HomeMy WebLinkAboutPermit Building 1989-8-24
.. RESIDeNTIAL..
. APPLICATe/PERMIT
225 North 5th Street
SpringfieZd, Oregon 97477
BuiZding Division
726-3753
Job Location:
C\ ~ b G.. \J\ \'")a..ct
6, \flex) ~lo4'd-
AOOeeOOl'3 Map
Subdivision: /
Ta;r:LoH nlo~W '
Q.mer: ""'S.e",,,R-eJ )., ~o...-\"";<-'la- "Q\-. ~ lL:,? 5
,\ ,
Address: q q,b (.)0'l,'\Q.l..':'r Phone: I <-f7-4C6o':t
City:c;O~\\lrAc.',"';\\') Zip: ~""'4-'7
\ cri
rrLmJ
rI Addition
n Remodel
r---l :robile Hqma
Dats of Application
Contractors
. General
i Plumbing
Hechanical
E~"ctrical
Superv1~ing E~ectr~cian
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Cu../\..
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DBDcribe 'I'ark:
C'f~\.O-<:'oL-
Address
Value $/'2/- fiGC>
'Lise. II Bldrs
Board R ,g.
Rcce-:.pt !I
J 0/1 (J
..
Siqr:ed:
Data:
~I~)
Ci 'Jfll1~, ~CfIH~1
1>hn"p
Exoirep
[t is ths rsoponoibility of thB permit hoLdBr to ss. that all inopections are mad. at ths propsr tims, that #cch ~ddrB88 is readabre
1'l"OI'I1 ths Stl"fl8t, and that the p(JJ"mi.t oa.rd is locatsd at the front of the property.
ItBu.iW1.!1{J DilJicion approved plan shall remain on tha Buildin(1 sits at all timBS.
PROC~DURE FOR INSPECTION R.s:.aUEST;CALL 726-3769 (pccorderJ state your City designated job nW7:bel'.. job addPcSB.. typo of in:Jpoc:icII
rsquestcd ar.d w,":en you tJiLl. be ready for inspection.. Contractors 01' Ol.mel'S name and phone number. Requests received befcl'o 7:00 c:-:1
L.~Zl bs mads thl: same dc.y.. rsquests mcdB. afteI' 7:00 cmI lJiZl ba mde the nc%t :JOrkit1{J day.
y;"'r 'City De.ifP'.ated Job Numbel' Io,fl'7' c:> ~ ;;5 V
Reouired T"OD~cticnR
O SITE INSPECTION: To be nrul. after
e.%cavation.. but prior to set up of
forms.
O UNDERS~AB PLUMBING, E~ECTRICA~ &
MECHANICAlt: To ba mads beforB any
work is .::ovorsd.
FOOTING & FOUNDA T ION: To be nrule
after trenches arB e.%cavated and
forms aJ"e flrsctsd.. but prior to
pouring ccncl'et~.
UNDERGROUND PLUM:JING. SEWER. W,1TER"
DRAINAGE: To be rOOds prior to fi~-
.l.ir.g trencMs.
O. UNDERPWOR PWI.fflING & MECNANICA~:
, To be mads prior to insta~Zatt.on of
jLoor insulation or decking.
O POST AND BEAM: To be made prior to
instal.l.atton of floor insulation or
dsckinr;,
O BQH~N P~U!fflHr: E~ECTRICA~ & MECN-
ANICAL: No lJOrk is to be covered
.until thess inspections have beer.
mads and approved. .
O FIREPLACE: Prier to pZacir.g faoing
materia~s and before framing inspsc-
tion.
[Z]
D
[Z]
FRAMINC: Must be requetJted after
approj)J.~ of l'OUgh plwrbing.. electri-
cal & mechanical. AlZ. roOfing
bmoing " chimncys.. st". must bs
icompletod. No LX>rk is to be con-
: cealsd until thiD inspection has
. bG~? made and appl'01Jed.
O INSULATION/VAPOR BARRIER INSPECTION,
To be mads after all insul.::tian tc".d
.. l"oqu-:,red vapor barriers are in place
. . but before any lath, gypsW1l board 01'
wll covering is applied.. and before
. ~y inouZatwn is ccmcealed.
O DRYWALL INSPECTION: Tc be made
after all d:ryLXIU is in place..
but prior to any taping.
O. MASONRY: Ste8~ location.. bomJ
beamo.. grou.ting 01' verticals in
aocordance with U. 8. C. Section
2415.
D WDODSTDVE: After installation is
ccmpleted.
O CURB & APPROACH APRON.: Afte:- forms
are ore.::ted but prior to poul'ing
COn.:Jl"ete.
SIDEWA~K & DRIVEWAY: For all ccm-
crote paving within street right-
.of-wcy.. to be made after all e%ca-
vating complete & form work & sub.
. bass matsl'ial in pla.:Je.
D
o
PENCE: When compl$te -- Provide
gates or movable sBctions through
P,U.E. .
DEJfOLITION OR /.:OVED BUILDINCS
~ Sani ~ setJer :appsd ::zt p~opcrty lir.s
:J Septi" tank P'.JmPcd and filta~ r.rith ~ra:.Nll
] Final - When abovs items are ccmplsted
ar~ ~hen demolitior. is complets 01' Dtru~-
ture moved and pl'emiaes cleaned up.
I Mobile Hcmes
:J Blocking and S.t-~p
:J Plumbing connections .- s~er and wa~sr
~ Electrical Connection - Blocking.. Bot-up
~ and plumbing connections I1r..lS t tit approt:ud
beforc requesting slec~rical inspec~ion
:J Acaessol";;/ Building
] Final - Aftor p::Jrches.. skirting.. docks.
etc. arB completed.
D
AI~ project conditions.. such as the installation of strsst tress. c~lotion of trts
requil'od landscapir.g.. etc... must be satisfiod belorB the BUILDING FINAL can bs rsquoot:rd.
o FIIlA~ PLUMBING
o FINA~ MECIIANICA~
o FINA~ ELECTRICA~
\0
o
,.-
<0
FINAL BUILDINC: Tho Fina.~ Building Inspection must bo requested aftsr tho Final Plumbi'13
Eleotrical.. and Meohanical Inspectiono kava bOBn mado and approv.?d.
'A~L MANIIO~ES AND CLEANOUTS !WST DE ACCESSID~E, AD./USTlfENT TO DE !L4DE AT NO COST TO CITY I Pa~c of 2
I
JOB NO.
Zona:
Lot Sq. Ftg.
s ~f lot C""erage
.f of Storiee
Total HBight
Topogl'Ophy
ITEM
SQ,FTG
Main
GaraatJ
5"7~
CarVOl't
AccessorII
I
I
IS,D,C.
TOTAL VAWE
ftUaUC)
1.5 ",
Bui l.ding parmi, t
State Sul'charge
TotaL Chargee
I ITEM NO,
I Fi.:rtUJ"BS
I ReeidentiaL (1 bath)
I SanitaJ"y Sewer
I $lateI'
I
P!Wllbing Penr.i t
',II..
StatfJ Surcr.a:rge
Total. CMM08
lITEM
I Ran. Sa. tto.
I New/Extond Circuits
I Temporary 5erv1.ctJ
I
Electrical Permit
Stat6 SurcharaB
Tota! Chargee
lITEM
I Furnace F!TU' S
I &haue t Hood
I Vent Fan
IlIoodstoVB
PBrrrrit Iosuanca
Mechanical Permit
Stato SUrcharoot:
Tota 1 Charaes
-- ENCROACHMENT --
Isecurit~ Davooit
I Storage
I Hain t4fna~9
Parmi t
Total ChaM08
Curbcu~
I Sid6lM!k
1.C'rmao
I Electrical Lab61
I Hobi Is Homs
't1'f'l'1'AT AIJI'IIIAJ7' n"~..4
SOLAR AC~ESS
OcCUOOllCY Gl"OL."
LOT TYPE
Interier
Corner
Panha>1d!e
CUl-do-aac
X Value
,
REQ.-
L-COG~
Tyce;Cor",t:
.
TIIl"O
I Lot Faces -
I Setbacks
I P.L. House. Garage
INOl'th
lEast
ISou th
tWest
Access.
86drooms:
I Enernll SO:J.1'cm,
I Heat
I Water .'/f!l'1tnr
I Range
I Firenlaco
I Wood:;tor:o
I
Fees
Building V~lue & Permit
This permit io granted on the express condition that the 8flid construction
shaU.. in all. respects.. conform to the OrdinancB adoptBd by ths City of
Springfield, including the Zoning Crdinance, regulating the ccnG truaticn
and UDB of buildings, and m:;zy be suopended or revoked at cny time upon vic-
lation of any provisions of said Ordinances.
Lt!,/t? ita/- ~
NO. FEB
'NO. I FEE
7 ~ 5'0
'3.75
7$, <"5
FEE
CHARGE
CHARGE
CIJARGE
I
I
I
78. '2 :i'
,
,
Iplon Check Fee: t./g. 9'=?
Date Paid: >;!-//~:8'9
IR~ceiPt N: l'lL'2..e;-. .
IS1-g'Ied: /" ~//.....~4--<;~
)' --,- - !"/" ..
Plumbing P(rmit /' ;'
No person Dhall. construct.. install, alter Or change any nelJ cr e=isting
plumbing or drainage system in ~hole 01' in part.. ur.less such person io tho
legal posseSRor of a valid plumber's license.. except that a person may do
plumbing work to property which is owned.. leased 01' operatod by the appli-
cant.
,
Electrica I Permi t
Wher9 State Law requires that the electrical work bB dons by an Eleatrical
Contractor.. tho electrical portion of t.his permit shall roOt bB valid until
tM label has b~en signed by the Electrical Contractor.
,
Mechanical Permit
,
~-:=----4_~~L7~
p)d'Y'txaminer - (.. /'
&-'<. Y-&"=?
ua&e
I HAVE CAREFULLY EXAMINED the completed application for permit, and do
hfJreby cfJrtify that all 1..--;forrrr.z.ticn herson is true and correct, and I
further certify that any ar.d all. IJOrk psrfor:ned shall bG do:ts in accor-
dance with the Ordinances of the city of Springfield, and the; Ltr..;s of tho
. State of areg"n pitrtaining to the !JOrk describod hors:.nl and that NO OCCU-
PANCY will be /mae of any structurJ witho:.4t parmioaion of the Building Di.
vision. I further certify that o~ly contractors and cnpL,ye~s who are in
compliance with ORS 701.055 will be used on this proj~ct
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