HomeMy WebLinkAboutPermit Building 1985-5-21
, .. RESlDlthIAL"
APPLICATION/PERMIT
225 North 5th Street
SpringfieZd, Oregon 97477
BuiZding Division
726-3753
Go 7 ;j(~'l~
~7
Job Location:
Asoe860rs Map #
Subdivision:
fJ. u.p j
Tax Lot #
lA.mer: Pna J., ~U./
Address: q07,~~~~
City: J ~..vAJ'
'7/ -
"~( ~'.. '4'
Value {:> /' (5
W:;pt"
n Addition
n Remodel.
n :robile Home
J-y.
"I:
Date of Application.
Contractor's
.s~. dJ-1-f>S-:
~
(Y /M3I;j A
(I
General
Plwnbing
Electrical
14schar.ic:z.l
Construction Lender
Pr.one:
zip: 9'7 '177
Describe r.'ol'k:
,". q ~. Oi)
Address
Lise. #
4,) 7&;0
.Rcce~Pt !!
1:5 to (/7 I S-
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Signed:
Date:
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~~
':;-"1\-<<
Ezvires_
Ii I'-II'XS
Phone
It is the l'Bspono;.bitity :01 ths permit holder to see that aU in.~pections are made at the proper time" that 2aCn .:;ddres8 is readah7.e
fl"Om ths street" and that the ptWrTrit card is located at tha front of the property.
-Building Division appl'ov.~d plan shaU remain on th2 BuiLding Sitz a.t all times.
PROCEDURE FOR INSPECTION RE:.QUEST:CALL 726-3769 (recorder) state your City designated job nt.a:':ber.. job adi.:t'ess.. type of in::;pec-;icn
requested ar:d when you 1.Ji;U be ready for inspection.. Contractors 01' Owners ncme and phone nwnbC1'. Requests received before 7:00 a::'l
r..'iU be made the same dcyj requests made after 7:00 am wiU be nr:u1e the ncxt wrking day.
~'F- . ~ 1 I??r)"~')
Reoui~ed InSDp.cticns
D. SITE INSPECTION: To: be TTJ:Uie after
excavation.. but prior to set up of
forms.
O · UNDERSLAB PLUMBING. ELECTRICAL &
. MECHANICAL: To be made before any
~k is covered. .
. POOTING & FOUNDATION; To be mads
after trenches are excavated and
forms al"e erected.. bilt prior to
pouring ccncrete.
o
UNDERGROUND PLUMBING; SEWER. W.4TE~
DRAINAGE: To be m:uJ.e prior to fil-
,1-ir.g trenches.
0: UNDERFLOOR PLU~mING & MECHANICAL:
To be made prior to insta llation of
floor insulation or decking.
O POST AND BEAM: To be made prior to
installation of floor insulation or
decking. ::
O ROUGH PLUMBUlG, E&ECT..RTCAf. & MECH-
ANICAL: No work is to be covered
~ur.til these inspectiOns have beer.
made and appl'Oved. .
D FIREPLACE: Prior to' placir.g facing
materials and before::fl'C1ming inspec-
tion.
O FRAHING~ Must be requested after
approval of rough plWr.bing.. electri-
.cal & mechanical. AZt. roofing
bracing & chimneys.. etc. nr~st be
~. completed. No work is to be con-
......:cealed until this inSpection has
~bG~ made and approved.
Your City DelJigr.ated Job Nwnber Is:
U lNSULA'l'lVN/VAPOR BARRIER INSPECTION:
To be made after all insulatum <I!".d
. . . required vapor barriers are in p laoe
. . Cut before any lath.. gypsum board or
wll covering is applied.. and before
. any insulation is oonceaZed.
D DRYWALL INSPECTION: Tc be made
after all drywall is in place..
. but prior to any taping.
O. MASONRY: Steel. looation.. bona.
beams.. grouting or verticals in
accordance with U.B.C. Section
2415.
O WOODSTOVE: After installation is
rxmpleted.
o
CURB & APPROACH APRON: After forms
are erected bu t prior to pouring
co1U!rete.
SIDEWALK & DRIVEWAY: FOl' all con-
crete paving within street right-
of-way.. to be made after all exca-
vating ccmplete & form work & sub-
base matePial in pZaae.
DEI'-l(JLITION OR :~:OVE!J BUILDIilCS
:=J Sanitary se'.Jer capped ~t p~oP&r~. line
==:J Septic tank p~ed and filZe~ with gra~eZ
I Final - [{hen above ite.71S are cc..rrpZeted
~ ar~ when demolition is complete 01' 8tru~-
ture moved and premises cleaned up.
I Nobi le Hcmes
~ Blocking and Set-up I
:J Plumbing connections. -- saJer and water !
---, Electrical Connection - Blocking, Bet-up I
--.J and plumbing connections rrr~8 t be approved
. before requesting elec;ricaZ inspec-;ion
:J AccesGol".i BuiZ:=ing
I Final - Aft;)r p:Jror..es.. Skirting, decks,
--.J etc. are compZet~d.
D
All project conditions.. such as the "z".nstallation of street trees, oo::rpletion of tite
clrequil'ed landscc:pir.g.. etc... must be satisfied before the BUILDING FINAL can be requestad.
FINAL BUILDING: The Final Building Inspection must be requested alter the Final Plumbina
Eleotrical.. and Mechar.ical InspectionG have been made and approvad.
D FIliAL PWMBIIIG
D FINAL IlECHANICAL
D FINAL ELECTRICAL
o
o
o
PENCE: When complete -- Provide
gates 01' movable 8e~tion8 through
P.U.E.
~ALL MANHOLES AND CLEANOUTS MUST BE ACCESSIBLE.. ADJUST!fEflT TO BE MilDE AT NO COST TO CITY I Page 1 of 2
D
I JOB
I Zone:
Lot Sq. Ftg.
S of lot Caverag~
#- of Stories
Total Height
Topography
NO.
<gsotj~
SOLAR.CESS
Occu:oanct/ Grou,,:
LOT TYPE
Interior
Cornel"
Panhandle
Cul-de-sac
I ITEM SQ. FTG
I Main
IGcraae
I Caroort
I ACCBBBOl"l{
I~
I TOTAL VALUE
Is.D.c.
(vat.uc)
1.5 :c
Bui lding Permi t
State Surcharge
Toto I Cha.~gea
lITEM I No.1 FEE
I Firtures
I ResidentiaZ (1 bath) I
I Sanitary SelJe1" I
I Water I
I
Plumbing Pern:i t
State Surcr.arge
Tata l Charaes
lITEM
'Res. Sa. fta.
N6LJ/Extend Circuits
. NO. .
Temporary Service
El.e~t1'ical Permit
State Surcha:rqe
Total Charc:es
x
I
I
I
I
I
to. 00 I
I
I.
I
I
I
I.
Value
10.cO
\0.00
. Lf D
il) .L{u
CHARGE
FEE
I
I
I
I
j
I
I
I
I
CHARGE
lITEM I NO. FEE CHARCE
P1a-nace !!TV'S
E=haust Hood I
I Vent Fan I
I JlOodstove I
I
Perrrrit Issuance
Me::hanical Permi t
State Surch.a.rae
Tntn 1. ChaT'f'MS
-- ENCROACHMENT --
I Sec-.u>i. t1l DePOsi t
I Storage
I Maintentntae
I Permit
Total CharQCB
I CUrbcut
I Sid=lk
I Pen:!e
I Electrica l
Label
Mobile Home
I TOTAL AMOUNT DUE:'+
I
I
I
I
I
<$ (Q.<fU
rage 2
~
I
REQ.-
L:"COG"'"
.
TFipe/Cor.st:
Bedzoooms:
I Lot Faoea -
I
I P.L.
INorth
lEast
South
IWest
I EnerGu Sou-Pees
I Heat
I
II
II
II
II
TUDe
Setbacks
House CCU'aqe
AccesB.
Water' HtUltP.I'
Ranqe
FirepZace
Woodo tove
Fees
Building Value & Permit
This permi t iG granted on the express condi tion that the sciid constrruction
shall, in aU respects, conform to the Ordinance adopted by the City of
SpPingfield, incLuding the Zoning Crdinance, roegulating the constl'Uction
and use of buiLdings, and may be suspended or revoked at cr.y time upon vio-
lation of any provisions of said Ordir.ances.
Iplan Check Fee:
Date Paid:
I Reodpt #:
I Signed:
Plumbing Permit
No person ehaU cons~ctJ instaZl., atter or change any new or e:::isting
plumbing or drainage system in ~hole or in part, unless Buch person is the
'Legal possessor' of a val.id plumber'8 license, except that a person may do
plumbing work to property which is ol.;ned, leased 01' operated by the appli-
cant.
.
Electrical Permit
Where State Law requires tr~t the electrical work be done by an Eleotrical
Contractor, the electrical portion of this permit shaU roOt be valid until
the label has been signed by the Electrical Contractor.
.
Mechanical Permit
I
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P7.an Exa1m,.ner
va"e
I HAVE CAREFULLY EXAMINED ths conrpleted applioation for permit, and do
hereby certify that aU ir;fo:omation hereon is tl"Ue and correct, and I
further certify that any ar.d an work perforo/ed shall be do~e i~ accor-
dance tJith the Ordinances of the city of Springfield, and th;: Ur.JJS of tho
State of Oreg;)n p$1'taining to the UJOl'k described herein, and that NO OCCU-
PANCY wilt be rmde of any stl"UctW'a without permission of the Building Di-
vision. I further certify that only contractol'S ar.d e:npz"yess who are in
cc;r.:pliance with ORS 701.055 will be used on this project
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