HomeMy WebLinkAboutPermit Building 1982-7-9
00 RESI6NTlA'Loo
APPLICATION/PERMIT
225 North 5th Street
Springfield, Oregon 97477
Building Division
726-3753
SPRINGFlEI.C
"... ",.l..
Job Location:
I ;}.(a 3 -rrU~
~"1 () '2>"7-,s- L-\ \
o ~ (d'()
aJJnj n -' J30Uvtvu
/ d (03 U o.....Lr, -&0
tSpJuJ1~ rL
ASDessorS' .\lap /I
SUbdi;.r:.sion:
CUne:r:
Add."'eS3:
City,
n
n
n
n
Nt:t<.'
#;S0
TGZ Lot 1#
Phone:
Zip:
q.'ILf 7'1
Describe rl'orlc
Addi ticn
'-f)11J~ Je7XL ~/-UI
Remodel
.'.~obi. Z2 FI0r:13
,'/- 9-?~
Data of AppZicaticn
Com:rac:ors
t3un. ~A )
GeneraL
Plumbing
El.ectricaZ
Nechar.ic~ Z
Const~~ction t~nde:r
Value
Aid....es3
~-up
~.
I L/ro
I~'
I c!7o
I .d.ui . (akL-iL
I 69~
I :b&!.:JO
-
.~cce":"pt .if
~ c;:tfI' On
35.Q6
/5.00
I {p 0
/0.00
I tjO
,W
---
Pr.on~
l: -La the responoibi1.ity of tits permit ;"tiLder to S6e tha= al~ iMpactions are r.:ade at ~he ;1'Op21' t:im,;, tr,at ~h .::.ddres8 is l'''....,.;'...;..:~
from tr.a street, and that the permit card is l..xa.ted at the front of tr..s property.
.tSui!.di:",.g i){.vi::io~ app:-at:ed Flan a}u:.lZ remain on th2 Bu::.tdir4 Sit.:: at aLl times.
P.70CEDm~E FOR I.vSPEC1'IOU REQUEST:CALL 726-3769 (recorder) state your City designated job nzq;o;ber" J'ob adircss" type of i~p6c-;icn
requested ar-.a wh.en you win be ready lor inspec:tion" Contrac:tcrs 01' Owners ncme end phone 1".ur.'.Dcr. Requests rec:eivad before 7: 00 .:::;;
:..'iZZ bIZ rr:c.de the sarrIe dc.lj" requests mcde afta' 7:00 /Z1I 1JiLl. be made the nat :.;orkin.; daif. _ i r;Y
" y';"" City. DeGigr.ated Job liwrJJer r" ' g> dO %'16
B!:..s!'H: ""~.rl_ r.,..!":-,,,,,,,,::!,:,,,~
O SITE ItISPEC:ION: To be nruie after
e=cav.::tion" ,;ut prior to set up of
forms.
O U!lDE:FlSLAB prUMBnIG. ELECT.'?IC,1L &
NECHA:IICAL: To bll fT'.ads befor6 any
work is ~ovcred.
o
FOOT!.'lC $ FOl}NDATICtl: To be rrruie
after trenches are ucavated and
forms are erectotd" but prier to
pouring ccncret.;.
UNDSRG.90UHD ?!.l.'MEINC. SEWF:R, W.1TE'.Q,
DRAIl'IACE: To be ma.::.e prior to fil-
l.ir.g ~encr.es.
D
o
VNDERFLOCP. Pr.W.fSIYG ~ :.fE;r:HANIC:..L:
To be mafie prior t:o ina't:aLl.ation of
floor insulation 01' decking.
POST AND 3EAt1: To be made priOl" to
instal.l.:1ticn of noor insulation or
dsckiTlfi .
o
o
ROUGri "?LW!E D1G. Er.EC':'RICA!. & ME'CH-
ANICA~: .'0'0 :.;ark is to DC cOt.-ered
ur.til. these inooectior.s h.....--ve beer.
mads and appl'::JIve.::.
FI.r?EP[.ACE: Prior to placir.g faC"';ng
ma.terials and b6fore framing inspec-
tior:.
FP.A"~I!IG: ,'.fu.3t be -requestC!d after
approval. of I":lUgh pl.wr.hing" eLectri-
cal. & mecr.ani::aL. All I'Oofir.g
bracing d chimneys" etc. nr..lst be
,compLeted. ,Vo work is to be ccn-
, ceal.ed until this instleation has
. been made and appl'(n.:edo
D
o
O INSVLAT!ON/'1APOFI BARRIER I.'lSPECTICN:
To be rrade after a l.l insu kti.::ln C!".a
'. raquired vapOl' barrisrs a:re in p l.ace
. but before any lat.h" gyp8Wtl beard or
tx[ZZ covering is appl.ied~ and before
any insulation is conceal.ed.
o
DRY'.JALL I,'ISP!CT!ON: Tc be made
after eLl dr-:fuaLl is in place~
but pz-;or to any taping.
~SONRY: SteeL Location" bo~
beama~ grouting or vertiac:Zs in
accordance ~;~h V.B.C. Section
241$.
WOODSTO'IE: After installation i8
ocmpi.s't:edo
Siqr.ed:
Date:
~~~4/
?-9-Jci,
DEt-fOLITIO!! OR gOV:;':; 3UILD[;.'CS
=:J Sanit.ary se"..Jer ::apped :;t ~opert:i l.ir:e
~ Septi: tank p~~d a~4 filZ~d ~th gra~eZ
I Fin.aZ - fi'nen ~e i~e.':':s ar~ cc::r;;Zet6i
~ ar.a. when de~~~t~r: ~s aomp~ete or st~~-
ture ~oved ar~ pr~~es ::l.eanei ~p,
. Noai le Hc:r:es
~ ::::: :n::::::s Gader and ~c=er
. Electrical. Ccnr.eation - 8lockir~" set-u?
and pl.wnhing ccnr:ections nr...;.st ~B G??l':l1.:ed
before requB8t~ng. e!ea~ricaL ins?ec:io~
=:J Ac.::'esGo1"'i 3uiz.c:i~
sk':'rting" deck3,
All ~roject condi=~r~J s~ch as che {ns=alZacion oj street :rees, ~~,:,:?Za;~n of the
required i.andscc:pir.g" etc." must :,e sacisji.ad :,cjore ::he aUILDI.'o'G Fr:!~L a~n be 1'2qu3S~3d.
o
o
o
CURB & APP_QCACH AP.~N: Afte:> forms
a:re erected but prior to pouring
coru;retlZ.
SIDEWALK & DRn'TI,'AY: For an acn-
crete paving :.rithin strect right-
of-rx.;:" to be rr.a.de after at!. exca-
vating conpZeta &: to"1":':! 7.JOrk & zub-
base .7IC.tsY"':'aL in pZa::e.
o
PI1'IA[, PLUUBgoC
o FINAL NECHA:1ICAL
o FINAL El..EC':':UC/.r.
[J
o
FINAL BUILDING: The FinaL Building rr.spection m'.u1t be req-J.eGted c,.ftel' the Pinal. ?!;g::~ir..;
Elec:ricai." and .'1ec:r.adcc.l Ir:specticYlD ;"..ava beer. made ani cpproved. '.
o
o
.r:rsNCE: Kher. compl.;te -- Provide
ga't:es 01' movable sections thrcugh
P.U.E.
j
Lisc. ~L. E.:oirC8
~ -
I>'~
'"
..fVf E'in.:::z.Z - Aft::r ;:Jrcr.es"
~ etc. are ccmpleted.
D
"ALL MAllHCLES AND CLE.1.!ICUTS .'IUST 2E ACC!SSTBLE. .4.DJUST.'~:i,!, TO 32 :.!ADZ' !!T ::0 C::S? ::0 CIT'! I ?c.;~ 1 o~' 0}
o
I JOB
NO. ?d-O%SI&OLAR .ESS
Oc~::u::;anc:J Gl'C'.Cj:
=I:L,79h -..13
I
I I
j &1 C)() I
! Zone:
Lot Sq. Ft;.
~ ~f lot C,j7)erag~
# of Stones
Total Height
Topography
IITE:1
I.'fain
1~C'c,,!-
I
i C.::r:;'C!"~
IAc~es3o!'!J
I SQ. FTC
TOTAL VALUE
Is.D.c.
lVCL.UC)
1.5:::
But Wing Pe-~ t
State Suraha:rge
Total cr.a:>ge3
I ITr.\! NO.,
I FL-:ures
Residential (1 bath) I
Sanitarf Sewer
I w'cter
}
!tUJh j .!actJrrx p L
Plou:r?r;r.g Per:t:"; t
State Surcr.arge
Total cr.a!'aeB
lITE.\f
I NO'1
I I
I Temporary SerJice, I I
/t!rJh; Jo iI~1
Res. Sa. fta.
Nw/Ertend Circu.i ts
EZe=t~~cal Permit
St:=.te Suraharae
Total O..a!'ces
I ITE.V
I Furn:zce
~U'S
E=haust Hood
Vent Fan
I
I iloodstO;;8
.~
Permi t Issuc:nca
Mechanic:::l Permit
\
State Surafu:::r.:1€:
Tnt,-:.l C"'nzr"~!J
-- EllCRCACaNE:1T --
Ise~~~;tu DaVo3it
I Storcqo
I Mainter.an.::e
I Pa..'""f:t";t
I
Total C't'.a!'!1CS
I C"D';CU-;
I SideLJatk
I :en::e
I ~Zect't'ic::: Z
,
! .\fobiZa Hame
!...C::lH
I TOTAL ANOU.'!T VUE:: ~
WTT:!?E
Ir.tericr
Corner
?cmhand Le
Cui-de-sac
x
Value
FEE
CHARCE I
I
I
1
I
/5001
/SO() I
.1#01
I /5. &rj .
I CHARGE
FEE
,'iC. I
I
IO.()()
-/(5.061
, c.j() I
If). L/ol.
I
I
I
I
I
FE3
CHARes
I
I.
I
I
I
I
J
I
I
I
I c:?{)
'i'~:'O
?::.ga 2
REQ.-
,
I
j
I
I
I
I
I
I
j
L-COG~
T:,'pe/Cor.st:
3edrooms .'
I Lot Faces -
I
I P.[.
INorth
lEast
Sou tn
IWest
I Access.
I I Enerau SO:a'~es
I I Hear;
I I :./at<?'I' _Uf'.r1:tf'.!'
I I Ranqe
I j FiI'epi.c.ce
I I Waod.;;;ot:e
II
T:J:,e
Se-::ba~ks
I House ! Caraoe
I I
Fees
I
I
I
I
I
I
.1
, .
I
I
,.
Building Value & Permit
This permit is granted on the e~reS8 condition that the said construc~ion
shall, in aZl ~espect3, conform to the Qrdinar.ce ::.dopted ~y ~he City oj
Sp~;r~fieZd, i~~Zuding the Zonir~ Crd:nance, I'egul~tir.g ;he ccnst~~~:icn
ar~ use of buiidir~s, and m=y be suspended or revoked ar; cr.y time u;or. vic-
Zarion of c:r.y ?r~vi.;ior.s of said. Ordir.ances.
jp!.an Check Fee:
Date Paid.:
IReadpt ,,;
ISig>:ed:
Plumbing Permit
No person shall construct.. ins:aLL, aZte:- Or ciumge an;; ro.61J or e::isting
pl.wr.bing or drainaqe syste:n in :vhole or in part, w:less such person is the
legal possessor of a valid plwnher's license, except tr.a~ a pe:-son. ,"I'la:J do
plur.:bing work to propert':j whiC!h is Qt..'r.ed, Zaased or opel'c:ted by the appli-
"""t.
.'
Electrica I Perm it
Where State L<D.J l'eq".J.ires tr.at the eLectrical work be done by an Electrical
Contractor, the eLec-:r'i~al :;ortion of thia =,effl:it shaLl. roOt be valid W'ttil.
the Zabel has been signed by the Electricc:.z' ~ontr:::::C'tor.
Mechanical Permit
Pl.an. ::z.....-mn.ez.
uar::2
I HAVE' CAiJSFUUS ~XA.'1I:;ED tl12 con:'?leted appl::cation for ?ermit, and do
hsreby certify ehat aU i~Jo~.ation hereon is true and COJ"ZOCC:::, end I
f'.a"tJ:er cezotily that any ar.d aLL work. pel'joffl:ed ahal! be do:-:e in accor-
dance :Jith the Ordin:::nces of the City of Springl:.d.d, and ;;h& Lc..;s of <:i:a
State of Creq.;;n p2rt.::ininq to the 1JOrk described herein, cr.a th.at ::0 OCC!J-
P~!IICY :.r;ZZ be r.rJ..ie of any S'i;:"UC-:ura !.1ithou.; p<3rm-issio~ of the 3uilding r:r;-
vi3ion. I frq'thel' certif:; ehat OZ1Zy C'ontrc.:otors a:;-:d e::-;rpl.::yef>8 who are in
aampZiance with ORS 701.055 wilZ be used on this projsct
~~
--Sign3d
7/~ /F'";;-
Dh.:::a r