HomeMy WebLinkAboutPermit Building 1989-5-5
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APPLICATION/PERMIT
225 North 5th Street
Springfield, Oregon 97477
BuiZding Division
726-3753
.
.fob Locat;.on: -4-411 S('1O-14<; GIE.lI\I'\ 'tsQ,
.. 17~1)-:z,~;n-/~
LO,.J"IA.J~rv' 1 Cli ~ :Sf<,
I '7 n 3 ~ !j \ ~ n41t2cO
~""l"JJe..Q.S
ASOOSOO.N' Map H
Subdivision:
~
~ Q,mer:
Addrsss:
Loc.H p"ve....J
11'\ 9
N . ,.- of Q.~""--
C;.ty:
1::......, -c,oV..Q.. _ O.,e.....
Pt::;.ti-on
n Remodel.
n ,'.!obiZe 80m3
SPRINGFIELD
Tex Lot H
~/J;f" L..}(/JOO
~l<x..k, " 3
<.'f ,
Phone:
b gg-\,b99
Q140:L
Zip:
Deoaribe fl'ork:
I-\cu~ S'II2..~,' :18
x sto
o.cc.e~5"""er" See.. \l\oT ~ L.,.", l
VITI 4.'<..
00
~-
f " , ,1/~,2,/- -">4
Dat9 0 App~~cat~cn ~ 4:>~
Value X d'-l.cl J7. (J'{)
c.:ontl'actOl'B
Ceneral.
P!wnb;.ng
Electrical
/1schar.ic.::.t
AdLlreo:J
E RoN' <C. -l.. S.,.,,,,'<;,, '-t '1 '1 D iY)qv-el'J Lo. f......_
I~ /:\.....r.'~h>..., \lluM.h, 'v.r '-/103'5' J.A.j(e~ q-
~~I.rn -P:;ro.uV CJ I:}.?'O W.fJ.XfY
p~ rr(o / !:, 7?J r"(!S ,q /7't. (V1 <L> ,d"l.n UJ
It is ths responoihility of the permit ho~er to Bee that all inopections are mad6 at :he proper tim&1 that ~h ~B88 is rea:ab!,
from ths strest. and that the permit card is located at thll frent of tho property.
~Sui!di~ rr:vi::ior: approl..'ed plan ahc'Ll l~emain on thd Bu-::ldin~ Si.ts at a'll times.
,PROCEDUP.E FOR INSPECTION R~QUt:ST:CALL 726-3769 (recorder) state your City .:iesign.:1ted job numbsr, jab aaerc88, typo of in3pso::ic,1
raquestcd and ~~en you wilL be ready for inspection, Contractors or Owne~s ncme end fhone number. Requests recei~ed befere 7:00 ~
L>ilZ. be made th~ sams day, rsqu.ests mads a~te:r 'l~OO ern fJiH b3 mads the nat :.JOrking day.. . n
. Your City Dee;'fI".ated Job Nwnber Ie: f3q(J~C:S )
1?nnui~p,.d r':iJtQ~(!tir.n~
SITE INSPECTION: To be rrade after
excavation, but prior to set up of
forms.
UNDERSLAB PLUMBING. Ef.,ECTRIC,1l. t
. MECHANICAL: To be made bej"or13 any
work is .::ovcred.
Conat1"U.ctiOrl Lendsl'
y.
FOOTING ~ FOUND,1TIOll: To be .~de
aftG!' trenchos are excavated and
forms ars erected, b1,.lt prior to
pounng ccnOl'st...
UND~RGROUND PLUMBING.. SEWER, W.1TER~
DRAI/lAGE, To be made prior to fi-!-
Zir.g trenches.
UNDERFLOOR PLUf.fBING & MECHANICAL:
To be made prior to in3taL~tion of
/1001' insulation or decking.
POST AND BEAU: To be made prior to
instaLLation of 11001' insu~tion or
deck;.ng .
RmlGH PLCP..!BIllG. ELECTRICAL & MECH-
ANICAL: No work is to be covered
,untiL thcs6 inspections have beer.
made and approved.
D FIREPLACE: Prior to pZacir.g facing
materiaLs and before framing inspec-
tior:.
D FRAMING: l-h.lst be requBated after
approvaL of rough plUffhing, alectri-
oaL & mechanical. An roofing
bracing & chimneys, eta. 17T'..lst be
"-compLetod. lIo work is to be can-
..; cealed until this inspection has
~.b6~~ made and approved.
O INSULATION/VAPOR B.4RRIER INSPECTION:
To be made after alL insul~tian a~~
. required vapor barriers are in place
but beforB any lath, gypSW11 board or
watt covering is appLiGd, and beforB
any irwuZation is conceaLed.
O DRY;"ALL IllSP~CTrON: To be made
after aU drYlJaLZ is in place,
but prior to any taping.
D MASONRY: SteeL Location, bona
beam3~ grouting or verticaLs in
accol'dance uith U.B.C. Section
241S.
D WOODSTO'lE: After instalZation is
ccmpLeted.
D CURB & APPROACH APF!ON: Afte:o forms
are cre:1ted but prior to pouring
COMrete.
D
SIDEWALK t DRIt-'EWAY: For aZZ con-
crete paving within street right-
of-wc..y~ to be mads after alL e.:rca-
vating ccmplete & [om wrk &: sub.
bass materiat.. in pza:,e.
Rece~pt !l
,,~ I Ho:J.
D PENCE: When compl..ts -- Provide.
gates or movable sections througr.
P.U.E. '
[:g] ~T ~...,.?
.
SiQr.e:dtffi )
Date: l J'Y'iJ 1 J., '=\) I~f
(I
Li:Jc. H Er:;il'oB - Phone
1/ / ~'l1 ...:J-:).- 'fa
5'S/_RtJ.
::ZO~/'3C.lqJl.s-;) , .
UR~ 9;,{ /''1
l.J ?y-S'7l7
. f'1/tJ.-1 SlJ'D
t. ~ 7'- 7.f7f/J
DE,'.:OLITIO!.' OR gOVE; BllILDIilGS
~ Sanitary se.Jer :Japped at p~opcrt":l lir.a
=:J Septi:: tank p:J.~~d and fi L7.11~ IJi th G"l'a~i!
:J FinaL - m'len cbov6 ite.71s arB cc.1tpZecc:!
and when d~Litior. is compZete or stru:.
ture moved and pr~3es ole~ned up.
I Mobile Hemes
~ B!ock;.ng and S.t-,p
~ Plumbing connections .- sewer ar~ wa:er
~ ELectrical Conn.otion - BLooking, so:-u;
,l:J and plumbing connections nr~st to appr'~~
before requesting sleotrioat inspec::io~
4tJ AC:JssSOl";j Sui lding
"
All Finat.. - AfttJl' p,rches, skirting, deoks,
~ sta. ars compLeted.
o
ALL project conditions, DUC~ as the installation of strsst trses, c~~totion 01 the
required l.andscepir.g, etc., must be satisfiad before tr.s BUILDING FI!lAL can be 1'3C(UesC3d.
~ FIliAL PLU/(8IIIG
D FINAL UECHAIIICAL @
W FINAL ELECTRICAL
FIliAL BUILDING: The Fina! Bui-!d;.ng Inepecti-on muet be requeeted after the Fina! Plwnbi"J
EleotricaL, and Mechar.ical Inspeatiorw havo been made and approvad.
'ALL UANHCLf:S AND CLf:ANOUTS /IUST Bf: ACCESSIBLE, ADJUST/roUT TO BE /-lADE AT //0 COST TO CI:'Y' I Pari' ! of 3
I JOB NO$~:?5? SOLAR 'AC~~-;-~--;~Q:~-'
I Zonc:Ao?.#S/ LVR. Occuoa""" Gr""~~Cc ",{te.~
Lot Sq. Ft.. LOT TYPE I Lot Faces -
I
S of lot Coverag" Interior I p, L,
# of Stories Corner I/Iorth
Total Height Panhandle IEaut
ISo" th
Topography Cul-de-sao IWest
I
lITEM 'SQ,FTG
Iuain
I Gca>ace
I Ca~DOrt
I AccessorII
I ~""""i?~5
TOTAL VALUE
I IVC.t.u.c)
S.D.C. 1.5:z: 7Y. <9/7
I'
Bu.ilding Permit
State Surcharge
Total Cha::oges
lITEM
NO.
l~;~r.uyop-q ~ /
I Residtmtiai '(1 bathi
I Sanitary Sewer
I Water
II
/
~ ~/#~,~
Plwnbing Perd. t
,State Surcr.a1'ge
Total Cha't'oes
I NO, 1
I I
II
IVFC7' .L .,uP I (
I ITEM
Res. Sa. fta.
I Naw/Extend Circuits
j m'P......~ Service
EZeatrical Permit
Stato Suraha.rQB
Total CharC:SB
x
FEE
FEE
lITEM
I Furn:zce ETU' S
I E=haus t Hood
I Vtmt Fan
I WoOdStOV6
NO.
FSE
Permit Issuance
Mechanical. Permi t
State Surcharae
Total CharaeD
I -- ENCROACHMENT --
I Secr.l'I"it1/ Depo3it
I'storage
I Maintenance
I Permit
I
/Curbcu!;
I Sid""",lk
Total CharQ08
"'3'S"/
I Fen:::e
I EIsctl'icat Labet
I Mobile Home~p ~Ce
~
I TOTAL AMOU/IT DUE:'
Valuc
3'=.-
13"73_7~ I.
I
/;;:- I
-7S I
/5:75"1.
CHARGE
/<;"- """"
"Zo. .,,-
/S.~
'2 c/. crt>'
'/&>_ est>
-=f .<;"'0
7"3~:5'C> .
bIARGE:
/<;: c=>
/5:-
'"'1"0.-
/.5a:>
:.iJ- 5D .
CIIARCE I
I
I
1/.5: -<~
I
I
I
I
I
57"6 ~/
I
I
9$:.-:>1
/.;;:s- I
I
I.
.
I I En2Y'fI!J SO:.4l'ces
II I !ieat
Access.
I
I
I
I
L-COG'"
Ti:ioc/Cor.at:
Bedroor.:s:
"
T:J':e
Setbacks
House Cal'age
Water YtUltP.1'
Range
n l'CP lace
Wood:;tot:e
Fees
Building Value & Permit
This pernr;t iD granted on the express condition that the said constl~ctic
shaLL~ in alL respects, conform to the Ordinance adopted by the City of
SpringfieLd, including the Zoning Crdinanc8, regulating the ccnctr~a;icn
and use of buildings, and m~y be sucpended 01' revoked at cny t~me upon vi
Zation of any p1'ovisior:s of said Ordir.anceB. : :
Plan Cheok Fee: q ,:,1 t c.;
~~::i;:iS ~-r~iQ~
S.gr.ed: ( 11\ 0h ')
, -
Plumbing Permit
No per~on.Dhall con8t1'Uct~ instal!, aZter or change any r~U Cl' e:iDtir.g
plumbing or 'drainage 8Y8te~ in whole or in part~.ur.le88 such perDon is ti
legal possessor of a vaLid plumber's license, except tr~t a person may de
plumbing uork to property uhich is owned, laased or operated by tr.e appli
.cant: .. .,
Electrical Parmi t
.Where State Law requires tr~t the electrical ~ork be dOne by an Eleatric.
Contl'Qctol'~ the electricaL portion of this permit shaH not be valid .WI::
the Label has been cigned by the Electrical Contractor. ~
Mechanical Permit
I
I.
/(~-----~
~ Ai?--:-
& pt..Ib~.ramtner , .
S"'- 'I-B~
va..
I.
I HAVE CAREFULLY SXA!.fINED tiw oompleted applioation for pennit. and do
hereby certify that aLl. info:'TTlation hereon ";S true and corl'oot~ and I
f:4rt1:el' certify that any ar.d aLL work performed shaH bs dOns in ao::or-
danoe with the Ol'din~nces of the Oity of Springfield. and the l.a'",a of t):
State of Oregon p~rtaining to the work described her6~n, end :hat NO ace
PA.NCY witt be m:zd6 of any structure witno:.4t parmission of ths Building [.
vision. I [upthef1 ce1'tify that o:1ly contractors ar.d e.'1JP~!l6CB LJr.o (U" i
ca~pLiancB LJith ORS ?Ol.05S will be used on this project .
S\~ L m(GOt1'~
s ~S-gc;
Sign2d
Oat.