HomeMy WebLinkAboutPermit Building 1986-12-11
. .. RESIDE.. IAL .....cce;'t" :/!: ft' 7 64("
, SPRINGFIELD . .
. APPLICATION/PER/fIT ~ .
225 North 5th Street A6 .~
Sp~n~fiel~. . O~egon 97477 ' ~ ! . ;:
Bu~ld~ng Div~s~on _'___
726-3753
Job Loc,ti,n: tl2t:i' ~.c"'1"r~ <7/~A/
ASGeS801':: Map II
Ta:r Lot #
Subdiu;sion: /..e.~ llAV&,,,N . L,6r r5" '7
,
Il.mer: "'::;,;q~ ~ ~/V' .M~/t::.E .A'6"",,~'
Address: <""O"2':1/?7H# ?T:
City: .$"'~/~h~.o~a;-?
,
Xl
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Nm.'
Phone: 7Z6-~/7/
Zip: <9 ?<l7g
Describe fl'ol'lc:
~~~
0Y
Addi ticr!
~S"f;>/I'-'':;'''7" /2')<~O'~~/"frW/T#
, ,
,#77~~ !2'Xt; O/"'~"7-E ~
Remodel
!~obi.le Homa
Date of Applicaticn 12~ <t -e&
....ont"l'ac::Ol's
';eneral"-'::;-., W~~;;;V /fn,;"Q.
?lwr.bir.g
::Zectrical
Meehar.ic.::l
Construction Lender
Value 17> '2. <=oc>
AaareS3
Siar.ed:
Data.:
M
1'1.-J/-Kfo
Li:1C. ,;
E~'l..rcs
Pi-.or.;:
?:?~- '2/"//
~t is ths responaibi1.ity of ths permit holder to Bee that all. inapections al'"e made at ~he proper time, tf".at ec.ch :;dd;ress is ra~:c
-"rom the street, and that the permi t ccuod is 1.ocated at the front of the prape:rt;y.
'Bui!di~.g Divicio~ approved pl.an. shcU l'emain on tha Building Site. at aU times.
J.70CEDUF?E FOR INSPECTION R.:QUEST:CALL 726-3769 (recorder) state your City designated job number~ JOO G.C.a'css~ type of ir:3pec-:icn
'equested a~.d w~en you will be ready for inspcction~ Contractors or Owne~s name end phone ~cr. Reques~s received befora 7:00 ~
:"iLl be made the same dcy~ requests made afta' 7:00 am !JiZZ bO! made the m;:t ':.JOrking da:;.
r~ City Desigr.ated Job Nwnber I:;:~~~~
'tmui"'R.1 T1'J.~'Q...r>+:,:r.,,!~
] SITE II/SPECTIO,V: To be made after
excavati"n~ but prior to se: up of
forms.
] U/lDERSLAS PLUlfSI!IG. ELECTRIC,lL &
. NECHA,','ICAL: To be made before any
work is oovcred.
VI FOOTING & FOUND,1TION: To be muie
~ after trenches are excavated and
forms are erected~ but prior to
_ pourir.g ccncret.;. 'i5.'
0'1 V!.'DERGROW!D P:'UJ.fEING,. SEWER. W.1TER,
~ ,~~ To be made prior to fil-
,hr.g r;renches.
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UNDERFLOOll PLU/-11I!JG & MECHANICAL:
To be made prior r;o inataLl.ation of
11001' insuLation or decking.
POST Ar,'D BEAM: To be rr.adc prior- to
installation of floor ins~Zatior. or
decki7lfj,
ROUCH PLlJ?!BD.'G. EJ,ECTRICA!, & '.fECH-
Ai/TCAL: No :.lark is to DC covered
ur.ti~ these inspectior.s have beer.
made and approved.
Fr.r?EPLACE: Prior to plaair.g ~acing
materials and beforc framing ~nspec-
tior.. \ A
FRA!~I!lC: Wfst be requeated after
approval of rough plwr.bing, electri-
cal & mechanical. AU roofing
bracing & chimneys, etc. nr~st be
. completed. No wrk ia to be con-
.. cec.led until thin inspection has
. b6~n made and approved.
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D INSULATION/VA PO::? B.4RRIER INSPECTIOU:
To be made after aLL insul..:::.twn (X".d
" requi.red vapor ba:rriers Cl1'e in place
. but before any Zath~ gypsum bctll'd or
LXIlZ. covering is applied, and before
any inauZation is concealed.
DRYWALL INSPECTION: Tc be made
after aU drywaZl is in place~
but prior to any taping.
O ~SONRY: Steel location, bona
beam3~ grouting Or verticals in
accordance with V.B.C. Section
2415.
o
D
WOODSTOVE:
ccmp~eted.
After installation is
I DENOLITIOH OR .~:OVE; aUILDI;;CS
=:J Sani:my se".J~r ~apped c:t ~op:r1:':i lir.o
=:=J Septic tank 17~ed ~ fiLLe~ uith gra~eZ
:J Final - r"'hen abc-ve ite::rs aPe cc.'rniZ.etea
~~d when demcli~ior. is ca~leta or stru~-
ture moved and premises cleaned up.
I Nobile Hemes
~ Blocking and Sat-dp
~ Plumbir4 connections 8~er ar~ ua=er
---, Electrical Connection - Blocking, sot-U?
~ and plumbing connections nr~st to ap?r~~ci
before requesting electrical inspec:io~
~ AccessoT>;,' Building
:J Fin:J.l - After p:Jrcr.es~ skirting, decks~
etc. are cQmple~cd.
D
FIliAL PLU/tBIflG
AU project conditions~ auch as the .fnstallat-::on of street trees, cc.~lcti.:m of the
required Landsccpir.g~ etc. ~ must be satisfied before the Bl!IWI/.'C FI!.'AL can bo raqullscad.
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FIN:'L !.[E':HA:JICAL
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FINAL BUILDING: The Final Building Inspection must be requested efter the Fin:J.l PLumbing
E~eccrical~ and Mechar:ical Inspecti.on::J have: been made and app-rovad.
FINAL EL!~~~!C~L
D
D
CURB & APPROACH APRON: Aft€":' forms
are erected but prior to pouring
co.".,rete.
SIDEWALK ~ DRIl'EfIAY: For all oon-
~rete paving within s~ect right-
of-fX.y~ to be made after all exca-
vating complete & form work & ZuD-
base material in pla:Je.
-ALL UANHCLES AND CLEANOUTS lWST BE ACCESSIBLE~ ADJUST'!!E;'l'!' TO BE f.!/IDE /'.'!' f.'O C~ST TO CITY, I P~Fe 1 of 2
D FENCE: Mlhen compl.;te -- Provide
gates Or movable sections through
P.U.E,
D
JOB NO,iJ6t::>g&:,~
~1I'5
Lot Sq. Ft;.
: :;f tat C.:J1Jcrcg::
.ii of Stories
Total Heigh:
Topography
I':'E.'..'
I SQ.F7C
Mc:.ir:.
;;cr.a=c
c~c'!'~
:z C/ t!/
I 72
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S,D.C.
TOTM[. VALUE"
I uc.l..;J:c)
J.5 ::
Building Pl1rmit
St.:;,te Surcnarpe
Total Cha:oges
?i.=i:"'.a'CS
:residentiaL (1 beth)
3cr.it..:::r'! 5e-...'c':'
:,.'c::tl1!'
Plu.-::bir.g Perr.:i t
&tc.-:e Su:t'cr.arge
T"....-' cr.c:.r-oes
...;."
~(!S. So. ft::.
;~/E=~er~ Ci'!'~~its
~er.7?CrCT!, S::P'Jice
EZe.::t'!'icaZ Permit
St=.te Sur=harae
Total C'1".a:t'ces
"7':".'
"urr.ace ETU' S
.::hau.st Hood
€nt Fan
":Joasto;;e
Per'r:i'~= I:;suan.ce
Ne6'.::r:::.c::.Z peromit
Sta::c Surchcroc
7'n=c:Z ern!"",,,,::
-- Ei,'CROACHJ.!E::r -_
.7C-~ri tu DZDO:;{. t
';oranc
:inT;m".Gr..::,,,:
7r:-:ri.t
Tete!. Ci:cr"ncs
t,":'C"..l=
:alt'..J:::.lk
'r..='-:
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I~~ /272.-1
I/p.-I 72~.-1
I I~_..---I)
W?1>2.~1
1#,7/. I,
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1~~.801.
SOLAR ACCESS REQ,-
Occuva.c" Grtt /"-/
LeT TYPE I Lot
Ir.tcricl'
Corner
Panhandle
CuZ-de-sac
x
VaLue
1/.'0. I
CH.ARGE
''', ,
d'.... I
,,::,:,1.....:..
"n I
,:v.
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FE:;
CH;....~CE
:cctT'ica! Lc~~1
'bi le Home I
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'TAI; A}!JU.':~, 115"' f . 9'~"
L-COG~
T:.,'pe/Cor.st:
&r
r I [naT'a:; SO:lT'~(!3
I I .~'ca:
I I Water Hr.at.."!'"
I I Hatlpc
I' I I Fircnlacr!
Weoa;; :;o/.:e
II I
1:1'::'<1
Be:iroor.:a:
Faces -
I P,I;.
lNortll
lEast
ISouth
Ir,eot
SetbacK;'
I House I Carape
I AcceS3.
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Fees
Building Value
&
Pe r m i t
This p6rnr~t is granted on the express condition that the said construction
shall, in all respect:;, conform to the Ordinance ~dopted by the City of
Springfield, inaZuding the Zonina Crdinanae, regulating the ccnstFJcticn
and use of buildings, and may be suspended or revoked at cr.y time upor. vie-
lation of any provisions of said Ordir~nces.
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Plan Check Fec: -:21. /3
Date Paid: R.6r'J .-rt/b
Recdpt #: 12--II~.6
ISig"ed: ~
Permit
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Plumbing
No percon shall construct, instaZ!, a!~er or change any ne~ cr c=~ct~~~
plumbing or drainage syst~ ir. ~hoZe or in'par~,.ur.less ~~cn pC'f'sor. is tr.~
legal possessor of a valid plumber's license, excqt that a pe!"S01: r.:a~ c'o
pl~bing work to property which is o~~ed, leased or opera red by the c~?:i-
cant.
Electrical
Permit
Where State LClJ,} reauires tr.c.t the electrical WO'f'K. boa done all an Ele:::ric::.:
Contractor, the el~ctrical portior. of this permit sr.:::.ll not-be v~!iC u1::i!
the Label has been signed by the Elcc&'f'ical Contrc::ror.
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Mechanical
Permit
4~__..-? L~~
~pt~ Exami~~- . ;1P'
/2 -Ie:>- &;;;,
uat;e
I HAVE CAREFULLY EXA."1INED the completed applicatiml for permit, and do
hereby certify that aLl i~fo:-r.:ation hereon is true and correct, c:r.:i I
further certify that any arA all wO'f'k perfo~ed s~ll be done in ac::or-
danC!e :.nth the Ordinances of the City of SpringfieZd, and th~ La-..:s of the
State of OT'egon pcrt~ininr to the work cesC!ribcd hcre~n, end =r~t NO OCC~.
Pt.NCY LJiZl be r.rz.ie of any structura without pcrmis3ion of tire 3uiZding cr~-
vision. I further certif:! that only contra::tors m:d ~Z~yecs ~ho are ir.
ccx::pliance with (JRS 701.(',"E fJH7. !-r ~r",~1 ():'1 this project
2d~L )
f signz{ /'
/Z-II-fh
Date
.. RESlDttJTlAL"
APPLICATION !PERlIIT
225 North 5th Street
Springfield. Oregon 97477
Building Division
726-3753
Job Location: 4'2'7' ~.c~l"'r:".S ~X/
A60esaor:: Nap #
Ta:r Lot 1/
Subdivision: ~.". ~V&:~ . t.~r r5" '7
,
Q.mer: "':::;,q~ ~r~/Y ~e:tiB/<:.E uJ(...//,e:::::<>
Address: ~O":2.';ImH# ?T: Phone: 7Z6-Z/7/
City: 5'~/~RE<:.o, <:::V'?, Zip: 4!J7</7f!5
,
. Deseribe fl'0rlG .
~.i.;,;1fc.'~T /:;'X:<~'~~,qIW/7#
,,477,f1-.c.~ 12 'X€, ~~~e ~
Xl
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Nr-M
Addi ticn
Remodel
.'~obi!e Home
Date of AppUeaticn 1'2~ <:j -et;;
/-~,~
Value r/ .....
Aaaress
..onrra'::~ors
';eneraL....:::;-~,~~~ A/l'),4.
Plumbing
!:lectrica7.
ge::har.ic::l.
Constl'"Ucticm Lcndel'
" ' Rece;,: ~ /!; ~ 7 (f t../(/l
(,
r.!,(j""-'
/"..........
I\.~'\.v t
I" .;.0
, f.J\i
"
J.iv~ ,
"flY
Siar.ed:
IL
l'lou-Sfo
Data:
Lise. H
i::~ircs
fi':or:.:
?7~- '2/"//
:-~ i.. ths 1'6sponnbility of ths permit holdezo to Bee ~hat al!. inspections are made at the pzooper timE:, that ~c.ch .:zdd:res3 is rea.::a.;:"
-'"n::rm the street, and that the permit cCtt"d is located at the front of the property.
.Bui!di~.g O-;ui::io'!": approved plan shc:l.'L rer.-.ain on tlu Bu~l.ding Sits at a"LZ: ti.inzs.
).70C~w~e FOR IllSP'ECTIOll RE'QUE:ST:CAll 726-3769 (l'ccordeI') state yOUZ' City design:lted job number, Joe aac.:rcss, type of ir.::pec:icn
'CUrUCST;ca ar-.a w,~en you ..,i.l.l. be ready fop ir.spcction, Con~actcrs or Ownezos nc:me end phone number. Requ.€:s~s receiced befera 7:00 ::
.'il.L be made thE: same dt:.y, requests made afta' 7:00 a"1J will. ba made the next :.JOrkiYl-d day.
y~ City Desigr.ated Job Nwnb<r Is: ~..:!!5?6ly'
'~'Wirq,.; T7'l~~....,.+::ir.n.q
] SITE IllSPE:CTION: To be made after
e:rcavaT;ion, but prior to se~ up of
forms.
J: UllD!RSLAE PLlH.fEINC. ELE:TRICi1L &
.I-!ECHA,'JICAf.: To be made before any
LXJrk. is covered.
VI FOOTING ~ FOUllD.1TION: To be m:z.de
~ after trencnes are excavated and
forms are erected, but prior to
pourir~ ccncret~. ~
VI U!.'DERC.'?OW,'D PI.W.r&ING,' SSWER. W.1TER.
~ ~AI~k&~:~ To be made prior to fil-
. t l.r.g ;;enches.
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UllDERFLOO.9. PLUl.!BING & MECHANICAL:
To be made prior to instaZ.z.ation of
11001' ~nsu"Lation or decking.
POST AND BEAM: To be rr.ade prior to
installaticn of floor insuLation or
decking.
ROUGH PLfP.!BD!G. ELECT.'?ICA!. & UECH-
AliICAL: No :.JOrk is to be covered
until these inspectior.s have beer.
made and approve':.
FI.r~EPLACE: Pr>ior to plaeir.g feeing
materials and before framing inspec-
tior.. \ .,
FRA.'~IllG: kft:;t be reque:;ted after
approval. of rough plwr.bing, alectl'i-
cat & mechanical.. AU roofing
bracing & chimneys, et.;!. nr..lst be
. compZetcd. !.'o wrk is to be COJ1-
~ ceated until. thi:; inspection has
eb6~n made and approved.
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D INSULATION/VAPOR BAR.'?IER INSPE:CTION:
To be made after atl insul~t~n ~~
.. required vapor ba:rr-iers are in p'Lace
. but cefore any lath, gypsum board or
UlU covering is appZied, and before
any inauZation is concea"Led.
o
DRYWALL INSPE:CTION: To be made-
after an d..rytxzU is in pZ.a.ce,
but prior to any taping.
O ~SONRY: Steel "Location, bona
beams, grouting or verticals in
accordance ~th U.B.C. Section
2415.
o
WOODSTOVE: After instaZZation is
ccmpleted.
DE,'.jOLITIO!! OR ;;;OVE; E:''ILDI.-:CS
~ Sani:ary 8e'.J~r capped ct ~opo;rt":i lir.e
:=J Septic tank p-...,""?cd and fitz2~ lJith ~a:;ez.
~ Pinal - flThen abcve ite.-:zs are cc.-:zpletcd
.J '." 4 .
and when ~~cl~~1.or. l.S c~~ete or s~~~-
~e moved ani premises cleaned Upe
Nobile Hemes
~ Blocking and Set-~p
~ Plumbir~ connections scwer ar~ ua:er
~ Electrical Connection - Blocking, set-u?
---.J and plumbing conr.ections nr..:st te tI?pr~:':c':
before requesting e"Lec:rical inspec:ion
~ Accessol"".i Buit.d~ng
---, Final - I.ft<:r p:Jrcr.es, sk-:.rting, decks,
~ etc. are c~le=o;d.
o
FINAL PLU!.aJIllG
All project conditions, suc~ as the installation of street trees, c~~lction of the
required Zandscc.pir.g, etc., must be satisfied before the BL'ILDI/.'G FI:ML can be r3quest3d.
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FIIIA.L l{E~HA::ICAL
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FIliAL BUILDING: The Finat Building Inspection must be requeoted c:.fter the Pinal Plumbing
Electrical, crnd Mechar:ical Inspection:J halla been made and approv.?d.
FINAL ELE~~~!C~L
D
CURB & APPROACH APRON: Afte=- forms
are erected but prior to pouring
concrete.
SIDEWALK t. DRI!~vAY: For all con-
~rete paving within street right-
of-way, to be made after all exca-
vating complete & fo~ work & ~ub-
base material in pla..::e.
-ALL I1A!.'HCLES AND CLEANOUTS !IUST BE ACCESSIBLE:, ADJUsr:!E:/T TO BE nl\[)E t.'!' /:0 C~ST TO CI'!'Y I P~ge ! of 2
D
D
!'ENCE: M'her. compl~te -- Provide
gates 01' movable se~tions through
P.U.E.
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ts-;-1/272.-/
I/&" - I 7'2<>. -I
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W?92.-=-I/
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I. -;?OI./ ')..
I;:?g" .861,
JOB NO,it6:>SCJ'I
Zono: -m~
Lot Sq. Ft:;;.
: :Jf l;;;t C;mcrc.g::
if of Stories
Total Heigh:
Topogr~hy
LeT TYPE
Ir.tcric.,.
Corner
Panhandle
CUt-de-sac
!'!'E.'!
I SQ, F~C
~/aluc
x
.~tt::.i.r:
~a::c
Ca~c:':
,;~,).....
.4CCCSSOI":1
~~
1 7'2
i
S.D.C.
TOTAl: VALUE'
IIX:.l.;"lC)
J.5 =
BuiZ:iir:r Permit
St:::.te S:a'cnxrpe
To-:a.! Cha:'ges
"~"'.'
:L-:-.J'cs
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/.......
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CF.ARGE
~esiC.entiaZ f1 beth)
~c:r.i~~.J se'....c:'
"c.te'!'
Plu::-:bir.g Pe!'i.:i t
Sta~e Surcr.arge
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c.:;',':.R::::;
Tc~::! cr.crocs
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i::..:. ;
?es. Sa. ft::.
:G:J/E=tend Ci:oC"..l:' ts
'~crary Sa~Jice
EZect:,ical Permit
St=te Surcr.a:rae
Total C"r.arces
"';':""
~".ac.;! ETU'S
=haust Hood
I "0 I
,"V,
I
FE~
ent Fan
':)oasto:Je
Pe1"1':'i';t I3SU:mC2
/o!e::,...:::r:ic::Z Permit
Stctc Surchcrac
Tot~Z cr~:,a~[J
Ej.'CRaACHf.!E~
."!C".4r1.t:J D;:po:;it
;orr:oa
:int;P.T'.ar.~."
~rrnt
Tct.::Z Ci:arncs
~"!}(:'.l~
:dC"..J:J,Zk
'n.::r.
cctricaZ Lc....~1
'bi la H:Jme
I
:-':Z; AN~U"::: t!15" f . '1"$
Lot Faces -
I
I P,Z;.
North
IEnst
IS""th
IWo"t
Fees
T":fPe/CoP"'..st:
T"J"::'i!
L-COC-o::,
Be::.roo~s:
Setbacy.r:
Houne I Caraal?
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Il.ooe"". I :
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E'n:?rt'7:J SO:lr~(':;
i.jea:
Wato!'" H~'1~,"!'
Han.pc
Fircniace
Wooa:::oL,'c
Building Value
&
Permit
This permit is granted on the express condition that the said construction
shaZZJ in all respcctsJ conform to the Ordinar.ce adopted by the City of
SpringficZdJ includi.ng the Zoning CrdinanceJ regulc.ting the ccn:JtT"'.l~ti.cn
and uze of buildingsJ and may be suspended 01' revoked at cr:y time upor. vie.
ration of any provisior,s of said Ordir~ceB.
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I Plar. Check Fee, '21.13
ICato Paid,BI/),-r<lb
IReodpt #: 12.--"-'(".0
I Signed: c.c.,
Permit
Plumbing
No perzon shall constructJ instal!J a~:er 01' change c.ny r.e~ cr c=~=t~r.?
plumbing or drainage syst~ in whote or in partJ ,unless ~uC'n person i:: tr.~
legal possessor of a valid plumber's licenseJ except tr~t: a pe~sor: ~a? co
pl;u::bing !Jork to property which is ol.,"rledJ leased or operar:ed by the a;;;;i.i-
cant.
Electrical
Perm it
Where State Law reauires tr~t the electrical work be done bu an Ele~:r~c;:
ContractorJ the electrical r;or"t;ior: of this oermit s;..all r:ot:~ be v,::Zid w::::Z
the Zabel has been signed by the Elecr:ricaz" :::ontr.:::!t:or.
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Mechanical
Permit
~t:1;?cfR:~~
/'2 - /e>- a:;;;,
LJa~e
I HAVE CAREFULLY EXA.'1INED the completed appZicatimt for pe1'mit~ end do
hereby certify that all i-::fo=-r.'.ation hereon is true and ccrrcctJ cr..:f I
further certify that any ar.d all IJOrk performed sh;ZZ be do:1e in ac~or-
dance :.lith the Ordinances of the City of SprinaficZdJ and th,;: Ie..:;; of the
State of Oreg~n p~rt~ining to the work described hcrc~n. er:d tr~t NO OCC~-
PI.NCY !Jil.l. be rrn,ic of any structure without parmis3io:1 of the 3ui.Zdir.g rr;-
vision. I further certif:.! that O:'1Zy contractors Cll~d c.71pZ;;;yecB z.;}:o are ir:
co:::pZiance w~th ORS ?Ol.N.5 1.)1:1.7. r,.. ~,;>,"1 0:"1 this project
2d~~ )
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fu'e
.. RESIOE4tTlAL"
,. APPLICATION/PERMIT
246-North 5th Street
SpringfieZd, Oregon 97477
BuiZding Division
726-3753 '
L-/,;<, S- x:k~ ~_r- ~.A-LJ
~7?"r1-i ~ 7 .G~ ~ T= Lot #
//d~
Job Location:
As.oeS80rz Map
Subdivision:
Clmer:
xi,;J .)fuILA-?G k Ii.
~I
1;;0-c2/7/
9?t(7Jl
Address:
5oC}tj~
-1~
I V
City:
n Nm,J
n Addi ticn
n Remodel
Phone:
Zip:
~~es~~
~ ~ r;L/Jf~~
17L Jfobile Rome
Date of AppZication
~ //-JtJ --Yb
(:on t.ractors
Genel'al
Plumbing
Electrical
Mechar.ical
~
Construction Lender
Value (I;":.-~~ro
Adtb>es3
,cce:Pt !i
0"73&'7
-:JJN.-rlv
).IV" I ( , r")
1111
9-.,\ (~\
Signed:
Date:
~
I 1- /~-y",
Lise. #
Phone
Eroi1':JS
J-j t. '-I7.;;ltJ-<J
.Your City Deoigr.ated Job Numba' Io:
O INSULATION/VAPOR BARRIER INSPECTION:
To be made after aU inBUZ~ti::m ct"'.d
. 1'equired vapor barriers are in place
. . but before any lath, gypswn bomod or
LXZlZ covering is appUed~ and before
any in8u.lation is concealed.
O DRYWALL INSPECTION: To be made
after aU drywall is in place,
but prior to any taping; .
O MASONRY: Steel location~ bmuJ
beams, grouting or verticals in
accordance with V.B.C. Section
2415.
O WOODSTOVE: After installation is '7 ()
ccmpleted.
SJ.
CURB & APPROACH APRON: Afts:, forms
are erected but prior to pouring t;1-..
concrete. ./
o
o
SIDEWALK & DRlt~vAY: For all con-
crete paving within street right-
of-f..JC.Y, to be made after aU exca-
vating complete & form work & sub-
base "",teri-al in place, '-I.t;
It is ths reaponsibiUty of ths permit holder to Boe that an inspections are made at the proper time., that each .;:;ddrOS8 is l'ea.::ao:e
J1:oom the street, and that the parmi t card is 1.ocated at the front of the proper"ty.
ItBuiUing Divicio:-: appl'ur.:ed plan ahclZ remain on t112 Bu::.lding Sits at all,. times.
PROCEDURE FOR INSPECTION REQUEST:CAlL 726-3769 (recorder) state your City design:lted job nwnbel'" job adCrC88, type of ir.3pec=icn
requested ar:d when you will be ready for inspection, Contractors or Owner's ncme a.nd phone number. Requests l'eceived before 7: 00 c::;
:..'iLZ. be made th~ same day, l'equests made after 7:00 am wizt br; made the next :JOl'king day.
g(/709t~
Rp.~Ji~fln T"~~~~tir."~
O SITE INSPECTION: To be made aftel'
excavation, but priOl' to set up of
forms.
O ' UNDERSLAB PLUMBING, ELECTRICAL &
MECHANICAl:: To be made before any
WOl'k is .:Jovered.
[J
FOOTING & FOUNDATION: To be nrule
after trenches are excavated and
forms aJ"'6 erected, but pl'iol' to
pouring ccncret~.
UNDERGROUND Pr.UMEING? SEWER., W.1TE.'t
DRAINAGE: To be ma::J.e prior to fil-
.lir.g trenches.
D
[J
UIIDERFWOR PWNBI'vG & MECHANICAL:
To be made pl'iol' to instalZation of
flool' insulation or decking.
POST AND BEAM: To be rr.adc proio1' to
installation of floor inskZatior. 01'
decking.
ROUGH PLlP.!BIllG. ELECTRICA[, & MECH-
ANICAL: No work is to be covered
.ur.til these inspections have beer.
made and approve'::.
FIREPLACE: Prior to placir.g facing
materials and before framing inspec-
tior..
'0 FRA.'fIllG: Must be reque3ted after
approval of rough plwrhing, electri-
cal & mechani.:Jal. AU roofing
bracing t1 chimneys, et;:. rrr..tst be
. completed. No work is to be can-
. ~ ceeled until this inspection has
.be~n made and approved.
o
o
D
o
!'ENCE: Wher. complete -- Provide
gates 01' movable se'?tions through
P.U.E,
<9oLj
r DE!!OLITIO!! OR :~:OVE!:i BUILDriiCS
~ Sani~y se'.Jer capped c;t p:.opo:rt;':j' l.ir:e
~ Septia tank p~~ed and fille~ with sra~a~
I Pinal - rlhen above ite:~s are cc."':'f'Oletcd
~ ar.d when demolition is complete or 8t~~.
ture moved and premises cleaned up.
. Nobile Hemes
~ Blocking and Set-~p
~Plumbir~ connections sewSl' ar~ wa~er
V1 Electricel. Conr.ection - Blocking, set-up
.::::..J and. plumbing conr.ections TTr..st ce approJ;ec.
before requesting eZec~rical inspec;io~
~ Accessory Building'
~ Final - Aft;r p..,rcr.es,
~etc. are comple;cd.
ski~ting, decks,
o
D
All project conditions, such as the installation of s=reet trees, cc.~lction of the
required Zandscc:pir:g, etc., must be satisfied befol's the BUILDING FINAL can be raquest;zd.
:=J FIliAL PW/.!BIIIG
=:J FINAL MECHANICAL
::=J FINAL ELEC~RICAL
:=J
o
FINAL BUILDING: The Final Building Inspection. must be requeated atter the Final Plumbing
Electrical, and Mechar:.ical Inspectio1UJ haVC3 been made and approv.:d.
/tALL MANHCLES AND CLEANOUTS HUST BE ACCESSIBLE, ADJUST!fEllT TO BE M.1DE AT /.'0 CfJST TO CITY. I Page :1 of 2
JOB
NO,S (,67!3
Zona:
Lot Sq. Ftg.
s ~f 7.ot C""erag<
,II of Stories
Total Height
Topography
I
lITEM
I Main
I Gc:raae
I Carport
I Accessol'u
I
I
Is.v.c.
SOLARGrAI. ESS
Occu:oancl./
WT TYPE
Interior
Corner
PanhandLe
Cut-de-sac
SQ. FTC
I
I
I
I
I
I
I 3'15. 17--0
x
VaZue
TOTAL VALUE
{va/,uc)
1.5 :r:
Building Permit
State Surcharge
Total c:ha......ges
I ITEM II NO, 1 FEE CHARGE ,I
I Fi=tures
Residential (J bath) I I I
Sanitaroy Sewer fs:J-:;o I I I ~O, ~ I
IWater L,~~ is: (J-O I
I~t./.,f~ ~ do. 0-0 I ~A
I I I -7l)'UU
Pl:unbing P-=i.t IInJ. ~ !.<S: (/?J'..-.-'-'
-I .::a. ria I 'l.., \
'-'7 ~. Po I,
I CHARGE 1
I I
I I
I/C/KJ I
I /~~
l~oO
I I ().... () I
131..)Q,I,
I
I
I
I
I
I
I
,
1-,
I
I
I
I
State Surcr.azoge
Total CharQes
lITEM
I Res. Sa. fto.
1/{.tlJIExtend Circuits
FEE
State SUI'~ha:rQe
Total Charces
ITEM
l furnace PTU' S
I E:::haus t Hood
I Vent FC01
i '
I Woodstove
I
; IIC.,
I I
I I
I I
I I
FCC
CHARGE
Permi t Issuance
Mechanic:::.l Permi t
State Sureharoae
T"t;al Charrum
I
I SeC"~rit1! DSp03it
I Storage
I Ma.i"t~e
I Permit
I
-- EIICROACHf..'ENT --
. -~. -
REQ.-
L-COG"'"
.
Type/Cor.st:
Bedrooms:
I Lot Faces -
I
I P,L,
INOr'th
East
ISouth
IWest
I Enarou Sources
I Heat
Access. I Water Yf'.atf!T'
I Range
I Fireplace
I I Wood'; tove
II
""'''De
~
Setbacks
House CarQ(1e
Fees
j
I
I
I
I
I
~")
Building Value
&
Permit
This pernr~t ia granted on the express condition that the said construction
shall, in all respects, confoI'm to the Ordinance adopted by the City of
Springfield, inc!uding the Zoning Ordinance, reguU2ting the ccnst~~~ticn
and une of buildings, and m:lY be 8unpended 01' revoked at cr:y time upon vio-
lation of any provisions of said Ordinances. .
I
I,
IPlan Check Fee:
I Date Paid:
IRecdpt #:
I Signed:
Plumbing
Pe r m it
No pereon shall construct, instal!, alter 01' change any r~w cr e=isting
plumbing or drainage system in whole 01' in part, unless such person is the
legal possessor of a valid plumber's license, except tr~t a pe~son may do
plumbing lVOrk to property which is ozmed, leased or operated by the appli-
cant. .
Electrical
Permit
Where State Law requires tr~t the electrical work be done by an Electrical
Contractor, the electrical portion of this per.mit shall r~t be valid until
the Zabel has been signed by the Electrical ~ontractor.
'.,j...
Mechanical
Permit
Fl.an Exam'/..ner
uate
I HAVE CAREFULLY EXANINED the completed application for permit, end do
hereby cel'tify that all ir.foT'mation hereon is tl'"Ue and correct, and I
further certify that any ar.d all- lVOrk perfo:r:ned shall be done in accor-
dance :.nth the Ordinanees of the City of Springfield, and th;;: La-""s of tho
~ State of Oreg~n p~rtaining to the work described herein, end tr~t NO OCCU-
I I PANCY will be made of any structur2 without parmis3io~ of the Building Di-
vision. I further certify that o~ly contractors ar~ empl~yee8 who are in
31.4 ~_I~ compliance with ORS 701.055 will be used on this project
""
Total Characs
t Curbeu~
! Side41alk
0/f ( ,q~'
: Fe~e
,Electrical Label
Mobile Home
I TOTAL AMOUNT V~~:4
I
13 5: (}.-O
I
I
:II> :5 y?l. Lj ~
I- \"'\
I
1tj~J{
/ /_ /0-)'0
Date
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CHAVEN LOT. #57
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