HomeMy WebLinkAboutPermit Building 1989-8-2
.. RESIDANTlAl"
APPLICA_/PERMIT
225 North 5th Street
SpringfieZd, Oregon 97477
BuiZding Division
726-3753 .
Job Looation: ~ ('t \ ~ \. 0 j\0 \','(' [). ) H n
Asoes8ors Map ~ ,') \ <(\ ()~ ri~ ~. ~ T= Lo~ # 0\ ?J)()
Subdivisionf'YfcE / 'lJ ('trJI <1/ fJ -cl yr(ll (b 2 :-
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QJner: (~(l LllClrr1 o:Kc"t m (h /
Address: \ \;1~ (\ ~~ r- '~one:
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rc:l<m~
Descr>i1;Je f\'Ol'k:
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Reoeopt,~ /t,lS't/?,
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'l,-cJ b ~9f1 varueC{),tfY). m
Addition
Remodel"
lfobi le Home
Date of Application
ContractoJ:ao J . Addr"ss'. .'. .1tisc, II . Bl.dr~
G"neral l'i, W:I [1 l.,Q,Do m a)bf'1 T nfl.L;1 ~.
i Plumbing .\ '. . ,
i t-l"chanical r\ ( OJ . , ' ,
IEJ,ectr~cal' ~1J&7~ '
I SuP"r~:;''Si!lJLEl''ctiician . ,
Siqr.ed:
Date:
a~ U..u:Zr':"O
vi g'-;;).-8"'1
Board Reg.
FINAL BUILDING: The Final
Electrical, and Mechar.ical
Expires
PhOFP
I 1,Vv,.j) '/ /
~? ',YV"\f1 G 11 JnJ~
'DEMOLITION OR :'.j'OVED BUILDIZ1CS
=::J' Sanitary 8e'..)er ::!apped ~t P:..OP;;1'~:i line
=:J Septic: tank pumped and fi 1, Ze~ !.Ji th gra"Je Z
] Final - rYhen above items are completed
and when demolition is complete or stru~-
ture moved and premises ~leaned up.
Mobile Homes
~locking and Set-up
~lumbing connections -- scwer and water
~~ectrical Connection - Blocking, set-up
..l:A"" and plwnbing connections m".A.st be approved
. before requesting electrical inspection
:=J AccesGoT"d Building
-:-l ~na.'l - Aftar p::Jrcr.es, skirting, decks,
~etc. are completed.
D
All project conditions, such as the installation of street trees, co~Zetion of the
required lan.dscapir.g, etc., must be satisfied before the BUILDING FINAL can be raquestad.
It is the responaf.,bility of the permit holder to see that all. inspections are made at the proper tims, tr.at each ~e88 is rea.dabZe i
from the street, and that the pePrrrit card is 1.ocated at the fl'Ont of the propezoty.
*Bui!di'!'lfJ Divi::ior. approved plan/heZZ remain on thz Building Sit$ at aU times.
PROCEDURE FOR INSPECTION RE:QUEST:CALL 726-3769 (recorder) state your City designated job number, job add:t>ess, type of in3pecticn
requested and when you will be ready for inspection, Contl'actors or OIJners name and phone n1..Uf!bcr. Requests received before 7:00 ar.z
~'iZZ be made the same dc.y, requests made after 7:00 an !JiZZ be made the next :.JOrking day.
,,', ',' ' "",' Y'-CityDeGigr.atedJObNwnbaIG: BqOf)'E:l)
RROVippn T~Rp?~f.ir.nR
D. SITE INSPECTION: To be rn:zde after
excavation, but prior to set up of
. forms.
O ' UNDERSLAB PWMBING. ELECTRICAL &
MECHANICAL: To be made before any
. work is aovered.
f"I'""Y FOOTING & FOUND,1TION: 'TO be made
~ after trenches are excavated and
forms are ezoected, but prior to
pouring concret~.
~UNDERGROUND PLUM13INGJ SEWER. WATER.
~ DRAINAGE: To be made prior to fil-
.lir.g trenches.
O UNDERFLOOR PWUBING & MECHANICAL:
.. .. To be made prior to instaZZation of
J100r insulation or decking.
O POST AND BEAU: To be made pnor to
installation of J100r insulation or
deoki,,", . ,
r---/' ROUGH PLUUBIllG. ELECTRICAL _ MECH-
~ . ANICAL: No :Jor. is to b overed
. w:til these inspec... .s have beer.
made and approved. ., _ .
D FI8EPLACE: Prior to placir.g facing
materials and before framing inspec-
.tior..
rl FRlL.J_fINC: . Must be requested after
~ approval of rough plwr.bing, electri-
.ool & mechanical. All. roofing
. bzoacing & chimneys, etc. rrr~st be
;. compZeted. No tJOrk is to be CGn-
""',,:cealed until this inspection has
~be~n made and approved.
o
., ,
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:fALL MANHOLES AND CLEANOUTS MUST BE ACCESSIBLE, ADJUST!!ENT TO BE MllDE AT NO COST TO CITY
I Page 1 of 2
,
(-Yr'11/1r ~
D INSULATION/VAPOR BARRIER INSPECTION:
To be made after aU insulation (cui
. . - required vapor barriers are in place
. .' but before any Zath, gypswn board or
. walt covering is applied, and before
. af!y insulation is concealed.
O DRYWALL INSPECTION: To be made
after all m.ywall is in place,
but prior to any taping.
O. MASONRY: Steel location, bo7u1
beams, grouting or verticals in
accordance with V.B.C. Section
2415.
D
WOODSTOVE :
ccmpleted.
After installation is
o FINAL PLU/.!BIIIG
D FINAL MECHANICAL
s:zr FINAL ELECTRICAL
o
D
CURB & APPROACH APRON: After forms
are erected but prior to pouring
concrete.
SIDEWALK & DRIt'EWAY: FOr aU con-
crete paving within stzoeet right-
of-wc.y, to be made after aU exca-
vating complete & form work & cub-
. base material in pla:!e.
o
D PENCE: x'her. comol~te -- Provide-
gates or movable" sections through
P.U,E,
~~~
Building Inspection must be requested alter the Final Plumbing
Inspections have been made and approved.
t " I
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t'age ~
I JOB NO",~()f)f)Q SOLAR ACAESS REQ,-
Zone: I \\ Ii= Oecupane" Grou~\2 ?-,
LOT TYPE - I Lot Faees
I
I P,L,
INorth
lEast
Sou th
IWest
Lot Sq. Ft;;.
% of tot Cauerag~
# of Stories
Total Height
Interiol'
Corner
Panhand~e
Tvt'''''d~.....t'hy
cut-de-sac
I
lITE/.!
I Main
Garaae
I Value I
\ .
~\'iN:f'o l'f:(i,cl, QD 1~()/y)()UI
I L"E;~ ') I I
I I I
I I I
II,
1.5 x ':~UC) 8.QfYY)~A~~OI'
\ \D. ~ I
lS.0~1
Illn_D3I'
ISQ,FTG
x
Caroort
I Acce8sGr1I
I
TOTAL VALUE
S.D.C.
Building Permit
State SureluJpge
Tota~ r:ho..-ges
lITEM
I:;.:...~--~ '('(\ ~
I Residentia~ (1 bath)
I Sanitary Sewer I .
I Water I
0\{lffi \ I
I CHARGE
I\~.OO
I
rql\CO
flS.oO
1~f5 ,00' I
11/(0,00 I
I J$.,illl
11 f'3 .S("i '
CHARGE I
\~.o() I
,M,~)I
1-: I
IIS,DOI
I,~,~,~nl
..!) ,I O~ I
5S,\~!,
NO. FEE
P~umbing Permi t
State Surcr.arge
Total Charaes
I ITEM ' NO.' FEE
I Res. Sa. fta, ffiV\
I N2UJ/Exteru1 Circuits
I T{f[I1pol'crry Ser>vice
\rb 04"\0 f.~1
) ;lectl'~cal Permit
State Surcharqe
Total Cha:t>ces
lITEM
I F'urnace ETU',c;
E=haust Hood
NO, I
I
I
I
I
I
FEE
CIIARGE
I
I
I
I
I
I
I I
I \\ 10-)1,
I
I
I
I
I
\\I(~,
dl)' \;, ,DO
I f:<:,:,:",Zk \ oC'( \ q f)')
I~r~azi~e:' ~'LtD, 11 \ ~-<,
I MabiZe llOOle .' _ - IAC1.aSJ
~~,~. 1LJ~_..'15~
. PJ, ,,~
ITOTAL AMOUNT DUE:' ' "" CJc:f3,14 . '
Vent Fan
I WOodstove
I
Perrrri.t Issuance
Me::hanica.l Permit
State surcharae
Totrrl r:harrrnn
I -- ENCROACHMENT h
Sea-.AM.tlf Deoosit
I StaraqR
I Maintenance
Ipermit
Tota I C'ha:raes
CU1'bcu~
L-COG~
Bedrooms: ..3
Enerau Souraes
Heat I- 'i- .
Water Hp.atp.r ~
Range C
Firevlace
Woodstove
Tl.IDe
Type/Cor.st:
..
Setbacks
Hause Carage
Access.
Fees
Building Value & Permit
This permit io granted on the express condition that the sdid construction
shall, in all respects, conform to the Ordinance adopted by the City of
Springfield, including the Zoning Ordinance, regulating the construction
and UDe of buildings; and ~y be suspended or revoked at cr.y time upon vio-
lation of cmy prdVisio1'ts of said Ordir.ances..
Pl.an Cheak Fee: q , . 'I<~
Date Paid:
Receipt #:
Signed:
Plumbing Permit
No pereon Dhall construct, instal!, aUer or change any new or e:isting
plumbing or drainage system in whole or in part, unless suah person is the
legal possessor of a valid plumber's license, except that a person may do
plumbing wor~ to property which is owned, leased or operated by the appli-
oont.
"
Electrical Permit
Where State LauJ requires that the electrical work be done by an Electrical
Contractor, the electrical portion of this permit shall not be valid until
the labet has been signed by the Electrical Contractor. .
Mechanical Permit
~)~~Qf)
PLan Erarrnner ' '\' '\-----
,\.3 \. ~q
vate J
I IIAVE CAREFULLY EXAMINED thB eampZeted applieation for permit. and do
hereby certify that alZ. info::mation hereon is tl'Ue and cOP1'ect, and I
further certify that any ar.d all work perfoP:TIed shall be done in accor-
dance with the Ordina.nces of the City of Springfield, and the La:.;s of tha
State of Oreg~n pertaining to the work described herein, and that NO OCCU-
PANCY unll be rrr::zde of any structure unthout permission of the Building Di-
vision. I further certify that 0:11y contra::tors and e:rrpl:;yees who are in
~pliance with ORS 701.055 will be used on this project
ct'1
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Date