HomeMy WebLinkAboutPermit Building 1988-9-9
.:....~". ...- '.
.,,'. ~.., .. . .:
~.. ~; 1
. .....,.
~. ..~~ "........, -- ............... ....~
.. RESlteJTlAL"
APPLICATION/PERMIT
225 North 5th Street
SpringfieLd, Oregon 97477
BuiLding. Division
726-3753' .
r--
Job Looation: II./'-I;{" K...t I 0 ~ ~
As.eeeors Map # /7-0.3 - ~q.. v'L-
S1JxJivision:
J....D+ I+-
'IJ
Q.mer:
r... -1,,'-'.-
IS
t4lJ .-.....l.r
Address:
. n9J... '--_H...J+ s-l
e -j<-', c/J"../
City:
am"
n Addition
n Remodel
n Uobila Homo
TG:J: Lot # .3 700
IA V"- iJ.i!~ "-
Phone:
,..(~ S;.$, 1'"
y7 </tJ/
..
.
Rcce~pt !J
Zip:
Describe fl'or>k:
, .
( c-?{) 2/
.
,0\ .
\ \ \ I
/iiuiY;P""T/~,y .( PH P ~RQ7I-.>,;y~' v7r~ / 7/~:5 ~
5/N<<~ ~/<)'~~..r/.l>..!S?'<~? ~ N/",/ B>
~8~E . .
Date of Application ... "[;.J,).. i /G i
Contractors
Value ~S:Z8. ""Co
r~' 4 /""--
Plumbing (; Ii '" .I (~4'" 1'(.._1.
Eleotrioal JJ. .....__! ~j,. (~:...
e>d(..r: I-kP...,.
J
Address
11fJ.. '-~~.,Jf- ."..;g ef..('
~
Patl., )J,} ..e-......
1 ho~ II v SJ../M
J ncJ if! ~rl- I,",
Lisc.1I
jc,vH
~1 ro/
3rK:f14
..;)u,,--Iv
General
M9char.ic.:zl
C"""t1'l<otion Lender
"
Cc...
€-:J
L0
c; -q ~VV'
A:;1 /e ~.......
Siqr:ed: U~
Date: FJ..~
...,.,.-
Exvircs
Phone
'-I JIO J I] "
~Vi_-S"Ll7.:
,fVl.." /to1 '-.
7 '11_ 0<>" 'L
~7J';
"/H
11 d '1
-2 lit .,
It is tluJ re8p~bi1.ity of thB permit holdsr to Bee that alZ. inopections are made at ths proper tUn&.# that QaCh ~es8 is readabLe
frcm tn. street~ and that the perrrrit card is located at the front of the property.
ABui!di!1!l Diui:ior. app:zocn..'ed plan shall remain on tha Building Sit:; at all times.
.
PROCEDURE FOR INSPECl'ION RE:.OUEST:CALL 726-3769 {recorder} state your City designated job nU17'.ber" job address~ type of in:Jpec~icn
raquc8ted ar.d lJ,J:en you lJill be ready for i"spcction~ Contractors o~ ctmers nc:me and phone number. Reque8ts r>Bceived cefere 7:00 am
..~l.l. be made th&. same day~ requests made after 7:00 am L>ill be made the nat :.JOrking day.
.krrni~,,:cl T'1Ff1"!~"{:1:P'l~
D. SITE INSPECTION: To be "",de after
excav.:ztion~ but prior to set up of
. . forms.
O WD~S~BnU~mG, UECTM~L&
. MECHANICAL: To be made before any
. ~r>k is covered.
fXJ- "~1iiG ;'FOUNDA;ION: ;0 be =1e
L:1J after trenches are excavated and
forms are erected" but prior to
~ pouring ocncret<..,O, N.7J-
Ix I. UND~Gl?OUND PLUMBING. SEWER, w'1TER.
DRAINAGE: To be rrr:uie prior> to fi1.-
.lir.g trenches.
D . UNDERFLoOR PLUMBING & MECHANICAL:
, To be mads prior to inatal.Zation of
j1cor insuLation or decking.
D
POST AND BEAM: To be made proior to
instaU-ation of floor insuLation or
"deoking.
O 8fJW;H PLUJ!8T!lG, ELECTRICAL & MECH-
ANICAL: No work is to be covered
~ur.tiZ. these inspections have beer.
made and approved.
O 'FIREPLACE: Prior to placir.g facing
materiaZ.s and before framing inspec-
tier..
O FRAJ1ING: Must be requsDted after
. approval. of rough plwr.bing" alectri-
.cal. & mechanical. Azz. roOfing
bracing a chimneys" et.::. 111'.J.st be
:' completed. No work is to be con-
.........osal.ed until this inspection has
.~,b6~? made and approved.
,-.-'
Your City Desigr.ated Job Numba' Io:
O INSULATION/VAPOR BARRIER INSPECTION:
To be made after all insulati:m ar.d
,.. required vapor> carriers are in place
. 1/ .: but before any lath.. gypSWtl board or
. txltz. covering is app"Lied" and before
"<D'!y insulation is concealed. .
D DRYWALL INSPECTION: To be made
after all drywall is in place"
. but prior to any taping. .
O MASONRY: Steel
beams.. grouting
accordance LJi th
2415.
location.. bo1u1
or verticals in
V.B.C. Section
?;~ 60c.{~
DEUOLITION OR l-JOVED BUILDlilGS
=:J Sani tary S6'.Jel' eapped at p:.op€:rt-~ Zir:.e
~ Septie tank p-.c::p.:d and fiz.za~ tJith gra~BZ
I Final - rl'hen above items are completed
~ and when demolition is complete or struc-
ture movsd and prani3es elsaned up.
Nobile Hames
:=J Blocking and Sat-up
:=J Plumbing connections scwer and water
~ Electrical Connection - Blocking" set-up
--.J and plumbing connections ITT'.J.st be approved
. before r>equesting electrical inspection
:=J Accessory BuiuEng
-, Final. - Aft;]r> p~rcr.es" skirting" decks"
~ etc. are camplet€:d.
o
All. project conditions" such ~s the instal.lation of str>eet trees" c~~lotion of the
r>equired land8eapir:g" etc... mu8t be satisfied before the BUILDING FINAL can be raquest:zd.
D FIliAL PLU~I/IG
o FINAL MECHANICAL
D FINAL ELECTRICAL
D
o
FINAL BUILDING: The Final Build.ing Inspection must bo requested after the Final. Plumbina
El.ectrical.. and Mechar.ical InspectionJJ kava been made and approvad.
o
WOoDSTOVE:
ccmpleted.
After instal.lation is
'ALL MANHOLES AND CLEANOUTS IIUST BE ACCESSIBLE, ADJUST!tEIIT TO_BE NADE-AT.NO COST TO CITY I Page 1 of 2 J
o
CURB & APPROACH APRON: After' forms
are erected but prior to pouring
aonare te.
o
SIDEWALK & DRIVEWAY: For all con-
crete paving within street right-
pf-way" to be mads after all exca-
vating cctrtplete & form work & sub~
. base material in pla~e.
D YENCE: What: compl~te -- Provide.
gates or movable sections through
P.U.E. .
.','
o
--:-- ~'-
Page 2
I JOB NO. ~1t/S-SOLAR A~ESS REQ.-
Zone: I 7""Al? ac",,,,,,,,C" C_ P--=3
Lot Sq. Ftg. '7"'~ LOT TYPE
S of lot C.:n>erag< ~ ok Interior
# of Stor-ies / Corner
Total Height ,"7C/,:;>I~ Panhandle
T""r';;j' ....yhy .;'1;)..-1'2 ~_ Cut-de-saa
I
I
I
I
tS:-......P~6....v ~ 4 .,... I
TOTAL VALUE I.t;~. - I CiYT/)Y€
I "77.-n ,...?"")-
I-~
I
I,
I
lITEM
I "bin
I Ca:raae
'I Cal'DOl't
I Aaoe8Bor>tI
IS.D.C.
SQ.FTG
/o/"~
7""~
(vat.uc)
1.5 ;r:
Building Permit
State Su:i'chcrrge
Total Cha.."ges
lITEM
I Fixtures
I Residential (1 bath)
I Sanitary Sewer
I NO. I
I I
I I
1/1
I I
?~/?~""'~'E I
Water>
Plumbing Pe""'; t
I'
State Surcr.a:roge
Total Chal'oes
lITEM
Res. Sa. fta.
I N",,/E:ct:end Circui ts
Tempol"ary Service / I
L/ND9f~au.?7.) .b/ ~
I NO. I FEE
Ele~tricaZ Permit
State Suraharqe
Total Cha:rc;es
lITEM
I Furnace ETU' S
I Exhaus t Hood
I Vent Fan
, Woodstove
I NO.,
I I
I I
I I
I I
Permit Issuance
Me~hanical Pel"mit
State SurcharatJ
7'n1:nl CharORO
Secrm tt( Deoosi t
-- ENCROACHMENT --
Storage
I Maintenan..:1e
I Pc=it
I Total Chal'QOS
I Curbcu~
I Sidewalk
Fena9
{~l LaM"
I Mobile Home" ..
I
I
I TOTAL AMOUNT DUE:'
x
FEE
Value
~- ;5e::>
?-/3'
65:6"5
I
I
I
I~.'-
I h."
I
I
I 7-7$ I
157.~1'
CHARGE
L-COG~
Type/Cor.8t: &...,. ~(.,. Bedrooms:
~:Rr.# ! Enerqy Sour"es
Setbacks . J Heat /1"""5
House Carage Access. I Watel' Hp.at~r ,.
::1'''' ' I I Range LF~#Fq-.
I 1/ Fireplacep ~<:~<..s-
I I Wood~ tove .
II
I
I
I
,I~
I
I
I
I
I
j
I Lot Faces -
I
I P.L.
Nor>th
IEa8t
South
IWest
Ti.lve
~.
CHARGE
;.;( ,
-:;j"<//
~
Fees
(;.~
Pe rm i t
d
,',
Building Value- &
This permi t is granted on the express condi tion that tho said constl'Uction
shall, in azt respects, conform to the Ol'dinance adopted by the City of
SpringfieLd, incZuding the Zoning Crdinance, regulating the constru,ztien
and UDe of buildings, and m::z.y be sUDpended or> revoked at any time upon vie-,
lation of any pr>ovisior.8 of said Or>dinances.
?~ ~e-Wcw rEl? k4' /5r;-,c;.
1/ ~S;~g.".. -~.c..~ ~
.".
. .r-
Iplan Check Fee: Q..' J, "Z. 'l)
Vote Paid: Ir ~ 2- 1./ -,y f
I Recdpt #: I ;.L I IT" fa
I Signed: 'e.C'
Perm'it'.
Plumbing
No person Dhall construct, ins taU, alter or change any new or e=isting
plumbing or drainage system in whole or in part, unless sueh person is tho
legal possessor> of a valid plumber~'s. license, except that a pe:oson may do
plumbing work to propsr>ty which is owned, leased or oper>ated by the appli-
cant.
I
I
;ZtP. - I
5::s:-I-~
FEE
Electrical Permit
Where State La1J requires tr.at the electrical work be done by an Electrical
Controctor, the elect;ricaZ, portion of this pe1'11lit shall ....ot be valid until
/5: .- the label has been signed by the Electrical Contractor.
/~-
3:P. - -1..1
,/ .s<:>
3/.:!b l *
I
I
CHARCE
i
I
I
I
I
isY~~
I
I
I
"" ~5~,-
"vi
,2~
Mechainti~a I
.r..,....
Permit
I
I
, *
I.
I
I
I' I HAVE CAREFULLY EXAl.fINED the completed application far> permit, and do
I. her>eby certify that all info:'>mation hel'eon is tr>ue and cOl'rect, and I
f.nothel' certify that any and all lJOr>k per>fomled shall be done in accol'-
I dance ,nth the Ordinances of tlui City of Springfield, and th~ Lo;Js of tho
,. State of Oreg.:m p~l'taining to the wol'k c.escl'ibcd her>ein, and that NO OCCU-
PANCY will be rrade of any structure withou.t pt3rmission. of the Building Di-
vision. I fUl'ther certify that only contractol'S and empl~yees who are in
compliance with ORS 701.055 will be used on this project
$~ ' /r:- tPJ/~ /&.:3 ZA1'-7'S fto.'/4< L.~~
~~ /~r'c-c..,..-......;/;,;-~~ l'~-=.r
I. -f'-#lJ 7,'p/..........zz;. c:;.;~;o.'.-r ?GJ.<.h~ 'p/Y~.e:r-Y
I ~ ~'T Bt;.c:";'.;./.6_. .'
j ,
I ur.~
I *
4~e:~
P/J1'f t:;XCJTr/.ner ' ,.
?-8~~
vate
J- } ~ y/ d-8""
Signed
Dat.