HomeMy WebLinkAboutPermit Building 1989-5-5
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APPLICATIOJ!f>ERMIT
225 North 5th Street
Springfield, Oregon 97477
Building Division
726-3753
J~ ,41"""N>'~
"II II
42/ S6!J~ /'rI-R-MM' /JA,
4/7-D3-;),-/3
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Job Location:
ASOBsool'S Map #
Subdivision:
LOcJ'\AV ~rV
Tax Lt;t H
RiM. >f700
I ().mel':
L<.:>c.\-lf>r"e....J
Lor S I
~V"'l'Ne.~
f2.iz..k- 5 '
Address:
11'\ 9 N. T-l'Q.Q."":'"
E u..i ~-l<. _ O.,e....
I City:
r
,
f.:
QN"".,
n Addition
n Remodel
n .'.fobi.le Hom3
q',
Phone:
b gg-lob99
Q'140 :J....
?cce~pt !/.
/3;' )/
Zip:
.'
~
1
Describe fl'orl<:
Ht:US,A.. S',2..lf: ~ 7 X
V \ .J!,,<./;L/-D.o,:-
R- 4.-<:...} ,
VI]
o..cc.e~.s,,'d-" See. \>loT ~ L.,."" I
Date of Applicatien
Va!.eX --# :2. I. c(gs
(;ontractors
Genera 1.
Ptwnbing
E1.ect.r>ica1.
Nechar:ic.::l
AddreD3
ER.~\"; 'SnoJ'c, '-t:9D f/)~0 L:. f0.-
l,;J.p,.r-t".~,~,-, (lluM~' ll.r 1./1035" J..A-Ke<Jrk1 ~
~~Ipj'\_~iauv CJ J(Bo W.i1XPy
H>. rr"'('o I f, /2J I"t'5 ::; l"i{" M ~ A/ow, UJ
Siqr.ed:
M ,-
(/)0
- -:3-S -'P:R
Date:
Li:Jc.H
Erpi1'OS
Phone
t.,fR~ ~,{ /'-1
lJ fflI,S7t7
,?I/'I.-/!OlJD
t.'i?'1-767f/J
LJ 14'/7 .-J- :;1.- 70
5S/~Rt/.
:20 ":V3c./91.{s-;)
Constnt.ctim, L~ndBr.'
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It is tbd..re~FOnDibility of ths permit hoLder to see that all inDpections are oade at :he proper tim&1 that ccch =daress is 1'6~!.
I from. the Btroet~ and that the pcrmi-t cCU'd is l..xated at the frent of the property.
*Bu{'!di~ rr..vicior. approved plan sht:U remain on ths Bu~lding Sits at aU tUnGs.
PROCEDURE FOR INSPECTION RE9UEST:CALL 726-3769 (recorder) state yOUl' City dosign:J.ted job nwr.ber~ job aC.drcss~ type of in3poa:icn
raquestcd and when you will be ready for ir.spccti.on~ Contractors or Owners ncme end Fhor.e number. Requests recei~ed cejere 7:00 ~
t....il1. be made thG same day~ requests made afta'" 7:00 a'7l 1Ji1.l. b3 made the nat :JOrking day.
_.r?tujpitpt1 T'1$~~f'tir:~F1
O SITE INSPECTION: To be made after
excavation~ but prior to se: up of
forms.
D. UNDERSLAB PLUMBING, ELECTRIC.1L &
MECHANICAL: To be made bolor", any
work is :Jovcred.
rl FOOTING ~ FOUNDATION: To be nude
~ after trenchss are excavated and
forms are erBcted~ but prior to
'dFOUring ccncret~.
_ UNDERGROUND Pr,UUBII1G, SErVER, W.1TER,
! DRAI/lACE: To be made prior to fi!-
, Zir.g trenches.
o
UNDERFWOR Pf.Ul-fBI.'IG & MECHANICAL~
To be made prior to in3taLLation of
f100r insu1.aeion or decking.
POST AND BEAM: To be rr.ade prior to
instaLLation of f1.oor insulation 01'
dsoki... .
ROUGH PUetBll/G. EU:CTRICA~ & MECH-
ANICAL: No wol'k is to bc covered
,ur.tiL these inspections have beer.
made and approved.
FIREPLACE: Prior to p1.acir.g facing
materiaLs and before framing inspec-
tior..
I
10
10
D
O FRAMING: Must be requested after
approval of rough p1.urr~ing~ e1.ectri-
cal & mechanwal. AH roofing
bracing ~ chimncys~ et.::. m"...lst be
;.complotcd. No work is to be con-
.... coaled until this inspection has
~b6~~ made and approved.
r-vr FIliAL PW/([JIIIG
~ FINAL /~ECHAIIICAL
J
[] FINAL ELECTRIC~L
o
YOUl' City Desigr~tcd Job Numb6r Io:
O INSULATION/VAPOR BARRIER INSPECTION:
To be ~ade after aLL insul~ti~n a~4
. roqu-:.red vapor carriers arB in pZace
but before any Zath~ gypsum beard 01'
wall covering is appLied~ and befor6
any insulation is conceaLed.
O DRYWALL INSPECTION: To bB made
after aU drylJalZ. is in pZacB~
but prior to any taping.
O MASO/lRY: Steet toaation, bo~
beam31 grou;ing or verticals in
accordance tJith U.B.C. Section
241$.
O WOODSTO'lE: After instaLlation is
ccmpleted.
O CURB & APP.r?CACH APRON: Afte:, forms
are ore:Jted but priol' to pouring
~'on.:rete.
. SIDEWALK d DRIt'EWI.Y: For aU COn-
Cl'ete paving within stl'eot l'ight-
of-I.JC.Y~ to be mado after aU e:cca-
vating complete & fqr:m work & cub-
. base material. in p~e.
O !"ENCE: Wher. complote -- Pl'ovido.
gates 01'" movable sections through
P.U.E. .
o
RFfn4OC1
I DE.'-!OLITIO!.' OR ;'.:OVE; BUILDIilGS
~ Sani:ary 8e:Jer :::apped ::t p~op'rt"i lir.o
~ Septi" tank Y-"y&d and 11. l b~ tJi eh ;ra:l.i!
I Pinal - mIen above ite:ns a:re completed
~ ar.d when d~litior. is complete or st:-u:.
turo moved and prcmiaes oleaned up.
I MobHe Hcr.:ee
~~Oaki"9 and Sat-~p
::J ~lumbing connections .- SCUer' ar~ ~a~er
~lcctrical Conneotion - Blooking~ S6:-U;
~ ~nd plumbing connections nr~8t ce a??r~~f
before request!ng eleo~rical in8pec:io~
:=J AcaeSsol"d Building
"-J Final - Aftor p:Jrcr.es~
~ etc. are cQmpIB~~d.
Bkirti.ng~ decks~
D
All. project conditionsl Duch as the instal1.ation of B~reet trseB~ c~~lotton of tn.
required landsacpir.g, ate" "",at be eatisfied before the BUILDIIIC FIliAL aan be raquescsd.
~
FINAL BUILDING: The Final Building Inspection must be requsDtsd altoI' the Final PZumbiltJ
E!eotriaa!, and Meohar.iaa! InspeatioTUl hava been made and approved.
'ALL I1ANHOL~S AND CLEANOIITS /lUST B~ ACCESSIBLE, AWUST!fE/lT TO BE /,/ADE AT 110 COST TO CITY I Pa.e ! of 2
I JOB No,8Qn3'7f'
I Zone: I..J)(<. N\4,>
Lot Sq. Ftg,
S of lot Coverago
# of Stories
Total. Height
Topography
SOLAR ACCESS REQ,-
OacupanCl/ cr4/('J'\
LOT TYPE
1.5:1: ,uc,u~1 tl-f3::f:01 ,161~.d') _
, <9'5,00
l,d5
Q(p,'ct51-
I
I
lITEM
I Main
I Ccraae
I Ca~tlo}"t
I ACC6BSOl'U
, SQ,FTG
I
I
Is.D.c.
TOTAL VALUE
Sui Zding Permi t
State Su:rcharge
Total Cha:oge3
I ITEM I NO.
I~ ~Ylul')l
I Rosidsntial (1 bath) i I
IsonitalY SelJer I \
I~t~ \
I,~'\ \
Plwnbing Perd. t
.State Surcr~e
Total Chal'oes
I ITEM I NO, 1 Ft.~E
Res. So. fto.
Naw/Eztend Circuits I I
4.,."r.... ...... d Servioe 1'1 I
\ ~t&t { .J) I \ I
,
EZectl'ioal Pe1'fflit
State Sur::ha.rqe
Total C1Ul1"ces
IITSM
I I FUrnaoe ETU' S
I E.:haus t Hood
I Vent Fan
1/10./
I
I
I
I
WOOdSt01JB
Permit Issuanca
Mechanical. Permi t
State Surcharac
Total C'hart''Jf!
-- E/lCROACH/./ENT --
I SSC".lnttJ D2P03it
I 'Storage
I Maintenanae
I I Permit
I I
/eurbcut
I Sidewalk
Total ChaNoB
f\O
l~loo{
IFe~e
j Electrical Label
I Nobi 1.e Home
I
I
I TOTAL AMOU/IT DUE:-
I
I
I I-
/ I
1\00U I.
I I
I I
I~~CO r
I \ ,l""S I ( r \,
I ~~o~o
~,~f] _ '{ignsd
Interior
Corner
Panhandle
Cut-de-sao
x
Value
PEE
CP.ARGE
1",\00
Ic9D ,cD
/ IS.oO
1<.0.0.00 I
1'10,00/
I 3,501
I 1'')3 ,<;=-{) ,_
"'HARC;';
15.cP
Ils,oO
I ,':2.[) rD
I,~I
?, \,SJ I-
FEE
CI/ARCE
,.
L-COC'
.
~
r\
I Lot, Faces -
I P.L.
jtlorth
IEaut
ISouth
/rleot
T;pe/Cor.st: .
I I Enernu Soul'ces
II
Aceeos. I I
II
II
II
II
Bearoor.:s,
TiJ:'e
Heat:
Setbacks
House I Caraqe
i
i
I
Watel' !-lp.atp.1'
Range
Fireplace
WoOdo tOile
Faes
Building Value & Permit
This pe~t ia granted on the express condition that ths said constJ~ctic
shall, in all rospects, conform to the Ordinanco adopted by tho City of
Springfield, incZuding the Zoning Crd~nanc9, regulating the ccnstF~~ticn
and uce of buildings, and m~y be Bucpended 01' revoked at any t~me upon vi
lation of any pr~visior.8 of said Ordinances. : : t
I Plan Chock Fo.: 11 ".--: ~,,<;..
Cate Pa::d: ,") -4 .p.,q
IRecdpt H: .
ISifl"ed:H\/ M )
Plumbing Permit
No percon ahall construet) instaLl, aUer 01' change any neu Cl' e=iDting
plumbing 01' drainage 8Y8te~ in whole 01' in part# unless such ps~aon io t)
legal posseS80~ of a valid plumbe~'s license# 4Xcept t~~t a person may dt
plumbin~ wo~k to p~operty which is owned# leased or operated by tho appl~
.cant.' .. .,
Electrical Perm it
'Where State LCIJJ requires tr.at the olectrical lJO~k be done by an Ele:::tncl
Contracto~# the electrical portion of this permit shall. not bo valid _,unt~
the tabel has b~en cigned by the Electrical ~ontractor. .'
Mechanical
Permit
-
\ \~ ~ ~~0{)9.P )
pfa,;i Exc:m1.ntlr~\ J \ J \
s-s-PYr
va".
I HAVE CARSFULLY ::XA1-II/lED the completed application for penni., end do
he~eby certify that an ir.fo:mation he~eon is true and co~~cct# end 1
f'..J.rthe~ certify that any ar.d atZ. work pe~fornted shatZ. be dons in acC'or-
dance odth the Ordinances of the City of Springfield, and tho I.a-",. of tl:
State of Oreg"n p~~taining to the work describod he~e-::n# and :hat NO ace
PAIICY 1J1itZ. be m:zde of any struatu.ra L1ithout parnti.ssion of the Suilding /)
vision. I further certify that o:1ly contra.::tors arod e.'17pz..,yees who arB i
co.":1pliance with ORS 701.05S witZ. be used on this project .
F
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