HomeMy WebLinkAboutPermit Building 1985-10-2
.. RESIO"ITIAL..
APPLICAT 1 uN /PERl1IT
225 North 5th Street
SpringfieZd, Oregon 97477
Building Division
726-3753
Job Location:
3131
A-t.co/v A-
T= Lot #
Asaessorz Map #
Subdivision:
-.
Owner:
,SA/vi u ~L 1/ i R tJ A-NE:'
A-Lc;:x/V j:).
( if (P -tJ 9' /' ()
Address:
39'3/
~PFL1
Ci ty :
I Nf?LJ
i : .?17 'dd.tien
. t.?"'- n .....
ZA . ,'}-:;t' ;1./
'{./ ij 1 i
Remodel
!.!obi Ie Home
Date of Applicatien ,,/6 r-?---1?..s-
:.;om;rac;;ors (J LU N t::' P?
General
?lwnbing
:;lectrical
,'.fechar:ic~l
Construction Lender
Phone:
Zip:
Describe .~ork:
. f1 cF{J /\i\
value:;; ,3.vrfO
Add..~ess
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. Rcce:':Jt ;j
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16 ~5~~c)J
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tr L- () (C-
Signed:
Date:
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/6.,- C? -WS
Lisc. # .
Exvires Phone
It is the responsibility oj' the permit holder to see that aZZ inapections are made at the proper time, that each ~ess is, re~:e
;'Pom the street, and that the permit card is 'located at the front of the property.
'Bui!ding Divi:;ion approved pUm shaU remain on th2 Building Sit;;; at aU times.
"'!?QCEDUF?E FOR INSPECTION REQUEST:CALL 726-3769 (rccorder) state your City design..:zted job number, job adi:rcss, type of inspec::icn
~eques~cd a~~ wnen you will be ready for inspcction, Contracters or Owners name and'phone numbcr. Requests received befere 7:00 ~
-'ill be made the same day, requests made after 7:00 am wiU be made the n=t :.JOrking day.
~eoui~ed InsDActiens
~
]
SI'i'E INSP:::CTION: To be made after
e.xcavation, but prier te set up of
forms.
Ul/DERSLAB PLUMBING. ELECTRIC,1L &
'J.fECHA:1ICAL: To be made before any
work is covered.
~
FOOTING ~ FOUNDATION: "To ,be mc:i:de
after trencnes are excavated and
forms are erected, but prior to
pouring ccncret.;;.
WiDERGROU!!D PLUMBING. SEWER. W.1TER,
~~INAGE: To be made prior to' fil-
Zing trenches.
]
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UNDERFLOOR PWI.:BING & MECHANICAL:
To be made prier to installation of
floor insulation or decking.
POST AND BEAM: To be made prior to
installation of floor insklation or.
decki7lfi .
ROUGH PLU!(BI!lG. ELECTRICAL & MECH-
ANICAL: No work is to be covered
,ur.til these inipectiorzs have beer..
made ar~ approved. .
FIREPLACE: Prior tiJ. pZacir.g facing
materials and before framing inspec~
tion.' . .
FRAHING: /1ust be requebted' after
approval of rough plwr.bing". alectri- .
cal & mechanical,; AZZ roofing
bracing & chimneys, etc. nr~st be
. completed. No ",ork is to be con-
~ cea'led until this inspection has
. been made and approved.
]
]
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Your City Desigr~ted Job Number Is:
o
INSULATION/VAPOR BARRIER INSPECTION:
To be made after all insulation ar~
required vapor barriers are in place
but before any lath, gypsym beard or
LJall covering is. applied, 'ana before
. any insulation is concealed.
2!35094'6
8'501ZrLJ
Also flY
.v'. w J,(fo,(L..
IX]
DRYWALL INSPECTION: Te be made
after aU dIyuJaZZ is in place,
but prior to any taping.
O MASONRY: Steel location, bond
beams, grouting or verticals in
accordance with U.B.C. Section
2415.
D WOODSTOVE: After instaUation is
completed.
o
CURB & APPROACH APRON: Afte::o forms
are erected but prior, to pouring
C01lCre te.
I DENDLITIO!' OR ,~;OVE] B'JILDliiCS
=.J Sani tary se'..ler capped at p~opc;rt-:i Zir:e
~ Septic tank p~ed and fiZled with grcr;eZ
-, Final - .{hen above items are completed
~ and ",hen demolition is complete or s~~-
ture moved and pr~ses cleaned up.
Mobile Hcmes
D
SIDEWALK & DRIl'EWAY: For aU con-
crete paving within' strect right-
of-LX:;y, to' be made after aU exca-
vating complete & form wrk & sub-
base material in pZa:!e.
~ Blocking and Set-up
~ Plumbing connections -- Sc;LJer and water
~ Electrical Connection - Blocking, set-u?
~ and plumbing connections nr~st ce approvec
before requesting electrical inspectio~
~ Accessol"'d Building
-, Fin..:zl - After porches, skirting, decks,
~ etc. are completed.
D
All project conditions, such as the installation 'of street trees, ~o~letion of the
required landscaping, etc., must be satisfied before the BUILDING FINAL can be requested.
] FIliAL PJ.,Ut/,BIlIG
] FIliAL MECHA:1ICAL
] FINAL ELECTRIC/,L
]
'(X)
FINAL BUILDING: The Final Building Inspection must be requested after the Final Plumbing
,Electrical,.and Mechanical Inspections have been made and approved.
D
FENCE: "'hen compl.;;te -- Provide'
gates or movable sections through
P.U.E.
. -ALL MANHOLES AND CLEA-NOUTS ,ruST BE ACCESSIBLE, ADJUST!fENT TO BE f.t1DE AT NO C;JST TO CITY I Pa~e 1 of 2
o
r I JO~ NO, B5D f!f;2 SOLAR AC'SS REQ.-
I
I Zcml?: OCm/r::anc:J GrO'ol-:J:
ILot Sq. Ftg.
I: ~f Lot C~erag~
!I of Stories
,TotaL Height
I
. Topography
J
LCTTYFE
Vlntericr
Corner .:.
PanhandLe
Cu L-de-saa
ITEM
IMain
I Gc=race
I Carvort
I Acaessoru
I
I
SQ. FTC
Value
S.D.C.
I'
130~ lo~ I "'JO~O
I I
TOTA[, VALUE I 30;!y()
1.5 :r IVC;:~UC) I
*
Building Permit
5(0110
2-~
5~ 2.1 *
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A
State SzaochJI'ge
TotaL Cha:oges
I lTD.! NO.
I FL--t:u.res
I
IResidential (1 bath)
I Semitar/.! Sewer
I Wc;:te1' .
I
FEE
CHARGE
\
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Plumbing Pe:m:it
State Szaoar.m>ge
Tota! Charoes
I ITE!!
I Res. So. ftc.
jN~/E=ter4 Cirm/its
I .; .,
I TemJorar.y serviae:
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FZ~
I Ci-iARG::;
I"
1\
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t . :
Ele~trical Permit
State Szaocharae
Total Cha:rces
I'I'E:,.f
NG.I F'C';;'
CHARGE
Pu!'r..:zce PTU' S
E=haust Hood
\
\
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Vent Fan
W::Jodsto:Je
I
Permit Issuanae
Mecr.anical Pe1'mit
State Szaocharae
Total Charaea
-.- ENCROACHMENT --
SeC'olritu DeDosit
Storage
Maintenar~e
I Parmit
I Total Charaas
i CUrb==
I
I Sidewalk
I !"en~e
:\
I \
I \
I
1St, -zy I.
i Electrical Labd
! Mobi Le Home
I 'I'OTAL AP.OU.','T DUE:"
L-CO.G~
~,,'Pe/Cor.st:
Be::roor.:s:
En2rn:1 Sources
Scat
Water Heatf'r
Ha"Fe
Firenlace
WGoa:;tol,;e
T'-1,:>e
I Lot Faces -
I P.L,
I/orth
East
scndh
IWest
I
, Access. j
I
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I I
II
Setbacks
, House . Caraoe
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-- Fees
Building Value & Permit
This pe1'Tlr': t ia granted on the express condition that the said construction
shaH. in aU respects. conform to the Ordinance adopted by the City of
Springfield, incZuding the Zoning Ordinance. reguLating the ccnstructicn
and use of buildings. and may be suspended or revoked at any time upon Vie-I
~tion of any provisions of said Ordir.anceso
PEN~'1 pee /AlCiulJEif) Plan Check Fee: J-1- t:ffI
Date Paid: 6"~3 / -9L/
R~cdpt ~: /~ 3 t::-/7cj
IS~gned:~~
Plumbing Perrr~<<
No person shaLL construat. instaLt. aZter or ahange any newer e=isting
plumbing or drainage systen in whole 01' in part. unless such person is tr~
legaL possessor of a valid pLumbe1"s license. except tr~t ape:oson may do
plumbing work to property which is owned. leased or operated by the appli-
cant.
"
Electrical Permit
Where State LCIhJ requires tr~t the electrical work be done by an ELe~t't'icaZ
Contraator, the eleat't'icaL portion of this permit shall roOt be valid untiZ
the Zabel has been signed by the Eleatr>ical ~ontractor.
*
Mechanical Permit
ll'
,,#~ hU-
PZari E:rtiminer ~
10 -/-[3S
uate
I HAVE CAREFULLY EXAMINED the compLeted application for permit. and do
hereby certify that aLL info:omation hereon is true and correct. and I
further aertify that any ar4 all work perfor:ned shall be do:1e in acaor-
dance with the Ordinances of the City of Springfield. and th~ Lx~s of the
* State of OregQnpsrtaining to the work described herein. and that NO OCCU-
PANCY win be /rr:Ide of any structura withou.t p~rmission of the BuiZding Di-
vision. I further certify that only aontra~tors ar.d enpl~yees who are in
compliance with ORS 701.05S will be used on this project
2~
f?~~~
/tJrd~f~
oDate
Sign~d