HomeMy WebLinkAboutPermit Building 1986-12-2
.. RESIDIttrIAL"
APPLICATION /PER1IIT
225 North 5th Street
Springfield, Oregon 97477
Building Division
726-3753
,
.Tob Loca.tion:
/I Z.O F~/l12. U IE. LA,)
/7IJ:> :;'73/
gtJt tm
/]d- ~dIl
J(J fo to 4-/lAAUluU
AS3eSG01"3 Map #
Subdivision:
CUrler:
.4ddress:
City:
I
I
I
Yl
Nm,'
Addition
Remoc.eZ
.'fobi le Homa
I!--,;{'f'b
Date of Application
.;onrrac--:;ors
,Jenel"a l
?Lw:ibiT'.g
::ZectricaZ
I
UI/IJIA /
,',fechar:.ic::.Z
ConstJ'"Uction Lender
-#7~
Tax Lot fI
Phone:
7:20 -ft,f~3-
.cce"t. ts &7 7 -r 7 ")
1
/~U-OK-
Zip:
Value
Add......es3
(;vuef
..J/V'"
1)-( ~.
, ,~O
Si(Jr.cd:
cc
/2-:2 -,M,
Data:
Liac. -#
I::~t.r<7-S
Pr.or:.;;
:t is the responsibility of" the permit holder to see that an incpections aPe r.tade at the proper timE::, that ~:=ch .;ddress is re~:c
-'room the street, and that the permi t card is 'Located at the front of the property.
'3ui!di~.g Divi::ior: approved pLan shall, remain on th.;; Building Sit:; at aU times.
J.7DCEDUF!E FOR INSPECTION RE'QUEST:CALL 726-3769 (recorder) state yOUI' City designated ;job nto;';ber~ job adacss~ type of ir:spe~-;icn
'equestcd a:"'.a when you wi7.."l be ready for ir.spcction~ Contractors 01" Owner's ncme end phone n.ur.Wcr. Reques-;s received cefere 7: OD ~
.'il.l. be made thE; scune dc.y~ requests mG.de aftcro 7:00 am !JiZZ ba made the next :.JOrking day.
'"mui",:PJi T1l<;nprotir.n!'l
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SITE INSPECTION: To be made after
excavation" but prior to set up of
forms.
UNDERSLAB PLUMBING. ELE::TRIC,lr. &
l-!ECHA:JICAL: To be made before any
work is covered.
]
FOOTING & FOUllD,1TION: To be made
after trenches are excavated and
forms are erected~ but prior to
pourir~ ccncret~.
UNDERCROUHD PI.-U/,f7JINC. SEWER, r'l.1TE,~
DRAI/lAGE: To be ma.:i~ prior to fil-
lir..g trenches.
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l1!IDERFLOOR P!'W,$ING & Nf:CHANICAL:
To be made prior to instaLlation of
floor insulation or decking.
POST AND EEAM: To be made prior to
installation of floor insulation or
decking.
ROUGH PLfP.$I!]G. ELECT!?ICA!.. " MECH-
Ai/leAL: Ho :.Jork is to be covered
until these inspectior.s have beer.
made and approved.
FnrEPL!..CE: Prior to plc:.cir.g facing
mcr;erials and before framing inspec-
tior..
FRA!~I!lC: Mu.:::t be requeoted after
approval. of rough plurr.hing, electl'i-
ca l & mecnanica l. A l! roofing
bracing t chimneys, etc. nr~st be
,completed, No work is to be con-
--' cealed unti 1. this inspection has
'been made and approved.
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Your City Desigr.ated Job Number Is:
o
INSULATION/VAPOR BARRIER I.'JS?::CTIOll:
To be made after aU insul~tion w.d
required vapor barriers are in place
but before any lath" gypsum board or
JlJa.ZZ covering is applied, and before
. ~y inGuZation is conceal.ed.
~toO 'Iflp
'DENOLITIOH OR .~:OVE] EUILDI::CS
~ Sani -:ar-y se'..Jer ~apped .:::t p:..opcrty Zir.e
~ Septi~ tank 1T~~~d and fill.2~ uith ~~2Z
::J Final. - r"hen above itei:ls a:re cC,':t::)l.etcd
a~d when demolition is complete or st~~-
ture moved and premises cleaned up.
Nobile Hemes
~ Blocking and Set-up
.~ Pl.umbir~ connections s~er ar.d water
Electriccl Connection - Blocking, set-u?
and plumbing connections rrr..:.st be appr:J::e.::
before requesting el.ectrical. ins?e~tio~
~ Accessol'Y Buil.ding
Vl Final - After F:Jrcr.es~
~ etc. are completed.
skirting" decks~
o
DRYWALL INSP::CTION: To be made
after aU drywaZZ is in place"
but prior to any taping.
MASONRY~ Steel location, bona
beam3~ grouting or verticcZs in
accordance with V.B.C. Section
2415.
WOODSTOVE: After installation is
ccmpleted.
o
"-~.
All project conditions" suc~ as the installation of street trees, cc~letion of the
l'equired landsccpir'.g" etc., must be satisfied before the BUILDING FINAL can be 1'2quest2d,
] FIliAL PLU!.!BIIIG
] FINJ.L 11E~HA:1ICAL
] FINAL EL~~~-!CI.L
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FIliAL BUILDING: The Final Building Inspection must be requeGted cfter the Pin.al Plumbing
Electrical, and Mechanical InspectiorUJ have been made and approved.
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CTlR8 & APPROACH APRON: After formsc..
are erected but prior to pouring
C01'l..:Jrete.
II.ALL UANHCLES AND CLEANOUTS 'lUST BE ACCES$IBLE, ADJUST!.'E:1T TO BE /,:'1DE t.'!' /10 C~ST TO CITY I Paf"e 1 of 2
D
SIDEWALK & DRIr'Er';AY: For aU con-
crete paving within street right-
of-l.X:.y, to be made after all exca-
vating complete & form work & zub-
base material in pla::e.
o
I'ENCE: When compl~te -- Provide
gates or movable sections thl'ough
P.U,E.
D
JOB
No,flt:01th
Zone ~
Lot Sq. Ft;.
:: :Jf Zat CJlJercr;c
.iF of Stories
Total Hei.ght
Topography
I,!,~.',!
SQ. FTC
.'-lair:
Cc::l'a::c
:::.'a1""::'cr'::
..lCCCSSOr':.J
S,D.C.
TOTAL. VALUE'
lVc:.WC)
1,5",
Build.ir:g Permit
State SUI'cha:r~e
To=.:;i Cha.:-ges
""'~'.'
:L~.a>es
1esidential (1 bath)
Jc:r:i~~J 5(J',..'cr
"tete!"
Plu.:;.bir:g Perr.:i t
State Su:rcr.a.rge
T:-:t::! cr..c'f'a~s
--:-',
~es. So. ft::.
;~/~ter~ Ci1'~~its
-em=crary Se~Jice
ELe~tricaZ Permit
5t::.te Su:r~rarae
Total Ch.arces
.'="'.'
.urr.ace ETU'S
=hau.st Hood
ent Fan
':Joasto:Je
Per>r;;"~ t Issuanc;!
Ne:::;..ar.i::::::l Permit
State Surchc:l'OC
Tot~I crflroe:3
-- Ei.'CRCACHl-.fE.'.'T
''!C".lritu D.;:::;osit
':oraaa
:"l-n renar.:::,;
:rm.t
Tete 1 c;"a'!"nC$
a'br:-..lt
:dl!'..J:J,Zk
'n=~
cetrie:z! Lc:'~1
obi Ie Home
'~[. AN:JU.",'T :
SOLAR AWS S
Occupancu Gr~..l~:
WT TYPE
Ir:terior
Corner
Panhandle
Cul-de-sac
x
~'aluc
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1/70. j
CEAP.C;:
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C,'r..-,c" I
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/.'5 (to I
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15. ("nl '
,~;c.
FEE
CHARCE
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(5.~OI
REQ,-
L-COC'"
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.
T,"-!'pe/Cor..st:
beiroo~s:
I Lot Faces -
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r: P.L.
/North
lEast
IScn.:tn
I"cst
I f.ccess,
I I E'rl21'nu So:~r(!p.s
I I Scar.
I I Wder .l.ff'('1~"""
I I Hanpf?
I I Fircnlact!
I I Wooa:;t;ol.:e
II
T:J'::e
.... Setbacks
I House I Caraae
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1
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Fees
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Building Value & Permit
This p~rnr~t is granted on the express condition that the said construction
shall, in aZl respects, conform to the Ordinance adopted by the City of
Springfield, including the Zonina Crdinance, regulating the ccnst:y>'.../cticn
and use of buildings, and m=y be suspended or revoked at cr.y time upon vic-
lation of any provisions of said Ordir~nces.
IPlan Check
lL'ate Paid:
IRccdpt #,
ISig"cd,
Fel?:
Plumbing
Permit
No person chall construct, install, aZzer or change any ne~ Cl' e=i~tir.?
plumbing 01' drainage syst~ in whole or in part, unless such person is xh~
legal possessor of a valid p'iumoer's license, exce;t tr.at a pe::"sorl r.:a;; do
plumbing work to property which is ow~ed, leased or operazed by tr.e a~p~i-
cant.
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Electrical
Perm it
Where State Law reauires tr~t the electrical work be done bu an EZc~tric~:
Contractor, the el~ctrical portion of this permit sr~ll not be v~riC ur.:iZ
the LabeZ has been signed by tne ElectricaZ ~ontr~~tor.
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Mechanical Permit
Plan Examt-ncr
vaze
,
I HAVE CAREFULLY EXANINtD the completed application for permit, end do
hereby certify that all i:-.fo~ation hereon is true al".d correc:.;, ar.d I
further certify that any ar.d all work perfomed shall be do~e i;o: ac~or-
dance :.lith the Ordinances of the City of SpringficZd, and th~ La-..;s of the
State of Oreg~n p~rt~ining to the work cescribed herein, and t.;rAt NO OCCV-
PANCY will be rna.d.e of any structure without parmissio;o: of the BuiZding Di-
vision. I further certify that o~ly contra~tors m~d ~pl~yees ~ho are in
co.-::pliance with ORS 701.(',"$ 1JO.7- foe 'Pi:'} 0:'1 this projr::ct
-....:
I ~ -;) -f~
Sign~d
Date
'"\ u_
_oIfio(,IIoQ._ -
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-~--''''''''----'~~:;-''~,~''!'~~--~....''''''''''~''_.''--
.. RESI~T1AL"
APPLICATION/PERMIT
225 North 5th Street
SpringfieZd, Oregon 97477
BuiZding Division
726-3753' ,
,
.~
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Job Location:
/ /"J--D Y. tuA !/b-aJ
1"103 ;:)/ 3/
-t-I= 1'/.Lj
Taz Lot # M [P 8f)
AsoeS80rs Map #
Subdivision:
I
I ~er: \=h \ l \ \ \) r\X'l+~
I Address:(fi.n (0 Fn I V"'\/ 112 L0 .or,
City:
Q"~,
n Addition
n Remodel
n :.fobile Home
Date of Application
Contractors /) . ~111 .- /
i: GeneraL {i.JX'-l.A/ T //1 n
Ii PLwnbing - ,j f')w~
!i cau.Jl1..RA-/
II
II
electrical
Mechar.ica.l
Cons'tn4cticm Lender
Phone: IdUr( ()R'03
Zip,
]J;rlr-u)Ldv
IYl-H ~-Ur
V~lue 1/1!J1J'D
Addres3
., Rcce~pt # ~ h 7 3.Qo.'j
~ JJ~~
2,,\2,
\ \)..
. 9)5 ('
() ~,'?I .
~ ) ':). "
.P'w-~p4,
Sigr.ed,
Date:
Le- A
1I~'7,~~0
Li8C.#
Phone.
E;roir8S
It is tluJ l"ssponsi-bility of ths permit holder to 888 that al.l. irwpecti01l8 are made at the p:roper tim€, tr.at each .::dd:ress is readaDZe
from t1ul street, and that the pe:rmit card is located at the front of the pr<?perty.
ItBuitding [}t;vidon. approlJed plan shall remain on the Building sits at all times.
PROCEDURE FOR INSPECTION RE'QUEST:CALL 726-3769 (recorder) state your City designated job number.. job ad.dI'css.. type of inapec:-;icn
requested.ar.d when you will be ready for inspection, Contractors 01' Owners nc:me and phone nwnbcr. Requests received befcre '1:00 ar.l
:,.>itl be rrr:uie the same dcy.. requests made afte:r 7:00 am will be m::uie the next ;.JOrking day.
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I. Ra'l?Ji~pf{ T~~?~~i~n~
Ii 0' SITE INSPECTION' To be made after
e:ccavation.. but prior to set up of
I . forms,
!I,O UNDERSLJB Pr,UMBING, F.:T.1F:CTRICAL &
: MECHANICAL~; - - To be made before any
I wrk is .:!overed.
'd' FOOTING & FOUNDATION: To be made
I after trenches are exc:avated and
I .: forms are erec:ted.. but prior to
pouring c:oncret;;:.
O UNDSRGROUND PLUMBING,_ SSWER - W.1TER",
I' . D.'IAIIIAGE, To be made prior to fil-
I '.lir.g trenches.
D. UNDERFWOR PLUMBING & MECHANICAL:
, 'To be made prior to instaLlation of
floor insulation or dec:king.
o
POST AND BEAM: To be made prior to
instalLation of floor insu.lation or
decki". ,
ROUGH PLUMBING. ELECTRICAL & MECH-
ANICAL: No work is to be covered
,ur.til. these inspections have been
made and approved.
FIREPLACE: Prior to placir.g fac:ing
materiaLs and before framing inspec:-
tion.
o
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FRANING: Must be requested after
approval. of rough ptwrbing.. electri-
cal. & mechanical.. A U roOfing
brac:ing & chimneys.. etc. m-..lst be
':'corrrpleted. No work is to be con-
,..,....cealed until thiD inspection has
~ be~ made and approved.
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10
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10
10
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.Your City' Deoigr.ated Job Numba' Is:
D INSULATION/VAPOR BARRIER INSPECTION:
To be made after atl insutation ~A
" required vapor barriers are in pLace
. . but before any lath, gypsum board 01'
t.XZlZ. covering is applied.. and before
'any insulation is concealed.
O DRYWALL INSPECTION: To be made
after all drywall is in pl.ace,
but prior to any taping.
0, MASONRY: Steel. location.. bo1ui
beam:;, grouting 01' vertioats in
accordance with U.B.C. Section
2415,
D WOODSTOVE: After installation is
compZeted.
D
CURB & APPROACH AP.r'.!fJN: AfteT' forms
ClX'e erected but prior to pouring
concrete.
({toO 7 {2~
DEUOLITION OR ;',:OVED BUILDIHCS
=.J Sani:ary 8e'..Jer capped at v:.opcrty lir.e
~ Septic tank p;.g:rped and fitie~ with 3Z'a~eZ
I Final - mum ab..-"Ve items are completed
~ ardl when demolition is comptete or 8tru~-
ture moved and premises cleaned up.
Mobile Hcmes
~ Blocking and Set-up
/~/C ,.._~' . . __~
Pr..wrw1.ng connect1.ons -- scwer ~ liJater
, Electrical Connection ~ Bl~cking.. set-up
and plwnbing connections m-...at 1;e approved
. before requesting elec:ricat inspec::ion.
:J Accessol":i Bui lding
~ Final - Aftar porc:r.es..
~ etc:. are completed.
skirting.. decks..
D
SIDEWALK & DRIVEWAY: For all con-
crete paving within street right-
of-way.. to be made after aU exca-
vating complete & for.m work & sub-
base material in pkwe.
D
FIliAL PLUMBIIIG
Atl project conditions, such as the instalLation of street trees, c~~tation of the
required lands~apir.g, etc... must be satisfied before tr.e BUILDINC FINAL can be requested.
FIliAL MECHANICAL
o
PINAL BUILDING: The Final. Building Inspection must be requested after the Final Plwnbin,a
Electrical... and Mechar.ical Inspectiorw hava been made and approved.
FINAL E:LE:CTRICAL
D
~: When compl;;te -- Provide.
gates 01' movabte sections through
P,U.E. '
/tALL MANHOLES AN.D CLEANOUTS MUST BE ACCESSIBLE.. ADJUSTHENT TO BE MADE AT NO COST TO CITY.
D
Page
1 of 2
'l","~
SOLAR A+S
OcCUlXl1lCII Grouv:
LOT TYPE
1,;;2,73151
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\1/,40
JOB NO. ~~f) li'tro
I Zone<
Lot Sq. Ft{;,
S :Jf tot CJVerage
tI of Stories
Total Height
Topography
lITEM
I SQ,FTG
Main
Gerace
Cart)ort
Accessoru
I
I
TOTAl VALUE
IS.D,C,
(vat.-ue)
1.5 :J:
Building Perrrri.t
State Surcharge
Total Cha......ges
I ITEM I NO.
Fixtures I
I Residential (J bath) I
I Sanitary Set.)ep I
I Water
I
Plumbing Permi t
State SW'cr.arge
Total Charaes
lITEM
I Res. Sa. fta.
I New/Extend Circui ts
Temporary Service
I NO'1
I I
I I
1 1
Ele~trical Permit
State SuroC!ha:rae
Total Cha:t>c;es
lITEM
I Purnace PTUrS
I Exhaust Hood
I Vent Fan
I ilOodstove
I
I NO,
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1
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1
I
Pemt Issuance
Mechanical Permi t
State SUrcharac.
'[""tn I CharOR!J
I -- ENCROACHMENT --
Ise~dri~ DeV03it
Stopage
Maintenance
I Permit
I Tota l Characs
I curbcut
I sidelJa lk
I Fe~e
I EleotrioaZ Label
I Mobi le Home
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I TOTAl AMOUNT DUE,'
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I /5, ffD I J;-
1 . &0 1
I /5, (p1) I.
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I 1
I 1.e:;,00 I y'
I . (of) I.
I (5,(t,()l.
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Interior
Corner
PanhandZe
CUl-de-sac
x
Value
I
I (05,00
FEE
CHARGE
FEE
CHARGE
FEE
CHARGE
,20
;QS, 00
Page Z
REQ.-
L-COG~
., '
.
II Eneray Soo.a'Ces
I Heat
'Access. I I Water> Heater>
I i Range
I I Fi1'eplace
j I Wood:; tove
II
Tu'Oe
'.
Type/Cor.st:
Bedrooms:
Lot Faces -
,.
Setbacks
, House ' Caraqe
P.l.
N01'th
East
,Scuth
IWest
Fees
Building Value & Permit
This permit i3 granted on the express condition that the said constructicm
shall, in all respects, confo~ to the O:rdinar~e adopted by the City of
Springfield, incZuding the Zoning DPdinance, 1'egul.ating the construction
and use of buildings, and m:zy be suspended or 1'evokec at c;r:y time upon vio-
lation of any ppovisions of said Ordinances.
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Plan Check Fee:
Date Paid:
Rec~ipt #:
\ Signed:
Plumbing Permit
No pepson Dhall construct, install, alter op change any new 01' e--isting
plumbing or drainage system in whole or in part, unless such pe1'son is the
legal possessor of a valid plumber's license, except that a person may do
plumbing work to prope1'ty which is owned, leased 01' operated by the appU-
<:ant,
Electrical
Permi t
Whepe State LaJu 1'equires tr.at the electrical work be done by an Eleat1'ical
Contractop, the electrical p01'tion of this permit shall roOt be valid until
the Zabel has been signed by the Elecmcal Contracto1'.
Mechanic'al
Permit
j.
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Signed
Plan Exarm-nel'
vate
I HAVE CAREFULLY EXAMINED the completed application for permit, end do
he1'eby certify that all information hereon is true and C01'rect, and I
f..l1'thezo ce1'tify that any ar.d all wo1'k perfor:7led shall be done in acC!o1'-
dance with the OPdinances of the City of Springfield, and th;: La-..;s of tho
State of Oregon pertaining to the LJOPk described herein, and that NO OCCU-
PANCY r.n.U be rrrzde of any structuroe without permission of the Building Di-
vision. I further certify that o~ly contracto1'S ar.d e:rrpz"yees who are in
compliance with ORS 701.055 will be used on this project
.
\,;1fIQ
17 )1~ \, c\es+ .
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tIMP'ORTANT ME.AGE)
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DATI" / ;2-/ TIM" (b
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...
FOR
OF
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AM,
P,M,
AFEACODE
'7;;;;-0- ~30 3>
NLJIvIBER EXTENSION
PHONF
I TELEPHONED
I CAME TO SEE YOU
I WANTS TO SEE YOU
I RETURNED YOUR CAll
PlEASE CAll ~
Will CAll AGAIN I
RUSH
SPECIAL ATTENTION
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MESSAr::l:
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