HomeMy WebLinkAboutPermit Building 1989-5-5 (2)
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.. RESIDEDiiIAL"
" APPLICATIOl!ff>ERMIT
225 North 5th Street
Springfield, Oregon 97477
Building Division
726-3753
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Job Location:
4.~K~
NIt.-
AsoeBoors Map H
Subdivision:
l '" cJ, A.J <:. ro/
CUner:
Lc:>c.H i>,oJeN
~.,.,...l-oIe.~
Addrsss:
/'oJ . T of Q.Q,~~,
\1 '19
_City:
E' l.o\..'i etU~ _ 0 -r<2- .
QN~.,
n Addition
n Remodet
n ,'.fob<{'l.B Horna
Hcus,A..
SPRINGFIELD
1/ /.4 D3:[D
3n .Oy
kJ1 11ft ela.t. #
Phone: I:, gg-lobQ9
Zip: Q140:J...
DSDcribe II'or~ 1
:')', 12.fi :
x 6'
VI1-\4.-<.. .iJ.Ll.ho~
Ctcc.e~Soncr'. See:.. j)\oT \l L",,,, l
. '-/. 2s-g-7
Date of AppZiaaticn
- Contractors
Genera Z.
P~wnbing
el.6ctncal.
Mschar:ic.:: Z.
Va~uoX ..Y -2 ~
1~
AddJoeD3
E~N\"-; -l.. SntJ'<' '-t:'9D fl)av-elj) 0, f....,.
1,:.).1>.\"1'"1 ~-r-z,/J \lIUMh. uJ '-/1035" LI+Ke..,J;j ~
;:(c.lpn -p::ro..uV (J 1/130 W..nxfly
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. Rcoo;pt #
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Siqr:ad:
Data:
Li3C~iI
E~t:r08
Phone
UR~ x-A't,!1
lJ fflI,S7t7
:PC;t/--/!OlJ'D
to 'i? 7' 7,?'?t,/J
1./11/'/1 ":;-;J.-70
5SU?tI.
.:20 ~i3C.lqJ.fs;r
Conatl'Uot1.07I Lender .
It is the rosponoibi.Zity of tns permit hol.der to SBe that an 1.nDpect1.onB are mads. at :he propsr tim~~ tJ:a~.u::ch ::ddrllBs is roa.:a.b!,
from tho stroot, and that tho pormit oard is Zocatsd at the frent of the property. - "";
~Buit.di.ng D't;ui.:;ior. approL'od pLan shall J'emain on tha Building Sits at aU timBS.
,PROCEDURE FOR IN.~PECTIO/J R~QUEST"iCALL 726-3769 (recorder) state your City .:iosign.2ted J'ol; nw::ber, job address, type of in3poo:icn
raquestad and w~en you will be ready for inspection, Contractors or Owne~s nome ~nd Fhor.e number. Requ€sts received befera 7:00 ~
r..>in bs made the same day, l'squssts made after 7:00 a'l'l LJitt b:z mldB ths Mczt :.JOl'king day.
i
~l prJde;t ~or.d~tionsJ Duch as the inBtal~:tiO:-:f ~~et trees, c~~Lotion of t~
l'equil'ed<1.andscc.pir-.g, etc., must be satisfied before the BUILDING FINAL can bo r3t;UOSc3d.
,
...lh~nuiri?ti TIj'lQtt.r..t1:C"1.Q
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SITE INSPECTION: To bs mads after
e.:rcauation, but prior to se: up of
forms.
UNDERSLAB PLUMBING. ELECTRICAL &
. MECHANICAl.: To bs mado betol's any
wrk is ~ovcI'ed. .
FOOTING ~ FOUND,1TION: To be made
after tl'snoh08 ars ercavatsd and
forms are ereoted, but pI'ior to
pouring cencre to..
[i]
I UNDERFWDR PW/.!BI,'IG & /./ECHANICAL:
~ To be made prior to installation of
!toor insulation or decking.
O POST AND BEAM: To be l1'.ade prior to
instaLLation of [toor ins~Latior. or
dsoking .
D RoueR PUP.!BI!lC. ELECTRICAf. & UECR-
ANICAL: No work is to be co~srea
.ur.tit these inspsctions have beer.
mads,"atJd approved.
O FrREPLACE~ mor to p1.c.oir.g faoing
materials and bsfore framing inspec-
tion.
O FRA}!ING: Must be raqueoted afte1'
approvaL of 1'ough plUffbing, elect1'i-
ca~ & mochaniaa~. AH roofing
bracing ~ ohimneys, eta. nr~st be
.: completed. I/o IJOrK is to be con..
.. cealBd ,until thio inspeotion has
~be~~ made and approved.
UNDERG80UND PLUl.f3ING; SEWER. W.1TER,
DRAIIIAGE:: To bo ma:1o prior to fil-
Ur.g trenohas.
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FIliAL PLU/([JIIlG
FINAL ME~HANICAL
~
PINAL BUILDING: Tho Final Building Inspaotion must bs requsotsd alter the Fi.nal Plumbi"J
EZect1'iaa1., and Mechanical InspectionD haua been made and approvad.
FINAL ELECTRICAL
/
Your City Deoigr~ted Job NUmbG1' Io:
O INSULATION/VAPOR BARRIER INSPECTION:
To be made afte1' aLL inBul~ti~n ~~~
. required vap01' carris1's ars in pLacs
but cofore any lath, gypsW1l beard or
wtz. covering i.s appli.sd, and bsfors
any in3uLation i8 conceaLed.
O DRYWALL I/lSPECTION: Tc be made
after aLl. drywaLl. i8 in. place,
but p1'io1' to any taping.
O MASONRY: Steel looation, bond
b2am3, gl'Outir/{J or vertict:Zs in
accordance with U.B.C. Section
241E.
O WOODSTOVE: After installation is
ocmpLeted.
O CURB & APPROACH AP.l?ON: After' forms
are e1'e~ted but prior to pouring
C'o~1'e to.
. D SIDEWALK & DRIl'F:WAY: Fof' aLl oon-
crets paving within st1'oct right-
of-IiC.Y, to be mada after all 6%ca-
vating oompLate d fo~ work & cub-
- . '. base material. in p~.s. .
D .~ENCE: When co.'Jlpl8ts -- Provide.
gates or movable sections through
P.U.E. .
D
RCfn~f) /
. DGNOLITIO!.' OR NOVE; BUILDIi.'CS
::;:] Sanitary 86"..11111' aappsd at p~opcrt"i Iiroo
=:J Septi::: tank p:''''::pcd and fizt~~ vith ;;ra~c
:J FinaL - Ilhen aboV6 items are cc-':T?Ietcd
and uhen :/emoli.ticn is conrplflte or st:ou:.
tUl"'S moved and pr::r.ri.3e8 oZs.:zned up.
I
Nobile Remas
~ B~ooking and Sat-up
lJ Plumbing connections -- scwer aro:! L.'a~Br
~ ELectricaL Conneotion - BLocking, oe:-u;
~ and plwnbing conneotions nr~st ~o a?pl'OI..'l'.
bsforc 1'equsst~ng e!eotri.caZ inspac:ion
~ AOCSSGoJ"',i Building
'""'J7l FiTL.:1I - After pOl'or.ss, sklrting, deoks,
~ etC. are oampletcd.
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'ALL UANHCLES AND CLEANOUTS I/UST BE ACCESSIBLE, ADJUST/fEIIT TO SE /.L1DE AT /I~ COST TO CITY I pa.o ! of 2
L-COG'i:'
,
I JOB No.B~~ '3 7/ SOLAR '~~-C.~~'~~-~Q:~..
IZone:LP,;t? N/f/5 Oa""pana, Grou~""l?/.cF bmc
Lot Sq. Ftg. LOT TYPE I Lot, Faaes -
I
s of lot Coverage Interio"
I P.L.
g of Stories Corner I'yortn
Total Height Panhandle ,E.'(1tJ F
ISou th
Topon~hy Cul-de-saa
,. -c IWest
/ '3"3. 70
I
I I
I?~-i
I ,/- 75"1
I 1
tff'bO-Z. ~S-I A
I
lITE/-! SQ.FTG X
Main
Ca:race
CQl'Vort
IACaeSSOl"u ,;;z=. f577_5'
I
I TOTAr. VALUE
Is. D.C. 1.5 " IvctUC) ~
~6, 7$'
Building Permi t
State Surcharge
Total Cha~ge3
I ITEM 1110.
I Fi-.. .s ,I( '-n= (
. L-,"_ '..,-v/'
I Rssidential. (1 bath)
IsanitO.~ Sewer'
I Water'
1")~A'm
II
1/ 1
znA7~
Pbmbing Permi t
.State Surar.a.rge
Total Charao8
lITEM
I Res. So. fta.
IN3W/E"tsna Ci"cuits
I r,,,,,,t'~,,~...service
NO.
/( -.'=
,.iv-~~""'-
1/ I
1/ I
El.e~triaal Permit
State SU1'~harqe
Total Charces
lITEM
I Fur71.:Ice PTU' S
I E=haus t Hood
I Vent Fan
I WoOdStO:J6
I NO. I
I I
Permi t Issuance
M6~hanical Permit
State Surcharoc
Total. Charaeo
- -
-- E/lCROACH/oIENT --
Se~~ritll Deoo3it
, 'Storage
I ~intena:n.:!e
I ptmnit
Total CharqOB
CUr.?CU:
I Sidewalk
#~
/ '5""& I"
I Fen::e
I Electrical Label
I Mobils Homsl),_J3( e ::::;'/-'"7>
I ~t::>
I
I TOTAL AMOUNT DUE: A
FEE
Value I
I
I
1
I'/~C> -~ I
I.
I
I'I~/./~ I-
"'2 s:....o I
/.:25"1
-:26.2S-!-
CHARGE I
/5. c-.. I
I~<ll!:>
I
1
I '7t>_-=-
I -"3'~SOi
177-,<)01-
~.,..,.
/,J'
-;<.e:>,- -
FEE
CHARGE
FEE
/<;:-
. /,c:;: -I
3'ttP. -=-j
/-- 5'" 1
3I'-Spl -
I
I
I
I
I
I
I
I
I
I-
I
CIIARCE
Ti1'pe/Cor:st: . Bedroor.:s:
I EnermJ Sourees .
I !leat
Aeeess. j Water> H~t'1tpJ1
I I Rangs
I I Fireplace
I I Wc;od:;to1.:e
II
Tt/:'6
Setbacks
House Caraqe
Feas
Building Value & Pern1it
I .
This permr;t ia grcnted on the express condition that ths said cons~l~cti(
shall, in all "espaots, oonform to the Ordinanoe adopted by the City of
Springfield, inc!ud~ng ;he Zoning Crd~nancel l'eguZatir.g the ccnctr~:ticr.
and uce of buildings, and m~y be 8ucpended or revoked at any t~me upon vi
lation of any pr:Jviaions of said Ordir.anCBS. ,j: :
I
I Plan Cheak Fes: 110. (,J .c:::,
10ate Paid: q--""()/'7~
IR~cdpt U: \~\ Q 1,
Is'~ed:\ I r-(\, ) ~ f j
Plumbing Permit
No pereOT! chall constructl instaltl atter.or change any neu cr e=iDting
plJrnbing 01' drainage syst~~ in whole or in partl unl.ss aueh p6rDen is ti
legal possessor of a valid plumber's Ziaensel ezcept tr4t a perDon may dl
plumbing work to property which is ownedl Zaased Or operated by the gppti
,cant.' '. .' .
Electrica I
Permi t
'Where State La1..J requires tr.at the electrical. lJOrk be done by an Elc=tri.::
Contractorl the electrical portion of this pennit shatz not be valid'wlt~
the label has been cigned by the Electrical ~ontraator.
Mechanical
Permit
~~~
T~~er . - ./
S. ;:)'-g-7.
. JI':;;S
I HAVE CAREFULLY EXANINED th2 completed application for pemtl end do
I hereby certify that all i~fO:71lQtion h~reon is true and corrcetl and 1
further certify that any ar.d all work perfo1':Tled shatz be dons in OC::Or-
1 .. dance with the Ordinances of the city of Springficldl and th& La.:s of ti:
State of Oreg:m p~rtail1ing to the work described hereinl and :hat NO oce
PAllcr will. be nude of any structura uithout p3rmisaion of the Suilding [,'
vision. I further certify that only aontra.:!tor8 ar.d e:npl"yeeB who are i
co~plianae with ORS 701.05S will be used on this project .
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S\~ <( ~ Y\j\J l C ()~
5-b-ti
Signsd
Dats