HomeMy WebLinkAboutPermit Building 1990-1-8
Rcce~pt !I
-::JIIY
~~ .. RESIIa\ITlAL"
'-~ . APPLIClflftN/PERMIT
225 North 5th Street '
Springfield, Oregon 97477
Building Division
726-3753
ASDesDorc Nap H
4 ~)? . Lr'lcJvtIJ{J.A...~ ,4./~.
A/fI- I'f')n~f\ J 0 Tax LotH
LOcl1/h'-t'M
/1/,4 CQsty')
Job Loca.tion: X'
Subdivision:
Ol.mer: '--I'>'" I'\t:ul ,_ /oJ
flAVTM-t:'.2._<:"
Address:
1/ Cfq IV .
iEQ R.Y
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City:
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n Addi ticn
n Remodel
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f-l.ct.lse
QL~S&:,(Ld- ~
:.!obi le Homa
Date of Application
Contractors
RRmJi~~~ T~~"~~~ir.n~
D SITE INSPEC':'ION: To be made after
excavation~ but prior to set up of
forms.
O UNDERSCAB 'PWMBIIIG, . EiECTRIC,1C &
: MECHANICAL: To be made before any
work is covcred.
r.l EOOTING ~ FOUNDATICN: To be n-ado
~ after trenches are excavated and
.forms are erected~ but prior to
pouri71fl ccncre t~.
rJl UND~RG.rfOUND PLUMBING? SEWER. W.1TER.
LY-vRAnlAGE: To be . r t i L-
. .ling trenches~
o
UNDERFWOR PCU/.!BING & I4ECHANICAC,
To be made prior to installation of
f!oor insulation or decking.
POST AND BEAU: To be made prior to
insta~Lation of [tOOl' insuLatior. or
deoking.
ROUGH PLlP.!BI!JG. ET,ECTR!CAL & MECH-
ANICAL: No work is to be covered
.ur.til those inspections have beer.
made and approved. .
FIREPLACE: Prier to placir.g facing
materials and before frami71fl in spec-
tior:.
rTl. FRAHING: Must be rsqusoted aftsl'
~ approval of l'ough plUffbing~ electri-
,cat. & mechanical. At!. roOfing
, bracing ~ ehinmcys~ etc. nt'.J.st be
;'completcd. !lo work is to be con-
..:. ceaLed until this inspection has
~ be~n made and approved.
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Date:
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General c:. tr...A/ft' <L ,'1/'"1';,, '\ IA~P, .:::!...._~
Plwnbing . -':, I ~? hi ( \"'-'::'1 ."'.:7<,(,/, ' . I
Eleotrioal .\.< A..llll, p..,\-1){<) Ai .:::J (') - .J. I?
1110ChaniOal _C:rr ",\ ..h LLY""-, . !'
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It is ~h6 responsibility o~ ths permit ho}aer to see that a-ll inope.4i~ are r.Jade at the p:t'oper time" that each .;ddress is rea~:
j'roni ths street~ and that the permit ca:r>d is l.:>cated at the front o~.. the property.
ABui!ding Divicior: approt:ed plan shall remain on thiz Building Site at all tUnes.
PROCSD~/~E FOR .TNSPECTIOll R~QUEST:CALL 726-3769 (recorder) state YOUI' City design:zted J'ob nw;:ber~ job adircss~ type of ir.:Jp(lct~'
roquested a~~ when you wiLl be ready for inspcction~ Contractors or Owners nQrne end phor:e number. Requests received cefere 7:0C
IJ..'iZZ be made the same day~ requests mcuie a~ta' ?~OO am !JiZZ ba made the next :.JOl'kin.g daY'q .'.\.'
. Your City Deaigr.ated Jcb Number Ia, rm /3
~,
Phone:
bgx -&,{,99
<;7 L.ID~
Lisc.#
E:r:r;ircs
Phone
Zip:
Describe rl'ork:
Value>< ,.;J.;:t 97. ~ _ 00
Address
D INSULATION/VAPOR BARRIER INSPECTION:
To be made after all insuL~ti~n ~-~
. required vapor carriers are in place
but cefore any lath~ gypswn board or
wall covering is applied, and bsfol'B
any inoulation is concealed.
o
DRYWALL INSPECTION: To be made
after all drywll is in place,
but prior to any taping.
MASONRY: Steel ~ocation~ boiuJ.
beams~ grouting 01' verticals in
accordance with U.B.C. Section
2415.
O WOODSTOVE: After insta~lation is
acmpleted.
O CURB ~ APPROACH APRON: Afte:o forms
are are~ted but prior to pouring
concrete.
InT"",......,--,- ,
. f/l' ~LK. & DRIVEWAY: For all. con-
L--J crete paving within street right-
of-wc.y~ to bo made after all exca-
vating complete & form work & $ub~
. base material in pZaae.
O PENCE: When. complGte -- Provide.
gates 01' movable sections through
P.U.E. '
[K] /). -:s~ ~
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t.(;S.:- iX{
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'7, (/.(/-/:5.-c,()
DEUOLITIO!.' OR ;~:OVE!J BUILDIilCS
~ Sanitary S6'.Jel' :zapped :::t P:.OP~!'t:i li,.
.=J Septi:J tank. p:A..'i:ped and fi. lle~ wi th gl.'
---, Pinal - r{h~},....~bcve ite:.'ls are complete,
-.-J and when :iemotition is complete 01' s:
tUl'e moved and pl'~3eS cl~aned up.
Nobile HemeD
~oking and Set-up
~ing connections -- sewer ar~ Wa~
~ctrical Connection - Blocking~ set
:::J and plumbing conr:ections nr~st te appr
beforc requesting elec:rical inspec:i
:=J Accessory Building
~ F~-- After p::Jl'cr.os ~
~tc. are completed.
ski.rting~ deck.
o
All project conditions~ ouch as the installation of street tree8~ c~~lation of the
required landsccpir:g~ etc., must be satisfied before tr.e BUILDING FINAL can bs request:],
o FI/IAC PWI4BIIIG
o FINAC I4ECHAIIICAC
o FIIIAC ECECTRICAC
o
~__HffA'L-.BUILDING: The Final Building Inspection must be requsoted a,f:er
~ Electl'ical~ and Mechanical In.spectiono halJa been made and approv2d.
the Final Plumbi,
'Ag I4ANHCCES AND CCEANOUTS IIUST BE ACCESSIBCE, ADJUST/fE/IT TO ~E. H1DE AT 110 COST TO CITY Page! 0.'
I JOB No.Qf'/j)/3
Izono: \ ^)~
Lot Sq. Ftg.
z ~f lot CQverag~
II of Stories
Total Height
Topography
1"'91.: 'J
L-COG~
/'.
-----'
SOLAR .ArCESS REQ,-
(')~
f}<;C;U1)ancu f}" L.J
LOT TYPE" I Lot Faoes -
I
I P.L.
ltlol'th
lEast
Sou th
IWest
T.voe/Cor.st: _ Bedrooms:
I I EnBl'(1lJ SOU1"ces('"
Setbacks I _ Heat -
. House Carage' Access. IlL. Water -'lIUltIH'
I It:? flange
I i1 Fireplace
II wooa; tave
)
TlJDO
-- Faes
. Value 1\
:}!),41) fs'f This pe!~~I~~~~on ~~~~e: o~it~:t~~t~t said.oonstruot~,
shall, ~n aZl respects, conform to the Ordinance adopted by the Ctty of
I Springfield, incZuding the Zoning Ordinance, regulating the conDtru~ticn
(i '~~ ~- . 4 S I. and .use of buadi~8,. and m:.:y ~e sua~ended 01' revoked at any time upon t).
~.( ) I Zatt.on of any pl'OV't3t.Or:S of satd Orod1.nances.
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TOTAl, VAWE';" I {) 5. I J:J,~f!{J
1.5 " ,ua'~~ 0{J~W l'<~~, ~,
'<3~.8j1
\.cl~l
4D,~~I'
I
lITEM
IAIain.
SQ.FTG
ffiN
I Cc.raae
I Carvort
1""0"000"
I
I
-ls.D.c.
Building Permi t
State Su.rah:irge
To~l C~"'ge3
lITEM
~:.---,,- ~ H
I ResidentiaL (1' bath)
NO.
Sanitary Sewer
~o~f\- \
, '
I.. Plumbing
Permi t
'.'
~j;,"State SUI'cr.arge
~
Total Charaes
lITE/.!
J NO. I ''FEE
Res. Sa. ftc.
New/Extend Circui ts
Temporary ServicJ
I /
Elejtriaal Permit
,<
State Su.r~harl1e
Total Cha:rces
IITSU
I Furnaae ETU' S
I Exhaust Hood
I Vent Fan
I Woodsto'IJe
I
NC,
Permit Issuanca
Me~hanic:zl Permit
State Surcharae
Total. Charaeo
-- ENCROACHMENT --
ISe~~rit~ DepOsit
Storage
Maintenance
Permit
Total. ChaNCS
CUrbcu:
loO/
Sidewalk
I Fen:::e
JEzectrical. Label
I Mob1.1e Heme
i ~l,~ 0
I v
~
hU }r)
t TOTAL AMOUNT DUE:.4
Interior
Corner
Panhandle
Cul-d.-sao
x
FEE
CHARGE I
\ s... CU I
. - I
C:JU cO I
1 S DO I
~() PQ
V) () OJ
.~Q
I
CHARGE
J J
I'
.1
I.
1
I
"I
/
FSE
CHARGE
I ~\I()JI
IICJ,OU I
I I
I
I P)Cf.:-l '\
11S.1~'
I ~~~
&lJq.Q-::i." .
1 Plan Check
I Cate Paid:
, IReodpt #:
ISiu>:ed:
Plumbing
pee:\\ b-)
I~
Pe r m i t
No perean ehall construat~ instal.!~ alter or change any ne~ cr e:istir.g
plwnbing or dt'ainage syste.71 in ..,hole or in part~ unless such pel'3on is t
legal possessor of a valid plumber's licensB~ 6%cept tr~t a pe~Gon may d
pl~bing work to property which is owned~ leased or ope~ted by the appl
cant. "
,
Electrical Perm it
Where State Law"requires tr~t the electrical. work be done by an Ele~tr{c
Contractor~ the electricat portion of this permit shatt not be uali<fw:t
the ~el has been signed by the Electrical Contractor.
~ ~ D\)
,~\~q
Mechanical Permit
,
'.
~'-
. )
p :ca17l1.ner
(~15~( )
va.e
I HAVE CAREFULLY EXA.'1INED t1w completed application for pel'JTlit~ and do
hereby certify that all ir.fo:m:ztion hereon is true and eorl'cet~ ar.d I
further certify that any ar.d all work perfor:ned shatz be dons "in accor-
dance with the Ordinances of the City of Springficld~ and th& La',,;s of t.
* State of Ol'eg:Jn-pzrtaining to the L)Ork described herein~ end that NO OC;
FANCY wilt be made of any structura without p3l'JT1isaion of the Building
vision. I further' certify that o:1ly contra~tors and e:11pz..,yees who are
compliance with ORS 701.055 wilt be used on this projsct '
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Date