HomeMy WebLinkAboutPermit Building 1989-4-28
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APPLICAA/PERMIT
225 North 5th Street
Springfield, Oregon 97477
Building Division
726-3753
\1\0':2. h.\^.YV\. ".l\~ .,
Job Loaation: (X n . ) \-'\. 'tA \ ~\.:-->\ J
Asoesoor" Map # /1633L\ cQ 'd. Tax Lot # ()(l{:j~( 0
Subdivi.sion: 1. at .;J 3 K.. ((OW -=?"~k'"
Ck.mer:
A./Ho-l :t ;.j~:s-
Address: -.; .'.' :~",::. .303/ /I'I<f.I,y' lJ_
City: i2~~<,,",,,-:' tfh:J""",
[XL"~"
n' Additicn
n
n
Remodel.
,'.fobi la Homa
4/J3JJ'7
Date of Appl.icaticn
Contractors
General.
Plwnbing
Electrical.
Mechar.ia::ll
~ I ~ ~ 6 1'10-... r-
c"usl_ i'("_("i~ r
JJ...,~,....J GIn.. L'.
7?ik.,. /.k.~~,
;
77 }oJ
3PtJ
Construction Lendar
Phone: y<!!~- sl7 1.0
zip: T) VJ/
Describe rl'o1"l<:
::s r rR.
6:J
Value 5'ioQJ
Address
Rcce:pt .Ii
(~(Q=\ \~(oQ1
r
~
rJ~81
Siqr.ed: tR. ~
Date: l.Ji 13 J,( '7
;?~~
S,f"~gI,.AIJ
C .(,,-
Lise. # Er;:>ires Phone
.3.."F-7 S'/n '1.~--~,7k>
.;Jonv' ~/fJ 7Y/-/7~ L.
3.f-.!'3 i.o 7/.P 9)1L.J<.7J...
Q)O...l. L,J.J ~/"V 7t/I_oOCI '--
,?o3/ "".{a/'~ r b...
.<00/, D .s+
1:>'" ~_L 116
e..f. I'hf..
eWe:;:
It is the responoibiZity of the permit holdeI' to Bee that aU inDpections are made at -;he proper tim~" U:at each ~e83 is roadabZc
from the street, and that the permit card is 'located at the front of the property.
-Bui~ing Divi=io~ approved Flan shell remain on the Building Site at all times.
PtfOCEDUHE FOR INSPECTION REpUEST:CALL 726-3769 (rccorder) state your City design:zted job nw;;ber~ job adirCS8~ type of ir.:;pac;icll
requestcd ar.d when you wilZ be ready for inspaction~ Contractors 01' Owne~s ~e and Fhone number. Requests recei~ed beforG 7:00 ~
1..'iZZ be made the same dc.y~ requests made after 7:00 ccn /.Jizz. ba made the nc:rt :xJrking day.
. Y;"'" City DeGigr.ated Job Number Is: 2:Clffi~::\.
Reauired InsvecticnR
O SITE INSPECTION: To be made after
excavation, but prior to se: up of
f01'11ls.
O UNDERSLAB PLUMBING. ELECTRICAL &
. MECHANICAL: To be made befor8 any
work is ~overed.
[2]
FOOTING ~ FOUNDATION: To be "",de
after trenches are excavated and
forms are er8cted~ but prior to
pouring ccncret~.
UNDERGROUND PLUMBING. SEWER, WJTEl1
DRAINAGE: To be rrrz:ie prior to fil-
Zir.g trenches.
~
@
[ZJ
UNDERFLOOR PLU/.fBING & MECHANICAL:
To be made prior to instaLLation of
1100r insulation 01' decking.
POST AND BEAM: To be made prior to
instaZZation of floor insulation 01'
decking.
ROUCH P['W!BIllC, ELECTRICAL 11 MECH-
ANICA[,: No work is to bc coveped
ur.ti Z these inspections have beer.
made and approved.
FIR.EPLACE: Priop to plc.cir.g facing
materials and before framing inspec-
tior:.
FRANING: Must be requested after
apppoJJal of pough plurr.bing~ alectpi-
cal & mechanical. At! roOfing
bracing d chimncys~ etc. nr~st be
. completed. No work is to be con-
-' ceGled until this inspection has
'bs~n made and approved.
~
[ill
LJ
I 1/] INSULATIONIVAPOH BARRIER INSPECTION:
P<.. To be made after all insul.1.twn w.d.
'. roaquired vapor barriers are in place
. but befope any Zath~ gypsum board OP
lJall aoveping is applied~ and before
any insulation is concealed.
I ,v I DRYWALL INSPECT!ON: To be made
'^ after all dPywll is in place~
but proior to any taping. .
O MASONRY: Steel location~ bona.
beams ~ grou ting 01' verotica ls in
accordance with U.S.C. Section
2415.
O WOODSTOVE.: Aftep installation is
ccmpleted.
r;1 CURB & APPROACH APRON: After forms
~ are cpeated but priop to pouring
~ncpete. .
[E]
SIDEWALK & DRItrEWAY: For all con-
crete paving within street pight-
of-way~ to be made after all exca-
vating complete & form work & sub-
base material in pZaae.
DEUOLITION OR gOVED BUILDn:CS
~ Sani~y Se".JeI' oapped ~t p:.opcrty lir.e
~ Septic tank p~cd and fillad uith gra~al
--, Pinal - !I'}'um above ite.'71s are ac::rpZetcd
~ and when demclitior. is complete 01' Bt~~-
ture moved and premises aZsaned up.
I Mobi le Hemes
. =:J Blocking and Set-up
=:J Plumbing connections scwer ar~ water
~-Elcctrical Connection - BZockir~, set-u?
---.J and plumbing connections ",,,,st te appro-..:ec
~ , befopc pequest~ng elec:rical in8p6c:io~
~'Ac;eSSOrb' Building
I Final - After porcr.es~ skirting, decks,
~ etc. are cample:cd.
o
All project conditions, such as the installation of 8~peet trees, c~~lotion of tne
l'equiped landsccpir.g, etc. ~ must be satisfied before the BUILDING FINAL can be requested.
~ FINAL PLUMBIlIG
ZJ FIliAL I1E~HAIIICAL
Zl FINAL ELECTRIC~L
=:J
o
FINAL BUILDING: The Final Building Inspection '~st be requeDted attep the Final Plumbir.g
Electrical~ and Mechar.ical Inspectiona hava been made and approv~d.
O PENCE: When complete -- Provide
gates 01' movable sections through
P.U.E.
IiJ ~17f=-/ m"'--e-~
-ALL MANHOLES AND CLEANOUTS nUST BE ACCESsiBLE, ADJUST!!Etl'I' TO BE MADE !:'I' no C~ST TO CITY I Paga 1 of 2
, -
~.;";".,.,~.:"\'~'~~.'~~~?,~':".",I'.,l."" _.,:.:,. ...;-;.,;,.... . .... ~..
,. ,
I JOB NO.~3'/:? SOLAR ACCESS REQ.- L-COC""
I Zone: (..7?P' _ Oc<:uoanc"' G~ A"'- ?;1'/??-/ TypeICor.st: s6 B.drooms: -g
Lot Sq. Ft;;. ?.?gR' LOT TYPE I Lot Faces . ~l'i':rA' I Eneroo Scurces
S ~f lot Coverago 2,,)~ V Interior I Setbacks I I Heat 4>~
-LL. I P. L. I Hou.se Caraqe Access. I I Watel' Htwtp.l' h
# of Stories I Corner iNorth /&". I I Range ~C~-
Total Height /J l..S'~ Panhandle lEast IS' I 1/1 Fireolace <C) ""C~#A-C<!'=" I
......,_....,...... ISouth I SO"' I I I Wood3tove
Topography ~ ~ ~ CUt-de-sac
IWest I 0' I I I
-- F2es
'SQ.FTG ,.1 X I Value I
1'5</7.1 ?9.?o ~.?1?>. ~I
/I''1c::.> ll'l.;.:t:'! ~.2 ...../~.,-~ I This pe1'mit i3 gronted on the express condition that the sa"id construction
-. ~, shall, in aZl respects, conform to the Ordinance adopted by the City of
I I SpringfieZd, incZuding the Zoning Ordinance, l'egulating the ccnstr'J.cticn
and use of buildings, and may be suspended or revoked at c:r:y time upon vio-
I I latian of any provisions of Baid Ordinances.
I I j?V67tP U>w ~(Uc S'~J4hY, 62,y ~..: Jh:A--//-
L~".??9.4 /M-:s' 'J>~ /?fifz:>E W#/~ /#c:~","~.f
I i ~ql" J?&Y/~ ~ 70 7.<:l3~'IF.
i?9S:-:<O,' iA,rr~ce;; CT,ll:> ~/..?~ ~~"9 ~~v.,.
I :?/'?= I IPlan Check Fee: /4 1.17_")
I /5~:)1 IVate Paid: .L\ - i4 -C':R
132'~ ~S"I ' :::~~~~\ ~:K\ ) 1h(~f/
FEE I CHARGE : Plumbing Permit
I 5<~Sc:> I
I ~--I
I bf:).- I
I 2...:>.""" I
1/.17 7S-':> I
.:\. ~8 I
1/2,,$$ I,
CHARGE I
'?7,$2:' I
I
lITE/.!
I Main
I GcPaae
I Carvort
I Accessoru
I
I
TOTAL VALUE
S.D.C.
(vat.uc)
1.5 x-s->9'~?9~o
> .
Building Permit
State Surcharge
Total Char-ges
IITEI.f
I FixtuI'es
1110./
Residential (J2J>ath! '1:2 I
III
I Wete" / I
~(~?J ~R-,:<<,,~J,-
SanitaT'Y SelJe!'
Plumbing Perr.:i t
State Surcr.arge
....1otal Charaes
I ITEJ.! ,/'10./
I Res. Sa. ftc. I?<::f?
I N6lJ/Extend Cir~i ts I
I Temporary Sewiae I / I
I "2cc> /l ~w~1 /- I
I ,
I i
EZe~tricaZ Permit
State Surcharqe
Total ChaPCBs
ITEM
I F'urnaee ETU' S
I Exhaust Hood
Permit Issuance
Mechanic:ll Permit
State Surcharae
T()-tn. Z Cha,."ml
I -- ENCROACHMEll.'T --
I Sec:'.J.ritl./ Deoosit
I Storage
,
J Maintenan.:!e
I Permi t
I
,
Total Charrres
I C'zatbcu;
/~~r
6q/
i Sidewalk
FEE
I
i
I
I />~
I "3"7~ SO I
I ~p_-I
I -fl. oz:;> I
I ~7"~5DI,
I
I
I
I "3~ 6-0 I
I/.$'. -- I
16-,.- I
I I
I tft?.5C> I
I '7.o'?l
I 0/'.7.53 ! .
1
I
I
I
I
l'
/7'-".7'C:> I
'2~. -r,~ I
.. I
_2~ I
I I
ICF//.~ I
I' i
/5'/9.9/ I
C/JARGE
.6.~
//-$C:?
Pcn::e
I
~4Wo~f~ I
, 72!""~'
E7kct1'iCcil La.be~
Mobile Home
/Ip:>~~..;..",-~ ~
~~",~...r
,
: TOTAL AMOUNT DUE: Jt.
-~ - -;l
I
I
Ti./i:le
/"# .
Building Value &
Pe r m i t
No perEon DhalZ construct, install, alter or change any new cr e=isting
plumbing or drainage system in whole or in part, unless such person is the
legal possessor of a valid plumber's license, except tr~t a pe~son may do
plumbing work to property which is Ok~ed, leased or operated by the appli-
cant.
Electrical
Permit
Where State Lcn.u requires th.at the cZectncaZ work be done by an Ele~tl'ical
Contractor, the electrical portion of this permit shall r~t be valid until
the label has been signed by the Electrical ~ontractor.
Mechanical Permit
~~--..." ~--'"7 Y"-<'/-B9
-:'~ner ~ (---c. /' ua~e
I HAVE CAREFULLY EXANINED t,w completed application for permit, and do
hereby certify that aU ir:fo:mation hereon is true and correct, and I
further certify that any ar.d all lJOrk perfoI':1led shall be done in ac~or-
dance :.nth the Ordinances of the City of SpPingficld, and thz Ur..;s of the
State of OI'eg~n PQrtaining to the work described herein, end that NO OCCU-
PANCY will be made of any structure without parmisaion of the Building lr~-
vision. I further certify that O':1Zy contractors and e::rpwyecs wr.o are ir.
~pliance with ORS 701.05E will be used on this project
U3Jz ~
<I/-1/fl
Date
Sign2d
,-.J