HomeMy WebLinkAboutPermit Building 1990-5-16
.. RE SID' "J T I A L · ·
APPLICAT1UN/PERMIT
225 North 5th Street
SpringfieZd, Oregon 97477
BuiZding Division
726-3753
'11 ,.
Assessors Map
if B q 5: Q il"U r\. \
# \ f) l)" ~ ?1~ ~.
T= Lot #
rowco
Job Location:
Subdivision:
Ol.mer: ~ frtV'JLJ " t\ {U~ N\ r(Y\.J11 (f\ )
Address: 4- 3 ~ 5' () ot~ rt }
City, ~f MIYI~t;l~d
NmJ
Phone: 741- 9 ~40
Zip: 91J41't
Describe fl'orl<:
Addi tion
'hm.cL ~'rQ ~
~
Date of Application ,s""= /b'-9c:::?
Contractors
i General
I Elumbing
l' Hechanical ,
Kl,e':t:r:i.c~l c'f3, ~_~~ \i.'2t&.. l.i4~. i<J:tlV. ~\liWlcL, 1-0-/4(1.
I Stlpeli"V~&!':!8 E}~ee tr~eian,ID.M~ ~h ) \JJr\'lLif") '1'0 >30.)
It is the responsibility 'of the permit holder to see that alZ inspections a1'e made at the proper time, that each o;;ddress is readabZe
from the street, and that the permit card is 'lccated at the front of the property.
*BuiZding Division approved planshaU remain on thz Building Sits at aU times.
PROCEDURE FOR INSPECTION REQUEST:CALL 726-3769 (recorder) state your City designated job ,nwnber, job add:r, e ss,' ,type of in3pe~c'" 'en,
,-aquestod ~d oh= y~ om be reody for inspaation, C~"'~",", or _rs ~, and ,,,,,,, n=bsr. Re,,",sts rl""'i~ '~'A ~
'.J.'iU' be made the same day, requests made after 7:00 am !JiU be made the next :.JOrking day. V ' ~ '
~, ' -fi-001J :j.. ~~ ' ' . ',-
Your City Desigr~ted Job Nwnber Is:
Remodel
Nobile Home
Reauiped Insveations
D SITE INSPECTION: To be made after
excavation, but prior to set up of
,forms.
0, ", UNDERSLAB PLUMBING. ELECTRICAL &
MECHANICAL: To be made before any
work is aovered.
:~ \:'
O FOOTING & FOUNDATION: To be made
, after trenches a1'e excavated and
, forms a1'e erected, but prior to
"" ':pouring concrete.
0, ,UNDERGROUND PLUMBING) SEWE., R.WATER,
I ,DRAINAGE: To be made prior to fil-
,lir.g trenches.
O ,-: UNDERFL'oOR PLUMBING & MECHANICAL:
" 'To be made prior to installation of
j100r insulation or decking.
'0 POST AND BEAM: To be made prior to
. instaUation of floor insz;.lation or
I ,decking.
10 ROUGH PLUMBING. ELECTRICAL & !.fECH-,
; ANICAL: No work is to be covered
, ~ur.til these inspections have beer.
'made and approved. '
D FIREPLACE: Prior to placir.g facing
materials and before, -/raming inspea-
tion.
D FRAJ1ING: Must be requested after
approval of rough plwr.bing, deatri-
cal & mechaniaal. AU roofing
:' 'bracing & ahimneys, eta. nr~st be
",'completed. No work is to be con...
,.., ~"cea led until this inspection has
,~,been made and approved.
,..,...-..-. -
Value
17 (J I I
Signed:
Date:
J;.
~-I(P,- 90
Address
", -Lise.
Bldrs Board Reg.
Phonp
'0 INSULATION/VAPOR BARRIER INSPECTION:
, To be made after aU insulation CP.'.d
", ',' required vapor barriers are in place
,(":,' but before any lath, gypsum bOa1'd 01'
waU aovering is applied, and before
, ,:,': ',',any insu lation is concealed.
~
DRYWALL INSPECTION: To be made
after aU drywaU is in place,
but prior to any taping.
0, ~SONRY: Steel location, bona
beams, grouting 01' verticals in
accordance !Jith U. B. C. Section
2415.
D WOODSTOVE: After installation is
aompleted. ,
D CURB & APPROACH APRON: After forms
a1'e ereeted but prior to pouring
.. aorwre te.
D
SIDEWALK & DRIVEWAY: For aU con-
crete paving within street right-
pf-way, to be made after all exca-
vating complete & form work & sub-
, base material in plaee.
D
PENCE: ~~en compl.>te -- Provide
gates or movable sections through
P.U.E. '
Expires
3<J4q
q -I -qb
'71-1- 1.? 310
o
DEMOLITION OR ,~{oVED BUILDIivGS
=:J Sani tary se'..Jer C!apped at pz:.opert"y line
=:J SeptiC! tank p-.unped and fiHad ,with gra;;el i
I Final - f\~en abc~e i~ems a1'e ~ompleted !
~ and when demolit~on ~s complete or stru~-
ture moved and premises C!leaned up.
Mobile Hemes
~ Blocking and Set-up
~ Plumbing connections s~er and water
~ Electrical Conneation - Blocking, set-up
~ and plumbing connections nr~st be approved
, before requesting eleatriaal inspection
=:J AcC!essoP'd Building
I Final - After porches, skirting, deaks,
~ etc. a1'e completed. ,
o
All project conditions, such as the installation of street trees, cOmvletion of the
required 'landsccpir:g, eta., must be satisfied before the BUILDING FINAL aan be requested.
D FINAL PLUMBING'
CJ FINAL ME(;HANICAL
~ FINAL ELECTRIC~L
;. . "',... ,
o
FINAL BUILDING: The Final Building Inspeation must be requested after the Final Plumbing
Electrjaa~, and Mechanical ~nspections have been made and approved.
=:J
.
\
., ,
*AL-L MANHOLES AND CLEANOUTS MUST BE ACCE;SIBf,E, ADJUST!fENT TO BE f.f.~DE AT NO COST TO CITY I Page 1 of 2
I JOB NO. ~IJO'"Zz."
I Zone:
Lot Sq. Ftg.-
% of lot C~'verag;;
# of StoPies
Total Height
Topography
lITEM
SQ.FTG
Main
Ga:raae
Carport
I Accessor!!
I
I
TOTAL VAWE
S.D.C.
(va~ue)
1. S x
BuUding Permit
State Surcharge
Total Charges
lITEM
I Fixtures
I Residential (1 bath)
I Sanitary SeweI'
WateI'
Plumbing Pem t
Sta'te Surcr.a:I'ge
Total ChaI'aes
lITEM
I Res. Sa.. fta..
I New/Extend C1:I'c:uitS
I TempoI'ary Ser'Vice
Serl,t j, e c,~ (JIP}!"
"
EZe~trical Permit
State SurcfzaI>qe
Total Char>qes
ITEM
Furnace ETU' S
E:J:haust Hood
Vent Fan
Woodstove
PeI'm1:t Issuance
Mechanical PeI'rrrit
Stat(! Surcharae
Total, Char>cr?S
I -- ENCROACHMENT --
Ise~~Pitl/ Deposit
I StoI'age
I Maintena~e
Permit
Total ChaI'qcs
.CUI'bc:ut
Sidewalk
Feru:e
I Electrical Label
I Mobi le Home
TOTAL AMOUNT DUE: *
rc:.ge ,;
L -CO G~
SOL A RAe C E S S R E Q.-
Occ:upancy Gr
LOT TYPE
NO.
NO. FEE
?-1/5"P-
NO.
FEE
FEE
InteI'ioI'
Corner
Panhandle
Cul-de-sac
x
Value
CHARGE
CHARGE
31J~-
;)O~
.~
I . '
J I--~
CHARGE
Jl,5U
Type/Const:
Bedroooms:
EneI'Ql/ Sources
Heat
WateI' HeateI'
Range
FiI'eplace
Woodstove
TilDe
I Lot Faces -
I Setbacks
I P. L. House CaI'age' Access.
NOI'th
East
South
r';est
-- Fees
Building Value & Permit
This permit is gI'anted on the expI'ess condition that the said construction
shall, in all I'espects, conform to the Ordinance adopted by the City of
SpI'ingfield, including the Zoning Ordinance, I'egulating the construction
and use of buildings, and may be suspended OI' revoked at any time upon vio-
~tion of any pI'ovisions of said OI'dir~nces.
*
*
Plan Check Fee:
Date Paid:
Recdpt #:
Signed:
Plumbing Permit
No peI'son shall construct, install, alter OI' ~hange any new OI' existing
plumbing'oI'drainage system in whole OI' in part, unless such peI'son is the
legal possessoI' of a valid plumbeI"s license, except that a person may do
plumbing wOI'k to property which is owned, leased or opeI'ated by the appli-
cant.
I
I *
Electrical Permit
Where State Law I'equiI'es tr~t the electI'ical work be done by an ElectI'ical
Contractor, the electPical portion of this permit shall not be valid until
the label has been signed by the Electrical ContractoI'.
*
Mechanical Perm~t
*
Plan Examiner
Uate
r *
I HAVE CAREFULLY EXAMINED the completed application foI' permit. and do
hereby certify that all information heI'eon is true and COI'I'cct. and I
fUI'theI' certify that any ar.d all work peI'fomled shall be done in accor-
dance with the Ordinances of the City of Springfield. and th;: la.,;s of the
State of Oregon pertaining to the work descPibed heI'ein. and that NO OCCU-
PANCY will be made of any structUI'e without permission of the Building Di-
vision. I further certify that only contI'actors ar.d e~loyees who are in
c~pliance with ORS ?Ol.05E will be used on this project
tl~t'1~
Signed ,
f~f/111
*