HomeMy WebLinkAboutPermit Building 1987-8-17
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.. RESID. _JTIAL..
APPLICATION/PERMIT
225 North 5th Street
Springfield, Oregon 97477
Building Division
726-3753
Job Loca.tion:
Lf-37/ r--~~'a.J
! S' 0 2 05 d / (} T= Lot #
Assessors Map #
Subdivision:
OI.mer:
kiJA A
L/3 7 /1
7Jim~ ck~
-1-h~~
Phone: 0 r.3 ;2 </Ot)
Address:
Ci'ty :
I I
1'><1
I I
I I
NP.lJ
Additien
Remodel
UobiZe Home
8:-3-~1
4
Date of Applicatien
Con-cracr;ors
General lri-f?
Plumbing
Electrical
Mechar.icd
Construction Lender
100 V-tJ()
Zip:
t2of~
Value
$5,800
d-
~
Rcce-:pt #- )j031
JrU~O(C
~~
si~ed: ~
Date: Y --1"7 -8 "7
Lise. #
Expires Phone
It is the responsibility of the permit hoLder to see that all inspections are made at the proper time~ that each ~ess is readab"e
from the street, and that the permit card is located at the front of the proper'ty.
~Bui~ing Divi~ion approved plan shall remain on th6 Building Sit2 at all times.
PROCEDURE FOR INSPECTION RSQUEST:CALL 726-3769 {recorder} state your City designated job number, job aC!.6>ess, type of inspecticn
requested ar-d when you wilZ be ready for inspection, Contracters or OI.mers ncme and Fhone number. Requests received befere 7:00 ~
:..'iZ'l be made the scone day, requests mde after 7:00 am wiZ'l bC! made the n=t :Jorking day,
Reaui~qd InsD~ctiens
O SITE INSPSCTION: To be made after
excavation, but prier to set up of
forms,
01 UNDERSLAB PLUMBING, ELECTRICAL &
, NECHAIIICAL: To be made before any
work is covered.
[Z]
FOOTING & FOUNDATION: To be made
after trenches are excavated and
forms are erected, but prior to
pourir~ cencret~.
UNDSRGROUND PLUMBING, SEWER, WATER,
DRAINAGE: To be made prior to fil-
lir.g trenchee.
::=J
~
~
UNDERFLOOR PLUl.'BING & MECHANICAL:
To be made prior to instaZlation of
f100r insulation or decking.
POST AND BEAM: To be made prior to
instalZation of floop insulation or
deckinq .
ROUGH PLU/fBIlIG. ELECTRICAL & MECH-
ANICAL: No work is to be covered
,until these inspections have been
made and approved.
FIREPLACE: Prior to placir.g facing
materiaZs and before framing inspec-
tion.
FRAl!INC: Must be requested after
approval of rough plumbing, electri-
cal & mechanical. All roofing
bracing & chimneys, etc. ~~st be
: completed. No work is to be con-
" cealed until this inspection has
'been made and approved.
:=J
~
~
Your City Desigr4ted Job Number Is:
o
INSULATION/VAPOr? BARRIER INSPECTION:
To be made after all insulation ~~
required vapor barriers are in place
hut before any lath, gypsum beard or
waZZ covering is applied, and before
any insulation is concealed.
11{) 5L/;;2
DElfOLITIO.',' OR :',WVE] BUILDDlCS
:J Sani tary se'..Jer capped at p~opert-:i line
~ Septic tank p~~ed and filled with gra~el
~ Final - f>'hen Move ite,'71s are cempleted
;J 04-" ..
and when ~emel~""or: "s complete or Svruc-
ture moved and pr~ses cleaned up.
Mobile Hemes
~ Blocking and Set-up
~ Plumbing connections sewer and water
~ Electrical Connection - Blocking, set-up
~ and plumbing connections ~~st ce approved
, before requesting electrical inspectio:-!
=:J Accessor'j Building
I FilUll - /lft"r p:Jrcr..es, skirting, decks,
~ etc. are complet"d.
o
All Froject conditions, such as the installation of street trees, co~letion of the
required landscapir.g, etc., must be satisfied before the BUILDING FINAL can be requested.
:=J FIlJAL PLU/.fBI/IG
=::J FIliAL ME;;HANICAL
:=1 FINAL ELECTRICAL
=:J
o
FINAL BUILDING: The Final Building Inspection must be requested after the FilUll Plumbing
Electrical, and Mechanical Inspectiona have been made and approved.
n
DRYWALL INSPECTION: Te be made
after aU drywaU is in place,
but prior to any taping.
MASONRY: Steel location, bond
beams, grouting or verticals in
accordance with U,B.C. Section
2415,
WOODSTOVE: After installation is
cemp leted.
~ALL MANHOLES AND CLEANOUTS MUST BE ACCESSIBLE, ADJUSTlfElJT TO BE ',HDE J!T NO reST TO CITY I Page ! of 2
o
D
D
CURB & APPROACH APRON: After' forms
a:r'e "pected but prior to pouring
concrete.
D
SIDEWALK & DRIVEWAY: For aU con-
crete paving within street right-
of-way, to be made after all exca-
vating complete & fo~ work & sub-
base material in place.
o
PENCE: r.'hen complete -- Provide
gates or movable sections through
P.U.E.
o
I Zone:
N ~P: C) C/ ~c:~a~:/R c:: ~c E S S
i JOB
i Lot Sq, Ftg.
:% af let CQVerag~
: # of Stories
I
: Total Height
iTopography
!
)ITEJ.f
SQ. FTC
lMain
I CcJ>ace
I I
l:;l~ C> ~ I
I I
I I
i Carport
iAccessorll
, S.D.C.
TOTAL {lAWE
IVCI-UC)
1.5 x
Building Permit
State Su:t'ch,rrge
Total Char>ges
ITEt: NO,
Pi:::tu:t'es
Residential (1 bath)
Sanitary Sewer
dater>
Plumbing Perr.:i t
State Su:t'cr.CII'ge
TotaZ Ch.craes
lTEtf
I iiO.
Res. Sa, fto.
N~/Extend Circuits
Temporary Service
Electrical Permit
Stcte Su:t'ai-Jarae
Total Charges
IT'3;M
NO, I FEE
I
I
I
Furr..2ce ETU' 5
E;:;haus t Hood
llent Fan
Woodsto"Je
Permit Issuance
Meahaniccl Permit
State Su:t'charac
Totc.l Charaes
ENCROACHMENT --
Se~~rit~ Deposit
Jtorage
"faintenance
"'cmi t
Total Charoes
-:urbC'..It
,ide-wa lk
"once
,lectrical Label
,lobi le Home
.,:;:rrii:, iu'.::Ju.",'1T [ii/i.': ~
LOTTYFE
Interior
Corner
Panhandle
Cul-de-sac
x
Value I
I
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I~~.~
I I
I I
15":"~~
/
I
5"0. So
'2-5"'3
:53. Os
FEE
CiiARCE
C,l';'.:::C.-=i.'
CiiARCE
I
I
I
I
I
I
I
I
I
I
S-""3. 03
REQ,-
L -co G~
Ti:1'pe/Cor.st:
Be6'oo7:':s:
I Lot Faces -
I
I P.L,
Worth
lEast
IsO!< th
IWest
I I Enero:.o Sources
j I Heat
I I
I I
I I
I I
Ti.J~e
Setbacks
I House I Carace
I Access.
I
I
I
I
~/atcr Heater
Ha1!pc
r'i rCD lace
WooastoJ:e
Fees
Building Value & Permit
This permit is granted on the express condition that the said,construction
shall, in all respects, confom to the Ordinance adopted by the City of
Springfield, incZuding the Zoning Crdinance, regulating the ccnGtm~ticn
and use of buildings, and m~y be suspended or revoked at any time upon vic-
lation of any provisions of said Ordir~nces.
*
Plan Check Fee: ~;;;),. ;<;3
Date Paid: 6:'" 3-rs1
Recc:ipt #: \-3, b '6 72.3
I Signed: if_
Plumbing Perrrdt
No person shall construct, instalZ, alter or change any neW cr e=isting
plumbir~ or drainage syste~ in whole or in part, unless such person'is the
legal possessor of a valid plumber's license, except tr~t a pe~son may do
plumbing WorK to property which is owned, leased or operated by the appli-
cant.
I
I *
Electrical
Perm it
Where State Law requires tr~t the electrical work be done by an Eleatrical
Contractor, the electricc.l portion of this permit sh~ll not be valid until
the label has been signed by the Electrical :7olltractor.
*
Mechanical Permit
I
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/?~ .~~.e-J)
,Fj,4f1 Examiner v ? '
Vate
I HAVE CAREFULLY EXANINED th.e completed application for pemit, and do
hereby oertify that all info:omation hereon is true and corrcct, and I
further certify that any ar~ all work performed shall be done in accor-
dance ~th the Ordin~nces of the City of Springfield, and th~ Lu~s of the
State of Oregon pertaining to the work described here~n, c.nd that NO OCCV-
PANCY will be made of any struotUl'e without remission of the Building Di-
vision. I further certify that o:1.ly contra::Jtol'S and e~ployees who are in
co~pliance with ORS 701.05S will be used on this project
I
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,~/J()(j)n ~),11 ~ -{- ,
~. ajqil
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:}i11:WJJ;;" ..)Ii .:::tln:mll!~' <<.::. .::mrr~uln.'" c..>> ..::itlhUht:... <<.>>"'~HUl%lJ~iii~;\liUt:E!m~:.. c.~ dim:Um~':' <.. ',:iUU:UJW'" ...>> ':::H~:' <<.. '~Hn
BeiJlilfi
No.
Amount Recvd,: $40. 00
Date: 880929
Unit:
I
44
NEW LICENSE
CITY OF SPRINGFIELD
CITY LICENSE
'A
1'.'1-
.,.
I,
! '
i
IN ACCORDANCE WITH EXISTING CITY ORDINANCE,
THE FOLLOWING LICENSE IS GRANTED
LICENSE TYPF.
EXPIRES: .
INDEFINITE
ROY I EDWARDS
4371 FORSYTHIA STREET
SPR.INGFIELD OR 97478
726-7090
ALARM SYSTEM
ROY I EDWARDS
4371 FORSYTHIA STREET
SPRINGFIELD OR 97478
726-7090
BUSINESS NAME:
OWNER NAMI=.
ADDRESS:
ADDRESS:
CITY, STATE, ZIP:
CITY, STATE, ZIP:
PHONE NUMBER'
PHONE NUMBER:
LICENSE APPROVAL
~E~
[) .A1tIk DDEAD
-~~ 'iJ, ')/17
I DE AR MENT HEAD ~
/pftk
DfJ~
IJ~4 /:
DATE
Approved by the Common Council
of the City of Springfield,
I :::::::: :::: :::: "NANCE D'REClOR . DATE ~
: ",,"'~.P .;i;"Ii~*~~il';,. ~.>>c,~:~:~~~C~:,,~~~~~: :::":~:~~~."""" ~..,,_ mom'", !
'. ... ....,..-;...:. ..9....;_.......: ..,.....~ l: -.,--_l.'\'. . .,::.;:.,...,.1..._.. ~'. .~....._":-~_.. . ~'~'. ". ...~.:._.. ~ ...'~,~~~~;"-~...:c;;.~~.:~..""~~..:.. .~~ ::...:..
__.r.;" .. _........_.......-r. .
.. RESIDENTIAL"
APPLICATION /PERI1IT
225 North 5th Street
Springfield, Oregon 97477
Building Division
726-3753
Job Location:
4-37/ ~~~~
! ~ 0;1 05 ;J I (f T= Lot #
t()O ?[)()
ASGessors Map #
Subdivision:
Ol.mer:
, k!A}{ 1
C(3 7 I
~ fi~Wr ck~
I ~
-:f-k~d;L~~
o C{?;) d- WJtJ
Add:ress:
Cit;y:
.1 I NI?L)
1')<(1 Addition
I I Remodel
I I Mobile Homa
o -3 -~ 1
t!-J
Date of Application
COnT;T'aC-cOrs
General I~ d-
Pl.wnbinq
El.ectrical.
frfechnr.icd
Construction Lender
Phone:
Zip:
a(~;
Value
$SJ 800
~~~e;:
Rcceipt" ;t)t031
JpU-OfC
\~ \
t~~~
Signed: ~
Date: ?! -/~ -8'i
Lisc.#
Erpircs Phone
It is the responsibi7..ity of the permit holder to see that a7..7.. inspections are made at the proper time, that each ;;:ddress is rea:iaD:e
f1'Om thE street, and that the permi t card is located at the front of the property.
ABui!ding Divi:;ion approved p7..an shaU l'emain on tha Buil.ding Sit:: at aU times.
PROCEDURE FOR INSPECTION RE"QUEST:CALL 726-3769 (rccorder) state your City designated job number, job a=ess, type of in.:;pec-:;icn
reques~ed ar~ when you will be ready for inspcction, Contractors 01' Owners ncme and phone numb cr. Reques"s received cefcre 7:00 ~
:..'iZl. be made the same dc.y, requests mc:ae after '7:00 = wi7..7.. be made the n=t :Jorking day.
Reaui~ed TnsDections
O SITE" INSPSCTION: To be made after
excavation, but prior to set up of
_. forms,
0', UllDERSLAB PLU!1BING. ELECTRICAL &
!-!ECHA:IICAL: To be made before any
work is ~overed.
1]
FOOTING!! FOVND,1TION: To be made
after trenches are excavated and
forms are erected, but prior to
pourir~ cencret6.
UNDERGROU!.'D PLUMBING, SErlER, W,1TER,
DRAINAGE: To be made prior to fil-
,l.ir.g trenches.
~
~
UNDERFLOOR PLU,','BING & MECHANICAL:
To be made prior to in:;tallation of
f700r insu7..ation or decking.
POST AND BEAM: To be made prior to
installation of floor ins~lation 01'
deckinq.
ROUGH PLU!!BIlIG. ELECTRICAL & MECH-
ANICAL: No work is to be covered
,ur.til these inspections have bee~
made and approved,
FI,"EPLACE: Prior to pl.acir.g fc.cing
materials and before framing inspec-
tion..
,~
:J
~
~
FP.A.'!ING: Must be requeDted after
approval of rough plumbing, el.ectri-
cal. & mechanical.. An rOOfing
bracing & chimneys, etc. ~~st be
;' camp l.etcd. No work is to be con-
~ eeal.ed until this inspection has
.been made and approved.
=:J
~
=:J
~
."
Al.l. project conditions, Ducn as the installation of street trees, co~l.etion of the
required 7..andsec.pin.g, ete" must be satisfied before the BUILDING FINAL can be requested.
FIllAL PLU1,!BIlIG
FIlIAL MECHANICAL
<2>
FINAL BUILDING: The Final Buil.ding Inspection must be requeDted after the Final. Plumbing
Electrical., and Mechanical Inspectionn hava been made ,and approved.
FINAL ELECTRICAL
Your Cit;y Desigr.ated Job Number ID:
O INSULATION/V/lPOR BARRIER INSPECTION:
To be made after all insul.ation ~n
, required vapor CCUTiers CU'e in p7..ace
but before any 7..ath, gypsum board 01'
wall covering is app7..ied, r:md before
any insu7..ation is concealed.
~
DRYWALL INSPECTION: To be made
after aU drywaU is in p7..ace,
but prior to any taping.
%1IJ stf;;;;
DEI10LITIO!o' OR !,:OVE:J BUILDI;/GS
:J Sanitary sC'..Jer capped at p~opcr<C-::f 7..ir.e
~ Septic tank p~~ed and fil.l.ed with gra~2Z
I Pinal. - r"hen above ite.'7ls are cOIITPl.eted
---l and when demolition is complete ~r stru::-
ture moved and premises cl.eaned up.
, Nobi le Hemes
o
MASONRY: Steel location, bond
beamD, grouting or vertical.s in
accordance with V.B.C. Section
2415.
~ Blocking and Set-~p
~ Plumbing connections sewer and water
~ Electrical Connection - Bl.ockins, set-u~
~ and plumbing connections ~~st b~ approved
, before requesting electrical. inspectio~
~ Accessord Building
I Final. - After porcr.es, Skirting, decks,
~ etc. are cvmpl.eted.
D
AALL MANHOLES AND CLEANOUTS NUST BE ACCESSIBLE, ADJUST/fEllT TO BE 1,!~DE !.T NO C:JST TO CITY I Page 1 of 2
D
WOODSTOVE: After instal.7..ation is
ccmp leted.
D
CURB & APPROACH APRON: After forms
are erected but prior to pouring
coru:rete.
o
SIDE"WALK & DRIVEWAY: For aU con-
crete paving within street right-
of-wc.y, to be made after aU exca-
vating complete & form work & sub-
base material in p7..ace.
D !?ENCE: ~'hen compl.;;te -- Provide
gates or movabl.e sections through
P.U.E,
0'
; JOB
No.)(7n ,1Lf~ SOLAR Ar
fA":>R
E S S R EQ,-
. Zorzc:
Occu~ancu Gr~~J:
:Lot Sq. Ftg.
,% of let CQVerag~
'!! of Stories
Total Height
i Topogr;zphy
LOTTY?E
Interior
Corner
Panhandle
Cul-de-sac
ITEN
, SQ.F'!'G
I
I I
I-;i'~~ ~ I
I I
I I
s;~.~
I
I
s:-~-
I
x
Value
'Main
, Gcrac e
, CarDort
Accessor~1
TOTAL {'AWE
S.D.C. 1.5 x
{VCLue)
Building Permi t
~O.S?/
'2>-S3
153.0:>1*
CH.AF.CE J
I
I
I
I
State SUl'ch,'lT~e
Total Char>ges
ITf:!.: NO, I
P{::'tW'es
FEE
Residential (1 bath)
Sanitary Sewer
;,'c:.teY'
Plumbing Per.::it
State SUl'cr.aI'~e
Teta! Charoes
':"1'::'/."
8t:!s. Sa. ftc.
I ;,D. I
I I
i..,;1r.:.~':':'
N~/Extend Circuits
Temporary Service
EZe~trical Pe~it
State SUl'cha:roe
Total ChaI>ces
-; 7" :;-,,,~
I i/O. I FEE
I I
I
I
I
I
C.:j,';J..r'7;J2
Furr.ace ETU' S
Exhaust Hood
llent Fan
;,r::lOasto"Je
Permit Issuanc<!
Mechanicc.Z Permi t
State SUl'chc.roe
Totc.l CI->,araea
-- ENCROACH/,!E!iT
,e~~rity DZDoait
:;toraae
"~ain tenar..:Je
~crmi t
Total Charoes
:urbC"..I t
;ide".JQ lk
-='(!n~e
'lectricaZ Label
lobi le Home
I
I
I
I-
5"'3. 03
,",~'A':' iY'.~'::;iJ.._;" Cui::"
L-COG~
Ti<pe!Cor.st:
Be:::.roor:s:
Lot Faces -
I I Enzrou Sources
I I Heat
I I
I
I
I I
I I
T;J":"c
P.L.
North
lEast
/South
IWest
Setbacks
I House Carace
I
t'irCD&aCe
WaoGe tOl;e
I Acce:;:;.
I
I
I
vlatr.r- .lfea.:c!'
HQ'~Y"'::
F:zes
Building Value & Permit
This permit is granted on the express condition that the said.conatruction
shall, in all respects, conform to the Ordinance adopted by the City of
Springfield, incZuding the Zoning Ordinance, reguleting the C!onstF~cticn
and use of buildings, and may be suspended or revoked at eny time upon vic-
lation of any prDvisions of said Ordinances.
*
Plumbing
Fee: -=?;;) ,. 9:3
3~ 3-fSrl
\-=5 b ~ 723
if_
Perrrdt
Plan Check
Date Paid:
IRec<:iDt #:
ISigy:ed:
No person shall construct, instalZ, a!ter or change eny new or existing
plumbir~ or drainage syste~ in whole or in part, unless such person'is the
legal possessor of a valid plumber's license, except tr~t a pe~son may do
plumbing work to property which is owned, leased or operated by the appli-
cant.
I
I *
Electrical
Perm it
Where State Law requires tr~t the electrical work be done by an Electrical
Contractor, the electricc.l vortion of this De~it shall not be valid until
the label has been signed by the E7..ectricaz" Com;racr:or.
*
Mechanical Permit
*
/?~
~1 Exc:miner
,~~~
C/ /
IJar:e
I HAVE CAREFULLY EXA.MINED the completed application for permit, and do
hereby certify that all info::-mation hereon is true and, correct, and I
further certify that any ar.d all work perfoMled shaZZ be done in accor-
dance ~th the Ordinances of the City of Springfield, and th~ L~~s of the
* State of OregDn pertaining to the work described herein, end that NO OCCV-
PAllCY wiZZ be made of any structul'iJ without p.:mnissioy: of the Building Di-
vision. I further certify that only contractOl's and e:npbyees wr.o are in
co~p7..iance with ORS 701.05E will be used on this project
,viNJfiJn\ L~--f,
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