HomeMy WebLinkAboutPermit Building 1987-10-22 (4)
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.. RESIte.JTIAL"
APPLICATION/PERMIT,
225 North 5th Street
Springfield~ Oregon 97477
Building Division
726-3753
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Assessors Map # J'3' 0 ;{ 0 ~ / I
Subdivision: Ltt1?'~ I ~ :2. ;q US~
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M~?i/t...~ #~G.r -::'7A-:rI"'.:::~..
10 AlE V .
':2f=i 7 S ~ 'I'/rw
~ QcI
I N~
I Addition
I I Remodel
1\L I Uobi le Borre
IDate of Appl~ "',)tJ~ /2.....f 1,
Contractors ..Jr11'l'ess _ .
General ~~rI /IIM~ ~
P.jJ /LA---L-n ~ t ~
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,
Job Location:
,
Owner:
Address:
City:
.
Plumbing
Electrical
Mechar.ical
SPRINGFIELD
~/
(he::: Lot # () Ie / I Cj
I
'? M'&.I/Y7A/./Y V/-E'VY
I --
Phone: "~f) Zh -13 71n
Zip:
S~r&-w~L
MH ~-Uf
f
Value ;2'1; t/StJ
Rece-:.pt #
It{) c..;05'
.'
.
. '
....
,t
Sigr.ed:
Date:
{!U
10 ..... ~"'Z-f'1
Lisc.1I
Eroir8s
Phone
71'7:.Y'008
,
Constl'Ucticm Ltmder
It is, the responsiJri.l:if'!J of ths permit holdezo to see that all inspections a:l'e made at ths' proper time~ tr.at each .:dd:ress is readaDZe
from the street, cmr! 'UIat the perrrri.t card is located at the front of the property.
-Bui!ding Dividor. ""'tt"r'- ..",ed plan s,hall remain on the Building Sit~ at all times.
PROCEDURE FOR INSPECTION REQUEST:CALL 726-3769 (recorder) state your City designated job nwnber, job address, type of inspection
requested ar.d when you LJi,1.l be ready for inspection, Contractors or Owners name and phone nwnber. Requests received eefere 7: 00 ar.I
z.>ill be made the same day, requests made after 7:00 t:V7I z.>ill be made the nczt :,}()rking day.
0: UNDERFLOOR PLUMBING & MECHANICAL:
.. ,'To be made prior to installation of
, '. floor insulation or decking. '.. . . ,
O POST AND BEAM: To be made prior to D
installation of floor insulation or
decking.
O ROUGH PLUMBmG. ELECTRICAL & MECH-
. ANICAL: No 'OOrk is to be covered
,until these inspections have beer.
made and approved. '
D FIREPLACE:' Prior to plc.cir.g facing
materials and before framing inspec-
tion.
Reaui~ed TnsD~ations
D' SITE INSPECTION: To be made after
e:ccavation, but prior to set up of
, forms.
~ : UNDERSLAB PLUMBING. ELECTRICAL &
--1 ' MECHANICAL: To be made before any
. work is aovered.
".
M FOOTING & FOUNDATION: To be made
~ after trenches are e:ccavated and
, forms are erected, but, prior to
, pouring concret,;.
O ,UNDERGROUND PLUMBING. SEWER. WATER.
,DRAINAGE: To be made prior to fil-
lir.g trenches.
~ FRAI1ING: Must be requested after
~ approval of rough plwrbing, electri-
cal & mechaniaal. An roofing
bracing & chimneys, eta. must be
;' completed. No work is to be aon-
. '.., ",.cealed until this inspection has
~be~n made and approved.
,".----
Your City Desigr.ated Job Nwnber Is:
D INSULATION/VIIPOR BARRIER INSPECTION:
To be made after all insu lation ar.d
, " required vapor carriers are in place
,: "but eefore any lath, gypswn board 01'
wall covering is applied, and before
"any insulation is concealed. '
",.
" '
O DRYWALL INSPECTION: Te be made
after all drywall is in place,
, but prior to any taping.
0, MASONRY: Steel location, bond
bet:V7ls, grouting 01' verticals in
accordance with U. B. C. Section
2415.
D WOODSTOVE: After installation is
ccmpleted.
CURB & APPROACH APRON: After forms
are created but prior to pouring
aonarete.
D SIDEWALK & DRIVEWAY: For all con-
crete paving within street right-
pf-way, to be made after all e:cca-
vating complete & form work & sub-
'. .'base material in pla.::e. .
'.'
D
PENCE: r.'hen compl;;;te -- Provide..
gates 01' movable sections through
P.U.E.
&1015f'
DEMOLITION OR NOVED BUILDINGS
~ Sanitary seuer .::apped at pz:.opcrt"d line
~ Septi.:: tank p;u;rped' and fillad with gra"Jel
--, Final - f,'hen above iterns are completed
--1 and when demolition is complete or stru.::-
ture moved and premises ::leaned up.
Mobile Homes
~ Blocking and Set-up
~ Plwnbing connections sewer and wa~er
~ Electrical Connection - Blocking, set-up
~ and plwnbing connections nr~st ee approved
, beforc requesting electrical inspection
~ Ac.::essOl"d Building
.~. . ..
"'VT Final - IIftcr porches,
~ etc. are completcd.
skirting, decks,
o
D
All project conditions, such as the installation of street trees, co~lation of the
required landsc~ping, etc., must be satisfiad before the BUILDING FINAL can be requested.
D FINAL PLUMBING
o FINAL MECHANICAL
D FINAL ELECTRICAL
o
@
FINAL BUILDING: The Final Building Inspection must ba requeated after the Final PZwnbing
Electrical, and Mechanical Inspections hava been made and approved.
. ......"'...
.
*ALL MANHOLES AND CLEANOUTS MUST BE ACCESSIBLE, ADJUSTHENT TO BE f.L1DE AT NO COST TO CITY Page 1 of 2
t'age <i
I JOB No.8'9V ?Sf SOLAR AIESS REQ.- '
I Zone: /)fA'~ Ocr:upancl/ Gr ~~/t:G"' '!f/ ,M-V Type/Cor.st:
Lot Sq. Ftg. '7 :28"2 LOT TYPE I Lot Faces - W~ r
f'''' I Setbacks
z;) ~ot CoveragG: '2 '7 Interior I P r H C
. lJ. ouse .arage
# of Stories I X Corner North
Total Height Panhandle East
ISouth
Topography 0-2 Cul-de-sac IWest
I
I Curbr:ut;
I Sidewalk
I Fe7U]e
I Electrical Label
I Mobile Home- ];bLJZ3~E.' fp/;pE I
I' ""~p 50RCHA'A'~E I
I I
~60. 76
I
I ITEM SQ.FTG I
I MainM~~ '#~A?d!:1
I Ga:raae - .
I Carvort '::? 9'6
I Accessoru .~ '"
~~'51 Ar/__~~N/I!f$"
TOTAL VALUE
x
S.D.C.
(va~ue)
1.5 x
Building Permit
State SuI>charge
Total Cha.~ges
I ITEM NO. FEE
I Y"-t1\1'es LL.. ,,/ ~ .1) /
.n-;,...~....~ 7 ~
IResident~l (lba~h)
I Sani tary Sewer I I
I Wat~r ,., '" I J I
?/'P)9h7 .~Ie
Plwnbing Perrr:it
State Surcr..a.rge
Total Charaes
lITEM
NO. FEE
,Res. Sa. fta.
New/Extend Cirr:uits
I "'''''l['OJlw:il Sel'!)ice
I/~/fv?
II ,
II I
Electrical Permit
: State Surcharqe
Total Ch.aPqes
ITEM
NO. FEE
Furnace BTU' S
E:z:hauat Hood
Vent Fan
I Woodstove
I
Permit Issuance
'~Mechanical Permi t
State Surcharc1e
Total flharaes
-- ENCROACHMENT --
Ise~~ritl/ Deposit
I Storage
I Mainte~e
I Permit
Total Charqes
TOTAL AMOUNT DUE: ~
Value
"2~9~6
~ ", I
~/IPIP~-
2~9':>'-'
I ~a9. ~S
1~~6
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/8. ;?g
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CHARGE
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I 3...S"P
I 7~.:5""~ ~
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7t? . t:::f6>
CHARGE
I, /_~p'p
I /5'. ~
I~.~
I 1.501
I ~/. st:>l ~
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CHARGE
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. L-COG~
-W' Bedrooms:
I Enercru Sources
I Heat
I Water Heater
I Range
Fireplace
Woodstove
Ti./De
Access.
~/
'2.tP
/-5"
'2,/'t:-,
I
I
- "2,?, ' cI I
-- Fees
Building Value &
Pe r m it
.
( . . .
,,'. This .permit,is' granted on the express condition' that the. sa'id construction
shaU, in' all respects, conform to the Ordinance adopteq. by the City of
Springfield, incZuding the,Zoning Ord~nance~ regulatu1g' the construction
and use of buildings, and may be suspended or revoked at cny time upon vio-
lation of any provisions of said Ordinances.
~
~
Plan Check Fee:
Date Paid:
Receipt II:
I Signed:
/ /. :;/&
Plumbing Permit
No person shall construct, instalZ, alter or change any new 01' existing
plumbing or drainage syst~~ in whole 01' in part, unless such person is the
legal possessor of a valid plwnber's license, e:ccept that a person may do
plumbing work to property which is owned, leased or operated by the appli-
cant.
,/
Electrical Permit
,Where State Law requires tr~t the electrical work be done by an Electrical
Contractor, the electrical portion of this permit shaU not be valid until
the label has been signed by the Electrical Contractor.
Mechanical Permit
..
...
~~~:~/ ~.wr~
.
,
/O-:::?C::;-B7
Date
I HAVE CAREFULLY EXAMINED the completed application for permit, and do
h~reby certify that all information hereon is true and correct, and I
further certify that any ar.d all work performed shall be done in accor-
dance with the Ordinances of the city of Springfield, and th~ L~~s of the
State of Oregon partaining to the work described herein, and that NO OCCU-
PANCY will be made of any structure without permission of the Building Di-
vision. I further certify that only contractors ar.d ~~pl;)yees who are in
compliance with ORS 701.055 will be used on this project
I
~
fo~~
~ Signad
~o--. 0 , of'
r_<::l.
/o-cZ-?J7
Date