HomeMy WebLinkAboutPermit Building 1988-8-10
.. RESIDE..NTlAL"
. APPLICAT.PERI1IT
225 North 5th Street '
Springfield, Oregon 97477
Building Division
726-3753 '
Job Looation: ?<""/!<I /4Z?U~;T??/#.c::. ~(/E..
AsaesaorG Map # 17.-o;:z.~ - B4P Tax Lot # ..,.h
Subdivision:
I
Rcae-;.pt #-
/02103
Sa.?<'>:S
(A.mer: e7?~ ~rc 5t:B:/p?-~
Address: Llt!;>,~ M-/S 0/
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SE/V7> /$I'-1/'O ~/CE~~
7n ;1"~?.?#"CC:?- i!!"21~~,;/--:::>
/ v , I#) n ??/.b~ e: ,....-=-2:::> r:::;OU
.R~/ 2-3:B Value
Contractors Address
Genera! ~"'1.R~.7?"~~/<, ~ ,,";,' . ~ /R_......,.-A-~ ,
PZwnbing K-=__/ H ~ <' -n--</,,/~~
EZectl'ical - ~~~-
l.Jechar.ic::!
Con~truction L~nder
It is the rosponoibility of'the permit holder to Boe that a!l inDpeatiOn8 are made'at.the pzoopel' tim€, that ec:.ch ~e83 is l'oa::aa:e
from ths street, and that the permit card is Located at the front of the property.
A:BuiZ.di~ Divicio~ approved plan sheH remain on the Bu~Zding Sit$ at aU times.
PROCEDURE FOR INSPECTION .RE'QU~AL~ 72?-37~ccol'del') state yOUP City designated job number, job a.ddPcss, type of ir.::;pac;ic1i
l'equcstcd a~d W;.:en you lJ1..n be reau.y J "'~' ........!-"'........,:t.on, Contractcrs 01' Oz.me:'s ncme end phone number. Requests l'eceived befero 7 :00 c:;
:.JiZZ be made the same day, requests made afta 7:00 am loIi.ZZ b. made the noxt :.;orkin;; day, or>f\_ ~I J
Your City Desigr.atcd Job Number Io: fJ ~ \ } 1
RRnui~~1 r~~Qf~~ir.~~
O SITE INSPECTION: To be made after
excavation, but priOl' tc set up of
foI'1Tls.
O . UNDERSLAB PLlJl.fBING. ELECTRICAL &
MECHANICAL: To be made before any
UJOl'k is ~overed.
City:
n
n
n
r<1
NR1.l
Addi tien
Remodel
.'.fobile lloma
Date of Applicaticn
[lJ
roOTING & FOUNDATION: To be made
after trenches are excavated and
forms aroe erected, but priol' to
pouring ccnCl'et~.
UNDSRGF?OUND PLUMBING, SEWER. W.1Tl!!J
DRAINAGE: To be made prior to fil-
l ir.g tl'enahes.
CJ
o
=:J
UNDERPWOR PLU/.!BING & MECH.ANICAL:
To be made pl'ior to inztalZation of
floor insulation or decking.
POST AND BEAM: To be made prior to
installation of floor insulatior. or
deoking,
ROUGH PLU.'1BIlJG. F;T.ECTRICAL & MECH-
ANICAL: No work is to bc cot.-ered
ur.til thcse inspeations have beer.
made and approved.
FIREPLACE: PriOl' to pLc.eir.g faeing
matel'ials'and before framing inspec-
tion.
FRA..!~ING: Mu.::;t be l'equested aftel'
approval of l'ough pl~hing, eZeatl'i-
cal & mechanicaZ. AU roOfing
bracing & chinmcys, etc. TTr.lst be
. completed. No lJOrk is to be con-
., ceeZed until. this inspeetion has
'be~n made and approved.
o
o
~
=:J FIliAL PWMBIIIG
:::J FIliAL MECHAIIICAL
:::J FINAL ELECTHICAL
:::J
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Pr.one:
il;
l/j()
74'/-/C>fS'Y
??~ ;:> '8;
Zip:
Describe florl,:
I
i.4! \ '5
Sigr.ed:
Date:
ch.~o-J
8' -/~ -8'0"
Lise. Ii
43h 99
EXDires
Phone
\lr~4'/~~
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D INSULATION/VAPOR BARRIER TNSPECTIOll:'
To be made aftel' aU insulation ar.d
. required vapOl' barriers a1"e in place
but before any lath, gypsum board or
wU covering is applied, and beforo
any inauZation is concealed. .
DEUOLITIOH OR l.:OVEE BUILDIi.'GS
~ Sani taroy se'.Jer aapped =.t P:.OP<:rtif lir.a
~.sePtia tank p~~d and fil1.iJd uith 31'a~e~
O DRYWALL INSPECTION: Tc .be made
after aU drywall is in place,
but pl'ior to any taping.
I Final - rl'hen ahcve ite:ns are cc:m:1letcd
~ ar.d when demolition is complete 01' stru~-
ture moved and premises cleaned up.
O MASONRY: s:~ez.
beam:;, gl'Ou.,1..ng
aceordance 14th
2415.
o WOODSTOVE: Aftel' instal.Zation is ~ Blocking and Set-up
ocmprsted, 50 ::21 PZwnbing oonnections -- s"",er ar.d water
D CURB & APPROACH APRON: Aftero f01'tTl/~ -x1 Electrical Connection - Bl.ockir.g~ set-u~
a:re erected but prior to pouring S-: ~ and plumbing connections rrr...:s t te approv~d
cortCl'ete. . before request-:.ng electrical inspec;io~:
location, bonJ
01' verticaZs in
U.B.C. Section
I Mobil.e Hemes
o
SIDEWALK & DRIVEWAY: Fol' aU con-
crete paving within stl'ect right- :::J Acces::;or>,i Build-:.ng
of-lJay, to be made after all exca-
vating cC71l~l.et~ & fom work & sub- ri::-x=J Final - Aftar porcr.es,
ba::;e'mat~z:t-al .1..n place. . ':) ) ~ etc. aroe comple;cd.
skirting, decks,
D
PENCE: ...'her. compl.~te -- Provide
gates 01' movable sections through
P.U.E.
D
o
All. project conditions, sueh as the install.ation of street trees. ca~lation of the
required landscc.pir:g, etc., must be satisfied before the BUILDINC FINAL can be 1'3qu.esccd.
FINAL BUILDINC: The Final Building Inspection 'must be requested after-the Final PLwnbir:;;
Electl'ical., and Mechar.ical Inspectiono have been made and approvad.
*ALL MANHOLES AND CLEANOUTS }/UST BE ACCESSIBLE, ADJUST!!F:UT TO BE r.~1DE /'.T NO C~ST TO CITY I Pa~c 1 of :l
,';i '::~
,
......
I JOB NO,
Zona:
Lot Sq, Ft;;,
S Df lot C:JVeI'ag~
# of Stories
Total Height
Topogl'O.phy
I
lITEM
I Main
I CcJ>ace
I Carncrt
I Accessol'lI
r-r/H*'r "
Is,o,c,
~
L-COG~
SOLAR ACCESS REQ,-
OcauoonCl/ c4
WT TYPE
Interior
Corner
Panhandle
Cut-de-sac
, SQ,FTG
TOTAL VALUE
fvat.uc)
1.5 :r:
Building Permit
State Surcharge
Total Charoges
I ITEM 1110,
I Futures I
IResidential (1 bath) I
1 Sanitary Sewer I
I Water
I:M-a~.<<. ~&J~
PZumbing Perri t
State Surcr.arge
TctaZ Charaes
i ITEM
I Res. So. fto.
'New/Extend Circuits
jTemporary Service
NO'I
I
I
I :fXz::zr ;,$'~.J.b I
EZe~tI'ical Permit
St::.te Sw>cha:rae
Total Charges
IITSM
I Furnace ETU' S
I E::::haust Hood
I Vent Fan
I '
IlIoodsto,e
1110,
I
1
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I
I
Permit Issuance
Mechanical Permit
State Surcharoae
TQt171. Charo(M1J
FEE
FEE
FEE
-- ENCROACHMENT --
I SeC!"lIlntll Deposit
I Storage
I Maintenan..:'!G
i Permit
I
I Total Cha1'oas
lCurbaut
1'-' ' -,c."
I
1
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I ;'/'.4. j -
, I
It::?-- 1-)-
-91
/.9,,501- .
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I /s:;?,S l,
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I t/S: COi!P 1- 'n
I -?.>I
I /5..75'"'1;
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, -
x
1 SidmJa lk
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~ F(m::e
i Electrical Label 1< I::I..L.:L 8 '
'Mobile Hame ") 1'"'/ V?- ~ci-I
- 5% ;VI', I
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iTOTAL ANOUIIT DUE:' #11'9 c~:
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1 -
Value
CHARGE
CHARGE
C/JARCE
'-
~
,.
Type/Cor.st .'
.
I Lot Faces. -
I
I P,L,
INorth
lEast
ISouth
IWest
Bedrooms:
I En2PoU Sources
i Heat
I Access. , II Water Hp.otp.I'
Range
I I Fireplace
I I Wood:;tove
'II"
TUDe
Setbacks
I House Cal'age
I
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......-...
-~' Fees
Building Value
&
Permit
This permit is granted on the express condition that the sa"id construction
shaZl~ in all respects, conform to the Ol'dinance adopted by the City of
Springfield, inc!uding the Zoning CrdinanceJ l'eguZc.til1g the ccnstr"a:ticn
and use of buildings, -and m:lY be,suspended.or l'evoke4 atc:r:y time upon vic-
lation of any provisions of said Or>dir.ances. .
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IPlan Check Fee: 6.5'2>
I Date Paid: R - J 2- -Be
IReedpt, #:. / Z..J-.Q.3.
I Signed: ;=f ~:u.-
Pe r m i t
~'\ "Plum'bing
No pereon :lOOll constM-lct" install, alte'I' or'chango any 1'.eIJ 01" 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~Bon may do
plur.:bing work to property which,is .0l.Jned, leased or operated by the appli-
cant. - .' '. '" .... .:, ' -.
,-
.. ~ . :'\
Electrical
Per m i t
Where State Law requires tr4t the electricaL work be done by an Ele~trical
Contractor, the electrical portion of this permit shall roOt be valid until
the lahel has been signed by the Electrical Contractor.
Mechanical
Permit
1
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Pue/~( A ,
By-=< 'S'8
vat;e
I HAVE CAREFULLY EXA1tJINED the completed application for permit, c:nd do
hereby certify that all info~ation hereon is tpue and correct, and I
r~rther certify that any arn all work perfo~ed shall be do~e in accor-
dance with the Ordinances of the city of Springfield, and th~ Ur~s of tha
State of Oregon pertaining to the work describad herein, end that NO OCCU-
PANCY will be r7l1de of any structure without p~rmi8sion of the Building Di-
vision. I further ce:rtify tha.t o-:tly cont1'ar:tors and e:nployees who are in
compliance with ORB 701.055 will be used on this project
I ~G> )-1;,lj
2.S':'-LIl;: k~
',015 I /J .
1 ,A fez.. ' 9,.-u.ul,E
,;'1,) ~ _ Signad I //
7/.:2 -f"1
Date
--.