HomeMy WebLinkAboutPermit Building 1988-10-28 (2)
.. RESIIaNTIAL" SPRINGFIELD
. APPLICAWON/PERMIT
225 North 5th Street
SpringfieZd, Oregon 97477
BuiZding Division
726-3753
Job Location: 5<:0 (p() UfuS-1 ..l
Assessors Map H / ff {) 2.-0LJ -1/ .J .
,4/ +rfr:l <"}{{ LVI 1/1 e [b
174() Ad kiYls ~t.:ti4
ItLbJ ,,:$eJ- ~ ov-J '
Lot-
Subdivision:
Ot.mer:
Address:
City:
- .
e L.\..l-f' ~\J.-Sl. . ..;
n
I I
I I
IXI
Np.w
Addition
. ,
Remodel
Mobile Home
Receipt #
(7-0 ro
:#:8\
\
~ y? 1):1 ""# 7q
[)
Taz Lot H
Phone:
{j1s -to 348
Q7Y-O/
II 3
II}O:
Zip:
Describe 11'01'7<:
. . \."
vjl :20 f)tJ7J. iJ
cu .(
J 11 r "2-V'-' y (
Date of AppZication
Contractors
..q'--2q'-g'O'
Signed:
Date:
Address
E.~ytj t'l-:-(). ~~ ~'~A- .'575
r:pt=:~() - ;'i .-c,t2-fL.....
$~CM, F~..
General
Plwnbing
Electrical
Mechar.ical
Constl"Uction Lender
Lise. #
ExPires
Phone
7Y?- ~O-~
~.A-
,"
3~
~I').s-O()
LO[::;.J~
~lz41 R'R'
. , .
It is the responoibility of the permit hoZdeP to see that all inspections are made at 'the proper time~ that each ::ddress is readabZe
from the street, and that the permit card is located at the front of the propePty.
~Bui!ding Diviaion. approved plan s.hall remain on tha Building Site at all times.
,
PROCEDURE FOR INSPECTION REQPEST.:CALL 726-3769 (recorder) state your City designated job nw;;ber. job address. type of inspection
requested ar.d when you will be ready for inspection. Contractors or Ot.mers name and phone nwnbcr. Requests received before 7:00 ~
r,...iZl be made the same day. requests made after 7:00 am will be made the nc:ct :uorkirlfj day. .
. .-, ':,' YClUr city Desigr.ated Job Number Io: .~ f!})o f?8'o
Rem~i~ed Tnsoection9
0, SITE INSPECTION: To be made after
excavation. but prior to set up of
forms.
O . UNDERSLAB PLUMBING, ELECTRICAL &
: MECHANICAL: To be made before any
, work is oovered.
~ 'tooTI;; & FOUND~TION: To be made
~ after trenches are excavated and
forms are erected. but prior to
pouring concrete. ?~,:>(;P).c..f .
lxl UNDERGROUND PWMBING~ SEWER. WATER,
DRAINAGE: To be made prior to fil-
,Zing trenches. .
o
UNDERFLOOR PLUMBING & MECHANICAL:
To be made prior to installation of
floor insulation or decking.
POST AND BEAM: To be made prior to
installation of floor insulation or
deckiTl{; .
ROUGH PLUMBING. ELECTRICAL & MECH-
ANICAL: No work is to be cOllered '
,until these inspections have been
made and approved. .
FIREPLACE: Prior to placir.g facing.
materials and before framing inspec-
tion..
I FRANINC: Must be requeoted after
---l approval of rough plumbing. electri-
.cal & mechanical. AU roofing
bracing & chimneys. eta. rrt'.lst be
,'completed. No work is to be con-
,~.cealed until this inspection has
~been made and approved.
D
D
CJ
",-'-
?CJ
[Xl FINAL PLUMBING
o
~
o
,~
o
FINAL MECHANICAL
L..t&\
FINAL ELECTRICAL
.
D INSULATION/VAPOR BARRIER INSPECTION: .
To be made after all insulation a:".d
, . .' required vapor barriers are in place
,: '. but before any lath. gypsum board or
wall covering is applied, and qefore
. any insulation is concealed.
'DEf.fOLITION OR :'-:OVED BUILDINGS
~ Sanitary s~~er capped at p~oper~d line
~Septic tank p~ed and fiZle~ with gr~~eZ
~
I Final - '>'hen above items are completed
~ and when demolition is complete or struc-
ture moved and premises cleaned up.
DRYWALL INSPECTION: To be made
after all drywall is in place.
but prior to any taping.
0, ~SONRY: Steel location. bond
beams. grouting or verticals in
accordance wi th U. B. C. Section
2415.
O WOODSTOVE:. After installation is sa ~BlOCking and Set-up
completed. , lb"
S"') P um 1-ng connect1-ons
'Mobile Homes
s&Wer and water
D
CURB & APPROACH APRON: After formsl3
are erected but prior to pouring ~
conorete.
n Electrical . Connection - Blocking. set-up
~and plumbing connections rrt'.lst be approved
, before requesting electrical inspection
D
SIDEWALK & DRIVEWAY: For all con-
crete paving within street right- =:J Accesso1"d Building
pf-way. to be made after all exca- .
vating c017ll?let~ & form work & sub- 71 Final _ After porches.
' base matenal 1-". plac~. , . SS~ S:J etc. are completed. .
.\.. .....
skirting. decks.
',' .
o
PENCE: When complete -- Provide..
gates or movable sections through
P.U.E.
D
.'{'
o
-
All project conditions. such as the installation of street trees. c~~letion of tne
requir>ed landscapir.g. etc.. must be satisfied before the BUILDING FINAL can be requested.
FINAL BUILDING: The Final Building Inspection must be requested after the Final Plumbing
Electrical~ and Mechanical Inspections have been made and approved.
,
*ALL MANHOLES AND ~LEANOUTS MUST BE ACCESSIBLE. ADJUSTHENT TO BE NADE AT NO COST TO CITY I Page 1 of 2
ra.ge ;:;
I JOB NO.'r!S{)ff1) SOLAR AC,CESS REQ.-
I Zone: /'1~ PvO Occupancy Gr. ~/tC~#~~
Lot Sq. Ftg. LOT TYPE Lot Faces -
S of lot Coverag;: Interior
# of Stories Cornel'
Total Height Panhandle
Topography Cul-de-sac
I
I
I ;;
I I
I ~l-4 ~ _::> D l T ')..")...
I
I .15":~ I
I/G:~I
I ~~.\- ")
I /'I~
I ~.S~, *
I.
I
I ITEM SQ. FTG
I Main
I Ga:raae
I Car-oor t
I Accessoru I
r~#~;st.
x
Value
S.D.C.
TOTAL VALUE
(va~ue)
1.5 x
Building Permit &//V,
~5: oe> +).
.7S
I ;5:7$. ~
I
I
I
~~-:~I
/5:-0 I
.I
~.-o -~f
State Surcharge
Total Cha.:"ges
lITEM
1.Ei-,~..., ik>A:oP
" Ii' .,
Residentuzl (1 bath)
I Sanitary Sewer
:1 Water- ., ;:
I
I NO.
FEE
CHARGE
/
I
/~~
1/ I
1;1
I I
I
I
I
I 5"'2...:so
I
Plumbing Permit
State Surcr.arge
"2.-z;x:...-'
Total Charaes
ITEM
NO. FEE
CHARGE
Res. Sa. fta.
I New/Extend Circuits
I..:z:.....1' ~.'....~' Service I /
l17~r lL
Eleatrical Permit
State Suraharqe
Total Charc;es
lITEM
NO. FEE
CHARGE
Furnace ETU' S
Exhaust Hood
I Vent Fan
I Woodstove
I
I
I
I
j
I
I
I
Permit Issuance
Meahanical Permit
State Burcharae
Total Charaes
-- ENCROACHMENT --
Se~~ritu Deposit
Storage
I Maintena~e
I Permit
. .
Total Charqes
I
I
I.
I Electrical Label I I
7)~...i7f~~W;~ I -:g~~ 1-/7
",r-s ~&:" I - /. '/ f) l.
I
q5~~j*
Curbcut
Sidewalk
IFen::e
I Mobi le Home
I
I
TOTAL AMOUNT DUE: ~
,.
L-cod~
P.L.
INorth
lEast
South
West
Type/Cor.st: .
I I Enerau Sources
.
I I Heat
Access. I Water Heater
I Range
I Firep lace
I Woodstove
II
I
I
"
Bed:rooms:
Ti./De
Setbacks
House Carage
.:- Fees
I
I
Building Value & Permit
This permit is granted on the express condition that the said construction
shall. in aZl respects. confo1'm to the Ordinance adopted by the City of
Springfield. incZuding the Zoning Ordinance. regulating the construation
and use of buildings. and may be suspended or revoked at any time upon vio-
lation of any provisions of said Ordinances.
(-
PZan Check Fee: q, 7 S
q- :;)-9-~'i
Y:2 l..f \C) '1
I
,n.-/'./
Date Paid:
Recdpt H:
Signed:
Plumbing
Pe r m it
No person shall construct. instalZ. alter or change any new or existing
plumbing or drainage syste~ in whole or in part. unless such person is the
Zegal possessor of a valid plumber's license. except that a person may do
plumbing work to property which is owned. leased or operated by the appli-
cant.
:,'
*
Electrical
Perm it
Where State LaLJ requires tr.at the electrical work be done by an Eleatrical
Contractor. the electrical portion of this permit shall not be valid until
the Zabel has been signed by the ElectricaZ Contractor.
Mechanical
Permit
~, '
*
l
I
I
,. I HAVE CAREFULLY EXAMINED the completed appZication for permit. and do
I hereby certify that all information hereon is true and correct, and I
further certify that any ar.d aZZ work perfornled shall be done in acaor-
f dance with the Ordinances of the City of Springfield. and th;: La'..;s of the
* State of Oregon pertaining to the work described herein. and that NO OCCU-
PANCY wiZZ be made of any structure without permission of the Building Di-
vision. I further certify that only contraators ar~ e~loyees who are in
compliance with ORS 701.055 will be used on this project
~:'~-:'
/~-:::<B-Dh
uar;e
Id ~2 8' ...g~
Sign~d
f
Date