HomeMy WebLinkAboutPermit Building 1982-6-23
.. RESI'NTlAL"
APPLICATION/PERMIT
225 Nopth 5th Stpeet
SpringfieZd, Opegon 97477
BuiZding Division
726-3753
S-+O I J-..Q, ~'n0' ,
~S;}/ (J &nd1.&t-n'oJJ Phone:
~ ~oJjt H } nQ Zip:
\i),o, Pi-S'-x, 1:4./7
Wv~~' LULM m,{j
Job Loca:tion:
2> 5 d-.lo
O::;l ';") 6
ABDesao,s ,Vap # '7
SUbdi:.r:.sion:
Q.mer:
Addrsss:
City:
n
n
n
n
.V"".l
Addi ticn
RemodeZ
,'.!Obi.Z2 ,:{or::a
t.o- d-3-f;0
Address
Data of AppLication
Contractors
,5 ~
~,
GeneraL
Plumbing
Etect1""':caZ
Mecnar.:i.c::Z
CO"8t~~ction ~~ndp.r
(' 1)'(\ <\-V;-, 0 -\-n-r
SPRINGFIELD. .
,
-
Rcce7.pC "
~ '1:J- 'iQ{
IiiL:
l Qn{'iU.DlxJ.il 0 I-l
1 3 T"" Lot # 6( 5 6 6
-
cntf'f
De8CI""~be rlor>k:
VaZue
(\Ii't- '/2 x\.rnA.H\-J
ve,
siqr.ed:
Date:
~'
, ,~~
In 'd?~-K:r
Lise. Ii
Pr.onc
CJ::iil'C8
lt is ~hs responaibi1.ity of' the permit holder ~ see that at: iru;;pections are r.:ade at the propOZl' tim6>.J that ~cch .:dd:rsa8 is reada.=:., I
J100m ths stl'eet, and that the permit card is 'l.xated at the front of the property.
.4euit.di~.g Divi=io:-: crpprol,,:ed plan shell remain on eha BuiWil'lf: Sit.: at an times.
P.70CSDU.~E POR INSPSC'!'IOtl RSQUEST:CALL 726-3769 (recoreuJ state your City designated Job number, job aacrc8S, typo of in~pBc;icn
r~questcd a;~ u~en you ~Ll be ~eady for inspection, Contracters or Owne~s ncme end phone ~~er. Requests recei~ad befers 7:00 ~
:..'aL oe rrr:.de the scme de:;, requests made afta' 7:()O a-n t.Jin ba rrru1.e the nat :.)Orkin; day.
.::?P.tlJl1:l"~rf r,..,r::\,.,~{:-:O:_r.rq
o
o
SITE INS?SC:ION: To be nruie after
e:cavction, but prier tc set up of
forms.
UNDERSf.AB P!..ll,'.JBI<'lC. ELECTRICAl. &
~.'ECHAtJICAL: To be rr:atie before any
work is .::overed.
o
POOT!.VG 5 FOU,VOATIC/l: To bf) m::zCe
after trenches are excavated and
ferms are erfJctad, but prier to
pourir4 ccncret6.
UNDSRC,WUNO ?U'MEINC. SEWER. W.1.TS,Q,
DRAINAGE: To be r.r:z.::ie prior to fil.-
"Lir.g -:renches.
o
o
UNDERFWCr? P!W~IYG i :.u:C.9.ANICA!.:
To 06 mads prior to in3taZ,lation of
11001' insuLction or decking.
POST AND BEAU: To be I'1Ifllk prior to
install..J:tien oj" floor inst.:Lation .01'
dfc.<i"f;,
ROUCH ?!.tP.!BI!lG. ~1.EC':'RICA[, ~ M!':C.r;-
ARICAl.: No ~rk is to oe co~ered
until these insoectiar.s hcve beer.
made and a:ppl'oved.
FIREPLACE: Prior to ptaair.g facing
materiaZs and before f1'UJ'tting inspec-
:ior..
FRA.'!I!IG: Must be reqwwted af-:er
approuc:.l. of rough plwr.bing, i!Lectri-
ca l & mecr.ani::a l. A Z. Z roofing
bracing ~ ch~~cys, et~. ~~st be
. compLeted. .'10 I.JOrk is to be con-
. cealed until thia insoection has
. b66'fl made end approt,'ed.
o
o
D
D
lour City, Oeaigr~ted Job ~h€r I3:
O INSULATION/VAPO.q BARRIER INSPECTIO,'l:
To be mads after all. insukti.?n c::".d
. . . required vapor ba:M"iers are in place
but befers any lath, gypsum beard or
r..nZl. coverin.g is c:pplied.. and bsfors
CJ'I.y irt:3ulation is concealed.
D
ORY""/ALL I,'lSPSC'!'!O!'l: Tc be made
after aU drywZl is in place,
but pr-;or to any taping.
MASONRY: SteeL location, bona
beam3, grouting or J)er~icaLs in
accordcnce :.r~th (j.B.C. Section
2415.
WOODSTOVE: After installation is
acmpLeud.
55 d-Oi d-I
DEUQLITIOH OR .~:OV!; SUILDI:lCS
~ Sani:cry se~er =apped =t ~op~rt;. l.ir..
~ Septi= tank p~~.;!d C~~ fiLZed ~th ;ra~.~
:J Pinc.l - rrnen cb....-V13 its:::s a:re cC.":'Olsted
and when de~litior. is compLete 01' st~~-
ture moved ar~ pr~mi3es cLeaned ~p.
I Mcciie He;r:es
~ SLocking and S~t-~p
~PZ.umbing connections -- sewer and wet.r
~Ez.eCtrical Connection - Blockir.;, elit-up
and plwnbing connections nr..:.st :8 appro~id
before request~ng Blec:rica! inspec:io~
=:J Ac.::"es~o1".;i !Juil.:i~nq
~E'inal - Aftcr ;':lrcr.es,
I etc. are Ccmpl8:~d.
l
sidl't-ing,
deck:J.
o
o
o
CURB & APPRCACH APRON: Afte:" forms
erre are='ted but p1"':'or to pOUl""':'ng
.::oncrete.
D
ALL proiec: cor.di:~~~, 3~ch as :ne {ns:aLZation oj s:r08t ~raes. =~.~Za~~Qn of the
required i..andsccpir..g, etc., must be satisfiad before tr.a BVILDI:,'C FI:!AL ::-=11 be r3qu98~3d..
o FIUAL PLUMSH'G
o PIllAL ,'.(Er:?A:1ICAL
o FINAL ~!'ECT,9IC:"L
10
o
FINAL BUILDING: The f~naZ 3uild-ing !nspec:ion ~~: be ~e~~eGted ~f=el' the Final ?!~bi~~
Elec:ricaZ.. and Mecner.ice! InspectienD r~va been made ar4 ~?Froved. ~
o
SIDEW'ALK & DRI'l'ET;AY: For aLL con-
crete paving ~ithin street right-
of-wey, :0 be ma.:1e after alZ e::ca.
vatina ::arroleta & foro:n wrk .f :ub-
base ,~teriaZ in place.
"ALL- MAl/HerES AND Cl.EANCUT[; ,'/UST EE ACCSSS'i3LS, AD,jUS7'.'~,~'T TO 32 .'.:'1:i~ !~:'" ::0 C::ST ::-0 CITY I ~""'e of::
o
ITNCE: Wher.. camp Z,;te -- Pro'.Jide
ga:es or movable 3ectiens tr~cugh
P.U.E.
D
I JO B NO, 'Kd-.07;)-l
I Z01"!e:
Lot Sq. Ft.;.
~ ~l L?t CJf)erag&
,~ of' Stories
'I'otaZ Height
I
I Topography
I
I I~2",1
.~fain
I~ac.
I
i (;'::::::l"':'c:"~
j .-ic~essor':J
I SQ. FTC
:'07' A [, ZJ.LUF:
Is,D,c,
1,5 =
, vc:~...c;
Bu.i ld-:.ng Fermi t
State Surcharge
Total Cfo.aroges
I [T2N NO,)
IFL-:;-.4:!'BS
jResid2t1tiaZ (J bath)
j Sanitary SewSI'
;'C:2...'"
IfJDlli.lo. '/..JnfY\Q.,
Plw:rbir:g Pen::-i t
State Surar.arge
Tatal. O.c::~aes
j !TS:.!
I Res. Sa. fto.
jN3<W/E=tend Ctl'cuits
I Temr;ora:rv Seruics
I iiO, 1
I
I
D1o.bVo ~I
E!€::t'l""~caZ Permit
St.=.te Sur~ha..:"ae
Total ctlC:!'ces
li'?;,\!
I .tUrro..:::ce ETU' S
I E.=haust Hood.
I Vent Fan
I
I i/ooasto:.J8
1"0'1
I
I
Perm-~t Issuanc2
He::nanic::l Perr:rit
State Sur::hc::rcr;
Tot.:::Z Charael1
-- ENCRCAC1:iAfENT
i SeC:-.lT"";tu
I Storc.qe
I Nair:~er.ar.::e
I Parr.r!.t
I Total C:~.arf?cs
!)z'Oo:;tt
fC'.a'';C'..I:::
I SidelJa!k.
I :'en08
I ~!tlctr~ca1.
Lebel
,
! .'>lobi Za Hame
1 I'OTAL A.....I()U.'JT
DUE:-t
SOLAR _55
OC~.A.::anc:J Gl'C'.l:;:
LeT TYPE
Ir.r;ericr
Conter
?~te
Cut-de-saa
X Value
"CC
,..
:;'"'';'
,'''5500
!
01. 60 I .
P::.qa 2
I
'L-COG-lJ:'
I
j
I
I
I
I
J
I
I
J
R EQ,-
T":J'oe/Cor.3t:
3edrooms:
E.'12rGu Sou.raes
Hea;
:.rater _::~r!t;?'!'
Ranqa
:~:reolace
Wood;;;-;o!.:13
T:r~e
I Lot Faces -
I 2,L,
INol"~i1
lE'cst
ISouth
IWest
1 Aaaess.
I
I
I
I
I
i
II
II
Se-:bc:1k.s
I Heuse I Camee
I
I
Fees
Building Value & Permit
I
I
I
I
I
!
I
I
I,
This perm:.t is granted on the express condition that the sf1:id. aonstMlc~ion
shall, in aZl respects, conform =0 the Ordinar.ce ~doFted by the City of
Springfield, incZuding the Zonir'.g Crdinance,' regulating :he ccns:r:t.:ticn
ar~ UGe of buildings, and m~y be sucpended or revoked at cr.y time u;or. vic-
laticn of eny pr~vi3ior.s of said Ordir4nces.
Ipran (-heck FIJI!:
I Cate Paid:
Recdpt #:
I Siw:ed:
Plumbing Permit
No perean shall construct, instal!, aZte~ or change any r'~w or e=isting
plumbing or drainage systen in whole or in part, unles~ 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 OI.,"ned, loosed 01' operated by the appli-
cant,
Electrica I
Perm it
Where State La:2.J requires tr.at the eleat'I"';cal !Jork be done by an EZectrical
Contractor, the elect1'1'cal ~ortion of this oe~it shail r~t be valid until
the tabel has been signed by the ElectricaZ.~ontl'actor.
Mechanical Permit
I
I,
I
I
j
o ;B -f' -<-..,
-Plcn =x.....--m.r.e:r
uao;a
I HAVE CARSFU["y =}()..NI.'IF:D the co:yleted czpplica.r;icn for pe~:, c:nd de
hereby certijy that all i~jo~a~ion he~eon is ~e and cor~cct, 0"4 I
,...1':;:61' certify that any ar.d all. wor,I(. perlol":'rled shatz be do;-:e in accor-
dance :Jith th.e Ordinances of tr.e City of Spr;ngf:.eZd, and th~ Lc:,,;s of tr:G
* State of Oregvn p~rt.::ining to the 001',1( cescr-;bcd herein, O".c t,..a~ ,'/0 OCCU-
?i-WCY will be r.a.:ie of any sr;::-uct-.u>2 withou't permi33io~ of the 3uilding Di-
vision. I fUl';r.el' certi/;i :hat '.J:"lty contrc=tors ar.d ~l.:;yees !Jr.t? era in
compliance ~th CRS 701.05$'!JilZ be used on this projsct
A~\ cK'~
~
"
Sigr.2d-
l" 7_,) - ~(
DS!e