HomeMy WebLinkAboutPermit Building 1989-8-4
..... '..~'......" "".-........ ....,... ...~.....
.. RESlraNTlAL"
APPLICAWON/PERMIT
225 North 5th Street
SpringfieZd, Oregon 97477
BuiZding Division
726-3753
.'
Job Location: 1397 RPo.INBf\W b~lVF::
A8ae8aors Map H \ f} () ~ {:{ ') ?-A"
Subdivision:
amer: GEt---lF ~
Address: \ ~9l
Tax Lot H tWl cx:-J
Q~~~
Rp., \ N Rc w \)R..\V E..
PI''''''8; "741- 21 p,f,
Zip: '17<\.11
City: S,Pe.IN(",Hr--Ll'"'l
rgLNm.,
n Addi tion
n Remodel
n Hobile Homa
Date of Appliaation
Desaribe r.'ork:
~\Q.&.. G,C"u\~
E:roircs PhonD
Genera~ ,SU~i'JURc:T C~POf1AA'( (44' Hw'l '1"\~ ~b~e 5'61l51 ()\I~{) f;8B-R,"Ul_
PLwnbing \ L 0\ l\l.. ,ij(\<::::" (In () 0 -.: \.'"'JQ f,),C'\ \-\'C\ m ~C'rl\ -':-- I ~
E~8ctrica"A. ~\0' \ ~()nf'"\_-\Pt-17' -
Mechar.ic:z l
('''~'':'''''-.J" 1lR.ct" i l\ 1"1 0 ~ ~
r{.. 2..0 -b~
Gontraators
Value
Address
eI Rcce~pt #, I Y-S7.P ~
,
~
,
siqr.edC~,
Date; IJ fZ!
, I
Lisc.#
A."", LA, c::Y
l~~()'f../: ~-'--il.~~ //)1 ;lA~
It is th6 resporuribility of the permit hoJer to :e~ that all inopeationa are made at the proper tims, that each ::dd:re88 is rea.dabZe
f1"Cnl ths street, and that the permit card is located at the front of the property.
.Bui!di~ Divi=ior: approved plan shall. remain on thE Building Sit$ at all. times. .
PROCEDURE FOR INSPECTION R:':QUEST~CALL 726-3769 (rccol"derJ state your City designated job nwnber, job address, type of inapea-;icn.
1"aqucsted ar.d W.":en you will be l"eady for inspection, ContractoY's or Oz.mel"s name end phone number. Requests received befcrB 7:00 a;':'l
r..'ilZ. be m:zde the same day, requests made after 7:00 am will ba m:zde the next :.JOrking day.
.. y~ City Desigr.ated Job Nwnber Ia: mOf\ ~f)
D. UIIDERFmadWOR PWftfBIIIG & MEC',!~~ICAL; f
To be e prior to l.nstaf.o/..Ution 0
f!oor insulation or decking.
O POST AND BEAM: To be ",Me pPior to
instaz.ration of [1.oor insulation 01'
decking.
r-.:::r ROUGH PLUMBIlJG. ELECTRICAL & MEC1J-
l.k::J ANICAL: No work is to be covered
.ur.tiz. these inspections have beer.
made and approved. .
D FIREPLACE: Prior to plc.air.g facing
materials and before framing inspec-
tion.
, D FENCE: Wluin compl;;te -- Provide
r/I FRAJ.ING: Must be reque~ted after .--...r gates or movable sections thY'ough
~ appl"oval of rough plwr.b1.ng, electM.- P U E .
cal & meahanical. All. roOfing . . . ,.
bracing & chimncys, etc. 171"..lst be 0 .
: completed. No work is to be con-
.., cea led unti l this inspection has
~b6~n made and approved.
Rp.TJi~p.n TnRnR~r.i~~R
r-:::r SITE INSPECTION: To be made after
l.!::::..I excavation, but pr>ioY' to set up of
forms.
n UNDERSLAB PWMBIIIG. ELECTRICAL &
~ MECHANICA~: To be made before any
~rk is covered.
Cd
FOOTING & FOUNDATICN: To be made
aftel" trenches are excavated and.
forms are erected, but prior to
pouring ccncret~.
UNDERGROUND PLUMBING? SEWER. W.4TE&
DRAIfIAGE: To be made prior to fi l-
.l ir.g trenches.
~
o FIliAL PWMBIIIG
o PINAL MECHANICAL
0' FINAL ELECTRICAL
o
D INSULATION/VAPOR BARRIF:R INSPECTroN~
To be made aftel" aU insulation cr".d
.. required vapor barriel"s al"e in place
. but before any lath, gypsWTI board or
watz. (!OtJel"ing is applied, and before
any insulation is concealed.
O DRYWALL INSPECTION: To be made
after all drywaz.l is in place,
but pl"ior to any taping.
O ~SONRY: Steel location, bo7ul
beams, grouting or verticals in
accordance with U.B.C. Section
2415.
D
WOODSTOVE:
acmpleted.
After installation is
,.j:J 'I b-' s
DEf.10LITIO!! OR ;'.JOYED BUILDIilCS
~ Sanital"Y Se'..Jer capped ~t pz:.oPCl"t':i Zir.e
:J Septic tank p-.JJ'?ed and fitza~ r.Jith gra;;eZ
I Pinal - rnten above items al"e completed
~ and when demolition is complete or stru~-
ture moved and pr~3es cleaned up.
Nobile Hemes
:::J Blocking and Set-up
:::J Plumbing connections s&Wer and ~:er
:::J Electrical Connection - Blocking, set-up.
and plumbing connections nr~st bo approv6d
beforc requesting electrical inspec-;ion
.=J Accessol"d Bui ldf-ng
J Pinal - Aftnr porcr.es, skirting, decks,
~ etc. al"e complet~d.
D
All project conditions, such as the instaZlation. of street trees, c~~lotion of the
required landscc:pir.g, etc., must be satisfied before the BUILDING FINAL can be raquestr>!d.
(0
FINAL BUILDING: The Pinal Building Inspection must be requeated after the Final Plumbi7lfl
Electrical, and Mechar.ical Inspeationa havo been made and approvad.
D
CURB & APPROACH APRON: After' forms
are erected but prior to pou:ring
007U!rete.
'ALL MAIIHCLES AND CLEAIIOUTS MUST BE ACCESSIBT,E, ADJUST!IEIIT TO BE ftL1DE AT 110 COST TO CITY I Page 1 of 2
o
SIDEWALK & DRIYEWAY: Fop all con-
crete paving within stY'eet right-
of-ux::.y, to be made after aZl exca-
vating ccmplete & form work & sub-
base material in pkwe.
I JOB NO,
I Zone:
Lot Sq. Ft{;.
S of lot Coverage
,~ of Stories
Total Height
Topography
ITEM
. SQ,FTG
LLJf) .4
Main
Garace
Carvort
ACCe8801'U
TOTA& VAWE
IS,D,C,
(vat.uc)
1.5 :x
Bui'Lding Permi t
State SuI'cha:t'(fe
Total. Cha......ges
lITEM I~'
I Fixtures L
I Residential (1 bath) I
I Sanitary SeLJel' I
I Water
I
Plumbing Pe=i t
State Surcr.apge
Total Charaes
I ITEM I NO. .
I Res. Sa. fta.
NGlM/Extend Circui ts 12
Temporary Service I
I I
EZ.e~tricaZ. Permit
State Surcha.rqe
Total Charc;es
lITEM
I Furna:ce !!TV'S
I Exhaust Hood
I Vent Fan
I WOodsto:;e
I
Permit Issuance
Mechanical Permit
State SUrcharae
Tn1:nl Charn~ut
-- ENCROAClINENT --
I Sec-.aoitJl Deoosit
I Storage
I Maintertant:e
IpCl'r>Iit
I Total ChaNos
Curbcut
Side1.>alk
Fen::e
Electrical Label
Nobi l6 Home
I TOTA& AMOUNT DUE:'
, SOLAR AWSS
Ocauvancl/ GrouP.
WT TYPE
Interior
Coroner
Panhandle
Cut-de-sac
IKl-u') q:V~~~i
I I
I I
I I
I I
I.
, .
80.5"0
t.J..03
8f.531.
FEE
I
I~.OO I
I
I
I
I
I
I
,.
I
I
22.5"0 I
I
I I
1"2..2-..5"01
I /./3 I
123. b31.
CHARGE
7. 50
/5",00
.75
/5".7S-
FEE
CHARGE
0'-
fhor-e
l NO. FEE
I
I
I
I
I
CI/ARGE
I
I
I
I
I
I
I
f 12.3. 9/
Page 2
REQ,-
L-COG~
.
I I Enerau Sources
I I Heat
Access. I I Water' .c/rmtp.l'
I I Range
I FireRlaca
I Wood!; tOL'e
I
Type/Cor.st:
Bedrooms:
I Lot Faces -
I Setbacks
I p, L. I House CaI'aqe
INorth
East I
I'sou th I
West I
Twoe
Fees
Building Value & Permit
This pel'mit is granted on the express condition that the sa'id construction
shall, in aZl respccts, confol'm to the Ordinar~e adopted by the City of
Springfield, inc!uding the Zoning crdinance, regulating the construction
and use of buildings, and may be suspended or revoked at cr:y time upon vio-
lation of any provisions of said Ordinances.
s~r~3
I Plan Check Fee: . ,
Date Paid: t! - .!::U - ~
IR~cdPt #: ~ )
IS1.gned: 'Ff.1 N\ ,
Plumbing Permit
No person shall construct, install., alter 01' change c.ny new or e::cisting
plumbing or drainage system in whole or in paI't, unless such person is the
legal possessor of a valid plumber's license, except tr~t a person may do
plwnbing work to property which is otmed, leased or operated by the appli-
cant.
Electrical Permit .
Where State LabJ'requires tr.at the electrical work be done by an Electrical
Contractor, the electrical portion of this permit shall roOt be valid until
the label has been signed by the Electrical Contractor,
Mechanical Permit
.
~-"7~~-' - .,
t't4nftaminer ,/
1?-r~ -:9
va.e
I HAVE CAREFULLY EXAMINED the completed application for permit, and do
hereby certify that all info::omation hereon is true and corr'cct, and I
further certify that any ar.d all work per'fornled shall be do:1e in accor-
dance :.nth the IJrodinances of the City of Springfield, and th& [,0;.;. of tho
~ State of OregQn pertaining to the work described herein, and that NO OCCU-
PANCY will be mde of any StruCtur8 without permission of the Building Di-
vision. I further certify that O:1ly contractors ar~ enploye6s who are in
c~Uance UJith ORS 701,055 will be used on this project
~~_~AM~A1u
Signad
CJ':1 1/1987
.