PTU' S
,
i E=haust Hood
I NC,
I
I
I
I
I
"-'-1
,...,t'~..
r....w
: Vent Fan
1 Woodsto;;e
Permit Issuan~e
Mechani~:I.l Permit
State Sur~harae
Total Charaer.
-- EllCROACHMENT --
C' .
~~e~~nt2! DZDOS"t
Storage
)1aintenance
P~rmit
Total Charaes
.
Curbcut
Sidewa'lk
Pcn:::e
Ele~tri~al Label
Mobile Home J4,p'~e-
TOTAL AMOUNT DUE:"
?ZCD
/378
REQ,-
.
L - C 0 G~
Type/Const:
Beciroor.:s:
[,ot Fa~es -
I Enernu Sour~es
I Heat
, A~~ess. I Water Yeater
I Range
I Fireolace
I Woodstove
II
T;.J';)e
Setbacks
P.L. 'House Carage
North
East
ISouth
IWest
Fees
Building Value & Permit
This permit is granted on the express ~ondition that the said ~onstru~tion
sha'll, in all respe~ts, ~onform to the Ordinan~e adopted by the City of
Springfield; incZuding the Zoning Qrdinan~e, regul~ting the ~onstructien
and use of buildings, and m:::.y be suspended or revoked at any time upon vio-
lation of any provisions of said Ordi~n~es.
*
*
Plan Che~k Fee: ~.83
Date Paid: q,;'.5,.-zb
I Re~dpt #: r?,. & (P () 5 t-,
11_. _
I Signed: oc.-
Plumbing Perrrdt
I
I
I
I
I
I
I
I
CHARGE I
,20.UW> I
I
2t>.~1
IS: aral
64
70_-0
-;z .80
?:?8~1 *
I.
I
I
/'5. ~ I
I,), ~
~.~
/ . ';le>
~/. ~t!) *
I
I
I
I
I
I
I
I
~Dt I .:9,~~
I -
I
67$: ~7
,P' . '"j,.",
v.1AtiLrI:.
I
I
I
I
I
I
I
I
I
I
CHARGE
I ,~
I
I
I
r *
No pereon shall constru~t, instalZ, alter or ~hange any newer e:isting
plumbing or drainage syste~ in ~hole or in part, unless su~h person is the
lega'l possessor of a valid plumber's li~ense, ex~ept that a pe~son may do
plumbing work to property whi~h is owned, leased or operated by the appli-
~ant.
Electrical Permit
Where State [,aLJ requires tr.at the ele~tri~al work be done by an Ele~tri~al
Contra~tor, the electrical portion of this permit shal'l not be va'lia untiZ
the label has been signed by the Ele~tri~al Contra~tor.
Mechanical Permit
~-- ~--n
~%::;=in"r :....",. -~ .
uate
I HAVE CAREFULLY EXAMINED the ~omp'leted app'li~ation for permit, and do
hereby ~ertify that a'll information hereon is true and ~orrcct, and I
further~ertify that any arn, a'll work performed shal'l be done in a~cor-
dan~e with the Ordinan~es of the City of Springfield, and th= L~~s of the
State of Oregon partaining to the work des~ribed herein, and that NO OCCU-
PANCY will be made of any structure without parmission of the BuiZding Di-
vision. I further ~ertify that on'ly ~ontractors a;;d e~ployees who are in
~omplian~e with ORS 701.055 will be used on this proJe~t
..
c~~
()
~-~6
Signed
Date