HomeMy WebLinkAboutPermit Building 1991-1-17
RESI~TIAL .1t Rcce~pt #
~,. " .. .. SP:'lIN.GFlELC' ,
APPLICA ~ N/PERMIT ' ~
225 North 5th Street
Springfield, Oregon 97477S ~
Building Division u..y"C~MP .
726-3753 . &:'0,'1 ~>cotl5 fi-!-ev,./, i~Y. t./
Job Location: ~ ScdI1<, ~\l'U~')<l.,~ ~
ABDeBDorB Map # AJ i A- I {)03~fk).4'ra.r Lot # ()'t''';\lh
P, \.od<. S LnT ~3
II Describe fl'ork:
L..LN~., rr.o\)',lo.. ~e.. 5rl; <-:'-f' ; 7X 58'8'"
n Addition G.oP~€;..\\'~ '
n RemodeL I1c~;, ~ pLDT'
n lIobiLe Rom3 J' '(e! n /.. 'j.
, Date of AppLication . ~ 2> "'"'~I' , VaLue ~/. /fO:S
Contractors Address ".Lise" II Bldrs Board Reg;.
General cllA/i"o./c-I5.n..\ (je;'to 1VI(~f..( it /......" YJ.!i.Cr1
i Plumbing '~P.v / 1-1&.",.-; (J).J ,d ~OV- 01. =It.. p p, .
I I' Hechanical f!" /...I) ~ I !t. 5n" ',3
EJ,ectl:i.cal '. Ue.... - ,
ISt1pe",,~.lgElectrician '-:1f':..//l--4 ~-,M -' - CJ4.C-S
U u ths -~8spontri.bility of tho ps";;; houir to BSB that all. inDpeationB are made at the propBl" tim~# tJ-.at <<:ch :;ddrS88 i8 rea.dabZe
j'rom ths street, and that the permi. t card is located at the front of the property.
.Bui!.di~ Divicion approved plan shall remain on the Building Sit:; at aU times.
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PROCEDURE FOR INSPECTION RE:QUEST:CALl 726-3769 (recordeX'J state your City designated job number, job add:rcss, typo of in3poc-:'icn
raqucsted ar.d when you wil.Z. be ready for inspection, Contractors or OIJners name and Fhone nwnbcr. Requssts received bofore 7:00 a':'l
..>i1.1. be made th& same day, requests made after 7:00 am LJil1. be made the nc:t:t :JOrking day.
",.. ,'. :.:, Y~ 'City DeDigr.ated Job !lumber I3: q (CJCx71
~Ji~p.~ Tn~Qq~~qnA
O SITE INSPECTION: To be made after 0 INSULATION/VAPOR BARRIER INSPECTION,
B3:cavation, but prior to set up of To be made aftor all. irwuk:.ti::m a:<.d
forms. .. . _ required vapor barriers are in place
D. pNDERSLAB PLUMBING. ELECTRICAL & \ . 0 :.:" 0 ~ but beforB .any . lath, !f.Ipswn board or
: MECHANICAL: To bB made before any \.. . '00 LXZl.1. .cover'L~ 'L~ appl'Led, and beforB
. LJOrk is ~01Jared. ':: ~y '1.7wuZatum 'LB conceaLed.
rYPOOTING ~ FOUNDATION: To be mads
lJ!:J after trenches are excavated and
forms are erected, but prior to
pouring ccncret~.
~ UNDERGROUND PLUMBING. SEWER. W.1TF.,&
~. DRAINAGE: To be rrruie prior to fi l-
o Ur.g trenches.
D UNDERFLOOR PLUMBING & MECHANICAL:
. . To be made prior to installation of
['toor insulation or decking.
O POST AND BEAM: To be made prior to 0 CURB & APPROACH APRON: Afte;:o forms
installation of floor insu.lation or are ereated but prior to pouring
decking. . ,""'~~ "",",rete. ,
I""")/"ROUGH PLUMBING . T,ECTRIC ~ --r MECH~ ~ 0 ~DEWALK & DRn1EWAY: Par an con-
~ ANICAL: No we k is C cOL'ered L..J crete paving within street Pight-
.w:til these ins ....tons have beer. of-ux::y, to be made after aU e.rca-
made and approved. vating carrplete & form work & sub-
FIREPLACE: ?r1".or Oto plamr.g facing 0 base material in p'Uu:e.
materiaZs and before framing inspec-
tier..
, I
Subdivision:
L". t-,I'\u-&,,L.)
().mer: Ln- L\~l)<' iJ
Addre33: i I '1q
.t'CUI TtJ-eR-S
JJ, 'te_lLV-l
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City: 'E~lI..'-. Or.
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D
PRANINC: Must be rBqussted after
approval of rough plwr.bing, electri-
.cal & mechanical. All roofing
bracing ~ chimneys, et~. rtr.J.st be
:' completed. No work is to be can-
.... cealed until this inspection has
'be~n made and approved.
<;<r ,
Pr.ane:
" ~l5 - q 0-3
q 7'lDd-
10u7r0
Sigr.~.;ji1JO ~ '.,
Date: ' /:- f / ~ C-f /
p""nt'
:J.-J - 9/ ,-xx-..I( f( bCf-
/;"~k- so, 9/1
Exo;!.res
I DEUOLITION OR MOVED BUILDINGS
~ Sanitary setJer ~apped at ~opcr~ line I
:=J Septia tank ~.J.mPsd and filz.a~ uith gra~el
] Final - rilum above items a:re ccmpZ.eted
ar~ when demolition is complete or st1'U~-
ture moved and premises cleaned up.
. Nobi le Hcmes
~Locking and Sat-up
~umbing connections -- saJor and water
--:-J,.Blcctrical Conn6ction - Blocking, set-up
~ and plumbing connections nr.J.st be approved
. before requesting electrical inspection
~ Acaesso1"';i Building
~l - /lft;;r p:)l'cr.es, skirting,
~ etc. are camplet~d.
decks,
Zip:
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~~
3 ~tJll ./
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PIIIAL PLUMBIIIG
All Froject conditions, auch as the instalZation of street trees, ca~lation of the
required Zandscapir.g, etc., must be satisfied before the BUILDING FINAL can be raquest3d.
o
o
,',
O DRYWALL INSPECTION: Tc be made
after azz. drywall is in place,
, but prior tc any taping. .
O MASONRY: SteeL "Location, oona
beam3, grouting or verticals in
accordance LJith U. B. C. Section
24115.
O WOODSTOVE: After installation is
c'''''p Leted. ,
O PENCE: When comnlete -- Provide
gate6 or movable" sections through
P.U.E. '
Bc9~~
. ,., ~~'O(lJ )
-J'-
PIlIAL MECHANICAL
FINAL BUILDINC: The FinaL Building Inspection must be requested after the Final Plumbing
Electrical, and Mechar:icaZ Inspectiona havo been made and approv2d.
o
@ FINAL ELECTRICAL~
,~,
o 'AiL MANHOLES AND CLEANOUTS !IUST BE ACCESSIBLE,
ADJUST!fENT TO BE MADE AT NO COST TO CITY 1 Page 1
of 2
~~ge G
I JOB ~. ?]((1i34. SOLAR ACCESS REQ.-
lzon.: \1 tt -1 Occupanc" Grou" .:""'-,
Lot Sq. Ftg. WT TYPE
Z of lot Co~erag~ ~nterior
!I of Stories Comer
Total Height.. Panhandle
Topography Cul-de-saa
FF:F: ClIARGE I
I
I
I -<JX="l CXJ I
/)::)00 I
AS .W
f') ~.CD
~.fJSl
~~.7Sj,
FEE ClIARGE-t"
/
,/
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I ITEM ; SQ. FTG
IIlain m 1'\ '
Gc:raGe
Caror,-,'t
ACC8SS0ru
~ lJ{\rtc\, rt\f'f of),
I""')" TOTA~ VA~UF:
I V (vat.uc)
S.D.C. 1.5;::
Building Permit
State Surcharge
Total Cha..""'f!8S
lITEM
Fi.:rtuPes
NO.
Residential 11 bath}
Sanitaru Seu>er
Wat2r
.J..l-'\-oe.r(\
Plumbing pe=i,t
State Surcr.arge
Total Charaes
lITEM
Res. Sa. fto.
I New/Extend Circuits
Temporary Service
NO.
/'
Ele~tri~rmit
:..sd: Su:r~ht;uoae
/" Total Charqes
,
ITEM NO. FEE
Purna:ce ETU' S
I Exhaust Hood
I Vent Fan
I WOodstO"JB
Permit Issuance
Me::hanica.l Permit
State Surchm-ae
Tota I Charaen
-- ENCROACHMENT --
SeC-.lntt! Deoosit
Storage
Maint~e
Fermi t
Total Charqes
CUrbcut
Sidewalk
\ ol)
Fen::e
Electrical Label
M:b:A~~~
~OJA
I TOTA~ ANOUII, DUE:'
X Value
,'j! XfY3
./
c~oaJ
~e:,.lrL~
l~{O~~I'
I 44.cD
r!J A.l
411J.f13 '
CIIARCE
{\ \~,
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nl(\)
IY.cCJ
~.f),c:::.,
]S.~~
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781.:11
L-COG~
I Lot Faces -
I Setbaaks
I P.L. 'House 'Ccuoage
INorth
,lEast
ISouth
IWest
~ dr'....... ,,' ......
Be ooms: '-- )
Ener-all SOU1'aes _ _ Ti.!oe
I .~~at r L./
, Aacess. I Water .l/p-atfl' ~__
I Range 'i' -'
I Fil'eplaae
I Woocta tOIle
I
Type/Cor'.8t:
Fees
Building Value &. Permit
This permit is granted on the express condition that the sdid construction
shall, in aZl respects, conform to the ordinance adopted by the City of
Springfield, including the Zoning Ordinance, regulating the ccnstructicn
and use of buildings, and m::zy be sucpended 01' r-evoked at cny time upon vicw
Zation of any provisions of said Ordinances.
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IPlan Cheak Fee: r ~
IVate Paid: ('\ l~
IReadpt #: ~
IS~
Plumbing Permit
No person shall constrruct, instaZl, alter or change any netJ or e...-isting
plumbing 01' drainage system in ~hoZe or in part, unless such person is the
legal possessor of a valid plumber's licenslJ, except that a person may do
plumbing ~ork to property ~hich is owned, leased or operated by the appli-
cant.
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Electrical Permit
Where State LaLJ requires tr.at the electrical work be done by an Electrical
Contractor, the electrical portion of this permit shall not be valid until
the Zabel has been signed by the Electrical Contractor.
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Mechanical Permit
\)~ )
1't.an E:1Zminer
,[ IIAVE: CAREFU['~Y EXAMINED the aamploted oppZiaation for permit. and do
hereby certify that all info:rmation hereon is true and correct, and I
folrther certify that any ar.d all lJOrk perfor:ned sha'll be done in accor-
dance with the Ordinances of the City of Springfield, and th~ L<r..:s of tho
. State of Oregon p~rtaining to the work cescribad herein, end that NO OCCU-
PANCY will be rrrlde of any structure without parmisaion of the Building Di-
vision. I further certify that o~ly contractors and ~lQyees who are in
compliance LJith ORS 701.05$ wiU be used on this project
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c_ >>d..Jf. -
/ /17/9/
Date
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DEVELOPMENT SERVICES
PUBUC IIIIORICS
METROPOUTAN WASTEWATER MANAGEMENT
225 FIFTH STREET
SPRINGFIELD. OR 97477
(503) 726-3753
MANUFACTURED HOME SET-UP AGREEMENT
As required by the City of Springfield
that with the approval of the attached
manufactured homes will be placed at
Springfield, Oregon, City Job Number
Development Code, I understand and agree
permits, one of the'fo!!owing ,
/oOS ,~('rltSb(o~
q{lX)~ .
o
Class A Manufactured Home. A manufactured home of not less than 24
feet in width and 16% (not less than 2:12) roof pitch, with exterior
dimensions enclosing a space of at least 960 square feet, with roofing
and siding materials that are commonly used or compatible wi.th site
built homes. ,
o
Class B Manufactured Home. A manufactured home of not less than 12
feet in width and 16% roof pitch, with exterior dimensions enclosing a
space of not less than 500 square feet, with roofing and siding
materials that a~e commonly used or compatible with site built homes.
I further state, by my signature below, that I have been provided with the
following information:
- Mobile home blocking
- Sanitary sewer' connection
Yater line connection
- Electrical connection
- Street tree standards
- Minimum requirements for permanent steps
Jhu ~ ,-;;j.~ A....
Signature
- ~. - ..;
/~'//9/
Date