HomeMy WebLinkAboutPermit Building 1991-1-24
.. RES ID a.I TI A L" SPRINGFlEl..C
APPLICAT./Ft:RMIT
225 'North 5th Street
Springfield, Oregon 97477
Building Division
726-3753
Job Looation: /3fJ;(h OK ".'N 'II q .. T-
ABOeBGOre Map 6 ) 1 O~:2, 'i d::l. Tcx Lot N oy 1,(J n
SubdiviBion: It k'L II I J~L. /-'0+.:# i;R
:2 #:--,>-.d:; Robcl~()_;;1I':j 5k +~~
Addreos: dft; ~ Mt.";' It"" -::0", . Pi'.ane: L/,f S.J I 7 jc
City: -[?\:.ro..lt.- .~c".l zip: <77'/Vj
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.'.!obf.le Home I I D- q l
Date of Application ' ' :.-, .,.. Value '/00000
Contractors Address ' Lisc. II
General r..1u~ 'i3 J..!o_.c.r- ')yf3 M."fol,",. E.:J .?(" Vr'i
: Plumbing {,~~-fo~ pi,._ b",. \ J(,.vI~v'''' ';-<A'",e ,hll J ,I
iHechanical I?o{~~ ~J;,~ [0' Jno i:L.rl/'{t1 e", n ,}02,.vO
I E),ectri.cal \.-\.FBAtl.O (~=K. 7ct7o"$ L>.J.SCI<I'1lOl. Cc,. -z.o... nIL
ISUOe""~1g Electrician ~ A. ~ "'Z.-70~S
'c
CUneI": ~
OO-NmJ' . ~.~
n Addition 17'
n
n
Remodel.
Describe fl'ork:
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k?,..tu~
Rcce~pt #
iCf/ol
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~
Siqr:ed:
Date:
~rJ0
/, 6f-I -'1 I
Bldrs Board Re~.
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EX'CI:!..res
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lidS' .silk>
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It i.s ths responsibility of ths pB:rmit holder to see that all. iMpections are made at the proper tims# tr.at each .:ddre88 is readabZe
frcm ths street, and that ths permit card is 'Located at ths fteont of the property.
*Bui!ding Divi::ion approved plan shaU remain on thE Bu.-:,ldiT1f1 sit:z at aU times.
PROCSDUHE FOR INSPECTION RE:QUEST:CALL 726-3769 (recorder) state your City designated job number~ job address~ type of in3peaticn
requested tr.'".d when you lJil.l. be ready for inBpection~ Contractors or OWners name and Fhone nwnbcr. Requests received before 7:00 c::o:'l
:..~Zl be f1l:Ule the same day~ requests made after 7:()O am will. b:z rmde the next :.>orki11fj day.
RIU'J!i.r11 Ttt'~T1"'r!t."I:r.'JU
O SITE INSPECTION: To be nxzde after
excavation~ but priOl' to set up of
forms.
O UNDERSLAB PLUMBING. ELECTRICAL &
. MECHANICAL: To be made before any
tJ)()rk is cOl)cred.
1"\71 FOOTING ~ FOUNDATION: To be made
~ after trenches are excavated and
. forms are erected~ but prior to
pouring ccneret~. '.' .
~ UNDERGROUND PLUMBING,.6iWiR)~
j/'J rf/!{AIflAGE:z To be rra::ie priOr to'Tf:L-
, . "':t;,-tf c:. .mahes. . .
r<vr UNDEHFwa~yt:ffi;HANICAL:)
~'To be rnadlJ---prwr to~;,;."...;:.~..--:.~.. of
floor insulation or decking.
~ POST AND BEAM: To be made prior to
~ instaLLation of floor insuLation or
deoki... '
~ RO" LIE-!BIlI E T r MECR-
I6J ICAL J IJOrk is to be coveroo
.~ these inspections have beer.
made and approved. '_
r::vr FIREPLACE: Prior to placir.(J feeing
~ materiaLs and before framing inspec-
tior:.
r\:if FRAHING: Must be l'equeDted after
~ approvaL of rough plwr.bing~ electri-
; cal & mechanical.. At!- roofing
~' bracing & chimru;ys~ etc. ,",...lst be
,: completcd. !lo 1J01'k is to be con-
.:. cealed until thio inspection has
'be~n made and approved.
Your cit;y' Dosigr.ated Job Number Is:
i"\/f INSULATIaN/VAPaR BARRIER INSPECTIaN:
~ To be made afteI' all insul:;.tum ar'.d
. - .' required vapor barriers are in p laco
. '~but before any lath~ gypsum board or
LXLtt covering is applied, and before
- any in.suZation is concealed.
~ DRYWALL INSPECTION: Tc be made
.p after all drywll is in place~
. but pI'ior to any taping. ,
O MASONRY: Steel location~ oona
beam3~ grouting or verticals in
accordance J.Ji th U. B. c. Section
2415.
O WOODSTOVE: After installation is
acmpl.eted.
l'VI' CURB & APPROACH APRON: After forms
~are erected but prior to pouring
. ~rete.
.~' SIDEWALK & DRIVEWAY: For alL ~on-
crete paving within street right-
f-liX:.Y~ to be made afteI' all exca-
vating ccmplete & form work & sub-
. base mateI'ial in place.
D PENCE: Wher: compl~te -- Provide
gates or movable sections through
P,U.E. .
[3 ~'~1JLeJ. ' O~
. -fQ~WMd6
C\\Offi~
I DEMOLITION OR MOVED BUILDIilGS
~ Sanitary se'Jer capped at v:.oP~l'1;'~ lir.e
~ Septic tank rr.ci:pcd and fille~ t.ri.th fi7"G:J.Bl
:J Final - When ab..."Ve itczs are ccmpleted
ar~ when demolitior: is complete 01' Btru~-
ture moved and pr~ses cleaned up.
I Nobile Hcmes
=:J Blocking and Sat-~p I
=:J Plwnbing oonnectionB -- B""er and water II
~ Electrical Connection - Blocking~ set-up
-.J and plumbing connections 11r...lst ce approv6d I
before requesting electl'ical in8pectio~
=:J Accesao1"':i BuilC.-:,ng
:J Final - /lft;:r p"rcr.e8~ 8kil'ting~ decks~
etc. are completed.
D
All pl'oject conditions~ such a8 the in.stal1.ation of street trees, cQ.-:rpla.tion of the
required land8cc:pir.g~ etc. ~ must be satisfied before the BUILDING FINAL can be ra~estad.
~ FIliAL PLUMBIlIG
[.;8l FIliAL MECHANICAL
~ FINAL ELECTHICAL
o
z
FINAL BUILDING: The Fin.al Building Inspection must be requeDted after the Final Plumbing
Electrical~ and Mechar:.ical Inspectiono have been made and approved.
'AiL i'IANHOL~S AND CL~ANaUTS IIUST BE: ACCESSIBL~, ADJUST!IEIIT TO. BE IL1DE AT /10. COST TO. CITY I Page 1 of 2
r-;:.ge "
I JOB NO, ~ J(i),!l~OlAR ACCESS REQ,- l-cod~
Zone: \ r)~ Occupancy G~ :-I..,jf'n I Type/Cor.8t: \/. _,_ Be::1'O"""s: 4-
Lot Sq. Ft{;. 1Gi5 XYPE Lot Faces - Sa:eT1"f "I Enernu Sou"o," T.oe
S of lot COIJerage Interior I Setbacks I ~at ~ 1= A'
I P.L. House Carage Access. I Water .tip-aLp.I' c:~
.~ of Stories c4.. Comer Worth ~h . I I Range ~T
Total Heigl1t ~~..~ Pan/landle lEast 5' I 11 Fireplace
h CUl-de-sac ISouth 'J.() , I I 1>'0000 tope
Topogra;? y I[,est 1~,," I I
lITEM
lMain.
I Gc:IotlO8
I Caroort
, SQ.FTG X Value
~7f'? ~z. 37 C?333tJ,7e
(1:? L4 to t.fot,1,30
ACCe8S01'lJ
TOTAL VALUE
Is.D.c.
Iva/;uc)
1.5 :t:
Building Pernrit
State Surcharge
Total CI1a.~ges
I ITEM NO. FEE
I Fi:t:tures
I ResidentiaZ (1 bath) :3
I Sanitary Set.Jel' .......,
'-
~t~ ,
~~~,\.~\fuL_. '
, PZ~ Pe=it
State SUI'cr.arge
Total. Chaytaes
ITEM
I NO. I FEE
Res. So. fto.
N"",IExtend Circui ts
Temporary Sewice
I
Eleatrical Permit
State Suroharoe
Total CharC8S
lITEM
NO.
FEE
PurnaC8 ETU'S
Exhaust Hood
Vent Fan
JlOodStoiJ6
I
3
36D
.
Permit ISl1UaJ1C8
Me=hanical Permit
State Surcharae
Tn1;nl CJrnofHftJ
I -- ENCROACHMENT --
ISe~~ritlJ.DaP08it
I Storage
MainteJ1(Z7U:!8
Pcrmi t
Total Char>qCB
I Ourbcut
2.&'
~1;
Sid_lk
Fen:Je
I EZect1'ical Label
j Mom 1.6 Home
I
I
I TOTAL AMOUNT DUE:'
. /1JO.OtJO
I /5a::;.t:JD .
+33.-
21,GS
45'4 .6~ .
Cl/ARGE I
I
/q2:>>tJ I
I
I
/0.00
2LIZ 5V
,
10;/3
2/2 , '-3
Cl/ARGE
CHARGE
tb. D-O
4.5'0
9.-
It? 00
/1 ,s-o
1.49 I
.30: 910 I.
14,7.0
~o. 3S-
t').ou
/}"').37.8/ .
-- Fees
Building Value & Permit
This permit is gronted on 'the express condition that the Bfiid. c:onstructiofl
Bhatl~ in all respects, conform to the Ordinance adopted by the City of
Spl'ingfie'Ld, including the Zoning Ordinance, regulating the construction
and use of bui"(.dings, and may be suspended or l'elJoked at c:r.y time upon vio-
lation of any pra,visions of said Ordinances.
. P'Lan Check Feer{~ I. ~
Date Paid: 1- !fJ-4f '
Receipt #:. _ n I q (J'Qi"
Signed: ~) ~ .
Plumbing Permit
No person shall construct, inatal!., atter 01' change any nmJ or e---isting
plumbing or drainage system in whole or in part, unless such person is the
legal possessor of a valid plumber's licens8J except that a person may do
plwnbing lJOrk to property which is owned, leased or operated by the appli-
cant.
..
..
.
Electrical Permit
Where State LaLJ requires tr.at the electrical, work be dons by an Eleatrical
ContztactOl', the etectmaZ pOl'tion of this permit shaU roOt be valid until
the label has been signed by the Electrical Contractor.
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. ~ ~/t/~tlAJ
Mechanical
Permit
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p~~F~A-
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ua"e
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I HAVE CAREFULLY eXAMINED tlw completed application for permit. and do
hereby certify that aU inforomatwn hereon is tr>ue and C01"1"cct, and I
further certify that any and aU lJQ1"k pe1"fozomed shaU be don.e in aC:!01"- .
donee :..Jitl1 the Ordinances of tlw City of Springfield, and the L<r~s of tho
State of Oreg.:;m pZ1"taining to the work cesaribcd herein, and that NO OCCU-
PANCY UJill be mde of any structura without p(31'miasion of the Building Di-
vision. I further certify that on.ly contraators ar~ empl~yees who are in
~pliance with ORS 701.055 will be used on this project
~>~.
Signed
/Ifft-/
Date'