HomeMy WebLinkAboutPermit Building 1986-3-3 (4)
/:",..~....-:"i....:.;;,\... ..~. ':-.~:."".;::n.'';''').T''''.'io;'\l'''.J,''.-r-~~,f:",!!,lf''''~''~ .....:~.:~:;.."-:.~:,~......;:;-,,;.,..-..::X'l"'...~~j.l>...~-'~,._....::. '_.:","''-~;'''.-.I''.J,~ ....'7::: '..~ ".... ;:.<;;~~ :'~.i'_:I,l.'\>C.<lol'.-'0l~,-~,~.'''ill1'~.''''~~_'''j~. ~.-. \l\l..~' ''-~"\. :~...,.,,,,, r"Jo~ "'-....c..'t\o~~..... ....;:.. t""' ..~. ',.~r''''' ~ .-..--- . - ~ .,
... RESIDAlTIAL ...
APPLICATW/PERMIT
225 North 5th Street
SpringfieZd~ Oregon 97477
BuiZding Division
726-3753
~
I
~o/ h?~~ ~~
Zt:SCA' /
U~ . ~a1~
O~.
(j
';.
Job Location:
S to {O 0
ASlJessors Map #
Subdivision: ~H7~
kr .
OI.mer: /11 &.-(
Address: /50 ((':If)
City:
LN"", , ,
I Addi tien
I I Remodel
1)(:1 Mobile Boma
"Date of Applicatien-2 --27...St:;,
Contractors
General
Plumbing
~ mtJJuh'
f./ -Ur./LI' f) ..ft~
4..4./~
v .
Electrical,
Mechar.ical
Constl'Uction Lender
SPRINGFlI:I n
.
~a()
r3 &(~ DSq
Receipt #
@
rt/-tJtt'
Taz Lot #
or-- _
'- ,I/A-1 '=- ~
P'hone:
?tfJ- t(o~ g
fI<~ J
d '
Sigr.ed:
Date:
CP-
:3-~-f50
Zip:
'-
":f)i;J:lz ~
&ct>
v~lfr 31 C;SD
Address
~-
Lisc.1I
Expires
Phone
It is the responsibility of ths permit holder to se~ that aZZ intJpectionsare made at t;he proper tims, that each :;dd:ress is readaD~e
from the street, and that the pernrit' card is ''Located at the front of the property.
*B"fi7..ding Divicior: approved plan shall remain on thE Building sit:;; at all times.
PROCEDURE POR INSPECTION REQPEST:CALL 726-3769 (reaorderJ state your City designated job number. job addIoess. type of inspec';icn
requested ar-d when you will be ready for inspection, Contractors or Owners name ~nd phone number. Requests received before 7:00 ~
:..'iZZ be made the same day. requests made after 7:00 am will be made the nat j}()rking day.
O POOTING & POUNDATION: To be m:zde
after trenahes are excavated and
.. "forms are ereated. but prior to
pouring cencrete.
D. ,UNDERGROUND PLUMBING. SEWER. WATER,
,DRAINAGE: To be made prior to fil-
,Ul".g trenches.
O ' 'UNDERPWOR PLUMBING & MECHANICAL: .
.. I 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
, deaking.
D ROUGH PLUMBING. ELECTRICAL & MECB-,
,ANICAL: No work is to be covered ,
,ur.tiZ these inspections have been
made and approved. '
D PIFiEPLACE: Prior to pl~cil".g facing
materials and before framing inspea-
tion.
Reaui~Rd TnsDp.ctions
D' 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 covered.
.. ....
D PRAMING: Must be requested after
approval of rough plwrbing. electri-
,ao.l & mechanical. AlZ roofing
.,' bracing & chimneys. etc. lIT'.tst be
,;',completed. No work is to be con-
"""-,,cealed until this inspection has
, ',~,been made and approved.
.. , . .
,.'......0.-
Your City Desigr.ated Job Number Is:
I INSULATION/VAPOR BARRIER INSPECTION:
--.J To be made after all insulation ar-d
, ' required vapor barriers are in place
,: . ~ but before any lath. gypsum board or'
waU covering is appUed. and before
. '.any insulation is concealed. '
O DRYWALL INSPECTION: To be made
after all drywall is in place.
, but prior to any taping.
0, MASONRY: Steel location. bond
beams. grout;ing or verticals in
accordance with U.B.C. Section
2415.
D WOODSTOVE: After installation is
ccmpleted. , _
CURB & APPROACH APRON: After forms
are erected but prior to pouring
concrete.
, ,
SIDEWALK & DRIVEWAY: POl' aZZ con-
crete paving within street right-
pf-~y. to be made after aZZ exca-
vating complete & form work & sub-
, base material in place.
. ~
D
,:.','" .'
D FENCE: When complete-- Provide"
gates or movable sectiens through
P.U.E.'
o
y 0 0 f~ q
DEf.fOLITION OR :',JOVED BUILDINGS
'!
:=J Sanit;ary S6'Jer capped at p~opert':i Ur.e
~ Septic tank p~ed and filled with gra~eZ
I Pinal - h~en above it~~s are completed
--.J and when demolition is complete or struo-
ture moved and premises cleaned up.
- Mobile Homes
~ Blocking and Set-~p
~ Plumbing connections sewer and 'wat;er
~ Electrical Connection - Blocking, set-up
C:::J and plumbing connections lIT'..st be approved
, before requesting electrical inspect;ion
~ ~:;;~(j,rng
\7(Final - Aft;r porches,
~ etc. are completed.
, ' '
~ ..
skirting, deaks~
D
-
PINAL PLUMBING
, All project conditions, such as the installation of st;reet trees, co~letibn of the
required landsc~pil".g, etc.. must be satisfied before the BUILDING FINAL Clan be requested.
D
D
D
o
FINAL MECHANICAL
,
o
FINAL BUILDING: The Pinal Building Inspection must be requested after the Pinal Plumbing
Eleatrical. and Mechar.ical Inspections have been made and approved.
FINAL ELECTRICAL
*ALL MANHOLES AND CLEANOUTS MUST BE ACCESSIBLE. ADJUSTHENT TO BE f.!(:DE AT NO COST;{O CITY I Page l' of 2
,
'-,
I JOB NO. X-hO I.)t(
IZona:~'
Lot Sq. Ftg.
S of lot COlJerage
# of Stories
Total Height
Topography
I
lITEM
I Main
I Garace
I Carport
I Accessoru
I
,
I S.D.C:
SQ.FTG
TOTAL VALUE
(va~ue)
1.5 x
'.
BuildingPernrit
State Surcharge
t'age Z
REQ.-
L':"COG~
Occupancl( G
LOT TYPE
Total Clui.:"ges .
I ITEM I NO: FEE
I". ~... _1___
, .-----~" 1!:L24/~~,.
I Residential (1 bath) I
I Sanitary Sewer II I
I Water I I
Interior
Corner '
Panhandle
Cul-de-sac
x
Value
I
I
1
I
,
12a'.2~ j *
CHARGE J
2t!). .~ I
I
2~.tW I
~i>>
Plwnbing . Perrr.i t
State Surcr.arge
Total Charaes
lITEM
I Res. Sa. fta.
I New/Extend Circui ts
II,.. ,[' ." "'~ Service
NO. I PEE
~N' uP
Eleatrical Permit
State Suraharqe
Total Charc;es
ITEM
NO. FEE
Furnace PTU' S
I Exhaust Hood
I Vent Pan
Woodstove
Permit Issuance
Meahanical Permit
State Surcharae
o~
~. 60 f
I ' "2 ..80 I
I 72..801 *
CHARGE
I
I
I
I
I
I
I
I
I
/.20 I
'3/.~&> l *
I
I
I
I'): PI>
'.
I ct:;: 0.0
....
"30. Of>
CHARGE
I
I
,I
I
I
1
,
TotaZ Charaes
-- ENCROACHMENT, -,+ ;- , " '. ,"
Se~..trity Deposit
I Storage
I Maint~e
Permit
Total Charqes
I Curbcut;
I Sidewalk
Fen:::e
Electrical Label
I Mobi le Home, V.,., r:Fl. ~
I
i
I
TOTAL AMOUNT DUE: *
~.
I
I, ' I HAVE CAREPULLY EXAMINED the completed application 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 performed shall be done in accor-
f danae with the Ordinances of the City of Springfield, and the L~~s of the
4 State of Oregon pertaining to the work described herein, and that NO OCCU-
PANCY will be made of any structure without permission of the BuiZding Di-
vision. I further certify that only contractors ar.d e~loyees who are in
compliance with ORS 701.055 will be used on this project
I
I
I
I
I
I
I
I
I
,I
~'Ie. 2S
I
I
~cc. r
J *
.
I
Bedrooms:
, Enercr,u Souraes
I Heat
I Water Heater
I Range'
Fireplace
Woodstove
Twoe
"'PI
Lot Faces -
I
I P.L.
North
Type/Cor.st:
Setbaaks
House Carage
Acaess.
East
South
West
I
II
-- Fees
I
"
,
Building Value & Permit
This permi t is granted 'On the' express condition, that the said construction
shall, in aZl respeats, conform to the Ordinance adopted by the City of
$pringfield. incZuding t;he. Zoning-,O'i'dinance, regulating the construction
and use of buildings. and may be suspended or revqk~d at cr.y time upon vio-
lation of any provis'ions of said Ordinances. '
)
Plan Check Pee:
Date Paid:
Receipt II:
I Signed:
,
*
"
Plumbing Permit
,
No person shall construct. instalZ, alter or change any new or existing
plumbing 01' drainage system in w'hole 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, or operated by the appli-
cant. '
:
Electrical Permit
Where State LIllJ) requires tr.at the electrical work be done by an Electrical
Contractor.. the electrical portion of t;his permit shall not be valid until
, the Zabel has been signed by the Electrical Contractor.
" Mechanical Permit
4
4-r~~
~ Examiner
.-
~~
,
I
, ~- 3-g~
7frte
,
~-u;W ~f.-
2..r~ It6
, Date I I
Signed
.