HomeMy WebLinkAboutPermit Building 1987-11-17 (2)
.. RESlteNTlAL"
APPLICATION/PERMIT
225 North 5th Street
Springfield, Oregon 97477
Building Division
726-3753
Job Loaatian, 1120 Fairview Drive #15
AsaeSSON Nap # I '7 0 3 :l 7 3 /
SlJJdivtsion:
Ta:r Lot #
OD(POO
tl:Jnel":
Barry Burnette & Patricia Burnette
1120 Fairview Drive #15 Pr.one: 746-9961
Address:
City:
Scrin~field. OR 97477
D..a"",
n Addition
n Remodel
I)ZJ Hobil. Home". .
Date of APPli.catiGn~ Ij~ 1
Zip:
97477
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Value /5,-7Q (
CD llLaJ
Address
l.J e.-<l IiAA/LJ
(,'ontractOl"S
General
Plumbing
Electrical
Mechar.ic::: 1
Const:ructUm Lender
/Cku lU..!'t..J
Rcce-:.pt ,Ii
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11m
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Sigr.ed:
Date:
CG
((-("1-tf r;
Lisa.H
Exvires
Phone
It is ths r8sponoibility of ths permit holder to see that all irwpections are made at the' proper time~ that ~h cMres8 is readab!o::
from ths street, and that the permit card is t.ocated at the front of the property.
ABui!ding Divi::io'r. approved plan shaZ'l remain on tha BuiZding Sit~ at all times.
PROCEDURE FOR INSPECTION RE:QUEST:CALL 726-3769 {recorder} state your City designated job nwr.~el', job address, type of in3pec~icn
raquestcd ar~ when you will be ready for inspection, Contractors or Owners ncme and phone number. Requests received befcre 7:00 ~
Lri.ZZ bs made the same dcy, r>equests made after 7:00 am wilZ. be rrrule the next :JOrking day.
R~qpi~~n T~D~R~tir.n~
D' SITE INSPECTION: To be made after
excavation, but prior to set up of
forms.
O : UNDERSLAB PLUMBING, ELECTRICAL &
. MECHA,'1ICAL: To be made before any
. wrk is ~overed.
o
FOOTING ~ FOUND,1TION, To be made
after trenches are excavated and
forms ape erected, but prior to
pouring conaret;;.
UNDERGROUND PLUMBING! SEWER, W.1TEJ1
DRAINAGE: To be made prior to fil-
.Ur'.g trencheB~
o
o
UIIDF:RFLOOR PLUUBING & MF:CHANICAL,
To be made prior to inotall.ation of
floor insulation 01' decking.
POST AND BEAM: To be made prior to
inataZ-1.aticn of floor insz,;,l.ation or
deaking .
RDr'r;H Pr.fJMBTllr:. ELECTR!CAL & /.fTSCH-
ANICAL: No lJOrk is to be covered
,until these inspections have beer.
made and approved.
FIREPLACE: Prior to pZ-acir.g facing
materials and before framing inspec-
tion.
O FRAHINC: Must be roequeated aftero
approval of rough plwr.bing, electri-
cal .( mechanical. AZz. roofing
bracing .& chimneys, et-z. nr..lst be
;'completed. No work is to be con-
."" cealed until this inspection has
~be~n made and approved.
o
D
o
Your City Desigr.ated Job Number Io:
D
INSULATION/VAPOR BARRTER INSPECTION:
To be made after all insulati:m CI!".d
required vapor barriers are in p ?ace
but before any 'Lath, gypSWTf board or
r.nZ-Z. aovering is applied, and before
any irwulatwn is conceaZed.
g/{)F/79
DEUOLITION OR gOYEr; BUILDIilGS
~ Sanitary se".Jer ~apped at ~opert":i line
~ Septi~ tank tr~ed and filZe~ with gra~eZ
:J Final - fYhen ab....""Ve items are completed
and ~hen demolition is complete or> stru~-
ture moved and premises ~leaned up.
Nobile Homes
Blocking and Set-up
Plumbing connections
SCl;Jer and Water
D DRYWALL INSPECTION: To be made
after all drywall is in place,
but prioro to any taping.
O MASONRY: Steel location, bo~
beamo, grouting or verticals in
accordance with U.B.C. Section
2415,
O WOODSTOVE: After installation is"5/)
ccmpleted.
D
S3
CURB & APPROACH AP.r:'!f)N: Afte:- formh
are created but prior to pouring '!!I;
aoncrete.
Electrical Connection - BZocking, set-up
and plumbing connections nr~st be approvec
before requesting elec-:rical inspection
D SIDEWALK & DRn?EWAY: For all con- I . .
crete paving within street right- ---.-J ACae8S0l'"'.i Bu'l-la..:.ng
of-way, to be made after aU exca-' .
vating a""1;let~ & form work & sub- y'fFinal _ Aftsr p~rar.es,
bass mateM.al 'n pl=e. . t;)' f'J- eta. are aompletsd.
O PENCE: When co.-npl;;te -- Provide
gates 0'1' movable sections through D
P.U,F:. .
D
s7drting, decks,
All prooject conditions, such as the installation of s-:reet trees, co~lation of the
roequired landsccpir.g, etc., must be satisfied before the BUILDING FIlIAL can be request&d.
o FIliAL PLU/.fBIIIG
o FINAL MF:CHANICAL
o FINAL F:LF:CTRICAL
o
o
FINAL BUILDING: The Final Building Inspection must be requeoted after> the Final Plumbing
Electrical, and Mechar.ical Inspectiorw have been made and approvad.
"ALL MANHOLES AND CLEANOUTS MUST BE ACCESSIBLE, ADJUSTHEUT TO BE MADE AT NO COST TO CITY P::.;e 1 of 2
i":::.go 2
I JOB
I Zona,
NO, 610 <If)C( SOLAR AeESS
OccuDancl! Group:
L-COG~
e
I
Access. I
I
I
REQ,-
Bedroor.ts: .
En2r(Tu SOUI"Ces
Heat
Water Hp.atp.r
Range
Fireplace
Wood~ tove
Type/Cor.st:
I Lot Faces -
I
I P.~.
Worth
lEast
South
IWe8t
T:.;'Oe
Lot Sq. Ft;;.
S of lot COIlerage
II of Stories
Tota! Haight
Topography
LOT TYPE
Interier
Corner
Panhandle
Cut-de-sac
Setbacks
HouSe Ca:raqe
-- Fees
I
I
I
I
I
I
I I
1.;23~. <6'b ,..- )")--
ITEM SQ.FTG X
Value
Building Value
&
Permit
Main
This permit i:J granted on the express condition that the said construction
shall, in aZl respects, confol"m to the Ordinance adopted by the City of "
Sp-ringfield, inctuding the Zoning Cl"dinance, regulating the ccnstructicn
and use of buildings, and may be sucpended or revoked at cr:y time upon vic-:
Zation of any provisions of said Ordinances.
Gerace
Caroort
Accessoru
TOTAL VALUE
S,D.C, 1.5:r: IVaL"rlls ?Cf /
I Plan Check Fee:
IVate Paid:
IReceipt #:
I Signed:
Building Permit
State Surcharge
Tota! Cha.-ge8
,-
lITEM
I Fi:rtures
Residential
I
I
I
I
I
I/~ ,00 I
I .751-"'61
I (S. 1sl-
I CHARGE i
I I
I I
I I
I /~ 00 I
.7C; -3"")
1.5,75 -
I
I
1
I
I
NO.
FEE
CHARGE
Plumbing
Permit
No person 'ohall construct, instaZZ, alter or change any new or existing
plumbing or drainage system in whole or in part, unless such person is the
legal possessor of a valid plwnber's license, except that a per-son TTr'J:Y do
plwr.bing work to property which is owned, leased or operated by the appli-
cant,
11 bath)
Sanitary' Sewer
Water
Plwnbing pe=i, t
;'
State Surcr.arge
Total Charaes
, NO,
ITEM
FEE
Electrical
Permit
Res. So. fta.
NmJ/Ertend Circuits
j Tenrpol'ary SePlJice
I
Where State LaLJ requires tr.at the electrical. work be done by an Electrical
Contractor, the e'Lectrical portion of this permit shall roOt be valid until
the label has been signed by the Electrical Contractor.
Ele~trical Permit
State Surcharae
Tota l cJurtoc:es
i NO./
I 1
I I
I I
I I
lITEM
I Purnace ETU'S
'Exhaust Hood.
I Vent Fan
I WOodStO;J8
FEE
CHARGE
Mechanical
Permit
Permit Issuance
Mechanical Permit
State Surcharae
I -
I
I
I
r
I
I-
I
I
!-/ ~ 'j
\3q)( t5 I .70 r '\......
135.0'0 r )
( - (C) 1
I i
--:<ns .?'( j-
Tn-ta I C'harf'.M9
I -- ENCROACHMENT --
ISe~~tv Deposit
I Storage
I Maintenance
JPermit
I
1 Ourbcu:;
I Sid_!k
~~.. ~~~
p~ner ."..
//- /n - ~7
vats
he completed application for permit, and do
n ormation hereon is true and correct, and I
at an ;d all work perfomed shall be done in accor-
dance with t ina es f the City of Springfield, and th& La'..:s of the
State of Ore .1n p::.r nin to the work described herein, and that NO OCCU-
PANCY will be nrzde any structure without pal"mission of the Building IJi-
vision. I further certif: that only contl'actors ar.d e:npl.:;yees "'ho are in
compliance with 0 S 701.0 ~ will be used on this project
Total Charqos
I."e~e
I Electncal Label
I Mobile Home
c;(O-
I TOTAL AMOUNT DUE:'
Sign~d
Date