HomeMy WebLinkAboutPermit Building 1989-5-5
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APPLICA~N/PERMIT
225 North 5th Street
Springfield, 02'egon 97477
Building Division
726-3753
Job Looatio,,: ~ II 6 L. 'r' (tA /,'J ( ('
A8GesDOrO Map H \() 0 ~ ~ I) 4 ~
w~
T= Lot H () \()\4
SlJ>diviBio,,: /...0 r /0
YcoN65r~w~
SZo/f,
CAmer: i'T A- ML
AdareS3: "2-1 t t
City: I!00&4~
(? (J....ItN JJo~,
f3.t.- Y g f V r<-r\
(SZl.,PM
Il .1dditicn
n Remodel
n .'-!obi-la Homa
~0s
~ -I 1- g'1'
Address
Lise. II
BId rs Boa rd H:"".
EXDirHS
Phon,,'
It is the peoponoibility of the permit ho~er to Bee that all invpeationa are made at the proper tims~ that each ~eB9 is readab:€ I
from the street. and that the permit card is l~ated at the f~nt of the property.
4!3ui!dirI{J Divi::io!': ap;woved plan s1u:.Zl pemain on th~ Building $'it;;;; at all times.
PROCEDURE FOR INSPECTION RE.QUEST:CALL 726-3769 (recorder) state your City desigYlated job nwr.bel'. job add:rcS8, type of i1l:Jpea::icll
l'equcstcd a:-:d lJ.1:en you :.JiZZ be ready for inspection, Contr'actors or OtJne:rs r:cme and r::hone nwnbcr. Requests roecaived before 7: 00 c;;
:..'ill be made the same dc.y. requests mc:.de aft;;r 7:00 am !Jill b:o: roode the next :.JOrking day.
You~ City DeGigr.ated Job Numb"r Ie:' ~qOn~
Date of Application
Contractors
General ~NE? .
,Plumbing ~,..U\ r f'. y~
I t.lechallical \'\\(\ "S\(\()J).D
I Ele<:cri<:a 1 ~ (')SJL,
I Super" ising Elec t r.i c in n
Rel1ld~e~d. r'1$nt>f!t':t:'t~
O SITE INSPECTION: To be roode alter
excavation, but prior to set lip of
forms.
D UNDERSLAB PLUMBING. ELECTRIC,lL &
NECH,!NICAL: To be made beJol'1] any
work is ~ovcred.
[Z1
FOOTING ~ FOUND~TIOIl: To be "",de
after t:t'enchcs al'e excavated and
forms are e:t'ectad, but pl'io:t' to
pouring ccncret;.
UNDERGROUND PLUMBING; SEWER. W,1TER)
DRAINAGE: To be rrade priOl' to fii-
li'l".g tl'enches.
[ZJ
[lJ
UIlDERFWOR FLWBING & MECHANICAL:
To be made prior to installation of
floor insuZation or decking.
POST AND BEAM: To bo made prior to
installation of floor insl.l.ation or
decki7l{j.
pnUCH P[,U.l!B[!JG. EI,ECTRICAL ,';; MECH-
ANICAL: No work i8 to be eJO!:el'ed
until these inspeations hav~ beer.
made and apPl'oved.
FIREPLACE: Prior to plccir~ facing
materials and before [,uming i,wfHW-
tior..
FRA'~ING: Must be reque8t"cd after
approval of rough plwr.bing, ~lectri-
caZ & mechanical. AH POofing
bracing & chimneys, et~. m'..J.st be
completed. No tX>rk is to be con-
. cec:.led until this inspection has
. b6en made and apprOt:ad.
[Xl
[L]
[Ll
[l]
P};CPle:
,6[?':? - &t'l '.J
q 7 '(~/
Reoeipt "
1?/5Gr 11
Zip:
Describe fl'ork:
Value
5~ 75/.S-e>
"z~lY~,
~Y.w -~Uu
Sigr.!1 trfu
S-- 'S'. ffi'
Dato:
.;.,..,'..01\.,,1.1",0;...4,'''111..
,0" '"".~',. ,:. "" ~+, "I ..1
11/1 INSULATION/V/lPOR BARRIER INSP.r::CTION:. DEMOLITION OR !-JOVED BUIDDIi/aS
X To be made aftel' aU in8ulation ar-.d .
required vapor b(U'p~ers are in plaee . } ~ani~ar1! SelJer :JaPf'e~ at propo;rty Zir:.o
but befope any lath, gypswn board or ---=.I - .
LXlU .covel'i~g i~ applied, and befol'e :::J Septia tank p~ed and fiZZad with granl
any 1.n8ulat1.0n 1.3 concealed.
DRYWALL INSPECTION: Tc be made
aftm' aU drYLJaZl is in pZace,
but prior to any taping.
D MASONRY: Steel location, bond
beams, grouting or verticals in
accordance with V.B.C. Section
2415.
crJ
D WOODSTOVE:
ccmpleted.
After installation is
] Final - flhen above items are completed
ar.d when demolitior. is complete or 8tM.~~
ture moved and pp::mises cleaned up.
- Nobi le Homes
=:J Blocking and Sot-up
=:J Plumbing connections B&Wer and water
---, Electrical Connection - Blocking, sot-U?
~ and plumbing connections mr~Bt te appr~vad
before requesting electrical inspBc;io~
~ Ac,:,oSGol'b' Building
] Final - Aft::J' p:JJ'cr.os, skirUng, dcck8.
etc. are completed.
D
All projeeJt cond-itiona. Guch as the ":".1tstaLZation of stl'(Mt tpBes, co::rplatiowof the
required landsccpir.g, etc., must be satiaJied before the BUILDINC FINAL cml be ,..gqucDtsd.
[1] FIliAL PLUMB[JJG
o FINAL MECH~NICAT.
[Z] ~INAL ELECTRICAL
o
o
CURB & APPROAC!I APRON: Afto:- foms.
a1'e erected but prior to pouring
.:!O~re te.
SIDSflALK & DRIt'EWAY~ Fop aU con..;
crete paving within' street right-
of-wcy~ to be made aftep aU exca-
vating aomplete & form work & cub-
base matep"ial in place.
@
FINAL BUILDING: The Final Building Inspection must bo l'squeoted attap the 'final P!umbi,13
ElceJtpiaal. and Mechar.ical Inspectiona haua bean made and approuad.
[2]
D
~ENCE: Wher. c~~plote -- Provide
gates or movable sectionD thl'OUgh
P.U.E.
.~[,[, /.IANI/OT-ES AND CLI~~NOUTS /lUST HE ~CCESSIBLF., ADJUST!fE/lT TO BE 'MDE ~T NO COST TO crn I Fa,'" oj' ~
rn -;)77fcET mtFC--S .
I JOB NO. A~ SOLAR ACCESS REQ.-
I Zona: L p;1? OCcuoonc" Grou".~ '?
Lot Sq. Ftg. /-'.~~ I WT TYPE
I Z '" Lot C,'JveI'ag~ --:.? t L Interior
\,q of StOM.ea / Corner
Tota L Height I 'f{'::t- PanhandLe
I Topogl'aphy ~- ~h CUL-de-8ac
-- Fees
I [TEN ' SQ. FTG X VaLue
Main
II t:J 2-
~
"37.70
/'1./0
Gc1'aae
Caroort
tlcacDSOl'lI
I
I
Is. D.C.
TOTA& VAWE
{vat.uc) I
1.5 x 5'3.'35'/.50
Buil.ding Permit
State Surcharge
TotaL Chargea
lITEM
I Fixtures
I Re8identiaL c2?bathJ 2
I Sanit...'ll'Y Sewer /
I~hr I
I ~;1C7:l/1? z;,."p/NA.;E
NO.
FEE
Plumbing Perrr.i t
State Surcfo.apge
TotaL Char-noB
11TEM
, '
NO.. FEE
Res. Sc. fto. 1/;11'2
Now/Extend Cirocuits
/
Temporary Service I
I '2.;i1tf) -4 ~/L,"- (
Ele~tl'ical Permit
State Surcha.r(Ie
Total Cha1"qes
ITEM I NO. FEE
I Furn:zce .r!TU' S
I Exhaua t Hood I
I Vant Fan -;: J
I
I Woods tave
I~';NL~ V'~ /
Permit Iasuanca
Mechanical Permit ./'!'l/~
State Sureharae
Total Ch::zraeo
-- ENCROACHMENT --
Se~"ritM Depo3it
Storago
MaintmtaM6
Permit
Total ChaNce
Curbcu;
/~7~/
r;~/
sidewaLk
Fanca
Electrical Label
Mobile Home
lk~7t#A
i 1R~f//tEJ"Y ~.
I TOTAL AMOUNT DUE:"
if? 7119. 'J t:J
'J,b<P"Z./O
,
155. '35'1. 5"0 I
1~.<?71.
I
-Zi'.~-t> I
/t'7.;>~1
~r. 7 ~ .
,.
I
.,7-5'~ I
'?'~ ~ I
/;5. -<>
:::?O. ....
CHARGE
/ t:? 7, ,50
5: '3&
.//:2' .$81 *
I
"'3'7. S"O I
I
/5': -a I
?7-SC> I
9'?? ,pt>
'7'-,,0
7'7". ~ I.
I
I
I
1
? -17 I
I
/..:;: d't!> I
.7':> I
/5- 7.>1.
I
I
CHARGE
CIIARGE
~SO
h . -.:>
/::J'.r:;z:>
2/. '25
.L 9/. 7.-S-
/59i'~ 75"' .
L-COG~
I r.ot
I
I P.&.
Nortll
5"-6 Bedrooms: :::?
r I Ener'1!1 SOio'ca3
I I ,!leat .r::"LE?T.
AaCC8B. I I Water .Ilr>.atc1' fiLX:7
I I Rallr;e I'
I / Fi rep lllcc
I I Woodc to"q
II
TIme
~L:.,c;.
T;;ve/Cor.st:
Faaes - ,(/~;:R:rb
Setbacks.
Hou.se r:fll'aqe
~
%:~J.f'
~.Y'
P.ast
South
IWest
7/
Building Value
&
Perm i t
This pennit i8 grortted on the express condition tllO.t the said construction
shall, in all l'CSpcctG, conform to the Ol'dinal;Ce adopted b"y the City of
Springfield, incLuding the Zoning CrdillQIWC, I'eguZatil1g the cCI13truaticn
and UGe of buildings., and m,'1!J be BUlJpended 01" revoked at l:I:Y time upon vio-
lation of any pI'Qvisior,8 of naid Ordir.aHcen.
}/prE' )f4-L(JC 5#z,ruc.,t:> ,fj7pve l!!~"'r:':/ S"3! ~'S/..;;~
1-'//7"# 7I~~q/~ p.~ fi'eV/~ ~~~ 1'1'/.?5""
7?fl(.....~i.'&"" n~.:::- _Z' -?~'=l4.l'/~ ~~J-?7?1!""S,.,~....~
"'f;1YI-r?"J7- Y"" -,.,~ :arC:: 0;' ~.6 ~.
,,?/Oh'C' r-"4"'5 Ct:J'~ t:'-/':""'P
I Plan Check Fee:
loatc Paid:
IRec<ipt H:
ISi9"ed:
Plumbing
Pe r m it
No perco" DhalL construct, instaUJ alter or chango G.ny new or e:::isting
plwnbing or drainage system in :uhoZe or in part~ u.nless stich pel'r;on is the
legal possessor of a valid plumber's license~ except tr~t a person may do
plumbing work to property which is ow~edJ leased or operated by the appli-
cant.
Electrical Perm it
Where State Law requil'eB tr.at the electrical work be done by an Eleatl'ical
Contractor~ the electrical portion of this permit shall r~t be valid until
the tabeZ has been signed by the Electrical :;ontractol'.
Mechanical
Permit
a~-- ~~
Plan' ~iner t ~, l
)- 3-89
Ute
I HAVE CAREFULLY EXA.'4INED the completed application for permit, and do
hereby certify that aU ir:fo't'TllG.tion hereon is true and corrcct, and I
ful"th6l" c6rti[y that any ar.a all. work p6rtoY':'TIed shaU be M:16 in accor-
dance :.nth the Ol.dina.nces of the City of SprinafieLd, and th& La-.JS of tho
... State of Oregon .p$rt.:zining to the lJOl'k described hcre~1tJ and tha; NO OCCU-
PANCY wiLL be made of any structure ~ithout parmiG3io~ of the BuiLding Di-
vision. I further certify that only cont}~ctorG a;;d empl~yee8 ~ho are in
c~pliance with ORS 701.055 wiLL be used on this project
Mvs~
c::Jign3d
.)' --.s--Pi
!Alte