HomeMy WebLinkAboutPermit Building 1987-6-23
, '. ......;~. t." ,-' '., : . .', " "';. ",':"...' " _' .'. ,.. ",",-..:_' '.~ '.~' ___,. " '.',. ....:..;._..,,';o~~'lC;,..~,IN................:.-.......~ :~ '.. ".;.
Subdivision:
..,-,....,:.,...}
(A,mer: ii~!A uh/l/..l/ _
Address:~9:j <f. - ~ {/dt/7 f-/ibLphone: 7db50/ j
cidjJ?D)(] rJ;/rJd /(J;(. Zip: 0J77
('/MYw ttJ~ 1C/b f'rfs/
n
rYl
In
in
j
!
NPM
Addition
Remodel
.',!obi la Roma
~-q,~1
nIJIJ1Q AJ
Date of Application
c,'on"tractors A'lV (/6' " .'
General j'
Plumbing ./
'I Electrical V-
i
I
tJA.A.JV/OAJ
Mechm:ical
Construction Lender
Describe l.'ork:
~ J0()bJ66'
W Jbu:QLrJ/ 0
:iXJ5.~ V".
ValU~{Y) c/)
Aci.dress
.
'.' . " ....._..._,._<-... ,. ..,.._. ct..-!
Rcce;.Dt 4'1 & K,C)(J tb.,/
.;., , !
':;~~~ I
~.
. "'~.
','
,
, \ .
, ,
Sigr.ed:
Date:
Cr
f/ -.J ~ -[?/'f
I
Lisc.#
Exoir8S
Phone
It is the responDi-biZity of the permit holder to see that alZ. iMpections are made at the p"oper tim~~ that ",d:h ~ess is rea:::a.;Ze
frem the street, and that the permit card is l.xated at the fran.t of the property.
4Bui!ding Ir~vi=io1': approt:ed plan shcH remain on, t~ Bu.:.lding Sit$ at aH times.
PROCEDURE FOR INSPECTION REQUEST:CALL 726-3769 (recorder) state YOU1" City designated job mo;;ber,
rsqucstcd arod when you ~il~ be ready for ir~pcation, Contractors or Owne~s ncme and phone number.
..>iLL be made the same dcy~ requests made aft:;::r 7:{)O am will ba made the nat :Jerking day.
Ffp.mn:""..p,.; T'1J::ry,protir:Yf.<:
O SITE INSPECTION: To be made after
e:r:cavation~ but prior to set up of
, forms.
O ' UNDERSLAB PLUMBING, ELECTRICAL &
. MECHANICAL: To be made before any
. work is ~ovc1"ed.
o
FOOTING & FOUNDATION: To be m::zde
after trenches are excavated and
.forms are erected~ but prior to
pourir~ concret~.
UNDERGF?OUND PLUMBING. SEWER. w'4TER,
DF?AINAGE: To be TTY:1.de prior to fi~-
.Lir.g trenches.
o
o
UIIDERFWOR PWI,!BIIIG & MECHANICAL:
To be made prior to installation of
11001" in8u~tion or decking.
POST AND BEAM: To be made prior to
installation of floor insulation 01"
decki"!; .
ROUCH PLffl1BIl!G. E~ECTRICA[' & MECH-
ANICAL: No work is to bc cOlJered
',wzti~' thcse inspections have beer.
inade and approved.
FIREPLACE: PM.or to p1.c.cir.g facing
materials and before froaming inspec-
tior..
liVl FRANING: Must be requeDted after
!D approvaZ of rough pLwr.bing, electri-
cal & mechanical. AU roofing
bracing & chimneys, et~. l7r.J.st be
; completed. No work is to be con-
., ....ceaZed until thio inspection has
. b6,:n made and approved.
o
o
D
.Your Cit:y Decigr.ated Job Number 10:
II I INSULATION/VAPOR BARRIER [!JSPF:CTION:
To be made after aU insul::.ti:.m a:"".d
. raqu~red vapor barriers are in place,
, but before any lath, gypsum bccuvi or.'
wll covering is applied, and before
r111:Y irwulation is concealed.
DRYWALL INSPECTION: Tc be made
after all dryw.ll is in place,
but prior to any taping.
O MASONRY: Steel location~ bona
beama, grouting or verticals in
accordance with U.B.C. Section
2415.
D WDODSTOVE: After installation is
ccmpZeted.
~
D
CURB & APPROACH AP.~N: Afte~ forms
are created bu t prior to pouring
~rete.
SIDEWALK & DRIYEWAY: For all con-
crete paving within street right-
of-"Wc;y~ to be made, after all exca-
vating complete & form work & zub-
base materia l in p ~e.
job adCrcss, type of in3pec~icn
Requests received before 7:00 ~
f10 '379
DE110LITION OR ;',;OVE:J BUILDI:1GS
~ ~ani -;a:ry se'.Jer C!apped at p:..opcrt-:i Zir.e
=:J SeptiC! tank p-.c;:ped and fille~ LJith gro.:;el
I Final - rfhen above ite:ns are completed
~ arod when demclition is complete 01' st~~-
ture moved aru: pr~ses C!leaned u?
I Nobile Hemes
=:J Blocking and Set-up
=:J Plumbing connections SDWer and Water
---, Electrical Connection - Blocking, set-u.p
---l and plumbing connections nr~st be appravec
before request.:.ng e!ec:rical inspec:io~
~ AcC!essorh' Builcing
--, Final - Aft<:r p:JrcJ:es, sErting, decks,
~ etc. are completed.
D
,c
D
D PENCE: When compZcte -- Provide
gates or movable sections through
P.U.E. .
D
All project conditions, ouch as the installat.:.on of street trees, c~~letion of the
required landscaping, etc., must be satisfied before the' BUILDING FINAL 'can be requested.
o FINAL PLUMBIIIG
o FIliAL l.fEoHA!lICAL
::zI FINAL ELECTRICAL
:=J
0)
FINAL BUILDING: The Final Building Inspection must be requested after the Pinal Plumbing
Electrical, and Mechar.ical Inspection..o havo been made and approved.
" I
-ALL MANHOLES AND CLEANOUTS HUST BE ACCESSIBLE, ADJUST!fE,'/T TO 'BE ~I,!ADE' J.T ".0 COST TO C~Y Page! .of 2
I JOB NO. Q/10 ?1q
!Zor.a: L'Di'i'/':--.r: /0
Lot Sq. Ft;.
% ~f lot Caverag~
# of Stories
Total Height
I Topogra:phy
I
lITE/.!
IMain
SQ.FTG
Gc::Jtaae
Carvort
I
I I
1/6t:=>9'1
A~cessol'U
~7/Ph'
I
Is.D.c.
,
TOTAL VALUE
(UC/.uC)
1.5 =
Building Permit
State SuI'charge
Total Cha.:>ges
IITE~I
I FixtuI'es
I Residential. (1 bath)
I Sanitary Sewer
I Water
I
I NO.
Plur.rbing Perr.:i t
State Surcr.arqe
Teta! Charaes
lITEM
I Res. So. fto.
I NEW/Extend Circuits
I
I Temporary Service
I
SOLAR ACCESS REQ.-
Occuvancu G~ -:5
WT TYPE
Interior
Corn~l'
Panhandle
Cut-de-sac
"
x
I
I
I
I
I I
I~~-I
I I
I "
I
?/t./- cSt? I
1- 7~1
17'"6. 2~"
I
Value
FEE
CHARGE
I .v0'1 FEE I
I:> r:>#Il?~EI
I I I
I I
Elect'Piaal Permit
S~te Surcharae
Total Charces
liTEM
I Furnace PTU' S
, E=haust Hood
J
I Vent Fan
I .
i WXJdstove
I ;IQ. ;
I I
I
I
I
Permit Issuanca
Me:::ha.nic:zl Permit
State Surchc:l'l1c
TotnZ r.haronn
ENCROACHJ.!ElllT --
! Sec:'oAM.tlI Dz"OOsit
Storage
Maintenam:6
Permit
Total Chal'oCS
CW'bcut
Sidewalk
Fence
FEE
CHARGE I
I
~"2_Scl
I
I
'::(' :<'.."5,,, I
-~I
~~-'I.cj ,
CHARGE I
I
#/3.3 '( D I
~...-,
I
I
l'
I
I
I
.'2c>1
Electrical Label
Hobile Home
Z'OTAL ANOU,'/T DUE:'"
I
C# 69- 88
Lot Faces -
T.~pe/Cor..st: A .
i
I
Access. I
II
II
II
II
P.L.
North
lEast
ISouth
IWest
Setbacks
House Cara~e
Fees
Building Va'lue
L-COG""
Bedroor.:s:
Enerou Sources
Heat
T:Jr'c
Water Hf?atpy'
Range
Fireplace
Wood:; tave
&
Permi.t
This permit ia granted on the express condition that the s.ciid. constru.ction
8hall~ in aZl respects, confo~ to the Ordinance adopted by the City of
Springfield, including the Zoning Crdinance, regulating the ccnGt1"'.4cticn
and use of buildings, and m::y be suspended 01' revoked at cr:y time upon vio-
lation of any provisions of said Ordir.anccs.
Iplan Check Fee: dr, _'1'3
Date Paid: {, ..q- f'"7
IReadpt #: !5 (q go '9 OV
jSiG"'ed: fP.
../
Permit
Plumbing
No pereon ahall construct, instaLZ, alter or change any nelJ or e=isting
plumbing 01" drainage system in ~hole or in part, unless such person is the
legal possessor of a valid plumber's license, except tr~t a pe~son may do
plwnbing work to property which is owned~ "leased 01' operated by the appli-
cant.
,
Electrical Permit
Where State LaLJ requires tr.at the electrical work be done by an Electrical
Contractor, the electrical portion of this pe~it shall not be valid until
the Label has been signed by the Electrical Contractor.
Mechanical Permit
,
. ~~~~~
~~ner Y"/....-"'7
6-:::2..?-E;?
JJate
I HA VE CAREFU4LY EXA.'1INED the completed application for permit, and do
hereby certify that all i~formation hereon is true and correct, and I
further certify that any ar.d all work performed shall bs done in aCf!or-
dance :Jith tha Ordinances of the City of Springfield, and th:: Ltr..;s of the
State of Oreg~n p~rt~ining to the work described herein, and that NO OCCU-
PANCY will be made of any structure without parmission of the Building Di-
vision. I furthep certify that only contraators ar~ e~playees who are in
compliance with ORS 701.05t will be used on this project
d04/ af?a0J
I'
{p/o,5/cfL._