HomeMy WebLinkAboutPermit Building 1990-11-14
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Dat. ':;:::l:::icn~V' ~q(y~ valu.' 3lo ,f!4w Date: 11- ~y( }
Contractors . Address '. .Lise & It Bldrs Board R.!]:. Expires pl,('\T'lc.
'.General~Doo.I-lAI:.e.I5cl""-I~-liUwvq1NWr..'l7O(.2 g;R<'I~~i"7 'S"'7..-QI 1:f:.'1-77&.2.
i Plumbing ~_....;.;. -;~V"''''~''J ,"';Df)nfJl'tnr~~~. J ~"'2..::' J ,F;~1\\N~\i~\"().\l' ~- : -; -')
I HeCha. nical ~IC. [:;6JoJS Mnn,LC JIomc 5UVICL (I-Il:AT 1)\l<:T C#:l>S~~) " .
EJ,ectr:i..cal " ;1.' tt:a.... ; r~a-.Zr~ 2d. z.-I?ls <.. , rf1I ~ '7 I 'ri ICJ '}/q () 3 </4.1500
Silpe""~1g Electrician( ~~' A._~ 9<15-S I 3...<r-ls-oo
It is the respuntribi1.ity of the pe~t J{aer to S~8 that alt inspections are r.tade at ths proper time.. tr.at each ~888 is readable.
from ths ./;zo..t. and that tho permi t C<a'd i. located at tho front of the property.
~BuiZdi"!tfJ Divi::ior. approved plan, shall remain on the Building Sitz at aU times.
PROCEDURE FOR INSPECTION RE:.QUEST:CALL 726-3769 (recorder) state your City designated job number" job address" type of i713pec~icn.
requested ar.d when you win be ready for inspection, Contracto1"S or Owners name and phone number. Requests received befere 7:00 am
r.~ll be rmde the same day, requests made aftel" 7:00 am will be nruie the next :JOrking day.
,., "~~ . , , ,,~ 'IOU2'CityDesifl".atedJobNumb<I'Io: q{,)I?Lolo
R,ui'J.,i.,,!t.!,1 T'tur?"t!Hn'1"t
0' SITE INSPECTION: To b. "",de after
e:ccavation, but prior to set up of
. fOrtT/s.
O : UNDERSLAB PLUMBING. ELECTRICAL, &
. MECHANICAL: To be made before any
. }JOrk is aovered.
f/'J.--FOOTING & FOUNDATION: To b. mad.
L-:J after trenches are e:z:cavated and
forms are erected, but prior to
. : pouring ccneret.::.
r:-J.:.-1i:~DERGROUND PLUMBING~ SEWER, W.1TER,
~. DRAINAGE: To be nxlde pl"ior to fii.-
.Ur.g trenches.
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~
.. RESIDAlTIAL"
APPLICA1W/PERMIT
225 North 5th Street
Springfield, Oregon 97477
Building Division
726-3753
Job Location: 5ffD~~LN
AsaBsO'0r3 Map # \ '
T= Lot # C W Y 1)
.drL cOl' PiL \
I ,
Subdivisum:
(6nLOF'A<o..I
o
"TF.R.eAc.v
io:
()Jner:. ~\:l ~\\9~'c\UJ
Addr..S:,\)() ~{)(Jl~ (\
City: E-D~\Cr 'Qf )
\ yy \
Phone: Lo~ -[JI?ll
Zip: Q14l"l
'0 INSULATION/VAPOR BARRIER INSPECTION.:
To be made after all insulati:m ar.d
.:.::_ required vapor barriers are in place
': .-:.~ but before any lath, gypswn board or
".:. wll. covering is applied, and before
. " yO . ~y i~uZation is eoncealed.
,',
'0 DRYWALL INSPECTION: Tc b. mad.
after all drywall is in place,
. but prior to any taping. _
" ,
O MASONRY: Steel location, Ixmd
beam3, grouting or verticals in
acoordanee with U.B.C. Seetion
2415.
D WOODSTOVE: After installation is
acmpletfd. .
0, : UNDERFWOR PWMBING & MECHANICAL:
To be made pl"ior to installation of
;. floor insulation or decking. . ... .
O POST AND BEAM: To be T1Tl1lk prior to r.-J-CURB &:' APPROACH APRON: After forms
instal.Z.ation of [!oor insu.lation or L:J are e~ected but prior to pouring
docki"IJ. aClA.OaV': . co""r~te. ,
~Of.lGH PLWrBIlIG. LECTRIC~"" MEcn-- If'rj...eIDEWA.LK & DRIVEWAY: For all con-
L:J . ~NICAL: No wer :....~... i$c covered. . L.:J erete paving withi1'o street right-
.ur.til these inspections have beer.. .pf-wc.y, to' .be made after aU e:cca-
made and approved. .. . '. vating ccmprtete & form IXJrk & sub-
D FIREPLACE: Prior to placir.(! faeing . base material in pla.:Je.
materials and before framing inspec-
, tion. ()~
~RA}'!ING: Mu;~be reques dafter
~ approval. of rough plwr.bi , eLectri-
.cal & mechanical. All roofing
. bracing 4 chimneys, eta. 11T'..lst be
:'completcd. No wrk is to be con-
.....< cealed u.ntil this inspection has
~ ~e~n made and approved.
O FENCE: When compl;zte -- Provide.
gates 01" movabLe sections through
P.U.E. '
B 6~1Ao.2.h
',' ,~W1LL&'"
Rcce~pt .1/
I ?\,'1.3"3
. ~
<--
1<
. DEf.!OLITION OR !-JOVED BUILDIilGS
~ Sanitary seuer capped at pr:,opcrt"i lir.e I
, I
=:J Septic tank 1T~ed and filLe~ with ~~el 1
] Final - rVhen above items a:re completed
ardi when demolition is complete or 8tru~-
ture moved and premises cleaned up.
.'
I }.Jobi 1.e Hcmes
J}Blocking and Set-up
Slumbing c~nections scwer and water
~lectrical Connection - Blocking, set-up
....!::1 and pZwnbing conneetions nr..tst be approved
. before requesting electrical inspection
=:J Aecessory Building
/'
I '1 r t.na.l - Aftar p~rches,
I etc. are completed.
skirting, decks,
D
All project conditions, such as the installation of street trees, ca~letion of the
required Zandscc:pir.g, etc., must be satisfied before the BUILDING FINAL can be request:;d.
o FIliAL PW/.fBIIIG
o FIliAL UE~HANICAL
[B' FINAL ELEa~~
/"'::>c FINAL BUILDING: The Final Building Inspection must be requested after the Final Plumbing
~" Eleotrical, anf! Mechanical Inspectwna havo been made and approved. .
, \qcu.~,. ' ,
.' .\. ' l" '. -. .
*AL-L MANHOLES AND CiEANOUTS MUST . BE. ACCESSIBLE, ADJUSTNEllT TO BE MADE AT NO COST TO CITY I Pa.ge 1 of 2
[]
C';;:.ge G
I JOB No.q()I'-..."=2jo&SOLARAC;;n.S REQ.-
Zone: ( 1 ) Yu Oe""ouncu G~ _ <)
Lot Sq. Ftg. ~ LOT TYFE- I Lot Faces -
I ' Setbacks
s: af lot C.:r.Jeragc Interior
I P. L. I House Carage
# of Sto'!"ies Corner INorth
Tetal #.eight Panhandle lEast
South
Topography Cul-de-sac IWest
I
~l501
:=) m (01
\ I
I
LIRe )1
'oI..J 0 n<4 i,)
1,"1t-\ I. \ GJ .
Bui1.ding Permit ."')'C1 (I LP \...-1=)1 p. {so
~.A~
~.
I ITEM
I""", N\ \-\
SQ. FTG
GaPace
Carvort
AC:r~NJ
I' ~ r ~ n~~AL VAWE
I V eval.UC)
S.D.C. 1.5:J:
State Surcharge
Total Cha.~ges
x
Value
CHARGE
~.ro
~.CXJ
.00
Iln~
:~ .f1; I
1'lK.fJ51'
//1
...-,,/' I
I Temporary Service ~ ./ /"
./,---......,.....
El~al Permit -............. ..........
/tate Suraharoe
Total Charges
lITEM
Fi.rtuzoes
Reeidential (1 bath)
I Sanitary Sewer
Water
_~ '}\.ne f(\
Plumbing Pa=i t
State Surcr,moge
Total Charaes
lITEM
Re~fta.
IN8Ll/Extend~ts
lITEM
I Furnace ETU' S
I E:::haust Hood
I Vent Fan,
I WOodstove
I
Permit Issuance
Me::hanical Permit
State Surcharae
NO. FEE
NO.
I NO.
I
I
I
I
Tota l Charaes
-- ENCROACHMENT --
I Sec-.lM.t;; DepOsit
I Storage
I Maintenance
I Permit
I Total Charqcs
I Curbcu; bllo '
I Sidewalk \ ~'] r"
1.-...5. tJ\CH\ ~ 'y ~~
I Electl'ica I' Labs l
I Mhle Home _
I '- ~"",,-Q.. ~~
'_\' x _ ~~.
TOTAL AMOUNT DUE:'
\
FEE
I
~I
'1-.
FEE
CIIAReE
\\\ D ~ .
..........
\\ \CL..',
\-:j.l.-(U1
3o.5~
oLD .fl.. ~ I
eB.~
\-S .rf\
5 A..~I
883,?d'
L-COG-{<
. Bedrooms: ~-1
"'" Enar't7u Sources ~ E-
I I .4eat
I Access. I I F Water Yf?f1tp.l'
I I 0;;> ~nge
I I Fireolace
I I woodoto"e
II
I
, , -..
Type/Cor:st:
TUDe
FaBs
'Building Value & Permit
This permit in granted on the erpl'eSB co"!iipion ~hat. ths sdid construction
shatt, in all respects, conform to the Ordina.nce adopted by the City of
Springfield, incZuding the Zoning DI'dinance, regulating the construction
and use of buildings" and m:J.Y be BUDpended or revoked at c.ny time upon vio-
lation of any provisions of said Ordinances.
IPlan Check Fee:
IVate Paid:
IRecdpt #:
I Signed:
Plumbing Permit
No pereon DMZl construct, install, aUer or change any new or e--isting
plumbing or drainage system in whole or in part, unless such person is the
'Legal possessor of a valid plwnber's license, except that a person may do
pl.umbing tJOrk to property which is otJnedJ l.eased or operated by the appt.i-
cx:n.t. ~ '.'
"
.'
.' r . .~
/
Electrical Permit
Where State LaLJ requires tr.at the electrical. UXJrk be done by an Electrical
Contractor, the electr>ical portion of this permit shall roOt be valid until
the label has been signed by the ELectrical Contractor.
Mechanical Permit
\~~\) 0 rJ
PLan E;ram:tn6I' '" ''-', \
~J)5LfO
I HAVE CAREFULLY EXA.ItfINED the completed application for pe1'l1lit, and do
hereby certify that all ir:for-mation hereon is true and correct, and I
foU'ther certify that any ar.d aH work perfor:ned shall be do:1e in accor-
dance :.lith the Ordinances of the city of Springfield, and the: La:Js of tho
State.of 9regan pzrtaining to the work described herein, and that NOOCCU-
PANCY witl be m:zde of any structure withou.t permission of the Building Di-
vision. I fW'ther certify that only contractors ar.d e.-rrpl"yees who are in
~pliance with ORS 701.055 will be used on this project
y
, Signzd
I
I
II'!-~
Dat:;/~fJr)
, '",
.
".- . '-
e
~P-RI.ELI:j
DEVELOPMENT SERVICES
PUBLIC WORKS
METROPOLITAN WASTEWATER MANAGEMENT
225 FIFTH STREET
SPRINGFIELD. OR 97477
(503) 726.3753
MANUFACTURED HOME SET-UP AGREEMENT
As required by the City of Springfield
that with the approval of the attached
manufactured homes will be placed at
Springfield, Oregon, City Job Number
)if
Development Code, I understand
permi t~ one oh th~ 'following
fir] '-'\ ~ "j\ \ m \0 )
i:::\(\1~\ (){ ,..,
and agree
Class A Manufactured Home. A manufactured home of not less than 24
feet in width and 16% (not less than 2:12) roof pitch, with exterior
dimensions enclosing a space of at least 960 square feet, with roofing
and siding materials that are commonly used or compatible wi.th si te
buil t homes. ,
D
Class B Manufactured Home. A manufactured home of not less than 12
feet in width and 16% roof pitch, with exterior dimensions enclosing a
space of not less than 500 square feet, with roofing and siding
materials that are commonly used or compatible with site built homes.
I further state, by my signature below, that I have been provided with the
following information:
~obile home blocking
~Sanitary sewer' connection
~Yater line connection
~)Electrical connection
~ Street tree standards
~Minimum requirements for permanent steps
J1/~
Da{~j~)
Si8J;rnture