HomeMy WebLinkAboutPermit Building 1990-12-18 (2)
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APPLICAlII/PERMIT
225 North 5th Street
SpringfieZd, Oregon 97477
BuiZding Division
726-3753 RfZf?lLy
Job Loc,tion: '1 /9 l-c:i.e- Ctl~r.J e u A.;..e...
Aea'aGor" Map H 1J(A-/~7C:Yl Toz Lot g
SUbdivision: Loc../'vtv-ed-l
1-bT' 7
IJ A Of o('{i)
.A l~ 3-
Q.mer:
P Ftr'TiV-<.Q:>
Ci.ty:
L..o ~f.tA()-!...AI
111 '1
E' 0.-1.'1 r:~
,
Address:
N. n:;(;,'1
I
n
n
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QY'.
Phone: (. ~8- '1).3
zip: q'"l 'lo ')-
~; L.. l:-b.., $,d ~ DeSCrib:;"O;"X t.. fp
Addition (lcMCIl..Clr. .s+v~S .6 ~
, ' U - 'ff nl..{O-
RcmodeLtl~Ul:>: SeJ:. p l.:,+- tPIA '" .
Data of Application Value
Contractors Address Lise. U
. General ef4.;(-{' "- ~.u'.s '1'i40 Mcr-e&, /11
: Plumbing CeoJ~.... / litVdSe4^-
i l-1echanical €"~ '" j,,-<:.s
I E~"<.:tr:i.!:al ~~. S-5.5 .:Jr;~ 2-D~l8VC '=>3/37 Be-
I Slloe~"...fi;;,.lg_Electricf..1n ~ ~ 9<fS-S
It is the responoibility of'"the permit holder to see that azt inapectiona are made at the proper timt;~ that aach .:ddres8 is readab!e
from the street. and that the permit card is located at the front of the property.
"Buitdi!1{J IXvi::ior: approt.'ed ,plan shell remain on tha Buildi.ng Sit$ at all times.
pnOCEDURE FOR INSPECTION RE:QUEST:CALL 726-3769 (recorder) state your City designated job number.. job address.. type of in3pec;icII
requested ar.d when you wi~~;be ready for inspection, Contractors or OWners ~e and phone number. Requests received befere 7:00 ~
....ill be made the same d.c.y~ requests made after 7:00 am will be made the n~t :.JOrking day.
yo f'-f77__
N,..J.l
.'!obi le lIoma
I .q~ml'iT>,..r1 TnRnpf!f:1:r.lIR
110" SITE INSPECTION: To be made after
excavation.. but prior. to set up of
forms.
D UNDERSLAB PU'NBINC. ELECTRICAL &
NEr.:HA.'lICA~: To be made before any
I work is ,zovcred.
'I r:-J,.---FOOTING ~ FOUNDATION: To be m:zde
~ after trenahoa are excavated and
I forms are ereated~ but prior to
pouring cencret~.
I r-t,.AJ.~'DSRCROUHD PLUMfJINC. SSWER. W.1TE.rt,
~ DRAINAGE: To be made prior to fil-
110 Lir.g trenchee,
UNDERFWOR PLUf,!BING & MECHANICAL:
To be made prior to insta~lation of
11001" insulation or decking.
II D POST AND BEAM:' To be made prior' to
installation of floor ins~Zation or
I decking. -
r:-J... ROUGH PT-U,',!BIl/C. 'fCTRIC/; ,e ~CH-
~ ANICAL: No :JOrk is eOL'ered
I . ur.ti l those inapectior.s' v beer.
made and approve.:!.
O FIREPl.ACE: Prior to
mater'ials and before
tior..
e.....
pZacir.g facin
frcuning inspec-
o
FRA'~INr;: Must be requeated after
approva.l of rough plwrbing.. electri-
cal & mechanical. AU roOfing
bracing & chimneys.. et~~ nr~st be
,compLeted. !lo w:Jrk is to be con-
: cealed until thia inspection has
. bee,n made and approved.
30 _ 2. ~ <{
Bldrs Board
'-I1l{Q7.1
:lCJ -~ 3 (.
YOUl' City DeDigr.atcd Job Nwnber ID:
D INSULATIONIVAPOH BARRIER INSPECTION:
To be made after all insulati:Jn ar.d
" required Vapol' bCU'riel's are in place
... ::,.; but b'efore any lath.. gypsW1I board or
LXllZ covering is applied.. and before
any inaulation is concealed.
DRYWALL INSPECTION: Tc be made
after all drywall is in place..
but prior to any taping.
O ~SONRY: Steel location.. bo~d
beama.. grou ti~1{J or vertica ls in
accordance with U.B.C. Section
2415.
O WOODSTOVE.: After installation is
ccmplet€d.
D
D
CURB & APPROACH AP.f!()N: Afte":' forms
are area ted bu t pl'ior to pouring
conarete.
;IDEWALK & DRIl'Er/AY: Fop all con-
crete paving within street right-
of-lJJC.Y~ to be made after all e:r:ca-
vat~ng complete & fo~ wol'k & cub~
base material in pZabe. .
I
Rcce-:.pt ,1/
f c?H 0)(}:)
...~..u~__.._...'...~.
~
D
PENCE: Wher. co:npl~te -- Provide
gates or movable sections through
P.U.E.
.
~/'j
D
~\/
Sigr.ed:
Date:
R~q. .
Exoi."ces
Phnne
I. yf- - 'l'8C. y..
(Bfj . <?it I
PJ!.
.:J-,;J7 J
1/- 34 '71
/V90
- 3V~-/..'s"O-V
DEt.!OLITIO!J OR gOVED BUILDIiIGS
--, Sani~ary se'.Jel' :!apped ::r:t pl'op~rty 'lir.e
--.J " .,' ,. ."II~Io.',t"hM'Ii":,'\l""."":il )"I;i~.l. 1,\'
=:J Septi~ tank fT..lmped and fill2~ with :;ra;;el
I Final - rr'hen above ite:ns are completed
~ and when demolition is complete or st~~-
ture moved and premises cleaned up.
Nobile Hcmes
~BlOCking and Set-up
~PZumbing conne~tions -- saJer and wa~el'
~lectrical Connection - Blocking.. set-up
~ and pllimbing connections rrr~st 1;e approt:2d
before requesting elec:ricaZ inspec:io~
:J Acaescory Building
---Y-inal - Afto:r p:Jrc1:es.. skirting.. decks..
~ etc. are completed.
D
FINAL PLUMBlfJG
All pl'oject conditions.. such as the installation of stl~et trees.. "c~~Lation of t~e
required landscapir.g, etc... must be satisfied befor~ the BUILDINC PINAL can be raqueDtad.
o
'0
FIt/AL ME(;1M.'IICI1L
o
FINAL BUILDINC: The Final Building Inspection must be rooqueated after tho Pinal Plwnbina
Electl'icaL, and Mechar:.ical Inspectiona have been made and approl);!d.
,~INAL $fO{ftqe- .
:r:=J ~Ar.L MANHOLES AND CLF:ANOUTS nlJ~;T BF: ACCESSIBf.F:,
I Pat"
of 2
ADJ,UST!!ENTTO BE f.!.1DE AT NO CaST TO CITY
I JOB No,QO/4');).
I Zona: I nr! ./
. -,,-
SOLAR A~E~S REQ,-
Occuooncu G~I<.... -;
I Lot Faces -
I Setbacks
I P. L. I House CaraGe
INor th
lEast
Sou th
IWe8t
L-COG-olo
T;;pe/Cor.8t: ~ Bedrooms,- ~
I E7181"(1II Sources
S8at ~ ~
'Access. Water q~ntpr l:,
Ra'lqo ~____
Fireplace -
,. woodi; tot:e
TilDe
Lot Sq. Ftg.
$ of lot CotJerag&
.Ii of StOM.68
TotaL Height
TOf!O!il'a'i'hy
rm~
Interior
Corner
PanhandLe
Cul-do-sac
I ITEM ' SQ, FTG
1m..- m 14
VaLue I
~~.I
I
I
J:H:-() . I
I
~()tl~
I 49iY\~,. '
'011 .5)
1.4B
9D,'4~ '
x
I CcY'ace
Carport
AccessorII
TOTAL VAWE
Is.DoC,
flJC.t.UCJ
1.5 :r:
Buildi11{J Permit
State 5w'charge
Total ChaJ'gea
I ITEM /10,
I Fixtw'es
1 ResidentiaL (1 bath)
I Sani ta1"Y Sewer
IW1e, ~n "';
2LWJK.n\
FEE
CHARGE
C)SPJ
lJ~ .0?1
-!1500C?1-
l/~.oUI
-3(151
I 08.'15 I,
PLumbing Perm t
State SurcJ-.arge
Tota 1. Char008
Im-M
Re8.~fta.
Naw/E:t:tend ~it8
I Temporary Se1"lJic~
CHARGE ./
./'
./'
1/
rxr I
EL.,tr.ic~""'t ~ I
s~urcharae I-.........
/,-TataL Charqe8 I
I ITEM NO. FEE
I fW'nace !!TV'S
I E:::haus t Hood
I Vent Fan
I JlOOdStO:J8
I NO. I FEE
~
H
CIIARCE
Permit IS8uanca
Me~hanical Permit
Stato Surchal'l1f:
...(
<lJ
Total Charaeo
-- ENCROACHMENT --
ISe~~rit~ D2POsit
I Storage
I Maintenance
I Permi. t
I
1
I
r
I
! '
0' 1
I Y()() I
I
I
rl:1.~5 1
f'O .t)C::) I
<5 as 1
Il \ q ~l
Total ChaMCS
cg
Curbcu~
I SidewaLk
I Fen::e
I Electrical Label
I MobiIe Home
I~
I
I n{) /
~
5'*)
I TOTAL AMOUNT DUE: of
Fees
Building Value & Permit
This psrmit io granted on the express condition 'that the sdid aonstructiol1
shatt, in all respects, conform to the Ordinance adopted by the City of
Springfield, including the Zoning Crdinance, l'sgul.c.tirzg the constructicn
and UGB of buitdings, and m:::y be 8uapend.ed 01' revoked at c:r.y time upon vie-
lation of any provisions of said Ordinances.
. .
"
I Plan Check
I Date Paid:
'IRecdpt U:
IS~
Plumbin'g
Fea: ~..---
~
Pe r m it
No pel'con ehaU construct" instalt, alter or change any nsL1 01' e:isting
p~ing 01' drainage system in whole 01' in part, unless such perDon is the
legal possessor of a valid plwnber'8 license, except that a person rrr:lY do
plumbing wOl'k to property which is OIJned, leased or operated by tho appli-
cant. . . \
ElectricalPermi t
Where State Lcz1J requires tJ..at the electl'ical work be done by an Electrical
Contractor, the electrical portion of this permit shall. roOt be vatid until
the Zabet has been signed by the Electtticat ~ontractor.
,
,
Mechanical Permit
I,
'~~~ ~~Q~
\ A \ f) q(\
LJatS .
I HAVE CAREFULLY EXAMINED t.'w compteted application for permit, and do
hsreby certify that aU ir.foromation hereon is true and correct, and I
f'urthsr certify that any am aU uork pel'!or:nBd shatz be do:'1.s i.n accor-
dance :.rith tha Ordinances of the City of Springfield, and th~ La:.;s of tha
State of (Jroeg,m p~rtaining to the oork described herein, and that NO OCCU-
PANCY <JiLl be made of any structure b!itM"t p.rnrission of the BuiLding Di-
vision. I fUl'ther certify that o:-aty contractors and e:nptaY6€S who are in
ca~ptiance with ORS 701.05~ witl be used on this project
LM1.'
'l~a"~d
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~~
/211 J/9/J
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