HomeMy WebLinkAboutPermit Building 1987-10-29
.. RESlDeHIAL"
APPLICATION/PERMIT
225 North 5th Street
SpringfieZd, Oregon 97477
BuiZding Division
726-3753
.
Job Locatio", (j; -7-0- . _ /J1 aLl' IZ<Ld . (lH-
ABaeBGON !bp I /70 3;;2;), /3 T= Lot # /1,1000
Subdivision:
CUner:
/l /
( h".L /.
#t10 mJ.UfMd
PI-.one: '1Z& - /,;; 60
/ g y- "3 0 {)l.f;Y,jQ
Q1L &u/c ~
-/6-21-g7 Value sf 5J t/oo
Address:
City:
n
rX1
n
n
Nm,J
Additicn
Remodel
.'.lobi1.e E()(:';3
Date of Applicaticn
Contractors
General OlvI117.11.J
Plwnbing
EZectrical a..~ I'l /\ )
Mechar:ic:.:t
Construction t.cnde.:r
Zip:
Describe k'ork:
_B3
. Rece";pt !I
jl(JL.jCj..;)--..
._ur;;B
).
Sigr:ed:
Date:
au
u? z.-q -V?
Lise. II
Exoircs
Phone
It is the . _.-._;;n.lity of the pe:nait Irold.tu- to tNIe t1za:t all inapections are rr.ade at the proper tim€, that ec.ch ;;ddress is readaDZe
fl'Om ths Btreet. an::! that ths pc=it aD'd i4 located at ths front of the property,
"Building l>i.ui:.iIm tqr'~ed plan sr..r::.lll"'E:ain on tho Bu:.Zding Sits at all times.
PROCEDURE FOR IllSPECTIOJl ~:CALl726-3769 L ....._'... i..no) st:ate your City designated job nw;:bet>, job add:tocss, type of in3pec-;.icn
l'equcstcd ar.d iW-.er:!jOlI ;Jill. be ready for i._t'....~::.on, Contractors Or' Owners name and phone number. Requests received befere 7:00 a':'I
lJilZ b. madB _ = tit;y, >"6<{IUtsts m:::.ds aftD.- 7:00 em lJilZ be mad. the next ""rking day,
. '. :r:.a. City DeGigr.ated Job Nwnber IB: ~ 'lg 9/ f
Ram/J:YO.R.~ T"m".I~~
lKJ' ;~;l';~~~~:r. ~~ 8~_ .__.: ~~ ~
i-r&,,or Ex/sir. ;e:.::>e>77/Y<f>S
O UNDERSLAB PU!Jl!JI(;C~ ELEC7BICAL &
: MECH;!NICAL: To be rm:ds beflR'e any
work is a.ooered.
O FOOTING ~ FUfJ1tDA'fI(JiJ: ,.., be =dB
after bvmcJum are ..--.......~:...Jd and
forms are ~ but priD7' to
pouring _......... ~_...
I V I. UNDSRGP.OiEID FvlJ:'!Clll1G. SSJli:R~ if.1TE1!,
V' ""RAIRAGE:) To bo ma:fe priD7' to fit-
. Hr.g trenches.
O UNDEI/FLIXJR PWJ(fJITIG & #EC!fAIlICAL:
, 'To b. made pri.oJ" to in3t-.allation of
floor insulation in" decling.
O POST AUD RIWI: 7'0 be made pri.01" to
instalZati.cn of flo<:n' ins..lat:ior. or
deakins.
G7l ROUGH PLmmIHG.(ETECTRICALJ& MECR-
~ ANICAL: No:.:ork is t:i)jic covered
. ur:.ti l. these inspectior..s have beer..
made and appraued..
O FIREPJ.4CE: Prier to placir.g facing
materiaz..s and befare frar:ring inspee-
tior:..
IVl FRANIRG: /lust be >"6<{IUta ted after
~ approval of ro<Joh p1=bing. el=tM.-
.cal & meclr.anicaZ. At! roofing
bracing & chi/r:n(;ys, et;:. must be
:' completed. lio Wl'k is to be con-
..~ cea led until this inspection has
. b..n made and approved.
....-
O INSULATION/VAPOR BARRIER INSPECTION.-
To be rrnde af-tsr all insu l~tion ar.d
.. pequ:-:.red vapo,. barriers are in place
'.: '. but before any lath, gypsum beard or
. 1ll7Zl eovering is appLied, and before
any insulation is concealed.
I DEUOLITIOH OR NOVED BUILDIiIGS
~ Sani tary se'.Jer ::!apped at pz:..opert":j li,:e
~ Septic tank p;.lli:ped and fiz.z.e~ with iJra~el
---, Final - fl'hen abv"'Ve ite:ns are cempleted
~ ar~ when demolition is complete or struc-
ture moved and premises cleaned up.
I Mobi le Hemes
=:J Blocking a1Ui Set-up
=:J Plumbing connections -- sewer and water
~ Electrical Connection - BLocking, set-up
---J and plumbing connections nr~st ce approved
before requesting elec:rical inspection
.=J Accesco1"d Building
I Final - Aft;:r porches, skirting, decks,
~ etc. are completed.
o
All project conditions, such as the installation of street trees, co~letion of the
required landscapir.g, etc., must be satisfied befope the BUILDING FINAL can be r~qu.est(Zd.
o FI/lA& PWMBIlIG
o FINA& MECHA/lICA&
~ FINA& El.ECTRICA&
o
~
FINAL BUILDING: The Final' Building Inspection must be requeoted after the Final Plumbing
Electrical, and Mechar.ical Inspectiono have been made and approved.
O DRYWALL Il1SPECTION: Tc be made
after all drywZl is in place,
btrt prior to wry taping. .
O UASONIrr: Steel location~ bo1u1
bsam3, grau~~ o~ verticals in
acC01.'dance uith V.B.C. Section
2415.
O JIOODS'J"OYE: After installation is
c=p/.6tct.
O CUR1J & .APPROACH AP.r?ON: Afte...... forms
are __ _~..I bu~ prior to pouring
.xtn...'"l"ete.
O. SIDEHALK & DRIVErlAY.- For all con-
crete paving ~thin street right-
of-way, to be made after all exca-
'Oating ccmpZetl/# & form work & sub-
. base a::tBPial in pla::!e.
O !'ElICE: fo'Irer. =pUte -- Provide-
gates 01" movable sections through
P.U.E. -
o
/fALL MANHOLES AND CLEANOUTS HUST BE ACCESSIBLE~ ADJUST!fEUT TO BE MA.DE AT NO COST TO CITY Page 1 of 2
r";!jl:: ~
I JOB NO. f..1o <6 (g- SOLAR ACCESS REQ.-
I Zone: L--iJ~ Ocaupanc" G~ /V?
Lot Sq. Ftg. -",CJC) WT TYPE . ,
S of lot Coverag. ~.6~iZ: ----2{ Interior
# of Stories / Corner
Total Height /5~ Panhandle
Topogz>aphy . _L?-Z~ CuI-de-sac
I
('38"3lSl
I
I
I
9'B.9/
I
lITEM
IMain
I Ca:1'(1f18
I Carnort
I Accessoru
SQ,FTG
5'Cfo
/tP. ~
IS,D,C,
TOTAL VALUE
Ivat.z,u;)
1.5 :r:
Building Permit
State SuPcharge
Total r:ha..~gea
lITEM I NO, FEE
I Futures I
I Residential (1 bath) I
I Sanitary Sewer I
Watp.p I
I
Plumbing Permi t
State Surcr.arge
Total Charaes
lITEM I NO., FEE
I Res. So. fto.
NeLJ/Extend Circuits I I
Temporary Service 1 1
~~..,..:~ I I
Ele:::trical Permit
State Sur:::harae
Total Charqes
lITEM
NO,
Pzaonace ETU'S
E:t:haust Hood
Vent Fan
I WOodstove
Permit Issuance
Me::hanic::zl Pemrit
State SuPcharae
Totn Z Cha:YoOP-9
I -- ENCROACHMENT --
IssC'04rit1! DepOsit
I Storage
I Maint~e
I Permit
Total C!za:rqes
ICurbaut
I Si.dewlk
I Fen::e
I Electrica l Labe l ~
,
I Mobi le Home
TOTAL AMOUNT DUE:'
x
-- Fees
I i
I 1
I 1
I <<)71a;>, 1
I I
I I,
I ///t-. I.
I
5"b. S""O 1
z ~8"31
:)'9. 3"31.
Value
CHARGE
FEE
1
I
1
I
I
l .
I
I
-:z '2 . Sc::> I
1
/5. -=> I
;;"7. So I
I /. $&>1
I -::;>0/. 38 l .
I
I
I
1
I
I
1
I
j
CHARGE
ClJARGE
I
1
I
I
1
I
I .
I
I
I
I
I
I .
I
I
1
.2"01
I
I
I
I .
. L-COG~
""rr;. . Bedrooms:
, 1 Enera,u Sources
I Heat
I Access. 1 I Wat131' Hp.at~r
I I Range
I I Fireplace
I I Wood, to"e
II
Tu'Oe
Type/Cor.st:
I Lot Faoe. - .c;~U r.l'/
Setbacks
I House Carage
I P,L,
. Worth
lEast
ISou th
IWe.t
'l2> ~ 7/C
~.~""C/~
~'
.-:.r
4)'
~/
Building Value &
Permit
This permit is granted on the express condition that the said construction
shall, in all l'espccts, conform to the Ordinance adopted by the City of
Springfield, including the Zoning Ordinance, reguLating the construction
and use of buildings, and m::zy be. suspended or l'evoked at cr:y time upon vio-
lation of any pl'ovisions of said Ordirumces.
'Plan Cheok Fee: 3(;",.73
Date Paid: 10 -027-&'/
Recdpt #: /0'-/.;;; <j.
I Signed: (' {~ .
Plumbing Permit
No pereon Dhall construct, instalt, alter or change any new or e:::isting
plwnbing or drainage system in :.Jhole or in part, unless such person is the
legal possessor of a valid plwnber's license, except that a pe:oson may do
plwr:bing LJork to property which is oumed, leased 01' operated by the appli-
cant,
"
Electrical Permit
Where State La1J requires tr.at the electroical work be done by an Electrical
Contractol', the electrical pOl'tion of this permit shall not be valid until
the label has been signed by the Electrical Contractor.
Mechanical Permit
/2_~~~~~ ~~ /-;::'e-~'7-&_/
.;' o/;;;;;t:%~'- /'. LaL
I HAVE CAREFULLY EXAMINED ths completed application fol' perorit, and do
hel'eby certify that all inforomation hereon is true and correct, and I
further certify that any ar.d all wol'k perforr:ned shall be done in accor-
dance :.n.th the Ordina.nC8S of ths city of Spl'ingficld, and th~ Ur"'8 of tho
State of Oregon partaining to the work cescl'ibcd herein, and that NO OCCU-
PANCY will be mde of any structura UJithout parmission of the Building Di-
vision. I furthel' certify that cr.tly contractors ar.d e:rrployses who are in
compliance with ORS 701.055 will be used on this project
Sign.~~ ~o.~irm
J().,2)q '7J?
Date