HomeMy WebLinkAboutPermit Building 1991-2-26 (2)
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I.. .~ APPLICA~/PERMIT
~225Ncrth 5th Street
Springfield, Oregon 97477
Building Division
726-3753
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...L. Receipt ,~
SPRINGFIELD '" ..
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Job Loca.tion:
Ta:r Lot #
ABGeSDOr8 Map fI
Subdivision: 7(q ,.,h,....;
)..0 f- "'" 2..s
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()Jner: 1?c.i,~ + ~ :DO_D (~J 1L -f&.-
Address: ,;'ff3 1'1c./,,(,~> P.....-L
City: &.y___. @~..,.) 7?VD!
Phone: <idS]) 7 fa
zip: <17 -Iv (
[ZlN~';
n Additicn
n Remod61.
fi !.fobi le Roma
Describe r.'ork:
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~(;."11
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Sigr:ed:
Date:
'Dat. of AppUoaticn Value tiP" (70 .J
Contractors Address '_ ,Lise. II Bldrs Board R '2.
Gener~l r..{.......j, f1D~ df"~3 Mdo(,<<~ 3"'''9J ~ AI
i Plumbng (,; ,.h_;(~_ Lv )(;..;-!w"",,l -'t:~.._, ~oo'; "If I
iHechanical r?LJ.,;' Akd;J' .3S"'}o 1?-r11#t /?wr_ J,):J.'1'-" .<J'i:J-
I E~ectri!:al i-\..eetill-IW EL'ec.~<1{'- 7'170'3 d'~: ~.\ W-17(P 3U'3<;' "'S/q/
Sl1Pe~~1g Eleetrician . ,~A. "UfOf S
Exo'ires
Pl'-nnp
</f J- 317 (d
'-1'(f".FII v (p,
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It is the 1"6sponaibility of the p6l'l7ti.t holder to 868 that an irwpections al"'e made at the' proper timG# tr.at each :;ddrSS8 is recclab~e
from ths stres', and tluzt ths permit nard is located at the front of ths property. .
-8uildi'!1g [){,vidon approved plan sha'll. remain on thE Building Sits at all times.
fROCEDURE FOR INSPECTION RE:9UEST,:CALL 726-3769 {reaorderl state your City designated job number, job aCacss, type of in3pea~icn
roqucsted ar.d when you win be ready for inspection, Contractors or Ol.me:"s ncme and phone number. RequGsts reaeiv9d before 7:00 a::'%
.>in. ~ made t,h< sams day, requests made:.,a(ta' 7:00 ,am LJill b. made the nat ""'rking daY/} N~ ~
, ' '. , Tour City Dsoigr.ated Job Numba' Io, Vllllfl
Rl?r1'fii-':.'l/J. rtlR,nJl~~1:r.Jj~
D. SITE INSPECTION: To be made after
ezcavation, but prior to se~ up of
. . forms.
D UNDERSLAB PLUMBING. ELECTRICAL &
. MECHANICAL: To bs maa6 before any
. wrk is covered.
~ INSULATION/VAPOR BARRIER INSPECTION:
To be rrr:zds after all insuLatian w.d
. . required vapor barriers are in place
." ': but befors any lath, gypsum board or
. wll covering is applied, and beforG
. ~y insulation is concealed.
[DEMOLITION OR /.tOVED BUILDINGS
~ Sani~ Sfl".J8r ~apped at ~opc;rt'~ 'Lir:o
:::J Sept*: tank rroEtpl:d and fiz:tad L1ith gra:Jol
, I
, I
--, Final - When abcve items are completed I
--J ar~ when demolition is complBto or stru~- !
ture moved and premises ::leaned up.
. K7l DRTWALL INSPECTION: Tc be made
~ after an d:rytx:ILZ is in place,
. but prior to any taping. ,
O. MASONRY: Steel location, bona.
beam:;, grouting or verticals in
accordance with U.B.C. Section
2415.
O WOODSTOVE: After installation is
ccrrrpl.et€d. . .
JIVi'1 FOOTING! FOUNDATIOl/: To b. mads
J.6.l after trenches are ezcavated and
: forms are erected, but prior to
pouring cancret~. . ....
~: UNDEIJ,q.'IOUND PLUMBING, ~EWER)~
!~.'lAI/lAG!<I To be made pr<ror to fil-
. . ./"1-7'09 trenches.
:'I:7f,' U/lDERFLOOR ~UlfBING) &~~ANICAt)
~ To be made pr:tlJiO to in3tal-uzt1-on of
floor insulation or decking.
f':/r POST AND BEAM: To be made prior to
)L:S. instaLlation of floor insl.Olation or
dscking .
fC/T' ROUC.l!r"'f'LW!BI!lG:>(tl,eL.';'.;~ .&Q{E;.CH~
~ . !:N.l.CJ1ft, . tlo WOrK it> IoU be cOL'eI'Q~
~thcse inspections have beer. .
Tnade and approved. .. . .
~ FIREPLACE: ~r to placir.g faoing
~ material.s and before framing inspec-
tion.
~ FRA1-1IUC: Must be requented afte,.
~ approval. of rough plwr.bing, electri-
cal & mechanical.. AU roofing
bracing ~ chimneys, etc. r1r.lst be
:' completed. No work is to be con-
....cealed until thin inspection has
~ b6~n made and approved.
. Nobile Hames
\'~ Blocking and S8t-~p
=:J Plumbing ~onnections scwer and water
---, Electrical. Connection - BLocking~ sot-up
~ and plumbing conr.ections rTr..lot .be approved
. before requosting electrical inspaction.
'f':7f CURB & APPROACH AP.WN: Afte~ forms
~ are erected but prior to pouring ~.
.. corUJrete. . .
.~. SIDEWALK & DRIVEWAY: For all con-
crete paving within street right-
oj"-lX.y, to be made after all exca-
vating cUl/plote & form work & sub-
. base"material' in pla::e. .
~ =:J Ac:.:ossory Building
okirting, dsckB,
"I Final - Aftar p~rcr.e3,
~ etc. are completed.
O ~NCE: When compl.te -- Provide-
gates or movable se~tions through 0
P.U.E.
~'Q'6~~~~DL.
Al.l project conditions,'such as the installation of street trees, ao~Zotion of the
required landsccpir:.g, etc., must be satisfied before the BUILDINC FINAL can be r~~eDt:zd.
~ FIlIAL PLUI,fBI/lG
~ FIliAL UE~HANICAL
~ FINAL ELECTRICAL
FINAL BUILDING: The Final Building InDpoction must be requested atter' tho Final ~lwnbing
El.ectrical, and Mechar.ical Inspections ,hava been made and approved.
~
, ,
\
'ALL UANHCLES AND CLEANOUTS /lUST BE ACCESSIBLE, ADJUST!IENT TO BE MADE AT NO COST TO CITY I Page 1 of 2
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I JOB NO, q/(:Cf1~SOLAR ACCESS REQ.- L-COG~
I Zona: \ A)~ Occuvancy Grou. \:'..~4\Y\ ) Ti've/Co""" Vi. Bedt-oo",s: ~~
Lot Sq. Ft{;. 7';60 WT TYPE r Lot Faces - /v'bR;{I'I I Enerqy $0""0"8_
L/) I Setbacks I I Heat o~
S ~f l~t C;]1)erag< ~2."l... Interior I P.L. -,--
I&- House Caraqe Aaaess. I ;,'atel' 'Ip-atp.l'
# of Stories J ...---Corner INorth ~ 5" I 2.1 f' 1 L----=.'?anq~
Total Height ,\ Panhandle lEast /.''\' /111>' I GiI FirepZa;;;;-
ISouth z..~ ' I I I wood;; toz;e
Topography CUI-de-sao IWest
/4-' I I '
-- Fees
;~;.'/ t~.~3~;Z3'~ Building Value &, Permit
L"., 2. /4./0 "3/ ",:L01 This permit in granted on the express condition that the said constl'Uction
;;J~ , C<<..I' shall, in all. respects, conform to the Ordina.nce adopted DY th9 City of
~ I Springfield, inct.uding the Zoning C'rdinance, reguZating the constrocticn
" ~ lL,j I\.~ and use of buildings, and I7l:lY be 8uspeiided 01' revoked at c:n.y time upon vio-
-' .... )"""' !ation of any provisions of said Ordir.ances.
I
lITEM
IMain
I Geraae
CarDort
AccessOl'U
v
TOTAL VALUE
Is.D.c.
fvc.I.UC)
1.5 :t:
Building Permit
State Surcharge
Tota I Cha."'fIee
I ITEM 110. FEE
lFi:z:tu:roes
I Reeidsntial (1 bath) 2
I Sanitary S_r
MotB1' )
,_1~~V~U~t
J
State Surcr.arge
Tota 1.. Charaes
lITEM
I Res. Sa. fta.
NBLJ/E:ctend Circui ts
I NO. I FEE
Temporary Service
Ete~trical permit
'. State SuraharQB
Total Charges
, .
NO. FEE
ITEM
I Purnace ETU' S
I &haust Hood
I Vent Fcm
I JlOOdstOV8
I ~A-5 l.//./€
4
Permit Issuance
He::hanical Permi t
State Surcharoe
Tota Z. CharactJ
I -- ENCROACHMENT n
I SeC'..J.-rL'tt/ DZ'POsi t
I Storage
I Maint~e
I Permit
I
leur,cut
ISid_lk
Total Cha1'OCB
?tP'
/13'
I Fen::e
I Electrical Label
I Nobi l8 Home
M.. 'jv,tf' /'.
_ 'fV J.! (~Jl;L1J~!7' p' )
I~TAL AMOUNT DUE:'
TUDe
}E.P
p/ e-- ,.-
/ff...!::E=1r
, %tJIJO.OO
I 1?JM't..
401 ,lH'1
~:f..5'1
-'/-2-9, #1'
'Plan Check Fee:~/Q)t).~,?
Date Paid: ,4/ -. &) -ql
R~cdpt #: /Q,Q5
S<gned: rc"Il/YJ
Plumbing Permit
CHARGE
/iPD,fJC
No person DhalZ. conatr"Uct.. ins taU, atter or change any new or e--isting
plumbing or drainage system in whole or in part.. unless Buch person is the
legal possessor of a valid plumber's license, except that a person may do
plur..bing oork to property which is otJn.ed.. leased or operoted by the appli-
cant.
s.~ I
/~97~O I.
CHARGE I
1
1
I
I
"
Electrical Permi t
Where State La1.J requires t;..at the electrical work be done by an Eleat:r>ical
Contractor.. the electrical portion of this permit shall roOt be valid until
the label has been signed by the Electrical ContJoactor.
S~7:::- /Y~kMf7tk)
.
CHARGE
6.SI)
4.50
/:2. ,rFO
:2.," 0
/0 dO
::24 !iD
,/,73
3&.::1-3 .
Mechanical Permit
/I
P~r: ~M
ua~J;~
/5,90
35. 'lS"
f') .00
I HAVE CAREFULLY EXAMINED the completed application for Permit.. and do
hereby certify that at! ir:for-mation hereon is true and C01'l'cc:t.. and I
fUrther certify that any ard all work perfor.med shall be done in aeaor-
dance :Jith the Ordin::mces of the city of Springfield.. and th& La:Js of 'tho
4 State of Oreg~n p~rtaining to the work described herein.. and that NO OCCU-
PANCY !Jill be rrade of any structure withou.t permission of the Building Di-
vision. I furthm- certify that only contl'aators and e:rrpl~yees who are in
compliance with ORS 701.055 will be u.sed on this projeet
';2.:;.2 ~ I
y~
Date
'22~5.?3 . .