HomeMy WebLinkAboutPermit Building 1991-3-15
.. RESID-T1AL"
COMBINATION APPl1'CAT ION/PEP.MIT
, 225 North 5th Street.
Springfield, Oreflon 97477
BuiZding Divi8io~
726-3753
,IIIL
[o~5 \ fllill"10R)~ _
AS.'S.ON IbP.1 ~0 00'3/ J TI'< wt' 0& Scp
Subdivision: (\f\J::'{\f\ r\ o. \i 0 io..N\X ~~ ,d,oW I
.r~~ .~ I.
o.msr: "'-~ 1 r-O ,\ ,,") < \ \ \ Cl f'\\"
Mdr...: R\~ ~/-:)()\~~~Phono:lllo ~ lS2~
City: ~~ ~ Zip: C{~ 19:
D.vmJ
n Additien
n Renrod8l.
n ,'{obi In llt'JtrlQ
ts
..ob Ccc3tion:
- SPRI~GFIELO
6~r".,'&ci~
Oat. of Appticaticn
~ontracto~
G.noral \ DI ~ t-' -" '
PlW1lbing,~ () ~ '\P.~\
Electricall...\'''' \ *':-..:,
:.r.char.ic.:l &\ f\-~\, 0 .i[:"'<\
SIJDervisin.a'Eiectrician \\
~,
'Value .'.<::;,. ()(;,s;-
Addres3
~
.e-::"til
I '-1 50S
. si.qr.tzd:
Dats:
~,rtD
- (J.." /\.Cj'..<'/I--
I
Use. II
~'6\'~1
E%'l:)irCB
\ '.JF1JIQ J
, I
Phone
~rLb-I,<)?<:-
I ?S:d.L\ V
~-~ to 'f, 'ei.
'IOUJ",Citrl. o.signatod Job Numb... Is:
'Of INSULATION/VAPOR BARRIER INSPECTION:
~ To b. mads after aU Ulsul..:::ti.on cmd
required vapor hamill'S ar. in plaCII
but I;sfcrG any Zath, gypsum board or
wU couering is applisd, and b.!ore.
any. inoulaticn is coneealBd.
NfRIWALL IIlSPEC'I'!ON: To b. rmds
. after aU drywLZ is in pLaCtl~
wt prior to any taping.
O HASONRl: Sts.l loca,tion. boitd
. b~D, grouting O~ usrtioals in
aacordancs with U.B.C. Ssction
2415.
l"\t1 WOODSTO'IE:. Aft6r installation is
~CCmpl.stcd.. .
, ,
K/(CiIRB & APPROACII AP.~N: Aftsr ,forms
~ ars erloted bu t pnor to pourz.J1g
.::on.:rstG.
o SIDEWALK & DRIVEl/AI: For all con- _.
~crstB paving ~thin strsQt right-
of-way, to be ma:ls after aLl. uca-
voting ccmpl.stll.d fom.wrk & :;ub-
. bass..fI1terial in yUza6.
D .rENCE:' Whsp: compt.ts -- Prouictl
gates or mouable sectians through
P.U.E.
[~4~~
(, aJ..aQl:1J 'i'flb-,2,942-
.!.)1.!.JfOf~i,.,.. 11,,1,
- "
It io :hs l'ssponoibiti.ty of tits permit holdgzo to Bed :Mt aLl. inopections are made at ~h. Fro~ tim~, tfo.at ~h .;ddrIlDo is reada.!:l!,
frem ths str..t, and that ,tho p81'llrit card is l.xated at tho front of tho property.
'Sui!.di:'1fl Dividor: approvsd plan shall remain on tits Building Sita at aU timBS. .
pnOC!DW'!E Fon INSPECTION REaUEST: CaU]26..:371i9lrccordll.rJ stat. YOUl' City dG,ig114ttztl job nun'.bSl', job address, tyP" of .in.:Jpecticn
rt1qu~8tlld ar.d w.':en you. !JiLl. bll rflatly for insp(Jction~ ContractQrlJ or Q.mars name and phaM rwmbcr.. .~equc.t8 reo.it:ed b."feN '7:00 ~
l.'iU be made the same dey. NquGsts made alte 7:00 ~ will.b. nr:ul. tM nut :JOrki~ day.
'g( FIliAL PWHBING' .
]2S( FINAL HE~HANICAL
JZ[ FINAL ELECTRIC~L
o
%
~''t' ':t'<j rn~'.~r.m .' .',
. . SITS INSl'EC':'ION: To b. made attar
ucau.:ati"n, but priCl' tc s.t up of
,.' . forms.
.~ UNDERSLASrriuH9INy). ELECTRICAL &
HECHAt1ICA~'!--rtJ-b. mad. bGfor6 any
WI'/( is OJo1Jcrfld.
,1\:7l' FOOTING ~ FOUNDATICN: ' To be rmd.
~ after tNnahc. are 8Zcauat.d and
forms ar. .reccQd~ but prior to
pouring ccncr.~..
I'\?f UNDORGROU!!D PWMlJING. tgWF;, R() W.ITE.'i'l .
~ t1m}IIIA9\> To b. oW. 1f1'!:or tOll'f-
,1.".g trenches.
~ UIIDE,~FWOR PLWBING ~ /.fECl/ANICAL:
~ To blJ made pM.or'to 'tnataLZatwn of
fZ.oor insulatio~ or dscking.
'1'9f POST AND BEAM: To be ""do prior to.
q, itlataLl..::tic:n of fZ.oor insul.a:ion or
d.cking.
'R7I ~/'r~.i;:h!rcA!Jrm.-
~~~ No ~J'1I:: 1.0 1;0 DC cor:iiiF.
ur.t1.t thos. inDpeceions hav. been
IMdG and'appl'OV~. . .
O .FIREPl.ACE: ,Prior .to placir.g facing
~teriaLs ,a4;i b~for.. framing inspoc-,
tloDr.. : . .' ,
t\:7f F'RM!ING: Mu3t b. r.queot.d afeer
~ approvaL of ~ough pZ~.bing. .~Lflctri-
cal 4 "sclton"",l. Al. roof1.7lg
bracing & chimneys, et.:., l1f'.J.st b.
compl.tod. 110 wrk is to b. con-'
oealed .'untiL thio insp.cticn has '
,b..n mad. and appro.ed.
glOI Ld7
. DEMOt.ITIO!1 OR .'fOt7J 3Urr.t:;IGS
J
:=J. Sani~ StAJ~!" ::c;pei ::t: p~oPC:ot':i ~i.r.1I
~ S.pti..:: tank p:.omp~d a~..; [i.Li..J. :.rith ire:)"l
::J Final... .f/hen c.bolJCI it~":18 ar. C"..r.rpIGted .
ar~ whlln demcZitior. i. eom?lllt. or strue-
tur. nIOlJ.d and pr~:uB :~.ans.:: up.
. Hobi t. HemllB
::J Blocking and S.t-,p
::J P,lwnbing connsctians -- s.cue:r end ll:a:,r
::J EleotricaL CCftnection - Btock!r~, set-up
and pLumbing .:onr..cticns n:-...3t =CI a?prot:,a"
bGforc rsqtUJsti.ng eZll'::M.aa1. i.r.Si"c-eio;t
:=J ~ecGSQOl"ii 8ui.:.di.~
::J Fi~L - I.f:.r4?orc.1:..s, sk~:rt~1I{!, cUzcks,
.te. ar. cc:nlp:'lItca.
o
All proieot conditions, such ae ths installation of s:rClet trll"8, ca.~I.Jci..:," of ;iUJ
l"6quil'6d l4nd~cc.pir.g. t:to.. must bo satisfiod bofore the BL'ILDII~'C FI."lAL .1an ~. rlques~3d.
tINAL BUILDINC: Ths FinaL Bui.1.di.ng Inspeotion must bo reqlulot.d ar~.l' :illI ~rirul numbing
!Zeotri.cal. and t/echanicaL Inspect-t.ono haUG b..n made and approusd. .
I f.;..;e !
of: I
.i
'ALL IUlNHOLES AND CLEANCUlS IIUST Bf: ACCESSIBLE, AWUSTI/ENT TO 8E HADE 'AT NO COS. TO ~r:I
IJeb Number: C\ \(}\lor'J
Izonc: \ f.)Q.,
ILot Sq. Ftg.
's ,f lot C,velVJg'
,f of Storie.
Total Haight
!TOpography
I
lITEM
INain
I Gc:raall.
ICaJ"DOl't
IAcceS80ru
I
I
. Referer.ce Numbers: ~ L-COC N:
OCcuoancl/ GrouD: R:'?* ~\ T,tfoe/Cor.st: Bed1'Ooo!B:
LOT TYPE [ Lot Face. - I ~ sourceB:",nJl~---'!:1I.oe I
Interior I Setbacks Hoat ~~ . I
.-& I P.L. House Carage Access. II WatRl" .'If'.attu't ~ _ I
Corner INOl'th II Rangs ~ ... I
panhandle lEast II Fil'6vlaCe I ,
Cut-ds-sac ISouth II Woodatove .--. --~-~
IWoBt 1,1
9....
~~
. S~.FTG
IfJPtr
452-
TOTAL VAWE
Is.D.c.
, V(UUDJ
I.S :z:
Building pumit
State Surcharge
Total Charges
I ITEM NO.
I FiztU!OB
i Rosid""ti.o.l (1 bath) 2-
I Sani tary SeLJBl'
I Watel'
Plumbing Pam t
state Surcr.argB
Total Chal'aos
I ITEM NO. FEE
I Res.-So. ftn.
I N""'/E:z:~rauitB
I Temporary SBMJ~
I X
. , EI~:!~1 Permit
. : ~t8 Swocharas
. /.. T~tal cnal't;'8'
ITEH NO. FEE
I fUrnacc ~u's<IDOIdIl J
I E:z:hauBt .Hoo.:! I
I Vont Fan 4-
I WoodBtovO 1
I
x
Value
~~
looql
~l OlDSl
l't)5:)m .
,
I ~pr) 001
\ 5.?Fj
~~2Q~ .
FEE
CHARGE
I (IJn.W
!(oouu.,
ROU
fLeA.CO .
CHARGE '--.7
~
,,-/''''
; ,/"
~
1'",- .
Permit I38uanca
Msdranic.:z 1 Permi t
Stato Surcha~e
.....'1'1)1;" 1 Charhnn
-- ENCROACHMENT --
I Sea'.AM. tl/ Deoosi t
I Storage
I UaintenaM"
I pcmit
Total Charaes
CUr~cut 2.c.. ,-
I SidBloU lk j 7 t7 '
I Pen~B
I ElBctl'ical LabBl
'lIobilo Hamo
I
I TOTAL AMOUNT DUE:'
{;~/o~ I
4.~U I
(7_,00 I
IS.DU I
1 O.CJ~
rqJ \ .~Cl
I A3i)
14-'-1 .!dO.'
rl\~:Yf)~1
I.. :Jf) .5',1
I~.~
..- Fees
Building Value & Permit
This permit is granted on the exPress condition that the 8~id const1'Uation
shall, in all respects, conform to thB Ordinance adopted by the City of
Springfield, including the Zoning crdinance, regulating- the construction
and use of buildings, and m::y be suspended or revokBd at c::ny time upon vio-
lation of any provisions of said Ordinances. '
Pion Chock Faa: (<1 '1 . ~ ~
~ 61(0 .L.t I
n ILtp-,"'TC>\
t;'\\ L )a
Permit
Cat. Paid:
RBceipt II:
Sign ad:
Plumbing
No person shall construct, install, alter 01' change any n~ 01' ezisting
plumbing or drainage system in'~hole 01' in part, unless Buch pSl'son is the
legal possessor of a valid plumber's licensB, ezcept that a person may do
plumbing work to property ~hich is oLmed, leased or operatod by the appli.-
. 'Dant. 'j ,
:
Electrical Permi t
JlhePB Stats LaJJ requires that the e lectl'ica l LJOPk be done by an Eleatnca I
Contractor, the electncal portion of this permit shall not be valid until
the labsl has been Bigned by thB Eleotrica Contractor. '
"
olG
Mecha'~ical Permit
,
" ....
//J yf' .,
'~.~~
vaiPpJ
I HAVE CAREFULLY EXAMINED tho ccmplotod application for pemri.t. and dD
hereby certify that all information hereon is true and correot, and I
further cel'tify that any and all work performed sha'Ll bs dons in accozo-
danae Ltith tho Ordinance. of tho City of Springfiold. and tho La:olB of the
-4 StatB of Ol'egon pertaining to the tJOrk described herein, and that NO OCCU-
PANCY flri.ll bs 1Il1.ds of any structura IJithout permission of the Building Di-
vision. I further cerotify that tmly contNctol'S and errployecs ~ho are, in
compliance with ORB 701.055 will be used on this project
.'
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