HomeMy WebLinkAboutPermit Building 1990-10-24
r' '.'.. t'_.-.-,,-.=oo '
!'. .. ~~~A~~~oi~~;"
225 Nopth 5th Stpeet
Sppingfield, Opegon 97477
Building Divi:;ion
72G-3753
Job weatio", \.\ 0 R4 fhi ~ \.'\':\\ \.\ Q .
,1"""""0"" N.l)! # \~~~~ Tax wt II (J'2{oC'f),
SU.?d1:v::niort:
[,00,,",,', ~f\~ ~"'\l\\G)0t)
~'dd"C""' 'l \ '1 00 ~ V\\ ~ . .
lity' ~\Sr\-l \ ~
'[,--'\
,'J.'f.l
t--l .~d(!idcll
r'l n.,mo..!d.
in
:.'o}l.;.!.(! .:!~"1;;:
! Pate of AppLicaticn /<::>-'2."1-'7" c:>
~ .
~,'Pl\rr:lctl\t:.S,' \ _ .Sddrpss L'isc. /I Bldrs I\":lrd
:~:"""r::J h.0\IJX\ \~..)..Ill;R'il('f\. Z)h~4 ~~ ~T
1!'!IIl11hill;'. (-J.,,\\C)'i') [, \Q\Jt"+-(U.""'1(\lJ€)
Hecil.lll LC~11
~~I,,:..:I.l:i""'Ik.)~~
~~llll\'t;"t..;~,~~ir.lg 1':ll.('tl-}I'i:111
Phon" -YUn- 2fl ~ \
Zip' q\4-rl
Dcacribe fl'or":
~~W1~ \'\\~
3)
; !t i.[I :ltc rC$pon$ibiLity of the permit holdar' to sec that alt iMpactions are made at ~he propel'" timt:J tJ:at each :;ddresD is roeadab:e
: frn.<;J the Gtract. ard that the permit caI'd is lxated at the f1>ortt of the property.
: lHw:?dl:r:rr t?:'vi::i.o.': lWP!'o!"'cd Flan s}u.:ll J'emain on t"~ Bu-:.ldin'1 ::;.it;; at aU timeD.
I.' '. .
r::OCEDUR.C: FOR nlSPECTfO!1 REpUE5T:CALL 726-3769 (recorder) state your City dcsignated Job number, job address, typo of in:1p6C~icn
/'::f/u;-'~;t..:d 1I.-:c1 l.J}:,:,1 YOII :.Jill be ready for innpccti.on, COP1t1"netors 01' OtJnars nr.me and r;honc numbcl'. Requests l'eCoil:tld befol'o 7:00 (:":7
:.'il/. l,..~ r..r.dc th.-: ::amu day. 1"equcsts mr:de aftcr 7:00 am lJiU be roode th.e next :JOrking 00, UnO\ () nn .
Your City DeDigr.a.ted Job Number roo' ""I 'L... '-'\-,
B,'rlll::!...." Trl!ll''''I't..:r.'Ii1
.+-', ::;.'rT.~: INS!)!~'C'."J()!.': '1'0 v;; made aftcl'
C.I:(,'(w,1(.i.:m, !!III; pr'iOl' to [Jcf: uP. of
-- rOy'me.
--I
U:JflEUDr"l.'J ru','.tnINr.. g['F.'CTRICAL .0;
X.4:cf{xneJI1.: To be made beJoJ.tJ any
L;f'.~ i.s .:.:ovcr'cd.
,'_+---) F()()'['l!lr. ,r, FOWID.1TJON: To be rrude
(~f(>I:I' (/..:lle1:e:1 al',t 1:.:l:C:avnti:d a71rl
r..')r'!.~:; ,~l'C i!rcct<:d. :mt prior to
;'{):Il'ir.g CC'lCl'et~.
:--;;'lh,m"~RG.'?alJ!"D r,""UN,,?JNC; S.r::1IP.R. r/.1TF:.r?,
I"'::~ ~~(!!!J!!.g: '/'0 lit! mll:1.J [wio)' to fil-
l i.:{! /./';:Ilch<:r..
1- I
I~m
_I
{/:!/l!o:!:,I'[,O(JR rr,fJ.'m{,vn ,;; NEC!lllNTCAf,:
1~,')--D~-;7f/(uif: !)),'iOJ' i'a l:,,:;t'nLlation of
j'tr'Ol' iIH1IlZ(:t:i071 or decking.
l'!..~:'''!' ,1ND BEAM: Tn be n:rulr. prior to
i'::II',d.L..d.icll of flooY' inmdation or
,!..,..t:i,.'l0'.
.'1 ....(1I1..,.,1/ r:,!J.'!H{.'}C. ,f..'[,F.CTR!CA!'. ,0; MF.C!/-
:.i:.,j;~'~1i:: No ~!'J:ill to be eor;cl'cd-
:/-';'/i.7-t,iI."':[:,'! inspcc:;im::: h1l111 bem:
m::,!.,' .:l1d mJP1'''Vi!:!.
I~]
Flf!f:}'/..<IL'l-:: l'rl:or to rkcir.(l feeing
,,~:-:'~'.'-;"'T.;r:; and hcfor'c F)'ar.ring insl-'ec-
: i'-'ll:.
~~""""'I(" ., .." I e..t I f'
~~":!;.:..-'--~. .' II.., Ie rcqll .. (!( a ...aT'
1'1;,)!!.,II'.;!, oj' l'ollgh pllm;bingJ clcctt'i-
(:;1 i ,1 :r:,:,-,h'lIl~:ca'I,. A l.?. ~>()ofing
!1/.;u:i'lU .0; dlimrl.:yn, ct..=:. rm.wt be
1'('lIIrl/.:I,~.f. .'in I,J:)!.k "'.:: t:n he C(lll-
1!,~,;I,'d IlIlf.i I. t.lIi:; i/l:l/)(!I.'f;'irm J .'
'/1.:,.'.'1 r:./.!.: (!Ill! 111'IJ/"OL,'cd
,-
tY\ t1 d-'7,OOO
C"rV~1:_ ,I, 0-,1 ~j. Co 0
Value t"'''''- 1.100
o
IN!J'[J/.A'l'ION/VAPOR /MURIER JNSPSC'rION~
To be made after all insulation ar.d
required vapor cm'T'icra arc in place
but heforc any lath. gypsum board or
walZ. covering in applied, and befoT'c
any inau'La tion is conaca led.
~Pt# PSI(70~
.~
?I ~
f?- ' ,
O DRYf'Af,[, IIlSPCCTTON: Tc be "",de
l1j'tCl' all dt'YlJaLL is in place,
but prior to any taping.
D MASONRY: Stae'/. location, bond
beam:;, grouting 01' vc:rticals in
accordance LJith U. B. C'. Section
2415.
o
Aftcr inatalZation ia
Sigr. d:
-
Date:
7rfYrJ), ~
./ pc. I/') rY-f -Lf()
IIOODS'rOVF.:
c..-cmpleteJ.
o
CURB ,~ Af'T'RCACII AP.'~()N: Aftcr' forms
al'e ."Jre:.:ted but pt'ior to pouring
~on"l'etc.
SIDBtIA~K ,~DRIl'r;f/I.Y: For all con-
crcto paving witkin street right-
of-LJC.Y, to be '!lade aftep alL exca-
vating complete & fo~ ~rk & cub-
baGe material in place.
I( >\:.
I~XDicHS l)hppp
'1~In-.::.J. \'\ \
o
O !'ENeF.: M'1ICY: compldc -- Provide
gatcc; or mOllable Gcctions through
P.U.E. .
o
"
I DEMOLITION OR ;,,:OVE!J BUILDIilCS
~ Sani:arzJ 8e'..)cr :!apped :It P~OPCl't1i lir:e
=:J Septi:: tank p-.4!;Tpcd and fitz{!~ tJith gra:J.ol
:J Final - rl'hen arove items are completed
and when demolitior. is compl.ote OP 6tI'U~-
tUJ'"e moved and pr::miseo cleanod up.
Nobile IIcme:;
~ockina and Set-up
~umbing connections s;:wor and waf:Ol'
~ Ebcctrical Connection - Blocking, Bot-up
~d plumbing connections nr~st be appT'oved
beforc requesting elcc~1'ical inspoc~io~
:J AccesGor!i Build'ing
--, Fti'a.l - Aftill' p::J1'Ches,
~tc. are complef:::d.
sk~rti.ng, decks,
o
!'!;hl:, !'/I':.:./ll:/{;
All proj(!t:t condit1:orw, ~IW!: aD tile .t.rtDtaLlat~on of street trees, co.":-rplotion of tne
~'(!quiY'ad landset:pir:g, ete., rm~st be satiDficd before the BUILDINe FINAL can be 1"squest:zd.
I~
1,_]
1-
!'l:l,if. ,'.,'.4:'.'i!,L','lCll{,
o
PINAL BUILDINC: The Final Bllil.dina Inspection must be l'cqueoted altep the ,C'inal Plumbing
Elt:vtrieal.. and Mechar.ical Inspectionll ltauo been made and appT'ov.?d.
,L'!:hlf. !',r,!:C'!'HIC,~[,
i-' I
'/I:.!. :-f,l:.'i1Cl.!::: 11Nf) r:r,I,'jlNDlJT.'.' f1I'.':r m: M:cr:.'::;Tnu::. AJ)''''''i7':[P.tJ~,. TO .rJF. /,!,,'(')F. .lIT NO r~ST TO
r:T'!'Y '1 ['.711('
! of 2 I
.-.... +---.-..---'--..'- ..,-.-.------
I JOB NO.
I Zone: I ;l)\(..- \) 6. P,
,-_.., --_._------~----_..-._,. ..-.-
~ · 11
. -I
'/,;1;11; 1
1
j
.1
I
I
L - \fU I..,.
SOLAR A~ESS HEQ.-
OcCU'Xlno" G. R '2-, -\- ~ \
LOT TYPE: I Lot Faoes -
I
I P.L.
[North
lEast
South
~Waot
IITE:M
IFi.rt~eB
IResidentiaL () bath)
k:."." .11='\rof\, -\r ?:H1i~, \ ~ ~U
IWoter [ .j(~~
Pf\\'f\0\f\D\ J,)~~U
loSPU
3.8-5
1\08.25 .
CRARGE: /1
~1
1
I
I
Lot Sq. Ftg.
S of Lot COlJerags
H of StOM-SS
Total Height ~
Topogl'Ophy
I
I ITF.M SQ. FTG
1- \\\\\.
Gcraoe
Car-oort
I ACCCB801'lJ
c0\lJ>
I" ~ ""\'\~
[ \j
Is.D.C.
TOTAL VAWE:
(va"uc;
1.5 r
BuiLding permit
800 tB Surcharge
Total Charges
Pl:mrbing Pem t
State Surcr.arge
Total Chal't1e8
IITE:M
I ~c;o. rta.
I N~/Ex~Circui ts
Temporary se~
1/'
;><l...
Interior
Corner
PanhandLe
cut-do-sac
X Value
A~ rff\d)
/
10,10 m~\.uq
1
\ \C'O ~
~;;U,~ll,
-' 0ICV!.'
44.~1
- . -- 1
,-Q .c9.~
I L\ lo. ']31
NO. I
1
FEE:
CRARGE:
NO.
F/:."E:
.//
Elec~l Permit ~
~te Surcharqe
./
Total Charqes
ITSM
I NO,
I
FUrn:lce ETU' S
I Exhaua t Hood
I Vent Fan
I Woods tavo
Permit IS8uanca
Mechanical Permit
State Surcharae
Total Charaes
-- E:NCROACHME:NT --
IsacuM.tlJ D:31XJ3it
I Storago
I Maintena"-,e
I Permit
I Total ChaM08
I Curbcu~ \ <?,'"
I sid_Lk
I.f;'cn::e
I Electrical Label
I Mobi ~o H0t!'9
..~~~
~b)1)
I TOTAL AMOUNT DUE::'
.---
~l.
FEE
CllARGE:
\\'(\.--" .
I
I
1
I
I\\'\~'
( Q'lD
R5
I
RCl.riSI
\ :::/15]
I ~~~I
d~t].q~ I.
Type/Cor.,'Jt: .
Setbaoks II
!lOWlO Carage' Access, I 1
II
II
I:
Enel'lJlI SO:~l'c~S
!leat
Wat(?r .'/m]tpr
Range
Firenlace
Wood::;tol,;e
Bedl'oom:: :
Faas
Building Value & Permit
This p6nnit i:; granted on the exproo8 condition that the :J~l1:d. ,-"ol/;:/.J'lId.ioll
shalt, in aU respects; conf.orm to the Ol'dinal;Ce adopt(?J by thl~ Ci:.y oj'.
Springfield, incLuding the. Zoning crdinallce, J'egu.~c.till!1 the CCll;Jt/,;/..':.I:.::1l
and UDe of bu.ildings, and may be Dusp(mded or revoked at c.I:Y t~III': IIpOl; t'i(~-,
lation of any provisiona of"oaid Ordinallces,
. ,
, ,
I P~ml Chcck
I Cate Paid:
IRecsipt U:
I Sig~:cd:
f'r:r::
Plumbing Permit
No pm'coIl :J1Iatl. COll3truct, instaU, alter or challge Gnu neW C1' c:::iail:ll(i
plwnbing OJ' drainage oyote:n in whole 01' in pm'p, w:lca:; such pCl'GOII i.:; f..};(i
legal pOGoa;;nor of a valid plumber's lic.ensc, except t1;at a pli!:'GOI1 mail do
plumbing work to propel'ty which is ow'ncd, lca:Jod 01' opel'ated by tJw appli.-
cant.
Electrical Perm it
Where State LabJ requires that the electrical wol'k be dOlle vy an stc:1t1'ic<J.i,
Controctor, the electrical portion of thi;; permit shall ,:ot be vatiJ wltiL
the label ha:; bee'1 :;igned by the ELectrical :::0Ilt1'actor,
~
Mechanical Permit
1
~~)
laQ,~4,q()
I lfA VE CAREFULLY eXAMINED the completed application [or parmi t, GIld de
hereby cel'tify that all information 1101'COn is tl"ue and Corl"cct, and I
fUrther certi[y that any ar~ all work per[ormed 81~ll be do~e in aO:1Ol"-
dance :.ntlt the Ordinances o[ tIle City of Spl'ingfic1.d, and th:: Lcr":D of t1!a
... Statll of Oregon psrtail1ing to tho work coscribcd herein, r.:nd t}~t NO OCCU-
PANCY will be mde of any structul'.1 withou.t parmi:J3io!1. of tile Euildill[1 Di-
vision. I further certify that O:1~y contractors cv:d e:npl.::Jyecs tJ1:0 are in
compliance with ORS 701.055 will be used on this projsct
Om,__:' .1, LJ~7f-
Sianad
.If}. 24 -10
D.:t....
.
. f~
.
DEVELOPMENT SERVICES
PUBLIC WORKS
METROPOLITAN WASTEWATER MANAGEMENT
225 FIFTH STREET
SPRINGFIELD, OR 97477
(503) 726.3753
.
.
As required by the City of Springfield
that with the approval of the attached
manufactured homes will be placed at
Springfield, Oregon, City Job Number
Development Code, I understand and agree
peTt~B!{ oHtUJ8~bGjlJe_--,
. qD.L~yq
Class A Manufactured Home. A manufactured home of not less than 24 feet in
width and l6% <not less than 2:12) roof pitch, with exterior dimensions
enclosing a space of at least 960 square feet, with roofing and siding materials
that are commonly used or compatible with site built homes.
Class B Manufactured Home. A manufactured home of not less than 12 feet in
width and l6% roof pitch; with exterior dimensions enclosing a space of not less
than 500 square feet, with roofing and siding materials that are commonly used
or compatible with site built homes.
/)~ /1. /..J/'~J
Si~nature f
If') - Z.4 - 90
Date
SPRINGFIELD
225 r~r.o STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: ' 726-3769
OFFICE: 726-3759
ELECTRICAL PBRHIT APPLICATION
CitYJO~ Number~1 ~Cfl- .
,3. 'COHPLETEPEE S"........'u..E BELOV
L If>yATI04N OF. l;NSTALLATIO~D .
__1-1.0 <;< H(\ ^ V"n" ,V~
J..EGAL DESCRlPTIOJ{"
\ )<1J.3ffi,~Cl O?i. aaJ
'JO~ DES,CRIPTION
~ X'<\ \,", I.' nt\1\../
Permits are non-transferable and 'expire
if work is not started within 180 days
of issuance or if work is suspended for
, 180 days. '
2. CONTRACTOR INSTALLATION ONLY
New Residential-Single, or
Multi-Family per dwelling unit.
Service Included:
A~
. Items Cost
SUIn
1500 sq.ft. or iess
Each additional 500
sq~ ft or portion,
, thereof
Each Manuf'd Home or
Modular Dwelling
Service'or Feeder'
$ 85.00
$ 15.00
'A.
~otJ
$35.00
B. Services or Feeders (10 Branch Circuits,
included). Installation, Alterations
or Relocation:
Electrical Contractor
Address'
I
City
Phone
Supervisor License Number
Expiration Date
100' amps or less
101, amps to, 400 amps
401 amps to 600 amps
601 amps to 1000 amps
'Over 1000 amps/volts
Reco'nnec t Only
$ 35.00
$ 60.00
$ 80.00
$130.00
$300.00
$ 35.00
Constr Contr. Number
C. Temporary Services or Feeders
Installation. Alteration or Relocation
'.Expiration Date
Signature of Supervising Electrician
. ,OWER INSTALLATION
Name U f\~lt l(JD~
Address "\ \'\ b'h 4~ '
City~\c\ . Phone~\n-5~17r
\ .
The installation is being made on E.
property I own which is not intended
for sale', lease or ren t.
Ovners Signature:
Vn.~....;. f/ /;')/>1-Jr
"f~E~--- m'd4. ^. ,5;
RECEIPT I: ,.~(/J
'RECEIVED,BY: H,II/rr;::.:./
200 amps'or less,
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or, 1000 volts
D. Branch Circuits
$ 35.00
$ 40.00
$ 80.00
see liB"
above
New; Alteration or Extension Per Panel
One Circuit ~
Two to ten Circuits
Each 'Addt'l ten or'
portion thereof
$ 35.00
$ 50.00
, $ 15.90
Miscellaneous (Service/feeder. not included)
-Each installation
Pump or irrigation
'Sign/Outline Lighting
Signal,Circui t or '
limited 'energy panel
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
$ 36.00
$ 36.00
$ 36.00
1[0.cO .
, ?-.. .'CJJ..
f'l ~C;,i )