HomeMy WebLinkAboutPermit Building 1987-9-22
.. RESI~T1AL"
APPLICATION/PERMIT
225 North 5th Street
Springfield, Oregon 97477
Building Division
726-3753
ASGeS80rS Nap
/1$99 5-67"7"" /f"~Ao/"")
,
, 1?~~?-?~jI
Job Location.:
Subdivisimc
QJner: }.Q A
1/:'.,
Address: ~~.6</
MA":;;/~
~~-
City:
lKLN,"'
n Additicll
n R."",dBl
n .'''ob;;!.B Hoce
Dats of Appli=ticn
C:ontractors
Tax Lot #
O//~C>
ffb
P!-.one:
7(/:?~a7 =<8.
Zip:
Describe Wo:rk:
U-r,1 r;vc.7./6 XZt::>' ~~.:
9-/~-~
Value -5:<'4:5..".....
At1dreBS
OWN;;::~
General
numbing
Electrical
l.fechar.ica.Z
Constrouction I.t:nde.:1!-
4
Rcce~pt .II
!;)-C)oC)
Sigr.ed:
Date:
CC-
1'-Z2--')(J
I
Li3C.#
Exvires Phone
It is the 4 ~....._:.bility of t1rs penrit holdttr to see that all inspections are made at the proper tim&~ that each aidres8 is readabLe
from ths street, and thrt t:1uJ pe>'$t cal'd is Located at the ft<mt of the property.
"Bu.ilding D€.11i.:im: ~ed plml si:c.lZ re:ca-.:n on -tJ-.a I1u':.ld:i~g Sits at all times.
PROCEDURE FOR I.t.;;.rJ;l,o."uva ~:CAlL 726-3769L ,",_"'4}':~) state your City designated job number~ job address, type of in:;pec-;icn
requested ~.d u.":en ytm :Jil.l be remly fO?' ir.sptJ.Ct:-:.on, Cont1"actol"S or Owner's nGme end phone numbCl". Requs.sts received befere 7: 00 C:':'l
.'in be IMlfg t1:& BaUl <fey. ~B =de after 7:!JO "" win be IMlfg the next working day.
1'':'''' City DeBifJr.ated Job Numba' Ie: 8~c:/23";/
R'U1JJ1:~pA T'1~t.?J-q
D SITE IlJSPEC7ro.~: !'o be =de after
e:rcava~ bvt p7'i.cr to Be up of
[OPmB.
D UNDERSLAB FWMl/IIIC. ELECYRICAL d
MECHA,YICAL: To be =de befOJ"e _
work is ~e:re:d..
o
FOOTING & FOImDAYIJJJ}: !'o be =dB
after trenc1ut3 ape excnoo.te.d ar:d
forms CU'6' ...... ,",__':.-':~ but priaIo 1;0
pouring --- -~~.
o
UND~ROll3D F..l1M1JIEG_ SE'iIE!!. 1II.:\TE..'1',
DRAINAGE: ,"0 be r::ade prior 1:<> fil.-
,1.. ir.g tren:ches.
O UNDERl'LOOi1 FWX1IIlJG " MEr!JAIlICAL:
, To be m:de pric10 to _tallaticm of
f/.oo~ insulano" or declcin(;.
O POST AlJD BEAM: 'Fo be DttJic pl"i.o:r to
instatlaticn of .fl.oar inm:.l..t.zti<m UP
deakinr;.
rYl ROllGH PW!/BIllG! I'T.flC'J'RTCAL..... IlEC1I-
~ ANICAL: 110 ~k. i.s to be eor;tJr"ed
,ur.ti 1- these inspec:ior..s have beer.
made and approu~.
O FIREPlACE: Pzoio:r to plaaiT:fl facing
matBM.al.a and befON framing inspec-
tior:.
~
FRANIllG: l(ust be requeated after
appr=l of rough pl=:bing. el.ect:ri-
ca! & mechani=l. AH roofi>og
bracing & chimneys" e~. t:l:l8t be
: comp teted. .110 ruork is to be con-
..; coa led unti 1. this inspection has
. been IMlfg and appI'OVed.
O mSb'LATIOH/VAPOR BARRIER INSPECTION,
To be 1!Dde after aU insul:ztion tr".d
.. J."eqUi.roed oapar barriers a:re in place
but 1;efore any lath, gypswn boGPd or
wIl covering is applied, and before
any ir.:mlation is concealed.
D DHnlALL nlSPf;CTION: Tc be made
after all, dryZJa"Ll is in place,
but prior to any taping.
O IWiONRY: Steel 7.caation. bona
bearJ:J, grouting or verticals in
accordtmcs uith U.B~C. Section
Z41~.
O JIOODS'i'OVE..: After installation is
c=p1.Btci.
O CUHB & APPROACH AP!!Oli: Afte.."" forms
crt'e area'ted but prior to pouring
ctm.--ret6.
O SIDEfiALK 8 DJlI1IEi1A"!: For all con-
crete pat)ing within atroeot right-
of-U=Y~ to be made af"ter all exca-
rJccting ecmplete & form LXJrk & sub-
. base In:1:te.1"ial in p~e.
O YE11CE: Wher. CC1:1ipL~:te -- Provide-
gates or D:WabZe secticns through
P.U.E.
o
I DEMOLITION OR NOVED BUILDIilGS
~ Sani-:.ary se'.Jer ~apped a.t p:..op&rt"':i Una
~ Septi~ tank tJ~~ed and filla~ with gra~8l
I Pinal - rrhen a.bcve ite."ns are cc:rrpletcd
~ and when demolition is complete or 8tru~-
ture moved and pr~. 8es ~leaned up.
Mobile Hemes
:::J Blocking and Sat-up
:::J Plumbing connections s~er and ~-:.ar
:::J Electrical Connection - Blocking~ set-up
and plumbing connections ,",~st ce approved
before requesting elec:rical inspec:io~ I
.=J Acces3oP',,' auilC.ing
:J Pin.a.l - Aftar p:;rcJ-.es~ 8kirting~ decks~
etc. are cample:ed.
D
Al1. project conditions~ 3UCr. as the instalLation of street tree8~ cCJ,":rplotion of ths
required landscc:pir:g~ etc. ~ must be satisfied before tr.e BUILDING FINAL can be raquestsd.
o FIliAL PLUMBIIIG
D FIliAL MECHANICAL
Q9 FINAL ELECTRICAL
o
<2)
FINAL BUILDING: The Pinal Building Inspection must be reque3ted after the Final Plumbing
Electrical~ and MechanicaZ Inspectw'M havo been made and approved.S
~ALL MANHOLES AND CLEANOUTS MUST ~E ACCESSI8LE~ ADJUST!IEUT TO BE NADE AT NO COST TO CITY Page of 2
I JOB No~(P02-~1
I Zone: WTe..
Lot Sq. Ft{;.
S of lot Coverage
# of StOM.es
Total Height
Topography
lITEM
IMain
Garace
CaM:lOl't
Acce880ru
SQ. FTG
SOLAR ACCESS
Occu:oanct/ G~
WT TYPE
Interior
Corner
Panhandle
Cul-de-sac
x Value
=-r2o
/~-
Is.D.c.
{vaLUe)
1.5 x
TOTAL VAWE
Building Permit
State Surcharge
Tota l Cha1'ges
lITEM
Fixtures
Residential (1 bath)
Sanitary S(!U)el'
Water
Plumbing Permit
State SuI'cr.aroge
Total Charaes
lITEM
I ReB. Sa. fta.
I N8lJ/Extend Cil'CUi ts
I Temporary SeI"Vice
I
I
I
I
I
I
I
I
j
I NO'1 FEE I
'2,6k ~7t1 ~7~,)O
- I I
I I
I ~~_yc
I 1,/31
I 2~.e.;;~\-
I
I
I
I
NO.
FEE
State Surcharae
Electrical Permit
Total Charces
IITSM
I FUrnace ETU' S
I Exhaust Hood.
I Vent Fan
j Woodstove
Perrrrit Issuance
I NO.
I
I
I
I
FEE
Mechanica Z Permi t
State Surcha:zoae
7htal Cha:roP.tf
-- ENCROACHMENT --
I SeC'.lritli Der>oait
I Storage
I Maintenance
I I Permit
I Total Characs
I Curbcu;
I SidmJalk
Fen::e
Electrical Label
I Mobi1.e Home
I
I
I TOTAL AMOUNT DUE:-
I
t'.SiS B I- 20 I
I I
I I () ,
iCfCf. $l91 ~tf J:/
-vi! /..;, - I Signad
~........7-1-
:?~
y~-
1'/5141. -
4f7"~s-~1
-:<..:nl
516 .;/31-
CHARGE
CHARGE
ClIARGE
.";'':11: .:.
REQ.-
L-COG~
Type/Cor.st: . Bedrooms:
I I Ener(f}J Sources
I I Heat
Access. I [ Watcl' Hp.o.tp.'f'
I I Range
II I Firev/.ace
wood:.:;to:;e
II
Til'Cle
I Lot Faces -
Setbacks
I P. L. House Garage
IN01'th
lEast
ISouth
IWest
fees
Building Value & 'Permit
This permit is granted on the express condition that the sfl"id construction
shatt~ in all respects, conform to. the Ordinance adopted by the City af
Springfield, including the Zoning Crdinance, regul.atil'lg the const1"'.J.cticn
and use of buiLdings, and may be suspended 0.1' revoked at cr.y time upon vio-
lation af any provisions of said Ordinances.
'.
IPlan Check Fee: ~ 9.:.3>
I Date Paid:
IRecdpt U:
I Signed:
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Plumbing Permit
No. person shall construct, install, alter or change any new or e--isting
plumbing 0.1' drainage system in whole 0.1' in part, unless Buch person is the
legal possessor af a valid plumber's license,. except tr~t a pe~Bon may de
pLwnbing work to. property which is Ol.Jned" leased or operated by the appLi-
cant.
/
Electrical Permit
Where State Lo:hJ requires t;..at the electr>ical work be donG by an Ele~trical
Contractor, the electrical portion of this permit shall r~t be valid until
the label has been signed by the Electrical Contractor.
Mechanical Permit
I
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I
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I
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~~~~~
?;Z/-R~
var.:e
I HAVE CAREFULLY EXAMINED the completed application for permit, and do
hereby certify that all info~tion hereon is true and correct, and I
further certify that any ar.d all work performed shall b6 done in accor-
dance with the Ordinances of the City of Springfield, and th~ La'..;s of tha
State of Oreg:;n pertaining to the work described herein, and ~hat NO OCCU-
PANCY will be made of any structura without parmission of the 3uilding Di-
vision. I further certify that only contraators ar~ ~Z:;yees who are in
compZiance with ORS 701.055 will be used on this project
fZt~~
1-.22 -8/
Date