HomeMy WebLinkAboutPermit Building 2020-9-5
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.. RESIDiNTlAL"
APPLICATW/PERMIT
225 North 5th Street
Springfield. Oregon 97477
Building Division
726-3753 oRl'!
Job Location: ~ ~ ~,..~.~ s-+-
Subdivision: R.,.; h,.., E,.-I.. ~
AS08SDors Map # Tax Lot #
LD+ .,l.:t-
a.mer: Ro\',_-I"~o_.-t(, 5dt..-
Address: ,.J tj q ~ /I-l~ .{", j, u r -:n -, J ~
/}~ _./
.cj
City:
.-
L=. Cot.rQ..-tI't....
U /
IXLmj ..
n Addi ticn
n Remodel
n Hobile Homo
?Jvx. zr-
1'I-"",e: 'I (, ~- J/ 1",
zip: tf7Y'?/
Describe fllork:
J,\ fu\clW~
R . reo. q() Value t("'5~O
Date of Application
Contractors Aclclre~s ',Lisc. II
. General h I..,,'~ )/PM,r .7~F~' M'/"/';J ?I.,V'i"?
!Plumbing C..,rlo-?I~_',:", IGJ..-{ qw~',,,,1.. ,:Jon'!
iHechan~caltf',.,It-,. //-'*''''I_-' ~~JO [;A/,f /~J.<,.I;:-_~. ,J"L-rV
I E~ectn.cal '\\-F-E<.A<I.n ~:T""" ,"l1P3 "D,J C.G.. 1...O-"f.,c. S f{'i1"?(~
Sl1peli'll~.1g Electrician ~ A. ~.1..a...-~. '"'"Z...'70!i'f
'-' ------.' . -"
It is the responsibility'of the permit holder to see that all. inDpections a:re made at the proper tim~J that <<:ch c.ddrs88 is readabte
f'rcm ths street, and that the permit caN is locatsd at tAs f1"Ont of the property.
ABui1.ding Di.vi:ior:. approved plan. s.hazt remain on the Building sit:; at all times.
PROCEDURE FOR INSPECTION R=':'QUEST:CALL 726-3769 (recorder) state your City designated job nwr.ber, job addxss, type of in3pecticn
roquested ar.d when you wiH be ready for inspection, Contractors or O/Jners name and phone number. Requests received befcrs 7:00 Q:'2
...n. b~. made th< same dc:y, requests mads,.:a::~<1' 7:Doam on:n ba made the na:t :x>rki,,: day. . 4'
. , : ' .Your City Dssigr.ated Job Numbsr Io: q () /0.3
R~~~~pd I~R~ptic~~
D SITE INSPECTION: To be nrlde after
excavation, but prior to set up of
. fo1"ms.
O : UNDERSLAB PLUMBING. ELECTRICAL &
. MECHANICAL: To bs made before any
. wrk is covered.
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FOOTING ~ POUNDATION: To be made
after trenches are excavated and
fo1"ms are erected, but prior to
. pouring concreto..
UNDERGROUND PLUMBINGL SEWER, W.4TER,
DRAINAGE: To be nr:uJ.e prior to fi"]'-
.J.ir.g trenches.
~
UNDERPLOOR PLUI.fBING & MECHANICAL:
To be mads prior to insta l lation of
[1.001' insulation or decking.
~ POST AND BEAM: To be made prior to
lL:.I installation of [1.001" insulation or
, decki,,".
rXl ROUGH PLUHBING1 ELECTRICAL & MECH-
lL.J ANICAL: No work ill to be covered
.w:tiZ, these inspections have beer.
. made and approved. . . '. ~
. rTI FIREPLACE: pyou,r to placir.g facing
~ materials and befoI'e fl'a11ling inspec-
tion.
r-vl FRAlHNG: Must be requeoted after
~ approval of rough plurr.bing, elect1'i-
.cal & mechanical. An roOfing
bracing & chimneys, st". rtr.lst be
,'. completed. flo work is to be CGn-
. .... cealed until thio inspection has
~b6~? made and approved.
".-
[:KJ PIIIAL PLUII.BIIIG
rn PI/lAL MECHANICAL
[2J PINAL ELECTRICAL
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FINAL BUILDING: The Final Building Inspection must bo requested aftel" tho Final Plumbina
Electrical, and Mechar.ical Inspections hava been made and approved.
:-'~
Receipt .#-
1..$ 2 t?' ,'7-
.~1f5~P?-
. ,
. '
Siqr.ed:/'/ ~~
,. .r~~ I~l'? ,.
Date:
Exp'iY'es
t,,{ r; I
t,,('i'f
.,;j-rl
, -3/9/
Bldrs Board Re~.
"Phnnp
l.lJ INSULATIONIVAPOR BARRIER I1ISPECTION,
/' To be made after alL inuuk:.tiDn w.d
. '.,' required vapor ca:rTiers are in place
'." '.: but before any lath, flYp8Wll board or
: .... w.U covering is applied, and boforo
.F:: . ..~y insulation is concealed.
r;;j DRYWALL I/lSPECTION, Tc be made
LKJ after aU drywall is in place,
. but prior to any taping. .
O. MASONRY: Steel location, bona
beam3, grouting or verticals in
accordance ~th U.B.C. Section
2415.
D WOODSTOVE: After installation is' ..
ccmpleied.. ~
[Z]
CURB & APPROACH AP!/ON: Aft.." fo";;;'8
are erected but prior to pouring .
CG7U!rete.
"
~ STREET .TREES:'~ street
~ trees. from approved list shall
be installed. - minimum 6' high
---2t E.la~ting._ '
All project conditions, ouch as the installation of streot trees, cO:7Tplotion of tne
required Zandsccpir'.g, etc., must be satisfied before the BUILDING FINAL can be rs~est3d.
. rYl,SIDEWALK & DRIvEWAY: Por aU con-'
~ crete paving ~thin street right-
of-way, to be made after all. ezca-
. vating ccmplete & form wrk & sub-
- liaSI'! material "in place. "
O ?ENCE: filum co.-rrplete -- Provide-
gates or movable sections through
P.U.E. '
lid' '-..f/7~_
<,Id- J- II 1/ te.
1Y/OO"OL
~N1.-- ~"7L
. DEUOLITION OR :.:OVED BUILDINGS
~ Sani taJ"Y seuer capped at rn:..opcrt'~. lir:e
~ Sept~ tank p-.ci1psd and fill~d !.lith gra-;el
~ .' I
,
] Pinal - r/hen above items arB completed
ar~ when demolition is complete 01' stru~-
. tu:re moved and premises c leaned up.
MobiZe Hames
=:J Blocking and Set-:.lp
::J Plumb~ng connections -- S~Br and water
--, Electrical Connection - Blocking, set-up
~ and plumbing connections nr~st be approvsd
. before requesting Blectrical inspec~ion
::J Accessory Building
,.
] Final. - Aftar p~l'cr.es, skirting, decks,
etc. are completed.
o
AALL MANHOLES AND CLEANOUTS MUST BE ACCESSIBLE, ADJUST/fEUT TO BE MADE AT 110 COST TO CITY I Page 1 of 2
~_ e~yV ~
I JOB NO. 9.::?/~3~ SOLAR ACCESS REQ.-
Izor.c: L.~ Qccupanc" Grou"';r ti~/
Lot Sq. Ft::;. ~y~ WT TYPE' I Lot Faces -
I
S of Lot Coverage ~~ L Interior I P.L.
# of Stories I Corner lNorth
TotaL Height / ~ ' PanhandLe lEast
_..,-.,_ South
Topogro:phy (f!?-..... ~ CUL-de-sac IWest
.lITEM
.1J.kzin
SQ.FT[!
14 aJ'l
4~4
Gerace
Caroort
ACCeS80l'U
Is.D.c.
TOTAL VALUE
(vat.ue)
1.5 :r
Buil.ding Permit
State SuPchargs
TotaL Cha.~ges
I ITEM NO.
I F~e8 .. , 'v... I: ..
I Residentic L (1' bath) "3
I Sanitary S_r I
I
I
FEE
"
Watmo
~IA.~~N'
PL:mrbing pe=i, t
State Surcr..a:l'ge
Total. Charaes
lITEM
Re.. So. fto. 11'2..,
I N6Ll/E:r:tend Circui t.
I Temporary Service
I~~~ ~.9t:-Y
I NO. I
FEE
/
I
1
Electrical Permit
State Suroharoe
TotaL Charr;es
ITEM
NO. FEE
I
~
I Vent Pan ~ ~
1~C..C.~~~En> I
71J~ ~/ /'
,r '.T ~
..,I" <!1ln1,:",,4.Gp~JliltII~
Furnace ETU'S
I Exhaust Hood
Mechanical Permit
State Surcharae
Total Charaeo
I -- ENCROACHME.~T --
I SeC".lM.ty Dewalt
I Storage
I Mai"t~e
I Permit
I
I CUrbcut
I Sid=Lk
Total Chal"QCS
/- <~ '
')9/
Pen::e
Elect~al Label
I Mobile Home
I
TOTAL AMOUNT DUE:'
x
Value
. q&J(fl J
\lY~j;:Z5"' '
,
Y7 Yo -I
~/.~
'1Y$:'2t:> '
CHARGE ,
I
~7. So i
":?C.- I
kS:-
-:::?C>.-o
1'2'2. 5&>
t:,_ 131
tZB .~ :71,
CHARGE
:?..:'. 'St::>
I~-
'3?~S2P
9p:-1
'7-oP I
"'?~d '
CHARGE
~.-
~S7?
/<.-
/5:-
9.-
2--
'/2.--S"'O
r :Z,/7
'1'T-h 3
17.".0::::>
2/_65"
-:z 193'. 7~
\'llllI
1-
~ Beaooms: '::?
1IIIf'r Enel'Gu Sources Tl.!!')e I
I I Heat ~ ~--; ~d" j
I I Water gnat"" 4~' -I
II Range ~~~. I
I' 12' FirepLace / O~c:.'''''.''~1
I Wood:;tove
'I I
I
L-COG~
Type/Cor.st:
#ej'?7".# _
~etbaC!kB
House Carage I Access.
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,,-'
~Y'
7. "3 '
-- Faes
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Building Value & Permit
This permit is granted on the express condition that the sa'id aonstruction
shalt, in all respects, conform to the Ordinance adopted b'y the City of
SpnngfieLd, including the Zoning Ordinance, l'eguZating the construction
and use of buitdings, and m:z.y be sUDpended or revoked at cny time upon vio-
lation of any provisions of said Ordinan.C8S.
IPLan Cheok Fee: f}flt).{ of)
IDate Paid: p,'l~ .<--It'l
IReoeipt #: 1. ~()"fr
ISig>:ed: COf.,lm r
Plumbing Permit
No person shall construct, instatz, al.ter 01' change any nelJ or e...-isting
plumbing or drainage system in whole or in part, unless such person is the
l.egaZ possessor of a valid plumber's license, B%cept that a person may do
plumbing work to property which is owned, leased or operated by the appli-
cant.
Electrical Permit
flhere State LabJ requires t}o.at the electncal work be done by an Electrical
Contractor, the electrical. portion of this permit shaU roOt be valid until.
the label. has been signed by the El.ecmcal Contractor.
.'
Mechanical
Permit
,
I 4r~ -~ -..
I /,j'tan E~ner ,-
r
'~-<>7'- 9a
wr;e
I HAVE CAREFULLY EXAMINED ths compl.eted appLication for permit, and do
hsreby certify that a'Ll. information hereon is true and correct, and I
:folrthezo certify that any am a'Ll work performed sha'Ll. b6 00:16 in acO'or-
dance ,,;,th the Ordinances of the City of Springficl.d, and the L=. of tho
.. State of (Jroeg:m p~rtaining to the work described herein, end that NO OCCU-
PANCY LJiH be rrnde of any structur:3 without parmis8ion of the Building Di-
vision. I further certify that o~l.y contra~tors ar~ e~loyees who are in
compZiance with ORS 701.055 wi'll. be used on this project
~TE" Ak- C"'n:trct:J/ <>/f' 5~6"f C~~CZ-7r""'..y-
/:$ ~~ C//;I'7/~ :;;;r,,<:i=, /~~e>r~t577
1JJr>'~~ / /5 ~~,;"OD li'7-' L/Tf-: "
f(~
Sign~d
6'A-/"""
Date
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