HomeMy WebLinkAboutPermit Building 1990-2-22
.. RESID..,TIAL"
APPLICAT W/PERI1IT
225 North 5th Street
SpringfieZd, Oregon 97477
BuiZding Division
726-3753
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Tcz Lot # m I ()()
Job Location:
AB~e8GorS Map #
Subdivision:
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lM1er: fj{)Y'1l'tnv. N\ ' \)')\):',,9- ~ . .
Address: g("{) ~ l~ \ \; ~(ftp'Ole:1 VHo SSr4 ()
City: ~U;\~ ~) Zip: G{ /4l 7
QNPlJ
n Addition
n Remodel.
n Hobi l6 Homo
\jOl
Describe fl'ork:
~
\~~aos
Date of Application
rZ);.. rGA. --~()
Value
Vl ,OCO
00
_M~_
Date: - . LJ!:zIb. -'-<({ 1
Contractors \) , _ Ac)drey-. ' .L\~c., IP Bldr!L~q d tee. Exo;;.res l'lln'lP
Generalll\'~'.\!IJCJlf\..'J\~. \0'1,4 ~lnQJ.~ .) 1(.1-, ~~lo'c...( \~
:Plumbing~iH\.<:,~.\\k . ~O \.l)1l'l \o?-,C\, ,[, \ 54-\,">'7 'Pi/1j9'D I U\~
i Hechanical ., \ '
I El,ec.tr:i.!:al .'
I Supe~d:ti.;:'.11g Electr;ician
Ie is the responoibi1.ity of ths permit holder to S8e that all irwpections are made at the proper timc, that il!cch ~B88 is l'oadabte
f't'Otn ths street, and that the pennit card is located at the fzoont of the propert:y.
-Buit.di!1g Diui::ior. approved plan s.hall remain on tha Building Sit:; at all times.
PROCEDURE POR INSPECTION R~QUEST:CALL 726-3769 {recorder} state your City designated job nto:':ber~ job czd6oess~ type of in:Jpec-;icn
requested ar.d when you win be ready for inspcction~ Contractors or Ot.mers name and phone number. Requests receivsd befers 7:00 am
.>in be, ..,de t.h< eame daY" requeets made..:a~:tao 7~OO.~ LJill ~" made the n=t '-'Orking day. nrofl \ ?..
.' ~ . \ .Your C"I.ty Des"I.gr.ated Job Number Is: ~ I ex u
.~l!mJ1:'rpA T7l"mpf!t:,:r.,,:?!'I
D SITE INSPECTION: To be rmde after
excauation~ but prior to Set up of
forms.
O UNDERSLAB PWI.fBING. ELECTRICAL &
: MECHA,'lICAL: To b6 made before any
. work is ~ovcred.
O FOOTING ~ FOUNDATION: To be made
after trenches are excavated and
forms are erected~ but prior to
pouri7l!J ccncret~.
UNDSl/G!/OUND PLUM!JING. SEWER. W.1TER,
DRAINAGE: To be rmde prior to fi]"-
.Ur.g trenches.
o
o
UNDERFWOR PW~fBING & MECHANICAL:
To be made prior to instal.lation of
1100r insuLation or decking.
O POST AND BEAM: To be made pPior to
instal.lation of floor insuLation or
d6ckinc. ~ - --
~OUGr PLW!BI!7;f.~ Ef.E;;RICAL
L.:J ANIC~. 'er
,ur.til. these inspections have beer.
made and approved.
D FIREPLACE: Prior to plc.cir.g facing
material.s and before framing inspec-
tion.
r-:-v-PRAHING: Must be requeDted after
~ approvaL of rough plUffbing~ electri-
cal & mechanical. AU l'Oofing
, bracing 8 chirrou;ys~ etc. nr~st be
;' completed. 110 work is to be con-
.. coaled until thia inspection has
~b6~n made, and approved.
r:-J.-'1NSULATIONIVAPOR BARRIER INSPECTION:
~ To be Trade after all insu.l,:;,tion w.d
,-. required vapor barriers are in p lac9
. "but before any lath~ gypswn bocu-d or
LXlll covering is applied~ and before
~y innuZation is concealed.
DRYWALL INSPECTION: To be made
after aH drywall. is in place..
but prior to any taping.
O MASONRY: Stee ~ 1.ocaticn, oona
beam:J~ grouting or vertieals in
accordance IJith U.B.C. Section
2415.
O WOODSTOVE: After installation is
ccmpleted.
o
D
CURB & APPROACH APRON: Afte:o forms
are created but prior to pouring
oo""re te.
SIDEWALK & DRIVEWAY: Por all aon-
crete paving within street right-
of-l.JC.y~ to be made after a~l exca-
vating complete & form work & sub-
, base material in pla~e.
I DENOLITIO!l OR ;~:OVE:; Bf./ILDIilGS
:J Sanitary Bl1tJer Clapped at p~opcrt~ Zir:e
~ SeptiC] tank P-.J..7ed and filled LJith G1'"G~BZ.
, I
:J Pinal - r~'1um above ite.-ns are cC"1tpletcd
ar.d when demolition is complete or 8tru~-
ture moved and premises oleaned up.
Nobi le Hemes
:::J B~oaking ooul Sst-"P
:::J Plumbing connections 8&Wer and wa-;sr
:::J Electrical Connection - Bloakirlfl ~ set-up ,
and plumbing connections nr~st te approved
before requesting elec:rical insp9c-;ior:
:::J Accessory Building
"
o
O FENCE: Wher. complete -- Provide
gates or movable sections through
P.U.E. '
o
:J Final - AftiZr porcr.es~ sk"~rting~
9tC. are cample:~d.
decks..
o
All project conditions~ such as the installation of s=reet trees~ a~~lation of the
required landscapir:g.. ctc.~ must be satisfied before the BUILDING FnlAL can bo raqussted.
Q-FIIIAL PLUl,fBI/IG
~IIAL MECHANICAL
Q-nNAt ELECTRIcAL
FINAL BUILDING: The Final Building Inspection must be requeoted alter the Pinal Plwnbing
Electrical~ and Mechar:ical InspectionD have been made and approvad.
o
~ALL MANHOLES AND CLEANOUTS lfUST BE ACCES$I8LE~ ADJUST!fEllT TO BE r.~1DE AT ".0 COST TO CITY I Page 1 of 2
'!JOB NJ1llliH~
I Zona,
[,at Sq. Ft;;.
Z .)f lot CJlJerag;;
# of Stories
Total Height
I Topogra;:hy
I
I ITEM ' SQ. FTG
I Main
I Gc:race "0
I CaroCl't
AccessoM!
TOTA& VAWE
Is.D.c.
{vct.UCJ
1.5 :::
Bui lding Pe.rmi t
State Surcharge
Total Cha."ges
lITEM
I Fixtures
I Residential
(1 bath)
Sani tary Sewer
Water
PZ:.ortbing Pern:i t
State StO'cr.arge
Total Charaes
ITEM
I Res. So,
'to.
NeuJ/E:rtend Cil'cuits
Temporary Seroictl
Ele~tl'ical Permit
State Sur::harqe
Total C'harC6S
ITEM
I P/..a>n.:l:ce !!TU'S
I E:haust Hood
I Vent Fan
Medtanic:z l Permi t
State Surcharac
To"tnt Charonn
-- EIICROACHI-fEIIT --
I SeC"..l:M.w Dzoosit
I Storage
I Maintenan:!e
I Permit
I Total. Charaes
I CUr;,,",
Sidewalk
Pcn::e
I Electrica l Labs l
j Mobi le H::xne
I TOTAL ANOU:IT DUE:"
SOLAR ACCESS REQ.-
Occupanc~ Gr.
WT TYPE
Interior
Corner
NO.
1/10'1
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. \ ~I rgnad
Panhandle
Cut-ds-sac
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FEE I CHARGE
~ f)SJ I I'e\ (X)
I
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IrQ.GO I
, 175 I
I '5 . 0.<' I,
I CHARGE I,
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JlOodstov. 1_ L I
'J/J UJI_ULtlDlct)1
Perrrrit 'sBUanCa I
1/5.0U
,.'} '\
/S."7S I.
Value
FEE
FEE
CHARGE
I
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I
I
qf!
t'c.ge G
...
L-COG~
Type/Cor.st: .
I
Setbacks I
House Caraqe Access. I
II
II
II
Bedrooms:
Enerau Sources
Heat
Water .l{~atr>r
Range
Fireplace
Woodatove
I Lot Faces -
I
I P.&.
I/lorth
lEast
ISouth
IWest
Tu::;e
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 use of buiLdings, and may be suspended or revoked at cr.y time upon vio-
lation of. any provisions of said Ordinances.
IPlan "he-ck FR.: 1-\ II)
I Date Paid, ~
IReodpt #,
I Signed,
.,
/
Plul1)bing Permit
No percon shall construct, instal!, alter or change any new OP e::f..sting
plumbing or drainage system in whole oP,in part, unless such pepson is the
legal possessor of a valid plumber's license, except tr~t a pe~son may do
pll$'.bing work to property which is OIJ7Ied, leased or operated by the appli-
Co/lt.
,.
Electrical Permit
Where State LaLJ requires troat the electrical, work be done by an Electrical
Controctor, the electrical portion of this pemit shall r.ot be valid until
the Zabel, has been signed by the Elecmcal ~ontractor.
,
Mechanical Permit
Pi.an Exann.ner
va..
I HAVE CAREFULLY EXA."1INED the completed application for permit, and do
hereby certify that all info:>mation hereon is tpue and correct, and I
further certify that any ar.d an work perfomled shaH be do:te in accor-
dance ~th the Ordinances of the City of Springfield, and the La-..;s of tha
State of OregQn p8rtaining to the work described herein, and that NO occu-
PANCY will be nude of any structure without pa'fflli83ion of the Building Di-
vision. I further certify that cr.tly contractors ar.d c:npLoyee8 who arB in
c~pliance with ORS 701.055 will be used on this project
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