HomeMy WebLinkAboutPermit Building 1987-11-3
-.,............."'.--......-......
-_.....-..,
.,
< uREsrl9PNTIAL-"
APPLICATION !PERMIT
225 North 5th Street
Springfield, Oregon 97477
Building. Division
726-3753 .
~
.rob Location: 5 Cf '7 ~ -;t;";~--:J...an-t7./
As.ss.or. Map N ) g 'o'i 0 ?17, --"<6 ~ID)
Subdivision: ('~""/ ~ _ .. ~
1'1
~Q~
g2- 4CJ !:>~cnc:t-2~ JY phone:Cj'3 7 ~ 461
tB~ 8-r Zip: Cj' 7 + ~ I
Q.mer:
Address:
City:
:!.;;/:'1J~ 9
.. .'~:,..'"
.. Rcceipt g If) '-I r; , /
.
.~
~M<'
n Addi tien
n Remodel.
I 'Xl :Iobile Home
-Date of Application \oj -~/ &/value ,-\:(J Sc9 Q) 0 .
. Acfdl.ess , Lisc. #
~A't VJ,urciA-u:? ~~\:L~.:.;~.
. S..oJJ../.......-- -- .
_c:::...2~
~~"o~~
L/!d~~ _ .
Contractors
Genera l.
nwnbing
el.ectrical
MBchar.ical
Conatl"'Uction
Lender
-v:J./~.,o
./-..
Siqr.ed:
Date:
t~
11- 3 -I If
Exo/.::~';
t:'ncne
nL-~'1 7 7
It ill ths rsspono;,bility of ths permit holder to 'S9S that all iMpections aJ"S mads at the pr';per time# t".at tu::Ch cddrSS8 is rBadabZ€
from tM Str-SBt, and that ths permit card is l.ocated at the front of the propsrty.
.48uitdi'!1{1 fJivicior. approved pl.an s,hall remain on tM Building Sits at all times.
PROCEDURE FOR INSPECTION RE:QUES~:CALL 726-3769 (recorder) state your City designated job nur::ber, job addrcss#' type of in3pec~icn
requestcd ar.d "'hen you will. be ready for inspection# Contractors or Owners ncme end phone number. Requests receit:ed befor6 7:00 a:'2
z..-ill. be rmde th~ same day# requests mc:de after 7:00 am LJill. b2 made the next :.>orking day.
Reaui~p.d Inso~ctic~~
D. SITE INSPECT,TON: To be IOOde after
excavation, but prior to set up of
_ forms.
D. UNDERSLAB PLlJMBINC. ELECTRICAL &
: MECHANICAL: To be made before any
work is aovel'ed.
Your City Desigr.ated o[ob Nwnber Is:
870&3:5"""
IKJ
POOTING & FOUNDATICN: To be mad.
after trenches are excavated and
forms are el'ected, but pl'ior to
pouring ccncrete.
UNDERGROUND PLUMlJING/, SEWER. W.1TR.'J.,
DRAINAGE: To be rrr;zde prior to fil-
.lir.g trenches. .
0- UNDEHFWOR PWft!BfNG & MECHANICAL;
, To be made prior to inatal.lation of
[1.oor insulation or decking.
KJ
o
POST AND BEAM: To. be made prior to
instaLlation of floor insl4lation or
. decki"G.
ROUGH PUJUBllIG. ET,8CTRICAL & MECH-
. ANICAL: No work is to bc covered
.ur.til. thcs6 inspections have beer.
made and appl'oved.
FIREPLACE: Prior to pl.c.cir.g facing
material.s and before framing inspec-
tion.
rVl FRAJaNC: Must be requested after
lLJ appl'oval of rough plwr.bing~ electri-
.cal & mechanical. A'Ll roOfing
bracing ~ chimneys, eta. nr".J.st be
/ completed. No IJOrk is to be oon-
._~.~;cealed until this inspection has
~ be~n made and approved.
~
D
,-.-'
O INSULATION/VAPOR BARHIER INSPECTION;
To be made after all. insulation w.d
. .- required vapor barriers are in place
. .' but 1:efors any lath# gypsum board or
LXlll covering is applied, and before
- any irwulatwn is concealed.
O DRYWALL INSPECTION,: To be made
after all drywall. is in place~
, but prior to any taping.
O MASONRY: Stesl. location, bond
beams, grouting or verticals in
accordance IJith U. B. C. Section
2415.
O WOODSTOVF.: After installation is
ccmpleted.
o
CURB & APPROACH APRON: AfteT' forms
are created but prior' to pouring
con.::rete.
- O. SIDEWALK & DRIVEWAY: For all con-
crete paving within street right-
9f-way# to bc made after all exca_
vating complete & for.m work & sub-
, base rrnterial in pla.::!e.
O FENCE: Wh6n compl6te -- Provide.
gates or movable s6ctions through
~~~ - -
o
.','.
I DElJOLITION OR NOVED BUILDINGS
~ Sanitary sel.Jer ::!apped at rn:.opDrt"~ lir:e
.=J Septi::! tank [T...l.r.1ped and fil.le~ with gra~el
--, Final. - rilum above ite.'7ls are completed
--.J and ",hen der.rolitic.r. is compl6t6 or struc-
~ure moved and pr2misss olean6d up.
I Mobile Hcmes
~ Blocking and S8t-~p
~ Plumbing connections -- sewer and water
~ Electrical Connection - Blocking# set-up
~ and plumbing connections nr"..lst C6 approved
before requesting electrical. inspectio~
:J Ac::!ess01"'d Building
Xl Final - Aftttr p:Jrch8s~ skirting# decks,
~ stc. are completed.
o
All. project conditions~ such as the installation of street tress~ cc~lotion of the
required landscepir.g# etc. ~ must be satisfied before the BUILDING FINAL can be r-equsstad.
o FINAL PLUMBING
o FINAL MECHANICAL
[L:J FINAL ELECTRICAL
o
(8
FINAL BUILDING: The Final Building Inspection MUst be 1"equsoted altsf' the Firial. Plumbi71f/
Electrical~ and Mechar.ical. Inspectiono have been made and approved.
-.,,-
"ALL MANHOLES AND CLEANOUTS MUST BE ACCESSI8LE~ ADJUST/fENT TO BE MADE AT NO COST TO CITY "page! 0/:2 I
t'age l: .
I JOB NO.g;::>O%";?,j'--S'<:LAR ACCESS REQ.- . . .~ . . L-COG-li.'
I Zone: ?.ZJllf y"'n.#<" oocu~p.; ~~.,..../.c €" ~...0-~ Type/Co"'t: 5].;:>- . Bsdroom.:
Lot Sq. Ftg/. g'5 <~ LOT TYPE: . -J Lot Faces - '4'<=- T A' . I E:nergy Sources
~ .. I Setbaoks . I Heat
S of lot C""sragz ~/-~...." Y Interior I P L I HI" I .,
~,. .. CUBe uarage Access. Watero Hp.atp.1'
* of Stones / Corner (North I I'~; I Range
Total Height Panhandle lEast I r /$' I I I Fireolace
. ISouth . I /<;" r I 3&> / I L.Lf'oodstove
Topography Cul-de-sac 'West I ..,/1 I I ,-
I
IITE:M I SQ.FTG 1
l/ohinjW",,,..1U',.j /k-G"I I
Jl>;raa. I 7Zo V~ _0 I
I I I
I , I
~?AY"'" <; ..,....~TE /~~.l-E I / ,~--I '" _,. :~
. TOTAL VALUE: I ~ ~-t ~ SZ>':::/~~'::?~...-;A:s-~ 8CJ/V?(-'7=; r~M~.
Is.D.c. 1.5:r: IvalucT I 7~_Sol, _'.
: I '.. __..
I 7"7.;5'0'
/3-73'1
I~.?? /.
TUDe
Fees
Value
'Building~ Value
& Permit
x
I
7"1- ~~J
'7.::?&>t!:!..
Caruort
I ACCeS801'U
Bui Iding Permi t
State Surcharge
Total Charges
IITF:M
I"";"'~~'es ~v.p1
I Residential (1 bath)
CHARGE:
I
I
I I I
Wat~ 1/ I
I-?~ /?A'#..0"~
Ele:Jtl'icaZ Permi t
1:5: <7"tJ I
I
~.=l
/::>:4
--;>4>.-!
70.--1
. ~_~o, ..
7Y"-~'
j
I ,
1 /..~--I
, /.CY: ~I
I '3"0.-=<>1
/ /.<)=1
I ~/-.<;-o I.
I Ci'ARGE: I
1 J
I
I
I
I
I
I
I
I
I
I
1
I
I
I
r
CHARGE:
Semi tary SelJer
Plwnbing Pern:i t
State Surcr.aroge
, Total CharCles
lITEM
Res. Sa. fta.
I Ne:J/Extend Circui ts
14' ..."t"(.on.....lJ>-Service
I.~_____A' LfP
FI
I I
I I
I' I
PE:E:
State SuraharQe
Total Charges
ITSM n FSE
Furnace BTU' S
~haust Hood I I
Vent F(D1 , I
Woodstove I I
I I
Permit'Issuance
Ne~hanical Permit
,
I
/ .
I
I
I
I
I .
I
State SurCha1"C18
Tota l Charaes
-- ENr.HOACBMENT __
ISe~~rit~ Devosit
I Storage
I Mainten.a~e
I Permit
I
/Curbcu;
I SidaJalk
Total Charges
I ~ '2~
/2t!>'
/::? -;7'0-
':<:;8. .",.,.
I
This permit-is gronted on tbe express aonditil?n that ths sdid construct
shall~ in all respccts~ conform to the Ol'dinance adopted Hy the City of
Springfield~ including the Zoning Ordinance, regulating the ccnstruoticJ
and use of buildings, (D1d m::zy be sUDpended or revoked at cny time upon 1
lation of any provisions of said.CJi.dinances. '\ . .
. . -
,
jPlan Check Fee:
Date Paid:
Receipt i:'...
Signed:
</$.5"3",.
Plumbing Permit
, '
No person shall construct; install, alter or change any ne~ or existing
plumbing or drainage syste~ in whole or in. part, unless such person is tl
legaZ possessor of a valid plumber's license, except that a pe~son may de
plumbing work to property which is owned, leased 01' operated by the appli
cant. ,,'"
/ .
.~... . ("".:...
._,
Electrical Permit
-
Where State LaLJ requires tr.at the electrical work be done by an Ele!;]tn.caj
Contractor, the electrical portion of this permit shall not be valid until
the label has been signed by the Electrical Contractor.
Mechanical Permit
;;fa:-r!~4~
J
//- :::< -8?
vale-
I HA VE CAREFULLY EXAMINED the completed application for permit, and do
hereby certify that all infor>ma.tion hereon is true and correct, and I
further certify that any ar.d all IJOrk perfor:ned shall be done in accor-
dance with the Ordinances of the City of Springfield, and the: Ur.JB of tha
State of Oreg:m p$'l'taining to the work described herein, and that NO OCCU-
PANCY will be nude of any structure without parmission of the Building Di-
vi8ion. I further certify that o~Zy contractors ar~e~pZoyee8 who are in
compliance with ORS 701.055 will be used on this project
{hJ;.g~
Signed
IlL:? /77.
~s / ~
. . l