HomeMy WebLinkAboutPermit Building 1989-7-13
.. RESI~NTlAL"
APPLICA'fJ!ON /PERMIT
225 North 5th Street
Springfield, Oregon 97477
Building Division
726-3753
\4?/1 I~
Rcae~pt !I
Job Location: K
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'754, 1-...Dc.hAV~
AI If- \ 1J 0 2> d 'I d~ Taz LotH
ASDeSGo:rs Map Ii
Subdivision:
L"Xil~t/f'tJ
Q.mer: L I">r l.lWOJ
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Awess:
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City:
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Phone:
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Zip:
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flFtv: \)cd~\",<, ;)p11.o.~ Sigr.e~rffi)
Jf.'J?.. <12 Dn Date: -, rJ -I,~-~,
Value X 0<./, d J ~ . ,... '- ' )
Describe f,'ol'k:
Rct-{se .)i2E
Addition
- I
Q((~~,na. ~
Hobile Homa
Remade 1.
Date of Application
(;ontl'actOl'B
LI.3..5.0
I\r') I"v-.,IL I if), LJ / tjC}7
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General
Plumbing
Etr...^-,ie' "'- .1\,.,,)',
. .(:c, Uhi' \rc.i
.R A..I nl,' P-..r11t-<) ,j
_C,UN hLll'"<:,T
Electr>ical
Uschar.ical
Con8t~ction Lender
Address
Li3C./i
Expires
Phon~
(..,A&-X;((
.:7-:J- ]'[)
/- 91>
It i.s the l'ssponoibiUty of ths permit holder to Bee that all. inopeatio7UI are made at ~he propel' time~ that llcch ~6SS is rea:~
from the street# and that the permit aal'd is t.ocated at the front of the property.
.Bui!di!"'.g Divicion approved plan shall. remain on th8 Bu~ldi":g Sits at all times.
PROCEDURE FOR INSPECTION. RE:'QUEST:CALL 726-3769 frccol'derJ state yOUl' City designated job nur.:bel'~ job adCress~ type of in:Jpea;;'
raquested a~d when you will be ready for ir~paation~ Contractors or OWners ncme and Fhone number. Requ~sts received befere 7:0{
:..'i1.Z be made the same dcy~ requests mcde after- 7:00 a:n will ba made the next ':.}Orking day.
BqOlo[()~
Re01{i~p.d Tns~p.cticns
D' SITE INSPEC':'ION: To be made after
e:rcavation~ hut prior to S8: up of
forms.
O UNDERSLAB PLf}MBING. ELECTRICAL &
';'.fECHAo'IICAL: To bB made before any
work is covered.
;;b.,;"';;OTI}; ~ FOUNDATIO/l: To be "",de
~ ~fter trenches arB excavated and
forms are erected~ but prior to
pouring cencret~.
UNDERGROUND PLUM!3ING, SEWER. W,1TER,
DRAIIIAGE: To be m:z:J.e prior to tH-
o Z ir.g trenches.
o
o
U/lDERFLOOR PW/,,'8ING & MECHANICAL:
To be made prior to ins ta l Zation of
floor insulation or' decking. . .
POST AND BEAU: To be made prior to
installation of floor insuZation or
deaking .
ROUGH PLW!BDJG. ElsECTR!CAr. I: UP.CfI-
ANICAL: No work is to be aovered
,until thess inspections have beer.
made and approved. .
FIRepLACE: Prior to plaoir.g facing
materials and before framing inspec-
tior..
D FRANIN(;: Must be requeoted after
approvaL of rough p1.wr.bing# electri-
,oal & mechanical. AlZ. roOfing
, braoing & chimncys~ etc. nr~st be
;' compl-etcd. No work'is to be oon-
... cealed until thio inspection has
~be~~ made and approved.
o
D
D
YOlU' City Desigr.atcd Job Numb€r 10:
U INSULATION/VAPOR BARRIER ItlSPECTION:
To be nrlde after all insul,:;,ti:m WA
. required vapor barriers are in place
. 0 but before any Zath# gypsum board or
wall covering is apptied# and befors
any inouZation is ooncealed.
DENOLITIO!! OR ;~:OVEr; BUILDIilGS
~ Sani:a:ry S6'..)e1' ::apped :::t p~op.r:~t:; Zi,:
.=J Septic tank p:.J."i:ped and fil'L;]~ tJith ~r'
O DRYWALL INSPECTION: Tc be made
after all drywa:ll is in pZace#
but prior to any taping.
O ~SONRY: Steel location~ bond
beam3~ grouting or verticals in
aacordance IJith U. B. C. Section
2415,
:::J Pinal - rrhen above ite.'119 are cC:Trpletc;
and ~hen demolition is complete or at
ture moved and premises ::leaned up.
Nobile Hcmes
After installation i. '60 J.:l-Plocking and S8t-~p
S~ ~lumbing connections -- scwer ar~ We.:
CURB & APPROACH APRON: Aftero ,fo1'ms/) --;-1..Electrical Conr.ection _ Blocking~ set
are erected but prior to pounng :::> ~ and plwnbing conneotions rTr..;st !:e appr
concrete. before requesting elec:rical inspeoti
SIDEWALK & DRIVEWAY: For all oon-
crete paving within streDt right- :=J Accescol".i BuiZd~ng
of-lJay~ to be made after all exca-
vati~g cCt1tl?let~ & fo1'm wrk & sub- --, ~ _ After p~rcr.es~
- ba.e "",te,."al >n pT.=., . g 3eta, are completed,
o
WOODSTOVE:
ccmpleted.
o
D
Bkirting~ deok.
O PENCE: "lhsr. compl.;te -- Provide.
I:~'~~D
~ '
All project conditions~ such as the installat~on of street treeB~ ca~lotion of the
required Zandscapir:g~ etc. ~ must be satisfied before the BUILDING FINAL can be 1"2quest21
~Oj .' -
, FINAL BUILDING: The Final Building Inspection 1mJ.st be requested after 'the Final Plwnbi,
Electrical~ and Meahar:ical Inspectiono hava been made and approved.
o FINAL PW/.IBII/G
o FINAL MECHANICAL,
o FINAL ELECTRICAL
o
'ALL MAIIHOLES AND CLEANOUTS !lUST BE ACCESSIBLE, ADJUST/IEIIT TO BE WIDE AT I/O COST TO CITY Pa".! 0.'
c,
:..:S'c :;
L-COG~
JOB No,fflrYofoSOLAR ACCESS REQ,-
Zone: ~ OcCUDancv GJ R,_-;)
-, [,at Face8 -
I Setbacks
I P. L. 'House Carape
INOl'th
lEast
Iscuth
West
'UC'U~1~~~ <~.h5"" ~ ').
\ 3B.u) 1-).
1.(J.~]
[,at Sq, Ftg,
S of Lot Coverag<
.II of Stories
Total Height
Topography
I
IIT~M
I Main
I GcPaoe
I SQ, FTG
I
I
I
I
Caroort
AcoeSBortl
TOTAL VALU~
Is,D,c,
1,5 x
Buil.ding Permit
State Surcharge
Tota 1. Cha.""ges
lITEM
1::....-" m;N
IResidentiaL (1 bath)
I Sanitary SetJ61'
NO. I FEE
Water
~./
Plwnbing Pero:i t
State Surcr.a.rge
Total Charaes
. IT~M
J NO.
Res. Sa.
fta. m j..\
New/Extend Circuits
I Temporary Ser;vice _
I~C ~\i E~::: ~e~t
) Sta.te SurcharQe
Total Cha:rc;os
lITEM
FurMce ETU' S
I Exhaus t Hood
1/10.
I
I
Vent Fan
W:,odstove
Permit Issuance
Mechanical Permit
State Surcharae
Total. CharaeD
-- ENCROACHMENT --
Isc~~rittl Deoosit
I Storage
I Maintenanae
I Permit
I Total CharqC8
I Curbcu;
I sidelJa Zk
(on/
I Fence
I Electl'ical Label
I MobilB Home.
1 TDTAL AMOUNT DUE:.
T;ipe/Cor.st: .
II
II
I Access. j ~
11'7
I
I
Watel' YentrH'
Rqnge
Fi rep lace
wooda tove
LOT TYPE
BeaoO<:8:, .......,
Enerau Sources.-J,-
Heat r-C J
TIlDe
Interior
Corner
PanhandLe
CUl-de-sac
Fees --
x
Va~ue I
I
I
- J..)
'fY JL{'l
This permit in granted on the express condition that the said. constructi(
shall, in all respects, conform to the Ordinance adopted by the City of
Springfield, inc!uding the Zoning Ordinance, regulating the conatvuction
and UDe of buildings, and m~y be sUDpended or revoked at any time up~n u~
lation of any provisions of said Ordinances.
BuildinglYalue & Permit
I PLan Check Fee: I
I Cate Paid: (\ ~,
, I R~c<iPt #: \ LlL/
IS>gned:
,
FEE
I
I
I
~.COI
/0,00 I
"rv\cx:.J
'y {,
'l/),CD -~,
~~.50
~3,3')I,
CHARGE I
1~.cDl
I
I
II~,(X) I .
~n,a:5 -~1.-
I.SO
3-r~)I,
CHARGE I
I
I
I
I
I
I
I
I
I,
I
~J-7{} .XC!
CHARGE
t"1.CO
Plumbing
Permit
No pereon chall construct, instal!, aZter 01' change any neW cr e=isting
plumbing 01' drainage sY8te~ in whole or in part, unless such percon is t
legal possessor of a ualid plumber's license, except tr~t a perDon may d
plumbing work to property which is owned, leased or operated by the appl
cant.
Electrical
Permit
Ele:!tric
ualid~u~!t
Where State LaJJ" requires tr.at the electrical lJOl'k be done by an
Contractor, "the electrical portion of this permit shall not be
the label has b:;en signed by the Electrical Contractor.
.
FEE
Mechanical
Permit
~ffL~2 i)'
I HAVE CAREFULLY EXA."'1INED ths completed application for permit, and do
hereby certify that aU information hereon is true and correct, and I
further certify that any ar.d aH work perfor:ned shaH bs done in acoor-
dance with the Ordina.nc8s of the City of Springfield, and thz La'..:s of t
'* State of Oreg:Jn,psrtaining to the work described herein, and that NO oe,
Pl:llCY will. be mde of any structura without p3rmiB3ion of the BuiZding
vision. I further certify that o~ly contraotorB ar~ enpl:Jyees who are
cQ~pliance with ORS 701.055 will be used on this project
I f\1~1
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<.FACT f3~"
'.
millo.A.cl
1-(3-89
S~L
Sign2d
Dat.