HomeMy WebLinkAboutPermit Building 1987-11-2
.. RESIINTlAL"
APPLICATION/PERMIT
225 North 5th Street
SpringfieZd, Oregon 97477
BuiZding, Division
726-3753 .
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Job Location: '+::3 "} '7 1-lrou.-'1'
ASC6S001'S Map fI
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Ta:r Lot g
SldJdivision: LoT IcP,... L j~J:>;::', ~~) S
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Receipt !I
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o.mer: C l [<..{ CJ F Sf' YLt..u<:; P=t.<:-.-P
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Addrsss: :2;2<;" NP ~7';"'-..-:?r. Phone: '77':;' 3&:; '52
City: ~>-:t......_iYE"c:.z:;J_ ~', zip: <77'7''?7
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//-2-$:,7 .,"'. Valus ~ C;/p,
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n Addition
n Remodel.
n !-lobi l~ Homo
Date of Application
(.'ontractors
General O~ / LI!l!..
Plwnbing
Describe fl'orlc:
('/::>,;'~7./J''';c/'7,~) ~5~ (CA7t /'i!JNSiJlV;
Address
It ia the 1'uponoibility of the permit holder tc 868 that att inDpections are mad6 at ths proper tims~ t".at GaCh cddre88 is readabL~
fJ"Om tM street, and that ths pe1"1'1rit card is lccated at ths fl"Ont of the property.
-48ui"!.di'!1fl Dividor: approved plan shall remain on tha Building sits at all times.
PROCEDURE FOR INSPECTION RE'QUES{:CALL 726-3769 (recorder) state your City designated job nur;:ber, job' address; type of i1t3pecticn
roquestcd ar.d when you wiH be ready for inspection, Contractors or OI.mer's ncme end phone number. Requests received befers 7:00 ar.'I
z.>iZ'L be made the sams day, requests made after 7:00 am win be made the nat :JOrking day.
. y:"r CU" Desigr.",ted Job Number Ia: &''':''0 ~ <;to
. e; , I V - Z? / '. .
G1 INSULATiON/VAPOR BARRIER INSPECTION.: I DEt-IOLITION OR NOVED BUILDINGS
lLJ To be made after aU insuLati.?n (r.".d
. required vapor barr>iers are in place
but before any lath, gypswn board or
waU covering is applied, and before
any inauZation is conceaLed.
ill '
I yl DRYWALL INSPECTION: To be made
after aU drywaZZ is in place,
but prior to any taping.
Elsctrical II':) #;/4
Mtlchar.ical
Conatl"llCtUm Ltmdel'
Reouired Tn8op.ctiGn~
O SITE INSPECTION: To be made after
excavation, but pPior to set up of
, forms.
O UNDERSLAB PLUMBING. ELECTRICAL &
: MECHANICAL: To be made before any
. work is covered.
O FOOTING & FOUNDATION: To be made
after trenches are excavated and
forms are erected, but prior to
..)..(., pouring concrste.
l''ll''l UNDERGROUND PLUMBING~ SEWER. w'1TER,
/- DRAINAGE: To be roo.:ie prior to fil-
.Ur.g trenches. .
O . UNDERFWOR PLUMBING & MECHANICAL:
, To be made prior to inataLlation of
'. /1oor insulation 01' decking.
O POST AND BEAM: To. be made prior to
installation of 11001' insulation or
Mcking. ,';)1).3, I r 4;).
r\7l ROUGH PLUMRTllG. ELECTRTCA[, A MECR-
~ ANICAL: No work is to be c01..'ered
.ur.tiL thes8 inspections have beer.
rrruie and approved.
IVl FIREPLACE: Prior to pkcir.g facing
IL.J materials and before framing inspec-
tion. 13
rvl FRANING./o Must be requeDted after
~ approvaL of rough pLuwbing, eLectri-
.cal & mechanical. All roOfing
" bracing & chimneys, etc. lTf'..lst be
:'completed. No LX}rk is to be con-
._~.~:o6aled until thiD inspeotion has
~ b6~n made and approved.
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[Xl FINAL PLUMBING
3fl
IZJ FINAL MECHANICAL
Li"l
Qg FINAL ELECTRICAL
o
O MASONRY: Steel location, Ixmd
beam3, grouting or verticals in
accordance with U.B.C. Section
2415.
O WOODSTOVE: After installation is
""mplet.d.
... Cj'o CCI
r;(J CURB & APPROACH APRON.: After' forms
lLJ are erected but prior to pouPing
. carICre te.
[6]
SIDEWALK & DRIVEWAY: For all con-
crete paving within street right-
.of-~y, to be made after all exca-
vating complete & fo~ work & sub-
. base material in place:
O FENCE: When complete -- Provide.
gates or movable sections through
P.U.E. '
o
Q; "/ ;?'-(
Sigr:.ed:
Date:
c
Lisc.1I
E:roires
Phone
7<.f7-i/,50/. :2~Sl3
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'.'
=:J Sanitary sl!'~er capped at r:..oper~ tir.e
~ Septic tank pumped and fille~ !.1ith gra~el
:J Final - r,'hen above items are ocmpleted
ar.d when demolition is complete or struc~
t.ure moved and premises cleaned up.
I Mobile Hemes
I
~ Blocking and Sst-,p
=:J Plumbing connections -- s~er and water
~ Electrical Connection - Blocking, set-up
--.J and plumbing connections lTf'.lst ClI approved
before requesting electrical inspection
~ Accessol";j Building
I Fi7Ull - After p~rches, skirting, decks,
~ etc. are complet~d.
o
/'1
ALL project conditions, such as the installation of street trees, c~~lotion of the
required landsccpir.g, etc., must be satisfied before the BUILDING FINAL can be .l'aqusst3d.
o
FINAL BUILDING: The FinaL Building Inspection must be requeoted after the Final Plwrrbing
Electrical, and Mechar.ical Inspectiono have been. made and approved.
'ALL MANHOLES AND CLEANOUTS IfUST BE ACCESSIBLE, ADJUST!IF:NT TO BE MADE AT NO COST TO CITY /'pags! of '2
IJOB
I Zone:
NO.,.s??::7~YO so
/
D-
Lot Sq. Ftg.
S of lot Caverage
!I of Stories
Total Height
Topography
lITEM
I "bin
I GaraalJ
f Carvol't
I Accessoru
I
I
I (vatuc)
S.D.C. 1.5",
Interior
Cornel'
Panhandle
CUL-de-sac
raga ~
REQ.-
e
T' e/Cor.st:
l
L-COG~
'-
Bedrooms :'"5'
Lot Faces -
Setbacks
I HcuBe : Caraqe
I I
I I
I I
ISQ.FTG
Fees
Ent1l'm./ Souraes
iI"at 6" €C.7.
Water .l/p.at~.,. ,.
I I Rangs "
I ~1)(FireOlacs 0 c:.Lc_#....&~
Woods tot;e
I , _
II y'~&
I q 'TcC>
I
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TOTAL VAWo
Building Permit
Bta ta Surcharge
Tota Z Cha.:ogea
x I Value
I
I
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I
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I I
I I
ld6 ;:;'sc .1-
lITEM
Fixtures
I Residential 1'% bath)
I Sanitary Seuel'
I Water
.,
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I
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Plwnbing Perrr.i t
State Surcr.arge
Total Chal'Q8S
IToM ~
IRes. So. 'to.N~ 1/ I
, N&J/Eztend Cil'cui ta I I
I Temporary Service J I
I I
Els:Jtl'ical Permit
State Sw.;:!ht.u>qe
Total ~e.8
A
1/ I
/31
/1I:x,dstovs I I
'~'//IOrA"/h9'CE A'A
lITEM
I Fur11.2ce BTU' S
I Exhaus t Hood
J Vent Fan
Pel"mit" Issuance
Me:Jha.nical Permit
State SurCha1'a8
Total Charaee
I , -- ENCROACHMENT --
Sec-0.4rit!l Deposit
Storage
I>bintena~e
I Penrrit
I
Total CharogCB
CUrbau:
/ -70 r
/t? / I
Sideualk
I ~r;>en;,e
'Eleotrical Label
I Mobils Home'
TOTAL AMOUNT DUE:.4
CHARGo
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j'ldClfi-e ,-
, CHARGo I
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IAlb Tc~ I -
I CI/ARCo I
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1#0 i'?c' : _
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i ,-
I Nt> 1%-6'" I
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Foo
FEE
/0~
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I Access. j I
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TilDe
CoCA.
I P.L.
INorth
lEast
ISouth '
West
J3uilding VC]/ue & Permit
This permit"iD gr:anted on the express condition that the sa'id constM4ct1
Bhall~ 'in all're8pacts~ conform to the OndinGnc6~adopted by ths City of
Springfield, including the Zoning Dndinance~ regulating the ccnstl'Uctic~
and UGe of buildings, and m:1Y be suopended or revoked at c:r.y time upon t;
'Latton of any provis~ons of said Ozodinances.
\
/Plan Check Fee:
Date Paid:
Rec~ipt D:
Signed:
.
p,/umqi'1g Permit
".
No person ohall construct, install, alter or change any neu ar existing
p?umbing or drainage syste~ in whole or in'Part, unless such person is th
legal possessor of a valid plumber's license, e:tcept that a person may do
plumbing work to property uhich is owned, leased 01" operated by the appli
cant. ,
\. . .
..
Electrical Permit
Where state U::l:LJ requil"es that the electl'ical 1J01'k be done by an Electrica2
Contractor~ the electrical portion of :his permit shall. not be valid until
the label has been signed by the Elecrncal Contractor.
Mechanical Permit
~~~
~ner { ,/,
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taJr;e
I HAVE CAREFULLY EXAMINED ths completed application for permit, and do
hereby certify that aH information hereon is true and correct, and I
further certify that any 'ard all IJOrk perfor:ned shall be do:18 in accor-
dance with the Ordinances of the City of Springficld~ and the: La-..JS of tha
State of Oreg~n p~rtaining to the 1J01'k described hepein, and that NO OCCU-
PANCY will be rrr:zde of any structUI'2 uithout parmission of the Building Di-
viiJion. I fUrther certify that D:1ly contractors and .e:npLQyess uho are in
compliance uith ORS 701.055 uill be used on this project
Signsd
[),:Jts