HomeMy WebLinkAboutPermit Building 1989-5-11 (2)
.. RESIIUNTlAL"
APPLICA.N/PERMIT
225 North 5th Street
Springfield, Oregon 97477
Building Division
726-3753
.lob Location:
~ \\OD
~\'( S~ ~'\..-h ; [', )
. ~ (\ \ \ \~ - ~
J Tex Lot #
(}Jne~: \\'\ ~ (\ 'f\(),JL ~^ (N.S
Address: S \ \o-~ (' \)( ~ \ ~ ;/1
City:~\t)~ we G\
~~\it~
:.!obiZe Home r::.. _ II - 8~
Date of Application ~ ~
Contraetors/(\ --, Address
l'Y'l.zJY 1 oJ:! ~
A8GeSDOr~ Map 1/
Sl4bdivision:
n
n
n
n
NP7J
Additicn
Remodel
, General
, Plumbing
i Hechanieal
I Electrical
Super'VJsif!.g_ Electr'.ic Ljn
Phone:
r-, rO (rr (j ~Jj
CI/'\L\ Ij ~
RCCo'J-:.pt .1/.
I :5n)",
zip:
Describe flork:
Value
."
~..~(f)Q)c~
Date: ' ~ - \ \ --'F!'-J
Lise. II
BId rs Board Re'L.
Expires
Pronp'
D INSULATION/VAPOR BARRIER INSPECTION:
To be made after all insuZati::m tV".d
. required vapor barI'ieI'8 are in p laoe
but befope any lath, gypsum board 01'
~ll covering is applied, and befoI'B
any insulation is concealed.
DRYWALL INSPECTION: To be made
after all drywall is in pUlee,
but prior to any taping.
O MASONRY: Steel location, bo1ut
beams, grouting or verticals in
accordance ~th U.B.C. Section
2415.
D WOODSTOVE..: After installation is
acmpleted.
D
D
CURB & APPROACH APRON: Afte!' forms
are erected but priOl' to pouring
ao~l'ete.
SIDEf-lALK & DRIVEWAY: For all con-
crete paving within strect right-
of-way, to be made after all exca-
vating complete & for.m work & sub.
base material in plaae.
It is the responsibility of the pePmit hoLdeI' to see that all inopections are made at the proper tim€, that each ~es8 is rcadab:e
fl'OlT/ ths street, and that the peMt carod is l.xated at the front of the property.
.Bui~ing Diui~ion approved plan s~lZ remain on the Bu~lding Sit~ at all times.
PROCSDURE FOR INSPECTION RE.:QUEST:CALL 726-3769 (rccorder) state your City designated job numbe.r>, job addrcss, type of in3pec-;iclI
requested and when you will be peady fop inspection, Contractors 01' Owners name' and phone number. Requests received before 7:00 ~
:..'ill be made the same dc:y, r:equests mc.de after 7:00 cm'l wiZZ b2 made the next :JOl'king day. J\ )
. You~ City DesifJl'.atad Job Numbe~ Is: Yi ~-'l)'~\ \... ()
.~qJ,1t 1>Pq TYl!.}"(Ip~tir.Y/!~
O SITE INSPECTION: To be made after
exoavation, but prior to Set up of
forms.
O . UNDERS~AB PLUMBING. E~ECTRIc'1L &
MECHANICAL: To be made before any
work is covered.
o
FOOTING & FOUNDATION: To be made
after t~enches a~e excavated and
forms are e~ected, but p1'io~ to
pouring cencret;;.
UNDERGROUND PLUMBINC)' SEWER. W.1.TER,
DRAINAGE: To be made p~io~ to fil-
Zi'l".g trencheI:.
D. UNDERPLOOR PLU/.!BING & MECHANICA~:
, To be made prior to imJtallation of
floor insulation or decking.
o
O POST AND BEAM: To be made prior to
installation of floor ins~Zation 01'
decking.
O ROUGH PLUMBING. ELECTRICAL ,~ MECH-
.ANICAL: No work is to be cove~ed
.until these inspections have beer.
made and app~oved.
O FIRF:PLACE: Prior to placir.g facing
materials and before framing inspec-
tior:.
cf1RA1~ING: Must be requested afte~
. pp~oval of ~ough plwrbing, alectri-
cal & mechanical. AU roOfing
. bracing & chimneys, etc. nr~st be
. : completed. No wo~k is to be con-
, cealed until this inspection has
~ b6~n made and appl'OL'ed.
o
D
!'ENCE: When compl.zte -- Provide
gates 01' movable sections through
P,U.E.
DEMOLITION OR /.JOVED BUILDINGS
:=J Sani t(rry seuel' aapped at p:.op~rtEi Zir:e
~ Bepti:.! tank p".mrped and filled IJith gra;JeZ
:J FinaZ - rYhen above items are completed
and IJken demolition is complete 01' stru~-
ture "~ued and pr~mi3es cleaned up. .
. Mobile Hemes
::J BZooking a>Ui Set-"p
::J Plwnbi"IfJ connections .- scwer and water
~ ElectricaZ Connection - Blocking, set-u?
..--J and plumbing connections rrr...st 1=e approL'ed
before requesting electrical inspectio~
::J ACC8SS0l"d Build:.ng
:J Final.. Aftar porocnes, skirting, decks,
etc. aJ'e completed.
D
o PIIIAL PLUMBI/IG
o PINAL MECHANICAL
o PINAL ELECTRICAL
,0
:All project conditions, such as the installation of street trees, c~~lotion of t~e' .
:-requ.ired Zandscapt'l".g, etc., must be satisfied before the BUILDING FINAL, can be 1'2que[Jt~d.
rz. P;NAL BUIf,DING: The Pinal BuiZdill!J Inspeation must be ~equested afte~ tha :<inaz P!wnbing
Electrical, and Mechanical Inspections ~va been made and approved. .
,
,fALL MANHOLES AND CLEANOUTS lfUST BE ACCESSIBLE, ADJUST!~ENT TO BE f.L4DE AT NO COST TO CITY I Page or .:!
o
JOB NO,
SOLAR AC~SS
Occuoancy GrouP.
LOT TYPE
Zone:
Lot Sq. Ftg.
s ~f lot Coverag<
I'~ of Stories
Total Height
Topography
Interior
Corner
Panhandle
Cut-de-saa
ITEM
I Main
I CcJoaG6
I Carvor t
,lCCC8801"U
I
I
"SQ.FTG
Value
x
TOTAL VALUE
Is.D.c.
(lJal.UCJ
1.. "
I
'68 ,[L
I ,()
;J:),\()I'
Buitding Permit
-Sta te Sur'ChCU'g8
,.- t'"
Total Cha~ge.
lITEM
I Futures
I Residsntial 11 bath)
I Sanit:z1"Y Sewer
:NO., FEE
CHARGE
WateI'
Plwnbing Permi t
State Surc1-.arge
Total Charaes ,
,lITEM
'Res. Sa. fto.
NawlExtend Circuits
I Temporary Service
"
, NO.' FEE
CHARGE
Eleatrical Pe~t
State Swoaharqe
Total Charges'
lITEM
I F'ul'nace ~U'S
Exhaus t Hood
CHARGE
NO.
FEE
Vent Fan
I woodstO;JB
Pel"17Ti.t Issuance
Mechanical Permit
State SurChaffl€
Total Charaes
-- ENCROACHMENT --
I
I S ; i .
BC'..H''LtV. DBPf'3'Lt I
I 1.1 '~I: l"'-~\o'l.~'t'!'Illo'l,
Storago .
I Main tenance
I Permit
I..
(r. <,' .,',
~ ,\',;.If\"" . \~i~ ~ . ."11"''- '.'" -'1"/ '."~'" n 'I'" Y'l~' q
Total Char'Qcs
curbcut
I Sid_lk
I Fcn::e
I Electrical
I Mobile Home
I
i
Label
REQ,-
L-COG~
"
I En2ray Sources
Heat
Type/Cor:st:
Bedrooms:
T.ime
I Lot Faces -
Set )(J~ks
P.L. I House Garage I Access.
!North
Ir.ast
ISouth
IWest
I
II
Water .'fr>.atm'
Ranqe
Firenlace
Wood:;tove
Faes
Building Value & Permit
This permit is granted on the express condition that the said construction
shaLL, in all respects, conform to the Ordinal;ce adopted by d!e City of
Springfield, incLuding the Zoning Crdinance. Y'egulatillg the construction
and use of buildings, and m:;.y bo suspended or revoked. at C1:Y time upon vio-
lation of any provisions of aaid"Ordinallces.
,',
!Plan Check Fee:
I Date Paid,
IReodpt g,
I Signed,
Plumbing Permit
No pereon shall const~lct, instalL, alter or change any neW or e:isting
plumbina 01' arainage system in :uhole or in part, w:leos suah 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 La1J requires tr~t the eledtrical work be done by ml Electrical
Contractor, the electrical portion-oJ. this permit shall not be valid until
the label has been signed by the Electrical ~ontractor.
,
Mechanical Permit
,
Plan t:xamt.llel'
LJQ(.,f]
I HAVE CAREFULLY EXAMINED the completed application for permit, and do
hereby certify that all information hereon is true and correct, and I
further certify that any ar.d all lJOrk perfor:ned shall be done in ac::!or-
dance with the Ordinances of tho City of Sprinafield, and thz Ur~8 of th~
. State of OregDn pertaining to the work described herein, end that NO OCCU-
PANCY will be made of any structure without parmis3ion of the Building Di-
vision. I further certify that o:..iZy contractors ar.d e:npl"ye6s who are in
oompliance with ORS 701.05t will be used on this project
\) ~~.~--~
.-!) ~ I ('\ I. XSignad ~
.,;
I..."......
.,"',,"''' nllr..
5 -/1- '<;7
Dote