HomeMy WebLinkAboutPermit Building 1989-4-4
.. RESID.iNTIAL'.
APPLICA~/PERMiT
225 North 5th Street
Springfield~ Oregon 97477
Building Division
726-3753
~. I '
'-
SPRINGFIELD
Job Location: 1) "5 ~~~ idtli?:5"2O" :s /.. #' 9t,;
Asoesoo1'$ Map # / 1 () 2 .3 3 Y ()O" T= Lot #
Subdivision:
() (3 ()1)
Or.mel': t1(4Y~/]/P 7 6v,;5/f./~ _nr5C:#//~
Address:.~t:;'t? I1w999 5.':'<:;> 7/' 2? 3 Phone: 9Y"7~~///
City: ~6/"7 7-~ 4/f'.ofc&'; -c?7< Zip: 97 q';? Y'
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I
I I
IXI
I~ ~7?f?C-L ~)< b;o~ ~~/C 2
fy ?;~/7/'~ /17#;7-> ~"
New
Addition
Remodel
.',[obi le lloma
'1- 0/'- B '7'
Descroibe f>'ol''':
'A
~'l?-~
VaZue
Date of Application
Contractors Address
,General ~;t?-~~7 ~?/e::-/?:N .
: Plumbing 'I( e:--/
i Hechanical
Electrical c::!?Wr/~X
Supervising ~Jec t r:ic i;Jn
Reosipt ,II
/ ,350 to
Signed:
Date:
.cd LfJ
L/ -L/ .J- '1('1
,
Ex~ires Phnnp
Lise. {I
Bldrs Board Re~.
YOUl' City Deoigr~ted Job Number 10:
o
DRYWALL INSPECTION: To be made
after' aU drywaU is in place,
but priol' to any taping.
MASONRY: Steel location, bond
beamo, grouting 01' verticals in
accordance with U.B.C. Section
2415.
WOODSTOVE: Aftel' installation is
completed.
It is the responoibility of the permit holder to see that all inopections are made at the proper time, that each ~ess is l'cadab:e
from the street, and that the permit card is located at the front of the property.
~Bui!ding Divi[:ior: approved plan shaU l'emain on tho Building Sit::: at aU times.
PROCEDURE FOR INSPECTION REQUEST:CALL 726-3769 (rccol'der) state yo Up City designated job number, job address, type of in3pec-;icll
l'equestcd ar:d when you wiU be l'eady fol' inspection, Contr>actol'S or Or.me!'s name and phone number. Requests received befol'e 7: 00 a-.
:,.'ill be made the same day; requests made after 7:00 am'wiU b::: made the next :.JOrking day.
Requil'ed InsD~cticn~
O SITE INSPECTION: To be made after
excavation, but pl'iol' to set up of
forms.
D, UNDERSLAB PLUMBING. ELECTRICAL &
NECHANICAL: To be made befoI'c any
work is ~overed.
D
o
o
o
D
D
D
FOOTING & FOUNDATION: To be made
after trenches al'e excavated and
forms are erected, but prior to
pouring ccnCl'et~.
UNDSRGROUND PLUMBING. SEf-lER. W,1TER,
DRAINAGE: To be made pI'ior' to fi l-"
lir.g, trenchee.
UNDERFLOOR'PWMBING & MECHANICAL:
To be made prior to installation of
11001' insulation 01' decking.
POST AND BEAM: To be made pl'ior to
installation of flool' ins!.lation or
decking.
ROUGH PLUMBING. ELECTl/rGA:.. ,P, MECH-
ANICAL: No :.J01'1: is to be co~'er'ed
until these inspections haJJe been
made and appl'ovec.
FIREPLACE:, Pl'iol' to placing facing
mater'ials and befol'e fl'aming inspec-
tion.
FRAftlINr:: Must be l'eques ted aftel'
approval of rough plwnbing, alectri-
cal & mecha.nioal. At! l'oofing
bracing & chimneys, eto. ~~st be
,completed. No wOl'k is to be coo-
, cealed until thio inspection has
. been made and app~oved.
&>9(;/<70
u , ,4 'Li I ~t,
O INSULATION/VAPOR BARRIER INSPEciJ!'itJN~" 'DEMOiiTi6.;1'IOR ',~:aVEDI;BUILDi; as :'
To be made after aU insulation ai'.d I ' I, "
requil'ed vapor barriers are 'Lb' n ~.~C!., '"' .......1. ~~.~,:~~" ~.~.Jer "oapp~d ,at prop<::I'ty
but before any lath, gypsum oaI~ 01' ' ,~
uall covel'ing is applied, and before
any insulation is concealed.
o
D
D
CURB & APPROACll AP."?ON: After forms
are areot~d but pI'ior to pouring
.:!on~pete.
.",..,\1, '"
"h "r-:
W'
line
D
SIDEf{ALK & DRIVEf';/.Y: For aU con-
crete paving within stl'eet right-
of-way, to be made after "all exca-
vating complete & form work & sub-
base mater.iaZ in plaoe.
~ Septio tank pumped and filled with gl'a~el
--, Final - f.'hen above items are completed
..-.I and when demol.itior: is complete 01' stl'U:J-
ture moved and premises oleaned up.
I Mobi le llomes
~locking and Set-up
~Plumbing connections scwer and wa:el'
::i1 Electrical Connection :- Blocking, set-u;;
~and plumbing conr:ections ffl'~st be approved
beforc requesting elec:rical inspec-;ion
tl Acoessory Building
~ Pinal - After porches, skirting, decks,
~etc. are completed. ,:
"
;-.
D
-
All pl'oject cond-i tions, such as the 1',nstaZlation of'street trees, cO.':7pletion of the
l'equil'ed landscaping, etc., must be satisfied before the BUILDING FINAL can be rsquestsd.
o FINAL PWMBING
D FINAL MECllANICAl,
o FINAL ELE'CTRIGAL
o
D
PENCE: f,'Iwr: compl:::te -- Pl'ovide
gates 01' movable sections through
P.U.E.
([)
PINAL BUILDINC: The Final Building Inspection must be requested after the Final Plwnbing
Electrical, and Mechanical InspectionD have been made and approvad. ,
,0
.
AAU MANHOLES AND CLEIiNOUTS NIJST BE ACCESSIBLE, ADJUST!fENT' TO BE M.1DE AT NO COST TO CITY I Pa[7e ' of :;
v
Lot Sq. Ftg.
% of lot Coverage
# of Stories
Total Height
Topography
NO. ~02'7b 50(AR ACI' '55
Occupancy GrouP.
LOT TYPE
REQ.-
L - CO G~
I JOB
I Zone:
Type/Const:
..... Bedrooms:
~ Enerr!ll Sources
I" .'Ieat '.
. ,,~.,~}i1
Access. :' I r';ater !lea tel' ". ~'':.J''
I Range
I I Fireplace
I Woodotove
I ,,'
. '
,,'
.-
Lot Faces -
, TilDe
lITEM
Interior I P.L.
Corner North
Panhandl.e East
Cul.-de-sac South
West
Fees
SQ.FTG X Val.ue
Setbacks
House Carage
"
"
>,.1
, "
Main
Building Value & Permit
CarpOl't
"7..? "&- /. ~ :.-&.r;...:;;~.Q , '
This permit iG granted on the express condition that the said construction
shall., in all. respects, conform to the Ol'dinance adopted by the City of
Springfield, including the Zoning Crdinmwe, regulc.ting the Cci18tructicn
and UGe oj' buildings,. and m:lY be sUGpended or revoked at CI:Y time upon vic-
l.ation of any prov'isionG of Gaid Ordinances.
Garaae
Accessol'l/
I
Is.D.c.
TOTAL VALUE
(vaLue)
1.5 :r:
~
NO;
/5:~
~7'
I fS:7~ ~
I CHARGE
Plan Check Fee:
Date Paid:
I Recdpt 1/:
\ Signed:
Building Permit
State Surcharge"
Total. Charges
lITEM
I Fixtures
I Residential (1 bath)
FEE
Plumbing Permit
ITEM
NO.
FEE
I
I
?):'--z:? 1.
6:~
.---
./5'
L-'):-Z;- ~
CHARGE
No person Ghall. construct, instalZ, aUer or change any new or existing
pl.umbing or drainage syst~~ in whole or in part, ur.less such person is the
legal possessor of a valid plumber's license, except that a perGon may do
pl.umbing work to property which is olu'l1ed, leased or ppe1'ated by the appli-
cant.
Sani tary Sewer '
Water
"P).V/?/"Z5~ ~;4~P
. -
Numbing Permit
State Surcr.arge
Total Charqes
Electrical Permit
Res. Sa. fto.
Where State Law requires th.at the electrical work be done by an Electrical
Contractor, the electrical portion of this permit shall not be valid until.
the label. has been signed by the Electrical ~ontractor.
"
New/Extend Circuits
Temporary Service
'B'CC/: /e:..--~~,b
I
Electrical. Permit
b--:~
/ '=):' --=--
''>7S
/"/;): 25 -~
State Surcharge
Total. Charges
ITEM
NO.
FEE
CHARGE
Meche nical Permit
Furnace ETU' S
I Exhaus t Hood
I Vent Fan
I
I Woodstove
I
Permit Issuance
Mechanical Permit
State Surcharae
Total. Charaea
-- ENCROACHMENT --
~
Se~~rity Deposit
Storage
~~~---~
t/-'r--8-5.
Uate
Total Charqes
I HAVE CAREFULLY EXAMINED the compLeted appLication for permit, and do
hereby certify that aLL information hereon is true and correct, and I
further certify that any ar~ al.L work performed shall be done in acaor-
dance with the Ordinances of the city of Springfield, and th~ L~~s of the
,~ State of Oregon pertaining to the work described herein, ~nd that NO OCCU-
PANCY will. be made of any structure without permission of the Building Di-
vision. I further certify that onLycontl'actors and e,~ployees who are in
c~~pliance with ORS 701.055 will. be used on this project
Maintenan.:::e
Permit
eurbcut
Sidewalk
I F<;')31,. ,
I n;~~:llaber#. .c/ ~r-..s B
I Mobile Home~2YC~W/~
I ~':/~/~
I
4 "LO
;;::)",:=6>
~7S
tJ1-gnad
p;u;/ l?t-
I 'fOTAL AMOUNT DUE: ~
I
~ 2Z>
. ~
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,"",\ . .. RES I D.E N T I A L · ·
APPLIC~N/PERMIT
225' North 5th Street
Springfield~ Oregon 97477
Building Division
726-3753
~'--:
Re()e~pt #
SPRINGFIELD
~'?1~~ ill\l\t ~'~ .'
# \f\C)d0~()() - ~j T= Lo;" D\~l~
Job Lo()ation:
Asoesaol'S Nap
SUbdivision:
\Q519L\
(A.mel': V-C\~\\ 1.:1~,/ b 1 Q DUt \ ffi[)?\,
Addl'ess:(~&~~) \X~.'!\ #4 Phone: f\~\O~ D\C\'Z.. 6.
city~~'\l N)~G~ru1f:)f---, Zip' qrytr\B
Il/""r Np.w
I I Addi tien
I I
II
Desc1'ibe rioT'/(: ,
, "
::::'H~" A Ii) on ~~(
of Appli()atien '--r ~ L-( _) -..,;\. VaZue f\ A
Date
1 ~ '
s,gr.",,(J\ lJfl) _,'_
,Date: '-....J~,:.\II_r-t51
_ Lise ~ 1/ I Bldrs Board Reg.
Vf') ~'\~15S, ' ~~,)_5'~
BDt _'li~ ~\}i(\.\\()
Expires
/J/9-LJ
\ ,r ;-\
Phon."
Contractors _ Address
General "':\S\l\..\'\.\::i.-t f')L (d\ffi Q \rl (\ l'A.J
: Plumbing \, l)' ,"-
i Hechanical
I Electrica 1
I SUDervisinl-\_IUec t J".i I: LI n
It is the reaponaibility of the pe"f'mit hoUieT' to see that alt inopections are made at the propel' time. that ea()h ~ess is readab:e
from the street, and that the pC1'mit card is located at the front of the property.
~Bui!ding Ir:visior: appr'oved plan sJu:ll l'emain on the; Building s.its at all times. ,
PROCEDURE FOR INSPECTION REQUEST:CALL 726-3769 rl'ecol'del'J state YOUI' City designated job nwnbel', job address, type of inspe()-;icli
roeqtwsted ar:d when you wi II be l'eady fol' inspection, C01ltT'actol'S 01' (A.mel"S ncme and phone mUlzbcr. Requests I'eceived befol'e 7: 00 a:.j
:.'ill be made the same dcy, T'equests made after 7:00 a:n will bs made the next :JOrkiYI{J day.
RQ02D3
Re01liroed Insvf?ct7:ells
O SITE INSPECTION: To be made aftel'
exoavation, but prio~ to set up of
f 017llS . '
O UNDERSLAB PLUt>mING. ELECTRIC,IL &
'''fECHANICAL: To be made befoT'e any
WOl'k is covol'ed. '
D
FOOTING & FOUNDATION: To be made
after tl'enches are excavated and
forms are eT'ected, but pl'i01' to
poul'ing cencret~.
UNDSRGROUND PLUMBING, SEr';ER, W,1TER,
DRAINAGE: To be made pT'ioT' to fiZ-
lil".g trenches.
o
o
o
UNDERF'LOOR PLUMBING & MECHANICAL:
To be made pl'iol' to inatallation' of
11001' insulation 01' decking.
POST AND BEAM: To be made pl'iol' to
installation of flooT' ins~lation 01'
decking.
ROUGII PLUMBIlIG. ELECTR!CAL ,~ MECH-
ANICAL: No WOl'K is to be covel'ed
,ur.til these iltspections have beer.
made and appl'ove~.
FIREPLACE: Priol' to placil".g facing
matel'ials and before fl'aming inspec-
tion.
FRAMING: Must be l'equeated aftel'
apPl'oval of 1'0ughplumbing, electl'i-
cal & mechanical. AU T'oofing
'bl'acing &'chimncys, etc. nr~st be
: completed. No work is to be con-
" cealed until thio inspection has
'been made and appT'oved.
D
D
D
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YOUI' City Deaigl"~ted Job Numbel' 10:
D INSULATION/VAPOR BARRIER INSPECTION:
To be made after all insulation ar>.d
l'equil'edvapol' baPl'iel's aPe in pZa()e
but befol'e any lath. gypsum boaPd 01'
wall aoveT'ing is applied, and befol'e
any inGuZation is concealed,
D
DRyrML!. INSPE:CTION: Te be made
after' all dPywall is in pZace,
but pl'ior to any taping.
MASONRY: Steel location, bond
beama, gl'outing 01' vel'ticals in
accol'dance with U,B.C. Section
2415..
WOODSTOVE: Aftel' installation is
ccmpleted.
DEMOLITION OR ,\JOVED BUILDINGS
:=J Sanitary SelJel' capped at P~OPC1'ty Zir.e
:=J Septic tank pumped and filled with gT'a~el
---, Final'- h~en above it~~s aPe completed
---l and when demoZition is complete 01' struc-
tUl'e moved and premises cleaned up.
'Mobile Homes
1::J~~locking and Set-up
~umbiYI{J ()onnections sewer and watel'
~lectri()aZ Connection - BZocking, set-u?
~ and pZumbing connections nr~st ce apPl'oved
befol'e l'equesting eZe()tl'ical inspec-;ion
~ Accessol",j Building
~ ~ - Aftal' pOl'ches, skil'ting, decks,
~tc. aPe completed.
D
,'.
"
-
,All.projeet eond-itions, :;uch as the i'1lstallation of stl'eet tl'ees, co,-:rplation of tire
l'equired landscaping, etc., must be satisfied befol'e the BUILDING FJNAL can be l'equestsd.
D FINAL PLUMBING
D FINAL MECHANICAT.
D FINAL ELECTRIC!.L
o
o
D
D
CURB & APPROACH AP.WN: After f017lls
aPe cl'ected bUtPl.iol' to poul'ing
aoYU!rete.
o
,FINAL BUnnING: The Final Building Inspectio1l must be l'equeated aftel' the f.ina'z Plwnbillg
'El~ctT'ical, and Mechanical Inspectiona hava been made and approved.
o
SIDEr';ALK & DRIVEr';AY: Fol' all eon-
Cl'ete paving within stl'eet l'ight-
of-way, to be made after all exca-
vating complete & fol'm WOl'k & sub-
base matel'ial in place.
'AU, MANHOLES AND CLEANOUTS MUST BE ACCESSIBLE, ADJUST!fENT TO BE MADE AT NO COST TO CITY I Pa~7a 1 oj' :;
D
PENCE: ~~er: compl~te -- Pl'ovide
gates 01' movable sections thT'ough
P.U.E,
o
v
JOB NO.~(~SOLAR ACCESS
Zone:, Occupancy Group_
Lot Sq. Ftg. WT TYPE
% .:;;f lot C.:;;verag;; Interior
,# of Stones Corner
Total Height Panhandle
Topography , Cul-de-sac
REQ.-
L -CO G~
Type/Cor.st:
.... Bedrooms:
' ,.,. EnelYll1 SOla'ces
I !leat
Access. I r-latel' !lea tel'
I Range
I Fireplace
I Woodctove
I
f
---,'\
I Lot Faces -
I
I P.L.
Worth
lEast
ISouth
lr-lest
T!iDe
Setbacks
House Carage
Fees
ITEM
SQ.FTG
x
Value
, Building Value & Permit
This permit is granted on the express conditi.:;;n that the said construction
shall, in all respects, conform to the Ordinance adopted by the City of
Springfield, incZuding the Zoning Ordinance, regulating the ccmitructicn
and use of buildings, and may: be suependedor revoked at c.I:Y time 'upon vic-
lation of any pr.:;;visions of said Ordinances.
Main
I GaraGe
Carpcrt'
t1ccessorll
Is.D.c.
TOTAL VALUE
(va~ue)
. ,1. 5 x
I
*
Building permit
'State Surcharge
TotaL Cha."gea
*
I Plan Check
I Date Paid:
IRecdpt H:
\ Signed:
Fee:
lITEM
I Fixtures
NO.
FEE
CHARCE
Plumbing Permit
"
Sanitary Sewer
No person ehall construct, instaZZ, aUer 01' change any neW cr existing
plumbing or drainage syst~~ in ~hoLe or in part, unless such person is the
legaL possessor of a valid plumber's license, except that a pe~son may do
plumbing work to property which isow~ed, leased or opel'ated by the appLi-
cant.
,
Residential (1 bath)
Water
N\~
, \ ,
~~tD
t <6. (YJ
. U)C)
~*
, Plumbing Permi t
state Surcr.arge
Tctal Charges
j ITEM NO.
I Res. Sa. fta.
New/Extend Circuits
. FEE
CHARCE
Electrical
Perm it
Temporary, Sel'Vice .
,y\.~ I \
Where State Law requires th.at the electrical work be done by an Electrical
Contractor, the electrical portion of this permit shall not be valid until
the Zabel has b;;en signed by the Electrical Contractor.
State Surcharae
Total Charges
I~,OO
15.'00
, i_ r) !5
l~./~ls
*
Electrical Permit
lITEM
NO. I FEE
CHARGE
F'UI'nace ETU'S
Exhaust Hood
I Vent' Fan
I
I Woodstove
I
"
,
Mechanical PermH
I
Permit Issuance
Mechanical Permit
State surcharae
. ,
Total Charqea '
I -- ENCROACHMENT --
Ise~~rity Deposit
I Storage'
I Maintenance
I Permi t
*
I.
Plan Examiner
Vate
fj"
,
I HAVEjcAREFULLY EXAMINED the completed application for' permit, and do
hereby.certify that all ir.fo~ation hereon is true and correct, and I
further certify that any ar.a all work performed shall be done in accor-
dance lJJith the Ordinances of the City of Springfield, and th;; Lcr.,;s of the
* State of Oreg.:;;n pertaining to the work described herein, and that NO OCCU-
PANCY lJJill be made of any structure without permission of the Building Di-
vision.I further' certify that only contractors and ~~ployeeswho are in
compLiance with ORS 701.05S wiLL be used on this project
"
I'
TotaL Char(1os
Curbcut
I Sidewalk
I Fen:Je
Electrical Label
Mobile Home
C!)S.CU
I .c!1C\
\
. ~,;
?i~~h7
Date' /
i
!
I 'f07'AL AMOUNT DUE: ~
Gf) f) S
/
,.~' .' i
e
(
(..J
6
e
/\
l
~
,~
~,
/\'-
\
:\,-
533S \)chD\0(
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