HomeMy WebLinkAboutPermit Building 1985-8-9
.. RESI~T1AL"
APPLICA~N/PERMIT
225 North 5th Street
Springfield, Oregon 97477
Building Division
726-3753
Job Location:
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ASaBSGOrS Map II
Subdivision:
CUnero:
(it, 0 rq e 'T'v'r n bo
7'9/4 kE.//Y J3jvd.
C,Pvi J1f!"~ IJ
Address:
City:
n
fXl
n
n
Nm,)
Addi ticn
Remodel
Habits Home
Date of Application
C:ontractol'S
Genera 1-
PZwnbing
Electrical
Mechar.ic:zl
Construction Lender
. <: I' If
Uwflflll )
T= Lot H
b b c::;f) (
Rcce:pt.' 1.::5 (pSI I d-.
.
/fr/J
orG
P1k)
Phone: lfCJ.-7- /, t;a 't
Zip: 9'7'1- 7'7
Describe rlhrk:
Value
~ 3 .000
Signed:
Date:
(ii-//--
X>~R'S-
Address
Lise. #
ExoirCB
Phone
~.
It is the responsibility of the permit holder to see that all inopections are T:'Iads at the propB1' timt;~ that each .:dd:rS88 is l'eadab~6
from ths 8treet~ and that the permi t card is located at the front of the property.
.tBui!ding Dividor: approved plan shell remain on tha Bu-:..Zding Sits at all times.
PROCEDURE FOR INSPEr:TrON~~9u~5:!:.:CAlL 726-3769 {recorder} state your City design:;.ted job nwr:ber" job adC:rCS8, type of in3pecticn
l'aquested and when you lJiH be ready fol' inspection, Contractors 01' Owners name end phone numbC!'. Requests l'eceived befors 7:00 c::'l
:..'iZZ be made the same day, requests made after 7:00 ~ r.1ill ba 17rlde the next :.JOrking day.
I ~f?,!,J,":~p.(L T'l~,:?~"""=":r.l1~
I 0' SITE INSPECTION: To be 1OO.de after
excavation, but prior to set up of
forms.
O : UNDERSLAB PLUMBING, ELECTRICAL &
. MECHANICAL: To be made before any
. work is lJovel'ed.
o
FOOTING & FOUNDATION: To be made
after trenehes are exeavated and
forms are ereeted, but prior to
pouring ccncret.;.
UNDERGROUND PLUMBING. SEWER. W.4TER.
DRAINAGE: To be m:zde prior to fi~-
.1 ir.g treneMS.
o
o
D
UNDERFWOR PLUMBING & MECHANICAL:
To be made prior to inataLZation of
{'Loor insulation 01' decking.
POST AND BEAM: To be made prior to
insta~l.ation of floor insulation or
decking.
R()UGH PLUMBING. ELECTRICAL & J.fECH-
ANICAL: No lJOrk is to be covered
~ur.ti~ these inspections have beer.
made and approved. .
FIREPLACE: Prior to placir.g facing
materia~s and before framing inspec-
tior:.
D
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r\71 FRANING: Must be requested after
~ appl'oval of pough plwr.bing, alectri-
,cal & mechanical. All roofing
bracing & chimneys, etc. nT'..lst be
,)' completed. No LX>l'k is to be con-
,.,.'"",cealed until this inspection has
~,b6'~? made and approved.
,'''-
YOUl' City" Desigr.ated Job Number Ia:
O INSULATION/VAPOR BARRIER INSPECTIO~:
To be TTKlde after all. insuLati:m w,d
, " requil'ed vapor barriers are in place
. .' but before any lath. gypsum bcard or
LJalZ covering is applied, and before
'aT!Y inauZation is concealed.
".
o
DRYWALL INSPECTION: To be made
after all drywaU is in place,
but prior to any taping.
0" MASONRY: Steel location, bona
beams, grouting or verticals in
acco1'dance IJith U.B.C. Section
2415.
O WOODSTOVE: Aftel' installation is
acmpl.eted.
O CURB & APPROACH APRON; After forms
aPe ereated but prior to pooPing
cancre te.
D
SIDEWALK & DRIVEWAY: For all con-
crete paving ~thin street Pight-
of-liX:.y, to be made aftel' aU exca-
vating ecmplete & form IJOrk & sub-
base mate1'ial in pl.aae.
~g)g'[)6
I DEMOLITION OR gOVED BUILDIilGS
~ Sanitary S6"';61" aapped at p~op€rt"~ lir.o
.=J Septia tank p-..lr.tpsd and fi lle~ LJi th :1'1'a~B l
:J Pinal - rflten above ito..'T/s are campl6ted
ardi when demolitior: is complete or etrua-
ture moved and pl'amises aleaned up.
I Mobile Homes
~ Blocking and Sat-~p
~ Plumbing connections -- 8aJer and water ,
--, Electrical Connection - Blocking. set-up I'
~ and plumbing conr,ections nr~st ce approved I
before requesting elect1'ical inspect~on
~ Acaessol",i Building
:J Pinal - Aft~r pOl'ches, skirting, decks,
etc. are completed.
o
All project conditionB, Guch as the instalLation of stl'eet trees, c~~lotion of the
1'6quil'ed landscapir.g, etc., must be satisfied befol'e the BUILDING FINAL can be raquestad.
o FINAL PLUftfBIIIG
o FINAL ME[;HANICAL
o FINAL ELECTRICAL
o
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FINAL BUILDING: The Pinal Building Inspeetion must be requested after the Final Plumbing
Electrical, and Mechanical Inspectw7UJ havo been made and approved.
O PENCE: Wher. compl.;te -- Provide..
gates or movable se~tions thl'OUgh
P.U.E.
,.,',
o
"'ALL MANHOLES AND CLEANOUTS MUST BE ACCESSIBLE, ADJUST!tElIT TO BE l,fADE AT NO COST TO CITY I Page 1 of 2
'....
S{S1)~Og SOLAR A(~CESS
Oac:uoancl/ C.
LOT TYPE
I JOB NO.
Zone:
Lot Sq. Ft;;.
s ~f l~t C.:werag.
# of Stones
Total Height
Topography
,
ITEM
. SQ.FTG
/obin
Garaee
CarDort
Accessoru
Interior
Cornel'
Panhandle
Cut-de-saa
x
I
I
I
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I
~L- - .-1
I
I'
-:z 4. .ac
.%
::2'7-% '
Value
~t~D~~
TOTAL VALUE
Is. D.C.
lvct.uc)
1.5 x
. . Bui '4iing Fermi t
State Sla'charge
Total Cha..:"'ges
lITEM
I Fi:r:tures
I Reeidential (1 bath)
.1 Sanitary SetJe't'
Water
PZwnbing Permi t
State Surcr,apge
Total Charaes
lITEM
'Res. Sa. fta.
I NJW/Extend Circui ts
Temporary Service
Ele~trical Permit
State Surcharge
Total Charf:es
lITEM
I Purn:2CB ETU' S
I Exhaust Hood
I Vent Fan
I JlOodstove
Permit Issuance
Mechanical Permit
State SurchaNJe
Tnt:l"1l Charalln
I NO.
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I NO.,
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I NO.
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FEE
CHARGE
FEE
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CHARGE
FEE
CIIARGE
-- ENCROACHI1ENT --
Ise~~tu Deoosit
I Storage
I Maintenance
I Permit
I Total CharacB
I OUrbcut
I Sidewalk
I Fen::e
I Elect't'ical Label
I Mobi le Home
I
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I TOTAL AMOUNT DUE:'
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2'1- %
rc.ga G
REQ.-
L:'COG~
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Type/Cor.st: .
I
Access. I
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It
I Lot Faces -
I
I P.L,
INorth
East
South
West
Bedrooms:
I EnerGu Sources
I Heat
TiJ:Je
'~'J+:':acks
, House Caraqe
Water Hp.f1tp.l"
Range
Fi1'eplace
wood:;tove
Fees
Building Value &
Permit
This pernrit ia granted on the exp1'ess condition that the sdid eonstruction
shall, in all respects, aonfo~ to the Ordinance adopted by the City of
Springfield, including the Zoning Crdinance, regulating the construction
and use of buildings, and m~y be suspended or revoked at cr.y time upon vio-
lation of any provisions of said Ordinances.
Iplan Check Fee: J;;;2.. OD
Vat. Paid: 5(-'(-%S
IR~cdPt H: ~6 5/03
'.. . I ~1.f"'ed:. .{j/!/..
Plumbing Permit
No person (lhaLZ construct, install, aUer or change cny new 01' e::isting
plumbing or drainage system in whole or in part, unless such person is tr~
legal possessor of a valid plumber's license, except tr~t a pe~son may do
plumbing work to property which is awned, leased aT' operated by the appli-
cant.
~.
,
Electrical Permit
Where State Law requires tr.at the e lectrica l work be done by an Electrica l
Contractor, the electrical portion of this permit shaH roOt be valid until
the Zabel has been signed by the Electrical ~ontractor.
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Mechanical
Permit
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I HAVE CAREFULLY EXA..~INED the completed application for permit, and do
hereby certify that all information hereon is true and correct, and I
f'.lrther certify that any ar.d alZ work perfornred shall be do'ne in accor-
dance lJJith the Ordinances of the City of Springfield, and the La-..:s of thG
State of Oregon p~rtaining to the work described herein, and that NO OCCU-
PANCY lJJiLZ be mde of any structure without parmt.s8ion of the Building Di-
vision. I further certify that only contractors ar~ enployess who are in
compliance with ORS 701.055 will be used on this project
. ,
I,
-xM~ .J)J( ~~ ~-(G:-,.~
Signsd t. Oats
.. RES.NTlAL"
APPLICATION/PERMIT
225 North 5th Street
Springfield, Oregon 97477
Building Division
726-3753
Job Location:
/q 10 !UfJJ1L RO.url
J'7 033i..fff/4
J<A/~~l? 11;.r/~/S"t:J,y ~CA"" ##P
P#7/tP ~V~
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ASD8S80rs Map II
Subdivision:
Ctmer:
(},torCit 'Tv'rnbO
7"9/.. K~/)v 13)vd,
., I
C, PV! J;fc./! It;:..O I a
, I
Address:
City:
n
rY1
n
n
NO/,)
Addi ticn
Remodel.
".!obi le 80ma
Date of Application
[;ontl'actol'S <:: 0'" /..:.:.
General ~ fUi fl' )
Plwnbing
Electrical.
Mechar:ica 7.
Const1"U.cticm Lender>
T= Lot H
boc:;'f) f
.. .'!cce;,t ~ /.-5 &5// d...
/ft tJ
()(G
P1lD
Signed:
Date:
{f;4"Jt
X" -- ~!,f>S-
Pr.one: 7'a.7- &,?gq
Zip: 97t.1-?7
Describe r.1ork:
Value
~3ooo
Lise. #
Exoires
Phone
Acfdroess
It is tho responsibility of the permit holder to 88e that a!l. iMpections cu-e made at the proper timsl that each .:;ddrsBB is rea.::a.;~...
fl"Olf'l the street, and that the permit card is located at the froont of the proper"ty.
"!Jui'!di~ Df.vi::io'!': approt.'ed plan shctt remain on th2 Building Sits at all times.
PROCEDURE FOR INSPECTION RE:,QUEST,:CALL 726-3769 (rccordepJ state your City designated job nw;;ber" job addrcss" typo of in3pec~icn
raqucstcd a~d when you wiLL be ready for inspection" Contractors or OWners name end phone number. Requests received befcre 7:00 ~
:..'iH be made thr; Bame day" requests mGde after 7:00 am win be made th.e next '..)Orkin; day.
R~~li~Rn T~9~R~T.i~n~
O SITE INSPECTION: To be made after
excavation" but prior to set up of
forms.
O U/lDERSLAB PLUMBING. ELECTRICAL &
MECHA:JICAL: To be mado before any
work is ~ovcred.
o
FOOTING & FOU/lD.1TION: To be "",do
after trenches are excavated and
fo1'1Tls are erected" but prior to
pouring cen.cret~.
UNDERG80UND PLUMBING/, SEWER. W.1TER,
DHAlflAGE: To be TTKlde prior to fiL-
lir.g trenches.
D
o
UNDERFWOR PWI..'BING & MECHANICAL:
To be mads prior to instaLLation of
11001' insuLation or decking.
POST AND BEAM: To be madc prior to
instal.Z.ation of floor instoLation or
docking.
ROUGH PLlP.!8I!lG. ELECTRICAL & MECH-
ANICAL: No :.Jerk is to be COt.-ered
,untiL these inspections have beer.
made and approved. .
FIREPLACE: Prior to pLacir.g feeing
materiaLs and before framing inspec-
tion.
o
D
10
I
rvl PRA~fING: Must be requeoted after
I ~ approvaL of rough plwr.bing" electri-
,cal & mechanical. AU roOfing
bracing & chimneys" et~. rrT"..lst be
;' completed. llo LXJrk is to be con-
,,,...cecled until this inspection has
. b6~n made and approved.
Your City. Desigrol2ted Job Number Is:
O INSULATION/VAPOR BARRIER INSPECTION:
To be made after aLL insuLation ~.d
'. required vapor barriers are in place
. . but /;sfore any lath, gypsum board or
wZ! covering is applied" and befol'G
. cu:y inauZation is conceaLed.
O DHYWALL INSPECTION: To be made
aftor aU d:rytJall. is in place"
but prior to any taping. .
O MASONRY: S:~ez.
beams" grou...t.ng
accordance wi th
2415.
O WOODSTOVE: After installation is
acmplett;d.
location" bona.
or verticals in
V.B.C. Section
o
CURB & APPROACH AP.o/JN: After forms
are erected but prior to pouring
001U!rete.
~9Dm6
I DEUOLITION OR ;~;OVE!i BUILDIilGS
=:J Semi ta:ry Se".Jer capped at pr:.op&rty lir:o
~ Septi~ tank fT.J:::pcd and Ii Z.le~ ui th gra:u Z
:J Final - r,'hen abcve ite.:ns CU"6 co:rrDletcd
ar.d when demolition is complete or Dtru~-
turo moved and premises clsane.:I up.
I Nobile Hemes
:::J Blocking GDUi Set-up
:::J Plumbing connections -- scwer and lJater
:::J Electrical Connection - Slocking" sot-uF
and plumbing connections nr~8t be appl'ove~
before requesting elec:rical inspec;~o~
:::J Accessory Building
:J Pinal - After porar.es" skirting" decks,
etc. are compl8t~d.
o
All project conditions" such as the instaLLation of street trees, ca~lation of the
required Landscc:pir.g" etc." must be satisfied before the BUILDING FINAL can be requestad.
o FIliAL PLU/.fBIIIG
o FINAL ME~HANICAL
o FINAL ELECTRICAL
Q9
PINAL BUILDING: The Final Building Inspection must ba requeoted alter the Pinal Plwnbit1{1
Electrical" and Mechanical Inspections have been made and approv2d.
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SIDEWALK & DRIVEWAY: For an con-
crete paving within street right-
of-liJC.Y" to be made after all exca-
vating compLete & form work & cub-
base nrzterial in pZaae.
-~. .
~ALL MANHOLES AND CLEANOm:S 'lUST BE ACCESSIBLE" ADJUST!fElIT TO BE WIDE AT NO C,ST TO CITY I Page 1 of 2 f
O PENCE: When complete -- Provide.
gates or movable sections through
P.U.E. .
o
I JOB NO.
I Zeme:
<,Z')O~og' SOLAR AC.S REQ.-
OccuDancu Grou.;J:
.
L:'COG~
Lot Sq. Ft;;.
~ Df lot Coverago
!I of Stories
Total Height
Topography
lITEM .1 SQ.FTG X
I Main
I GcPaae
I CaM701't
I Accessol'u I
~f~o~~
Is. D.C.
TOTAL VALUE
(UQl.uc)
1.5 :r
Building Permit
State SuPcha:rge
Total Cha.'"ges
lITEM
I Fixtures
I NO. I
I I
I I
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Residential 11 bath)
Sani tary Se1J81'
Water
Pl;.o:tbing Pern:i t
State Surcr.arge
Total Charaes
ITEM
I Res. So. fto.
I Naw/Extend Circuits
I TemDoraru Service
I NO'1
I I
I I
I I
E1.eatrical Permit
State SW'charqe
Total Charces
IT2M
1/10.
F'urn:!ce ETU' S
E=haust Hood
Vent Fan
Woodstove
Permit Issuance
Mechanical Pel7Tlit
State SUrcharae
Total C'harqp'!J
WT TYPE
Interior
COnter
Panhandle
Cut-de-sac
Value
-:;.
_H..
FEE
-:z 4. .ore I
.%
1:2tt.%
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CHARGE
FEE
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CHARGE
FEE
CI/ARGE
i -- -- ----ENCROACHMENT --
I SeC".J.'1'itu DZP03it
I Storage
I Maint~e
I Permi t
....:!:E.E!!:..phal'(1CS
Curbcu~
Sidswlk
1.l;'cnce
J Electrical Label
I
j Nobile Home
I ?AL AMOUNT DUE:-
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'20/: %
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-,-I
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T~'PeICor.8t :
EeCroor.:s:
I wt Faces -
I
I P.L.
INorth
lEast
ISou th
IWest
Setbacks
I House Cara~e
I
I
1
I I Ene1'au Source's
I I Heat
Access. I I Water Yf?Qt(>ro
I I Range
I I Firevlace
I I Wooaztot.:e
Il
TlJ~e
Fees
Building Value & Permit
This permit in granted on the express condition that the s~iid. construction
Bhall~ in aZl re8pccts~ conform to the Ordinance adopted by the City of
SpM.ngfield~ inc?uding the Zoning Ordinance~ regulating the ccnstpuation
and use of buildings~ and m::y be sucpended or revoked at c:r.y time upon vic-
'lation of any provisions of said Ordir.ances.
-
Plan Check Fee: ) ~, Of)
Cate Paid: ;x;-r~%S
Receipt H: 865/03
Sifrl.a.: Ub
Plumbing Permit
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No person ahaZZ construct~ instalZ~ alter or change any r~ or e=isting
plumbing or drainage system in ~hole or in part~ unless such person is tr~
legal possessor of a valid plumber 's licen8e~ except tr.at a pe:'son may do
plumbing work to property which is ~ed~ leased or operated by the appli-
cant.
Electrical Permi t
Where State Law requires tr.at the electrical work be done by an EZeatrical
Contractor~ the electrical portion of this pemit shall not be valid until
the label haE! been signed by the Electrical Contractor.
Mechanical Permit
-
~ne;~~
3-/=i>-~ .
Ua:C6
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I HAVE CAREFULLY EXAMINED the completed application for permit~ and do
hereby certify that all info:m::z.tion hereon is true and COl'1'cct~ and I
f'..lrther certify that any ar.d azz. lJOrk pel'for:ned shal.l be do~e in accor-
dance with the Ordinances of the City of Spri"gficLd~ and the:; La:.:s of tho
State of Orego" pZl'taining to the work descl'ibcd herBin~ and that NO OCCU-
PANCY will be TTl2de of any struoture withou.t perrmis8ion of the Suilding Di-
vision. I further CBl'tify that on.ly contra::tors ar.d e:rrployees who are in
compliance with ORS 701.055 witl be used on this pl'oject
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Oats
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