HomeMy WebLinkAboutPermit Building 1986-2-28
.. RESlaIAL':
APPLICATION/PERMIT
225 North 5th Street
Spl"~r~field, Oregon 97477
Building Division
726-3753
7'2.4. MoNT\Jlf_W
AsaesaON ,\lap ,f \l O~ 8A-.1Q...
Sl.bd;".;.icn: g\\J~HIl_-L,..S
LoT ll: 118
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Add.".sa: ~ c.. C. E:.. A.-o11L
Cit'd: F:.\)~~Ne..
Job l.oc~:ian:
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Additicn
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l'a::e of Applica:icn
:;:Ont:rc:c::ors
'2-2/~
SPRINGFIELD '
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.
WA'<
Tc:e Lot #
-
S~t:i>L'V 1"'5 \(2J ~
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~M:r-~ 4'3.\
"'1"1407
Pr.cne:
Zip:
Dssc"':b. r.'o~k: A'PD/77o to.,)
~~ OF. SJIoJ6L-E.
l< P$I j)JS t\JC.E.
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Va,u. 1(')~oO
Addres3
~ (.., (., e.. AD ~ I=Er 1I.,fZI.l E-
ll? '\IA.~ ~ II2..l=.lJ Il'.UI',e~J:;_
CB1lera! ~E?I.Jc.,
Plumbing AI.eR.. T
I !:!ectricd ~p_"',-,..t
I :'I.char.ica~A. U'~ ~ ~ 2 B '3
I Const,".cti"" Lender ,'e1_~ \ ~c..
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......... ;J.
.. cs,.., (3
{~ (/704~}
.
/ jvU/J-- Ok
Siqr.ed:
t(?'
;;2.- rlS( -Yt0
Dato:
Liae.!! Er:Jircs Phon~ I
0.1 III~ol (3 C, f;.,a:.~
i?~P-:> ~J~cG '346'"-
<? /1- '7 niF c. ~I t!J ('a ~"'/"u;.
a-184-<Z.. 4-; ~ /t!X:, c::r~-e17...8
--Iu ~c.-T1()..::l C\'H
It is the resFonaibili:y of tns permit hoLder eo S88 that at! incpections are ~ad6 at :he prope~ :imc, that ~cah ~Q8S is reaiab:.
from eluJ street, and :hae the permit card is z...."Cated at the frene of tJuJ property.
-3uiz.di:--.g i>ivi::io:,: cppNJt:ed pl.cn sh:::U remain on "th6 Eu.it.di1tf7 ~it~ at all times.
P,70CSDU,~E .t'on I,'ISPE(:1'IOIl REQUEST:CALL 726-3769 (recorder) state your City desigr.:::.ted job nUMber" job a.t!iNss" t.ype of ir.3pec:-icn
raquested a:--~ w~en ycu wi~L be ~eady for ir~pcction, Contractors or Qw~e~s r~e cr~ phone number. Requs8ts receiuad befcr. 7:00 ~
:.:ill. Do mad6 "thE: same day, requeses mc..de aft.::.r 7:00 a:n tJiZZ be made the next :Jerking day.
'?etrJ.irtld inst'tlctic1"!1'f _ _ .
O SITS I:1SPEr:::ON: fO;)O mas alter
excavation, .;u: prior tc set up of
forms.
O UtlD!RSLAB ?~lJ,'.f3I,VG. ElEC7::ar;,lL i
.~.'ECH;':iIC':'L.: To tUl r.-.ada Detore any
woZ"i<: is ::ovcred.
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FOOTD'C ~ ?O(R!DATICN: To be ma.C.s
aj't.ar ~re11Ches are e=cCZ"Jc:.tsd ar.d
forms ar6 erected, but pr-:.ar to
pouriru] ccncret~.
')(1 U.'ID:;YCaOU.VD P!.UlfB[t.'C,
! /"' .<tJ!!A.IJ~g,:;o;> 70 be ~e
e....r.{J ;rer.cr,8s.
S!:.!2R. ;.J,lTER,
priQr :=0 fii..-
0'
U.'lD!RnOOR p!,U....'SI.'IG -1 ,'.fECHA.VICAL:
fo be maCe prier to in3tal.kzt-::on of
floor insut:c:;;:ion Or' decking.
MST AND 3EAU: To be rr:cdc prior to
in.nall.aticn of floor ir.st.:kI::icr. OJ"
deck;,,!;,
o
~
~r;'-'GH ?!.rr.~P. t'lG ;'rEC"I'.f?!CA!.;' .'-f'€C.'1-
)),ICAL: :,'0. '.JOr~ .~3 ;0 :;c ao:,'erec
ur.t:i~ these ~r~=ea;icr.s haV9 beer.
ma:ie ~~ ~pr');)~.:!.
FI"~:;?LACE: mol' ~ pi.c.c....r.g fc:.ci.n.g
mcUl"""~a ~s a.r~ ?u:fore frc::rir.g inspec-
tior..
FRA.'1I:1C: .\fu3t ~e rec;ueDted af;ar
approv.;;l. of rough ;l.ur..bing. Jl.ectl""";.
cal. ~ mecrmtt..:;aZ. Al.!: "!'Ooj:.r.g
bracing & chimneys, et~. m"~St .;e
. cOnrrJl.e;cd. .'10 ~rk. is to :::9 C01t-
"cec"ltld ur.til this i~stlec7icn r.as
. bsen ma.d~ and approt,'ed.
o
[l]
YOW" City, Decigr.atcd Job Nwnber ID:
'"x:] INSULATTON/V/lPOF? E.4RRIER INSF=CTICU:
/' To be ,md.e after all. insukti:;m cr"A
req-.J.ired vapor barriers are in place
bu.t bejore any lath, gypswn boaI'd or
L.t2U covering is cppl.i.ed, c::rd before
any insul.ation is concealed.
[R]
DRYWALL INSPECTION: Te be ::O.aCe
af=er al.1. dr;Jl.Ja.l.L is in place,
but: pl"'"':'or to any taping.
g{o()((/
DCl.fOLITIOH OR ;'.:O~; 3UILDI,7GS
~ Sani:ar;/ Se"..J61' :::apped ::t ~op.rt":i l.ir:e
~ Septi:: tank p~~~d and f~l.l..d with gr~~6Z
--, Final - [{Plen c:.Xve ite:~s a:t'e cc,~ljJ.tcd
~ and ~hen ~~l.:.tior. is camp~ate or st~~~-
ture ~oved ar~ pr~Jes =le~nad U?
f.!ooiLa Hc~es
::J Blockir.g and Sat-~p
::J Plumbing connections s&War ar-d Wa:er
::J ELectrical Ccnnect~on - Blocking" 8et.u~
and p~umbing connections r.r...st =6 c:t'prol.:ad
be;orc requ6st~ng e!ec~PicaZ inspec:-io~
--, , ..
--1 Acces:;c.,oo 3u..Z.:::.r.q
:J
Final . Aft~r =~rcr.Bs, sk:.rting, dec;~,
flte. c:.re c~pl.et~d.
o
MASONR~: Steat l.ecation, hond
beamD, grouting or verticaZs in
accordance with U.B.C. Section
2415.
ilOODS"!'O"IE: Attar instal Zation is
C(;'7Tplet;;d.
o
All projec; conditions3 ~ua~ c:.s er~ {ns:alla~ion of street :1"66S. ~~~Zacion ~f ;h&
required laru::.'sccpir.g" etc.. muse be satisfied Delors the 3UILDI,';G F[;'.'AL ~cn $e raqu.:lst.zd.
;--;n ,
LLlJ FIUAL PLU:,f3I:iG
~. FINAL 1\fE':l!A:1ICAL
[AJ ?I,VAL E!.EC':'RIC/.!.
CJ
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PINAL BUILDING: The Finc:.l Building !~s?ection ,~st b~ requeated after t~e :ir~l Pt~T,bing
ElectrieaZ, c:rtd Necha.....icc.l Ir.specticnD ilallC been .~ade ar.a approved.
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CURS & APPROACH AP.~N: Afte::, loms
ere 2rected but prior to pC'"..lring
XJ~rete.
SID!WALi<. d JRnniA?: For alL con-
crete paving ~i~hin street right-
of-wcif, to be mc.de after aZ!: e=:cc-
vatina complete & fo~ ~rk & ~ub.
. base ;;':,ct6M:al in pl.a::e.
o
o
f::NCS: ilhe~ co:7l"tllote -- Provide
ga;;; or ;wvable. aecticns through.
P.U.E.
-AU, ,'.fANHCr.2S AND CLEANOUT:; ,'lUST BE .~C;:ESSIiJr.E, ADJUS7:f~:,''!' TO 32 :.:'.'ID~ I!T :','0 :::S':" TO Cr:! I ~"..i] of ~
o
I ~ ... .' .
This pernr~t ia granted on the e=pl'ess ~ondi.t'ion. that the sdid. con.st:",...lC:::ion
shaLl, in. alt 1'6SpCCtS, confcmr to the :Jrdinar.ae :zdopted 'b"y"the City of
I Spr-';r.qf~eZd, -:.nc~:u:ii.ng the Zoni.r.g Cz-d-:.r..anc6, l"eq'..lu:til:g the acr.s::O:lc:::cr.
and use of buildings, and m~y be Jusperned or revoked at cr.y t::Ne ~~Qr. vio-
I lati,cm of 'ff'.Y Pl'jVi3ior.s of sa~ Ordir..ances.' ..
'. I P4A ~<Ecr'~Wr~<i! /~'W~.A'..,. $t$~<t;D
I ~#/;W-f' p~ S~.-:Z'5l '
I . ',' .., ~. ~$"
'1'~H~~ ~ ~ I~. "1'riJ
~ ~~ ',lJ~'1>:::::7 IPlan Check Fee:
~ , .. ICate ?a~d:
-. G.o' I" IRec<~~t #.:
D', nt:) IS~(I"ea:
I
aa-I
i
I
I
JOB NO,
SOUCESS
,
1 :ona:
CCc:'.4::;anc:J Grcr..l:J:
Lot Sq, Feg,
~ of tot C~erag.
,'I of Stol"iss
I~ t 1 U ' h
.0 a.. ..JLC t
I -
I Topography
I
I !'!':;:./
1,\k2~n
LOT T'fP!
I r.terior
Corner
Pc:nhandle
Cut-de-sac
l~:,:::c.1
i
1 Car=.=rt
I
1.-lc=es3or:;
I S~, .~TG
I
I
'.
x
VaLue
TOTAL ;'ALl/E
IS,D,e,
I
IVC:'UC)
),5 =
Building Perm-:. t
State Surcna:rge
Total :r.a..:"gea
II~~N
I Fi--tures
Residentiat (1 bath)
1"0 I -~-
". ~~c.
Y 7.$C.
I
CHARG~
Semi t:1l'"j Sewer
I ;';at~!' ~..
I :-
"
Ptumlr;ng P6rr.:i. t
~~~
~; ,
/'~~I
"Y/. '4:' I '
Stat6 Surcr.a:rge
T~tat C'llC.rces
I !l'EN
I Res. So, rta,
I N~/Ertend Cirr:u.i ts
1'10'1
I
I
I
CHARGE
"Z:z-Se>
I
I
2<~1
_'" I
~Y~I.
Temporary Service
Ele~trical p~t
Stete Su:r~ha.r-::e
Totat C'llI1.Pces
I I?~!1
,':e, I
I
/1
F"'
CHARCE I
I
I
I
I
I
N.~. I
;.):-1
.6Z> I
~6'~,
P:.trr-.ace ETU 'S
E=haus t Hood
I Vent Fan
I i/i:x;dsto"Je
Pe1'r!'rit 13su::::n.ce
Me:::r.a:l1ic:=l perrm.t M~ H.
State Surchc:roc
TQtr.! Char"t:!D
-- Z.'/CRCACHXr:!'!' --
10, ,
IJe~~~tu De~o3~t
I Storage
I..-n-::n.ten.an.-:e
I Pc:mit
I
I Curbr:u.;
I Sidewat'k.
I ?en.=e
I EZectrical
,
l.Yobi la Hame
Total C'nc.r~cs
I
I
I
I /7l. "4
/7?/if I.
Lebel
iF;~ ifE~/F<tU A.;p.I,
I .
I TOTAL AMOU.'IT DUE:"
P=ge 2
..
L-COCl}'.
REQ,-
'!;'oeICor.st:
3ed!-?orr:s:
I EneralJ Sour~es
I .~'eat
~(.~~~ ~~~~~~
I Rance
I' I E'ireo~ace
Wooa:;to:,:e
II I
1:;::e
I Let Faces .
I
I P.:'.
!!Ior!:n
lEast
Sau.th.
IWest
Setbacks
House I Cara?e
I
I
I Access.
I
I
I,
-- F2es
BuHding Va'lue
&
Permit
:'1 .f
Plumbing
4, ~ . ..1c)
d,-.;) I ....K/~
11 foro DOq
fY!..-
Permit
No pereqn shall.construct, ins~l!, alter or change any ~~w er e=isting
plumDing or drainage 8yste~ in ~hole or in part, unless such person is the
legaL ?OSSe3Sor of a valid plumber's license, e:cept tr~t a pe~son ma~ do
pZumbing.:.J?rk to property. which is oUrled, leased or opcrcte4 by the app7..i-
cant,
- ~I I
. .
Electrica I Permi t
Where State LCLJ requires tr.at the el8ctr-'~cal work be done by an Eleatr-ical
Contractor, the electrical portion of this permit shall ~~t be valid until
the Zabel has been. signed by the Electrical ~ontrac=or.
Mechanical Permit
4:::Ln:r ~~
Z-<€-,ft;
t..'a;;a
I HAVE CAREFUU,Y EXAI,fI,'IED t.t..e con:plated ::ppl.ication for permit. end do
hereby certify that all in;ormat~on hereon ~8 true ar~ correct, ar~ I
fUZ'.;J:er certify that any a1"'.d all :.:ork pel'fo~ed shalZ. be do~e i:-: ac::or-
dance ~th. the Ol'din::mces of tha city of Springfield, and =nc: Lc;..:s of tha
... State of Orea.;n oat.Jinino to the WOl'.:C cesct"':bcd herein., ar.d tiu::.t .'10 OCCU-
Pf.NCY will oa maie of anyW3t~~ctur8 witr~u: ?~rm~s3ion of the guiZdir.g Lr;-
vision. I J~ther ~ertit~ t;~t o~Ly ccntrG~tors and ~l~yeGs wh~ ~~s in
c~pZ~ance w~th QRS 701.055 ,~~tZ be used en this pr~j3~t
~I 7~'(~1
25,~~fx
Date