HomeMy WebLinkAboutPermit Building 1989-3-28
.. RESIDfI\lTlAL"
APPLIC.EN/PERMIT
225 North 5th Street
Springfield, Or'egon 97177
Building Division
726-3753
Job Location: (0Jdi I ~ J( P1 0 MIl ,n r,
ABeeBeore Map # ()()-.:x9. ~ 1 'd..
SUbdivision:
Tax Lot # C)~ ~\Y)
Receipt #
-I
LGb
ame", \OO~l- \-\~j\ MJ\C1!l N\)
AddreBS: ~frl.C\ ~ \ \~ \\~ t\. Dill! ~one: if\!'\\o-k;~qS
CitlJ: '-~~ ~ -(~ J Zip: C\\"f\\\1\
~\j \i \<<-; \ \"(\ I. 'C\ VI (\ - 0\0 "n - \oS \ n'l
rx1 Nm,) '-.j \:i ~cribe "'orl"
R :::::::n ~teyt
n .'!obila Hom:]
'6'~h,~q
Date of Appli(!:'lticll
Contractors-
General (U .~(\ IT )
, Plumbing
I t-lechanlcal
IIHec:triC:i1 I
I SupervJ~:lt!g E.lectl-)l'ian
Value ~ \ q S ,DO
Sigr:ed:
Date:
Address
Lise.J 1/
BId rs BOilrd ReI!_
p1lnl1t>
l~xpires
It is the reaponaibility of the permit hoLder to see that all inapectionD are made at :he proper tim€~ that ~ach ~eB3 is readab:~
f1'01l1 the street, and that the pcnrrit card is located at the [pant of the property.
-4Bui!.ding Diui::io'!'. ap?l'oved plan shc.ll l'cmain on tha Bu-:-lding sit;; at aU times.
P.70CSDUHE FOR INSPECTION RE'pUEST:CALL 726-3769 (rec:orderJ state your' City designated job number, job address, type of in3pec;icll
requested ar.d LH:en you will. be ready for' inspection, Contmc:tOr'fJ ot' Owner's ncme and phone number>. Requests r>eceilJcd befOl'e 7 :00 ,~
~~ll be made th~ same dey, t'e~.est8 mede after' 7:00 am will bz made the next ~r>king day.
~()~4~
.r?~n:,ir:pn rl1~T?P(!tir.l1.q
o
o
o
SITE INSPECT ION: To be made after
excavation, but pr'ior' to se; up of
fome.
UNDERSLAB PLUMBING, ELECTRICAL &
MECHANICAL: To be made befol'e any
wor'k is ~otJcred.
FOOTING & FOUNDATION: To be I1tlde
after trenches a!'e excava ted and
forms are cl'ected, but prior to
pouring ccncret~.
D
UNDSRCROW.w PI.UMBINC,.
DRAINAGE.. To be made
lir'.g trenchet:.
SEWER. W.1TER,
priolo to fi l-
o
UNDEHFWOR PLU!-.'BING & MEC.riANfCAL:
To be made priol' to inutal.lation of
f!oor inBulation or decking.
POST AND BEAM: To be made p!'ior' to
instaUatio'l of floor insulation Or'
decking.
ROUGH PLW!BIHG. ELECTR!CA!... ,?, MECH-
ANICAL: No work is to be eovered
ur.ti~ these inspectior.s have beer.
made and approved.
FIREPLACE: Prior to plc.cirJ] facing
mater'ial.s and before framing inspec-
tior..
FRAJ~ING: Must be requeDted after
approval of rough pZwwhing, electri-
cal & mechanical. Al! roofing
bl'aaing & chimneys, etc. nr..lst be
. completed. No work is to be con-
o cealed until thiD inspection has
. b~~n made and approved.
o
o
o
o
YOUl' City Deaigr~tcd Job NUmb€r 10:
O INSULATION/VAPOR BARRIER INSPECTTON:
To be made after al~ insuZatian ~4
required vapor barriers are in place
but before any lath, gypswn board 01'
tXlZl covel'ing is applied, and befol'e
any inuu Za twn is concea led.
O DRYWALL IlISPf:CTION: To be made
after all drywall is in place,
but prior to any taping.
O MASONRY: Steel
beama, groll ting
accordance with
2415.
location, bond
ot' ver'ticals in
U.B.C. Section
=
I DEMOLITION OR MOVED BUILDIilGS
~ Sani~y 8f!'.J61' :Japped :It P:.OP~l't:i line
~ Septic tank p:.4mp;;d and filled uith gra".)e~
---, Final - rflten aMve items a1'e completed
~ and uhen demolition is complete 01' 8t~:-
ture moved and premises aleaned up.
'Mobile Homes
~
O ftOODSTOVE:
ccmpZetf:d.
After installation is
=.J Blocking and Sat-up
=.J Plumbing connections -- sewel' and water
-, Electrical Connection - Slacking, set-u?
-.J and plwnbing connections trr...st te approve~:
befol'c requesting eZec:rical inBpec;io~
~ Accessory Building
---, Pinal - Aftcr> p~r>che8, skirting, dcckD,
~ etc. are completed. .
o
All PI'oJect conditions, iJUcr. u3 the -i.l1stallation of str'eet trees, co.o:rploti~n of t;lf:
,.eqtlired landscr:.ping, etc., must be satiDfied before the BUILDINC FINAL can be 1'2qucst:::d.
D FINAL PLUMBIl/G
D FINAL HF.~'IIANJCAJ,
D FINAL ELECTHICI.L
o
o
CURB & APPRDACH APRON: Afte:, forms
are crected but pr.ior to pouring
aoncrete.
o
P[N,1J. Dur/'/J[NC: 'J'he Nnal Building Innpectioll must be requeated alter the ."fnal rlwnbill:J
~lectrical, and Mechanical InspectionD have been made and approtJad.
o
SIDEr/ALK & DRIl'Eri/.Y: For aU con-
crete paving within street right-
of-wc.y, to be made after' all exca-
vating complete & form work & $ub-
baDe material in place.
"'AU, f.fANllOLES AND CLF.ANOUTS I/UST BE ACCESSIBLE, ADJUSTnEtlT TO BE MilVE AT NO COST TO CITY I Pat:a ! of :!
o
!'ENCE: ~'her. compl;;te -- Provide
gates or movable sections through
P,U.E,
o
!Z~~:B No,AqQ;)4~::~"RG:WS
Lot Sq, Ftg.
!'
Z of lot Coverag~
# of Stories
Total HeiGht
Topogrophy
LOT TYPE
["tepicr
Cor>ner
Panhandle
Cul-de-sac
ITEI-I
S~_FTG
x
Value
Main
GaraGe
Carvort
ACC6880l'11
IS,D,C,
TOTAL VALUE
(t)al.UC)
1.5 x
Building Permit
State SW'chaJ'ge
Total Cha~gea
lITEM
Fixtures
I ResidentiaL (J bath)
I sanitary Sel.J6r
CHARGE
NO.
FEE
We tel'
Plumbing Permi t
State Surc1-.arge
Total Chames
CHARGE'
I ITEM
I Res. So. fta.
I New/Extend Circuits
I Temporary Service
I
NO,
FEE
Ele~tl'ical Pernrit
State Surcharae
Total Charges
I IT5M
I Furn.:zce !!TU' S
I Exhaus t Hood
I Vent Fan
I
I W;)Ods to:Je
I NO,
FEE
CIIARCE
Permit 138uanc2
Mechanical Permit
Stato Surcharae
Total Charaes
-- ENCROACHMENT --
I SeC"~ritl.l
I Storage
Dar>03it
Maintenance
Permi t
Total Charao8
ICurbcu~
ISid_lk
I.r;>ml::a
I Electrical Label
,
i Mobile Home
I-roTAL AMOUNT DUE:'
REQ,-
L-COC....
~ Bedrooms:
"f"'Enerny So:<rces
!leat
I
I
1
Type/Cor:at:
TilDe
[ Lot Faces -
I
I P.I"
INorth
I/.'ast
South
West
Setbacks
HouGe Cm'age
I Access.
Water Hf!utf?r
RWIUC
I Firr.mlacr:
WGod~ toz;e
.1
Fees --
Building Value & Permit
This permit i3 granted on the express condition that the said construction
shall, in aU respects, conform to the Ordinance adopted b'y the City of
Springfield, incLuding the Zoning Ordin.ance, regulc.tillg the ccm;tl"'.Jcticn
and use of buildings, and m:;.y be GUDpended or revoked at o:y time upon vic-
lation of any provisions of said Ordinmwes.
,
IPla" Check Fee: ~c, .C5:'--J
I Date Paid:
IRecdpt #:
I Signed,
Plumbing Permit
No pereon :;llG.U aonntruct, instalL, alter or change c;.ny new cr existing
plumbing or drainage nY8te~ in whole or in part, unless such person is the
legal possessor of a valid plumber's license. except that a person may do
plumbing work to property which is ow~ed, leased or operated by the appli-
cant.
,
Electrical Permi t
Where State Law requires tr.a.t the electrical J.JOrk be done by all Electrical
Contractor, the electrical portion of this permit shall r~t be valid until
the label has been signed by the Electrical ~olltractor.
,
Mechanical Permit
PLan Excm'Lner
uate
I H-1VE CAREFULLY EXANINED the completed appUcation for permit, and do
hereby certify that aLl. i~fo:>mation hereon. io true and correct, and I
further certify that an.y ar.d all work pel'for:ned shall be don.e in. accor-
dance with the Ordinances of the city of springfictd, and th~ UT~s of tho
~ State of Oregon pertaining to the work described herein, end :hat NO OCCU-
PANCY will be rrnde of any structura withO:4t pel'misaio~ of the Buildin.g Di-
vision.. r furthol' certify that o~ly contY'a.::tora aJ,d e:npl"yos8 who arB in
compliance with ORS 701.055 will be used on. this project
Signsd
Data