HomeMy WebLinkAboutPermit Building 1989-3-21
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APPLICA.N/PERMIT
225 North 5th Street
Springfield, Oregon 97477
Building Division
726-3753
If
.lob Loc:lticm:
7il76 /'1<<'''1 S r
\ / I D 'J, ~ ~ C\ \
Assessor.: Map #
Subdivision:
tA.mer:
A .. n", /-10.. / /
7076/'1'0..';' ST
5pr/~<FI eld
Address:
City:
il
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Nm,)
Ta:r Lot # CA '6 [YJ
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do
Phmw:
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Zip:
Descr:be tl/oY'k:
Addition
3'-Xc?' u r;/,'Ty (fm- t-I3a74
t<; Tel. <'VI
:fobi la Homa ()
Date of Applicaticn 8. lo . ~-\
Contractors Address
General 6al'o elr <fS"Vl .......
,Plumbing ~t\.. D\'\\C\J:\., \)~
I t'lechanical _ -, --
I Ele<:crical \~C\.~n\\ <r \l.Q[':t:'
lSuper'Vis;l}"!A Electl)cial'l
Remodel
Value
o
IIpocJ ,170
Rcce-:.pt ,II
13111
,
Siqr:ed:
Date:
CL
-Q,-- d I - k Cj
;...
Lise. II BIdrs Iloard Re\!.
2 7 J I 2. --"':>
~ \?~?-,\
Expires
G -/7.,r$'
Phonp
7'16-f6tJ3
'f'\ ~L\~,-'JfJLlf'\L.
TD
Your City DeDigr~tcd Job NumbGl' Io:
~NSUJ;ATION/VAPOR BARRIER INSPECTTON:
To be TDade after all insulati~n a~~
equired vapor barriers are in place
but cefol'e any lath, gypsum boal'li or
tJQll oovering is applied, and before
any in3u la tion ifJ oonoea Zed.
r\:/f DRYWALL IllSPECTION: To be made
l6.l aftel' all dl'YLJaLZ is in place,
but prior to any taping.
O MASONRY: Steel looation, bona
beams, g~ting 01' verticals in
accordance with U.B.C. Section
241E.
O WOODSTOVE:
ccmpleted.
After installation is
It is the reDponDibility of the permit holder to see that alL inspections are made at the proper time, that ~ach ~esD is readab:e
f7'Gm the street, and t'hat the PC'I'mit DaM is located at the fr>ont of the property.
4!Jui?.di.'1{] Diui::ior: appl'OI)cJ plan Dlu:.lZ l'emain on tha Building Sit,; at all times.
PROCEDUHE FOn INSPECTION REpUEST:CALL 726-3769 (reoorder) state your City designated job number, job address, type of in::;peo;ic/;
7'equcsted ar:d when you. will be ready for inspcotion, Contractors 01' OWners ncme and phone numbel'. Requests recei-ced befere 7: 00 ,-::;
:..oill be made the same day, requests made aft<'Jr 7:00 am !.Jill be made the next :.JOrking day.
pr~J) \ 'l ')
.q~f1Jn:rPfl rn!JrJt'~ti(m.q
O SITE INSPEC'!'ION: To be made after
excavation, but prior to set up of
fo1't1ls.
O UNDERSLAB PLUMBING. ELECTRIC,IL &
NECHANIC"AL: To be made beJol'e any
WOl'k is .::ovcred.
t'\71 rooTING ~ FOUND,1TION: To be made
~ after trencheD are excavated and
forms are el'ected, but prior to
pou,.-ing cencre t~.
UNDERGROUND PLUM?3!NC, SE/fER. W.1TER,
DRAINAGE: To be made priOl' to fil-
lir.g trenches.
o
~
UNDERPLOO~& MECHANICAL:
To be made' ~. ~V~ ~~ inataZlation of
fLoor inoulation or decking.
r\:/f POST AND BEAN: To be made prior to
~ installation of floor imn.Zatior. or
decking .
I':7r ROUGH ~LUNBI!H/:-Yf~!-rX:T.'LTr.irl ,~
k:::::::l ANIDAL.) nv ";;r~ ~il co ve eo/..'7Jrr'm1
~thcse inapectior.a have beer.
made and approved.
O FIREPI,ACE: Prior t'O pZc.c:ir.q facing
materialll and befor'a [t'aln-ing innpec-
tior..
~
FRA,'!JNr.: l>tuct be requantad n.fter-
approval of rough plwr.bing. <!1-eetJ-i-
cal & mec1uJ.ni<!al. At'!. J'Ooj'ing
bracing & chimncyn, et~. nr~st be
completed. !lo 1J:>1'k is to be con-
cealed until this inspection has
~been made and approved.
D CURB & APPROACH APRON: After> forms
are erected but pI'ior to pouring
.:;!oncre te.
o
SIDE/{ALK & DR.Tl'Er{IlY: For all con-
crete paving within street right-
of-way, to be made after all exca-
vating complete & fonm work & sub-
baee mater-ial in plaoe.
DEMOLITION OR ;~"OVED BfJILDIilGS
~ Sani tary BeJel' ~apped ~t p~opcrt.y li."':e
=:J Septio tank p-.c:1ped and filled !.Jith gra;;el
---, Pinal - m-zen ab..."'Ve items are ccmpleted
~ ar.d when demolitior. is complete o~ Stl~~-
ture moved and p~e.mi3es aleaned up.
Mobile Hcmes
~ Bloeking a>>d Set-"p
:::J Plumbing conneetions .- sewer and wa:er
:::J Elcct~iaal Connection - Blocking, set-u?
and plumbing connections ~~st be appr~-ce~
beforc requesting elec~rical ins?ec;io~
~ Acoe8so:t"'d Building
---, Final - After p~rcheB, skirting, decks,
.--J etc. are completed.
o
All pl'oJect conditions, Guch as the ~..ltstallation of street trees, co.-;rpletion of. t~e
required landscaping, ctc., must be satisfied before the BUILDINC FINAL can be rzqucst2d.
~ FINAL PLUt.:BIl/G
k8l FINAL ME~HAIIICM,
~ FINAL ELECTRJC!.I.
o
0.
FINAL BUILDING: The Final Building Inspection must be requested after the Pinal Plumbing
ELectrical, and Mechar.ieal InspectionD havo been made and approved.
D
!'ENCE: Wher. cO.7lpl;;te -- Provide
gates or movable sections thpougr.
P. ll. F..
ItAr.L MANHOLES AND CLEANOUTS HUST BE ACCESSIBLE, ADJUSTNENT TO BE ftMDE AT NO COST TO CITY I Paea ! oj' ::
o
JOB NO, 'I/l() /11 SOLAR ACCESS
OCcurxzncy crouP.
Lot Sq. Ft,;. t:. 14Q'fS WT TYPE
~ of lot c""erag"~4'S4};,
I,f of Stories :2-
Total Height -2-D I
Topography
Zona:
ITEM
I I'dl~' AI
Main /1l~i~7
I Caract? .
I Cat'l'()l't
I ilcce88or:/
I
I
SQ.f'TG
~2.}
TOTAb VAWE
S.D.C.
I vaLUe}
1.5 ;r
Bui Wing Permi t
State Surcharge
Totat Charogea
I ITEM
I Fixtures
I Residential (J bath)
I SanitaMJ Sewer
ND. I FEE
4. '1.5"0
Water
Plwnbing Pem t
State Surcr.arge
Total Charvros
lITEM
I Res. Sa. fto.
/Haw/Extend Circuits
J Temporary Service
. NO'1
;z-A-
I I
I I
F.1.f}.-:t,7"1:cn t permit
State Surcharae
Total Charges
ITSM
I NO.
I
Fu1'n.:zce !'!TU' S
Exhaust Hood
I Vent Fan
WQodsto;;e
1'W \I Brt
I
JJIlc.r
Pel"lTtit 13Buanca
Mechanical Permit
~t~~~ .~chara~
To ta l Charaee
-- ENCROACHMENT --
Ise~~ritY Dapo3it
Storage
I Main tanan~e
I Permit
I Total Char>qOB
I Curbcu;
I Sidewalk
Pence
I Else trica 1. Lahe l W
,
i Mobi lo Home
I
I TOTAb AMOUNT DUE:'
~IntericI'
Comer
Panhandle
CUL-de-sac
X Value I
IO,tnn:J I
I
I
/O,.tn>'D
I
~S"oi
4.'~>31
~.6'31'
CHARGE
~O~
FEE
30.eo
1,50
3r.60 .
CHARGE
2.2.,50
2.:2...50
/ 13
23,4:>3
FEE CIIARCE
/')1/).'; /h,OV
//.JcL I
/ b.t70
175
/S,75'
I
I
I tf/
/55!!>> ,
REQ,-
L-COG"'"
. Bedroor.;s:
I En2ray So.u'ces
Heat
I Water YP.Qt~r
I Rafl{;p-
I Fireplaca
I Woodatove
I
TIme
~"ype/Cor.s t:
~U 'M4-,
Setbacks
House Carage - Access.
I Lot Faces -
I
I P.b.
INorth
I~o"t ~ C. I
is.mth
IWest
F2e8
Building Value & Permit
This pe~~t is granted on the express condition tJ~t the said construction
shatl, in all respects, conform to the Ordinar.ce ~dopted hy tha City of
Springfield, incLuding the Zoning Crdf.,lI1llcl1, rr.uulciir:!1 the cClwtructicn
and use oj" buildir/J:JI;, and 1n.'1.!J be c;uDl'cnjf(!d 01' rcvoked at (:':y time upon vio-
lation of any pravisior,s of oaid Ordir.am:ea.
IPlan Check Fee: l'5~ 'l~~
Icate Paid: \\\{\.~ \.0 \~'6Y
IRec.ipt #: \ ~~3'l'
ISig"cd:\ltl<\ ), ~V
Plumbing Permit
No percon shall construct, instal!, aLter or cha'~e Gny ne~ cr e=isting
plumbing or drainage Dyste.lI in whole or in pal't, ur:less such person in the
legal possessor of a valid plumber's license, except trAt a pe~son may do
plumbing work to property which ia ow-ned, leaDed or operated by tho appli-
cant.
Electrical Permi t
Where State Law requires tr~t the electrical work be done by an Ele~trical
Contractor, the electrical portion of this penmit shall r~t be valid until
the Zabel has been signed by the Electrical ~01ttractor.
.
Mechanical Permit
.
LfZ~~
va~/2?'/~
I HAVE CIlRt:FULLY EXAMINED the completed application for permit, and do
hereby certify that all b:fO:>mation hel'eon is tru~ and correct, and I
f~rther certify that any ar~ aLL work perfo~ed ahall be do~e i~ ac~ol'-
dance :.lith the Ordinances of the City of Springfield, and th:: Lcr..:s of tho
" State of Oreg~n psrt.:zining to the lJOrk described herein, end that NO OCCU-
PANCY will be made of any structure without parmis3ion of the Building Di-
vision. I further certify that o:1Ly contractors a;ui. e:'I1p'L.?yees who arB in
compLiance with DRS 701.05E will be used on this project
If{ rW-JY'tXPv-
'signgd
3~~/-??
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