HomeMy WebLinkAboutPermit Building 1987-9-30
.. RESI~T1AL"
APPLICATION/PERMIT
225 North 5th Street
SpringfieZd, Oregon 97477
BuiZding Division
726-3753
Job Looation: (ol.nS U.('Lt\dL~ (\ ~e.... Qd
Assessors Map # I '1 tJ5 :J 10 ::2 I Tcx Lot #
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Subdivision:
OCJtJ()
~er: l_p",,+~ r l\. ~ d \~ f ,\/2
Address: '~9 ')~ \ ~ ; \ \ -S ~e~t ~e:
City: ~ r rl r\ 0\ -r)' .{J Ad. Zip:
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9'l<i'18
Describe rl'ork:
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C"E/C//'7'~ c/~~;5rs /f,;yZ/ ~c.rq?1"/~
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Date of App~i=ti=q '~'a - &7 .
c.:ontractol'S
Genera~ 0 y"NE.-i<
P~umbing
Electrical
Mechar.ical
Construction L~
It is. the responsibili'ty of ths permit holder to BeB that all iTUJpections are made at the propeP time, that each dd:res8 is roeadabZe
from ths street, and that ths pernri t <='Ii is Z=ated at ths front of the praperty.
ABui?di'!1{} DivL-ior. ~ed plan shall remain on tha Bu-:.Zding Sit~ at all times.
PROCEDURE' FOR ~lwr1!.1...1ION REpUEST:CALL 726-3769 (recorder) state your City designated job nzm:bel', job adircssJ type of in:;pec-;icn
requested ar.d when s;ou will be ready for inspeetion, Contractors 01' OI.mers ncme and phon.e number. Requests received beforG 7: 00 a-:'I
wi'Ll be made tn.€: .8amB day, requests made afta' 7:00 am UJill be made the next :.JOrking'day.
Addi tic,.
Remoeal
.'.!obi le H.a:::;z
~p.n1Ji~~1 l~~~etir.n~
D. SITe INSPECTION: To be TTJ:l.de after
excavation, b1ct prior to set up of
. forms.
O . UNDERSLAB PLW.fBING, ELRC7WTC4E j
. MECHANICAL: 1'0 be made before any
. wrk is ~ovc7'etL
o
FOOTING & FOUNDATION: To be made
after trenches are excavated and
forrms are ePseted, but prior to
poUMng ecnt:rIf1u.
O UNDSRGROlJ!W PLUMBING,. SEWER. W.1TE.!1
DRAINAGE: To be rm.:ie prior to fil-
:l.ir.g trenehes.
0,' UNDERFWOR PL1ffi!BING & MECHANICAL:
"- 'To be made prWl" to inata7.l.ation of
floor in6lllation or decking.
D POST AND BEAM: 1'0 be made pr>ior to
instaUaticr! of floor insl,,;lation 01'
decki"!i. ., Y ").
rVl ROUGH PLUHBI1J~ ~.J?~~I~iu MECH-
~ ANICAL: No ~rk 1.8 0 c covered
~ur.til these inspections have beer.
made and approove.:. .
D FIREPLACE: Priar to pZ=ir.g faoing
materia7.s and before framing inspec-
tion. l LJ
~ FRAJ!ING: Must be rE?queGted after
~ approval of rough plwrhing, electri-
.cal & mechanical. All roofing
bracing d chimncys, et.::. nr.J.st be
;' completed. !lo work is to be con-
,....~.cealed until this inspection has
~.be~ made and appZ'Oved.
....-.
Va~ue ..~OC::>. ~
Address
Cc:-/Lf
'1/-.3V ~' )
Sigr.ed:
Date:
/
Lisc.1/
Expires Phone
y;"'" City Desigr.ated Job Number Is: ;;S 70 ::3 '?b
DEUOLITIO!! OR NOVED BUILDINGS
=:J Sanitary seuer ~apped ~t pz:.op<=rt'~ lir:e
~ Septi~ tank 1/~~ed and filla~ with gra~el
I Final - r.'hen ab...-ve ite.'71B are cc.71pleted
~ and when demolition is complete 01' 8tru~-
ture moved and premises oZeaned up.
I Nobile Hemes
~ Blocking and Set-up
~ Plumbing connections -- sewer and ~ter
---, Electrical Connection - Blocking, set-up
--.J and plumbing connections TTr...st be approved
beforc zoequesting electrical inspection
~ Ac~essol"':i Sui lding
--, Final - After porcr.es,. skirting, decks,
---1 etc. are completed.
o
FIliAL PLUMBING
All project conditions, such as the installation of street trees, cc.~lation of the
1'equired landscc:pir.g, etc., must be satisfied before the BUILDING FINAL can be raqu6st~d.
O INSULATION/VAPOR BARRIER INSPECTION:
To be made after all insulatum w.d
.. required vapor bGPl'iers are in place
. " but before any lath, gypswn boanl or
wU covering is applied, and before
. co:y insulation is concealed.
DRYWALL INsPECTION: To be made
after aU drywall is in place,
but prior to any taping.
O MASONRY: Steel location, boiui
beamD, grouting 01' verticals in
accordance with U. B. C. Section
2415.
O WOODSTOVE: After installation is
acmp Zeted.
o
O CURB & APPROACH APRON: After forms
are 8reated but prior to pouring
con.::rete.
. 0" SIDEWALK & DRIVEWAY: For all con-
crete paving within street right-
of~wc:.y, to be riuuie af.ter aU exca-
vating complete & form work & 8ub-
. base rri:z.terial in pll:U;e.
O :'ENCE: Wher: complete -- Provide
gates or movable section.s through
P.U.E. .
o
o
D
1KJ
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FINAL MF:~HANICAL
I-k'"
FINAL ELECTRICAL
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FINAL BUILDING: The Final Building Inspection must be l'equeGted after the Final Plumbing
Electrical, and Mechar.ical InspectionlJ havo been made and approved.
AALL MANHOLES AND CLEANOUTS MUST BE ACCESSIBLE, ADJUST/rEliT TO. BE MADE AT NO COST TO CITY Page 1 of 2
I JOB NO:g?.::l?.?ib
Zona:
SOLAR "ESS
Oacupancl/ Grou::J:
Lot Sq. Ft(;.
$ of lot Coverag~
#. of Stories
TotaZ Height
Topography
lITEM ISQ.FTG X
I Main I
IGa:foaae I
I Ca.rool't I
I ACCB8BOl'U I I
17?$P1f/i'f Zb~
I ' -
TOTA~ VAWE
Is.D.c. (vat..uc)
1.5 :r
Building Permit
State Su:rocharge
TotaZ Cha.~ge.
lITEM
,NO'1
I I
I I
I I
I I
Futures
ResidentiaZ\(l'bathJ
I Sani tary" Sewer
IWate1"
I
PLumbing Permi t
State Suzocr.arge
Total Charaes
ITEM ' NO'1
I Res. Sa. fta.
I N"",jEztend Circui ts ,I
I Tempo1'ary Serviee I
I
Eleatl'icaZ Permit
State SurcharQe
Total Charc;es
ITEM I NO. FEE
Purnace BTU' S
Exhaust Hood i
I Vent Fan I
11I00dstove I
I I
Permit Issuance
Mechanical Pem t
State Surcharae
Tcd:n.l Charm:m
-- ENCROACHMENT --
I SeC".lM. tl.l Da1XJsi t
I St01'CI{lB
I Maintenance
I Permit
I Total CharqD8
I Curbcut
I Sidewa Zk
I Fen::e
I Electrical. Label
I Mom Ze Home
I TOTA~ AMOUNT DUE:-
WT TYPE
FEE
FEE
I
I
I
I
I
/~..... I
I,
1-
/tt1..,., I
_:;>.c> I ,- ").
/~" s-p-I-
Interior
Corner
PcmhandZe
Cul-de-sac
Value
CHARGE
CHARGE
IS''''
I
I
I 15:"~ -v}
I _ ?P
I /5:"7,5 ,-
I
I
I
I
I
I
I
I
I
CHARGE
I
I
I
I
::2~. "Z S-
i'::.ge ~
REQ,-
L-COG~
.
Bedrooms:
I I Enel'GU Sou.rces
I I ileat
I I Water .lJt:!att:!r
I I Range
I I Fireplace
I I Woods to"e
II
Ti.fDe
TF1'pe/Cor.st:
I Lot Faoes -
I
I P.~.
North.
lEast
ISouth
IWest
Setbacks
House Carage
Access.
F2es
Building Value &
Permit
This permit in groanted on the e:z:press condition that the sdid const1'Uction
shalt~ in all respects~ confom to the O1'dinance adopted by the City of
Spr>ingfield~ incZuding the Zoning Crdinance, reguZating the constl'Uation
and use of buildings~ and may be suapended or revoked at cny time upon vio-
lation of any provisions of said Ordinances.
.;'."." ....
I Plan Check Fee:
I Date Paid:
I Reodpt #:
ISign",,-: .
Plurilb'ing Permit
,
No person shall construct~ instalZ~ atter or c~e any r~w or existing
plUmbing or drainage system in whole or in part, 'unless such person is the
legal possessor of a valid plumber's license, except that a person may do
plumbing work to property which is owned~ leased or operated by the appli-
cant. . . :, ~.'t:
-
Electrical Permi t
Where State LalJ requires tr.at the electrical work be done by an Ele~trical
Contractor~ the electrical portion of this permit shall roOt be valid until
the Zabel has been signed by the Electrical Contractor.
Mechanical
Perm it
.
~~~
~E:r:amt.ner I ,. r
?~.?c>-e/
va.e
I HAVE CAREFULLY EXAM.INED the completed application for permit~ and do
hereby certify that all info:rmation hereon is true and correct, and I "
further certify that any ar.d all work performed shall. be done in acaor-
dance :vith the Ordinances of the city of Spr>ingficld~ and the Lcr..:s of tha
~ State of Oregon pgrtaining to the work described herein, and that NO OCCU-
PANCY will be mde of any structure without parmis8ion of the Building Di-
vision. I fupther certify that o:1ly cont1'Qctors and e:rrpz.:,yees who are in
compliance with ORS 701.055 will be used on this project
2~G.h.
~ODl-
Date
.~O.\9r
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FD-16
#-~7031(P
FIRE DAMJl,GE REPORT -1
ELECTRl1:L HAZARD ~ ~\II-\1
-f\DATE: ~-/"'-37
I
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,
,
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TO: Building Department
FROM: Springfield Fire Department
SUBJECT: Structural Damage to Building
Address or location of building ~t:,S lY-1U'- (]y-. JQJ. ,
Name of O\'mer ~ ~ t.d1u- ) (~ ~ ~ 0J2J,~"v. )
Type of building 1 ~ ~
V' - (DW~Ir.{; ng~'" Store, l(rehouse, etc.)
a9-
Estimated value of building S ,J).!). nO() ,
. 00
Estimated loss to building S '7s'O-
Date of fire 6 - b- if7
Location of damage in building
a:t:I;;; -"
d-
('~' Vr--
/J . ""
Y~"''''vO'~'
(/
(Roof,
Wall, Exterior, Interior, etc.)
result of the fire J:pJ'[J? c7~
Structural weakness as a
(Burned rafters, Beams. Joists, etc.)
Additional pertinent information
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Electrical Hazard
t1v
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I.A~
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- ~ tA. U1(JA.t.
(Wiring, Outlets, etc.)
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Signed \11 O~J ~
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