HomeMy WebLinkAboutPermit Fire Damage Report 1987-2-5
.. RESIANTlAl"
APPLICATION/PERMIT
225 North 5th Street
SpringfieZd, Oregon 97477
BuiZding Division
726-3753
Job Location: / ~~.tt? ~:.ve <;-r+-
ABCeB80r" Map # / 'i5 !7 3 () ;;2 0 0
SUbdivision:
CA.me"~. --,?I..:......-_.
,
Addre88: / 34:>0 ~,,"'~
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II City: S~
P'
I nNm,
n Addition
r;;:L RemodeL -<I~~
n lIobHe Rome . 1
Date of Application ,J ..... ~');f' .
Contractors
Cenerat hI-oAle;e q,-~c., R.LAh
PLumbing .... ~
ELectricaL r L
Nechar.ica.l
Construction L~ndel"
Taz Lot #
0030n
.
Rcce:.ctB (j 0 11(/1 V
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Lue;) )10.) to 0 fJ..JJ /
Phone:
Zip: 9T"~T>
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VaLue '1/; (J1)D
Address
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Signed:
Date:
e&iD/Yl
tl- 5 -,??
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Lise. if
~7S'9
Plume
E:rr>il'CS
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It is the responaibility of ths permit holder to see that alZ. inspections are made at 'the proper timG~ that each ~e88 is l'aadaDZe
fzoom the street, and that the permi t ca:ttd is l.ocated at the front of the property.
ASuitding [}{.vi:::ior: appl'Ot:ed plan. shc.l.l remain on tha Bu-:.Zding Sit:; at all times.
PROCEDUP.E FOl? INSPECTION RE:.QUEST:CALL 726-3769 {recorder} state your City designated job number.. job address.. type of ir.3pec-;icn
requested ar-.d w,l:en you will be ready for inspection.. Contractors or Owner's name c:rui phone number. Requests yece. 'ed before 7:00 c::':"l
I i..'i1.Z. bB rmde the 8 e day.. requests made after 7:00 am wiH be m-:ui.e the nat :.>orking day. () , ,
. ' . '61(){)S
I ",' YOW' City De8igr.ated Job Numb<r I8:
F~~ir~ _~~~~tir.~R .
i!r;l ~E INSPECTION: To be trade after
'~ excavation.. but prior to set up of
I' fOrn/s.
I . 0 : UNDERSLAB PLUMBING. ELECTRICAL &
MECHANICAL: To be made before any
UJOrk is ;J01Jcred.
D
FOOTING & FOUNDATION: To be """e
after trenches are e:z:cavated and
forms are erected.. but prior to
pouring ccncret~.
UNDERGROUND PUJM2ING} SEWER. w'1TER"
DRAINAGE: To be 1tt2de prior to fii--
.7,ir.g trenches.
O.
"
o
:
.
UNDERFLOOR PLUf.!BING & MECHANICAL:
To be made prior to instalLation of
JIoor in6u~tion or decking.
POST A NO BEAM: To be made prior to
installation of floor insuLation or
decki"li .
ROUGH PLlP.!BI!1G. ELECTRICAL & UECR-
ANICAL: No lJOrk is to be covered
,until these inspections have beer.
made and approved.
FIREPLACE: PI>ior to pZacir.g facing
materials and before framing inspec-
tior..
'0 FRAJ1ING: Must be reque3ted after
approval of rough plwr.bing.. electri-
cal & mechanical. An roOfing
bmcing d chimneys.. et.::. nT'..lst be
;'completad. lIo work is to be can-
. ... cea'Led unti'L thiD inspection has
~ bBe:" made and approoved.
.0
iO
I
10
O INSULATIONIVAPOH BARHIER INSPECTION:
To be made after all insuk:.ti:m a:'.d
'. required vapor ba:tTiers are in pLace
. but before any l.ath.. gypswn board or
!<XIZZ covering is applied.. and before
any insu'Lation is concea'Led.
O DRYWALL INSPECTION: To be made
after aU drywaU is in pl.ace..
but prior to any taping. .
O t'fASONRY: Steel. location.. bona
beam3.. grouting or verticals in
accordance with U.H. C. Section
2415.
D WOODSTOVE: After installation is
completed.
o
CURB & APPROACH AP.WN: After forms
are created but prior to pouring
concrete.
. DEMOLITION OR ;~:OVEr; BUILDIt.'CS
~ Sani-;ary seuer capped ~t rn:..opcrt"~. lir.e
=:J Septic tank p"...Il?ed and fi'L'Le~ with gra~e1.
--, Final - ({hen ah::ve ita:ns are ccmpletcd
~ ar-d when d~litior. is complete or stru;J-
tu.....e moved. and premises cleaned up.
Mobile Hcmes
:::J BLocking a7Ul Set-,p
:::J Plumbing connections -- sewer and water
--, E'Lectrical Connection - B'Locking.. set-up
~ and plumbing conr.ections nr~8t be approved
before requesting elec~rical in8pec-;io~
~ Accescory Building
---, Final - After p:Jrc1:es..
--.J etc. are corrrple-;cd.
skirting.. decks,
SIDEWALK & DRIt/EWAY: For all con-
crete paving within street right-
of-ux:.y.. to be made after aU e:z:ca-
vating comp'Lete & form work & sub-
. base material in pZa..::e.
o
O FENCE: When cO:11plete -- Provide
gates or movable sections through
P.U.E. .
o
'1/l~
y
fllV\
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A'L'L project conditions.. such as the installation of street trees, c~~lation of the
l'6qu.il'ed l.andscc.pir.g, etc... must be satisfied before the BUILDINC FINAL can be raquestad.
o FIliAL PLU/.fBIIIG
'0 FIlIAL I4E~HAIIICAL
o FINAL ELECTRICAL
~
o
FINAL BUILDING: The Pinal Building Inspection must bo J'equested after the Final Plwnbil1J
Electrica'L, and Mechar:ical Inspectiorw have been made and approvad.
/tALL MANHOLES AND CLEANOUTS MUST BE ACCESSIBLE.. ADJU5T!fEUT TO BE U~DE AT NO C::JST TO CITY I Page! of 2
i JOB NO, '67tJOSC/ SOLAR ACCW REQ.-
I Zone: Occuooncl/ Group:
Lot Sq. Ftg.
S of lot Caverag&
,II of Stories
TotaL Height
Topogrophy
LOT TYPE
In.terior'
Cornel'
Panhandle
. Cut-de-saa
I
lITEM
IMain
I Cc:l>ace
SQ. FTC
Ca17Jort
I
I
I
1
I 1
16/~O~
I I-
I '!,SO " ~
70 .... r
/ t,2fJ I-
x
Value
Acce880ru
TOTAL VAWE
Is. D.C.
(lJCt.UC)
1.5 :::
Building Perrrrit
State SW'chCU'ge
TotaL Cha.~ges
lITEM
IFi..:r:twoes
I I ResidmtiaL (1 bath)
I Sanitary SetJel'
I NO.
I
I
I
1
FEE
CHARCE
/
/
/
V
1/1
/1
I
I
Watel'"
Plwnbing Perrr:i t
......
State Surcr~e
/
Total Chai>aes
lITEM
Res. So. fta.
I NQJ/Extend Circuits
I Temporary Service
I
I NO'1 FEE I
111/5~1
I I I
I I I
I
CHARGE
/s.oo
. (PO
J5.ft,o
Ele~trical Permit
State Surcharcre
Total Cha:rCBS
IITSM
I Fur-n.2ce !!TV'S
I Exhaust Hood
I Vent Pan
I '
j WoodstOVB
NO. FEE
CHARCE
Perrrrit Issuance
Mechanical Permit
State Surchcrac
'1'n'tal Char"'~n
-- ENCROACHMENT --
! Sec-.tl"'itl/ DepOsit
Storage
MaintenatU!B
Pcrrrn.t
Total Charaas
Curbcu-:
sidewaLk
Fence
Electrical Label
Mobile Home
1
I
I
I I
33.m l
TOTAL AMOUNT DUE:'
Type/Cor.st:
.
L-COG~
Bedroor.:s:
I Lot Faces -
I
I P.L.
Worth
lEast
ISouth
IWest
I
I
Access. I
II
Ii
II
II
Setbacks
House CaI'age
Enel'Gu Sources
Heat
Water Hp.atp.T'
Range
Fireplace
Wood:; tove
Tuve
Fees
Building Value
&
Pe rm it
This pennit ia granted on the ezpreSB condition that the said construction
shall~ in all roespccts, confor.m to the Ordinance ~dopted by the City of
Springfield, incZuding the Zoning ordinance, regulating the construction
and use of buildings, and m~y be suapended or l"evoked at any time upon vio-
lation of any provisions of said Ordinances.
Plan Check Fee:
Date Paid:
Receipt II:
I Signed:
Plumbing Permit
No person shall constrouct, install.. aUel' or change any netJ 01' e::isting
plumbing or drainage system in whole or in part, unless such person is the
legal possessor of a valid plumber's license, except that a pe~son may do
pZumbing work to property which is oumed, leased 01' operated by the appli-
cant.
/
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Electrica I Perm it
Where State LaJ.J requires tr.at the electrical work be done by an Eleatrical
Contractor, the electrical portion of this permit shall not be valid until
the label has been signed by the Electrical Contractor.
_t.{
-
Mechanical Permit
I-
i,
I
I
I
I
l-
I
'Pi..an E:I:t.:1m.ner
va..
I HAVE CAREFULLY EXAMINED the completed application for permit, and do
hereby certify that all info-:rma.Hon hereon is true and correct, and I
f'.aother certify that any ar.d azz. IJOrk performed shall be done in aaaor-
dance :.nth the Ordinanaes of the City of Springfield, and th;: Ltr..;s of tho
State of Oregon p~rtaining to the work described herein, and that NO OCCU-
PANCY will be m:zde of any structure withou.t permission of the Building lJi-
vision. I further certify that only contractors ar~ e~loyees who are in
compliance with ORS 701.055 will be used on this project
~ ~ AI;.c~
S<gn;a y
,;!-s-elJ
Date