HomeMy WebLinkAboutPermit Building 1989-5-23
.. RESIDE"T1AL"
APPLICATIOJ!fpERMIT
225 North 5th Street
SpringfieZd, Oregon 97477 S-/O-rfl
Building Division ~. L\T2-
726-3753 ~ ..... -,"7
.
'-IR s Sc.o17s. c::./~ I..)/.)
/ilIA- \ f\{j?Jci f") \ -::?--, Tax LotN
1..o't" '44
;WIJ'
~
I Job Location:
~ ABceaoops Map #
Subdivision:
L '" ,J'\l'\..J e.rv'
CUneI':
'L~c..Hp,."er-..J
~"'l'JJe.Q.S
Address:
\ \ '\9 N ,T-I'17..(V,,"_ c~'
E l..l.'i e.v..Q.. _ O-re-.
_ City:
n
n
n
n
Rcce-:.pt !i
I?., """ ~ '?:-
.
j)vi,) E:-'
/I /.4 f} '6'3:0
BlrcJ::.. 5'
Phone:
b gg-b(PQ9
q74t:)~
\ \?)
\ I\,:l>
Zip:
Nr;M
Describe rI1ol'k:,. rJ
HCUs,A.. S'.I2.,,: ...2.Q
Addi ticn
xM
V~\4.'<... .f1?L/()0c7
Remodel
Clcc.e~Sod-" See. \l\oT \ll..:.."" I
Sigr:ed:
Date:
.'.lobi le Homa
Data of AppZiaaticn
3" ~ ..I
5h?/ or
ValuaX ~:J 01, J Sf>c DO
(.:ontractOl"S Addres3
GenePal E R.1,n~ -l. Sno.l'" '4-:' '10 i'/')~J 0. r ~.
Plumbing IJJ:>.Y""I~-ro/J \llm...\-', .u"r t.J~3S' J.A.Ke~ 5.t"
F:lectrieal ~ClLrn "P::a\.uV 0 1:130 W.Mi"Y
~ l1.ehar.icDI H:>. rrr 0 I ~ I2J res . -:; I'lL. M &J d,,,,,' 1..JJ
ConstJ'"Uction Lender
, It is the rssponDibility of the permit holder to SBe that all. irwpections are made at :he proper tim~~ that each .::ddress is rea=ab:.-
I from tho 8treet~ and that the permi t card is Zocatod at the front of the property.
*Bui!di!1f! Divioicr. approved plan shall. remain on the Building Sits at all times.
! .PROCEDURE FOR INSPECTION REpUEST:CALL 726-3769 (pccopdep) state youP City designated job ntm:ber~ job a.di:rcss~ typo of in3pec:ic,i
raquested ar;d w..:en you /Jizz. be ready for ir.spcction~ Contractors 01' OI.merB ncme end phone number. Requ&sts received before?: 00 c:1
i r...>iZl be made th& same day~ requests made after 7:00 an will be TOClde the n~%t :uopking da:f.
'I Your City Deoigr.ated Job Nwnb€r Io: n qC:J4.4._~
P. ir:"'p r'1'l'2~1t.1:r.n~
SITE INSPSC'!'ION: To be made after
excavation~ but prior to set up of
forms.
n UNDERSLAB PLUNBING. ELECTRIC,1L &
---1" MECHANICAL: To be made before any
wor is covered. "'l
c ~ :l
FOOTING ~ FOUND,1TIOIl: To be "",d.
aftep trenches are excavated and
forms are erected~ but prior to
pouring ccncp.t~, ;;aD \ ')- (..
NDERGFKJUND PLUMBING.. SEWE:R. W"1TE.~
DRAINAGE: To be made prior to fiL-
7.i.r.g trenches.
All project conditions~ ouch as the installation of street trees~ c~~lotion of the
\'1 required landscepir.g~ etc. ~ must be satisfied before the BUILDING FINAL can be raqu6st3d.
~INAL BUI~DING: The Final Building Inspection must be rsqueotod afteI' the Final Plwnbing
\.!::.) Electrical~ and Mechar:ical Inspectio1UJ hctuo been made and approved.
UNDERFWOR PLU/.:BING & MECHANICAL:
To be made priop to instaLLation of
jtoor insulation or decking.
POST AND BEAU: To be made prior to
instaLLation of [toOl' insulation or
decki"!; .
ROUGH PLlfHBI/IG. ELECTRICA[, 11 MECH-
ANICAL: No work is to be oOL'ered
.ur.tiL these inspections have beer.
made and approue.i.
FIREPLACE: Prior to pZaoir.g facing
materiaLs and before framing inspec-
tion.
F~11ING: MUst be requeoted after
approval of rough pl~bing~ electri-
cal & mechanwal. An roOfing
bracing & ChimnCY8~ st". lTT'.lst be
;"completcd. !lo wrk is to be con-
.... cealod until thio inspection has
~ bee.n made and approved.
?"'I
FIliAL PLUM/WIG
FINAL I1F:CHANICAL
FINAL ELECTRICAL
\.\~
Li3C. #
ExPires
Phone
t.~R~ Si'tf h.t!
l./~S'7t7
, P'Iv.. / S?TD
t. 'f{ 7'- 7.f"'7l/J
1../ / 1J"l1 ..:J-:J.- 7'D
SSLf?t/.
:20 -.:J.t3CJq"lS;)
O INSULATION/VAPOR B.4RRIER INSPECTION:
To be made after all insulati::m aY'.d
. pcquired vapor baJ'Tiers are in place
but cefore any z.ath~ gypswn boa:1'd or
wll covering is appUed~ and before
any inouZation is concealed.
r DD!OLITIO!! OR ;'.:OVE!; BUILDIilGS
:=J Sanitary se"..Jer ::apped :::t p~opo;rt:i lir.e
=:J Septi:: tank p-.Ili:pi.'d and fitz.a~ vith .;ra-;;1:
O DRYWALL INSPECTION: To be made
after all drywZl is in place~
but prior to any taping.
::J Final. - rl'hen abcV6 ite.'7ls are ccmplotcd
and when :1e:molitior: is complete or st:-u,,-
ture moved and pr~3e8 aloaned up.
O MASONRY: SteeL. location~1 bond
beam3~ grouting or verticals in
accordance J.Jith U. B. C. Section
241~.
O "OODS f' I' -' ,~,~ "/t Blocking and S.t-"P
.' TOVF:: A tOP <nata ~t<on <")v ::...J
completed, r 1
-:J:J ~wnbin.g connections .- SaJBI' and Wa~el"
O CURB & APPROACH APRON: Afts,;, forms ~lectriaal Conneotion - Bl.ockin.g~ sot-up
are created but prior to pouring S)...;:J and plumbing conr.octicns nr..:st to cpprov,c'
concrete. before requssting elec:rical inBpec:io~
'0 SIDEr{ALK & DRIVEWAY: For all ~on~l ~ ' ,
crete paving within strefJt right-.J ~ ....caosool";,. au..ld-:.ng
of-way~ to be mads after all e:r:ca-", ~
vating c~let~ & form work & cub:.;~ Final _ Aft~r porcr.eB~ skirting~ deaks~ .
. base metsnal ..n pla:::e.. etc. are complet;;d.
. Nobile Herner:
O !'ENCE: Wher: compZ6te -- Provide.
gates or movable sections through
P.U.F:, '
EJfl~n~~~,
o
'ALL MANHOLES AND CLEANOUTS IIUST BF: ACCF:SSIBLE, ADJUST!IF:IIT TO SF: MADE AT 110 COST TO CITY I Pag. ! of 2
r--
I JOB NO, PAf"Nt~ SOLAR ACCESS REQ.-
Zona: l 1) Q j Occupancy Gr4 \\' ~
Lot Sq. Ft{;. LOT TYPE . - I Lot Faces -
I
:: :Jf Zot Caverag:; Interior
I P,L.
# of Stol"ies Corner INOl'th
TotaL Height PanhandLe East
Scuth
Topography CUI-do-sac IWest
L-coi..
Setbaaks
House Carage
Type/Const: .
I I Enerou Sources r:-F
I I Heat
Access_] L__W<:.f.';!!,.l/~F_
.' r-Ra'lge C-
. I I ' Fil'BDZaCe
_I .1 _ _.Woodotove
II
Bedrooms:
Tii'C6
Faes
lITEM
SQ, FTG
x
VaLue
Building Value & Permit
,'kzin
GmtaaB
This pernr~t l..G granted on the express condition that the sdid constructiol
shallJ in aZl respects, conform to the Ordinance adopted by the City of
Springfield, inc!uding the Zoning Ordinance, regulating the ccnstF~aticn
and uae of buildings, and may be 8ucpended or revoked at any time upon vi,
lation of any pl':Jvisior.s of said Ordir.ances. : :
CarDOl't
Accessol'~ \--
I ~ 1/\0 <iJi
It)' - \j- TOTAL VALUE
Is.D.c. 1.5 x ,va'::''1Q,I~':'\.OU L~3,Q.33 .-)')
, /'
~q,~L~/
,.q-~ ,
30,qPY ,
\ 1!4[) ,CO
----- -
'\
\
J
Total Charges
Iplan Check Fee:
Date Paid:
lRecG':ipt II:
ISi!]"ed:
\\n
--:;-
J
Building Permi t
State Su:rcha:rge
lITEM ~,
I Fixture" ,\\C\T't l f
IResidential (1 bath)
I Sani tarry Sewer> f
I Water I
I ,-~I'\\
FEE
CHARGE
\~.OO
Plumbing Permit
Total Charaes
:J{).CD
1~.oO
Iril';.oO I
liD cD rS:-
I 3.~ I
I fj~,~ I,
No pereon ahatl construct~ instal!, alter or change any new CI' e:isting
plwnbing or drainage system in whole or in part, unless such per>son is tJ:
legal possessor of a valid plumber'~ license, except tr~t a person may de
plumbing wor>k to property which is owned, leased or operated by the appli
.cant.' . .
PZwnbing Pern:i t
State SUI'cr.lU'fJe
I ITEI-I
I Res. Sa.
I NO: \
FEE
CHARGE
Electrical
Permi t
fto.
FEE
15,(..0
1 'S ,OU
,,0.,\' ['n -'-I
\ Sl,;1
~\.~I,
I CHARGE !
I I
I I
I I
I I
I I
I I
I
I
I,
-Where State Law requires tr.t1.t the electr-ical tJOrk be done by an Eleatncc
Cont~ctorJ the electrical portion of this permit shall not be valid unti
the ~eZ has been Digned by the Electrical Contractor.
Nsw/Extend Circuits
<T-.r""ffrY Service 1\
J~~OJ~ II
Ele~t~ical Permit
State Sur~harae
Total ChaI'qes
lITEM
I Furnace PTU' S
I Exhaus t Hood
I V(l1'It Fan
I Woodsto;;e
rC'1
I I
I I
I I
I I
Mechanical
Permit
Pernrit Issuance
Me::hanica.l Permi t
State Surcharae
Total Charaeo
-- ENCROACHMENT --
I SeC"'.4~tl/ Dar:J03it
I Storage
I Maintenan::e
I Permit
I Total Chal'QCS
I Curbcut;
I SideLJalk
\~fo.) ~~t0
ium -Excminerl , - '\ \-
6-llo ffi
"".e
\o()/
f\ 10--.-
14 nn
I I HAVE CAREFULLY EXAMINED the completed application for permit, and do
I hereby certify that aU info~tion hereon is true and correct, and I
, f..trther certify that any ar.d all. work perforored shall be done in accor-
I dance :.Jith the Ordinances of the City of Spr>ingficld~ and th& L<r..;s of tht
~ State of Oregan pzrtaining to the work describcd herein) and ~hat NO oce:
PANel will be m:zde of any structure lJithout permission of the Building D:
vision. I further certify that only contractors ar.d e:npl"yees who are i,
\ compliance with ORS 701.055 will be used on this project
,-:,
I
I Pen::e
I Electrical Label
1 MOM le Home
I
I
I TOTAL AMOUNT DUE:"
?,s ()() -1/
I I fJ~1
I
~L\.Ck '
~..9AL r; m~J) Cb.kt
Signad
G;z~-&9
Date