HomeMy WebLinkAboutPermit Building 1984-5-14
J . ~
.1'1'.-
.. RESIl ~T1AL"
'faN/PERMIT
APPLICI
225 North 5th Street
Springfield, Oregon 97477
Building Division
726-3753
Job Location:
l q q 1 h-cu.:..v>> .
\ r } n A,",~S '?'5h
Lft:I7 Q I
AsaesGorz Map #
Subdivision:
Taz Lot #
Q.mep: ..lt~ 6? t-->o J J_(fIu
Address: I()q Q'1 ~ .ilhe..-J
City: X "(7\) rY
~_}?ol ~~: ~,._.
(. "", (' C~'-'-'1J AlA ~
.s.' ~~ f L( Value liS. 0-&0
n
n
NPM
Addi tion
~~Odel
n Habite 80m3
Date of App l ication
Contractors
Pr.one: '7 Wr ;2 J / I
Zip: 9 7 Y 7 7
Describe rfork:
~~
6
Address
. Receipt #
f.~ (n 7 q O<s
~ Cc90 C?~
-,
~
~
Siqr:ed:
Date:
.1 C!./
6-1'{'~'f
Lisc.#
E:r:vires
Phone
Genepal - &'L~
P!wnbing
Electrical
NtlcJrar.ic.:z1
Construction Lender
It is the responsibility of ths perrrrit holder to see that all. inopections a:t'6 made at the proper timl;:. that 2ach ~e88 is rea.ia:DZe
from ths stroeet, and that the permi t aard is located at the fPOnt of the property.
"Bui!ding Dividor: approved plan ehaU remain on the Building Sit;; at aU times.
PROCEDURE FOR INSPECTION RE:QUEST:CALL 726-3769 rrceol"derJ state you.r City designated job number" job addrcss~ type of in3pecticn
requested ar-..d when you win be ready for inspection~ Contractors or OlJne::"B name and phone number. Requests received before 7: 00 a':'l
r..'ill be made thl; same day~ requests made after 7:00 am will be made the nc.:r:t :iJOrking day.
Rp.mJi~pA r"~~p'qtir.~~
D SITe INSPECTION: To be made after
excavation~ but prior to set up of
forms.
O UNDERSLAB PLUMBING. ELECTRICAL &
MECHANICAL: To be made before any
work is covered.
D
FOOTING & FOUNDATION: To b. made
after trenches are excavated and
forms ClI'e erected~ but prior to
pouring ccncret~.
o
UND8RGROUND PLUMBING}" SEWER,_ W.1TE,~
DRAINAGE: To be nrlde prior to fil-
lir.g trenches.
O UNDERF'LOOR pr,UMBrNr. .e MECHANICAL:
To be made pr.ior- to in3talZation of
floor insulation or decking.
O POST AND BEAM: To be made prior to
installation of floor insulation or
decking.
D ROUGH PLUMBING. E'LECTRICAL & MECH-
ANICAL: No work is to be covered
.until these inspections have beer.
made and approved. .
D FIREPLACE: Prior to pZacir.g facing
materials and before framing inspec-
tior..
r':/( FRAHING: Must be requeDted after
l6J approval of rough plwr.bing~ electri-
. cal & mechanical. AU roofing
. bracing & chimru;ys~ et.::. m'J.st be
;" completed. No work is to be con-
.-'. cealed until thiD inspection has
~ be~n made and approved.
Your City Desigr.ated Job Numba' ID:
O INSULATION/VAPOR BARRIER INSPECTION:
To be made after all insulatwn a:".d
.. required vapor barriers are in p Zace
" . but before any lath~ gypsum board or
wZZ covering is appZied~ and befor'B
any inauZation is concealed.
O DRYWALL INSPECTION: To be made
after all drytJall is in place~
but prior' to any taping.
O MASONRY: Steel location, boiui
beam3~ grouting or verticals in
accordance with U.B.C. Section
2415.
O WOODSTOVE: After installation is
ccmpZeted.
O CORB & APPROACH AP.q()N: After forms
are erected but prior to pouring
con.::!rete.
, D SIDEWALK & DRItfEWAY: For aU con-
crete paving lJithin street right-
of-/iX:.y, to be made after all exca-
vating complete & form work & ~ub.
base materiaZ in pZa.::e.
O PENCE: Wher. complQte -- Provide
gates or movabZe sections through
P.U.E.
o
r;t.(o'3 C/r(
I DEUOLITIOH OR ;'.:OVE] BUILDIiICS
:=J Sani-tary Se'..16l' ::apped at ~op<:rt-:1. lir:.e
.=J Septw tank P-..:7ed and fiZZed uith ~Q;)ez.
--, Pinal - f\'hen above items are cc.-rrpleted I
--.J and when demolitior. is complete 01' stru.::-j,
ture moved and premises cleaned up.
I
I Nobi le Hemes
:::J Blocking and Set-up
:::J Plumbing connections -- scwer and Water
:::J Electrical Connection - Blocking~ set-up
and plumbing connections ~~st be approved
before requesting electrical inspection
~ Accessory Building
-.
--, Pinal - lifter porches~ sErting~ decks~
~ etc. are completed.
o
All project condition8~ such as the installation of street trees~ co~tetion of the
required Zandscapir.g~ etc. ~ must be satisfied before the BUILDING F:INAL can be request.zd.
~AL BUILDINC: The Final Building Inspection must be requested after the Final Plumbing
U Ei~~trical~ and Mechar.ical Inspectiona have been made and approved.
o FIliAL PLUMBIIIG
D FINAL MECHANICAL
D FINAL ELECTRICAL
o
'ALL MANHOLES AND CLEANOUTS /IUST BE ACCESSIBLE, ADJUST/IEIIT TO BE /MDE AT 110 COST TO CITY I Page 1 of 2
SOLAR A.ESS
Occ:upancl/ Gl'OU~:
LOT TYPE
IJOB
I Zona:
Lot Sq. Ft:;.
S of lot Covemg<
!I of Stories
Total Height
Topogrophy
NO.
<;jlfoWt{
lITEM
I Main
I Garaae
I CarvOl't
I AccessoI'l.I
SQ. FTG
TOTAL VAWE
S.D.C.
IVaI-UC)
1.5 x
Building Permit
State Surcharge
Total Cha......gea
lITEM
I Fixtures
I Residential (1 bath)
I Sani ta:ry Sew61'
NO.
Water
Plwnbing Pe=i t
State Surcr.arge
Total CharGes
I ITEM
/10'1
I
I
I
Res. Sa. fto.
N3lJIExtend Cirocuits
Temporary Service
Ele~tl'ical Permit
State Surcharoe
Total Cha:rc;es
IITSM I NO. FEE
Furnace ETU' S
E::haust Hood I
Vent Fan I
I ilOodstOV6 I
I
Pel"rrr'it Issuance
Mechanical Permi t
State Surcharae
'1'ntl'll CharnntJ
I -- ENCROACHMENT --
I Secu.ritl! D2003it
I Storage
I Maintenan::!6
Perrrrit
Total Charoacs
I Curbcut
1 sid_ lk
I Fence
I EZectr>ica l Label
I Mobile Home
I
I
ITOTAL AMOUNT DUE:'
Intel'iol'
Cornel'
Panhandle
Cut-de-sac
x
Value I
I
I
I
I
I
I
l.
I
c~d-.eo I
J . 7-- ~ I
33.zg I.
FEE
CHARGE
FEE
I
I
I
I I .
I CHARGE I
I
I I
I I
I I
I I
I I
I , .
CHARGE I
I .
I
I
I
I
I
I I
,'. {' I
~3S.2f ,.
REQ.-
.:
- ""
L COG ,., \
--- \~
T;'pe/Cor'.st:
Bedroor.;s:
-I t I Enerau SOUI'ces
. I Heat
I Water Yp-atpl'
I Range
j Fireplace
I I Woodo tooe
II
TilDe
I Lot Faces -
P.L.
North
lEast
ISouth
IWest
Setbacks
l House Carage
Acces[. I
Fees
Building Value & Permit
This permit is granted on the express condition that the said construction
shall~ in all respccts~ conform to the Ordinance adOpted by the City of
Springfield~ incZuding the Zcning Drdinance~ regulating the construction
and use of buildings" and may be sucpended or revoked at c:r:y time upon vie.
Zation of any provisions of said Ordir.ances.
Iplan Check Fee:
Date Paid:
IReodpt #:
ISigned:
Plumbing Permit
No person cOOU constM.lct" instaz.z~ alter or change any r.elJ or 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 trAt a pe~son may do
plur.,bing work to property which is OtJned~ leased or operated by the appli-
aant.
Electrical Permit
Where State La1u requires trAt the electrical work be done by an Electrical
Contractor~ the electrical portion of this pern/it shall r.ot be valid until
the label has been signed by the Electrical Contractor.
Mechanical Permit
.
PI.an Exarrn.ner
vaoe
I HAVE CAREFULLY EXA}.fINED the completed application for permit" and do
hereby certify that all info~tion hereon is true and corrcct~ and I
f.J.1'ther certify that any ar.d alt work pepfomled shalt bB done in accor-
danoe ,nth the {Jpdinanoes of ths City of SpringfioU, and th< L=s of tho
State of Oregon p~rtaining to the !.X:lrk described herein" c:nd that NO OCCU-
PANCY will be made of any structure withou.t parnnssion of the Building Di-
vision. I further certify that only contractors ar~ ~toyees who are in
compliance with ORS 701.055 will be used on this project
~> 4V2,~'/,---,
Signad 0
6/;tf!rf
Dati