HomeMy WebLinkAboutPermit Building 1989-12-14f/Job Locaticn:
?at Lot llAssessors Map #
Subdirtision
O,mer:.?Phone:Address:
I
7,42<*2tr*z-/,4n--rve "
Dat) of appLi"oti"n /2 -/?-8-7
Describe h'otk:
NP,t)
az>Value ?
Additicn
RenoCel
h.deafurvrS
arr
..REslDENTlAL..
" APPLICATT.
225 North Sth Street
SprLrqfield' ?regon 97477
BuildLng Ditsisio.n
7 26-37 53
RcceiPt ll v
Date
res
PERIIIT
SPFTINGFIELD
Contractors Address T-isc. l
General
l.lec nlc
EJrec t rica
Plurnbi
S.rpq-E''r-::s-L!g-lf ec t1i9 ia n
OR !.:OVED BUILDIi]CS
Saniloty se"ser eapped at propert'g Lire
Septic tank p";:ped and filled uith gralel
Final - l{hen abctte itens are ecnpleted
and uhen danolition is conplete or stru3-
ture notteC and prenises cleaneC up.
l,lobile Hcmes
Blocking and Set-up
Plunbing connections -- sa/)er' anC uater
Electrical Ccnnection - Blocking' set-up
and plwnbing connecti.ons m;st be apprcved
before requesting eleclrLcal inspeelion
Accescorg BuilCing
Pinal - After pcrckes, akirting, decks,
etc. are cornpleted.
Pc.ge 1 of ')
gIlE INSPECTIQ!: Io be made after
e-.aoation;Tut pr.ior tc set up of
forns.
UNDERSLAB PLUMBING, ELEC?RICAL &
MECHI-NTCAL: To be nade before any
ffiTAiaZoored.
P)1TING & FOUNDA?ICN: lo be naCe
after trenches are and
fotns ote erected, but ptior to
pouring ccncrete.
UNDERGROUIID PLUMEINC. S9'IER. W.ATER,
DRAII\AGE: To be maCe prior to fil-
T@-Ti6nehee.
UIIDERFLOOR PLUMBING & MECHANTCAL :
of
floor inaulation or decking.
P1ST AND BEAM: To be nade priot to
Ti&iTt&16{of floor insulation ot'
decking.
ROUGH PLUI4BIIIG, ELEC?RICAL 8 MECH:-
ANICAL: No uot'k is to be co"^et'eduntil these inspections haue beet;
made and approtteC.
ELPEPLACE: Pr.tor to placirg facingmate?ials and before franing inepee-tion.
FRAI.IING: ltust be requeated aftet,
approual of rough plunbing, electri-cal & meclanical. ALL roofing
braeing 8 chinmege, etc. trust be
eotnpleted. No uox,k is to be con-
, cecled until this inspection hae'been made anC appz.oued.
FTilAL PLUMBING
FINAL MECHANICAL
FINAL ELECTBICAL
TNSULATTON/VAPOR BARRIER IIISPDCTION :
To be made after aLL insuLaticn and
requ'lred oapor botriers are in pLace
but before any Lath, gypswn bcarC or
tnLL couering is applied, and before
ay insulation is concealed.
propep tine, that ecch cddress is reaCalc'-e
nwi;ber, iob aCit'ess, type of inspec;i-oi
nunbcr. Pequests recei"'ed befcre 7:00 ai
It ia the responsibility of tle pernit ho'lder to see that aLL inspectione ole nade at lhe
fra*t the street, at'd that the perrrtt catd ie Located at the front of thc- property.*Buil-ding D,Juicion appro"^ed plan,shall remain on the Building Sit; at aLL tines.
PI?OC9DURE FOR INSPEC?r1N R9?UEST;CALL726-3769(reeorder) state your City Cesignated iob
nequested, and. ul".en gou uiLL be ready for inspection, Cotrtractars or A,mex's ranne cnd pltone
'*'iLL be nade the eone dcy, "equests nade aftet 7:00 an uyill be nade the nect aorkirq day.
Ioun Ctty Desigrrtted Job Nwnber fs
tr
DRYWALL INSPECIION: Tc be maded$a-;ZfA{u;tfie in p\ac e,
but prior to ang taping.
MAS1NRI: Steel Location, bond
6ffilgrouti.ng or oerticals in
accordotce Llith a,B.C. Section
241 5,
ilOODSTOVE:
@npT;iA.
After installation is
CURB & APPRCACI A?!QN: Aftet' fortnsax,eA,ecteiEtj;lo" to pouring
concrete.
SIDEWALK & DRIITEI,|AY: For aLL con-
;;et;nau@-;liGl; street risht-
of-tny, to be made aftet, aLL e*ca-
oating conplete & fotn utork & sub-
base naterLal in plaee.
IENCE: hrhen conplete -- ProuiCe
@ or motsable'eectione through
P.U.E.
AIL project conditions, such as the i.nstallation of s+-reet trees, co:rplelion of the
required Landscaping, etc,, rmtst be satisfied before the BUfLDING FIIIAL ean be requested..,'
?fNAL BUILDIN|: Tlp Final Building Inspection nntat be requested after the final elwnbingl
Eleetrieal, otd, Mechanical fnspecti.ons hale been nade and appt'oued.
*AT,L IIANHCLES AND CLEANOUTS IIUST BE ACCESSIBLE, ADJUSTIIENT TO BE I'LADE AT NO CCS? TO CI?Y
t--l
.A
l
tr
Enet,ou Sources TuoeLot Faces -
ks Ileat
Ilouse Caraqe AcceBB,Water lteatet,P, L.
North
FireplaceEast
South lloodstoxe
l,lest
Int Sq. Ftg.
7 of Lct Coverage_
# of Stories
?otal Height
Iopography
LOT TWEJ
_ fntet iot,
_ Corner
_ Panhandle
CuL-de-sac
JOB c*NO.L-CO
BedroomsCtt
-- Fees --
This petmLt is granted on the eq)ress cond_ition tlnt the- sciid,consttwction
stnll', in a|-L rLspects, confonn to the h'dirance a-dopted by the City qf
springlield,, ineluding- the Zoning CYdinantc,e, r'egulating the ccnsttacticn
drA "Z-" of buildirqs,- and may be suspended oy yeuokeC at cny time upon uic-
lation of any prcrtisions of aaid 1rdincnces.
Value
TOTAL VALUE
Building Perttrit
State
Total Clwrges
F?C xITEM
7
a
dh^1<aD.U.V.
Date Paid:
Signed:
Receipt #:
Building Volue & Permit
Plumbing Permit
No pereon slnll canstmtct, install,r, alter. or ehcnge -any neu-cr existing
O1*rtli or drainage sA,ten in uhole or in part, unlees such person is the
iegol p"ossesroo oy-o uLlid pl*rbun,s Li.c,ensb, eacept that a P?lson may !o-
ptiiUl.hg uork to p,ope*ty uhich is ouned, Leaaed or opetated by the appli-
cant.
FEE CIIARCENOITEM
Firtw,es
Resid.enti,al (1 bath)
Scni Seuer
Plwnbing Perrit
State Sutehange
Tctal
Electricol Permit
were state Lar,t reqtires ttnt the electy,ical aork be done by,an Electtical
Contraetoy,, the elict?ical pot,tion of this pennit shall not be oaliC until
the Label has been signed by the Electu'ical Conttactor"
Nau/Erterd Citcuits
Set uice
State
?otal
Erhanst Hood
CIIARCENCFEEITgM
State
Mechqnicol Permit
Vent Fat
llcodstore
Perwit fssutnee
Mecltanical Pet'nrit
-. ENCROACHMENT --
Seeurity Deposit
Storage
Lbintenaree
Permit
C'utbcat
Sida,talk
Fence
Eleetrical Iabel
Mobi.'Le Honre
f HAVE CAREFULLy EXAMINED the conpleted application for petmit' and do
i"i:)ai Ziiihfa- tt "t aLL- info:matilon hereoi is true and eowect, an'c r
iiolll" i""t27y Ar"t ony orA aLL uo.t'k perf-otned sltall be dote in acco?'
'iiiee vLth th'e" Ordina)i"n"- o7 ihn Cify of 'springfield,
.artd the Laas of the
StiTZif 0tegon pertaining to the uoik Cesbribed he,ein, cnd tltat NO 1CCU-
anCy itt b"e ,w\e o1 ony" "tr-otut'e uithout petnissi-on of the Building Di-
ii"ion, I fu?the? c-ertif.g that only con-tractor; and ettplcyees dho are Ln
conpliance uith oRS ?01.b55 aiLL be-used on this proiect
Gr7*'>
/z-/7s2
TotaL
TOTAL AMQUNT DUE: ^
Signe.d Date
*
htrnee FT[] | S
Total Clwrqes
Sn,ehnrae
FD-16
FiRE DA}4AGE REPORT
OR
ELECTRICAL HAZARD
"7/aE/
DATE:rc /z ls1
TO:
FR0f*1:
SUBJECT:
Buil ding Department
Springfield Fire Departnent
Structura'l Damage to Build'ing
Address or location of building 5t3 S. 4+h S1-
Type of build'ing in
(Dwe 1 i ng, Sto l.larehouse, etc. )
Estimated value of building s 10,
Est'imated loss to bui'lding S / o,0o 0
Date of fire r-zl z({E1
Location of damage jn buildinq
(Roof , h/al I , Exteri or, intert'or, etc. )
Structural weakness as a result of the fire 0w ^o#A
( Eurned rafiers, I eams, Joists, etc.)
Additional ceriinent informaticn
Electrr'cal Hazard ,(
(hi i ri ng,0utlets, etc.)
cc: Vu)12-Ll- 77 e
S'iqned
Name of orr/ner
t
!D- 15
FlRE DAI4AGE REPOP.T
OR
ELECTRICAL HAZARD
"1/At/
$,\
DATE:ft /z ls1
TO
FR0l'1:
SUBJECT:
Building Department
Springfield Fire 0eparfirent
Structural Darnage to Bui i ding
Address or location of buildin
Name of or.,ner Be+". t( An , llzr----r-_-__'-
Type of building Si.,rb Q,"";1, b-rlliogJ
5 10, otnEstinated val ue of bu'il di no
Es timated I oss to bu i 1 d i ng S lo,ooo
Date of fire r2-l z( $1
Location of damage in building
(Rcof , l,.ial I , Exterior, interior, etc. )
Structural weakness as:a resul t of the f .ire hJo"e ^",*rJ
I Eurned ra f ters , Seams , ,-lo i.s ts , etc . )
Additional perrinent jnformaticn
Electrjcal Hazard
(l/irino;, 0utlets, etc. )fto 01 Ur*Aa-Y
CC:
Siqneo'
o'k"f t+,
SI
W
VuJ iz-4-zq e?
Rcc
Date
t|l.. RESIDFIITIAL..
22s North sth s;treeAtPPLrcATl''
/ PERI/Lr,
Springfiald, )regon 97477
Building Dioision
7 26-37 53
SPFIINGFIELD
Job Location:
la.c Lot tlAesessore Map ll
Subdiuision:
PhoneAddtess:
Otnrrtor*Ls
Describe h'ottk:
lWvalue
n
Date of App Lication
Addition
RenoCel
1S
General
an
IIlec trica
ctanElec tt:S rrp l:v
P lumb ing
OR !.iOVE' BUILDIiICS
Sanitary eeaez' eagtped at propertE Litce
Septic totk pu:ped and filled uith gra;sel
Ftnal - Llhen abcue itens a.t'e ccrnpleted
and ahen Cqtclition is complete or st"uc-
ture moueC and prenises cleaneC up.
Ilcmes
Blocking and Set-up
Plunbing connections -- satev and. uater
ElectricaL Ccnnection - Blocking, set-ui
and plwnbing connections mtst be apprcued
beforc requesting elec'-rLcal inspeclio:t
Accescory BuiLC:.ng
Eitzal - After pctehes, skirting, decl<s,
ete. ote cotnple'"ed.
Pege 1 of 2
It io the responaibility of tlte permit holder to aee that aLL inapections ote nade at the p?ope" tine, that eceh cddtess is reaCabie
from the atneet, and that the permit ca.rd ia Located at the front of Lhe propenty.*Building Noicion approu*edplan,shcll remain on the Building Sitc at aLL tines.
?I?0!EDUPE EoR INSPECIION E$W1!;CALL 726-3769 (recorder) state your City designated job nunber, job aCiress, type of inspec'-iot
eadyfot,inspection,Contyaetar,soioumn,"",o,,eLndphonenumbet,,.Pequestsreceiiedbefcre?:00cn
uiLL be nade the sone day, "equests nade aftet, ?:00 otr r,yill be made the nect;,nrking dag.
Iour Citg Desigr,ated Job Nwnbet' fs:
SITE INSPECTION: ?o be made after
e4;aoffi;;;-5ut prior tc set up of
forms.
UNDCRSLAB PLUMBING, ELECTRICAL &
MECH4IIICAL: To be made before any
uoyk is eooeted.
FOOTING & FOUNDATfCN: To be nade
;fri-rtencGs are e&caoated atd
forns are erected, but prior to
pouring ccncret€,
y!tpl!!l?gy! p pLaulING, Ewg,_ w4!!&
Wi;fil-
T@-f,ienches.
UIiDERFLOOR PLUT,IB ING & MECITANICAL :
of
floor insulation or decking,
POST AND BEAM:iiiiiTTitGTof
deeking.
priot,to
o!
INSULATTON/VAPOR BANRTER IIISPECILOY
To be nade after aLL insulaticn and
required uapor batrie?s are in place
but before any Lath, gApsun boarC ot'
tnLL eooeringl is opplied, and before
oty insulation is concealed.
DRYI,IALL INSPECTI)N: Tc be made
after aLL dtyuall is in pLa.ce,
but prior to any taping.
MASONRI: Steel Location, bond
didilgrouttng or oerticals in
accordotce Ltith U,B.C. Section
24L5.
WOODSTOVE:
ccmp|;tA,
After installation is
CURB & APPRCACH APP,)N: Aftet' forns
at e e/,e"t;AEt p;G to pouring
eoncrete.
SfDEWALI{ & DRfVEVAI: Fop aLL con-
;"et;na,rfr-;ltd; street right-
of-uny, to be made after aLL erca-
oating eomplete & fom unrk & sub-
base material in place.
ANICAL: No
ffiiTthese
made and. approueC
FIPEPLACE:
nate;l;G
haoe been
PrLor to placirq
and before fratning
facing
inspec-
tion.
FRA\'|INC: l.tust be z,equested aft,en
apptooal of rough plrorbing, electri-
cal & mechanieal, AL! r,oofing
bracing E ehinmeys, etc. rntst be
completed, lto uork is to be con-
cealed until this inspectLon lws'been nade anC approoed.
FTilAL PLUMBING
FINAL MECHAIIIICAT,
FINAL ELECTBICAL
ALL project conditions, sucl't as the i.nstallation of slreet trees, conpleti.on of the
required Landsccping, etc., mtst be satisfied before the BUILDfNC FfNAL ean be requested.
ilNAL BUILDfNG: The Final Building fnepection rrust be requested aftet' the Final Plumbing
Electrical, anC Mechanical fnspections lleDc been made ad. approueC.
*ALL MANHCLES AND CLEANOUTS MUST BE ACCESSTBLE, AD,rUSTuEilt TO BE t't.4DE t? N0 CCST r0 Cny
[-l ,,,,
I
F-1 rmctt h4ten conolete -- ProuiCe
L) gffi; on mooable- sectione through |_lP.a.E. L__l
Page 2
Efle?au Sources IyoeLot Faces -
lleat
Ilouse Caraqe Access.Wate? lleate?P. L.
No?tlt
East Fireplace
South Itoodstor-e
l'/est
Iot Sq. Ftg.
X of Lct Cotserage
ll of Stortes
Total Height
Topogz,aphy
\-/
LOr rwq
_ fnterior
_ Cotner
_ Panhandle
CUL-de-sac
^*G
Ct,
JOB NO SOLAR ACCESS REQ.-L-CO
Bedrooms:
-- Pees --
This pennt is granted on the ecp?ess condition tllat the sciid-constnrction
slnll', in all rLspects,-.on\it^io the hrdinance adopted tiy the ci'ty 2fSptingfield, i.ncluding- the Soning Crdinanc,e, regulcting the ccnstmcticn
""a "'i" of Luilclinls,- and may be suspended ot, yeuokeC at cnA time upon oic-
Lation of any prclisions of said ot'dinances.
Value
Building PertnLt
State
Total Clnt'ges
F?Gr?EM
A
S.D.C. L.5 x
?OTAL VALUE
'DC
Signed:
Receipt #:
Date Patd:
PLan
Building Volue & Permit
Plumbing Permit
No pereon slal,L consttact, ins!alL,, alter or etnnge -any nea-cr eristing
i1*rtti or drainage systan in ulol.e or in pa,t, unles.s such pe,son is the
i"gil p"o"tn""on oT"o r"nlid pl*rbnr"s Ltcens-b, etcept that a Pe"son 'aa qo
pti^ttig uo,k to p,opet'ty uhi"h i" otned' Leased or ope*ated by the appli-
cant.
Pllnbing Pernit
FEE CTTARGENO,
State
Fishttes
ResiLential (1 bath)
Sani Seuet,
Electricol Permit
wet,e state Lau requites that the electtical uork be done by _an glectrical
Cont?actoy,, the elicttical pottion of this perrnit slall not be oaliC until
the Label lns been signed by the Eleettical Contractor'
Total
NOI1'El\t
Nau/Ertend Cit'cuits
Setoice
T'EE CIlARCENCI'I!M
State
Mecharnicol Permit
Vcodstooe
Vent Pan
Exhant Hood
ETU, S
Penftit Issudnee
Meclnnicel Permit
-- ENCROACHMENT -.
Sec.u"itu Deposit
Sto?age
I,laintenance
Pcrmit
Cutbcu!
Sida,talk
!ence
Electrieal Label
Mobile llone
PLant ErcmineY
rHAwCAREFULLyExil4rNEDthecotnpletedapplicationfo.l,perlnit,anddolii:iti ."rltfy that alt infornatiZn heteoi^ is true and correct, otd r
f"nlil" "nntZ"1y
that any o"d otl uo.rk pe1:f-o*:ned s?nLL be done in aceot-
'dar"e wtth thZ" Ordineic"es of the Ctty'of bpringfield' .and th-e taae of the
state of ht'egcn pertaining to the uoik Ceicribbd henein' cnd tlnt N0 )cc!-
PANcy ltill be rmCe o1- "'y" "t""eiwe uvLthout permissi-on of the Building Di-
uision. f furthcr certifg that only con-tracto?a and anplcyeea uho are Ln
eonpltance uith lRS 701.-055 ai-LL be uaed on thie project
TotaL
/*p
,IOTAL, AI,TAUTlT DIIE: *J3 h3
Date
-12
x
rTEM
l,laten