HomeMy WebLinkAboutPermit Building 1989-4-17 (2)
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.. RESI~TIAL"
APPLICATltJN /PERMI:l'
225 North 5th Street
Springfield, Oregon 97477
Building Division
726-3753
I
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IKO~o411
Job Location:
Assessors Map #
Subdivision:
SPRINGFIELD
..
#37
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T= Lot # ()foifq
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aJner: C;~u:Jri lYloALfe ~1--W . h )
Address: _I;" 'S -('f\' \-tx\ ~ Phone: f\41 \-1/U~
City, \.~J~i&)fJ . Zip' q141/)
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F~~)>~s7' #-:r-T~~ #8"~
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I New
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Addition
Remodel
Mobile Home
,
Date of Application
Contractors
, General
G;Value r:;;y'2'"$;( 9tt::>
Lise. n Bldrs Board Reg,
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Address
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: Plumbing
. Hechanical
Electrical
Suoervisi!1JL ~}.ec t r:ida n
It is the responsibility of the permit houter to see that all inspections are made at the proper time, that each ~ddress is readab:e
from the street, and'that the peJ'mit card is located at the front of the property.
~Bui!ding Divisior: appl.oved Flan sJ~ll l'emain on tho> Building Sits at all times.
PROCEDURE FOR INSPECTION REQUEST:CALL 726-3769 (recorder) state YOUI' City designated job nw.;ber, job address, type of in3pecticll
requested ar.d when you UJil l be l'eady for inspection, Contractors OJ' aJne"t's ncme and phone nwnber. Requests received befoJ'e '1: 00 C1
!.'ill be made the same day, requests made after '1:00 ccn wiZZ,b;;: made the next :.JOrking day. J!i(()Jf{'3
Your City Desigr~ted Job Number Is: V{'
. I '1~,..t.YI:'I;l. .~~d:,~ tJ ~11\L\,~I,\l'\\It4."",.U("'lJ.I,,.; I.ll ....1 '.1
D INSUl,ATION/VIlPOR BARRIER INSPeCTioN: I 'I,Vtf,10LI'iiO!I' 'OR MOVED I 'BUILDINGS ' , :':1'
To be made after all insul:.ti::m ar'.d ' ,,', I ,
required vapor, bca:r,ie'I'.s, are. f.n p',ZaP~,... =:J ,$.'!!'J~~Y.. ~e'-:,.e~ ~GP,r:~d, at prop~~tii lir:e
, but before any lath. gypsum board 01' ~ - ~
wall aoveJ'ing is applied, and before --, Septi::: tank p:cnped and fiZZed with gra:;sZ
any insulation is concealed. ---J
Required Tn1?Dflct1:onR
o
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D
D
D
SITE INSPECTION: To be made
excavation, but prioJ' to set
forms., '
UNDERSl,AB PLUMBING, El,ECTRIC,1L &
MECHANICAl,: To be made befol'e any
work is ~ovcred.
after
up of
FOOTING & FOUNDATION: To be made
after trenches aJ'e excavated and
forms are erected, but prioJ' to
pouring concret~.
UNDSRGROUND PWM.'3INC. SSr-lE'F!. r-l,1TER.
DRAINAGE: To be made pJ'ioJ' to fi {-
Zir.gtrenches.
UNDERFWOR PWf..'BING ,~ MECHANICAL:
To be made prior to inGtaZZation of
floor insulation 01' decking.
POST AND BEAM: To be made prior to
installation of floor ins~lation 01'
decking .
ROUGH PWMBI:JG. ELECTRICAL ,~ MECH-
ANICAL: No work is to be covered
,ur:til these inspections have beer.
made and approve.:!.
FIREPLACE: Prior to placir.g facing
materials and before framing inspec-
tior:.
FRA11ING: Must be requested after
approval of rough plumbing, electri-
cal & mechanical, Azz, roofing
bracing & chimneys. et~. nr~st be
. completed. No LJork is to be con-
, cealed until this inspection has
'been, made and approved.
!5(~:Jb q /7
n
DRYWALl, INSPf:CTION: To be made
after all drywall is in place,
but prior to any taping.
Recdpt # B ~ c. -:::2..
Sigr:ed: ~~ '
Date: / Of- ~/r95
Expires
/ Iff)
10 / ~ 9
I
1)honp
o
MIlSONRY: Steel location, bond
bealnG. grouting 01' verticals in
accordance with U.B.C. Section
2415.
WOODSTOVE: After installation is
completed.
..-....
1:1
---, Final - mIen above ite:ns are completed
-.J and when demo litior:, is complete 01' stl'!i::-
ture moved and premises :::leaned up.
Nobile Hemes
Blocking and Set-~p
Plumbing connections
scwer and water
D
~
I
CURB & APPROACH APRON: After' forms
are erected but pJ'ior to pouring
"onCl'e te.
~Electrical Connection - Blocking, set-up
and plumbing connections nr~st ce approvec
before requesting electrical inspec=io~
:=J AcaeSsol"d Sui lding
\Zr Fin.:ll - Aftar p::lrche,s,
~'etc. are completed.
skirting, decks,
D
SIDEr-lALK & DRI[.'EW1Y: For all con-
crete paving within street right-
of-way. to be made after all exca-
vating complete & form work & sub-
base material inplaae.
D
-
_."-
D
I'ENCE: h'her: complo>te -- Provide
gates 01' movable sections through
P.U.E.
IlU pr'o,ject eond-it'I:Ol1S, vue!; as tJze 'i.nutaLZation of s!;J'eet trees, c:o"~pletio'l,lor tiw
reqldl"ed landacG[rir:g, c'te., must be satisfied before the BUILDING FINAL cdn be, rsqueatsd.
D FINIlL PWMBTf/G
D FINAl, ME(.'JIIINICIlJ,
o FINAl, ELEC'l'RICJ:l,
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FINlll, BUILDING: The Final Building Inspection must be requested alter Pie FilIal PZwnbing
'Electrical, and Mechar.ical Inspections have been made and approved.
~ALL MANHOLES IlND Cl,EANOUTS MUST BE ACCESSIBl,E, ADJUSTNENT TO BE ~L1DE IlT NO COST TO CITY ! Pa~7l1 1 of :;
JOB
No.r1V Qf3sqLAR;AceESS
_ ,OcaupanCl/ GZ'OU'-
WT TYPE
REQ.':'
Zone:
I Lot Sq.
Ftg.
% of lot Coverage
'# of Stories
1'otal Height
Topography
Interior
Cornel'
Panhandle
Cul-de-sac
ITEM
SQ,FTG
Value
x
Main
, Gal'aae
Car'pol't
Ilccessoru
I~~ ~:5
I
~-
16?3. Y? f ~
'.c- coe>
I'i/' '
..... 7i::>-
I p5?S-1 *
I CHARGE
S.D,C.
TOTAL VALUE
, Ival-ue)
1.5 x '1'Z~/
'1~
Building Permit
State Surcharge
Total Cha:ogea
I ITEM NO.
I r'.'~""_~ //.. ~.u-,~ ,
- ,Jd~;;?-c.o-r'
I Resident:;l (1 bath)
I Sani tary Sewer
FEE
/'5. . 0.-'
~.~
~.~
~r -e>
70..e-e:>
?....SC>
'7/'~ ~
CHARGE
/
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~/~ ~A"#~ieC=-....:
I
Plumbing Pemt
State Surcr.arge
Total Charaes
ITEM
I NO. I
FEE
Res. Sa. ftC{.
I Naw/Extend'Cirauits
170~~~gpy Service
I
J
L~~
/~ c:~
E.-r~."
~'~
a~
/~ 5e:> ,
~/-.5(
/%.~~
Eleatrical Permit
State Suraharge
Total Char'es
ITEM
NO,
FEE'
CHARCE
Furnace ETU' S
Exhaust Hood
Vent Fan
I'
Woodsto;)e
Se~uritl/ Deposit
Storage
Maintenance
Pcmit
Total Charqes
j
,
I eurbaut
I Sidewalk
I Fenae
EZectrical Label ,
Mobile Home ~p ,~ ~?!JC::C
I
~s->-
~;>S"
-
1"7.) , "~./e:> '
I TtJ7'AL AMOUNT DUE: ~
,~ ~ 72.
v
Type/Cor:st:
e\
L-COG~
Bedl'ooms:
Lot Faces -
I Enerol/ Sources
I Heat
Access. I I fvatel' Heater'
I I Ranye
I Fireplace
I WoodGtove
I
TYDe
Setbacks
House Carage
Building Value & Permit
This pemit is granted on the express condition that the said constl'l/ction
shaU, in aU respects, conform to the Ordinar..ce adopted b'y the City of
Springfield, hlCluding the Zoning Ordinance, rp.(luZc.till~J the conlJtl'l/ction
and use of' buUdings, and m:.y)o lJuspended or revoked at G.l:y time upon vie-
lation of any provisior..s of said OrdinallCelJ.
,
IPlan Check Fee: 9. 7S-
I Date Paid: tit! > -$?-<;:>
I Recdpt H: r 3 ~.2.. .
\ Signed: //~___,
.
, //
Plumbing Permit
No person shall construct, instaZZ, aZter 01' change any new cr e:::isting
pZumbing 01' drainage syste~ in whole 01' in part, unless such pel'son is the
legal possessor of a valid plumber's license, except that a person may do
plumbing work to property which is owned, leased 01' operated by the appli-
cant.
Electrical Permit
Where State Law 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.
*
Mechanical Perm~t
.~,~;. ~." I
r77-<->-/
Uate
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,
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I H,1VE CARE'FULLY EXAMINED t,w completed application for permit, and do
hereby certify that all info-:omation hel'eoll is true and correct, and I
further certify that any ar.d aU work performed shall be do:-ze in accor-
dance with the Ordinances of the City of Springfield, and th~ L~~s of the
State of Oregon psrtaining to the work described herein, and that NO OCCU-
PANCY wiZl be made of any struature without parmisaion of, the Building Di-
vision, ,I further certify that onZy contrador8 and empl~yees who arB in
compliance with ORS '101.055 will be used on this projsct
oJ
.4 ~\'(~_
Da te
Signad
~
.