HomeMy WebLinkAboutPermit Building 1989-11-6
.. RESID..T1AL"
APPUCATION/PERNI7' .
225' North 5th Street
Springfield, Oregon .97477
Building Division
726-3753 t.
SPRINGFIELD ~I.I ",
~
H.;ce:.pt.
IbQ-Q3'
",
.
.Job Locati::m: R3~ t-{"..., ,.::) J 0x..._i-
Aor.cnnor:: Nap N 'l'a.-'C Dot II CF-
,'1ubdivision: rR" ,,.) how I?sJ"k;- L..JUi '1
Ot.m~r:
f:.1.",- l . H,....< r
AddI'a"": 103/ ",,<I.I,~,... P ~",-
e~\.#-'L .il..-~ ~
"
City:
rx1
n
n
n
. Nm.l
.1ddi ticn
Remodel,
,'.fobile lIoma
Phone: '-IdS-?/} (.,
Zip:
tf'7" p/
Der,Cl.i.b,~ II'Ol'k:
s.-rR
Data of Applioation /D/~J IJ" Val"a J'S: (JO;)
Cont r;,le tors Add rpss Li sc. 11
" Gener:ll r~ i: ~ ~a.Jll\<..~ >_ ';?.. 'If'?
i PLumbing f,~~. i-lu.....J':'" I1H t6-1...:..,it ,;)OIlJ
\" t:~"chal~L~~l 12....4-. i1.....k:::::.. J?w $' ,Vii i!..<l ;JdL'.t(:J
El",.tucdl I J 0 -'. r~ "-- /l..1..~.)
I SUDervising Elec;tr.ic j:ln _ -.~ A. lJ.o.--W....Jl. '7-7 oY~
(.I-.U)' .
1/'0~87
Sigr.r.d: d? ~
Data: /o/~.1J'7
III.d rs H,>;, rd J{C'c.
E~~p:i r('s
1./90
r.ifo
..V'ic...J
P!JO!1C'
i{.s.J- 3 i7 Jo
7 " I -, 7J J"
7o.J/-cJoOL
It in tire responcibiLity of the permit holder to slJe that all innl'o?cUon:; are r.;ada at the" pl'o;;er timt;~ t.,l;at l:cch Gddres:J is rea::abZe
from the street. and that the permit card in locate.d at tho? fl'Ont of tlU1 p,'npo?rty.
~Bl(i!di"l{l o.~vidor: approved plan ahc.U l'e.m,Iirl 011 illa BII:..ldb1rr sU,,; at all timGs.
P,'WCSDURE FOR INSPECTION RE..QUEST:CALL 726-3769 (rc~ol'dlJr) state yOUl' City dC31:gl!..7ted ,job lIw;;ber. dob acc:.rc3::J t!lpa of itt.Jpec~icll
raque,'Jtcd ar.d w,1:rm you wi"ll be l'eady for in.'3pcctioIlJ Contractor!, 01' O1,IIWZ':1 IU""Jne ,,:nd phone number. RCqW;Htr. l':,;ceiued befel'e 7: 00 ,-:::l
:..'ill be made the same dcy~ requesto made afta 7:00 am ",iZl. bs made tho next :.JOrhn.j dab'~{) 1/4"
Your City Deaigl':ated ,Job Number I[;: r=JL U
Rl?Ofd"Y'.l?d Trl1m,,(!1;1:r.nfl
r17I SITE INSPECTION: To be made after ~ IN!i[Jf,/1TTONIVIlPOH r;.IlHR[F-:R f.'18PE:GTlOll:
~ excavation. but prior to set up of To be made after all /:1Uml,..ticm a.':(/
fonna. /r ~~ yE#c::".:!>e.-'/Y7c:f51? requ-:..red vapor hm'l'icl',': m'e in place
O VNDERSLAB PLUMBING. ELECTRICAL & . but. cefore .any ,latlz~. qUpr.Wl1 bCal.J or
MEClIA.vICA[.: To be made before any wl.l .covcrt.~a t.~ npp"lwd. and before
lJOJ'k is .:1ovcred. any t.naulat1.011 t.G conceal.ed.
~
FOOTING l FOUNDATION: To be rrade
aftor trenches are excavated and
forms are erected~ but prior to
pouring ccncret~.
W.,tDSRGROUND PLUMlJING; SEWER, W.1TF..?,
DRAINAGE: To be made prior to fil-
l.ir.g trenches.
fNl-UNDEl?FWOR P[,lIl.,'BING " MECHANICAL:
LllJ To be made prior to in3tallation of
fLoor insulation or decking.
[LJ
[K]
POST AND BEAM: To be IT'.ade prior to
il1atallatioll of floor insulation 01'
decki1l!j.
ROUGH PDW!BIllC. Er.ECTR!CAL " NEClI-
ANICAL: No work is to be cOI..'ercd.
w:ti l these i1wpections have bem-:
made and approved.
FI!?EPr.ACE: Prior to placir.g facing
materials and before framing ins~ec-
tior.. ~y~ /ff':"-<-I"E
FRMHNG: Must be requeated after
approval of rough plwr;bin.g~ alcctr>i-
cal " mechanical. All. roofing
bracing & chimney.q~ etc. nr.J.st be
completed. No work is to be con-
, cealed until this inspection haG
. bt;en madf) and approved.
~
lZJ
[ZJ
[lJ
DRJ'fIAU, INSPECTION: Te be made
after' all drywal.l ia in place.
bu t pr I:or' to any tn[n:lIO'
MASONRY: Steel location, bond
beam3~ oroutillg 01' vel,ticals ill
accordance with V.B.C. Sect.ion
241.5.
fIOOD,';TOVF:: Ilftm' ill:;I:aLlation ia
ccmpl.ai.-:d.
J DEtiOT.ITION OR .~;OVt:[; filfJr.OIi,1C:;
: ~ Salli~i11'Y [lr::.Jr:l' ::apped at p~op<:rtii linc
=.J Scpti:: tank p:<.-:pcd and f1:LZcd with gra;;eL
I Final - f/har. ab<:vG ita'ns arc ccmpletcd
~ m:d when :ip.J:IOZitio1: is complete 01' st:-u.:-
ture moved mil. Pl''':::'Ii3eS .:~laanad up.
I
Mobi le Hemes
7
~ Blocking and S~t~~p
~ Plur.:bill(} c;n;icctiGns GCWGr Q1u! !Jater
~ Electl'l:Cr.l Conr:ection - Blockil1(!, set~up
- ~ (md pZwllbl:ng com:ections ,..r..ot. ce approved
before requoatillg e~ec~rt:~al inGpec:;io.-:
o
[K]
[E]
CURB & APPROIlCH Al',o/JN: IlfLm' fonn; ~
are al'rwtcd but pl'im' to pouring
.:wn.:::l'cta.
~~AC'::CG:;Ol'U Buildi11(!
I Final - /lftel' r=)l'ci;eG~
~ etc. w'e completed.
ak~rting. decks,
0J
SIDHlIAf.X r. DRIl'b1/M': Fat' all con-
crete pavil1{J within r.tl'cr;t right-
of-wc.y~ to be mad(~ aj'tm' all exca-
vating ca.npLctQ & /,OY':.'1 IJlOrk ,~ Gub-
. ba::;e material 'in pW:Je.
o
AU proJect conditio1I3J ~lUC.': an the l.:,u;taUatioll of sf-rcct trae:;, c:o.'.'lplctioll of til!:
required lalllfr.cc.pir:.g. etc,. Immt be r,atiGfiad before tJ:a BUIl,DINC FI,'ML can bG r{Jquest:zd,
[XI FIIlAl. PLUMBII1G
[ZJ FINAL MECHANICAl,
ILl FINAL ELECTRICAL
o
(0
FIN,1l. BUn,DING: The Finnl BlIUdi1l0 InGpcctioll must ba requested aFtr;l' the FilIal PlwnbillJ
Elcctl'ical, and Nachar.ic,"l II::;pect:.O/w have bean mada alld nppr'ov.;d,
''/IT,[, /1ANllCLF::S AND CLF.ANOUT$ MIST Dr; ACCESSWLF:_, An.TlJST;'r~m: .rO~ ~E 1.:.Il/?E ,1T 1.'0 C}ST TO CI'IT
o
I'ENCE: '''her. compz,;te -- Provide
gateG OJ' movable aGctiol1:; through
P.U.E.
0J
,:;//",Eil:r J;.iz?c.e-e- .:>
/pal:"
of 2
I JOB
I Zone:
I
NO.~//slp
Ll/.7-5 '
1.5&5,
2-67",
J
Type/Const: .
L-COG~
SOLAR ACCESS REQ.-
Occupancy Gr.R. :3
WT TYPE
Lot Sq. Ft..
~ ~f lot C~verag~
,~ of Stories
Total Height
Topography
I
'2.0'+b"
O-'Z~
L
Interior'
COl"ner
Panhandle
cur-dc-sac
GcJ'aae
Ib8~:
tfbO'
1L/t\.XbO '78va;~tf
1;4.10 10>1-8(;,
ITEM
IMain
I SQ. FTC
Carper t
11cccssor'1I
7'DTAL VALUE
t- (l)ct.ucJ
S.D.C. 1.5 x
Building Permit
State "Surcharge,
Total Charge3
I JTF;M f.iV. I FEr:
I Fix;~es
I Residenti6.Z r2batllJ
I Sanitary Sewer>
I Water
I S+-o"'''' J.r()~"'h
Plwnbing Perr.:i t
State SUJ'{.!r.al'ge
Total C1u:rGes
IlT6~1 .~O. r FtE
I Res. So. fta.
I NilL)/Extcnd Ci'I'C1.d ts I
ITCmporaJ'Y Service I
12..00 AMP 5E:r'l.\Jlc:..~ I
Ele:::tl'ical Permit
St~te Sur:::harqe.
Total Charc;es
IITgM NO. FEE
I F'urnace HTU' S I
Exhaua t Hood II
3
:1
It I
.. , '-A";'i
~_:.....~~ _._.....~ r~'; 4'..._'__
Vent Fan
I Woods to:)c
I
dr"lf/r II~-t-
j
Me::hanic:zl pcr'lrit
State sw'chc'1"nc
Total Chn.~!J
-- ENCROACHMfNT --
Isecurit~ Dzvosit
Storage
Maintenance
Pcrnri t
Total ChalYTaS I
"2h '
1i?Y'
,
~C\trbcut
\ Sidewalk
I.r;>an::a
I Elec trica i Labe l
I Mobi le Home
I
I
BS,ooo.O(
1,275.00
1
388,00> I
19.'10 I
L/o7. 'f0 ] ,
CJlAHf,'E,'
52.50
2.0.00
IS.e",
-::?tJ.oo
107.5"0
5: '3& I
1/;l.82> I,
C'HARC8
37.$"0
15.00
37.5"D
90.00
1.'5D
91./.5"0 ,
WARe;:
b.oo;>
Lf. SO
C).oo
15.00
3.'::>0
39~ .-5"0
I,~
7'/: :ye.
J '3. "U>
'Z'2.bC>
'TO'I'AT. AMOUNT DUE: '*
#1'767. 76
Be41'00lJ/s: 3
Noyfl,
Setbacks
I Jlouse I Cm'age
IR'
I I 12'
I z. J: I
I 1 Enerqy Sources
II Heat ~5.
1 I Water .'Ip.atp.';' ~
I I Ra"ge ~~.
I I I Firevlace
I 1"/1 Wood" toue
II i
Time
I Lot Faces -
I
L P. D.
fNol.th
IF.ast
Sot.th
IWest
r.A
I Aeec:;:;.
I
i
I
Fees
Building Value & Permit
T}lia pel'mi t io granted O~l the express condition that the tJdid constl>uct"ion
s}wll, in aZl respects, conjo~1 to the Ordinance adopted ay the City of
SP1'inaj'ield, inc!udina the Zoning Crdinance, regulating the ccnstrz.lcticn
and uve of buildings, and m:J.Y be su.spended or revoked at cr:y time upon vic-
lation oj' any p1"avisions of said Ordinances.
'Plan Clleck Fee:fJ-,'i!:).;J-O
Date Paid: /0',::):5- ~7
Recdpt II: lS:;J.11., ~
SiU!'wd: t:::1 ~ )
Plumbing Permit
No pel'~on nhall construct, instalZ.. alter 01" change any new 01" e:::isting
pLwnbi~zg 01' dr'ainage syste:n -i.n whole or' in part.. unless such person is the
legal possessor of a valid plumber's license, except that a pe~son may do
plw..:bing /Jork to propel'ty which is owned, leased or operated by the appli-
cant.
Electrica I Perm it
fihcl'e State f..mJ 1"equil'cs tr.at the electrical work be done by an Eleatrical
Contractor', the el.ecb.ical portion of this permit shaLL r.ot be valid until
the label has been signed by the Electrical Contractor.
Mechanical Permit
4~~~
$' "3f/-$7
Date
I H,1VE CAREFULLY EXAMINED the completed application for permit: and do
hereby 'certify that all i~fo~mation hereon is true and corrcct, and I
further certify that any arn all work pe1"fOl~ed shall be do~e in acaor-
dance :.nth the Ordinances of the City of springfield.. and t1u: [g..JS of the
'* State of OregQn p~1'taining to the work described herein, and that NO OCCU-
Pfo.NCY will be rrnde of any stl'uctUl'Z without permission of the Building Di-
vision. I further certify that o~ly contractors and e~pl~yees who are in
compliance with ens 701.055 wiU be used on this project:
oo>~
:~~/1J
1,-
Signgd