HomeMy WebLinkAboutPermit Building 1987-4-7 (4)
.. RES I DAI T I A L · · SPRINGFlE.LC
APPLICAllf!I/PERMI'l;
225 North 5th Street
Springfield, Oregon 97477
Ud.~ Divisio.n
726-375~
I
I Job Location: ~ 6b 0 ~~/?,7-' .-"')r;, ~ #- 5,>"
I ASl1essors Map # IB--C;::?...o~-// Tc::: Lot #t::7C-/I"f:rJ~J/(.j.
I '
I
,I
i
I
I
I
C~ftc-' Me..L/~/>;5 '
C5"'$ Sp::.. S/~ ft-::??Phone:
/)r~.p." $A.'
,/i'
Subdivision:
OWner:
Add:ress:
City:
II'
1 .I NP.LJ
I Addition
I 1- RemodeZ "
, .
"
, .
Zip:
7Y/-/~'3';r
~?y/~ ,
Describe f>'or7<:
5z:~? ~P/C:C:= ~~' ~'
;S~~ PI' V/;5/c:5o;>- ,
/tl./-l.' ~fI"/7.~c:>.-b
,~/~5 " ;51~d>.ar~
,tf..,.~~~;>, ',' Value- 2S~~.---
I V I Uobi le Home
J
Date of Application
Cont;ractors
Add:ress
General P .Me~~7;:::> 7~~4;-'-<?~~~-'-
. - . r
Plwnbing e:>W.A/ c-/"?
i Electrica l C::::S>V1/~~.
Mechm:ic.::l
Construction Lender
Receipt .Ii,6 ifJ f If: 11 ()
.....-
'.
.
,
, '
Signed:
Date:
(lC,
Li-7-';(/7
(
Lisc.#
Exoires
Phonc
'.
....."".
It is the responsibility of the permit holder to see that aZZ inspections are made at the' proper timE:. that ecch .:ddress is rea:iab~e
from the street. and that the permit card is 1.ocated at the front of the property.
4Bui!ding Divicion approved plan shan remain on tha Building Site at an times.
PROCEDURE FOR INSPECTION REQPEST:CALL 726-3769 (recorder) state your City designated job number, job adircss, type of inspec~ic/l
requested ar.d when you ~ill be ready for ir~pection, Contractors 01' OWners ncme cnd phone number. Requests received before 7:00 ~
1..'iH be made thE: same dc.y. requests made after 7:00 am win be made the ncxt :JOrking day.
I R . d .
i eou~~e Tnsoect~cns
'0 SITE INSPECTION: To be made after
, excavation. but prior ,to set up of
i ,forms.
, 0 : UNDERSLAB PLUMBING. ELECTRICAL &
, ' MECHANICAl,: To be made before any
: ' work is covered.
..,
,[K]
FOOTING & FOUND,1TION: To be made
after trenches are excavated and
forms are erected, but prior to
pouring concrete;.
UNDERGROUND PLUMBING.. SEWE:R. W.1TER.
DRAINAGE: To be made prior to fil-
Zir.g trenches.
I
l[]',
;1
; 0, UNDE.9FLOOR PLUMBING & MECHANICAL:
, To be made prior to instanation of
! floor insulation or decking.
.~, 0 POST AND BEAM: To be made prior to
installation of floor insulation or
deckirlfj .
ROUGH PLUMBING. ELECTRICAL & MECH-
ANICAL: No work is to be covered
,until these inspections have been
made and approve;:.
FIREPLACE: Prio:;' to placir.g facing
mcterials and before framing .inspec-
tion.
iD
I
I
!D
'0 FRANING: Must be requested after
approval of rough plwrbing, electri-
cal & mechanical. AU rOOfing
bracing & chimneys. etc. ~~st be
: completed. No work is to be con-
,~ cea led unti l this inspection has
~ been madc and approved.
'.
l "_ .
y:mr City Desigr.ated Job Number Is:~7e:> =<<~
DRYWALL INSpeCTION: To be made
after all drywan is in place.
but prior to any taping.
0, MASONRY: Steel location, bond
beams. grouting or verticals in
accordance with U.B.C. Section
2415.
D WOODSTOVE: After installation is
completed.
D
D
D
CURB & APPROACH APRON: After forms
are erected but prior to pouring
conarete.
---, Pinal - f{hen above ite.'ns are cO.'1Tpletcd
~ and when demolition is complete or struc-
ture moved and premises cleaned up.
Mobile Homes
~ Blocking and Set-up
~ Plumbi~ connections -- scwer and water
~ Electrical Connection - Blocking. set-up
~ and plumbing connections ~~st be approved
, before requesting electrical inspec~ion
::zJ Accessol"d Bui lding
~. . .
vi Final - After porches. skirting. decks.
~ etc. are comple~cd.
D
-
All project conditions. such as the installation of street trees. c~-npletion of the
required landsccping, etc., must be satisfied before the BUILDING PINAL ~an be requested.
o FINAL PLUMBING
o FINAL ME'::HANICAL
o FINAL ELECTRICAL
:~
@
PINAL BUILDING: The Final Building Inspection mus't be requested after' the Pinal Plumbing
Electrical. and Mechanical Inspections have been made and approved.
SIDEWALK & DRIlJEWAY: For aZZ ,con-
crete paving within street right-
pf-'wcy. to be made after aU exca-
vating complete & form work & sub-
, base material ~n pla::e. "
D
PENCE: When compliZte -- Provide..
gates or movable sections through
P.U.E.
~ALL MANHOLES AND CLEANOUTS MUST BE ACCESSIBLE. ADJUST/fElIT TO BE ~MDE AT NO caST TO CITY I Page 1 of 2
o
I
JOB NO. 8702'2"
Zone: /,,/}1j,51' PoO
Lot Sq. Ft;g.
~ of lot Coverag~
Ii of Stories
Total Height
I
I Topography
I
I ITEM SQ. FTG
Main
GaraGe
I Ca.rp~r t
Accessory
.r;;~/#4S.
j
TOTAL VALUE
S.D.C.
(va~ue)
1.5 x
Building Permit
State Surcharge
Total ChaI'ges
I ITEM I NO.
I Fixtures I
I Residential (1 bath) I
I Sani tary Sewer If,
I~hr 1/ I
,/l/.//./7~~p I
Plumbing Perr.:i t
State Surcr.arge
Total ChaI'oes
lITEM
,
I Res. So. fto.
!New/Extend Circuits
I ~'''U!,~_ ~""u-Service
I I
III
I ' I
~uuP
...
Electrical Permit
State Surcharge
Total Charaes
lITEM
I Furnace PTU' S
I E:::haust Hood
I Vent Fan
I '
I Woodstove
I
NC.
Permit Issuance
Mechanical Permit
State Surchar~e
Total Charoes
I -- ENCROACHMENT --
ISe~~rity Deposit
I
I Storage
i
! Maintenan::!e
I
, .
! Perrrrz. t
Total Charges
, Curbcu-;;
, Sidewalk
SOLAR A~..SS REQ.-
Occupancy G~~/(t: ~~ Type/Const:
WT TYPE' I Lot Faces - U"nr#
I Setbacks
I P.L. House Carage
North N'//N.?'
East - M/#.""5""
South MJ/Y./,.5'
,west .M/N.'S'~,
L -CO G-{L<
. Bedrooms:
1 Enerou Sources - ,
I Heat
Access. I Water Heater
I Range
I I Fireplace
I Woods tOile
TUDe
InterioI'
Cornel'
Panhandle
, Cul-de-sac
x
Value,
.
.
I I.
I ~q::>, ~ 1-'
I r
, "
137&1. '35' '-;
FEE
10 . c::o.c.
. 'Tc:>
,
I~ 'Ie> *
,
CHARGE I
/'
I, ~
";( I!::J. cO I
/5. ~ I
I /s:~ I
I-~~~r
I ::? - ..... ~ I
I ~c):? ~ I *
NO.
FEE
CHARGE
FEE
" /,'):c.>7::>
IIS>--~
I '3c:Q ~
I /.2C:>
I 3/- 2c>1 *
CI/ARCE I
I
I
I
I
I
I
I
Pence I
Electrical Label#:: 13/1 K I .2C> I
MobiZeHome <~r~p Ifr-~ I
I I
I I
I TOTAL ANOUNT DUE: * # SOB. IS- *
-- Fees
\
.",
,
1" .. . ~
\
.~ ~.
Pe'r m i-t '
Building Value '&
This permit is granted on the express condition that the sdid construction
shall, in all respects, conform to the Ordinance adopted by the City of
Springfield, incZuding the Zoning Ordinance. regulating the construction
and use of buildings, and may be suspended or revoked at cr.y time upon vio-
U7tion of any provisions of. said Ordinances. ~
--~... . "' . ....~.
. ---
.
-,
J .
"
~~"'t
\ '
..... ....
".,
Plan Check Fee: r::: ....s-C:>
Date Paid: 41 ~- ~ ?
R~cdpt D';:". R6b/
S'/-gned: , '. ~~
. .' J .oJ' ~,,,,,., :...G.7:- .
/ " "
, ~~ ,'.. P'lu~bing Permit
"No person shall cOnstruct, l.nstaZZ, aUer or change any new 01' e:::isting
plUmbing op:drainage syste~ in whole '01' in part."unless such person 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 LaLJ requires tr.a.t the electrical work be done by an Electrical
ContractoI', the electrical portion of this permit shall not be valid until
the Zabel has been signed by the Electrical Contractor.
Mechanical Permit
, ~
'4~--~"",~~
PZcy-F:xaminer ' .p"
'("7-&7
I
I' I HAVE CAREFULLY EXAMINED the completed application for permit, and do
I heI'eby ceI'tify that aU ir.foI'mation hereon is true and correct. and I
further certify that any ar.tl aZZ work performed shall be done in accor-
r dance with the Ordinances of the City of Springfield, and th~ Ur~s of the
* State of Oregon pertaining to the work described herein, and that NO OCCU-
I PANCY will be made of any structure without peI'missio~ of the Building Di-
vision. I further certify that only contractors m~d e~loyees who are in
compliance with ORS 701.055 will be used on this project
Uat;e
C~d'
'~ '
~ 4~~~~ 4-7--81
Date
Signed