HomeMy WebLinkAboutPermit Building 1989-11-15
.. RESIDWTlAL"
APPLICAT.PERMIT
225 North 5th Street
SpringfieZd, Oregon 97477
BuiZdin~ Division
726-.3753 .
/
Job Location: Lost 0 "~f\UillU\)\~
ABaeBGOrS Map # ) r) O~4.~ Tax Lot #. () /4()c)
SubdiViBion:H(~ -t C( Ii nW..-I tJil1
- ~', - .J
Rcce:pt fi
;,,--;3707
"
."
'\.f-.
CA.mer: I!jf9 VffUl-A/ of IV) a. 0tJI CtJ \1) (....1 f-L.Y' S
Addre.BB: ...j () J P 10/'Y/J) /V cI /-h~ Phone: 7 ij 7 - S /J 7 '7
City: _~/Jr/N',4'f.", /c1 /oJJ -ZiP: C;7~77 ',' :\
It is the I'6sponoibitity'of th9 permit ho~er to BBe that aZl inapections are made at the ,proper tim~, that each ~e88 is readab~e
fl'OlTl the street, and that the permit card is tocated at the front of the property.
ABuit.dirl{} Divicipr! cippror:ed plan 8.hall l~emain on the Building Sit;; at aU times.
'" ", I .
PROCEDURE FOR INSPECTION RE:,QUEST:CALL 726-'3769 (recorder) state your City designated jobl number, job address, type of inspec;icll
requested and when you will be ready for inspection, C011tractops or OWners nGme and phone number. Requests received befepe 7:00 ~
~'iZl be made the same day, J"equests made after 7:00 am'wiU be made the next :UOJ"kin;] day., .
.q"''1dr~<i r'1nn'~'ir.n. I. Your;c~~y Designated Job Number Is: Sq \ \ ~O
r7f' SITE INSPECTION: To be made afteJ" r:;:t INSULATION/VAPOR BARRIER INSPECTION: I DE/.fOLITION OR :'.,'OVED BUILDINGS
~ excavatio~, but proioJ" to set up o.f t:.-J To be mde after aU insulati:m G."'.d I
folW1s. ." requih~d vapor barriers are in pl.ar::e :=J Sanitary s(J'.Je'1' capped at p':..opcrty Zir:e
O. UNDER;LAB PLUMBING. ELECTRICAL & ' I. . :~;before any lath, lY~Bum .!do~ or, ::J
: MECHANICAL: To be made before any aovering is app ie , a eJ ore' \ Septi.;] tank p;,L~cd and fiUed with gra;;el
UJOrk is aovered. ' "~ . ~y l inau."lation i3 c01weaZed.
[2j
nNI?1<I
I Describe f\'ork:
1~3-0
to v.;}.b
,l.llltN b "lOOIT(cN.)
'J::>E4< ITI<.fA-
r:==t-Addi tion
RemodeL \}J\(iL!~t -
.'IobiLe Hom~
/0 - -2 1- f <j
n
n
~.-e
vatue v, s=?,
Lise. II lildrs Board
~()I.R L07,'U,,"J.
Date of Application
Contractors Address
General -1/(lV' ,,,,,liZ.1II WI> If..." <
i Plumbing ;VOl' """'-0 A/ \.;/" ;f....<
I Hechanical
I E~""tricalAi""""'9-"" l.t/..../h.. s
ISupeKV1~ing El~ctr~cian
[Zj
FOOTING & FOUNDATION: To be rrude
after trenches are excavated and
forms are1erected, but prior' to
pouzting' ccncret~.
"
DRYWALL INSPECTION: Tc be made
after: qll drywall is in place,
but prior to any taping.
\ " "
O MASONRY: Steel location, bond
"' beam3, grouting or verticals in
I Jaccordance with U.B.C. Section
2415. .
WOODSTOVE: After installation is
completed.
[2J
UNDrJ:RGROUND PLUMBING/,
DRAINAGE: To be made
Ur.g trenches.
SEWF:R. W.1TERll
prior to fi L-
,
,0
i/I. UlIDERFWOR PLUMBING & MECHANICAL:
~' To be made prior to inGtall.ation of
11001' insu.tation or decking.
17'1 POST AND BEAM: To be made prior to
~ installation of floor insulation 01'
deeki"!;.
r;( R.OUGIJ PLW1BING. ET,ECTRICAL & MECH- 1
~ ANICAL:" No work is to be cOI.Jel'ed
"ur.tU these in8pections have beer. '
made and approved. ',:
O FIREPLACE: Prior to placir.g facing ~!
matel'ials1and before framing inspec- r
tior:.. 1
lZJ
D
CURB & APPROACH APHON: After' forms
are ere::!ted but prior to pouring
aOMrete.
SIDErvADK & DRIt'EW/lY: FOl' aU COl1-
crete,pavina within stl'eet r'ight-
of-way, to be made aftel' aU exca-
vating'complete'& form work & ~ub-
, base material in pZa~e.
, I ~ '.
j . .
PENCE: I When compl.;te Pl'ovide
gates OJ" movable sections through
P.Y.lE; , .
,
, ,
o
FRAMING: Must be reque8ted after
approval of rough plwr.bing, electri-
cal & mechanical. AU roofing
bracing'd"chimncys, etc. must be
"completed. No work is to be con-
"""' cealed until thi8 inspection has
.be~n made and approved.
'C]
" I
o
~
Signed:
Date:
~~i6J
If-\~~J
.' -
Rec.
Expires
Phnrp }.
.:47- ~-Il 7U
7.</7- _'7t'J 111
7+'7- -r-d 77
..,-, ~ ' .....
...:-- ..F"!f?~
::J Final - [then above it-e:rls are ccmplet(;d
and when demolition is complete 01' stru~-
, ture moved and pl'emi3es ~leaned up.
I Nobile Hemes
::J' Blocking and Sat-:lp
::J' Plumbing connecti~ns s~er and wa;er
::J"Elcctrical Connection - Blocking, set-up
. and plwnbing connections nr...st he approved
, before requesting electrical insi?ectio:,
. ,
::J Final - Aftar p.?rcr.es,
et~. are oompleted.
skirting, decks,
I
D
AU pl'oject conditions, ~;IW.': aG tile 1...nsf-allat;1.:o11 of s'trect trees. G.'c:::plativrl of tile
required landscaping, etc., must b~ satisfied before the BUILDING FI!~lL can be requested.
o FINAL PfUMBING
o FINAL MECHANICAL
0' FINAL ELECTRICAL
o
e
FINAL BUIJ,DINC: Thn Final Building Inspcetioll mu8t be requ.eated aftr.l' tl18 Final Plwnbin.J
Electrical~ q.nd Mecltar.icl-:.l In::pectioftn llave been made Qlui appt'ovad.
i I
AALL MANHOU:S AND 'CLEANOU.J.S HUST BE ACCES:;IBrJ. AD.mST!fENT TO BE r.:.1DF. AT lIO CaST TO CITY I Page
" I' \
'\ ,.
of 2
I L~n~:B \ ~.~\ \~) 115~cu:a~,:"R c:i S S
Lot Sq. Ftg. LOT TYPE
% .:Jf lot C.:Jvel'ag~ Inter>iOl'
,q of Stories Corner
Tota l Height Panhmzdl.e
Topography CUi-dc-sac
I
lITEM
l.\h:in
I GtYraae
I.
SQ.FTG
~G.D
DECK
2.00
",,__.J
I ,tCCCBSOl"lI
Is.D.c.
TOTAL VALUE
Ivaf..uc)
1.5 x
Building Permi t
State SurChc'lP(lC
Total CharogC3
111'EM
I Futures
IResidential (1 bath)
I Sanitary Sewel'
Wa.ter
Sf-ar"" d~Qr^
Plwnbing Perr.:it
State Su.1'd:m'{Je
Total Charqes
1l'l'Jo.:U
I Res. Sa. fta.
I NawlExtend Circuits
I Tempol'lU'Y Scpvice
I
Ele~tricaZ Permit
State Su.rduuqe
Total Cha:Pccs
12/77.1 JO:a;~9.
I (757.) I
10.,0 I 2,02. 0
I
I
112;',739
I
I NO.
I
II
1
1
I
37.50
1
I
I
I
1
I.
n..'f.:
1
98.50 I
'1. '13> ],
1/03.lf31'
I
]
37.5"0 1
1
I
2..0.~ I
57.501
2.871
~O.371 '
1
iTEM
I Pur1l.'1Ce F!TU 's
I Exhaust Hood
I Vent Fan
I Woodsto:JC
I
PC1'rrrit I:;suancc.
Me:::hanical PeY'mit
State Surchamc
Total. Charaes
, -- ENCROACHMENT --
Ise~urit~ D2posit
I Storage
I Maintenan:!e
Permit
Total Charqcs
I CuPbcut
Sidewalk
l.r;>cn:!e
fElectrical Label
I Mobile Home
I Add:f:o"", I Plan ck.
1
I 'rOTA r, ANOWJT DUE: ~
1110'1
1-4
1 1
1 I
1110.' PEE
1
ImIN.
I
I
CIlAH(,'f.'
n:E
CHARGE
2-2.."50
I
I.
1 2..2...50
I 1.13
I 2.3. (",3 ,
C!/,1HCE
15.no
/5.00
.75
1~.7S
I II r 70
I
2/1.88
P.-:gc :]
REQ.-
L-COG~
T'ipeICor.st: ,:
Access. I I
II
: I
/,J
Setbacks
flOlwe (,'m'age
Bedrooms:
En81'ap Sources
Heat
Wate1' Yp.r7tp.r
Range
Firenlace
Wood;; tOL.e
TIlDe I
.,
I Lot Faces -
I
I P.l,.
[Nm'l-h
lEas'
ISouth
Illest
\' 'I
Fees
,
Building ,Value & Permit
This pel'11r":"t iD !Jr>anted 'on the exp1'eDS dondition that the sdid1 cbnstrudtion
s1~ll, in all respects, conform to the Ordinance adopted~by the City of
Spl.ingfietd. i,w!uding the Zoning Or>dinance, 1'egulating the ccnstructicn
and use oj" buildings,' and m~y be suspended 01' revoked at cr.y timeupon'vic-
lation of any provisions of said Ordinances. ' '
,.
..
i-'
i,
I'
I.
"
,
,0< F) I. '.'-'- ;:L.
Plan Check Fee: -) (;I( _ ;- J -)
Date Paid: \ n .;:;) (0 . 'IS '1
Rec:;ipt N:
ISig"ed: ~ 1_ rY') _ '
Permit
I
I'
II
I
I
'.
I: 1
" P,I!Jmbing I I \ :
iNo pepr;on ,shaH const,Fzw't, install, alter or change any new cr e:dsting
plumbing or> drainage system in whole Or in part, unless such person i8 the
legal possessor of a valid plumber's license, except that a person may do
plumbing work to prope1'ty which ,is owned, leased 01' operated by the appli-
cant.
,.
I,
r
"
I
! ,\
1.1'
l<he"e State Law "~~.t~ ~~~ ~~ !leC~i~~ ~ki !. done by ani ElectLal 'I
Contractol', the elect:r~chl pOl'tion of this permit shall root be valid untit I
the label }~S been signed by the Electrical Contractor.
'"
I :
: , , ~
, "
Mechanical Permit
"
I
I
I
I.
I
I
i
I
~?e,;#-?~?~
//-? 7- ~"7-
uale
I HAVE CAREFULLY EXAMJ"NED the completed application for permit, and do
hereby certify that aU ir:for'mation hereon is true and correct, and I
fw't1:el' cel,tify that any ar.d aZl work perfor:ned shatZ- ,be done in: ac~or-
danC!e with the Ordinances of the City of Spl'ingficld, and the La"..;s of the
~ State of OregQn p$rtaining to the work described herein, and that NO OCCU-
P/!NCY will be rrrtde of any stl'Uctul'e withou.t p2l't71i83ion of the Building Di-
vim:on. I furt;1wl' cel'tify that O?1.ty contl'actors and emp'l:;yees who are in
eo,-npliance with ORB 701.055 wilt be used on this project
I
I
I
I
I .
i;t?faJJ --I~->
//-/,..r-f7
D.:Ita