HomeMy WebLinkAboutPermit Building 1991-2-22 (2)
.. ~~~~W!E~e~" SF~'NGR~..",-
225 North 5th Street
Springfield, Oregon 97477
Building Division
726-3753 ~tvrt1.. / {)J~hv Tru~c;~
f.o lal J.-oc.hI}J~ ~
/.1/4 (,/ ()3{)1fJ4 T= Lot #
Subdivision: .h-xh.4;'; ~/o.J .f2,laJ< 3-
Job Location:
ASDeSDors Map #
/II/A- CXd5f).)
~/;::)....
ll.mer: ~c-A.N~ f)A-r Ttt/.e1C.3.
i 17'-( J...J '-, ~""V<-y
Address: t?-n. _ /, . 9. ". .!..u O'~ PJ-.one:
City: ~J2....A..O I /')r-e- . Zip:
fA k' c:;./:J..3
e?7c(.O"h
~'"'
n Addition
n Remodel
n Uobile 80m3
~ Reeeopt #
~
14"=-;1 ~
J
yy\.DI'~'/~ ~":<D... ~b::;rk: 028 x,sb
~~ ~+r"""~ ...
~"70.' ~Mr,^", V~.Q.:~ ';}:.'~,!>I'
" I i)q SfE?" ~igr:ed:
.. .). D s';).c;? Oat.,
vaZue'" c;1 Lj . 0 o~. 0
. Date of Application
Contractors
. General ri.r.eaj' Wu;;!;MAA.. .I)D4.'>'
i Plumbing ~~ I,,) k"1.fu......
IHechanical (.!....~_ W~
jEJ,ec_tri.!:al. t<1~~M ~Ti.AA!.. ~~....
SllPe",,~:;,..lg Electnhan ~/& ~-'~. ~ ~. - ~/.. ."
It is ths rssporu.rj.bility'of the p6';lit ha er to BSB that aU inopactions trl'6 made at ths proper timE" tr.at each ;;ddres8 is readabte
froom tM street, and that the permit card is tocated at the front of the property.
-Bui!ding Divioior: approved plan~ B,han remain on th.a Building sits at aU times.
PROCEDURE FOR INSPECTION R!COUEST:CALL 726-3769 (recorder) etate your City designated job nwr.ber, job address, type a; i7l3pec;icn
raquestc.d ar.d when you win be ready for inspection, Contractors 01' OWners name end phone nwnbcr. Requests received before 7:00 Cl.'l
.-in be. mad. th< same daY'.'requeste mad~.:a(~er 7:00am ,.,,;ZZ be made the ncc:t :.!Orking day. q .0\
... .' .. , Your City Desi(p-.ated Job Nwnber I.: \ ~n
Reauil'p.d In8'DPpt1:cn.q
0: SITE INSPECTION: To be mde after
e:J:cavation, but prior"to set up of
, forms.
O : UNDERSLAB PLUMBING. EL. ECTRICAL &
, MECHANICAL: To be ~e before any
, work is aovcred.
,.~ ' " 't,,;~
r7l FOOTING & FOUNDATION: . To be rrnde
t:J after trenches are e:J:cavated' and
, forms are erected, but prior to
poUPing ccncret,.;.' ','. ' . '
~NDERGROUND PLUMBING.. SEWER.'W.1TER,
~'DRAINAGE: To be made ,prior to fi1,,-
.lir.g trenches.
D. ...UNDERFWOR PLUMBING & MECHANICAL:
, To be made prior to inotaLZat'ton of
fioor insuZation or decking.
...01 ./99 I..
"
Address
'. .Lise. II
lY1lliAt~'.
~1A..
Bldrs Board R~~.
EXO:!..Y'es
PQon"
'7;;.:/"':; J 7/
D INSULATION/VAPOR BARRIER INSPECTION:
To be made after alL insu lati::m w.d
>:'" '.' ,required vapor barriers are in place
. '.::": but before any lath, gypsum boa:rd or
: . _' \ wU covering is applied, and before
,:) ... -~y insulation is concealed.
':.;
D DRYWALL INSPECTION: To be made
after aU d:r>yw.U is in place,
. but prior to any taping. .
0' MASONRY: Steel location, bona
beam3, grouting or verticals in
accordance with U.B.C. Section
2415.
O WOODSTOVE: After installation is
compZeted. , ,
O POST AND BEAM: To be ..~ p~r to D CURB & APPROACH AP.r??N: Afte-:o .fonns
instaUatt.on of jloO'1', 'tns~Zahon or are ereated but p1"tor to pOU1'1.ng
decking. 0..~ . =rete.
~ ROUGH PLUMBING. >E. RICA. & MECH- ' r7 SIDEWALK & DRIVEWAY: For azz. con-
~ ,!dllfAJ:.: NO:Jar is to b covered. L..!J crete paving within street Pight-
.until, these ins cti have beer. pf-wc.y, to be made after all e:J:ca-
made and apPl'OVe.=. , ' ' " vating ccmplete & form lJOrk & sub-
D FIRF.PL.1CE:. Prior t.o pladr.g facing , base 17I2terial in pkwe.
ma.teri.a~8 and before framing inspec-
tion.
W ' D ~CE: filum compZ.te n Provide.
PRAJ-.ING: Must be reque~ted after . gates or movabl-e sections through
approva.L of r:ough plwr.b-l.n.g~ .electl"1.- ,P.U.E. "
cal & mechanu:al. All roof'tng ',', ' -.-"
.' bra.Ding 4 chimneys, eto. nr"S~be fJ,Lh .' +-.. \J\.R..Q.D
:'completcd. No work is to be con- (",.. 9V~ .
......cec.led until thic inspection has " . ~) 0 ^. . - -,j
'been made and approved. ~ .' ,.. . I '^"'-\ \.U)\.Il{J\
- ,',- - - - - - - - - /'-
'DEMOLITION OR ~~JOVED BUILDINGS
~ Sanitary Beuer ::apped at p:.oper~ lir.e
:=J Sepna tank p"~6d and fi lZed L1i th gra~e 1. ,
. I
] Pinal - fflten above item~ are c~leted I
ar..d when demotition is ccmplete or strua- 1
ture moved and premises ~le~:. . I
.. I
,
Mobile Hcmes
~BlOCking and Sat-up
~ Plumbing connections -- scwer and lJater
--:;t' Elect-rical Connection - Blocking, set-up
....!:J and plumbing connections rrr...;st be approved
, before requesting eZec~rical inspec~io~
~ Accessory Bui!-ding
'.,
-:J,.Final - Aft;;r p~rocr.es, skiroting, decks,'
~ etc. are complet~d.
o
All prooject conditions, such as the installation of stroeet troees, ca~letion of the
requiroed lan.dscapir.g, etc., must be satisfied beforoe the BUILDING FINAL can be requestozd.
d FINAL BUILDING: The Final Building Inspection must be roeque3ted alter the Final Plwnbi113
~Meehar.ieaZ Inspection. hava been made and approved.
/tAiL MANHOLES AND CL;ANOUTS MUST ~~ ACCESSIBLE, ADJUST/tENT TO BE MADE AT NO COST TO CITY I Page 1 of 2
o FIliAL PLUll.BlIIG
o FIliAL 11E~HANICAL
W" FINAi ELECTRICAL.
'0
- J .~ This permi t io granted on the express condi tion that the sa.id construction
8hall~ in all respects, confonm to the Ordinance adopted by the City of
I Springfield, incZuding the Zoning Ordinance, regulating the ccnstrocticn
and use of buiLdings, and may be suspended 01' revoked at cny time upon vio-
IYJCfS Zation of any provisions of said Ordir.ances. .
vtD ~ O\J~
I JOB NO. Cf!bl2D
izona: l-A JV
SOLAR ACCESS
OCmipan~~ Grou"?l
WT TYPE
Interior
Corner
PanhandLe
Cut-de-sac
Lot Sq. Ftg.
S of Lot Cove~g<
!I of Stonp.8
Total Height
Topogl'a'i'hy
I
lITEM
l,\bin
I GcTaae
SQ.FTG
x
Value
(,/}4 OO~
.Q,?, lJ>
CarvOl't
ACC6SSoru
TOTAL VALUE
01.5')'1 X
I c'6fQH1 ,
c9Q.S'lI"
1.~7{ I
-3Q.CjK'
Is.D.c.
'va.L-UC)
1.5 %
Bui7.ding Pernrit l1)q~e<,
State Su:t'charge
TotaL Cha.""fJes
lITEM
F1.:rtures
I ResidentiaL (1 bath)
Iscmita.rq Sewer
NO.
FEE
CHARGE
r!JCS. CD
A 5,cpu
a '5.6'0
f\ ?> 00
~ .f)c; 1
1l(<6.~'
CHARGE ./ I
~l
Water
.Y'~..
PLumbing Perm t
Stats Surer.arge
Total CharGes
lITEM
I n"es.....SCC fto.
N6UJ/Ert~rcuit8
TL...y..,~..... d servic~ " /'
./..........~
Ele~l Perrmit ~.....
~te SUrcharae
Total Charges
II.TEM
I ~l!e !!TV'S
I Exhaust Hood.
I Vent Fan
I JlOodsto:;e
I
I NO. I
FEE
,/
./"
~
""" ,
....
CllARCE
NO.
FEE
Permit Issuanca
Me::hanic:zl Peztmit
State Surcharae
Tota.l Charaea
I -- ENCROACllMENT --
I SeC".J.1"ity Daposit
I Storage
I Mai"t~e
I Permit
l Total Charqes
I cUrb",,;
I sid_Lk
I Fen::e
I Electrica l Labe 1
(2)
CZ5
ro
\ C-{ .au
MobiJ!;;-lo ) ~i\ A
. .f;={ cp{)
<Act .AS
\ S 1\<=;1
~.~I
LoQ~C1~
I TOTAL AMOUNT DUE:'
r;::,ge c,
REQ.-
-.j M\
I Lot Faces -
I
I P.L.
lNorth
lEast
ISouth
IWest
L-COG~
g
Setbacks
House Carage
_ Bedrooms:
IIIIIIII!" I Enerall Soul'ces
I I Ft:-.~eat
Access. I I ~_ Water Neate,.
I I ~ .,/flanga
I FireD lace
I I Woodatove
II
TU'De
Type/Cor.st:
Fees
Building Value & Permit
IPLan Check FeR: . "'\ _
loate Paid: ru(!..J...-"'""
Receipt #: ~\
Is~
Plumbing Permit
~
No person ohall conatl"uct.. instaU.. alter or change any nezJ or e...-isting
plumbing or drainage system in whole or in part.. unless such person is the
legal possessor of a valid plumber's license.. except that a person may do
plwnbing work to property which is cnm.ed.. leased or operated by the. appli-
cant.
,.
Electrical Permit
Where State LaLJ requires tr.at the electrical work be done by an Ele::trical
Contractor.. the electrical portion of this permit shall. roOt be valid until
the label has been signed by the Electrical Contractor.
Mechanical Permit
,
vate
r!J .()().q J
~
. J
P Exannner
I HAVE CAREFULLY EXAMINED the completed application for permit.. and do
hereby certify that all information hereon is true and correct.. and I
further certify that any ar.d an work perfoP.1led shan be don.e in acaor-
danae :vith the Ordinances of the City of Springfield.. and th:; .LiLJs of tho
* State of Ol'egQn pertaining to the work described herein.. and that NO OCCU-
PANCY urill be nnde of any structure urithout permission of the Building Di-
vision. I furthe~ certify-that on.ly contractors arMi enpLQyees who are in
compliance with ORE 701.055 will be used on this p~oject .
\\
'i1~ K- ~""
x d' ).2.1j 1
Date .