HomeMy WebLinkAboutPermit Building 1989-7-20
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.. RESIQiNTlAl..
APPLICA!'!ON /PERMIT
225 North 5th Street
.Sp't'ingfieZd, Oregon 97477
BuiZding Division
726-3753
Job Location: X- 'Tll..\ 5(' ~ G- \e",-~ ~R.
ABGe8GOrC Nap # /Ii ft.\ '7 h ~;y) ~4 TGZ Lot #
Subdivi8ion: LIXJ1/j.,/f' AI
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Address:
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City:
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Phone:
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Zip:
Describe rI'Ol'1<:
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EZoctrical .(..( A..I Ill, P-'r1)I.<) ~j
/18char.ica l _ c.. ( r tJ jl LL v-~ I
3r~C;C.s..rYli~ /d~ ,~
It; is ths l'BSp0710ibility of ths permit holder to Bee that all (nDpectionB CU"e r.1ade at ths proper tim~~ that each .:ddrSS3 is rea:.
f1"O/1l the street. and that the porrm.t card is l..xated at ths front of the property.
4Bui!ding rr:VtCW-:-: appl'ot:ed plan shaH remain on tJu: Bu-:.lding Sits at alt times. .
PROCEDURE FOR INSPECTION R~QUEST:CALL 726-3769 (recorder) state your City design::zted job ntm;beI'~ job addre8s~ typo of ir.3pec:~'
requested a~d when you wi~l be 1'eady for inspcction~ ContractoI'S or Owners ~e end Fharoe number. Requests received befere 7:0(
lI.'iH be made the same day~ I'equ.ests made afta' 7:00 am LliU be made the next :.JOrkin;; day.
" y;"'r City Deei(l>'.atcd Job Nwnbcr Ie: ~qm \ ~
Addition
Remodel
Cl..C.(~S&ALd- ~ SeG
.'''ob,l8 Homa r\ -I Q' _ CO
Data of Applicatic;n ". I 0 <0-'
(,'ontl'actors
Genera l.
Plwnbing
Rp.mli~p.n r~R~p~~~r.~~
O SITE INSPEC':'ION: To be made after
e:J:cauation~ but pl'"ior tc set up of
forms.
O UNDERSLAB PLUMBING. ELECTRIC,1L &
. NECHt!.'lICAl.: To be made be[or<iJ any
work is ~ovcl'ed.
r--7f" FOOTING ~ FOUNDATION: To b8 made
~ after trenches are excavated and
forms are erected~ but prior to
pourir~ ccncret;.
rlAlNDSRG.WW.'D PLUMBING.. SEWER. W.1TE.~
L:.Lf DRAIl/AGE: To be rmde prior to fiZ-
.lir.g trenches.
o
UNDERFLOOR PWI.!BING & MECHANICAL:
To be made prior to in3ta~l.ation of
11001' insul.ation 01' decking.
POST AND BEAM: To be made prior to
inBta~lation of fl.oor ins~l.ation 01'
decking.
ROUGH PLU.'!BIlIG. Er..ECTRICAL & /!ECH-
ANICAL: No work is to be covered
,ur.ti~ these inspections haue been
made and approved. .
FI.~EPLACE: Prior to p1.acir.g facing
materials and before framing inspec-
tior:.
D FRAHING: Must be requeoted aftero
approouaZ of rough pl~~ing, al.ectroi-
cal. & mechanical.. AU roOfing
bracing d chimncys~ et~. nr~st be
;' compZetcd. !lo work is to be con-
.... coaled until. thio inspection has
~b6~n made and approved.
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Dato:
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Lisc.H
ErpiroC8
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Addres3
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O INSULATION/VAPOR 8ARRIER INSPECTION:
To be made after a'Ll. insul..::ti,:m w.d
, rocquired vapor barriers are in place
but beforoe any lath, gypswn board or
uzll covering is applied, and before
any il't3uZation is concealed.
D
DRYWALL IllSPECTION: To be made
after al.l drywal.l is in pZace~
but prior to any taping.
LJ 149'7
,
/-.A-5- %Xl-
O MASONRY: Steel
bsam3 ~ g'I'OU ting
accol"dance lJith
2415.
D WOODSTOVE: After instal.lation is
ccmp~eted.
location, bo7uI
or verticaZs in
U. B. C. Section
~URB & APPROACH AP.-qoN: After- forms
L!J a1'e erected but prior to pouring
aoncrete.
SIDEr{ALK & DRD'EWAY: For all. con-
crete paving lolithin street right-
of-wcy, to be made after al.l exca-
vating complete & fo~ worok & sub-
. base material in pla::e.
D
O PENCE: M'her: compl.~te -- Provide
gates 01' movabl.e sections through
E13llit-L\J-u0
. DENOLITIO!.' OR gOVED 8UILDljlGS
~ Sani taPy se.Jero aapped ::t p~oPt:'tii l.i~;
.=J Septi~ tank p:J.,?cd and fitzc~ with gr'
I Final. - rl'hen ab..."'Ve ite:ns are cC:Ttpletc
~ and lJhen demol.itior: is compl.ets or 8t
ture moved and pr~3ss aleanea up.
I
NobiZe HemSD
~lOCking and Set-up
~l.umbing connections -- SCWBI' ar~ lJa:
~ctroical. Connection - Blocking, sat
~ a;cl pl.umbing connections rrr~st ce Gpp:'
before rsquesting BZso~rical. inspecti
:=J ACaeS301"".1' Building
,Anal. - Aft:Jl' p..,rcr.es~
~ etc. are compl.sted.
skirting, deck.
D
Al.l. project conditions, such as the instaL~ation of street traes, c~~lotion of the
roequiroed Zandsccpir:g~ etc., must be satisficd bcfore the BUILDING FINAL can be rsquest;(1,
r---./FINAL BUI~DING: The Final Bui~ing In8pection mu8t b. requ..ted after th8 Final Plwnbi,
~ ~l.ectl'ical., and Mechar.ical. Inspecti.ono havo been made and approuad.
o FIliAL PWMBIIIG
o FIliAL NE~HA!lICAL
o FINAL ELECTRICAL
o
'ALL NAIIHOLES AND CLEANOUTS IIUST BE ACCESSIBLE, .4DJUSTlfEI/T TO BE ~l1DE AT I/O COST TO CITY I Page! oJ
L-COG~
I JOB NO. P,qrl)/R SOLAR A.r.CESS REQ.-
Zona: r 1, '\ \.<...; OCCUDancw Gro k \.. ~
Lot Sq. Ft{;. roT TYPE
S of lot Covel'ag;; Interior
# of StOM.OS Cornel'
Total. Height Panhandle
Topography
ITEM
SQ.FTG
Main
Ga:race
CaY'OOl't
ACCeS801'U
I
I
Is.D.c.
TOTAL VALUE
1.5 x ,uc,u~.Do~
Bui Lding Permi t
State SUrcharge
Total Chazogea
I ITEM NO.
l-f'i=tmoes m \-\
I ResidentiaL 11 bath)
I Sanita'l"Y SelJer
Water
h+tJ\2 m
Plwnbing Perr.:i t
State Su:rcr.arge
Total Chal'aeB
I ~~~:I "". ,.Q. \'\\ \\ NO'1
NBtJ/Extend Cil'cui ts I
Temporary Seroice I
~~ ~ -r:e:::aZ Pennit I
U Stata Suroharoe
Total Charces
lITEM
I Furnace MU' S
I E.::::haus t Hood
I Vent Fan
I WoOdStOiJ6
110.
Permit Issuance
Me::hanic:zl. Permi t ,
Stato SUrcharoae
Total Charaeo
I ENCROACHI.fEIIT --
Sec-.41"itl.! DZOO3it
I Storage
I Maintenaru:e
I Permit
I
I Ourbcut
I sid_Lk
Total Chal'QOS
Lo(Y
Cut-de-aaa
x
Value
LI[D. UO
I I
13lol.2.lol.
I
Il 0 .CD I
..Rn I
Ii o. 801.
FEE
CHARGE \ ,
\sm'
FEE
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'lS.{y) I
J9n[xJ
IlJn .CCJ
I<.~.ml
1f')~E{)I.
CHARGE' I
\S.ODI
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1\<n.OOI
I~t') .W
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lo\.~()I.
I CHARCE I
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FEE
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''f\ /0.../ I
\ C\ 00
I
I Fcn~e
I E1.ectl"ica 1. Labe 1.
I Mobi!e Home f)C-f. r~~
I h~'\Q.>~f)('.Q.1 \0. )S
I ' So/,) I '-~ as
I TOTAL AMOUNT DUE:' Wi.oJ I.
Type/Cor.st: _ Bedrooms: ,,"~
I I Enerau Sources I='?
I I Heat
Access. I I r'-- Water YP.f.lter
I I c,- ..-Range
1 I . Fi'l'e*ce
1 I ~odiito"e
Ii'"
Tilr:le
I Lot Faces -
I
I P.L.
INorth
lEast
ISouth
IWest
Setbacks
House Caraqe
Fees
Building\Value & Permit
This pernr~t io granted on the express condition that the s~id.constructi(
shall, in all respects, conform to the Ordinance adopted by the City of
Springfield, inc!uding the Zoning Crdinance, l"egutating the ccnDtF~~ticn
and UDe of buildings, and m~y be Gucpended or revoked at cny time upon v,
lation of any provisions of said Ol'dir.ances.
!Plan Check Fee:
Ivate Paid: \; ,
, IR~cdPt n:\\ l_l )
IS>g"ed:
Plumbing Permit
No perean ohpll construct, instal!, atter or change any Y'~~ or e:isting
plumbing 01" drainage 8Y8te~ in whole or in part~ unless such peraon is t
legal pOSDessor of a valid plumber's license, except t~At a person may d
plumbing work to property which is owned, leased or operated by the appZ
cant.
Electrical Perm it
Where State LCILJ'requires tr.at the electrical work be done by an Eleatr::c
Contractor, the electrical portion of this permit shalt not be valid w::
the ~el has been signed by the Electrical ~ontractor.
Mechanical Permit
\~'~er) " }:\~~Q f)
fJ -\(1 -xCf
var.e
I HAVE CAREFULLY EXAMINeD the completed application for psrmit, and do
hereby certify that all information hereon is tr>ue and correct, and I
further certify that any ar.d all, work performed shall, bs done in aoaor.
dance :.lith the Ordinances of the City of Springfield, and th~ lc..;s of t
* State of Ol'egon.pzrtaining to the work described here~n~ and that NO OC
Pt.NCY wiZl be made of any structure without pe~is8ion of the Building,
vision. I further certify that o:"lly contractors ar.d e:trp~yee8 who are
compliance with ORS 701.055 wilZ be used on this project
'S.~ OI\.Q'
Signsd
1-~ ~'l9
Date
C( > VY'u OQa.d