HomeMy WebLinkAboutPermit Building 1989-4-18
.. RESIDENTIAL..
APPLlcJIPON/PERMIT
225 North 5th Street
Springfield, Oregon 97477
Building Division
726-3753
" .
Job Location:
I""1?;S ~(dt:') alon
d f) h C\ c<J f} m T~ wt H ~Gf{x)
AsoesooJ'c Map
Subdi.vi.sion,'
(Ajn~()Cj)a J LP J1 ) -r?v? j;lilL 'J
Addr;;;; 'I; qq /7, -rO m < './ PI;onc:
~~: C ~:
~r
NmJ
Additicn
Desct>ibc (,'or'e'
Rcce~pt !I
I ~-\ ( () n ' I
~~
l nlQJl CL OL rvvJ
'-/f ~Lo-G nlCLQ)
4:\0.~q \' 3v~438
n
n
Remodel
,'.!obi.le Hom:!
Date of Applicaticn
Contrac.tors
General
. Plumbing
I t'lechanical
I Electrical
I SUDervi~_,inh. Electr,ic iilfl
Addrpss
Lise.
II
BId rs Boa rd ReI!.
Phonp
l':xoires
It is the reaponDibility of the pe~it haUler to BBe that alt inspections are made at the proper tims# that Dcch ~e88 is r'ea=ab:~
J~ the street, and that the permit card is located at the front of the property.
~Bu.i!di~ Divi~ior: appt1ot,'cd pl.an slu:lZ l'emain on tha Bu.-:.lding Sit:; at aZZ times.
PROCSDURE FOR INSPECT JON RE:QUEST:CALL 726-3769 (r>ccorder) state YOUr> City designated job numbeI'~ job add:rCB8~ type of inopec;icl1
requested a~d w.':en you /Jill be ready fOr> inspection, Contractors 01' Owners name and phone nwnbcr. Requests received befol'e 7:00 a-:
l;,'iZl be nt'lde the same dcy, requests made after 7:00 am LJiLZ b~ m:r.de the next :.JOrking ~
YOUI' City Desigr.atcd Job Number> In: C5'-!(D 7 ( I)
_.q~IlJJ1:"'~!I; r"Rne>f!t':r.n.<:
O SITE INSPEC'!'ION: To bc made aftcr
exca~ation, but prior to set up of
forms.
O UNDERSLAB PLUMBING. ELECTRIC,lL &
MECHANICAL: To be roode beIGl's any
work is ~ovcred.
o
FOOT ING ~ FOUNDA T JON: To be made
after trenches Ql'e excava ted and
forms are el'ected~ but prior> to
pouring ccncr>et.z.
UNDSRGROUND PLUMBING; SSWER. W.1TE.9..,
DRAINAGE: To be na.:i.e pr>iOl' to fil-
lir.g trenchec.
o
o
UNDERFLOOR PLU/..'BING & MECHANICAL:
To be made prior to inatal.lation of
fLoo1' innuLation or decking.
POST AND BEAM: To be rr.ade p1'ior to
installation of flool' inst.<Zation Ol"'
decking .
ROUGH PLW!BWG. ELECTRICAL ,~ MECH-
ANTCAL: No 1.1Ol'}.-. ia to be <:O/,,'/?l'cd
ur.til these inspectior.s have beer.
made arui appl"'ova.:!.
FIREPLACE: Priol' to plccir.(J facing
materials and before fr'allling inspec-
tion.
FRA}~TNr;: Must be 1'equested after
approval of rough plwrbing. electri-
cal & mechanical. AU rooj'ing
bracing & chimn~ys, etc. nr~st be
. completed. !lo LJ:Jrk is to be con-
cealed until this inspection has
'been made and approved.
o
o
10
I
o
o
INSULATION/VAPOR BARRIER INSPBCTION:
To be made after all insul~tion ~A
l'cquil"'ed vapor bar1'iel'8 aPe in plaae
but befol"'e any lath, gypswn board or
wll coveT'ing is applied. and befoT'e
any insuZation is concealed.
I DEUOLITION OR ;\:OVED BUILDINGS
I
~
~
o
DRyr.,lAU, INSPf:CTION: Tc be TOOde
aftel' all drywll is in place,
but prior to any taping.
MASONRY: Steel location, bon.d
beama, grouting 01' verticals in
aaco1'dance with V.B.C. Section
2415.
WOODSTOVE: Afte1' installation is
ccmpZeted.
:=J Sanitary seuer ~apped at p:.oPC:1'tli lir:o
::=J Septic tank pumped and fill~d with gl"'Qnl '
I Pinal - rl'hen above items aPe ccmpleted
~ and LJhen demolition is complete 01' stM.~-
tUl'e moved and premi3es cleaned up.
- Mobile Hames
:=J Blocking and Set-:J.p
:=J Plwnbing connections scwer and ~ter
---, Electrical Connection - Blocki,~, set-u?
~ and plumbing connections nr~st te aPPl':Jved:
befol"'c requesting eZec:rical inspec;io~
:=.J Accessory Building
I Pinal - After p:JI'Ches,
~ etc. aPe campl~tcd.
skirting, decks.
o
o
o
CURB & APPRCACH APRON: After foms
are :Jl"'ected but pl'ior to pouring
.:Jon.:ll"'e te.
o
All pJ'o,ject conditions, ~;lu~h as tile ~'.1latallation of st1'oet tl'ees, eo.-:-rplati..::m of the
l"'equi1'ed lalldsccpir:g, etc. ~ must be satis[icd before the BUILDINC FINAL can be r2,quest.:ld.
D FIliAL PLUMBIJlG
D PINAL ME(,,'IIANICAl,
D FINAL EUCTRICt.L
D
o
FTNAL BV[[,DTNC: The Pinal Building Inspection must be requGoted after tlw Pinal Plwnbi,IJ
'Electrical. and Meclmr.ical Inspectiona have been made and appro~ad.
o
SIDF.:I.,IALK I: DRI1'Efh..y: For aU con-
Cl"'ete paving within stl"'ect right-
of-wc.y, to be made aftel"' all exca-
vating complete & fo~ work & cub-
. base matel"'iaZ in place.
I<A!,[, /.fANIIC[,ES AND CLEANOUTS JtuST BE ACCESSIBLE, ADJVST!fENT TO BE M.4DE AT NO COST TO CITY I Pa!.~i? or'J
o
!'ENCE: fI'her: complote -- Provide
gates Ol"' movable sections through
P.U.E.
o
I JOB No139aYlhOLAR ACCESS
I Zona: OacuooncJ./ crouv:.
Lot Sq. Ftg.
~ ~f lot Coverag&
# of stones
. Total Height
Topography
I
i ITEM
IMain
I Cr..raae
l Carvel't
11'loocGsor"
~ I
SQ.FTG
TOTAL VALUE:
Is. D.C.
fl)C./.UC)
1.5 x
Building Pe1*1l1i t
State Surcharge
TotaL Charges
IITE:M NO.
I Fixtures
I ResidentiaL (J bath)
I Sarti tary Sewer
1 Wete?'
I
plwrrbing Permi t
State Surcfo.arge
Total Charoes
IIT8M
Res. Sa.
'NO.
rta.
Haw/Extend Cil'CUits
Temporary Service
I
Eledtl'ical permit
State Surcharae
Total Charges
lITEM
I Furn.'lCC PTU' S
I Exhaus t Hood
I Vent Fan
I
I Woods to:Je
NO.
Pel"lTTit Issuance
Mechanical Permit
State Surcharae
Total CharaeD
I -- E:NCROACHME:NT --
Sec-.H'it_1I Deposit
I Storage
I Main tenanae
j Permit
Total Charoaos
Cw>bou~
I Sid_lk
I Fen:Je
I Electl'ical Label
!Mobile Home
I
I
I TOTAL AMOUNT DUE::"
I
1
I . (Y/',~, 6DC-
I4-COlo.~.-~q~.1l4 ~ \~
i OY\ c9-1f\/B1 I~~: ~~~~ F~~~~'?~
,. IHeodpt H: ~. (.::3...,~,:t/')
, ISigned: C'7iO)( I J)
I Plumbing Permit
LOT TYPE:
Interior'
Corner
PanhandLe
CUL-de-sac
x
Value
FE:E:
CHARGE:
F8E:
CHARGE:
FEE
CI/ARCE:
l$/ . f1~,
REQ.-
fA.U",'Q
L-COC'(;
Type/Cor:st:
lilt Bec~ooms:
. n EneI'm, SO:trces
II iieat
II
II
II
II
II
Ti('Oe
I Lot Faces -
I Setbaoks
I P.L. House earage I Access.
INorth
lE:ost
South
West
Water Hrw tel'
Rallfja
Fireplace
Wood:;tove
Fees --
Building Value & Permit
This pel'mit ia g1'anted on the e:rp1'ess condition that tile s~id. construction
shaU, in all respects, confoml to the oPdina1:ea adopted by tile City of
Sp1'ingfield, incZuding the Zarling C1'dinal1ce, regulatil:g the ccm;tructicn
and use of buitdings, and m~y be suspended or revoked at croy time upon vic-
lation of any p1'OviaionD of s,:id 01'dir'.arlces.
No pe1'eon ehaU construct, ins taU, alter 01' change any neW cr e:::isting
plumbing 01' drainage Bystem in ~hole 01' in pa1't, unless such pe1'son is the
legaL posseSS01' of a vaLid plumber's License, except that a pe:>son may do
pLumbing wo1'k to propc1'ty which is ow'ned, leased or opcJ'ated by the appli-
cant.
I
I.
I
I
Electrica I
Permi t
Where State lAw 1'equil'es tr.at the clect1'iaal lJOl'k be done by Q11 Elect1'icat
Contr'acto1', the electl'ical pOl'tion of this penrnit shall root be valid until
the Zabe l has been aigned by the Elec tl'ica l ~01l trac tor.
.
Mechanical Permit
Plan E:rcm1-ller
var..a
I HAVE CAREFULLY EXAMINED the completed appZication for permit~ and do
hereby certify that all information hereon is t1'ue and COI'1'cct, mui I
ftwthel' aertify that any ar.d all lJOl'k pOI'for:ned shall be done in acco1'-
dance :.nth the Ordinances of the City of Sp1'inaficZd.. arui th~ La...;s of tho
... State of Oregon PQrt.:Iining to the fsX)rk descI'ibed hcr6in~ c.nd that NO OCCU-
PANCY will be made of any etructura without pa~ieaion of the Building Di-
vision. I fU1'tho1' c61'tilY that onLy aontraatOI'B and ~~pZ~Y668 who are in
compliance with ORS 701.05~ wiLt be used on this projsct
S \J) U"L <L
Sign.~d
~~
L./- It-/?9
o..l~C