HomeMy WebLinkAboutPermit Building 1991-2-5
o .. RESIDalTIAL"
6\ APPLICAT./PERMIT
225 North 5th Btl'eet
Springfield, Oregon 97477
Building Division
726-3753
u./~'
Ck.mer: 6"J..:n~_;T1.. L"?dlc-
Address: ,J.. 7V <. 1'1-11.. fo;'~~- :J::, ~I ..J L
City:,~ 0 '
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,'.labile Homo / /
Date of Application 1/1 '19,1 Value / IJ'R Vi? V
Contractors Address . .Lise. II Bldrs Board Re2.
General f~l......e. /3, r!~._ a9B M,I.I'u-r-,L 3<,</1(9
! Plumbing CU,.4M P/~_ /"~VI ft(,..A-...>dUr! P-':J ..Jl!J '7";
\. Hechanical fi>iJlj,.~ I~r.:..., 1711 f.L.... 'G, Uc. L...(?~"." ~"Lj"
E],ectrD:al ~€-€U~O 6uk7oiC/I.-_79703 V.V. (6:-' 1.D-I7f.L "'3'69!b
I Sl1pe~1R-Electrician j~ A.~......\ t.... /08'5
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Job Location: /3...."'. l?k~~.#.v4...
ABaesaors Map # 1'1 O~ ~Y:1.d.
Subdivision: /.... rrf- P.3 7 u k
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n Addition
n Remodel
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Tax Lot #
6Y<:;,()()
Rcce~pt ,1/
['-11 CI 0
Phone:
Zip: if? VDI
Describe ll'ork:
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Date:
EXP~'l'es
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It is the rosponsibility of ths permit holder to soe that aH i11Dpections CU"6 made at the proper timG~ that eaah ~BSS is readabZe
fI'Om the street, and that the permi t c02'd is 1.ccated at tho front of the propB1'ty.
*Buitding Divicior. approved pl.an shall remain on thz Bu-:..uling Sit$ at atl times.
PROCSDURE FOR INSPECTION R;S:QUEST:CALl 726-376.9 (rccorder) state your City designated job number~ job addrCS8-J type oj in3pecticn
l'aquestcd ar.d w}:en you win be ready for inspaction~ Contractors or OI.mers name and phone number. Requests received before 7:00 ~
:..~LZ be made the same daY-J requests made after 7:(}0 am will be made the nat :JOrkin.J day.
RR~Ji~pJi InR~1~tir.~~
D SITE INSPECTION: To be made after
ezcavation-J but prior to set up of
forms.
O UNDERSLAB PLUMBING. ELECTRICAL &
: MECHANICA4: To be made before any
" work is ~O'/Jered.
K71' FOOTING & FOUND~TION: ;0 be rn:uie
~ after trenches are excavated. and
" forms are erected-J but prior to
pouring ccncretG.
~ !1NDEqG.'IOUND PLUMBING,rs.EWE;'l)~~
~RAINAGE;'D To be rro.de pnor to 1.-
~enches. . .
:'\71' UNDERFWOR~ & I!fECHANIC1P
. ~ To be made pM:l:ff to in3tarriihon of
floor insuZation or decking.
POST AND BEAM: To bo made prior to
instaZl.ation of floor insu.lation 01'
decking. .
RO" P UUBIl .~C'f.~Tr~
ANICAL. :JOrk' is t~- c~~~
. hese inspections have beer.
made and approved. .
FI.~F:PLACE: FTior to placir.g facing
materials and before f. .....,,:..:J inspec-
tior..
[8l
lZl
D
,[81
FRAHING: Must be requeated after
approva.L of rough plwrbing-J el.ectri-
ca t & mechanica t. A l 1, roofing
bracing ~ chimncys~ etc. flr...lst be
;" completed. No work is to be con-
._._"- cealed until this inspection has
~ bee:n made and approved.
~ FIlIAL PWMBIIIG
~ FINAL ME~HANICAL
. ~ FINAL ELECTRICAL.
k9..
Your City" Deoigr.ated Job Number 10:
O INSULATION/VAPOR HARRIER INSPECTION:
To be made after all insulatian Q:"'.d
.. ." required vapor barriers al'e in place
. '.:" . ~ but before any lath, gypsum board or
" . walZ coverting is applied, and befor6
. - ~y insulation is concea1.ed.
r\/1' DRYWALL INSPECTION: To be made
~ after all d.rytJa.ll is in pla"e~
. but prior to any taping. "
O. MASONRY: Steel location-J bo1ul
beam3 ~ grou ting or vertica ls in
accordance with U.B.C. Section
2415.
I'2f WOODSTOVE: After installation is
~mpleted.
~ CURB & APPROACH APRON: Afte..... fonns
~ al'e ereoted but prior to pouring
. oo~rete.
. I'/l'SIDEWALK & DRIVEWAY: For all ~on-
~ crete paving within street right-
.of-way, to be made after all exca-
vating ccxrrplete & fOml tJOrk & sub-
. base nnterial in plaoe.
~ E'ENCE: Wher. complote -- Provide'
~ or movable se?tions through
P.U.E.
o ~rfiP;J:eiII(!8
- ,.-
C1 I t) () (,;:)
I DEMOLITION OR !.:OVED BUILDIilGS
~ Sani tary sewer capped at p~op&rt"~ 1,ir:e
=:J Septi~ tank p"""p<d and fillad with gra".!
] Final - Ji'hen above ite.'7ls are completed
ar~ ~hen demolition is complete or struc-
ture moved and premises cleaned up.
I
Mobile Hcmes
~ Blocking and Sst-,p I
~ Plumbing connections .-- scwer and ~at6r
---, Electrical Connection - Blocking, sot-up I
---' and plumbing conr.ections nr..lst be approl:ed I
. before requesting elec~rica1, in8pec~ion
~ Acaesso:ry Buitd-:..ng
] Pinal - Aft;;r porc1:es-J sk.irting~ decks-J
etC. are comple~ed.
)(1~ 77<!~ (2)
All project condition8~ such as the installation of street trees, c~~Lotion of the
required la.nd8capir.g~ etc. -J must be satisfied before the BUILDING FINAL can be r2que8tad.
FINAL BUILDING: The Final Building Inspection must be requeoted altel' the Pinal Plwrrbing
Electric:a1.-J and Mechar:.ica1. Inspectio1U1 have been made and approved.
o
"ALL MANHOLES AND CLEANOUTS MUST BE ACCESSIBLE~ ADJUST/fEIIT TO BE MADE I1T liO COST TO CITY I Page 1 of 2
t'c.ge (,
I JOB~O. C(I'OOloz"SOLAR ACCESS REQ.-
I Zona: \ fI (7./ Occupanc" Grou" ':6 1- 1\1\ I
Lot Sq. -Ft.. "/5'0 ~ LOT TYPE' [ Lot Faces -
I
S :}f lot CJ1}eragc: Interior I P. L.
# of Stol'ies I Corner INorth
TotaL Height \ \ 0 .~ ~ PanhandLe least
IScu th
Topography CUL-de-sac I
West
I
lITEM
I/obin
I Caraae
I Carvort
I ACCeBBOl"U
. SQ.FTG
/1/1
4-62..
x Value I
214"'+ ~~? ~i
11/(7 05J4~ 1
I
I ~ !f!.
/70 ~
2:J ~o
/7~~ .
FEE CHARGE I.
I
~
~ I
~
TOTAL VALUE
I tVCt..Ui:;
S.D.C. 1.5 :r
Buil.ding Pernrit
Stat. Surcharge
TotaL Cha.-g.s
I ITEM NO.
jFi:rtu:Joes
I R.sid61ltiaL (1 bath) 2-
Sanitary Sewer
\N; f'r Ii
~~~mit
Stat. Surcr.arge
Tota l Charaes
I ITEM NO.
I Res. Sa. fta.
I N"",/Exterui Circui ts
I Temporary Servi.CB
I
Ele~tric~t
: s~W'charqe
Total Charc;es
lITEM
I Pzaonace ETa'S
I Exhaust Hood
I Vent Pan
I JlOodstOVB
I
Permit Issuance
M9~hanical Permit
State Surc'hmoae
Total Charaeo
I -- ENCROACHMENT --
I Seu.lM.tu De'OOsit
I Storaqo
I Maint~e
I Pcrnrit
Total ChaNCS
cUrbau~
:z,s'
rolf'
SidewaLk
Fen::e
Electrical Label
Mobile Home
I TOTAL AMOUNT DUE: ~
FEE
NO. FEE
I
I
.f 3t10
JIYJ.lJt'JQ,
I JSt)b~r.
I
4332fZ I
~/651
451.~S I.
CHARGE
/lPO ~
.
CHARGE
~~
4ffP
/2~
/S~
/ (:;? €!2
37~
;;z.. , ~
49~ .
/1 :!:E
:20~
!=!-uU
( ).
~2~ .
,
L-COG~
TypeICor.st: 'V'~ . ;,edroo."., .a..,
Ener~7'..' Sou-pces . ToliJe
Setbacks I Heat c;~ --nA-.
House Carage Access. I I Wat~p-;;;;;;P.l' ~I!'!f
I I Range ?:7~T-
I I~ FirepLace .
I I Wood:; tove
I r
Faes
Building Value & Permit
This permit is granted on the express condition that the sa'id aonstt'Uction
shatt, in all respects, conform to the Ordinance adopted by the City of
Springfield, including the Zoning Drdinan.ce, regulating the construction
and UDe of buildings, and may be suspended or revoked at c:r.y time upon vio-
lation of any provisions of said Ordinances.
Plumbing
a~l. ,-,e;-
J-~4....qJ
I q (3d.
VJ(~
Permit
Plan Check Fec.'
Vate Paid:
Receipt fl.:
Signed:
No person shall construct" install., aUer or change any netJ 01' e--isting
plumbing or drainage system in whole or in part, unless Buch person is the
legal. possessor of a valid plumber'8 license, e:rcept that a person TfIO.':J do
p /.wr.bing work to property which i. =d, Leased or operated by the app Li-
cant.
Electrical Permit
Where State La1J requires t;..at the electrical work be done by an Electrical
Contractor" the electrical portion of this permit shaU not be valid until
the label has been signed by the Electrical Contractor.
'se7~18
/tPucrt771Jl<J
Mechanical Permit
/J /J
#A7Y:?~.
PLan '€xc1trt.ner t.
1-3/- /1
uar;e
I HAVE CAREFULLY EXAMINED the completed application for permit" and do
hereby certify that aU info:omation hereon is true and correct" and I
further certify that any and all work perfoM/ed shall b6 done in accor-
dance >lith the Ordinances of tho City of Spl'ingficl.d, and the La:J. of tho
* State of Oregon p2rtaining to the work described hel'ein" end that NO OCCU-
PANCY will be rrr::zde of any' structUI'2 UJitho:.4.t parmission of the Building Di-
vision. I further certify that o':'lly contractors ar.d e:rrp1.:Jyees who are in
compliance with ORS 701.055 will be used on this project
tJO
.. St>:>.
G~~
/ ~v,4/
Date
Signad