HomeMy WebLinkAboutPermit Building 1989-4-20
l~'- "-~ .. RESIIlENTIAL"
APPLICA~N/PERMIT
225 North 5th Street
Springfield~ Oregon 97477
Building Division
726-3753
.',
Reae~pt .II
/3Io2-,.(jJ
SPRINGFIELD
.~ ~~~ \)(\J,-~l~~-\u. * \~ \
\- 'lOg. 3'"3 c::y:)" \ T= Lot # 0\ 3CD
Job Loaation:
Asoesool'S Map #
Subdivision:
OLmel': ~_\l)~Q~~ ~\ \\~S\~~ ")
froxc-l~ (C)(; Zip: C(t'\4fl"
()) J- . I .
\.,.,
~w
Deocnbe fiol"k:
Additien
Remodel
ffl)
I 4--~f)'p,:f
'"'
4-2ID-~
VaZue
~r (L/
Sigr.e
Contractors .4 . . Address.
General ('Cili't\l 1.Q\\\ t\ >P\7~)l~-->
Plumbing 1l...)1 : ,,\\\Q~
I Hechan:icai A - - .
;j Electrica l( Ch _I.)\' of )
II Suoer"Vising Electr:ic L<ln
. - - -- -----,- .
:.Iobile lIome
Date of Applicaticn
Date:
,
Lise. .'11
Expir.es
4/~11 r11'
Bldrs Board
~rQ\r\ ,
Reg.
f)4AO~'l~
It is the l'esponoibility of the permit holdeI' to see that all inspections are made at the propel' time, that each ~ess is l'eadab:e
jrom the stl'eet, and that the PCl'mit card is located at the fl'ont of the pl'opel'ty.
~!3ui!ding fr;vi:;ior: ap?!'ol-'eJ plan slu.:ll remain on th;:; Build-iny S'its at all times.
PROCEDURE FOR INSPECTION REQPEST:CALL 726-3769 (l'ccol"del'J state YOU}' City designated job nW7:bel', job addI>css. type of in3pec;icli
l'equested a~d when 'you will be ready fop inspection. Contl"actol"S 01" OLmers nwme and phone numbel'. Requests received befcl'e 7:00 ~"
..'ill be made the same dcy, requests mcde afte:r 7:00 am will be made the next :xJl'king day. '
YOUl" City Desigr.ated ~qb NumbsI' Ip,,:,,)'\, "(~:~;~rQ,B~~b~A""li" ,'~1i1J j
Reauil"ed JnsDp.ctions ,. ,'r "', \ 1 ",,'~I:~" 1\;: 'r. I " 1':1' i".ji ;"rt' "11"1 H"'I( r :1I!llh!;I\'ld~"~\I~"'1\1 ~\l\'!"I,i~I,\ 'i' I.
D SITE INSPECTION: To be made aftel' D INSULATION/VAPOR BARRIER INSPECTION: DEMOLITION OR MOVED BUILDINGS'
excavation. but pl"ic1' to set up of . To be made aftel" all insulation ar'.d I '
for'TTls. , requil'ed vapor barriel's are in place =:J' Sanitary Se'Jel' 'aapped..~t pl'OpCl'ty lir.e'..
O UNDERSLAB PLUMBING. ELECTRICAL & but befol'e any lath. gypsum board 01" -
. MECHANICAL: To be made bej'ol'e any wall .covel'i~g i~ applied. and before . ---, Septi:: tank 'pumped and fUZed with gl'a;;eZ
wOl"k is aovel'ed. any ~nsulat~on ~s concealed. ---l
D
FOOTING & FOUNDATION: To be made
aftel' tl"enches al"e excavated and
f01'ms are ereated. but pl"ior to
poul'ing ccncret~.
UNDSRGROUND PLUMBING. SEI.fER, W.1TER,
DRAINAGE: To be made pl"iol' to fil-
ling trenches.
D
o
o
UNDERFLOOR PLUI,.'8ING & MECHANICAL:
To be made pl'iol' to installation of
j1001' insulation 01' decking.
POST AND BEAM: To be made pl"iol' to
installation of flool" insklation 01'
decking.
ROUGH PLUMBING. ELECTRICAL .~ MECH-
ANICAL: No wOl"k is to be covered
ur.til these inspections have beer:
made and appl"ove2.
FIREPLACE: Priol' to placir~ faaing
matel"ials and befol"e framing inspec-
tion.
FRAMJNG: Must be l"equested aftel"
apPl'oval of l"ough plumbing. electl"i-
cal & mechaniaal. AU l"oofing
bl'acing & chimneys, et::. ~~st be
,aompleted. No wOl"k is to be con-
, cealed until this inspection has
'been made and aPPl'oved.
D
D
o
,-
D FINAL PLUMBJtJC
. 0 ' FINAL ME~'IIANICM,
o FINAL EL!::CTRICt.L
o
0,
O DRyr.fALL INSPECTION: Te be made
, aftel' all d:Pywall is in place.
but pl"io1' to any taping.
---, Final - ~~en above it~~s are aempleted
~ and when demoZition is complete 01' Btl"U~-
ture moved and pl'emises aleaned up.
o
location. bond
01" vel'ticals in
U.B.C. Section
MASONRY: Steel
beama. grouting
accol"dance with
2415.
,~
~ocking and Set-~p
~umbing connections scwel' and watel'
~ ~l'ical Connection - Blocking. set-u?
~and plumbing connections ~~st ce apPl'ovad
befol'e l'equesting electncal inspectio~
\
'Mobile Hemes
D
r.fOODSTOVE:
completed.
Aftel' installation is
D
CURB & APPROACH APRON: After' fol"TTls
are cl'eated but pl'iol' to poul'ing
~oncr'e te.
D
SIDEr.fALK & DRIl'Er.fAY: Fop all con-
Cl"ete paving within stl"eet l"ight-
of-way. to be made aftel' all exca-
vating complete & fol"m wol"k & sub-
base matel"ial in plaae.
~ Acaessol'b' Building
- Aftol' p~~cheB. skil"ting.
are completed. ..
decks.
~
PENCE: r.~er. complc;te -- Provide
gates 01" movable sections thl"ough
P.U.E.
D
o
All pl"oJect condit1:ons. ,awl-: as the
l'equired landser:ping. etc.. must be
-i.nsta1.lation of stl'eet. tl'ees. co":'/pietion of ,the'
satisfied befol'e the BUILDINC FINAL can be l'3qucsted.
I
FINAl- BUTWrNG: '/'I/O /-'innl
Electrical, and Meclwnieal
Building Inspection must .be l'equeoted after thc
Inspectiono have been made and appl'ovad. /'
Final Pl.wn/;'ill:7
~Ar.L MANlIOLES AND CLEANOUTS NUST BE ACCESSIBLF., ADJUST!JENT TO BE MADE AT NO COST TO CITY 'pat7iJ,' of :1
- Uv - -
TypeICor:st:
L - co C--1t
... Bedl'ooms:
' r cnel'ml So;a'ces
!leat
,-
I z~~,B Nof5?D3S~~:G:i s
Lot Sq. Ftg. LOT TYPE
% .?f lot C.?vel'ago: Intel"iol"
# of Stones COl'ner
Total Height Panhandle
Topography Cul-de-sac
REQ.-
,
",,}.
Lot Faoes -
TilDe
P.L.
NOl'th
cas t
South
,1vest
Setbacks
House . r:m'afle
Access.
rvatcl' .'lea tel'
I RaHfje
I Fire~Zace
I Wood:; tOl:e
I
1
]
1
Fees
ITEM
SQ.FTG
x
Value
Building Value & Permit
Main
i
I
This permit is gl"anted on the expl"ess condition tl~t the said con3tl'Uction
shall. in aU l"especto, conform to the Ordinance adopted b'y the 'City of
Spl'ingfield, incZuding the Zoning C'l"dinance, l"egulc.ting tlze ce'lstl'Uctien
and use of buildings, and may be suspended 01' l"evoked at c.ny time upon vie-
Zation of any pl'ovisior.s of said Ol"dinances.
Gal'aae
"
Carport
Accessol'U
I ~
I . " TOTAL VALUE
I (vaiucJ
S.D.C.:Z.5 :x:
'-
,
*
\
Total Charges
*
, Plan Check Fee:
Datc Paid:
Recdpt {I:
Sign.ed:
Building Pel'mit
State Surcharge
,
lITEM
NO.
FEE
CHARGE
Plumbing Permit
No perso~ shall construct. instaZZ~ qZter 01" change ,c.ny new Cl" existing
plumbing 01" dr>ainage syste~ in whole 01' in' part. ur.less such peroon is the
legal possessol" of a valid plumbel"s license. except that a person may do
plumbing wOl'k to propel"ty which is owned. leased 01' opel'ated by the appli-
cant.
, FiJ:tures
Residential (1 bath)
I Sanii~ry Sewel"
(va t el'
I lTE:M
FEE
10.00
.' 1.:)
Jb.'J$ I ~
I
I
" -
Plumbing Permi t '
State Surcr..apge
Total Chal'ges
NO.
CHARGE
Electrical
Perm it
Res. So. fto.
New/Extend Cil'cuits
I Tempol'al"Y Sel'Vice
I
Where State Law l'equires tr~t the electl"ical wOl"k be done by an Electl'ical
Contractol'. the electl'icalpol'tion of this permit shall not be valid until
the Zabel has been signed by the Electl'ical Contractor.
Electl'ical Permit
J~.(X )
, J}~
~ ~I .r& *
State Surchal'pe
Total Chal'ges
ITSM
NO.
FEE
CHARGE
Mechanical Permit
F'uI'nace ETU' S
I Exhaust Hood
I Vent Fan
I
I Woodstove
,
\
Pel'mit Issuanae
Mechanical Pel'mi t
State Surcharae
Total Charaes '
-- ENCROACHMENT --
r *
Se~~l'ity Deposit
Stol'age
'.
Plan ExamineI'
uate
Maintenance
.1
I HAVE CAREFULLY EXAMINED t.w completed application fol' permit. and do
hereby cel'tify that all in.foromation hel'eon is tl'ue and COl'l'cct. and I
fUl'ther cel'tify that any ar.d all wOl'k pel"fo1>:1led shall be do:-ze .in accol'-
dance with the Ol'dinances of the city of Spl'ingficZd. and the L~~s of the
* State of Ol"eg.?n pSl'taining to the wol'k described hel'ein. end that NO OCCU-
PANCY will be made of 'any stl'ucture without permission. of the Building Di-
vision. I further cel"tify that o:-zly contractors and e71pl.?yees who are in
compliance with cns 701.055 will be used on this pl"oject
Permit
I
Total Chal'l?cS
eurbcut
Sidewalk
l"'an:;!e
EZectl'icaZ Label
I
I Mobile Home
I
~)-)
4:~()
f).~,(y)
7 ;fJ.~
- ,-
~~~
I TOTAL AMOUNT DUE: ~
,--~f) qS. *