HomeMy WebLinkAboutPermit Building 1987-9-22 (2)
.. RESIDI.JTlAL"
APPLICATION/PERMIT
225 North 5th Street
Springfield, Oregon 97477
Building Division
726-3753
Job Location:
/g?9 5-...:n- /f'c>~
r
A....oor. Ibp , /?~3-:2-'S.9<;1
Subdivisicm:
CUner:
/77#
,
MA~/tF"
Addr...: '?~.6</ p~~#
City:
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Adtiiticn
TC:J: Lot # O//c:;!>O
ff~
P/-"",.: 74/7.~::S:<&
Zip:
Describe "'ark:
Remodel
U/?'.NrJVC7/6XZr::>' ~~c
It ia ths ~ ~~_J..l.,"''''biZi;ty of Us panri.t 1ro1.dc- to setI :hat all. .:....y_....::..:ms are made at the proper tim~~ that ea.ch ::dd:rS88 is rea:!abZE
from tlls ._to and _ the pel'>rit card u lcc:aUd at the front of the property.
.4Bui!ding ~uL-io:': ~ plan a1x:ll .1"'e:Ia"'.A em tka Bu::ld~ .si~ at all. times.
P!?OCSDUP.E POR INSPE!:rIOa ~~./O.:u.:CAU 726-3169(.l"CCOJ""dsp) state your City designated job numbel'~ job adC:rc88~ type of i713pec-:icn
requested ar.d u.1:en jOCf. :.n.z.z. be ready [07' ir.apecr:.on, Contractors or Ctmers ncme and phone number. Requests received c8fero '1:00 a:1
.'iU b. made the BCmB tlq. req;tBStB l:ICm'.'z~t;Q 7~aD'" uiZZ be mads. tlls no:rt ""rki~---c:::;)
..B!w'i~'fl Tn"... . Ycur Ci"ty Desigr.at.d Job Number r ;:gbO~;:::>/
D SITE IlISPEC:IDl1: 1"0 ~ 121de afte' 0 INSllLM'IOli/VAPOR BARRIER INSPEC'1WY. IDEUOLITlv,; C; ;.,vv-;; iiu;~iJI;'IGS
excavat'i.tns. but ~ tt: s~ up of To be nzzds after aU insulation a:".d
forms. . _ NqUired vapor barriers are in place =:J Sanitary Be'.Jer C!apped at rn:..opcrt"~. Zir.e
0, UNDERSLAB PUlMBING~ EtEC7RICAL 4 '. but before any lath, gypsum bocu>d or
. : MECHAt.i.TCAL: To be l:JO!ie OeI"o:N: ~ UIlZ COf)ering is applied, and before ~ Septi:J tcmk p-~ed and f1....llad. lJith gra~el
-.. any ir.m.Za"tion is concealed. ---1
. wrk t.S _........... _1.
f\7I"';~G & ~ArJOJ7: ;" be =de
~ after ~ <D"fI =tml or.d
fqrm. are ere<:tm, In<t ~ tD
pourir.g __'_ __.._
0, . UNDeRG!10lJ11D P'.l1M}JmG.. =. I(j'J'ER.,
DRAI/JAGE: To be rzuie pri<no to fi/.-
U.r.g tnmches.
O U/JDE:R!'LOO.~ PL1lKBD1C & MEx:!JJJlICAL:
. To be mule pM= <0 i1IstaLZati01l of
fI.oor insulation ur decking.
O POST AlJD BEAU: To be =de priOJ" to
instaUat:icn of flour- inmo.l<<tion UZ'
deckin{;. .l.-/ "').
fVl ROUCH Pur.!BDICf:!,\J1"T~T"A!-'s MECH-
~ ANICAL~ lio 'ZiXn'k is to DC C:m;tn"ed.
.until these inspec:ior..a have beer..
made and approve::.
O FIRF:PLACE: Pzoimo to plaair.g facing
mat.riaLs <mcl before framir.g inspec-
tior.. l~'
r\7I FRAnllC: ~t be requested afUn-
~ approua.~ of _gh pl=Dir.g, el""tri-
aa~ & ..echanU:a~. All roofing
bracing & chimn...-ya, et:!. m:mt be
:" completed.. !/o wrk is to be con-
--'- cealed until. thic inspeCti01l haa
~ b6~n TTr:U1o and approved.
."!ob-f.le 1!cr.r:!
9-/b-~
Date of Applic:rticn
Contractors
C6nera~ OWHFJi?
P~umbir.g
Electrical
f.1ochar.ica.l
Conatl'"t4ct'imt Ltmde::r
Value :::s'2~........
Actaress
O DIm/ALe. INSPECTION: To be made
afte:r all drywall is in place,
but prior to cny taping. .
O ~'<<S(;.'1lfl: sUe! location, bo1ui
bea=J, grouti1tg or verticals in
accorodtmcs with U.B.C. Section
24I~.
O WOODSroVE: After- installation is
acr.rpleted.
D CURB & APPROACH APEON~ Afte.:> forms
tZ?e ere~-ted but prior to pouring
oon.....--re te..
O SIDEfiAI;X & DBIT/WAY: Por all con-
crete pc:nring L1i.thin atz.ect right-
of-~, to be made af"tez- all exca-
uating cc;mplete & [om wrk & cub-
base rrnteJ"'ial. in. ;ila:!e.
D~: WIter. ccmpl..-te -- Provide.
gates oz- :zJoT1aJiu secticns through
P.II.E.
o
. Rcce-:.pt ,Ii
J:J-C)OC)
CilJI. III)
fb ~'76
-;J
~.
Signed:
Date:
CC--
"1-Z2-'X"}
Lisc. #
EXTJir08
Phone
:J Pinal - fl'hen ab...--ve ite:71S are ccmpleted
ar~ when demolitior. is complete or stru~-
ture moved and prem' 3es olea.ned up.
I }.lobi Ie Hcmes
~ Blocking and Sat-up
~ Plumbing connections -- saJer and lJatBr
--, Electrical Connection - Blocking, SGt-up
--.J and plumbing connections 11r...st ce approved
before requesting electrical inspectior:
:=J AC:Jessory Building
:J Fin.a.l - Aftar p~rcr.es, skirting, decks,
etc. are completc:d.
D
FIliAL PWMBIIIC
All. project conditions, such as the -f.nstallation of street trees~ cO-"7Tplotion of tm,
required landscapi,..g, etc., must be satisfied before tr.e BUILDING FINAL can be rsquestsd.
o
o
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o
FINAL MECHANICAL
'-\0\
FIliAL ELECTRICAL
\0)
e>
FINAL BUILDING: The Final Building Inspection must bo l'equeoted after the Final Plumbing
Electrical, and Mechar.ical Inspectiono hava been made and approved.
!tALL /.fANHCLES AND CLEANOUTS MUST BE ACCESSIBLE, ADJUST!rEIIT TO BE f.L4DE AT NO COST TO CITY I Page 1 of 2 I
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. 20 I-~'-/
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1j(fQ, '19;, 1/ 1/
Q~' Sign3d
I JOB No~(POZ31 SOLAR A.SS REQ.-
Zone: Wit... Oc""",,"C" Grou",
Lot Sq. Ftg.
S of lot Coverag.
II of StoM.es
Total Height
Topog~hy
LOT T'fPE
Interior
Corner
Panhandle
Cul-de-sac
I
lITEM
I ~b.in
CcPaae
=-:20
/<? -
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7~-1,
1-4,#. ,.
q~,S~1
<."2"31- ")
I 5"6.;>3'1'
I
SQ.FTG
x
Value
Carnort
IACCBSSOMl
Is.D.c.
TOTA& VALUE
,uat.UCJ
1.5 "
Building Permit
Soots Su:/'charge
Total Cha~ges
lITEM
Fi:rtures
Residentia l (1 bath)
NO. I
I
I
I
I
I
FEE
CHARGE
Sani taPy Sewer
Water
Total Charaes
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? ~jf' ~?d
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-:<"'2~S-O
Plumbing Permi t
State Surc}o.arge
ITEM
J NO.
FEE
CHARGE
Res. Sa. fta.
I New/Ertsnd Cil'CUi ts
Temporary Service
Ele~trical Permit
':4:<,-yo
I /, / "3 - L(
I 2~.~~ .
Stats Surobarae
Total Charaes
iITSM
I Purn:zCB !!TUrS
I Exhaust Hood
I Vent Fan
I WOodstove
I
NO. I FSE
CHARGE
permit Issuance
Ne:;hanicaZ Permi t
Statl!. 5urcharae
T{Jtnl Charoa~8
-- ENCROACHMENT --
I Sec-.wi t1l DaP03i t
I Storags
I Maintenanaa
I Permit
Total. Charoqcs
I CUrb",,:
I Sid_lk
I Penas
I I EZeotroical wbet
I Mobi le Home
I
t3,S B I
I TOTA& AMOUNT DUE:'
....:,-1,:: ..
.
L-COG~
Type/Cor.st:
Bedrooms:
En:rrau Sources
.~eat
TUT:le
I Lot Faces -
I Setbaoks
I P. L. House Caraae
INorth
lEast
ISouth
IWest
Access.
Wate.... '1p.l'1.tp.l'
Range
Fireplace
WoOd:;tOVB
I
II
F2es
Building Value &
Permit
This permi.t io granted on the express condition that the said construction
shall, in all respects, confo~ to the Ordinance adopted by the City of
Sp'l'ingfield, including the Zoning Crodinance, regulating the construction
and use of buildings, and may be sUDpended or revoked at cr:y time upon vio-
lation of any provisions of said Ordinances.
I -
IPlan Check Fee:
I Date Paid:
IRecdpt #:
ISigned:
<&\93
Plumbing
Permit
No pereon ohall construct, instatz., aUer or change any netJ or e=isting
plumbing or drainage system in whole or in part, unless such person is the
legal possessor of a valid plumber's license,'ercept that a pe~son may do
plwnbing tJOrk to property tJhick is owned, leased or opel'ated by the app'li-
cant.
/
l .
Electrical Permit
Jlhere State LauJ requires tr.at the e'lectrica'l tJOrk be done by an Electrical
Contractor, the electrical portion of this permit shall roOt be valid until
the Zabel has been signed by the Electrical Contractor.
Mechanical Permit
4~ _ . ::z::,~__....~
i L~ EXCJTt1..ner 7 .;"""1 ~.-
?.z~-?<{~
vate
I HAVE CAREFULLY EXAMINED the completed application for permit, and do
hereby certify that all information hereon is true and correct, and I
further certify that any ar.d all work perforn:ed shall be done in accor-
dance tJith the Ordinances of the City of Springfield, and the; La'.JB of tha
~ State of Oregon portaining to the work described herein, and :hat NO OCCU-
PANCY wilt be mde of any structura withou.t permission of the Building [)i.-
vision. I fUrther certify that only contl'actors and ~l~yees who are in
compliance with ORS 701.055 will be used on this project
f2t~~
7-.22 -3;)
Date