HomeMy WebLinkAboutPermit Building 1991-3-13
.. RESIDE.Al"
, '. ' APPLICATION/PERMIT
225 NDrth 5th Street
SpringfieZd, O"f!gon 97477
Bui 7,ding D-~t>1:sion
726-3753
\'1 -0'3-34-
Subdivision: tf.,NJ,...:J t:~/.Tr... (P'I...,~:n) L-v-f- I~
r ;o~ ~c~ti~n; ,
, AsoeSD02'S Map #
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I OJner: ~t..~
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"'2..4-
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Addreas: ,,,~, .. " '>. .
ot-7'w< ''''-'''''/~Y l)_,.~,
City:
e "-( e-.I'- tJ -"r d
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0...Nmj
n Addition
n Remode~
r---l !~bil8 Homa
SPFiINGFlJaLD ..1 1.'.'_
Tax Lot #
I,Ou
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,
.e~Pt #
1 '14'"'fj-
P}-,mIe: l/ f ~ .117 "
Zip: ~ } 0.(,;)1
Describe rl'ork:
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Sigr.,ed:
Data:
~J~~"
Date of Application " : ~ b.,t.,. If /
,
Contractors Addr"~~ ',-Lisc. II Bldrs Board R ,,,.
,General ;:-..J,..,.j 13'/. ~,. ~f~3 -P;;P.IJ.. C ~ Ji> "f~
i Plumbing e."..-/"... i'1,,~~;.... Kr.J!...,o,( t:::'.< ,yO,? if
I Hechanical f(o!"~ f.k.:.f. "~,, .(.,) . :t:l:ZEl Po 6;: U ~cx/.t__
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I El,ectucal \-\.t?E~~,w cuc..::rftf'- 7'l7oJ D.Ii. eG. 1-0 -17It>c. ~?li~{"
I Slloe",,~;;,..1g Electrician ' ~ A-'. ~ --z..it{)r? S
Value
<<f9C) 0
Expires
ii/iii
14/ ~I
~ /12-
3/9(
P....."np
</5S311 (.,
Y.fsJ/ V (p.
.' 7 '1'/_"041.-
9</2-J(., 7L '
It is ths responoibility of ths permit holder to see that all. inDpeations are made at ths proper timc1 that each .:ddresB is readabZG
from ths street, and that the permit card is located at thB frcnt of the pr<?Perty.
.tBui!dirrg r;.;vi::ior: approved pUm. sheLt remain on tha BuiUing sit;; at aLt times.
PROCEDURE FOR INSPECTION R~QUEST~CALL 726-3769 (rccopder) state YOUI' City designated job nwnbep, job address, type of in3pec~icn
requested ar.d when you rJil.'L be ready for inspection, Contractors or O/Jners name and phone number. Requcsts recsived beforB 7:00 a':'I
..."il'L be made the sam6 dcy, requests made after 7:()O am wiU be made the next :.>orki1'l{; day. fl.\ D\' ^-:h
," Your City' Desigr.ated Job Number Io: V'\ LV J
J?p.l1Jli-eJ'JI T,,~~q~t':q'1"t
O SITE INSPECTION: To be mads after
excavation" bu.t prior to set up of
. forms.
O . UNDERSLAB PLUMBING. ELECTRICAL &
. MECHANICAL: To be rmde before any
. work is covcred.
..,'
]";7f FOOTING & FOUNOATION: To be made
q after trenches ars excavated' and
~ : forms are erected, but prior to
. pouring concrete.
U.~~ND PWMBING/SF:l/f:Ji) ~
RAINAG To be made prior Wrrt-
:g renaMs.
K7f, UNDERFLOOR "f;UMBI~ &~HANICW:
~ To be made p-r:r:mtto i713talZation of
floor insuLation or decking.
f\:'/( POST AND BEAM: To be made pnor to
J,6! i713talZation of floor inBuZation or
, . ciseking. . '
~ ROUGH 'LUlfBI/l ECTRICA r) &\/./ECH-
~ IeA. 0 :Jerk l.S to be cover"&r"
" ur. 1. hcse inspections have beer.
made and approved. .. . '.
D FI.~EPLACE: Prior to plaeir{/ faving
materials and before framing inspec-
. tior.. .
, ,
~RAl-~INC: Must be requested after
appl'oval of rough plwr.bing, electri-
. l & mechanical. All. roofing
. bracing I; chimneys, et~. lTf".J.st be
:' completcd. No work is to be con-
........ cealed until thiD inspection has
~b6~n made and approved.
t8l FI/lAG PW'fBI/IG
~ FI/IAG /1ECHAIIICAG
~ FINAL UECTRICAG.
0.
o
~ INSULATION/VAPOR BARRIER I11SPECTIOII:
To be made after all insuk:ti.?n aY'A
:~.' . required vapor barriers are in plaCB
'.- '::' ': but before any lath; gypsum board or
. ; :,'-' wll aovenng is appUBd, and befors
.~:: '. ..~y insulation is concealed.
. " .
"',
'D DRYIIALL INSPECTION: To be made
~ after all drywall is in place,
. but prior to any taping. .' .
'D' MASONRY: Stee l location, bo7ui
beams, grouting or verticals in
accordance with U.B.C. Seation
2415.
O WOODSTOVE: After installation is
ccmpZet<<i. .
l'::::A' CURB & APPROACH APTiON: Afte.... forms
,k:::h.are created but prior to pouring
.' . concrete. .
. . + .
'IQ'SIDEWALK & DRIVEWAY: For all ~on';--' ~...
~crete paving tJithin street right.. t
. .of-way, to be made after all exca-
, vating complete & form work & sub-
. base rraterial in pla.::!e.
K7f' PENCE. When complete -- Provide.
l6J gates ),r movable sections through
P.U.E. '
[3-c9~~oon
. 'J\jLC(w:;tQd
-.1'-
I DEMOLITION OR NOVED BUILDINGS
~ Sani"ta:ry S6'Jer ::apped :It ~op&rt-~ Ur:s
. =:J Septi:J tank p'..l.>::ped and fitla~ L1ith gra~ol
I Final - rflum above it oms CU"8 ccmplBted ;
~ ar~ when demolitior. is complete or 8tru~- I
. ture moved and premisGs cleaned up. I
I
/
Mobile Bcmes
:::J B~oeking and Set-~p '.
:::J Plumhi1'l{; connections -- sClJel' and wat6l'
---, Electrical Connection - Blocking" set-up
.:.....J and plumbing connections r1r.J.st be apprOl,,'ed
. bsforc requesting elec:rieal inspection
.\.....l...
- .~ .
=:J Accesso'rb' Build~ng
--, Fina.l - ltft~'r p:;rcr.Gs, skirting, decks,
~ Gte. are aamplet~d.
~ ~FLow DevIce.'
, .
.'
~
All projeat conditions, such as the installation of s:rcet trees. a~~lotion of the
requil'ed landsccpir.g, etc." must be satisfied before tha BUILDING FINAL can !Js raqusstad.
FINAL BUILDING: The Final BuiUing Inspection must bo requested after the Final Plumbina
Electrical, and Mechar.ical Inspectiono have been made and apprOVed.
'ALG MANHOLES AND CGEANOUTS IIUST BE ACCESSIBGE,
{"?,"J_':l, Y6l1Jil'lQQ
". : .'.._:~"::--..~:- - ":':"',\' '...,.<~' '. .. ",.., _n,"
ADJUST!fF!/lT TO BE IIADE AT NO COST TO :r;;' I P;ge
! of 2
" .
l ~~ge ~
I JOB NO. a.\D' \a3S0lAReCESS REQ.-
I Zone: \_ \ '\ 1L.., Oem,"anc. GlOU", \?-"5 ~ l\~ \
Lot Sq. Ftg. LOT TYPE 1 Lot F~ees -
f ,- i . I Setbacks
S a wt C,jt)erag; Inr;er'Lor I P. L. House Cfn'age
# of Storoies . \ Corner INorth
Total Height;' \ '(") , Panhandle East
. -~
TopogMphy,' Cul-de-sac W
est
I
lITEM
Illiin
I Gmoace
I Carport
IACCeSSOl'U
SQ. FTG
JB?.O
-t:io
TOTAL VALUE
Is.D.C.
,vat-uc}
1.5 "
Buil.ding Pernri.t
State Surcharge
Total Cha.~ge8
I ITEM NO.
IFi:z:t:woes
I Residsnticl (1 bath) :z..
I Sanitary SeLJe!'
Water
\ )?)\\~~1~t I
State Surcr.a.rge
Total. Charaes
ITEM
Res. So. fto.
NmJ/E:rtend Ci1'CUi ts
I Temporary Service
Ele~tl"icaZ. Permit
, : Stat. Surchar>a/
Total Charc:es
lITEM
FUrnace ETU'S
Exhaust Hood
I Vant Pan
WOodstOlJ8
~
Permit Issuance
Mechanica.7. Permit
State Surchtnoae
'1'ntnl r.J,a.,.r-rm
I -- ENCROACHMENT --
I SeC'.4.M.ttl Daoosit
I Storage
I Maintenan'::M
I Permit' ,',
Tota 7. CharaoB
Zt!!>'
'1t5 I
cU:rbcu~
I Sidewalk
I PCP'C:e
I Electrical Label
I Nolf{. Hom.
,jJ\() .1\ l\~t\n '.
TOTAL AMOUIIT DUE:'
X Value I
181ft 9P,~.
!4!!- 61 {) '? .!!.
, I
I
. 95tl>~.
II+~SD~ .
, 4/fi/,.-1
, e.o.~1
4:3Z3 .9,,1.
FEE CHARGE
16CJ~
I NO. I FEE
10.","0
)70~D
~. '/:0
J7$:!i>O .
CHARGE
/
/
,-
/
/
NO. FEE
CHARCE
/" &C
r~-
<I ~a
/Z."-D
I
(
13.~
z~
106"0 I
;2.~.~EJ I
}.73
'3'~;:;Z-3
11-:;),0
-;2.~t?
f=S.
~.o-o
,.,
:2/99.531.
,.,:
l-COG~
.. I
TypeICor.st: ~ .jV Bedroom", 5
I I Enero" Scurces f- Ci'
I, Heat
Access. I Water .tip-otero q
I I Range F__
I' I Fireplace
I Woodatot:e
II
TUDe
-- F:::es --
Building Value & Permit
This pennit io. granted on the express aondition that the said construction
BhattiJ in all roBspeats, confonn to the Ordinar.ce adopted b"y the City of
Springfield, including the Zoning Ordinance, regulating tho construction
ar.d use of bui'Ldings, and may be suspended or revoked at cny time upon vio-
lation of any provisions of said Ordinances.
~~ ClJ::V \ '8 ~ '5
KJWqq Cctoo 101 ')
:2 M.@ ~ ~ ::: Plan Check Fe.:
IJ' 'f!!;;O~~)1fl Dot. Paid: ~l L-/
Recdpt ~ \ 0
/ISign~d: /yJ
Plum~ing' P~rmit
No person ohaZl construct, ihstaU, alter 01' change any nezJ or e----isting - -
plumbing or drainage systen in ~hole or in part, unless such person i8 the
legal. possessor of a valid ptumb61"8 1.icense, except that a person may do
pl..,.,bing work to property which is owned. leased or operated by the appli-
cant.
Electrical Permit
Where State LaLJ requires t;..at the electrical lJOrk be dona by an Eleetrical
Contractor, the electrical portion of this permit shall roOt be valid until
the Zabel has been signed by the Elec-trical Contractor.
'Sf7J?~ -
#/#'Mf7c7Al.
.
Mechanical Permit
.
~A~~
Plari 'E:r:arm..ner
",,<e~h/
I HAVE CAREFULLY EXAMINED ths completed application for permit, and do
hereby certify that all info-:oination hereon is true and correct, and I
further certify that any ar.d all tJOrk perfomled shall be do:1e in accor-
dance :.nth the Ordinances of the City of Springfield, and th~ La'.;s of'tho
~ State of Oregon pertaining to the work eeseM-bed herein, end that NO OCCU-
PI:NCY !Jill be rrnde of any structura without pe1'mission of the Building Di-
vision. I further certify that o:1ly contractors ardl ~~ye€s who are in
compliance ~~th ORS 701.055 will be used on this project
...
a~.~,
Signed
~ /.J"/-'l
Date