HomeMy WebLinkAboutPermit Fire Damage Report 1985-10-9
.. RESID.I."
APPLICATIONIPER!1IT
225 North 5th Street
SpringfieZd, Oregon 97477
BuiZding Division
726-3753
.fob Location:
/1(01 eJLcUn,,~
/17 0,3 ;2S 3~ Tax Lot #
[) 3rro()
4S$eSDor.: Map H
Subdivision:
:loner: i ~ &1- rJd' t(Ulr~)
4ddress: -;20 '7 ~ V~. - .a.:A") &/jjd. Phone:
V~I
,city:
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11m,!
Addition
Remodel.
,'10b:. Ie Hom3
16 -<q~ ~ b
! Date of Application
Zip:
1",!'1
. /JAIV' ...,.
(JV' cc
l?:> 05.4!-3, '7
'ct l0 :::PV)
~;-?-i(J9c{l
De,scribe '>'ork: m ~ j2EP;?1 R
FI e.. E prr J9 ploo/2. eoJlGI 1!lI~
SIf~r<M;<'"
. {J11;$L~ t7'.El1t prlllv!
?-cMo~
Value
#6: M5V
I ~::::~;ors r ~ C& C6-nA1-f.-l, ddt d
?l.wnbil"lf!
5!ectrical Kif f!.I2 (( Bf2IJ-B tfFlIYl
'.fechar.ic~l
:onstruction Lender
Address
Ii. urn
Sigr.ed:
Date:
ce-
It[) - q
K'.S
Lise."
Err;ir~8 Piton.::
3741,,;., ~
7-/"- J"fO
sp~/n
'f( 1/ ?91J
/ u -,.;; r,L - y {;,
-: is the responaibility of the permit holder to see that all. inopectWns are made at -:he proper time:,. that each ~e8B is rc~:c
'rom the street, and that the permit card is Zocated at the [POnt of the property.
Eui!.di:-o.g rr~tJi=ior: approL'ed pl.aJ:t shc.U rema.{n on th2 Bu:~.lding Site at all times,
~70CSDURE FOR INSPECTION RE'OUEST:CALL 726-3769 (rccorder) state your City designated job number.. job aaC:rcss.. type of in:;;pcc-;icn
aques~cd a~~ W~en you ~i~l be ready for ir~pcction.. Contrac~ors or Qwne~s nome ~nd phone number. Requests received befere 7:00 ~
ill be made thE: same dt:y.. requests mc.de afta' 7:00 am t.n:U be made the "at :.JOl"ki71G day. .
.' y:mr City Desigr.ated Job Nwnbf:r Is: ~ 1 fo /
~qJi~p1 T~$~p~tic~~
'J SITE It.'SPEC':'ION: To be made after
, e.;cavation.. but prior to se: up of
forms.
] U,'IDERSLAB PLU/.fBING. ELECTRIC,1L &
/{ECH.4..,ICAL: To be made before any
work is ~cvared.
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FOOTING ~ FOUND,iTION: To be made
after trencnes are excavated and
forms 02'e el'Bcted", but prior t;o
pouring ccneret~.
UNDSRGROU!!D PLUf.fI3ING.
DRAIl1AGE: To be made
Ur.g trenches.
SEWER. W.1TE.~
prior to fi l-
]
U!lDERFLOOR PW,...'!JING & MECHANICAL:
To be made prier to in3talZation of
J1.oor insulation or decking.
] POST AND BEAU: To be rr.ade pl"ior to
installaticn of f1.oo1' insulation 01'
decki.ng .
] ROUGH ?LCF.!BI.'lG. ELECTRICAL & MECH-
ANICAL: No :vork is to bc cox:ered .
.until these inspeations have beer.
made ar.d approve.:!.
] FIREPLACE: Prior to plc.air.g faeing
materiaLs and befo1'e framing inspec-
tior..
] FRA!~INC: Must be requcDted after
approvaL of rough plwr.bing.. ~lectri-
cal & mechanical. All roofing
bracing t chimneys.. et.:::. lTr.J.st be
. comoleted. !lo tJ:J1'k is to be C07l-
.. cea"led until thia inspection has
. bf:e.n made and approved.
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O INSULATION/VAPOR BARR1ER I';:;;~E~"l'lUil:
To be made after all insukti.?n w.d
. required vap01' barriers are in place
. . l::ut eefore any lath, gypswrr beard or
wtz. covering is applied, and befo1'o
any inau lation is concea ted.
I"i.71 DRYWALL I1ISP!:CTION: To be made
16.J after all drywLl is in place,
. but prior to any taping.
O MASONRY: Steel location, bona.
beam3, grouting or verticals in
accordance t.n: th u. B. C. Section
2411i.
O WOODSTOVE: After installation is
completed.
o
CURB & APPROACH APRON: Afte~ forms
are erected but prior to pouring
aon.:::1'eto.
SIDEWALK & DRII'EWAY: For all con-
crete paving within street right-
of-LX:.Y, to be made after all exca-
vating complete & fo~ ~rk & cub-
base material in p~e.
I DEl!OLITIO!,/ OR gOtfE; BUILDIilCS
:J Sani-:ary se:Jer capped ~t rn:.opcrt-:i Lir.a
.=J Septic tank rrJr.:?€:d and fi.lle~ t.n: th sra-~(t l
I Pinal. - r\'hen ab..."'Ve ite:ns are cc::rpletcc!
---1 and when demoLition is compLete or s:ru=-
ture moved and prcr.riaes "Leaned up.
I Afobile Homes
::J Blocking and Set-up
::J Pl.umbing connections s,cwer ar.d lJa~B"
::J Electrical Connection - Blocking, BO:-U?
and plumbing connections nr~st te G?p1':::~e.:!
before request~ng elec~ri::al inspec;io~
::J Accesso1'"d Build-:.ng
--, Final - I'.ft:Jr p::Jrc:r.es", sk-:.rt-:.ng, deck3,
~ etc. are c~plet~d.
o
All project conditions.. auch as the installat-:.on of s~reet trees.. c~~Zotion of the
roequired Zandsccpir".g~ etc... must be satisfied befo1'o the BUIWIllG FI.','AL can be raqueatad.
] FIliAL PWI!BIIIG
] FIliAL I!E~HA:lICAL
] FIliAL ELECT.9ICAL
]
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FINAL BUILDING: The Final Build-:.ng Inspection must be requested e.ftcr the Pinal PZu!~biP13
Electrical", and Mec:har:ical Inspec:tion3 have been made and app1'ovi!:i.
D
O PENCE: Whet: complete -- Provide.
gates 01' movabZ,e 8ections through
P.U.E. .
o
-ALL UANHCt.ES AND CLEANOUTS HUST BE ACCES$IB!.E", ADJUST!fE,'l'!' TO SE 1.~1DE AT NO C:'ST TO CI'1"Y I P::Jf"e ! of 2
i JOB NO.
rg5D q (p / Gc:"~a~ 55
ILot Sq. Fh LeT TYPE I Lot Faces - J I
..".
I: ~f Lot C:JlJerago Ir.tericr I Sctna~ks
I P.L. I HOl.<se I Cara,?c I.ccess. I
1# of Stories COrrler .. Wartn I I
1'"0'" 1. rJ i .... Panhandle lEast I I
,. ...0 ..6 !ir... Isoz.:tn
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iTopogrcr:hy Cul-dc-sac iWeat I
Fees
,
12or.c:
II':'EM
IMain
I Gc:race
I CatTCl'"t
IACCCSSOl'"lI
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Is.D.c.
TOTA!' VALUE
lVC.l.;J.':)
1.5 :::
B:J.iZding PCl"mit
State Surcharge
Tot.J! Cha:oge;J
iI'I'2g
1 Fi=:ures
I
1 Residentia! (l bath)
I Sar.:i.tar'J Se'..'cr
I Water
PZ:.c::ir~r.g Perr.:i t
State Surcr.a.rpe
Tct~! Charaes
SQ. FTC
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VaLue
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FEE
CHAR.GE
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IRes. ~a:
ft~.
"..i....;.?...;=.
INGW/E=:er-d ~ircuits
,
ITemp~rCTY Service
Elc::tnca1. Permit
St=te Sw-.::harae
Tota! Charces
lITE,'.!
I Purr.ace PTU' 5
I E=haust Hoo~
i Vent Fan
I Woodsto:;c
pel"r.:'it I:;sua:nca
Me~r..ar.ic.::l Permit
State Surchc:rac
To::d cr~rop.:'J
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FE::
CHARCE
-- El.'CROACHJ.!E:.'T --
iSe~~ritu D2~~3it
! Storace
I ' Maintenm"~p.
I' Permit
Total C"na.r:f1cs
Curbcu:
Sidc..J.:llk
.t:'cn::a I
Electrical Label I
!t!obiZe H:Jme "
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~OTAL A.'.'<JU".7DU~:' ~ 3,;;)8 fi(:~ I.
REQ.-
~"PeICO~
Ee:iro~s :
L-COG~
En:Jr,":J SO:lr~rs
.!-I"cat
T:J=,e
Wat'?!' Hf'!:1'tl"r'
HaMpe
Fircf1Lacc
It'ooc':;CoL:e
Building Value & Permit i
This perrrr~t is granted on the express condition that the said, constl'Uction I
shall, in all respects, conform to the Ordinance adopted by the City of I'
Springfield, incZuding the Zoning Crdinance, regulating the ccnGtru~tic"
and u~e of buildings, and m::.y be cuapended or revoked at c:r:.y time upon vie.!
U7tion of any provisions of said Ordir~nce8.
.
IPlan Check Fee:
I Date Pa;d:
IRecdpt #:
jSig;-:ed:
Plumbing Permit
No percon chall construct, instal!, arter or change any ne~ cr e:isting
plumbing or drainage system in ~hole or in part, unless such person is t~~
legal possessor of a valid plumber's license, except tr.at a pe~son ~4y do
pl~bing work to property ~hich is ow~ed, leased or operated by the appli-
cant.
Electrical Perm it
Where State La1.J requires tr.at the electrical ~ork be done by an Elc~tric.:l
Contractor, the electrical portion of this per.mit shall r~t be valid ur.tiZ
the label has b~en signed by the Electrical Contractor.
Mechanical Permit
.
P um tXl:mt.ner
uat:e
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I HAVE CAREFULLY EXA.ItJINED the completed application for permit, and do
hereby certify that all info:-mation hereon is true and correct, cmd r
f:4rthcl'" certify that any ar.d all work perfor:ned shall be do:te in ac!:o'l"-
dance :.n.th the Orodinances of the City of Springfield, and tho: Ltr..JS of tho
State of OregQn p=rtQining to the uork described here~n, cr~ that NO OCC~-
p/:Ilcr !.Jill be rrn.::.e of any structura ~itho-..lt parmission of the Building Di-
vision. I further certify t~t ~ly contra=tors ar~ enp~yecs who are ir.
c~pZiance ~ith ORS 701.05~ ~ill be used on this project
~h
Signzd ..;.....-
/t/~ C/-155-
D"te