HomeMy WebLinkAboutPermit Building 1989-5-8
.. RESI~NTlAL"
APPLICATION/PERMIT
225 North 5th Street
Springfield, Opegon 97477
Building Division
726-3753
S~ ry::) 'M\\ I nJ'..,;--k\ f\<L
IR ()~ Q~~ _. Tcx Lot H
Subdivision: GofM 1\ lQ rrn fDZ_
Job Location:
ASl>esGol"':: Map #
04000
t1 r;t 44 eiL
I L\-
J
lA.mer: (l\l~\"\ -t- u')~ t\\ .\:\~
Address: Q")fj.;4 \\\() L~
City: ~\~ ~
~J
f")~lo_-&\ II \
qf\4()~
Phone:
Zip:
Desa~~bc Work: ,
~ UiclL ffi()~
n
n
n
Additicn
Remodel.
,'fobi le 110m:!
d,-QJo-RCi
Date of Applicaticn
Contracto~
General U q Jf\C\ e~
Plumbing (~Y\ C\ (2.-/
.1' Hechanic.:d
Eleetric.a(
I Supervi-~.ing Elee t 1) eLl n
vazuec91 rnLD.OcJ
Receipt #
k"'S' JhO 'V-
13~(
p
~
Date:
mLLU, B JqCJf
(\ J .
Bides Board R,g.
41,.,';'\\')
4ln4f1 ? ~
Your City DeDigr~tcd Job Number 10:
o
INSUr.ATION!VAPOR BARRIER INSPECTION:
To be made after all insulatian a~A
required vapor cCU'l'iers are in place
but beforc any lath, gypsum board 01'
lXlU covol"ing is applied, and before
any insulation is concealed.
Add ref>S
L"ise.
II
Expires
. \\ IRq
\\~q
~)honp
It is the reoponoibility of the permit holder to aee that all inDpections are ~de at the proper tim€~ that each ~e83 is readab:~
from the street, and that the PCI'mit (Jard is located at the flxmt of the property.'
>4Bui!ding Dividor'. ap;n.oved plan Sfu:.ZZ l~emain on th.~ BuiZding sit;;: at all times.
PROCEDURE FOn INSPECTION RE:QUEST:CALL 726-3769 (racord~r) state you.r city designated job nzm:ber, job address, type of inspec=icli
requested a!':d when you will be peady for inspection, Contractors 01' OWners name and phone number. Requests received befcre '1: 00 .:r::
:..>iZZ be made the same day. requests made after 7:00 am wiZZ be nnde the next :.JOrking day.
.J?~"1,i"':t"r1 Tnm:"'>~t.1:(';n"~
O SITE INSPEC'J'ION: To be made after
excavation, but priol> tQ set up of
forms.
O UNDERSLAB PLUMBING. ELECTRIC1! ,~
j\1ECHf!,lJICAL: To be made belol'e any
work is covered.
[I]
FOOTING S FOUND,1TION: To be m:zde
after trenches are excavated and
forms are erected, but prior to
pouring ccncret~.
UNDERGROUND P:'UMBINC. SE/{EH. rv.1TER>
ORAINAGE~ To be ~de prioJ' to fU-
"Lir.g trenche:;.
l2J
o
o
UNDERFWOR PLU,'.fBlNr. t. MECHANfCAL:
To be made priolO t.o in:;talZation of
/1001' inDulation or decking.
POST AND BEAM: To be" made prior to
inBtal.lLltio~1 of floor insl~lation or
decki"fi.
ROUGH PLU,'!BInG. ELECTRICA!.. 11 MECH-
ANICAL:' No work is to be eOL'ered
until these inspectior:s have beer.
made,and approved.
FIREPLACE: Prior to plccir.g facing
mcterials and before framing inspec-
tior:.
FRA!1INC: Must be requested after
approval of rough pl~bing, alcetri-
cal & mechanical. AU l'Ooj'ing
bracing & chimn~Y8, etc. nr~st be
completed. No lJOrk is to be con-
. cealed until this inspection has
'been made and approved.
o
o
o
O DnYWAl~L INSPECTION: Tc be made
aftel' all drytJall is in place,
but prior to any taping.
o
location, bomI
or ver-ticals in
V.B.C. Section
81031'/4
I DEMOLITION OR NOVE!) BUILDIiJGS'
:J Sani tary 8e'.Jer capped at p~opc::rt~ lir:.e
~ Septic tank 1T~ed and filled uith gr-Q~2Z
:J Final - flhen above ite.'7Is are ccmpleted
and when demolition is complete 01' st~:-
tUr8 moved and pr2mises cleaned u.p.
I
NobiZe Nemes
~ Blocking and Set-up
~ Plumbing connections 8~er alcl wa;er
~ Electrical Connection - Blocking, sst-u:;
~ and plwnbing connections rrr..st be approvec
before request~ng eZec;ricaZ inBpec;io~
:4l Accessol"';j Building
-:1l Pinal - Aftnr porc1;es,
CJ etc. are complet;:d.
skirting, decks,
o
MASONRY: Steel
beam3, grouting
acc:oPdanc:e with
241{;.
WOOOSTOVF.: After installation is
ccmplcteJ.
o
AU pr>o;irwt c:onditiona. :.ll4ch aa the '!"~lstallation of street trees, c:o.-:rpletion of t;le
l>aquir>ad landscr.pir.g, etc., must be satisfied before the BUILDING PINAL can be requeBt:Jd.
W FINAL PLUMBllJG
D FINAL ME'::IlANICIlf,
[2D FINAL ELECTRICt.f,
ID
o
CURB & APPROACH AP80N: After> fOl'mB
are o:Jre::ted but ploior- to pouring
concrate.
SIDEfrALK & DRIl'~'fvAY: For all con-
crete paving within street right-
of-ocy, to be made after all exca-
vating complete & foPom work & sub-
base material. in pla~e.
(8
FINAL DUlLDlNC: The Pinal Building Inspection ~8t be requeated aftep" the Pinal Plumbing
, Eleotri~al. and. Mechanical Inspections hava been made and approved. .
o
o
!'ENCE: Wher: complete Provide
gates or movable sectiona through
P.U.E.
*A[,L MI1NlICLES AND CLF.ANOUTS MUST BP. ACCESSIBLF:, AD.TUST!fENT TO BE ~J.1DE AT NO COST TO 'CITY I Page of:: J
o
SOLAR ACtrS REQ.-
OCcuoonc" Grouo: M0>??/Cl-': #-~T"ve/Cor.8t:
LOT TYPE . . . I iorFa;;es- - .
I Setback"
I P. L. I HOUGe I r.m'aqe Illccc3G.
!North
I~ast
ISouth
IWest
I Cw'bcut
I Sidewalk
I Pe:n:::e
I Electrical Label
I Mobile Home P""'-'~G" Wr~ <35:- ~
l r-~/'D_ /-7~ ~: ~ ------
~. {'\ 01(., '4-oQ-;- . Co{. fl..5.... ~ ,/~. / ~
- I --.. Sig ~d
TOTAL AMOUNT OUE: .I~ @ ('Y' . .. j-' ./
I JOB NO~~~~/
I Zone: L.P,z? J>>#"5
/
Lot Sq. Ftg.
~ "f lot CV1Jerag~
ill of Stories'"
Total H~ight .'
I Topogrop.hy
I
lITEM
I Main
I Gla'aae
I CarVOl't
bi;;;~
I /
Is.D.c.
I SQ.FTG
TOTAL VALUE
(vat.uc)
1. 5 '" '7'7. c:;-oe>
Building Permit
State Surcharge
Total Charges
I ITEM NO. FE:E
I ,...1_ ." #~CP /
I Hesidential 11 bath)
I Sanita.ry Sewer /
l~te /
1572>Y?h7Z7A''';__J'-;~
Plwnbing Permi t.
State Swoc1-.arge
Total CharoaeB
ITEM NO. I FEE
I Res. Sa. fta.
IN~/Extend Circuits
I 'F8"'tf'''--~' Service (
I EC~7. J'v.-. ., <-1""1 r
Ele:::trical Permit
State Surcharae
Total Cha.:J'ges
I ITSM
I Fia'l'U1ce PTU' S
I E:::haus t Hood
I Vent Fan
, Woodsto:J€
NO.
FEE
Permit IS8uanca
Mechanical Permit
Statc SurchartOE;
Total. C1r:zraoo
-- ENCROACHMENT --
JSe~Mrity D2P03it
I Storage
I !-fain tena7U1e
I Permit
.
Total ChaNC8
/- /b /
,bO I
CHARGE
h'):-=-- r Plumbing Permit
__No- percon_Dha.z.z./~onDtrllct, install" alter or change Gny 1".e/J cr e:dsting
--____ plwnbing or drainage Gyste:n in whole or in part, unless su.ch pel'3on is tho
~...~ legal possessor of a valid plumber's license, except that a person may do
pl-wnbing work to property which is ou,-ned, leased or operated by the appli-
/'5:.-eo- cant.
7?'. ='B>
'70. =--
'?-Sc>
/3.50 .
I
Interior
Corner
Panhandle
Cul-dc-sac
x
Value
~.<=>
I 9'/?SC::> .
, /r-' c:s<:>
tLJ ..
.:0
/52 75"" .
-
CHAHGE
/7::>---:: ~
~S."""'"
9a""""'"
('-s=
-;5/-!?c? .
CHARCE
/7.7'"cP
/'7. ...-
.
L-COG~
Bedrooms:
, ,
Enernll SO:ircos
Heat
f"atcr Hl?at('1'
Rangc
Firovlace
Wood:;tot:tJ
T.,/'(IC
. II
Fees
Building Value
&
Permit.
This perrrrU in granted on the express condition that the sflid. construction
shall~ in all respcctD, confom to tIle 01'(iina1:(~e adopted by the City of
Springfield, inc!uding the Zoning Ordinance, regulati/tg the ccn3tl"'.lcticn
and Ul::e of buildings, and may be Guapcnded or revoked at C1:Y time upon vio-
lation of any proviGions of said Ordir.ances.
IPlan Check
loatc Paid..
IReodpt H:
ISig,.d:
9.75
Fee:
Electrical
Permi t
Where State Law requires tr~t the electrical /Jork be done by an Eleatrical
Contractor" the electrical portion of this permit shall root be valid until
the label has been signed by the Electrical Contractor.
,
,.
/
/
Mechanical Permit
.
a.- ~
-l7tY~ ~ /'
5-:5'-B7.
vate
I HAVE CAREFULLY EXAMINED the completed application for permit, and do
hereby certify that aU i~fOr'mation hereon is true and correct, and I
further certify that any ar.d all IJOrk perfor:ned shaU be do:1e in ac~ol'-
dance :vith the Ordinancea of the City of springfidd, and th;: La-...:s of tho
~ State of Oreg~n p~rtaining to the work described herein, end that NO OCCU-
PANCY will be rode of any struCtur2 witho:J.t parmis3ion of the Building Di-
vision. I further certify that o:1ly contractors ar~ e~pl~yeG8 who are in
compliance with ORS 701.05E will be used on this proj$ct
@ucf: //rft)~
Da~
/