Loading...
HomeMy WebLinkAboutPermit Building 1994-03-21Lorene Schafer Blume 1135 Mill Street Springfield, OR 97477 JOB ADDRESS: 1135 Mill Street l LAST ACTMTY DATE: February l, 1993 INSPECTION RECORDED: Rough Electric OTHER: JOB # 900762 Your permit expired on August l, L993. If you plan to start or resume work on the project, a new permit must be applied for. If we do not hear from you by March 3t,1994 (ten (10) days from date of letter), we will clear our files of all related information with regard to the pennit. OREGO'V SPFlI}{GFIELE' D EV ELOPM ENT SERV I CES D EPART M ENT 225 FIFTH SIBEET SPRINGFIELD, OR 97477 (503) 726 3753 FAX (503) 726 3689 March 2L,1994 Lorene Schafer Blume L135 Mill Street Springfield, OR 97477 , Dear Ms. Schaffer Blume: The Springfield Building Code Administrative Code requires that, for a permit to remain valid, construction work authorized by it must begin within 180 days from the date of purchase of the permit. If work is suspended or abandoned during the course of construction for a period exceeding 180 days, the permit will automatically expire. If a permit has expired and suspension and/or abandonment of work on a project has not exceeded one year, a permit to start or resume work may be purchased for one half the fee required for a comparable new permit, provided that no changes have been made in the original plans and/or specifications. If a permit has not yet expired and a permit holder anticipates the need for more time to begin construction work, the Community Services Manager may choose to grant a one time externion of the permit not to exceed 180 days upon receipt from the permit holder of a written request explaining why the extension is necessary. The attached form indicates the most recent information in our records with regard to construction activity associated with your permit. Please advise this office of your intentions with regard to the permit by ten (10) days from the date of this letter. Please direct inquiries to me at 726-3664 Mondays, Tuesdays and Thursdays, 8:00 a.m. - 5:00 p.m. Sincerely Deanna Buckem Community Services Secretary 8,,^ attachment CITY OF ) qlryofsPnrucFrEt , DEVELOPMENT SEFY'CES PLANN/NG / BUILDING DAVID J. PUENT BUILDING OFFICIAL, BUILDING SAFETY D/V/S/ON DEVELOPMENTSERY'CES PUBUC WOFKS M ET R O P O L'TA N WA ST EWAT E N M A N AG E M E NT Hay 3, 1991 Allce Lorene Schafer 1135 UiII StreetSprlngfleld, Oregon 97477 Dear Hs. Schafer: Slncerely, Llsa Hopper Butldtng Techniclan cc3 Dave Puent, Bulldlng 0fficlal th i; Your request for an extension of your permits to construct an additionto your residence rocated at 1135 Milr street, springfierd, Oregon,Ctty Job Numbers 900762, has been revleved and approved. The extenslon may onry be granted one tlme and virl explre 1g0 daysfrom the date of the granting of this extension (NovemLer 3, 1991). If loy have any questlons, or if r may be of any assrstance, pleasefeel free to phone me at 126.3790. iLD,v q SPRINGFIELO 225 FIFTH SIFEEI SPRINGFIELD, OR 97477 (503) 726-3753 -7)" C'TY OF OFEGO'V '(rg'"--) SPRIXGFIELO 1 2 3 4 5 6 7 8 I 10 11 12 13 t4 15 16 L7 18 19 20 2L 22 23 24 25 26 ,osEPH tr PERRIN. P.C. ATTORNEYS AT IAW 777 HIGH STREET surTE 110 EUGENE, OR 9740I (501) 345{OOl IN THE CIRCUIT COURT OF THE STATE OF OREGON In the Matter of the Marriage of ALICE LORENE BLUME, Petitioner, and GREGORY ROME BLIME, Respondent. No. 15-90-08801 ) ) ) ) ) ) ) ) ) ) ) ) This matter came on for trial on April 9, 1991-, and the parties appeared in person and by and through counsel. The court heard testimony and reviewed the exhibits and now being fulIy advised, the Court finds that it has jurisdiction herein and that irreconcilable differences between the parties have caused the irremediable breakdown of the marriage. It is the further finding of the court that no children have been born as issue of this marriage. NOW, THEREFORE, IT IS HEREBY DECREED that the marriage of the parties is hereby dissolved and said dissolut,ion is finally effective on ae{hday of gH* les1. IT IS FI'RTHER ORDERED, ADJUDGED AND DECREED thAt: 1. Each party is hereby awarded the property in his or her possession free and clear of any claim by the other except as set forth below. 2. Respondent shall deliver to petitioner any and all documents in his possession, including, but not necessarily limited to, building permits, floor plans and other sirnilar L ENTERi.r.r riir{29 Egf ?, JUDGMENT OF DISSOLUTION OF MARRIAGE losEPH t, PERRIN, P.C. ATTORNEYs AT LAW 777 HIGH STREET surTE 110 EUGENE, OR 9740I (501) 145OOOl ll documents pertaining to the addition being constructed at 1135 MiI1 Street, Springfield, Lane County, Oregon. 3. Petitioner,s former name of Schafer is hereby restored to her. 4. Those facts required by ORS 107.085(3) are set forth in Schedule rrArr attached hereto and by this reference are incorporated in and made a part of this decree as though fuIIy set forth herein. DATED at Eugene, Oregon, this Edw E. Allen, Circuit Judge PETITTONER'S ADDRESS: 1135 MilI St.Springfield, OR 97477 RESPONDENT'S ADDRESS: 1150 S. 26th Springfield, OR 97478 tZ/.q day of April, l-991-. 2 1 2 3 4 5 6 7 8 I 10 11 L2 13 14 15 16 L7 18 19 20 2L 22 23 24 25 26 ( .. RESIDE-\tTIAL.. APPLLCAII0h/ PE[lllIT 225 North |th Street Springfield, O"eqon 97477 Buildtng Diuision ooF 20E2( uL)-O I Ut) 13, SPFlTNGFIEI-D I"tob Loc.tti:ttt: lsoessoro IIoP d Subdtttision: Ante t, rt\9 z resaonsibtlity of the permit holdet' tre'et. anC that the Permtt card is-p;i|t';u" ,ry;rot;ed pl'an slu:ll renttin tof the propertY. all Lines. ?cr tnt ll t^JO(\tA €.f{E.,JE BLuvne-*d^ Phone AG Zi to aee that al! tnspect'i.ons are nade at tle ptoper Located at the fronldiryt ::ion tlta Bu'i 26-3769 (teaortler) st:(tLa !!out' City Jes igrnted job nunber antl plane numbct'. tine, that ecch cddreas is iea':ab':e '. iob a&i!'ess' ttJPe of i'ncPec:tat' -Requeste receiued befcre 7:0C cn D7 Atldt'e:,s Ci IL is tlre )'rom the g , !ui.! di ng Lc ctt I': ! O.,' :: N 1," E F O N I N 5 P E C"I I O II .O.I.QYE :;T: C A L L 7 r'.:,7rresf .'J d.d D.t:t:rt tolt ilLLI l'e ready ]ot' l'iit tte nade the satne dcy, nequests mcde 'lo be nnde at'ter prtar tc set uP of P[,UM3 :;!:wx? pt.Lot'bo NIC, nsta LLa of No uork to inspcction Contractorri ot' Otmerg ru:me a!'ter' 7 :00 orr uiLL bc nade the ncxt uorki'ng day' Your City Desigrttted Job Nwnbcr fs: I N:;UI,A ttA I'o naCe {,u ticn requ:-red oaPor but beJbre anY tnLL couering i. ay insulation il :: t'!!: I ber uLes:.:aoaticn, forns.Larriers ate in Place l.ath, gYPstun baatC or :; applied, arul before is concealed. u :'t !tf:!t, t.A 8 !' t,ulttB I NC, E LECTI? I C,l I.,q itlti:u,:it.: 'lo be nade befot'e anY ,.ii*'i{,ioucred. t-|Ulj!!-:--l9l!!!UJ9!' ?o be made i;J'n;1;;;i;s ,tt'e etcauated aru{ li:rtns ore erected, but Priot' to PLtuPitig c'cnaret€. UN,!)!RC i:tittat;t:: 'l'o be nrt''1.'i'fi-t.n,n,')et. I t;r I1I:lFLt)()ll P tion or clecking. to DRYHALL INSPECTI)N: ?c be nade;f;a;-;nZ;i;n- b .in ptace' but Prior bo cttY taplng' MASONRI: Steel location, bond iiifrlg*outitq or uettiaals in accordalrce Dith u.B,c. section 2415 , y99W9!E: After tnstallab'ion is acnltle ted. CUIiB ,9 APPRCAT:I! At'iON: Alter .fonns atie eretLerl but Pyir;r' to Pourlng conctete. STtryHALK ,t DRrt!"t!!,!: For all con- Vrete parlirrJ aithin st?eet right- nf-rxti. to be naCe after all etca- iLt';"i,t'"rnptete 3 fotn wrk & sub- base inatertaL in Place. tl I T l 7;,,be nr ll r.,or tntnt P\:.:'f AND BEAII: To be natle pri'ot' to T;;s t" ftat ;;- of floor insulation ot' dt,:king. 4.J-1i4,w:ttL tlrcse inspections ltarte beer nktle ilLl dPlD'oDe1. 11 tr:,u'u,'tt t),ion Lo plccir4 facingI | ,,r:t".;,tis ,trul bcfore fratning inspee- bion. t'fiAf'!Ill, j: ttuct be requestetl af ter ,uiroo"L oJ' roulth plwnbing, electv'i' ,iil I n,',:lnrrtcal. Al! tooJ'ing l,ya,:ituJ 'P, chinmi:ys, etc. mtst be aornple tctl. llo ucrk is to be con- cec'Letl until tlds inspection has b.:cn tiddi: onrl aPPt'oUecl. IENCE: hhen conPlate -- I'YouiCe jit'6u "n motsable sections thnough P. U. E. r'r ilAL Pt,UtlB t ttc r I i'l,t t, r.![,:c M il I cA L I,' ! N A L I,: t,I: tI' lI I CA I, ALL pt,o,jcct aontltcitlns, suck cts tt.te "i.nstal^lation of s!,,eet t_fees' eolwletion of bhe requiretl Lantlscapirg,'-Lt,:., nat:tb be ,oti"f;;rt- b;;fol""-lt'n BUTLDTN-, FI1AL can be nequested' F.1NAL BUI;,DINC: 'lhe l"irutl Blrilding fnapectiott mtlt be reouested alten ttv linal Plwnbing (j'i'ri2i,'"tZl"l;li Xid ue.t n,i"':L rnspecb'iois'ha'uo been mad'e atd' apptotec' r ALt. r.l,1l'lllcl,t{: A DeseYibe filot'k: C,h.e"* 4,^* $rm [6D u'^fr Zo E 'r* ,",? P f'Ul <<- 1o -l VaLue ldtliticn ii,no,le l. Itatc of Applicatic lol't? c \|Zl CirC\,trt5 Date: al*clr-rA Rccei,t' sr-l ()il r1)llt t-il('t()l- (irncrrt I ['l urnlr irrg f,lccltittt lr-:l,t Strtt t-r I;vctt,)7--l l'l lt:ctrit iitti (lil.et:Lri-l:it DETIOLITruil OR )BUI Sanilaty ,*t* nPPr:id,",:,,,0;:fri:'? 'i",1 , Septic tank p:upecl and fil|ed u'tth gna:tel Final - lrhen abcue itens alle ecrnpleted and. uhen Cemolition is eanplete or $tnir- ture moueC and ptemises cleaneC up' llob'tLe Ilcmes Bloeking arul Set-uP Plwnb'tng connectione '- sa)e" and uater Elecbrical Ccnnection - Blocking, set-ue . and plwnbinq eonnections m:st be aPprctad iefon" requ-eating eleclrical inspeclion Acceacoril BuilCitrg Final - After pcnches, skirting, decks' etc. are canPleted. Ptl:e 1 of il rl l_l NI)CLl;ANOU',l:tltrrBI;:,lcct:;sT\tti,AI)J:I|T\IENITOBEN'4nr:11'lt)rcsTT0ct'ly n | --r L-COGJOB NO SOLAR ACCESS REQ.- t Fetlroons ,t(te [:Lot Faces - AacesallouseCaP,I, L'; st Iat So. Fto. 7 cf lct Cooeraqe LOT TYPE _ Intericr Co?ner Panhandte CuL-d.e-sac Iotal Height TopograPhY ! of Stories X Val.ue. rTcrTr:t't TOTAT, VAI,UE eS.D,C. 1.5 x Building Volue & Permit ThispermiLislpantedontheerpresscond.i.ttonLtntthes'ti'i)'c'trtttt';t"ti'"rtslaLl, in atl respccts,-.oi,1ir*'Lo th-e. ordinance edop.te'J l1y Lhe t,it1r ,';i ii,iiriftita, Lrrotl"al"g- the 2oniry1 crdinanc-e, 'l'elTulctittg tlu: actt::L i';i 'r ; ''ri and use of buildtngs,'"",i,,y bi'sucpende'l or ;euokaC aL ':ti'' L'-r:" ;t1" ''l. r'ir - tntion of a.ny proui.sions of sai,d ordirances' -- Fees -- !le-a ter Duilding Perwit Total Clnt'ges Sttate CNARCENO.FT:EITEI'I I'ittw'ea Residential (1 bath) Seuer Plumbing Permit No nerson shall constt'ttct, ins!al!', alLer or changc -t;ny 're?.ct' c':lstirit: iirjri'ti".'r2i"aziz-'ii"|n r1" r,toi." or in part, L,zl,tss such pet.s,trt i:: r/r,'.rnjo1-p"oo""rro, o1'o rllia pt*ranr,s Licens'e, elcepb Lhat a pc:,t;on ndi (l<' plut.abing uork to pr.$"ty-iniii-i" ou"na, Leased o'r operateri by Lhe,t;i,Li- cant. * Plu.nbing Pernit State Total CHANO 7zz-Naa/Eetend Cincuits Seruice o7 ve Electricol Permit IlhereS!;ateI'attrequit'esth.attheelectt'icalaorkbedonebyanElectrtcol' Contnactot', th, efe.trZi"t eo,tto"- of this -perrnit shall not be uali'd unti; the Label i*s been :;igned by the ElecLrical Co'tttactor' Total Stctc. CIIARCENC.ITXM rs bhanet llood Yent Fdn l,lcodstoi)e Mechqnicol Permit llechanicel Permtt -- ENCROACHMENT -- Parmit Cvt'bcu! Sida'talk L La.bel Mobile llone 'TOTAL AMOUNT DUE: A I)al;c fa'ttl Ile.ceiltt ll Signed: DaLePlant Etcmtrtet' I HAVE CAR1FULLy EXAMINED tlw compleLed appLi.cation fo-r permit' and do i"';.:;L; "i"7t,fy-ln"t aLL-in1o-:rnatibn hereoi is tnue and correct, and I n"llZi L"rtliiy that ong o,A aLL ao.rk perlorted ehall be dote i:t ac::o'" 'iinle- vtth thZ' Ordinri,c'ea- of ttte Ciq bf bpringfield, .an'l th.e La;a of thc iiTL if o"ngo, p"*toii;:ig "to the aoik Ces'cri-bbd herein, *,d !'nt No occ!!- pANCy r,/1L be rade "r'ii,i'ntr"iiiri ultto"t permisaion of the Buildtnit DL- Dision. I further certiiil that otly contractors and enplcyees t';t:o dr(' Lii Lrrpf i.or"n'rltt ons zol.bss uiLL be- ueed on thie ry'oiect Total * htl.;: z8-? i Permit fssuance I APPLICATi 225 Notth ith Street Sprtngfteld, 1regon 9?47? Building Dittision ? 26-3? 53 SITE INSPE*IQN: To.be nade aftet'ffirlonfri prtor to oe! up of forms. UNDERSLAB PLUI"IBINC, ELECINICAL A ny ffiiF-Fi6ucred, FOOTINO & FOUNDATICN: To be IACeAF;; t G areztcaoated and forns are erected, but prior to puring ccncrete. UND9RGROUIID PLU\TDTNC, SSIIER L l.t.tiTER- Tf,$-Tiinchee. r-:1 INSULATTON/VAPOR I'ARNIEN IIISPECTION :txt7 rcquined oapor barrtere ate in plaoe ': but before any lath, gyPaurn boar4 ot unll covening ts applied., atd befone' @ty inaulation is concealed. f ,-r D4YHA|,L INSPEtrI0N: To be nndo IXJIfG at|@Tra .in place, but pfLof Yo any tapLng. ..RESIDFNTIAL.. SPE'NGFIEI.D ,/PERMrr conotete. SIDEIIALK E DRfVWAI: Por all con- "r.ete@ Dlilfr etreat tight- of-tny, to bc nnde after all erca- vating caapleta & font tllonk t sub- base nstertal in Place. 0k- It io the reoponaibility of tle permit holden to aee that aLL inapectione are nade at the propar tine, that aceh cddreas ie readabie lrar the atreeb, and that the pormit ootd' ia Loaated at -Qhe ftolt of the-ptoperty.'tguildiwJ D.lviciot appror;od plan.slu:Ll remain on the Duildiryl Sitc at aLL tines. pt?gcsDupE Fon rNSpEr7!9N_RSglEsT:rCaUU726-3769 (recoyden) atate youn City deoigna_ted iob nunben, lob a&i.reaa, \Ue1 of inspe-c!^i-cn eadyforinopcotion,contfaotorooia,,,ere-,t,,,aLndphonenunbcn.Requegt8leceived,befole7:00e'tt,ill be tmde the eone dcy, requests nade aftet ?:00 on viLL be tmde the ncst:,nrking dau.u5' GAn, fi) "n ; rour ciLy Deaigr.atcd Job Nutnbet' rr, - \L[ :' I ( [ 4--l Date s--- E x fo E ?oSI,t!!! DEttM: To be nnde pniot toiifr-Ll.i|ltrol floon insulation ot decking. inspections have been I|ASONRY: Steel location, bond. dffiilgrcrting or uerticale in accordance tith U.D.C. Section 2415. of Ka vooosrovt: After inatallation ie I Xl anpleted. CURB E AP!!ele!!__AP!tOtt: Aftet fornsa";;;;;tAEt p;6i to poutins floon inau tion or decking. FI/iIAL PLUMDTIIG FINAL MECIIANICAL FINAL ELEEINICAL nnde arul approoed., Fil?EPLAcE: Wior to plccirg faoingAtffiG arul befone'fratning inopec- tion, F0AHINC: l,lust be requeoted after apptoual of rough plwrbing, el.ectri- cal E neclanical. All wofiryj btaeing E chinmeys, etc. mtet be . comptetod. No lurl,.k ia to be coF '.!eclc{ vnt"il this inapufien r,aa 'beo.n iiii<lc anil ippfri6€1, , ?ENCE: l{hen canPlete " Pt'ouiCejaGi ov nouable eectiono thtough P.A.E. AtL pnoiebt eonditione, ouch as bhe i.netall.atlon of atreet tnee1, crylotion.of t;E ".q"Znlla-io"aroipirS,|tu., mtet be satisficd befire the BUILDIN? PINAL.can be requeated'. FINAL BUILDINC: The Final Duilding fnspection mtet ba nequeoted aften tha final Plwnbing Elecbrical, and Meclanical Inapect:iono Tlrcloa been tada atd approved Job locaticn: Aeceacora Map ll t Tc,z Iot fl S\bdivision: Asncn: Phone: ci Address: Describe llork: t"C) T-l NeD rnt VaLue 3Date of additicn ntracEo Gener Plumbl l.lechanica t, ): Srrtre Iilec u r c lill-l OR Sani!a41 oet:et capped at ptoperty Line Septic tank p.nped ad fttled ttith gta:tel Final - l{hen aboue itans are conpleted and ulen dmolition ie oaaplate oP atrus' ture toved atd, premisea cleaneC up. llcmee Blooking atd Set-up Plunbing connections -- la,ter atd ualet Electrtcal Cctrneotion - Blooking, eet'uV and pluttbing conneotiona i*st be approt;ad beforc requeating eleclrtcal inapeolion Aaceasoog BuilCing Final - Aftcr pcrchea, ekirting, decks, eto. are canpleted. M ^At.t, t.lANilCrJ::; iND Ct,EtttlOUt'S tttt{:'r nt AC::E!;SIB\.E, ADJUS'l'ttl:tlt TO nl: MAI\I': /1'T NO CLTST T0 ef'lv tr Ptlto ! of :l L-CO *SOLAR ACCESS REQ.- BedvoomaGro. JOB NO. :3- t f.at Faees - Aceesa LOT ?YPE fnterton Corne? Panhandle Cul-de-eac -- Feee -- Building Volue & Permit Thie permit io granted on the etpreas oottdition that the said.-conatntction sllzll', in all nZapects, conforn'to the Ordinanee edopted by the ci'ty o.f Spning|ield, including- the -bning C'rdinance, regulating the ccnstntcticn aid ui" of buildinga,- and may \e auopended or reookeC at cng tine upon uic- lation of any ptooiaiona of eaid ordinancee. ?OTAL VALUE ,ITEM FTG x Va A i a7 t/0 r S.D.C. 1.5 r, Plan Cheek Pee Signed Date Paid: Receipt tl: Duilding Perntt Total Clntgea State Plumbing Permit No peroon shall conatruct, inatall, alter or clange -cnlJ neD _cr existing plitbing on drainage ayetez in uhole or in part, unless such petaon ie the iegal pbsdessor oia rt-alid plu benta ltcenee, ercept that a pe"son ^oy 4o-ptmtihg uork to propertg ihich ia oumed, Leased or opetated by the appli- cant. NO.FEE t t63 {o 3 Reetdenti.al (1 bath) Sewen Plwbtng Pernit 9tate Electricol Permit l'lhere State La,t nequites tlat the electrical uork be done by an Slectrical contractor, the electrical pontion of this permit elall not be oalic until the Label lae been aigned by the Electri.cal Contractor. Total , Nas/Extetd Cincuits Sentice ooI oo @ ^ Mechqnicol Permit ,Qo tulunat llood, llcodatoue Vent F@t Pendt lesuorca Meclanical Penit .. ENCROACTIMENT -. Sectritv Dawsit Storage I'b.intet'nnce Permit Cvrba* Sida'nLk Fence Electnical Label lilobile llone 7/rz/qo Total I ttAVE CAREFULL| EXA\IINED the conpleted application for permit, and do hereby certtfy that aLL infonrution heteon ia true and. cornec.t, .atd I furtier certi"fy that any o?a ott tntk perforned alall be dond in acoor' dance tith the'ordinances of the city of Spningfield, atd the ta";e of thc* State of onegon pertaining to the wrk Ceacnibed herei.n, and' *ltat N0 0CCU- PANcy btlll ble ruie of dny structure ui,thout permiesion of the Building Di- oieion. I further certifil that o:tly contractona axd etplcyeee uho are i.n ;THU';#Wf.'''j',ii\r'b*F!,r"fr f ilV"'''6'brLL,tlc C,V/y Ddrc/ I f - l3-?o ,MtqAf Aunttil,lr nilD. a 217,?/.t Dabe Iot Sq. Ftg. 7 of Lob Corterage_ ! of Stoies Total Height Topogruphy ITEM Fi.stwee 4 lJalon lotal Chanaes F\tnnaoa FVll'S I ?otal Clnroc-a Stata Swclume Permit No:ry Address lssued Date STATEMENT: INFORMATION NOTICE TO PROPERTY OWNERS ABOUT CONSTRUCTION RESPONSIBILITIES Note: Oregon Law, ORS 701.055(4), requires residential building permit applicants who are not registered with the Construction Contractors Board to sign the following statement before the building permit can be issued. Licensed Architect and Engineer applicants, exempt from registration under ORS 701.010(7), need not submit this statement. This statement will be filed with the permit. Fill in the applicable blanks, and initial box 1 and either box 2A or 28 1 I own, reside in, or will reside in the completed structure. 2. A.My general contractor is Contractor registration number I will instruct my general contractor that all subcontractors who work on the structure must be registered with the Construction Contractors Board. OR B I will be my own general contractor. lf I hire subcontractors, I will hire only subcontractors reoistered with the Construction Contractors Board. lf I chanoe mv mind and Eo hire a oeneralcontractor, Iwill contract with a contrattor'who is reoistered wlth theConstruction Contractors Board and I will immediately-notify the officeissuing this building permit of the name of the contraitor. I hereby certify that the above information is correct and that I have read and understand the lnformation Notice to Property Owners about Construction Responsibilities on the reverse side of this form. ?^ t3.40 Date CONSTRUCTION @NTRACTORS BOARD 02e) fit24tw COPY TO ]SSUING AGENCY PERMIT FILE p COPY TO APPLICANT @s '-\ w SPRINGFIELD CITY OF SPRINGFIELD- Department of Planning and De opment Building Safety Divisron 225 North 5th Street Spri ngfi e1 d, 0regon 97 477 726-37s3 (sus.) 726-3769 (InsP.) HOUSING INSPECTT APPLICATION 102ccG-lg -gcDATE: JoB ADDRESS: \ 135 OWNER.:S yw@a-, OWNERS ADDRESS \sf. APPLICAT{T : LOT<E-I-IE-c[*.$r- Rt r*.tne- APPLICANTS ADDRESS l.\ t It e FOR ACCESS TO PROPERTY--PLEASE INCLUDE TELEPHONE NUMBER: Woe-x* -7 ZTOL A $35.00 TNSPECTTON FEE rS REQUTRED AT TIIE TrI'tE OF APPLICATION THIS APPLICATION FORM MUST BE SIGNED BY TIiE OI^IT{ER OF THE PROPERTY TO BE INSPECTED. SIGNATURE FOR OFFICE USE ONLY TY OhINER DATE OF INSPECTION (t'm ,c7o RECEIPT NUI'{BER DATE PAID:L)DATE OF REPORT DATE OF CERTIFICATE COIO{ENTS: OMPLIANCE: t ..RESIDENTIAL.. /PERMIT SPFII^lGFIEI-.D APPLICAT] 225 North ith Street Springfield, 1regon 97477 Butldtng Dtuision 7 26-37 53 Ce-' Date # ,t /3{/t/r'/fsfiifJob [ocation: tas lot IAosessors Map # **uro,, /-r* ; 6het /a @ 1r* a+( Pla,r":Lt74?S Phone:7,///--) L I //.q i i/?.!) ,.1-tQ /c Address -.;efr'te-c- -boK'/OO Descrtbe htot'k: Val.ue NeD nDate of App Licattcn r //cf-'additicn RenoCel y'eru 5e '1. snfractors General P lurnb l.Iechanica cc Crica Srrpe Electrician11Sl-n DEtl)Lrrfill 0R Sanitary seuet, capped at property Lire Septic tank purped ard filled trith gratsel Final - I{hen abcue itens are eotpleteC and uhen Cer.al'ttion is conplete oP at!'1^3- ture moved od, prenises cleaneC up. Hcmes Blocktng od, Set-up Plwnbi.ng connectiona -- sarer ail uatet' Electtical Connection - Blocking, aet-u, and plwnbing conneetions rntst be appz'a;ei before requeeting eleclr,tcal inspeclion Aecelsor,'i BuilCi.ng pcrchea, ekirting, decks, Leted. Final - After etc. ate comp Pcge 1 of i': SIIE INSPEC'IIQ!,1: ?o be nade aftez' escao;ii-;;;-frt pz.tot, tc set up of forme. UNDERSLAB PLUMBING, ELECTRICAL & WCHAIIfCAL: ?o be nade before ang tlotk is eotleted. PO1?INC & FOUNDATICII: lo be rnade after trenches are eccaoated and forns are erected, but ptior to pouring ccncT,ete. UND\RCR1U\ID PLUMBING. SIWER, W.ATER, On$lle.ffi: To be naCe pnior to fil-Tfi'66rchee. UNDERFLOOR PLUMBING & MECflANICAL:of floor ineulation or decking. POS! AND BEAM: To be nnde Pri.ot to iiitaTTatlffo1 floor insulation ot' decking. ROUCH PLU!4BITIG. ELECTNTCAL & MECH- nmcnL: N-Lroik is to be couered ffilTthese inspections hatte been nade and approtsed.. ilPEPLACE: Prior to plccirg facingmaterials ard befote frotring inepec- tion. EEfiIllCt tlust be requested after apptoval of rough plwr'bing, electri- cal E nechanical. All roofing Ioun City Desigr,ated Job Nwnber fs: rNsuLA't' r)N / vAP{tR BALRr!! !!s!!!!!0N : roE ,"d" "ft.";L, lnsutiitci ail requit ed uapor baruiers are in place but before any lath, gypsun boarC ot' tnLL coueting is applied, and before ay inaulation is concealed. DRYWALL INSPEtrION: Ic be made pto?er time, that each addvess is readabl-e , nurnber, iob adit'eas, type of inspee=ictr nwtbet". P,equests receixed befcte 7:00 ct tt ie the responsibility of the pernrit holder to aee that aLL inapections are nade at the front the atreeL, and tlnt the petvrtt oavd ie Located at the ftont of the propenty,*Buildiyq biuicion approxed plan shcll remain on the Bu.:-Lding JiLc at aLL tines. PR7C1DUPE FoR INSPECfIgyngQWS!-rCaUl 726-3769 (t,ecorder,) state your City Cesi.gnated. job eadyfor,inspection,co,,ltt,actorsot,a,mersrtcneandphone'*ill be made the sane dag, ?equests nad.e after ?:00 an wiLL be nade the nect lmrking day. fite"nn &y-uaafis in place, but prior to any taping. ILASONRI: Steel location, bond \iffilgrouting or oerticals in accotdance uith U.B.C. Section 241 5. W))DST)'|E: Aftet installation ie atrpleted. CURB & APPRCACH 4?N!: After fornsu.. .r.e"tA-fuiV;G to pouring concrete. SIDEHALK & DRI'".EWAI: For all con- ct,ete paDTng-fiTfi; stneet night- of-?,aA, to be nade after aLL exca- oating complete & forn wrk & sub- base nw.terial in Place. ?ENCE: gatee P. U. E. Nhen conplete -- ProttiCe or mouable sectians thtough bracin4 E chinmega, etc. rruat be completed. Ilo ucr.k ie to be con- cecled until this inspection lae'been nade anC approted. \ I g2) FTTIAL PLUMBING PII,IAL MECHANICAL FINAL ELECTRICAL ALL project conditions, such aa the i.nstallation of alreet trees, conpletion_of the rnqrin"-d. Lantl.sccpitg, etc., mtst be aatisfied before the BUILDINC FIN*L ca.n be requested. \INAL BIJfLD\NC: The Final Building Inepection mtat be requested alten the Pirnl Ptwnbing Electrical, anC Mecharical fnspections hgue been made ard approrteC, *AT,L I4ATIIICLES AND CLTANOUT'{: III]ST BE ACL-ESSIBLE, ADJUSTIIENI TO BE I.IAI,1E AT IlO CCSI'?O CI?Y a) (-) 7ru SOLAR AC(:ESS REQ.-JOB NO.d Zone L-CO Bedtoona Ener(u Soureee ?gpe-[ot Faces - lteatSetbacks P.L House Can,aqe Accegs.Water lleater NoPth FireplaceEos t Woodstot;eSouth Weat Iot Sq. Ftg. % of Lot Cooeraga I of Sbrtee Total Height Topography LCT TYPE _ Interior Co?ner Panlnrulle CuL-de-sac Building Volue & Permit This pertn.t is granted on the ear)?esa cond_ition that the said.-constnlction slall", i-n all rLspects,- ioi'1ii "to the ordinance cdop.ted 6iy the lity o.f Spi.t"gyi.nta, incl'udtng- the Zoning Crdinanc-e, regulathtg the ccnstmtcticn i"a ""oZ of Luildings," and may be euspended oy, reuokeC at cny time upon oic- lation of any prcui.sions of aaid 1rdinances. -- Fees -- Value TOTAL VALUE s. D. c. FTG XITEM A *7.5 x Iotal Clnrgea Building Perwit State Date Paid: Signed: Receipt #: Plumbing Permit No person slnll consttact, inetall'- alter or ehange -any tuu-cr existing it*rtt"g or drainage syatan in ulale or in patt, unles_s s.ueh petson is the iegal p"oases"on o1" o uiotid pl*rbnr"s Lic-ensb, escept that a -pe?son '*! 4o- ptfitl.Lg uork to property ihi.h i" ooned, Leased or operated by the appli- cant, CHARGE Fi.ittd,es Resi.dential (1 bath) Sani Seuer Plumbing Pemit Stdte Electricol Permit I,lhet,e State Lan requirea that the electyical uork be ilone by an Eleotrical contractor, the el)cb,ical portion of this pernit stall not be oali.c. until the Label -has been sigzed iy the Elecbrical Contractor' Permi Neu/Eotend Circuits Set'tsice State lotal Erluttet Hood NC FEE CIIARCE ? Mechqnicol Permit Vent Fot llcodstote Permlt Issuanee Mecltanical Permit Secarity Depostt Storage Maintetance Permit Curbcu! Sidettalk Fence Electrical Ia.bel .AO Mobile Home PLan Eronlne!DaLe I HAW CAREFULLy EXAMTNED the contpleted application for permit, attd do herebg certify that aLL infotnation heteoi is true and eorrect, ami I furtkZr certiiy that any ard. aLL uork perforned slnll be dote in accor--dance fith the- Ordinancbs of the City of Springfield, and the Laas of the state of oregon pentaining to the uork cescribed he?ein, and tlut N0 occu- pANCy titl b"e nntle of any stnuetuye uithout permiasion of the Building N- uiaion. I fut,ther eet'tiii1 that only contractors and anployees uho are in conplianee dith oRS 701.055 uiLL be uaed on thie proieet TOTAL AMOUN? DUE: */s.?5 Signed Date Water Total Clnraes d " Rt5lurhN I lAL.. 225 NOrth Sth STTEEAPPLICATIONIPERI.UT SprLngfield, )regon 97477 Building Diutsion 7 26-37 53 Job Iocaticn:/35 Aesessore Mao # S'ubdiuision: Otmer: Address city: Desctibe llotk: SPFIINGFIEI.D tr(?7 lr\\N Additicn RenodeL e flome Date of App Licatian GeneraL Plwnbing tltr*Ud i -/8 -Date Yalue 3)-z- 3' ?a lat * Phone:-haas ELectyLcaL tlech.o:ieaL Co4gtnetion Lelder It ia the tesponaibi-Lily of the permit ttotdet to aee tlat aLL inspeetiotts oe nad.e at the p?ope! time, th61t sssfi :tt,itsss ,is vsasnhigiy.-tl" at?ee.t'. and. titat the-permtt_ead. ie Located at the fzvni of the propez,tg*Buiuing Diuiciol cp-prw-ed plant slnzl remain on tle s"i,/ai"b- iile'at aLL' fihes.' i PNOC9DUPE FOR INSPECTIOT,I R!)u|ST;CALL 7 requesced a-ci ahen you uiLL be ieady for'-iLZ be nade the sde dcg, n.qun"t"-r*i. 26-3769 (tecorden) state youz, Citg designated job nzor:bet, iob aCiress type of ir:soee=icninspection,Contractors or Oumers ncme cnd plane nwnber Requests receited befcre 7:00 cl7:00 on uLLL be nnde the ne.ct wtking day Yo?D City Desigra.ted Job Nunbet, Is:E{o0tcISITE INSPECTION: Io be nade aftet,e-ccaation, but prtor tc set up of forns. -- WDFRSLAB pLUMBrNc. ELECTRTCAL &)wns,tbfk Le Core?ed. I poprnic g rQunoarrcn: ?o be naceI aitet Drenches are ercaoated and. forms are ereeted, but prioz, topour.ing ecncreta.I TNSALA?TON/VAPOR BARRTER ITISPEC?ION : ?o be naae after aLL insulaticn ed. required oapor borie?s @e in pI.aee but before ory Lath, Wpslm baatC ot, tnLL cooering is applied, od beforeoty irculation is concealed. DRWALL TilSPEtrION: ?cafter aLL dryuall is in Sanitary saser capped et ptoper4i Lir:e Septic tank p:.nped dnd fnlled vtth gta;tel Final - I'lhen abcrse itens are camleted and uhen Cer.tcli,tion is eonpleterbr sttuc-ture moued otd. prerrises cleanai up. {''. ./ DEMOLTTIO!] OR I rllolnrrca! pru.nntc a rmcsnnrcar,, - '12 be maae p"ior to installation offloor insulati.on or decking. I P.1Sr 4tip BEAM: To be made pri.ot, toI installaxian of floor insuTa.tion oy deckLng. -1 ROt-tGH pLUtDIItc, ELEC?pteAL & MECH- 1 - ,until these inspeetiors lwtse been nal.e and approued,. I FIPEPLACE: prLot to placira fceinaI mcteriaZs and. befone froninlg irrpnl_tion. I FRlr:IttG: ttust be requested afterI app-tooal of rough plttrbing, eiectr.t_cal & nechanical. ALL toofirq .' btacing A chinmega, ete. ayss- 5.ieorapleted. Ito tp"k is to be eon_ .. ....cecled until this inspection ltae ..?bee.n na<ie anC apprcoed. ttenche€ FTilAL PLUMBITIG PIIIAL MECHANICAL FIIIAL ELECTRTCAL :'a ,t \,. SEhE.? To prdor to be made plaee" but prior to ang taping IIASONRI: Steel Location, bond beans, gtouting ot oerticaLs in accot<iotee LtLth U.B.C. Section 241 5. W)2DST)VE: Aftez, instaltation ieanpLeted. CURB & IPPRCACH Ap.o.ON: Aftet fortnsee etecteC but prior to pour"rng Qo., a I STDEWALK & DRfIEWAI: For aLL eott- cr-ete patting uithin stteet right-gf-txA, to be maCe after aLL ecca- rsating conplete & forn tptk & sub- base natet tal in place. nD^tnD. sA;; hhen conplate -- ProuiCe oy, mouable sections tlwough P.U.E, lll l ALL pnoiect conditions, sueh as the installation of street t7ees, colwlet?:on of tip \- required landsccpir.g' etc. ' tust be eatisfied. bcfore the gutlpinc FINaL can be requested.- ilNAL BUTLDTN|: The Final B-uild.ing. rnepeetion nwet be requested aften the Firal plrnbirqElectrical, otd Meclur.ical Inspectlon" 'tlrclun been nad.e- ind- ipp"oind. Hcnes Blocking otd Set-:,tp Plunbing eonnections -- aaie? o-d, ualer I Eleefu,icaZ Ccmnection - Bloeking, set-up and plwnbing connections mtst be apprcied before requesting eleelrLcal inspebtiol Accessory BuilCing Pi,nat - After pctekes, slirting, decks,etc. a?e conpleled. Page 2 of 2 ,ALL MANH1LES ANb cLEAttbws MUST BE AccgssrBLl, ADJasat{EIlr ro BE 1L4DE tr No ccsr ?o cpy eL (-, T ,' l tr tr JOB NO. Lot Sq. Ftg. Z cf Lct Cooerage_ ! of Sbrtes Total Eeight TopogrcPhy -. EI|CROACHMENT .- ?otal Cvrba* S(JLAK ALL;ts5s KtsV.- Gr.-a IM ?YE- Inter.ion Coraen Panhand.Le CUL-de-sac L-CO G' Beitoqts Lat Faces - Reeeipt #: EIWEcaniner ToFe f HAW CAREFALLY ZXA.I,IINED the eompleted application for perwit, ar1d. do hereby eettify that aLL information hereon is tmte and' eottect, otC I furth-et, eevtifA that any ard aLL wtk perfozned slall be done it acoot- dance rtLth the 1rdinances of the City of Springfield' and' the Lass of the* State of ?regcn pe?taining to the Lto"k Celcrtbcd herein, otd, that N0 OCCA- - PANCL'rttt tb rmd.e of dtA st"ucttt"e vtthott permissiot of the Building DL- lluision. f further c"rtt|y that otly contractors ad' enplcyees t)ho dre in- canpllance utth ORS ?01.055 aiLL be used on this proiect Sida,talk 9edze Mobtle Hatre TCITAL AMOUNT DUE:. lieat P. L.House Aeeess tor;e F?G Value TOTAL VALUE S.D.C. I.5 c Date Paid: Building Volue & Permit This pennLt is graated on the enpress eordition tha,t the sciid conetnaction sltaLl', in all iespeets, conform to the Zrditrorce adopted tig the City of Springfield, irchtding the Zoning Ctdi.nance, regulating the ccnstmtcticn otd. use of buildings, otd. may be suspet'td.ed or reookeC at ary tine upon oic- La.tion of aly prcoisione of aaid 1rdinances. * ,t Building Penit ?otal Charyes Stdte Sigred NO Ptrtr CHARGE Ftbhnea Residential (1 bath) Seuer Plumbing Permit No person sltall consttuct, inslall, alter ot ehange dnA neD cr eristing plutbing or drainage syst*lt in u?ole or in part, unless such person is the Legal possessor of a oalid phlnber's License, e$cept tltat a pe?son nay do phnbing uork to property uhich is ormed, Leased or operated by the appli.- eant. * Plunbing Pernit NO.FEE CiIARGE Nas/Eztend Citcttits Iatpcroy Sensiee I{he?e State tan requivee thai the electrtcal rwk be done by'im Eleetrical, Contraetor, the electrLcal portion of this permit elall rat be ualiC w*il the Lobel lne been signed bg the Electrtcal Contracto?. Total * Electricol Permit IYSM NC FEE CI]ARCE blunet HooC Vent ?a llcodsto;te t Mecharnicol Permit Permtt fssuorce Meeluaiczl Permit l,zo DC 0 rTEM 'llttot ?ato7- h-amea- YTII'S State Suvchcrqe Total- Chndes