HomeMy WebLinkAboutPermit Building 1985-5-24 (2)
"
.. RESID.HIAL"
APPLICATION/PERMIT
225 North 5th Street
Sp1'ingfieZd, Oregon 97477
BuiZding Division
726-3753
I
(
Job Location:
~7~1 ~ ,lr.~~
J,}-03'~-11 Tax Lot #
ASGeSDOrS Map II
Subdivision:
I tP/ (:)2..
~
J.\J (';r-' 'I -I ~ '&--'4(}-LI
7 () X () ~ ((PO V I Plume:
kih9 OJe
Q.,mer:
Address:
City:
1'17- '7G9! fh
Zip: ~ 7 C/?t
QM~' gJ I ~4- 'I-u4 (C~)~8CPibe~or7" ~ ."
f7( dl.-c1of;...,..' ~ /,)f~ 0 . ~/
n Addition I.it~~' 0&!,11' t'ijdd4;.) q
RemodeL .N-R-~. -H.u ~ /gll
n .'IobiLe Rome .#-p-(Vr-~ r'
Date of AppLication . . f) -1- g 5. VaLue 500
Contractors
GeneraL - ~
PLumbing
Electncal
Mechar.ical
Construction Lender
--/"rl'.LT"'Y\...DA...-
Addres3
. Rcceipt.~ 7:?,,;; cj .77'~
~20.B-'O
1;;' {,-/32Z
Signed:
Date:
/:4p.
'~-'? "/-~!;"
Lise. H
ExPires
Phone
It is the resp01l8ibi1.ity of the permit holder to 88e that all inopectio718 aPe r:-.ade at 'the proper timE:~ that each .:;ddres8 is 1'81'1'.....,.,;...:8
fl"Om ths street, and that the permi. t caIYi is Located at the front of the prcperty.
"Bui!di~ DilJi::wr: approved plan shall remain on tha Building Sit$ at all times.
PROCEDURT:: pm? INSPF:CTION RE.:QUEST.'CALL 726-3769 (rccorder) state yOUI' City designated job mu;;ber, job adircss, type of ir.3pec-;icr;
~aquestcd a~d when you wiZl be ready for ir~pcction, Contractors or OWne~s ncme end phone number. Requests re~eived before 7:00 ~
:.'iU be nn.de the same day, requests made afta' '1:00 am will be made the next :,)Orking day.
Reaui~p.d Insop.cticnR
O SITE INSPECTION: To be TTKlde after
excavation, but prior to set u.p of
forms.
O DNDERSLAB PLUMBING. ELECTRICAL &
NECHAJlICAL: To be made before any
work is o::ovcred.
O FOOTING & FOUNDATION: To be TTKlde
after trenches are excavated and
forms are erected, but prior to
pouring ccncret~.
j X ~~;~m?t'Jmw PLUMBING. SEWER. W.1TE..'t
I ,', 1AG~ To be made prior to fi l-
}ir.g trenches.
o
UNDERFLOOR PLUNBING & MECHANICAL:
To be made prior to inatallation of
floor insulation or decking.
POST AND BEAM: To be made prior to
instaZlation of floor insu.lation or
decki"!; .
ROUGH(fiim!~I?:;fLECTRICAty MECH-
ANICAL: ~ r ~s &0 DC covered
,until these inspections have beer.
made <:nd approved. Ir ,tf#'r
FIREPLACE: Prior to placir.g facing
materials and before framing inspec-
tion.
o
~
D
rv1 FRAlaNC: M4st be requeoted after
~ approval. of rough pl.wrhing, electri-
cal & mechani~al. AU rOOfing
bracing & chimneys, etc. nr..t.st be
;- completed. No work is to be con-
.~-cealed until. thia inspection has
.be~n made and approved.
=-/--
OO/"FINAL PLUMBIlIG
Your City Desigr.ated Job Number Is:
I XlllVbUl,A'rlDNJVAPOR BARRIER INSPECTION:
~ To be made after all insul.~tian ~A
. required vapor barriers are in place
'but before any lath, gypsum board or
LXlZl. covering is applied, and before
any irwulation is concealed.
I If'I DRYWALL INSPE:CTION: To be made
/' after> al.l. drywal.l. is in place,
but prior to any taping.
O MASONRY: Steel location, bona
beam3, grouting or verticals in
accordance t.Jith U. B. C. Section
2415.
D
WOODSTOVE: After instaltation is
ccmpl.eted.
g5'O :5(,0
. DEt!OLITION OR gaVED BUILDJj/GS
~ Sani -;CU'Y se'..Jer capped c.t p~op.::rr:i Zir:e
:=J Septic tank P:'<-7e.d and fiUe~ uith gra::el
:J Final - flhen abcve ite."ns are cc..m:;leted
and when d~olition is complete or 8t~~-
ture moved and pr~ses cleaned up.
Nobile Hemes
:::J Blocking and Set-up ..;
:::J Plumbing connections s~er ar~crwater
:::J Electrical Connection - Blocking, set-u?
and plumbing connections nr~st be approved
before request~ng eZectrical inspection
:::J Accessory Bu.i7.d~ng
:J Final - Aft.:r porcr.es, skirting, decks,
etc. CU'e completed.
D
j
I
o
CURB & APPROACH APRON: After> forms
a:z>e crected but prior to pouring
001Wrete.
SIDEWALK & DRIVEWAY: For aU CGn-
~rete paving l.Jithin street right-
of-lJJay, to be made after all exca-
vating complete & fo~ work & sub.
.. base material in pZa.-,e.
D
D PENCE: When compl~te -- Provide
gates or movable sections through
P.D.E. .
D
All project conditions, such as the installation of street trees, c~~l.ction of the
roequil'ed landsccpir.g, etc., must be satisfie.d before the BUILDING FINAL can be r2questild.
D PINAL ME:~HAIIICAL
00 PINAL ELECTRICAL
-lr##7'.
o
@'
FINAL BUILDINC: The Final. Bui'lding Inspection must be requeGted after the Pinal Plu:nbing
El.ectl'i~al, and Mechar:ical Inspectionn have been made and approoved.
iIIlAlL J.fANHCU:S AND CLEANOUTS ttUST BE ACCESSIBLE, ADJUST!!EllT TO BE NADE foT NO (:)ST TO CITY I Pa~e 1. of 2 I
I JOB N,O. ~ <;'0 "'kc".
I Zone:
Lot Sq. Ftg.
S of lot C~erag;;
# of Stones
TotaL Height
Topography
lITEM
l/.t1in
I Garaae
I SQ. FTC
CarvOl"t
AccessGru
/pgh/t?N,
TOTAL VALUE
Is.D.c.
(vat..ue)
1.5 :r
Bui'Lding Permit
State SUI'ahaPg6
Total Cha......gea
SOLAR.CESS
OcCUOO7tCZ/ Grcu'O:
WT TYPE
IntePior
Corner
PanhandLe
Cut-de-saa
X VaLue
~o(>
I
I,
I
/tP. -I
.~I
/t>. f,t) I '
CHAHGE I
/0. aCo
;~==es .'. .1~'.I;EI:_a
I ResidentiaL (1 bath) I I
I Sani tory Se1Jer I I
I Water I I
I I
PLwnbing Fermi t
State Surcr.arge
Total Cha:raes
lITEM
I Res. Sa.
fto.
N8l.J/Eztend Circuits
Temporary SePtJiC6
Ele~troical Permit
State Surcharqe
Total Cha:!'c;es
lITEM
I FUrnace ETU' S
I E::haus t Hood
I Vent Fcm
I ilOodstove
I NO.
I
I
I
I
Permit Issuance
Mechanica 1. Permi t
State Surchaztae
T,,-tnl r.har"'tUJ
- ENCROACHMENT --
Securitu DeDOsit
Storage
Maintenance
I Fermi t
I Tota 1. Charqas
I Ourbcu1:
I sidewaLk
Fe~e
Electrical Label
Nobile Home
TOTAL AMOUNT DUE:'
/10.
I
I
1/0.-
I - '10
I /t!), 9~1 '
I CHARGE
I
I
I I
I I
I I
I I
I "
FEE
FEE
CIIARGE
I '
I
I
I
I
I
I
I I
~;Zc::>. 80 I
Page 2
REQ,-
.
T:.oipe/Cor.st:
L-COG~
1
'I
I
I
I
I
I
I
I
I
Bedroor.:s:
I Enerqy SO'.a'ces
II Heat
Wate1' Ht>lltp't'.
I I Range
I I Firevlace
I I Wood;'to"e
II
I Lot Faces -
I Setbacks
P.L. 'House Carage' Access.
lNorth
lEast
South
IWest
T.lroe
Fees
I
I
I
I
, '.
Building Value & Permit
. .
This permit is gronted on the express condition that the said construction
shall, in all respects, conform to the Ordinar.ce adopted by the City of
Springfield, including the Zoning Ordinance, regulating the CCrtstructicn
and une of buiLdings, and may be BUGpended or revoked at c.ny time upon vic-
Zation of any provisions of said Ordinances.
'PLan Check Fee: .c:. CrO
Date Paid: .5"- Z. -g .,
Receipt #: (p if ro I t
I Signed: )Lu
Plumbing Permit
No person Ghall construct, instalZ, alter or change any new or e=isting
plumbing or drainage system in whole or 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 OlVned, leased or operated by the appli-
cant.
Electrical Permit
Where State !..caJJ requires tr.at the electrical IJOrk be done by an EZeatrical
Controctor, the electrical portion of this permit shall not be valid until
the Zabel has been signed by the Electrical Contractor.
Mechanical Permit
, '
I
I
I
::.~<~-ss-
I HAVE CAREFULLY EXAMINED the compLeted appLication for permit. and do
hereby certify that all information hereon is true and correct, and I
f'.nother certify that any ar.d all work performed shall be done in accora-
dance rvith the Ordinances of the City of Springfield, and the La:.;s of tho
State of Oregon p~rtaining to the work described herein, end that NO OCCU-
PANCY will be mde of any structul'a without permission of the Building Di-
vision. I further certify that ~ly contractors ardi employees who are in
compliance with ORS 701.055 will be used on this project
~/~A:
Signed ~~. -
Sh</'/~
D6te r l:S
,; ,;':;ii:,:i,~.':;~;<:~:::;~~;~:~;~i~~i;:::';;~~~!~~>j'~ '''<:f~;:'<, ", :.. '.-,; -;;";,;~ ~ :.:-(~ ' . ::~:::.>::::,~~<.' ~~\\~fi~tBii::(~:;;~;':,~;;~:~/ ::'~::;; :. .,'
" ,. ~." f.', ;r.'......~.,-..t.:";.L.....:r.:~t:'1 \i<,;.v~oi",~1 '-\i<:' " If_,.)i..' .tj"....,.. r ~~ . -, .'- \ " ,-, . '" -,,,t 'M.,' ~ ... ti'~ ...".-.:;.. ot..,.o;~:F ",,_ . ..,....._._
"'_'. _ > ," ,
'jllll~[lt~#!~t11il~~'~ll~11~11~\\t~A~j~,
.....,.; Jr::~~~~:..~..-...rtA~4i'':'' ""'.I',~~!,~'1..'t... ,.,('" I'. ),';" "~'~'l.u,...t~~)',d';~:';"t,.~;:"/.i;:.;''.t'':;(jf..f.'I~~\......jl}',~''./; "~.'ilt~t;~~...;'.: ...-'J...t;....-~..,'"?
,.".~::..i..~.';~~"'<'ll-.,f..,.. .,::. '... .' .~.~ :..:.,~.~;._~.f.
~~tl~j~f~'~II~II'illll~rl~f~}:~f'
:~~:~~~I~J1~~~Wi~;:lr!fft.i~:~1~~~~t':'.~~~~~~~o1t::~~S~~.:~:~~:~~~y~$..1!~i~i~'>;2y:~:~I:Gl~<<;;t\~~~{~~:~~~:.f.~&~t~k:~;;;~?n.[;f.~~(iif;ti~)\~\i}7:ti;~~~$ifif.7~~?~:~~?~:"::;~'JJ.\':;'!'~li:~;
j~~i:i~~;:,,~~;':~;:;:,~};t~;;';:;;;:i;,=~i;0~~f~;;,~i~(~2t~i:i~~~il~t$&:i~;
:~.:.J..~.~t...'_~.t.....r.;'>~-*."'~ -t.:l~~t"'..::....;~i....._.."\\:':':;:...~.~'~ .......:-.-~~.:.,::t~ ;"iSJS~''!i'~' t'q~;ti""~~~:;..'.!...~~..,~:t:-."="~-.;r*:..~ _'.. <><.:r:';!.:,'=?~~~~~~
'-"" ..'....'t-':;I~~'.....J.. .';,"'.'~{_f.... ~ ; ~~ ....-,;...1*.' ....~~l."i<'.,.~.'1.:- ~~"'.. ~. "/c'.:~D~
\;ii~,llt;*;~~\~~~~t~R~ij;''''''J:;~i'~'f~,~Y~f;'J''':i;r::''~;'i'}!'~i~if"t:-t:;~'
;:$~~~!h;?~Z;~~i~";5:~;:(;:~1t~~:~'ft~l6.{~~:~ri~~\ti:Y~~\jtli~~~*~~!~t:;..~t?'Y#f~~~'i:1'}~~:fi~~7~a;?:t,:.:3-~ '4[:~jf~:~~ :'f:~;'.~\'"if~f~~7,~ ~t/~ ~~~~1:~~\~~\ll>~~!:it:....:~~":~
.~..'
.!~~~J~~~~~~i~i;~":'",'D{fi;,;20~"'~~':~-:~\i""":',~"~.,,
':"':";:!"i~,~",::;,',i;; ,:J"l'~!';!"''''^:;>;'~'i',it~;'''~'f<;':~.,,;;;:,..i'~:'''<l:::~..,~~., G CITY OF SPRINGFIELD e
) >,. ',.. -,N.'''' .,;.{.hro/:<..>;,' 'J" 't~' ...1~"'....Vff tr "':' ~'("o. ',t' "'?',"~'r~,'0."\' ,;'t.". '''"'',~.... t ~,~ ~__""'$"r
,~
~..~ . '.:'~I~:~'~.'~-~~"'~i:;'~'.~.'-.<l.\:...:.;'t::.,...,.;,:;tffrf:E1~~~~""~~.:~:~,;. .,?....~~...~~.J.~...!..:~:? ..t,,~~,.')~).r :.:~
".
""., ,,-".,
~
~. '.'
. ~:~;::~:~t~Y2?~;~"~',::: ~~~~~~,~:;t~~:. ~~~:. ,.~ ,,'.' - ',l~,
"", -
.. :'':,:.::' ': ,-:'~' .~ ,." .. ',.'
- .-.' ,
,>:~:;:~~.:;:::/~~ . '"
...,;;'~~~}~,~t~f~~~:~~}~f~~V~\~~!,.~~~;. .t[.k':Sr~~~~:2'~:Fl~~1f:~:<1~(~i~'1:irf.:t-'d;;#f.:P~A::'~~~,~;j):::;~;gt~lGi~J
'. '.V ~'a\~f{?-:..t... .....,r..<,l. " x.'_.-. ~"""~~' .. "",..,,'7".......~~ ;,(," ,.,.~v:i,l..~:~'."r.<:.......'{
'-:~ . ~,U' @';V."",,"h/ ?,';:;''',~", ~..:....,.:.._".";...-~;,I'~~.,I;';:tt'!;l''"..,.....'';.',f\L'''. '"J;....~ ;"".,. "",.,~.~';.t: .-""=;:;~'t~
." L>'{ I 'oJ";'!;.. ~....h~-::fJ'--~.;<l.~ >>-,,_ i~.""" ",...;i," .,..... .-t;~'-r""..."....
....'.;-'" . -.,,~, ;.....A.,) .";....t,"';g..,..-:::..;,p.,. Jid:~r;:'::-'J~3;;'i~<i~":,\'li;:':~'..~,,,,,~,\~~;;i
,~ . .. 0:1"\0 ').'!J;,*:;'C-l~~':tJ~t"....~"\."";,~'''-;'''~Ur^~~';'''~::-\.-'';'':f.t,)..;.;~,{ @
:';'';,.' t'~"~~""'~'~"'i"F;{t:~"~''''~'''.~;I~~.;;t''''''':'l'':'!!t:ii::tt.-.",...,.-.,....~",\-y"..(.~'; ~.:;.
,'i:1G:: ~."'~~;." ..,;~;.h.., ~~:.M. ~ l"'~'I~/'I''';W...-~...;:t'~tt-''.1::'!.';'itt:f~7: :..'
. ';:Y:;: ~~~:f;'..~)~>l ..~;l~"2~~f.~:":.~~1I~ ,~"':'.;(~S~~~)rf,\~~~:t~i.:t:i;~~~?~-":
":;:,;:~~,!~~~:;. };:'~;r:,l,:5.[1.;'~?;~f(;f-~~Y~::':;:'7, "":..' "';' ,-,.,'-
"' .....,.
.....,
c
City Han
Sprlngneld. Oregon
Department o' Public Work.
OFFICIAL RECEIPT
No. B
Date MA-Y 2.4.198iT'
j
Rec'd From .'il?/~ H-.i1~l:> 2/;I;/K
Address /11'19 'F' <::;,~ee' /
(
64732
(,
(
(
(;,
\{:',
:eceived For.~JL5Z1'# 85" C> ~
# ..
Go
(
c
(
"RP.
t-f~
p.K.
~~.
.
1&.-
_~o
~
(:
/6.
(.:
.
'10
c
G"
7/~ kc..
20. 8-10
(
c.<<J:6 726
e
(
;z ~_ ec::.
~,.. lZ~~,-
v AUTHORIZED SIGNA URE ,,-
-l
Amount Received
~
;,~~~~~1i~it,~0t.~~~~i~;}~id:#;~*-l~r~~~&~#~~;t;~;*~~~~:~
..:.. .~..:~'~", :...___=~..:.::'~-' ,_.~~",J."';~:. ", '.,
f
~
.''''
l
c
ll...<, .~i~lj '.
~~~~:~?~
\\",.;~~,i-
~.,..,
\..