HomeMy WebLinkAboutPermit Building 1990-5-8
.. RESIDfATIAL"
APPLICAT I(Jf!'fPERMIT
225 North 5th Street
Springfield, Oregon 97477
BuiZding Division
726-3753
SPRINGFIELD
~
Job Location:
1-'i1o QTVievl\. e:t-
'J C) '2., '::1'2.;:2.., ")
() ~ 5h') C)
Asoesoors Map #
Subdivision:
.
Tax Lot #
CVner: rr-A~.Q.- \_~) IlL ~
Address: d-.'KI 0 ~ \ 'V-U, VrA.~ C--t- '
City: ~di. () Q
~m'
rxr Addition
n Remodel
n Mobile Home
'Sr~
Phone: ILl} ~ S-<1'1 /
Zip: CilYJ}
Desaribe
f.'orl<:
fh~'tD
^ ~L..' . \ . -\ .-.
~\\ "Vi .
Date of Applicaticn
-Contractors
-General ~~~
iPlumbing
~Hechanical
E~ectrical , hVv-\^ ~J"" 1..P~ <'
..Supe"""-'>3'ing, Electrician"" _
Value
If) ,OOC)
"'ddress ' .Lisc. II BIdrs Board R",.
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~cce-iPt #
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Exp'ires
.qb:lbo
PhoT'P
L-f'l<..~n
It i.s the responsibility of the permit hoUsr to see that all. inspections ar'e made at the proper time~ that each c:ddres8 is readab2e
fraom ths 8tl'ellt~ and that the pc:rnrit card is located at the front of the propel"ty.
.Building Divido'!': approved plan sha'Ll remain on th2 Building Sit:; at aU times.
PROCEDURE FOR INSPECTION R=:QUEST:CALL 726-3769 (rccorder) state your City designated job number~ job addrcss~ type of in3pect:icn
raqucstcd and when you will be ready for inspcction~ Contractors 01' Owners name and p~e numbpr. Requests received befere 7:00 am
r..>iZZ be made the same dc.y~ requests made after 7:00 am uri-ZZ be made the next working day. '..".
'. '. .... Your"'fi~y Des~.atqd Job- ~b~r Is:
'f .. ... -: '.
1'71 INSULATION/VAPOR BARRIER n,'SPECTION: I DEMOLITION OR MOVED BUILDINGS
~To be made after aU insulat!.?n ar'.d
. .' , required vapo~ barriera: ar'~; in place ~..:. =:J Sanitary S6'.Jer ~apped at property lir.e
': .' but before any lath~ gypswn boa1'd or . . - ,
. LXlZZ .coveri~g i~ appZied~ and before~~.:-""'"l s..eptia tank p"oA.'1Yped and fiZZed with gra"Jel
any t.n8uZat'1.on '1.8 concealed. ....:-1 . .
'. ','
Reauil'ed Tnttvp.cticn!'l 7
O SITE INSPECTION: To be made after
, excavation~ but pPior te',set 'up~ of~'
forms. ... .
D. UNDERSLAB PLUMBING. ELECTRICAL &
. MECHANICAL: To be made before any
work is covered.
FOOTING & FOUND,1TION: To be rrrlde
after trenches arB excavated and
forms are erected~ but prior to
pouring cencret~.
D
UNDERGROUND PLUMBING" SEWER, W.1TER~
DRAINAGE: To be roo.de prior to ft.~-
lir.g trenches,
D. UNDERFWOR PLUMBING & MECHANICAL:
, To be made prior to imJtal.l.at1.on of
f200r insulation or decking.
D
POST AND BEAM: To be made prior to
install.ation of floo~ insulation or
decking .
ROUCH P['UMBIl}C'f!f!aCTRICAL~ MECH-
ANICAL: NO:Jar '1. r;oDc covel'ed
~ur.til. these inspections have beer.
made,'Wui *'a~p1'6ved.
FIREPLACE: Prior to placir~ facing
materials and before framing inspec-
tior:.
D
~ FRANING: Must be requested after
~ app1'oval of rough plwr.bing~ electri-
cal & mechanical. All roOfing
bracing & chimncys~ etc. nr.4st be
). completed. No LJOrk is to be con-
,....:..cealed until this inspection has
'.~ be~~ made and approved.
',-'
11\71 DRYWALL INSPECTION: To be made
~ after aU drywU is in place,
but prior to any taping.
O MASONRY: Steel location~ bond
beam8~ grouting or verticals in
accordance with V.B.C. Section
2415.
D
WOODSTOVE:
completed.
After installation is
qoo LI (~ ':2
] Final - ({hen above items are completed
and when demolition is complete or st1'U~-
~" .tul'e moved and premises cleaned up.
.\
Mobile Hemes
::J Blocking and Set-up
::J Plumbing connections -- sewer and water
::J Electrical Connection - Blocking~ set-up
and plumbing connections nr.4st ce approved
befo~c requesting elec:rical inspec:io~
~ Accessory Building
:J Final - Aftar porches~ skirting~ decks~
etc. are completed.
o
FIliAL PLUMBIIIG
All p~oject conditions~ suer. as the installation of stl'eet trees~ c~~Z.ction of the
required Zandscapir.g~ etc. ~ must be satisfied before the BUILDING FINAL can be requestad.
o
o
t8I
o
o
CURB & APPROACH AP.WN: After fOnTls
are; cl'eoted but prior to pouring
concre te.
FINAL MECHANICAL
~
FINAL BUILDING: The Final Building Inspection must be requested after the Final Plumbing
EZ.ectrical~ and Mechar.ical Inspectiono have been made and approved.
FINAL ELECTRICAL
O SIDEWALK & DRIl'EWAY: For an oon-
crete paving wj..thin str>ect right-
of-way~ to bc made after all exca-
~-''patirig ctmplete & form ~1JOrk & Dub-
, base r:naterial in place.
o
PENCE: When complGte -- Provide
gates or movable sections thl'ough
P.U.E. '
.:,..,....... "
...-..~J:~ MA'!!!O~E!!-. AND....~~.F:~NqU:.s, IJUST ~ B~ ~Cr:ES$r..~CF.. .~DJUS'{!'~!JT?O ,.~. 1.~DE AT NO COST TO CITY I P~~~e 1 of 2
. .' ~.. . ", j,..... ~',.I~ :,.. <1\. ' ..t' \ '....'~ _J .
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JOB NO.
Zona:
JU
LOt Sq. Ft;;.
S of lot C~erag~
.'1 of Stories
TotaL Height
Topography
ITEM
SQ.FTG
,.bin
Ca:1'aae
Caroor>t
Acce8S0ru
TOTAL VAWE
S.D,C,
lval-UC;
1.5 x
Building Permit
State Surcharge
Total Cha;oges
I ITEM . NO.
I Fixtures
Resid~tiaL (1 bath)
I Sani taroy Sewer>
Water
I
Plwnbing Pem:i t
State SUI"cr.arge
Total Cha:raes
SOLAR ACCESS
OcCUDa~CY crouP.
LOT TYPE
Interior
COI'ner
PanhandLe
Cut-de-sac
x
Value
f>;o.OCJO
I f/MJ'
I t?;O.~O I
4.?J3
LU53 '
FEE
CHARGE
II fA-
r' .
....;
FEE
CHARGE
I ITEM
I Res. Sa. fta.
!Naw/Extend Circuits
I Temporary Sel'Vice
I
I
Electrical Permit
State Surcharae
Total Chtlloqes
ITEM
1 Furnace BTU' S
I Exhaus t Hood
I Vent Fan
I WOodstove
Pemt Issuance
Mechanical PeI'm t
State .surcharae
Total CharaeD
-- ENCROACHMENT --
Socul'ity Deposit
Storage
/tkJintena.nca
I Permit
I Total Chal'Q~B
I CUrbctt;
I Sid_Lk
I Fence
I Electrical Label
I Mobile Home
I'
I
l 'fOTAL AMOUNT DUE:"
NO,
'1-
I
I
NO.
:2-2- .5'0
1,13
Zg .~3
FEE
CHARGE
IJ 1-'-
784.5"3 I,
REQ.-
L-COG-ll!
T'I")s/Cor:st:
. BedroomS:
Energy Sources
I I Heat
I I Water Hp.atp.T"
I I Range
III Fi'l'eplace
, Wood" to"e
T1IrJe
I Lot Faces -
I Setbacks
I P. L. Hause Carage Access.
INorth
lEast
ISouth
IWest
Fees
Building Value & Permit
This permit io granted on the express condition that the said construction
shall~ in all 'l'eBpects~ confo~ to the O'l'dinance adopted by the City of
SpPingfield~ including the Zoning Ordinance~ regulating the ccnstruaticn
and uoe of buildings~ and m~y be suspended or revoked at cny time upon vio-
lation of any provisions of said Ordinances.
I PLan Check Fee!/' s:::2 ..~=<
Date Paid: "'/1(..1"'0
IReceipt #: Ii-'" /2..,
I Signed: I~.
Plumbing Permit
No person ohall ConBtruct~ instal!~ alter or change any new C'l' existing
pLwnbing or drainage system in whole or in pa1't~ unless such person is the
legal pOSS8S80'l' of a valid plumber's license~ except that a person may do
plumbing work to property which is owned~ leased O'l' operated by the appli-
cant.
I
I '
Electrical Permit
Where State Law requires that the electPical work be done by an Electrical
Cont~ctor, the electrical portion of this permit shall not be valid until
the label has been signed by the Electrical Contractol'.
{O BfS cB '.N.N f!'!:ij '5 Y
t;:.C-t=erR 10Kt::. '~N TfL,
Mecha,njcal Permit
,
nU9j~~
I ~"/s ;5-0
,oo.r;e/ ./"
'.
I HAVE CAREFULLY EXAMINED the completed application for perorit, and do
hereby certify that all information hereon is true and cor'l'cct, and I
further certify that any ar.d all wol'k perforn/ed shall be done in accor-
dance with the Ordinances of the City of Springficld~ and the La'.JS of tho"- ,
* State of Oregon psrtaining to the work described herein~ and that NO OCCU-
PANCY will be nnde of any structure without permission of the Building Di-
vision. I fu~ther certify that only contractors and ~loyees who are in
camp~iance with ORS 701.055 will be used on this p~oject
.'
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S 'gn!!d Date
JJ.d!" JA/r.1JJlJb ~t::'AL. J:16t'M/r
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