HomeMy WebLinkAboutPermit Building 1989-8-15
.. RESI~NTlAL"
APPLICA'I!ON /PERMIT
225 North 5th Street
SpringfieZd, Oregon 97477
BuiZding Division
726-3753
.,
Rcce:.pt fi
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(mckl 140me-) 1
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Job Loca.tion:
X' 1'J1o~
S u,tb:> G.-1€Y\n bR.
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Asoeeaors Map 1/
II/A-
Lt/'cil/H/f'W
Subdivision:
CA.mer: I. f),-. I'\M ~ iJ
r A->'TN'-c~_,
Address:
1100/1/.
IFI2II.Y
,
nr-p_ .
City:
E'5 -,,,1-<".
,
QNM'
n Addition
n
n
Tc.:r: Lot #
1~r."T .1-
i51n('K J
",-,tf-,
Phone:
b?'X -1o{,C19
'l '7 Llo.~
Zip:
DSDcribe fl'orl,:
f-k,..lse .)i2.E
Genera L E: ~^' i " .... .y" } I"
PLumbing . .~(, ~? h ( t. \"-,
ELectricaL -I-< alnl, P-,:cn,<) /v,
l4.char.icaL _C,Ut\,' hUT,-,
"~'''~"C:l'..,...,.....-_....~ We c
It is the responsibility of ths permit holder to see that azz. inspections are r.:ade at the proper tim&,1 that t:aCh ;:;dd;rS88 is rsa.:,
fl'Ol1f the streot, and that tho permit card is 'Located at tho front of the property.
"Bui?di~.g Oivicior: approT.:ed plan shaH remain on th; Bu.-:.lding Sits at aU times.
PROCEDURE Fon INSPECTION R~QUEST:CALL 726-3769 (recorder) state your City designa.ted job ntq;;ber~ J'ob adarcss~ type of ir.3psCt~.
1"aqucsted ar:d when you wi'LL be ready f01" inspaction~ ContMctorB 01" Owners ncme end r;hone number. Requests received GeferB ? :o(
~'ill. be madg the same dc.y~ requests made afta' 7:00 a:n will. be made the n~xt ',X}rking dab.
Your City Deoigr.ated Job NumbDr Io: ER Of!) Q~
Remodel /")c.('c I
L\. .e ~'(2.d- ~
,',fobi le llama
Data of Application
(;ontractors
'Rnmn"~t:'A T"'~np(!~ir.~~
O SITE INSPSC':'ION: To be r.r::r.de after
e.:::ccavation~ but prio'/' to set up of
forms.
O. UNDERSLAB PLUMBING. ELECTRJC.U. &
i'ofECHA,'lICAL: To bs made before any
~rk is covcred.
FOOTING 5 FOUNDATION: To be rrrzae
after trenches are excavated and
forms are erected~ but prior to
pourir~ ccncr6t~.
D. UNDERGROUND PLUMBING. SEWER. W.1TER.
DRAIIIAGE: To be m:2de prior to fi"l-
.Ur.g trenches.
o
o
UNDERFLOOR PW/o!8ING & MECHANICAL:
To be made prior to inata"lZation of
/1001' insutation or decking.
POST AND BEAU: To be made prior to
instaUation of flool' ins~Zation 01'
dsckinr;.
ROUGH PUP.1BD/G. ET.,ECTRTCAL t MECH-
ANICAL~ No :Jerk is to be covered
.untiL thcsa inspections have been
made and approved. .
FIREPLACE: Priol' to pZacir.g facing
matsria"ls and befora framing inspec-
tion.
FRAJ1ING: Must be requested after
approvaZ of rough plwrbing~ alectl"i-
cal ,{ mechanwal. AU roOfing
bracing & chimncys~ et~. nr~st be
... completed. !lo work is to be con-
.. cealed until this inspection has
~ bG~n made and approved.
o
o
o
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LjJ
Liac.#
Siqr.Od:~/~ :J
- ' .J':.)." c;;r;;
V . '-' <.:.:ri
Erpires PhJne
.J--l::.'lD ~~- :<X(
/- 91'>
...\-
SeG
P kiT
Pll'j1J :
Date:
LJ /40:7
.
L1.2.Y.'~'
'7- (j(j- Is'-('l ()
\) dLi.-.<.1loo ~
VaLu.)( 6/a, f.9.9 qe
Address
L/99D
r{) "'~ pIl.J- If'
.-<;'.::I<'/./'7
.~0 -.:)./,]
. DE,',JOLITIO.'! OR gOVE!; BUILDIilGS
:=J Sani tary S6'..Jer .::apped at p~opc;rty Zit.
=:] Septic tank p....~t:d and ff,.U{J~ uith g}
--, Pinal - rrhan abcve items are cc."i1pletr.
---1 and whan demolition is oompleto or at
ture moved and pr~3es cleanad up.
Mobi lo Hemac
~ BLocking and Set-up
~Plumbing connections -- S&WOl" ar~ wa:
---i Electrical. Connection - Blocking ~ eet
~ and plumbing connections nr..:st te appr
before requesting electrical inspoc:i
~ Accascol"',i Building
---'Jfinal - Aft~r p~rches~ Bkirting~ deck.
~stc. ara complet~d.
D
AlL project conditions~ such as the installation of street traes~ c~~letion of the
required landscc.pir.g~ etc. ~ must be satisfied before the BUILDING PIlIAL can be r$CjUesct1(
~ FINAL BUI~DING: The Final Building Inspection must bs rsquBoted after
V Eleccrical~ and Mechar.ical InspectionD hava basn made and approlJad.
o FINAL PLUMBING
o FINAL I4E~HANICAL
o FINAL ELECTRICAL
~D
D INSULATION/VAPOR BARRIER INSPECTION:
To be made after all. insulati~n a.....d
. required vapor barriers are in place
but before any lath~ gypswn bOC11"d 01'
wU colJering is appliedJ and befora
CD1y inauZation is concealed.
D
DRYWALL INSPECTION: To ba made
afte1' aLl drywaU is in pZace~
but prior to any taping.
O MASONRY: Steel location~ bond
beama~ grouting or verticals in
accordance with U.B.C. Section
2415.
: F ~,~ w.,.,~ "
CURB 11 APPROACH APR?N: Afte:- .forms
are ere~ted but pr't.or to pcunng
~on.:;!1'ete.
. r--:' ~DEr"ALK & DRIVEWAY: For all ~on-
~ creta paving within street right-
of-wcy~ to be made after all exca-
vating ccmplete & fOrel wrk & sub-
. base m:2tarial in pla~e.
D f'ENCE: What: compl~te -- Provida
gates or movable sections through
ITf~~
the Final PLwrrbil
'ALL MANHOLES AND CLEANOUTS HUST BE ACCESSIBLE, ADJUST/refiT TO BE /oIAD!: AT flO COST TO CITY I Pag. 1 0:
c'c:.!io,. ..
I JO~. ~qrfb)4.s0LAR ACCESS REQ.-
Izona: \/ I' Oocuoano" GJ f )
Lot W f ". --- WT TYPE - -I Lot faoes
t ' I Setbaoks
%;; Zot C:Jverag~ Intertor I P L H'
_ .. QUBe I Caraqe
#- of Stories Corner INorth
TotaL .~eight PanhandLe lEast I
ISouth I
Topog"aphy CuL-de-sao IWest I
ITEM
I SQ.fTG
I
x
Value
Main
I Gerace
I CaM:lort
I ACCBssoru
LleD.CD
TOTAL VALUE I
Is.D.c. 1.5 x ,ua,u~JI[,1q~xl~~~l.q4!'
BuiLding Permit I q.OO I
State Suroharge . C-f":::' I
TotaL Charges \. \C\ .4 <=) I,
i ITEM NO.
I Fillf'RWU /YJ N
I ResidentiaL 11 bath)
I Sani tary Sewer
fEE
CHARGE
I~.CD
IXl ro
. ts'.OO
bOO .00
'70.00
0.SQI
. ')~..:::Ol,
CHARGE
15.00
Water
~_n1
PZ.;.gnbing Perr::i t
State Surcr.a.rge
Total. CJ-.aroes
ITEM 'NO.
1&0. Es f-t... tn H
INGWIEztend Circuits
\iJo"ary se~D I I
t~at"iOaL Permit
j :::~e Suraharoe
fEE
I~OOI
M.W
I. :"f)
;3) .::Y") I '
I
I
I
I
Total CharCBS
lITEM
I Furnace ETU' 5
I E::rhaus t Hood
I Vent Fan
I Woodstove
I
I NO.
FEE
CIJARCE
Pemrit Issuance
Me::hanical. Permit
State Surcharae
Total CharaeD
-- ENCROACHMENT --
Ise~~rit~ Deposit
I Storage
I Main.tenartCs
iJ 10
f
Parmit
Total Charoqes
I CUrbcu;
I Sidewa Lk
\ Q HUrt\ (\ C\
I ?J~r \
f) I ()....J I
..Qq. r:o
I F'en~e
I EZectrica l Labe l
I <,:!obHe Home ~ 6-i ..Q.<)
b~YU\l'L. r 's.r)~
~rJ I ,V.A~
I TOTAL AMOUNT DUE:'. 5L.f( "Q41 '
'-
L-cod~
Type/Cor.st: .1
Access. l
I
I
I
Bedrooms: _ -.;)
I Enerau Sources ~~
I Heat .l-- r j
!,~ ~~~ H.at,,}. ~
R ""Fireplace
I WOod3tot:e
I
TuDe
Fees
Building\Value & Permit
This pel"mit in gMnted on the express condition that ths 8~id. constru~ati(
shall, in all respects, conform to the Ordinance adopted by the City of
Springfield, including the Zoning Crdinanc6, regulating the ccnGtru~ticn
and UDe of buildings, and m:::.y be suspended or revoked. at cr:y time lipon V-,
Lation of any provisions of said Ordir~ceB.
I PLan Check fe.: . )
Cate Paid: \,,\,
'IR~cdPt #: f\ ~
IS>gr.ed: \
Plumbing Permit
No pel'con Dhall construct, instal!, aLter or change any r~w CT' eziating
plumbing or drainage 8YBte~ in whole or in part, unless such person is t
legal possessor of a valid plumber's license, except that a person may d
plumbing work to property which is owned, Zeased or operated by the appl
cant.
,
Electrical Perm it
Where State Law"requires tr~t the eZectrical work be done by an Eleatric
Contractor, the electrical portion of this permit shall roOt be valid U~:r
the Zabel has bfZen signed by the Electrical Contractor.
Mechanical Permit
I
)
J '
llm>:."~_Qf )
A,14,p.H
va".
I HAVE CAREFULLY EXA.},fINED the completed application for permit, and do
hereby certify that an information hereon is true and correct, and I
further certify that any ar.d all work perfoM/ed shall be do:1e in acaor-
dance with the Ordinances of the City of Springfield, and the UT~S of t
* State of Oregon.p~rtaining to the work described here~n, and that NO CC
PANCY will be m:zde of any structur.3 lJithout p3rmis3ion of the Building
vision. I further certify that o:1ly contractors ar~ e~toyees who are
cQ~pliance with ORS 701.055 will be used on this project
md~.
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