HomeMy WebLinkAboutPermit Building 1990-2-16
Remodel ~ . Sfv~ . "" ' -1/7 'IS"':!!-,
:Iobil. Homa a .e. (.Jl ~ -~ Plot PIm-, A. ....
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Date of Application Value ~/. ~",," -
Contractors Address ' Lisc. II Bldrs Board Re2.
'General Et/l..fl/t~ oj \n.S l./i:?o f/Ilo.'w 1:. 411../((7 '
i Plumbing 8Jo"'LVJM f.J I~j,~ .,..J ~"77 <<# ..l39~ I P
I Hechanical SU...... hu J'c:r ;- .
I qectrical ~CLL",'" ;:VOuC/d..l <2'>< ul /'}1' ..JU 71<a"
I StlPe.I<'v:L'Siny; Electr;Lclan 1'" ~..." - ~A/bM J
It is the rssponDibitity of ths permit holder to seB that azz. inDpections are madG at the proper tims~ that each cddrB88 is readabZe
fl'OTr/ the street, and that ,ths permit OaN i~ loaatBd at the front of the property.
.Building rr~vidon appl'ol-'ed pZan. shall. remain on tha Building sits, at all times.
PROCEDURE FOR INSPECTION R~9UE'ST:CALL 726-3769 (rccorde:roJ state your City designated job nw;;bel'.1 job addressJ type of in3pea~icn
requested and wh.en you wi1.l. bs ready for inspection, Contractors or Owners name and phone nwnbcr. Requests received befcre 7:00 am
:,,'il'l be made the same day, requests made afta' 7: 00 am !Jilt be made the nc:ct woI'kin;; day.
'.. Your City' DeoiflMted Job Numbor Io: qw/I}{O
I
'.: RESIDE~T1AL"
.. APPLICATlePERMIT
225 North 5th Street
Springfield, Oregon
Building. Division
726-3753 '
,
1- .-
t". r ':~
Job Location:
ASDesoor~ Map #
Subdivision:
kc..-hA-,./-e,c...l
QJner: ~-eV
Pff/Tit/.e~
Address:
V, !-I'lff'-(
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Pr.one:
Mlk-9/'k3
en c;a:J....
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Zip:
City:
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Describe f.'ork:
~~'fl, ;L? -tbb
Mb107lr. . ~
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Addition.
Reauiped InBoecticn~
D' SITE INSPECTION: To be made after
excavation, but proior ta set up of
forms.
O : UNDERSl.AB PLUMBING. ELECTRICAL &
. MECHANICAl.: To be mad6 befo7'6 any
. work is aovcred.
D INSUl.ATION/VAPOR BARRIER INSPECTION,
To be made after aU insulatum a:'.d
'::, ,. required vapor barriers are in place
,- .' . ~ but before any lath3 gypsum board or
. wall covering is appUed3 and before
. ~y i"?ulation i8 concealed.
n .FOOTING & FOUNDATION: To be made
lJ::1 after trenches ar6 e:rcavated and
forms al'e 6rected3 but prior to
pouring concret~.
rl.(UNDSRGROUND PLUMBINGj SSWER. W.4TER~
~ DRAINAGE: To b6 made prior to fiL-
.l ir.g tr611cMs.
D DRYWALL INSPECTION: To b6 made
aft6r all dr1JLXlll is in place3
'. but prior to any taping. .
O. MASONRY: Steel location3 bona
beam83 grouting or vertiaals in
acCOrdanC6 with U. B. C. Section.
2415.
O WOODSTOVE~ After installation is
ccmpleted. .
0, UNDERFWOR PWftmING & MECHANICAl.:
I To be made prior to inataU.at'Lon of
floor insulation or decking. '.. ..,
o
D CURB & APPROACH APRON: Afte:- forms
are er6cted but prior to pouring
.:; .' c;'1Crete. C- .
r-t:f/SIDEWALK & DRIVEWAY: For al-l con-
L--J crete paving within street Fight-
." pf-wc.y~ to be mad6 after all, exca-
. vating cCl1lplete & form IJOrk & sub-
, base material in plaae.
POST AND BEAM: To be made prior to
instaU,ation of floor insulation or
decki"fi. '
ROUGH PUlMBIlJG. ELECTRICAL & MECH-
ANICAL: No ~rk is to be covered
,ur.tiL these inspections have beer.
made and approved. '
FIREPLACE: Prior to:pla.cir.g facing
materials and before framing inspec-
tior..
o
o
O FRA~-!ING: Must be re4ueDted after
approval of rough plwr.bing3 alectri-
.ool & mechanical. AU roOfing
bracing ~ ChinmCYS3 6tC. nt".J.st b6
~. completed. No work is to be con-
...:. cealed until. thiD inspection has
~been made and approved.
. , '
D YENCE: When co.71pl<ite -- Provide.
gates or movable sections through
P.U.E. '
~ c?-~~-t--Treu.S
Rcce:pt '!I
\ lo[)'S(o
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Sigr.ed:
Date:
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N - \ \0 !..-{C )
EXl>ires
Pt,rpl,f'
12K</- ~,,)L
7 '1--;" ;J <'Z)O
.:J-J--9 I
..:; 6- U6 c/ /,,31 '37
, 1
DEMOLITION OR MOVED BUILDINCS
=:J Sani~ seuer capped at p:.op{;rt~ Lir.e
~ Septic tank p....mped and fill~ !Jith gra"'-'.el
--, Pinal - rVhen above items are completed
~ ar~ when demolition is complete or 8tru~-
ture moved. and pramses cl6aned up.
MobiLe Homes
g,alocking and Sat-up
g Plumbing co~ctions -- saJer and water
~ Electrical Connection - Blocking, set-up
~and plumbing connections lTr.J.st ce approved
.. before requesting electrical inspection.
=:J Acces801"~i. '8ui~ing
'.'-:
.'
~Final - Aftar p~rche83 skirting3 decks3
~ etc. are canpletcd.
D
ALL projeat conditions, ouch as the installation of street trees3 co.~letion of t~e
required landscapir.g3 eta. 3 must be satisfied before the BUILDING FINAL can be raquest(2d.
D FIliAl. nUMBING
D FINAL MECHANICAL
D FINAl. ELECTRICAl.
o
G
PINAL BUILDING: Tho Final Building Inspection must ba reque8ted after th6 Final Plumbina
EZeatrical3 and Mechar:ical Inspectiono havo besn made and approved.
"A~L MANHOLES AND CLEANOU'!S MUST BE ACCESSIBLE3 ADJUST/tENT TO BE MADE AT NO COST TO CITY I Page 1 of 2 ,
I JOB NO. ctfD\f\VJSOLAR ACCESS
I Zone: \ \ ')V Occupancy Gro.e
I Lot Sq. Ft{;. LOT TYPE
S of lot C.:werage Interior
!I of Stories Comer
Total Height Panhandle
Topography Cul-de-sao
I
lITEM SQ.FTG X
I 'ili'1 -ffi~
I Ga:raae
I Carport
I~.~" <<.hlliJ
~ ~ TOTAL VALUE
S.D.C. 1., :J: (VCt.UC/
But. lding Permi t
State Surcharge
Total Cha.'""g8S
lITEM I NO. FEE
I.' ___..1 \\\ '\\
I Residential (1 bath) I
I Sanitaroy Sewer> I
Iwa~ I I
I )'{'ffi )C\D..L(I
I Plumbing penr.i t
State Surcr.arog8
Total CharQe8
lITEM
I NO.
. ... \{\-\-t
I
I
I
lilt:.:.. oJU.
I Naw/EXtend Circuits
ITOr~
~ Ele~trical Permit
U State Surcharae
Total ChaI'ges
IITSM
I Furnace !!TU' S
I Exhaust Hood
I Vent Fan
I wi>odstove
I NO.
I
I
I
I
I
Pe1"1Tt'i t Issuance
Mechanica.l Pem t
StatlJ Surcha.Ne
Total Charaes
, -- ENCROAC/JHENT --
I Security Deposit
I Stor~e
I Maint~e
I Permit
I Total Cha1'l10B
I Curbcut
I sid_ lk
81.0'
I Fenae
I EZectl"ica l Labe I
i\~Xe\,,<>n\-u ,;~~,
'.,- '\~~)
I 'fO'fI1L AMOUNT. DUE: *
Value I
(-)\ \.Q1..90~
I
I
. =-ri'11
\' \\-~':V
qJ,4Vr~.e
1~1.lsl,
,
c!J '6,~
JJd.40 I,
FEE
CIIA[t ,
\'S. I
- ,F. I
I61D ,I....J../ I
I \~()O
I c;Qn '9~
I['{) ,UJ
I '?'W,
c..fo .'3-) ,
CHARGE '
\000
I ' ,
l~yD
~ )g)
I I.
lDl :50 ,
FSE Cl/ARGE
I
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I
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I
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. '\\\0-)
\"1 .00
I
1l:':Yl . R'--
f res ,1 ,~
I S .;1<;( .
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Page ::;
REQ.-
L-COG-I',t
Type/Cons.: . Bedro<>ne: "5
i I Enerq)l Sources r-J Cl
I I Heat r L./
Access. I Pr. Water .f1t:?atp.p
1<" .~ange
1,1 Fireplace
Wood:; tave
'I
TI/08
r 0
-:1
I Lot Facee -
I Setbacks
I P.L.IHouse Cara.ge'
!North
lEast
Sou th
IWeat
Fees
. .
Building Value & Permit
This permit io granted on the express condition that the said construction
shall, in all respects, conform to the Ordinance adopted ay the City of
Springfield, including the Zoning Crdinance, l"egul.ating the construction
and UDe of buildings, and ~y be BUDpended or revoked at c~y time upon vio-
lation of any provisions of said O:zL'.._._~B.
Plan Check Fee: ~
Date Paid: \ \ I V\ )
Reoeipt #: ~ "-Il~
I Signed: ~
Plumbing Permit
No pepson Dhall const:I"Uct, install, alter 01' change any new or existing
plumbing or drainage system in whole 01' in part, unless such person is the
legal possessor of a valid plumber's license, except that a person may do
pLumbing work to property which is owned, Leased or operated by the appli-
cant. .
Electrical Permit
Where State Law requires tr.at the el.ectrical work be done by an Ele~trical
Contractor, the electrical portion of this permit shall not be valid until
the label has been signed by the Electrical Contractor.
Mechanical Permit
1~~~
I HAVE CAREFULLY EXAMINED the oompleted appZication'for pernrit. and do
hereby certify that all inforrmation hereon is true and correct, and I
further certify that any ar.d an work performed shaH be do':1e in accor-
dance IJith the Ordinances of the City of Springfield, and th~ Ltr.JS of tho
... State of Oregon pertaining to the work described herein, and that NO OCCU-
PANCY will be mde of any structure withcrolt pernris8ion of the Building Di-
vision. I further certify that ~ly contractors and empl~yees who are in
compliance with ORS 701.055 will be used on this project
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Date
Sian.'!d