HomeMy WebLinkAboutPermit Building 1985-6-4
.. RESIDE"IAL"
APPLICATION/PERMIT
225 North 5th Street
SpringfieZd, Oregon 97477
BuiZding Division
726-3753
Job Loca.tion:
430 d~ O{.n.
I
/702.. 35' '2.~ Ta::: Lot #
AS36880rs Map II
Subdi'/Jision:
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Ot.mer:
Address:
City:
nN=>-
~cjdition
~emodeZ
Phone: 7;)lr'J&QO
Zip: 7'J'I7(
Describe f,IOl'k:
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Ilobile Homa ' o:-cf;..~ ~ " f..- ~" '-. ,
Date of Application .", '~~ .)/,g-r; , "'. Value Ii 31./, ClIo
Contractors
~
fM J!-b, . W,
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General..
Plumbing
Electrical
Mechar:ical
Const't"Uction Lender
Address
4/1., IJ.V~-4I1,{
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Lise. #
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Phone
It is th6 respono;.bitity of ths permit holder to 866 that all inopections are made at the proper timc, that each :ddrSS8 is readahZs
f1"OlTl the street, and that the permit card is Located at the [POnt of the property.
*BuiZding Divicior: approved plan shc.7.Z remain on the Building Sit$ at all times.
PROCEDURE FOR INSPECTION REQUEST:CALL 726-3769 (I'ccorderJ state yaup City designated job number, job adiI'CBS, type of in::;pec.;icn
J-aquestcd ar.d when you will be ready for inspection, Contractors 01' OI.mers name end phone number. Requests received before 7:00 ~
:..'ilZ be made the same day, requests made afta' 7:00 a7l wiZ"L be made the nczt :.Jerking day.
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Rp.mJi~prl T~~~~~tir."~
D. SITE INSPECTION: To be lOOde after
e:r:cavation, but prior to set up of
forms.
0: UNDERSLAB PLUMBING, ELECTRICAL &
. MECHANICAL: To be made before any
work is ~ovcred.
rvr FOOTING & FOUNDATION: To be made
~ after trenches are excavated and
forms are erected, but prior to
pouring ccncret,;.
M UNDERGROUND PLUMBING; SEWER, WATER,
''^\ V71RAINAGC To be made prior to fi L-
?r.g trenches.
~.
UNDERFWOR PLUMBING & MECHANICAL:
To be made prior to in3taZ"Lation of
floor insul.ation or decking.
POST AND BEAM: To be made prioI' to
instaUation of [Zoor insulation or
decking,
ROUGH PLUMBING, P.r.ECTRTCAL I: MECH-
ANICAL: No work is to be cOL'ered
~ur.til those inspections have beer.
made and approved. .
FIREPLACE: Prior to placir.g facing
materiaLs and before framing inspec-
tior..
r\7I FRAHING: Must be requested after
~ approval of rough plwr.bing, elect1'i-
,cal & mechanical. AZ"L roofing
bracing d chimncys, etc. nrJ.st be
;' completed. tlo work is to be con-
._...,....cealed until thio inspection has
~be~ made and approved.
~
~
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~ P;UMBIIIG
~ FINAL MECHANICAL
~JiiAL ELECTRICAL
Your City Desigr.ated Job Number Is:
!\:If INSULATION/VAPOR BARRIER INSPECTION:
~ To be 11Xlde after all insulation a:".d
. . . required vapor barriers are in place
. ., but before any lath, gypswn boaI'd 01'
wU covering is applied, and before
. any inDulation is concealed.
rv1 DRYWALL INSPECTION: To be made
~ after all drywall is in place,
but prior to any taping.
O MASONRY: Stee l location, bc>>ui
beama, grouting 01' verticals in
accordance with U.B.C. Section
2415,
O WOODSTOVE.: After installation is
""mpletro,
o
CURB & APPROACH APRON: After' fo1"TlJ8
are oreated but prior to pouring
co7U!l'ete.
SIDEWALK & DRIVEWAY: For all con-
CI'ete paving within street right-
.0 f-wc.y ~ to be made after a Z. t exca-
vating ccmplete & form work & sub-
base material i,; plaae.
I DElfOLITION OR gOVE!) BUILDIHGS
~ Sani=cwy se:.Jer aapped at p:.op<=rt'~. lir.e
I
,
=:J Septi~ tank p.:"Ped and fi lled ..,,: th gra,e 1 I
:J Final - rflzen above it"~8 ar; ccmpleted I,
and when demolition is complete 01' stru=-
ture moved and pranises cleaned up.
I Nobile Hcmes
=:J Blocking and Set-up
=:J Plumbing connections scwer and Water
~ Electrical Connection - Slocking, set-up
-..J and p lwnbing conr:ections nr...:s t he approved
. beforc requesting elec~rical inspec~~o~
=:J Acaessol'b' Building
:J Final - AftOJr p:Jrcnes, skirting, decks,
etc. are completed.
o
All project conditions, such as the installation of street trees, c~~lotion of the
required landscapir.g, etc. J must be satisfied before the BUILDING FINAL can be requsst:zd.
~/.INAL BUILDING: The Final Building Inspection must be requeated after the Final Plwnbina
<2S/ ~lectrical, and Mechar.ical Inspectiona hava been made and approved.
o
D
O PENCE: Wher: compl~te -- Provide..
gates 01' movable sections through
P.U.E, .
o
AAiL MANHOLES AND CLEANOU~S MUST BE ACCESSIBLE, ADJUST!fEtlT TO BE MADE AT NO COST TO CITY I Page 1 of 2
'....
I JOB NO. Cf,so'l;).-U
I Zone:
Lot Sq, Ftg,
~ Dr IDt C""erage
!I of Sto1'ies
Total Height
Topography
SOLA.CESS
Ocaupancl! Grouv:
I
lITEM
I/obin
SQ,FTG
X Value
15#)
?JO (JD
/. ~(J
3/ 2.0
~Z~ !~~
13 I 3~ I q'l)
I I 1
I I I
I
I
I
I
Carace
Caronrt
I ACCe~S~l'u
TOTAL VAWE
Is,v.c,
cvc/.uc;
1.5 x
Building Permit
State Suroharge
Total Cha.~ges
lITEM
I Futures WH f WASIl
I Residential (1 bath)
I Sanitary Sewer
I Water
I NO.
I~
leat
I I
I I
I I
FEE
S~
Plumbing Permi t
State Surcr.arge
Total. Charaes
i ITEM
I Res. Sa.
fto.
I NO, I' FEE
I h I
I I
I J I 16'~1
I
I
I
New/Extend Circuits
.T "'''y''''' ......:f Service
S6~jlt.c c<<>Wite
Eleatl'ical Permit
State Surcharqe
Total. ChaPC8S
lITEM
I FUrnace !!TV'S
I E:rhaust Hood
I Vent Fan
I JlOodstove
Permit Issuance
Mec:hanical Permi t
State Surcharae
Total Charaeo
I -- ENCROACHMENT --
I Sec-olM. bi Dz"OOsi t
I Storage
I Maint~e
I Permi t
I Tota l Cha1'qcs
Curbcu-:
Sidewalk
I Pen::e
I Eleatroical Label
! Mobile Home
I
I
I TOTAL AMOUNT DUE: A
LOT TYPE
Interior
Corner
Panhandle
Cul-de-sac
34,6~1
, '
I
142 DO 1
5 '-&1
/41 "f> I,
CIlARGE
/f)V
/b~
20 CO I
e.ol
:2~;d'() l '
I
I
/s ()(J 1
I
I
1
I
I '
i
I
I
I
I
I
CHARGE
/54V
"0
J 5 6.0
"?-IS 2.~ I '
i'c.ge 2
11
I
I
I
I
I
I
I
I
REQ.-
,
T:..'ve/Cor.8t:
L:"COG-{;
Bedrooms:
I Ene1"ou Sources
Heat
I Water Ypatp1'
I Range
I Fireplace
I Wood:Jtove
i
I Lot Faces -
I Setbacks
I P. L. House Caraqe Access.
INorth
East
South
IWest
Tuve
Fees
Building Value & Permit
This permit is granted on the express condition that the sa.id construction
shall, in all. respects, conform to the Ordinance adopted by the City of
Springfield, including the Zoning Crdinanae, l'egu7.ating the construction
and use of buildings, and may be BUDpended 01' revoked at c:r.y time upon vio-
lation of any provisions of said Ordinances. ~
IPlan Check Fee: 87/,1)0
IVate Paid: 5-02;2 -?5
I Receipt #: !5. ~ &J-?.2 'iT
I Signed: (!fl./JiIICv
'" \
Plumbing Permft
No person ehaU construct.. instatt, aUer 01' change any new 01' e=isting
plumbing 01' drainage system in whole 01' in part, unless Buch person is the
legal possessor of a valid plumber's Ucense, except that a pe:oson may do
plur.:bing work to property which is owned, leased or operated by the appli-
cant,
Electrical Permit
Where State La1.J requires tr.at the electrical work be done by an Electrical
Contractop, the electrical portion of- this permit shall r.ot be valid until
the label has been signed by the Electrical Contractor.
Mechanical Permit
,
Pland~/hfffi<-
ud?l3~h~
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I HAVE CAREFULLY EXAMINED the completed application for permit, and do
hereby certify that all info:mation hereon is troue and correct, and I
further certify that any ar.d all work perfornred shall be do:"'le in. accor-
dance :.lith the Qrodinances of the City of Springfield, and th~ La:.Js of tha
State of Oregon p2Ptaining to the work described hepein, and that NO OCCU-
PANCY will be rrrzde of any struetur<3 without permission of the Building Di-
vision. I further certify that only contractors and employees who are in
compliance with ORB 701.055 will be used on this project
cSv~d
/1( Cl 'i,/;,e.
(p {- 3-S-
{;-:'OO"lf's
Sign8d
Date