HomeMy WebLinkAboutPermit Building 1991-2-5
, '1 f '3 (/J
.. RES ID IiiIIIl TI A l"
APPLICATIJlfI!PERMIT
225 North 5th Street
SpringfieZd, Ol'egon 97477
BuiZding Division
726-3753
I S ~Lo CJLK31nncLJ
11)()3,~4~~ Tex
~ .lob LoC.1tiOrl:
I All.:;esaor:: N:lp #
Subdivision,'
Lot N ()4loC()
~
wB
Q
_ llJner'l roD"* \DC)( (j thu r t\ill V f2)
Addreil': c00P\ ~ ~7\[) \\~"-~ Phone: <\R ~ - 3 \\ 1 n
_City: ~[X'~ 1U-\ JD.AJl~lJY\ziP: Q\~ \ ..,
~
I-l
n
il
n
Nr>l.J
Describe II'ark:
~~
.1dditicn
Remodel
,'!obil.{! Hom:!
cD, J.q J
Date of Appliaaticll
C011rr~lct.llr~ I ....
i;"nerill ""4-{"l TII1QJ J:::)
Pl.ullIbing
t'lechanh:al
1~ Lc\.:t r i..:;"ll
S 11Pl.' t;'II::tt;;r.lg Elec t r:i c L:l n
Value /4/0.-
IJJo i/) l'l}5d rs
I
Siqr.cd:
Date:
!loa rd Re<;.
, "'>(A~q
PhoQP
i.X") -, ~ I~
Your City Dcaigrntcd Job Numb€1' Io:
D INSULATION/VI1POR HARN/ER INSPF:CTION:
To be made after all in8ul~tion a~~
required vapor C{l}"riCl'S are in place
"but before any lath~ gypsum boaPd 01'
wall covering is applied, and before
any inDulation is concealed.
D
DRYWALL INSPECT TON: Tc be made
after all dr>yuall is in place,
but prior to any taping.
Address
c!,tt..r::JO
EXDi((~s
5/fil G\ \
It ia ~hc reBponDibility of the permit holder to see that all inopeations are made at the proper tim&1 t1:at each .:ddress is rea:!ab!e :
from the utI.ect, and that the permit card is lxated at the [pOnt of the property.
~Hlli,?di.'1!' [r:vi~io!'; ap;n'ol.:ed plan shc.ll r>emain on the Bui-lding ::U;: at all times.
,!:::oc,c:nupF. PDR lNSPFX"flON R~QUt:ST;CALl 726-3769 (r~corder) state your city dcaignated job nwr.ber, job address, typo of i113pec;icII
,r'(J1{14/!:Jtcd lI.":d wh.m yOIl /Jill be ready for inspccti.on, COrJtractors or l'A.mers name and phone number. Requests receit:ed befere 7:00 c:'I
:.'iU be made the $aJne dc.y, requests made aft;:r 7:00 an LJill ba made the next :JOrkin-J day.
if!:.!ll' r "'-',1 r"":"'~I~ t:ir.Il.'1
::J :;,'It.~' INSN:C"JON: 'fo be roode after
I tJ:WlW:lti;.m, !mt priCl' to set up of
, j~l'm:J.
i-J U;'JN:H.';!.,1fj J>{,U,'./BI.'IG, ELECTRJC,tL &
:.!.~:CH:!:JJCfl[,: 'fa bi! made befol'jJ any
1-- work i:1 ~ovel'ed.
.......(i{ ,l"{,'{)T/;W; .~ f'OV.vrMTICN: To be rrude
,_f't'.afti!l' t.l'~'li:he:; are excavated and
for'm:; arc erected, but prior to
{'<'I/l'ilIU (.'C!lC!l'l!t;;.
'j {,~"~'~':.J1'I;H(J/J:m r:,VN:!f!lC..
!J.'r.-l!fI';I;I;': '/'0 /Jt! made
Y{'~J-'!-;:L.711(:he::.
s,c:rIER. f./:1TF..'r,
priolo to fi l-
lI,'!r:..~~'l..n.,O()/U1..,!.!:.'..'Hr.\'(,' ,~ NEC.tlANrCAL:
:',' :''': IIIwflJ pr'ior to i~l:1tallation of
f:""'I' !:IIDlIl,:tioTl or decking.
J
1\ ':"!' Al.'lJ fJE,1N: To be made prior to
i~':'''-;l-.:'!T:i''r:;-;~-of flool' inst.:latior. or
,f""\I/1...:.
--I
.r!.!..,!..!!...::" !,!.{-'.'.fUlllf", f:{,lLt;'I.l7!CAf. .~ /..fECl/-
It.' t, '.l!: "Iv :JOt'}: ia t.:o be cOL'el'ed
l~-':"! t! :lli!~,!:'ll~Jpe(.'t..l~m:s h,-we beer.
"I.:.!,' ,uhf 'IPp)"'!1ed.
!,:r;-/'':!/.!l!/~: Prior to plccir.g facing
II."I~, Id", <llId bejal'e framing irJspec-
]
II.":.
r ~"::l"IJ'~: ,',.IU~;t be requeated after
_~ d!'PI\'I',:/. '~'J' 1'ough plllr.-.bi,lg, alectl'i-
C,I! ..; ,.';,',:hmi::al, AZ! roofing
IJI':I;':"~.1 ,~ ,'hil.7ncys, et.:!. nr.4Dt be
c:mll,/"t,.d, ,"/0 r.l.n'k iu to be con-
e.!!;'! ,',/ 101[:" I. tide inspection has
'b,:,:'1 "Id, I.; 0Il<! npproL'ed.
location. bond
01' vertiealB in
V.B.C. Section
O MASONRY: Steel
beamD, 91'ou~i110
accordance LJith
2415.
WOODSTO'lE: After installation is
ccmpletcd.
o
D
CURB .~ APPROACH AP.frJN: Afte:- forms
w'e ozre~ted bu t prior to pauring
.::on.:!l"ete.
SIDE1';ALK ,~DRII'EUI.Y: For all con-
crete paving wi thin street right-
of-IX.Y" to be made after all exca-
vating complete &'form work & ~ub-
ba::;e rrrzterial in pla:Je.
q\()Dc1~
DEMOLITION OR gOV~!) 8UILDI;IGS
:=J Sani~ary se'Jero :Japped ~t property 1ir.e
" ',I lll~. t.,."l'l\'t't~,,;"""If\"":11 L,l,' i~l. ,~
:=J Septi.:! tank fT..v.:p~d and fill<!d r.ri.th groa:Jol
---, Final - h~en above itc~s are ccmpleted
~ and when dcmolitior. is complete 01' stru~-
turoc moved and procmises :Jleaned up.
Nobile /lemen
=:J Blocking and S2t-Up
=:J Plumbing comlections selJer and /JQ~el'
---, Electrical Connection - Blocking, set-u~
---.J and plumbing ccmr.ections m".4st he approl.'~d
before requesting elec~rical inspec~io,":
=:J Ac:!escor!l' Build~"!1
:J Fin:l l - Aft.::r p:Jrcr:es.
etc. are completed.
,ski-roting, decks,
D
D
!'ENCE: r.~er. co:nplGte -- Provide
gates or movable sections throug~
P.U.E.
D
F m,1 t, !'! U~:!1l ,',It,'
All pl"o.ier.:t conditions, ::;uc.": ClD the !~nHtaLZat~on of atl'eet treed, "cO::Tpletl,:m of the
required larJd:wc:pir.OI etc., must be satiaficd before the BUILDINC FINAL can be raqueotad.
6
p
:l
PI:.':I!. ...:.~''...'II.l.'Jfr:llI,
<>>
FINAL DUnDINC: The Final Building Inapectioll must be l'equeated alter tile final PlwnbinJ
Electrical, and Mechar:ic:aL InfJpectiollD 1Jave been made and approlJ-,d.
F'1....t1l. r:.t.'t'i'!I!(',:I,
D
~M.r, ,'.f,lNIlf.'f.!:,',' ANn crp/1NCU'f,': NfI.':r 1/!;' /lCf:f.'.';::rnr.r., AD.fff."':TW,','IT TO Tlf: f.f.~nr.' t'.1 1:0 r~ST TO cr'!'Y I r:l~~... of 2
, '~,' '"
/.
L-CO\;'
!,:::~ rliiilDOO3 Oc::~:G~ s
Lot Sq. Ft..
% ;)f lot C;)1Jerag~
!I of StorieD
Total Height
Topography
TTflf
SQ.FTG
Main
Cc.race
Carvort
IIIcCe830rlJ
REQ,-
1
Type/Cor.nt: 1tJ R,,",'OO"'o:
, I E>I,"?" SO:lrceo
Setbacks I Heat
UOUfU~ 'Caraqe IIICCCSD. I Water ,"(>{lif'I'
I Hallae
I I I f'ircplar::f!
I I Wood::: tOi:6
Ii'
Til1't!
WT TYPE
Interior
Corner
Panhandle
Cul-de-sac
Lot Faces -
P.I..
North
E:ast
South
West
-- Fees
x
Value
Building Value & Permit
Thin pennit io granted on the expreos condition that the s",i(j, ,',:'1:111'11'" (,ll!
shaLL, in alL respcctn, conform to the Ordinance :uioptl1..:l hy I.h" .. II, ,'J'
SpringfieLd, incLuding the Zoning Crd.inallce, regulating t",~ ,:1;11::11', ",:, 'I
and una of buildings, and m::.y be GUGpendcd or revokad at ..I:!I /;:Iri" ',;, ": lIi,~-
lation of any pravinior,s of said Ordinances,
'1!)O /4 to /1) /5:..2
TO'I'A& VAWE
S.D.C.
I lJat.UC}
l,S :r:
Buitding Permit
State Surcharge
Total Charges
I ITEM I NO.
I FU,tures
I Residential (1 bath)
I Sanitary Sewer
I Water
I
Plumbing Pond t
State Surcfo.arge
Total Charnes
FEE
II/jjtlfl
I\~~
E!1o.~)
4',3~
lYD,R~
CRARGE I
I
1
No percon allall conatruct, instaU, a'!.ter or cOOllgn G.I1Y 1lel" Cl' ,:"i":;f.ill~;
"plwnbing 01' drainage eyste:n in iJhole 01' in part, w:leGs ouch ;;1;1':;011 i I; (I:,'
legal poGsesnor of a valid plumber's liccnae, except that a pe:'3011 mil~1 ,jll
plw:tbing work to property which is owned, leased or operated by tI:r. 'lFI,t j
cant,
IPlan Check Fer.:
I Date Pair!:
IRaa<ipt II:
~s~g:-:ed:
Plumbing Permit
Ffl
I.
I
I
I
-I
Perm it
ITt''''
Rc,q. ''J'!. 'Jp,
Naw/Extend Circuits
I Temporary Service
I
Ele~trical Pennit
St.:;te Surcharqe
Total Charr;es
lITEM Ne,
FUrnace !!TU' $
E::haus t Hood
I Vent Fan
I W:>ods to:Je
Permit !3suanca
Me~hanic3l Pemrit
State surcharoe
TotaL Charaea
-- EIICROACHMENT --
ISe~~ritu n2vo3it
I Storaqe
I Hr1.in t~nancp.
I Permit
TotaL Chal'flC8
CW-bcu~
Sid_lk
Ifr:'l~e
I Electrical
&abel
,]]5jJ ULfj-c
I TOTAL A~OUNT DUE; 4
I NO. r
(;HARGf
Electrical
Where State
FEE
CIIARCE
I.
I
I
I
I
1
I.
I
PLa~1fz:~~
2-/-'1/
Vat-a
I HAVE CAREFU&&Y EXAMIIIED tllS complated application for permit, cnd do
hereby certify that all irofo;omation hereon is true and corrcct, and I
JUrther certify that any ar~ alL work performed shall bG do~6 in ac~or.
dance :.nth the orodinanc88 of thd City of sprinaficLd, and t}l~ Ltr..;s of tltO
A State of Oreg;)n p~rtainin!1 to tIle work cescribed hcrein, and that NO OCe!)
PANCY !Jill be m:de of any struaturJ withOiJ.t p.3rmis3ion of the Buildin(1 Oi
lJi~ion. ! furthor certify th:1t o~ly contraatorG and e:Tlpl.?ye~8 wl:o are ill
c~pliancc with ORS 701.0St wilZ be u8~d on this project
.,.5l f) dj
(l,JL;:
~I J/ f/
dRQ34;.