HomeMy WebLinkAboutPermit Building 1990-6-14
.. RESID.HIAl:o
APPLICATION/PERMTT
225 North 5th Street
SpringfieZd, Oregon 97477
BuiZding Division
726-3753
_ ~a..r\:e~:Ei- _I f"-p"e.R-
_ z:;o 5" Sc.& '[15, ~(~ 1:; rl -'-L...
AA A- 17 O~?'J"d, ')..T= Lot # U (,4 . O~~()D
B~ ~ L.,,'f' '-17
Job Location:
ABGeSGOrs Map #
Subdivision:
LCJc-h4t/~V
<).mer: u"JA",.;-eoV' Pf"t,rl,v~
Address: II <7e; ;1/. r",,,'1 W'
,
City: ' E UjLM ""- Dv-- .
IY1.Cb:~ ~ c;,..i,~:"
<!.cv1..c.A..iA. ~"t"""'-~ \ '
tJ.t..t..QMor:.,.,: ~ p ~'r P 1.t.J
~Ze~ . 0
Date of AppLication Value -4,q, do:' \ 0_
Contractors Address ".Lisc. II Bldrs Board Reo:.
General F~,'\. ~ 4'i'lO 1t4.o"';'~_ A, '-I/uCf7 , .;.1(
Plumbing -ca., '~(, u. J..u.- 3"'7 -jT ~ ",;1 ~$3..J.p
Hechanical Sr...., A7" J
El,ectrical -1(~ ~,-;::v...c... /20 Ci', W/ -Zo-2../5c/9ttc;-S
Sl1pe",,~1g Electrician ~~^t- ,,~A...M-7'Y5--5
It ia ths 1'6sponoibitity of ths Pflrmi( holdSr to 888 that an inopections a:J"8 made at the proper tim€.~ that each .:dbS88 is readabts
from ths strest, and that ths peJ'olit coro i. Zocatsd at ths front of ths prop81'ty.
-Building J>I~1Jicior.. approved plan shan remain 071 th.z BuiZding Sits at all times.
PROCEDURE FOR INSPECTION RE:QUEST:CALL 726-3769 (recorder) state your City designated job nurr.ber, job cui&cB8, type of in3pec-;icn
roaqucstcd ar.d when you viH be ready for inspection, Contractors or Owners ncme and phone number. Requests received before 7:00 am
:..'iZl bs made ths same dt;y, requests made after 7:00 am L1i11. be tmde the nczt :iIOrkin.g day.
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N~M
Addi ticn
Remodel
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O SITE INSPECTION: To be made after
excavation, but prior to S8t up of
forms.
O ' UNDERSLAB PLUMBING. ELECTRICAL &
: !1.I'lHA.NICAL: To be made before any
. work is .::ovcred.
dFOOTING & FOUNDATION: ' ;0 be nrzds
Ll!:J after trenches are excavated 'and
forms azoe erected, but prior to
pouring concrete.
r:-l.A1NbSRGROUND PLUMBING. SEWER. W.1TER,
lJt1 DRAINAGE: To be made prior to fil.-
.7..ir.g trenches.
o
UNDERFWOR PLUMBING & MECHANICAL:
To be made prior to in3tal~tion of
floor insulation or decking.
o
POST AND BEAM: To be mad. prior to
instaz.z.ation of floor insul.ation or
decking.
ROUCH PLlP.!BIlIC, EDECTRICAL & MECH-
ANICAL: No work is to bc covered
,ur.til. thcse in8pections have beer.
made and approved. " .
FIREPLACE: Prior to pZc:.cir.g fc:.oing
material.s and before framing inspec-
tion.
o
D
O PRA}!ING: Must be requested after
approval. of rough plurr.bing, elec-tri-
cal & mechanical. All. 1'00fing
. braaing a chimneys, et~. lIT'..lst be
~ completed. No work is to be con-
.'"" cealed until thiD inspection has
.b6~n made and app1'Oved.
o FIliAL PLUMBI/lG
o PINAL MECHANICAL
o FINAL ELECTRICAL
o
o
Pr.one: ~ 1( %-<7/.;(5
Zip: q '2 <t;o-z.-
Describe fI'ork:
Your Ci-qj Desigr.ated Job Nwnber IlJ:
O INSULATIONIVAPOH BAHRIER INSPECTIO/l:
To be TTrlde after all insuk:.ti:m CC".d
"- _ . required vapor barriers are in place
,:" . ~ but before any lath, gypsum board or
, wll covering is applied, tmd bsfore
. any insulation is ooncealed.
,',
O DHYWALL INSPECTION: To be made
after all drywall is in place,
. but prior to any taping. .
O MASONRY: Steel location, bo1u1
beam3, grouting or vertioals in
accordance with U.B.C. Section
2415.
O WOODSTOVE: After instaLlation is
ccmpLeted. .
D CURB & APPROACH APHON: After forms
are ere.::ted but prior to pouring
conarete.
, r:-'J...6IDEWALK & DRIVEWAY: For alL oon-
~ crete paving within street right-
pf-way, to be made after aU exca-
vating ccnrplete & fom wrk & sub-
, base rrr::.terial in pla:!e.
Rcce,pt #
"I-(",)~'...J..
-
.
~
Signed:
Date:
flJ taD _ .
(p-14 -0[1' ~
Exp~res
PI, "T1 p
t. f Sr- ,fit. r-
7...V7~ 2rdJ
3'1'1 ktJiJ
qOOllQ
DEMOLITION OR .~JOVE[) BUILDIHGS
=:J Sanitary setJ6r ~apped ~t p:..opert'~' lir.s
~ Septi.:: ~ ~~ed and fille~ with gra~el
:J Final - rnum above ito:ns are ccmpleted !
ar~ ~hen demolition is complete or stru~-
ture moved and prc:mises ~leaned up.
Nobile HcmeB
=:JrBlocking and Set-~p
~lwnbing connections -- sewer and ~a:er
~ctrical Conr:ection - Blocking, Bet-up
.J2::J ~ plumbing connections fTr~st be approved
. before requesting elec~rical inspec-;ion
~ Aceessol'"lr' Building
~l - Aftar p::Jror..es, skirting, decks,
~ etc. are completed.
O PENCE: When complete -- Provide.
gates or movable se~tionB through '0
B'C.'bW~
c4C\\uJ\JLC9.
All project conditions, such as the l.".nstaz.lation of street trees, co.~lation'of the
required landscc:pir.gJ etc., must be satisfied before the BUILDING PINAL oan be. raquestad.
PINAL BUILDING: The Pinal. Bui1..ding Inspection must be requested after the Final Plumbing
Electrioal, and Meohar..ical InspectiornJ have been made and approved.
!tAiL 1.fANHOLES AND CLEANOUTS HUST B~ ACCESSIBLE, ADJUST/lENT TO BE M.1.DE AT NO COST TO CITY I Page 1 of 2
r;:zge ~
.1 JOB NO. .Affi1/Q SOLAR ACCE~S REQ.-
Zone: \ 1 )\<......' Ocaupanc" Grou~<':.5
Lot Sq. Ft{;. WT TYPE Lot Faces -
:c: '''f lot C(Jl}erage Interior
# of Stories ............ Corner
Total Height Panhandle
Topography Cul-de-sac
I
lITEM
, SQ.FTG
m\--\
-
GCTaae
Caroo.t
Accessol"U
TOTAL VALUE
Is.D.C.
IVC/..uC)
1.5 :J:
Building pernrit
State Surc/unoge
Total r;ha.-ges
lITEM
I r..... 4f" N\ ~
I Residential' II bath)
I Bani ta~ SmJer
I~~
. Plumbing Pe=i.t
NO.
State Surcr.arge
Total Charaes
ITEM
NO.
/M- -- ~ m-N
I New/Extend Circui ts
11'
\'
NoU_
Elea"trical Permit
State SurcharQe
Total C'harqes
lITEM
I Pur1%ace !!TU' S
I Exhaust Hood
I Vent Fan
I Sloodstove
NO,
Permit Issuance
Mechanical Pemt
State Surcharae
Tot" l ChaT'(mlJ
-- ENCROACHMENT --
I Sec-.,lri tu D200si t
I Storage
I Main tenance
I Permit
Total ChaPQCB
cUrbcut
f\/A
\~S"
Sid=lk
x
Value I
4C\?5 \L
, I
I
:.y~exJ.
~A~\ I
I t"1 <i<1 0 ~1 .
'~.:q)
c-O .~~
!tin. I"} ~ .
FEE
CHARGE I
\1(-) .W I
I
t.!.J().CO, I
.1'5.001
An cv
")n.co
3.5UI
'13.5UI.
CHARGE
15.00
FEE
FEE
CI/ARGE
Q5
,z5
(251
?/\ .rl C; I
I
I Fence
I Electl"icol Label
I Mo1Ze I/~e
~i\-o-\--o ) ~ '
'~l I S,2jSj
TOTAL ANOUNT DUE:/J3 .19~ I,D8/.tJ. sd
I~C\ .8-.,S
I\~,~I
I
I
1
I
I
I
I
I
I
'.
T;.,'pe/Cor:st:
.
L-COG~
,::)
Setbacks
P. L. . House ' Garage
North
i Access.
I
Bedrooms:
I Enerctl Sources
! I :ieat F- ~
I I Water Hp.atp.1' e.-
I I Range "iE->
I I Fil"eolace
I I Woodotove
II
Ti.rDe
cast
South.
West
Fees
.,
) Building Value & Permit
~This permit is 'gronted on the~ress conditiorithat the sa"f.d construction
shalt, in all respects, conform to the Ordinance adopted by the City of
Springfield, incZuding the Zoning Ordinance, regulating the construction
and use of buildings, and may be suspended 01' revoked at eny time upon vio-
lation of any provisions -of- said -0r4i7lfIY'f!e~.
, "
!
'"
Inan Cheek Fee:~'
Ivate Paid: ~ ~
IReceipt a:' \.
ISig,:ed~'
~I
I
I
I
Plumbing
Permit
No person shall construct, instal!, a~ter or change any new or ~-isting
plumbing or drainage syst~ in whole or in part, unless such person is the
legal possessor of a valid plumber's "License, ezcept that a pe:!"8on may do
. plzmo.bing work to property which is OLmed, leased or operated by the appli-
. cant. . .
"
.,'
Electrical
Permi t
Where State LaLJ requires tr.at the electrical. work be done by an Electrical
Contractor, the electrical portion of this permit shatt roOt be valid until.
the Zabel has been signed by the Electrical Contractor.
!)- +- Q..., 'd-~ . SO
\ . \'"3
.
Mechanical
Permit
~-
__'_, ~r\W
Pl.an E:rcnn.ner ,.....,"\ I
l o.l~ .q()
uat:e
I HA VE CAREFULLY EXAMINeD ths comp leted app l ication for pel'mi t, and do
hereby certify that aU info:oination hereon is true and COl'Tcct, and I
t.nother certify that any ar.d all work perfor:ned shatt be done in accor-
dance :Jith the Ordinances of the City of Springfield, and th~ La:Js of tho
A State of OregDn p$l'taining to the work described herein, and that NO OCCU-
PANCY will be m:zde of any structure without pemission of the Building Di-
vision. I fU1'thel" certify that cmly contl"a~tors and enpl"yees who are in
compliance with ORS 701.055 wil.l be used on this project
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IL -", .
u~nad
~-f1-90
Date