HomeMy WebLinkAboutPermit Building 1988-5-22
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.. RESID.T1AL"
. APPLICATIONIPERMIT
225 North 5th Street
Springfield, Oregon 97477
Building Division
726-3753
{.'ontractors # Add:ress Lisc. if
GmulMl f~/,<.,." 6.::l<!"C- I7f.L c.~st".,c ~~/....r 3b"~'1
Plumbing r~t.J lolo-vPi..-b P.alL....-,.1? Ci- t;, VI.. v ~ol
Electriaal II( lcb....-P ~~~ 1';1o~ 011 ~<I.. II ~ r~ t('I'iLy .~5 U j,
Mechar.ical ir'or~rOI0,':-, 3{7o i! /y;tt. ~J (/7<10<- :Jo2vJ
CDrUJtJoudtion LendeJo "
It ia tn. zosspcm.tribility of ths permit holder to BQS that aU irwpections are made at ths propar tims, t1-.at each ~BSB is readable
frcrn tM street, and that the permit card is 'Lccatsd at tho front of tho pr<?perty.
.fSuildi!'tg l>ivi::ior: approved plan shatz remain on thE. Building Sit~ at all times.
PROCEDURE FOR INSPECTION RE:Ql/EST;CALL 726-3769 (recorder) state your City designated job number, job address; type of in3pec:ticn
zoaquestcd ar.d when you r.Ji'l'l be ready for inspection, Contractors or OI.mers name c:nd phone Tttl11Ibcr. Requ8sts received befers 7:00 a":':I
:..tiU be mads the same day, requests made aft;):/' 7:00 am witz be made the next ::Jerking day.
Job Location:
~ ~o 70,*jjG..-
17-03-?A';;>'3
fA~. U.I/t;)L
ASGesGors Map #
Subdivision:
Q.mer:
r:.. -/z.~ is /Jo......r
17 9J- c.A.<-~::>-I-
Ii "'!'I........ ,&-.... CT,N
<J . <..J
Address:
City:
171
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Ifm'
Addi tion
Remodel
:.!obi le Homo
Date of Applicaticn
~i"'''!1 T"1.fln~~?:r.':lR
m SITE INSPECTION: To be made after
~ excavation, but prior to set up of
forms.
O . UNDERSLAB PLUMBING. ELECTRICAL &
. MECHANICAL: To be made before any
. . }JOrk is aovcred. ~
I X I FOOTING i ?tr-UNDATION: To be IlXUie
after trenches are excavated and.
forms are erected, but prior to
pouring concret.. dO ;;l.1,.l> .
I>tl UNDSRGROUND PLUMBING. !E:WER. W.1TE8,
L..:J DRAINAGE: To be rro.de prior to fiL-
'Lir.g trenches.. I
. )/, '-f
fl7l, UNDERP'::!.~~ PLUMBING & MECf!~~ICAL: f
tL:.J To be ff.uutj prior to t.nsta~'-Ut1.on 0
S . floor insulation or decking.
r7l POST AND BEAM: To be made priol' to
L.L:I installation of floor instol.a.tion or
decking. ~; /~.I / ,.(~
r71 ROUCH PLUUBING. ELECTRICAL & MECH-
L.lJ . ANICAL: No 1J01"k is to be covered
,ur.til these inspections have beer.
~ made and approved. .
LlJ FIREPLACE: Prior to ptccir.g facing
CiJ. ~~~aze and befol'e frenting inepec-
FRAMING: Must be requ.eoted after
approval of rough plwr.bing, electri-
.cal & mechanical. AU roOfing
.' bracing ~ chimneys, et.::. l7T".J.st be
~'completcd. No oork is to be Cmt-
.......cealed until. thiD inspection has
:-bGfJ!! made and approved.
-....-
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C2I PINAL PLUMBING
2li
l2J PINAL MECHANICAL
'-l~
QS] PINAL ELECTRICAL
D
Ta:r Let # III??
J...;;-1-# /'-
Pr.mle: '/ jS!> /7 ~
Zip: tf76f tJ (
Describe II'ork:
'7) f r (,..1i!J",J--I.~Jo/
lTe~~ ~ t-~' .
Value (r;.5 I ~ 0
.Your Ci~ De8igr.af~ Job Nwnber 10:
m INSULATION/VAPOR BARRIER INSPECTION:
~ To be made after aU insulation w.d
. .' required vapor barriers are in place
. . but before any lath, GYpsW11 board or
wU covering is applied, and before
. any inJJulation is ooncea1.ed.
...1 I
f71 DRYWALL INSPECTION: Te be made
~ after aU drywaU is in plaoe,
but prior to any taping. .
O MASONRY: Steel looation, boiui
beams, grouting or verticals in
accordance with V.B.C. Section
2415.
O WOODSTOVE: After inetallatwn i8
ccmpleted.
~O .q I
rvI CURB & APPROACH APTfON: After forms
l....L2J are ereated but prior to pouring
oo.".,rete.
. rVl SIDEWALK & DRIVEWAY: For all con-
~ crete paving within street right-
pf-ux::.y, to be made after an exca-
vating compZete & form work & eub-
. base Trrlterial in place.
O PENCE: When compl~te -- Provide
gates 01' movable sections through
P.U.E. .
o
,-
Rcce~pt ,~
1101/
.
101,
1 \ I I
~/~.
Siqr.ed:
Date:
?'i~'. )
L/) - ~ _.z$-e~
6? - ,
"/J;1.J~ r-
Exvires
Phone
i./J :r-3n f'
tfv L. -jJ..2..1...-
?YL--.$/; :; 'L-
7 if -000 7-
s-I(;'j
d'/1'r
'}/ hI
~/J-7
EStt05 S J
. DE1.10LITION OR ~~:OVED BUILDINGS
~ Sani tary ssuer capped at r:..op.:;rt"~ tine
=:J Septio tank P"-'"'Psd and fillsd with g>'(l"l
--, Final - rfhe:n above items are ccmpleted
~ and when demolition is complete 01' stru~-
ture moved and premises cleaned up.
Mobile Hcmes
=:=J Blocking and Set-,p
=:=J Plumbing connections -- S&WBr and water
~ Electrical Connection - Btocking~ Bet-up
---1 and plumbing connections nr~st CB approved
before requesting electrical inspection
=:J Acces8ol"d Bui lding
.......
::J Fina.l - After p:Jrcr.es, sk<;rting, decks~
etc. are completed.
o
All project conditions~ such as the installation of stl'est trees~ c~~Zation of the
required landscapi"'.g~ etc... mu,st be satisfied before the BUILDING FINAL can be r~quest34'
Ie)
(l)
FINAL BUILDING: The Final Bu.i1.ding Inspection I'I1WJt be requ.eated after the Final Plwnbing
Electrical, and Mechar..icaZ Inspectio1'UJ havo been made and approvad.
'ALL MANHOLES AND CLEANOUTS MUST BE ACCESSIBLE, ADJUST/reNT TO BE IIADE AT NO COST TO CITY I Page! of 2
Page 2
I JOB NO.~~ r SOLAR ACCESS REQ.- Y~.,.6k LA::::::i L-COC.,'(;
I Zone: L 7/P Occuoonc" G,.6 7-3 =I /?'?-/ I Type/cor.st:.N . Bedrooms: ~
Let Sq. Ftg.' . iP7~& WT TYPE . 'I LOt Fa-;'es - ~ I r Enera.u SO".u'ce8 TUDe
S of lot CoveMg" -:Z~~ V Interior I Setbacks I I Heat ~ .1"11
... A- I P.L. Houss Caraqe Access. I I Water .4P..t1tl?1' &<
g of Storie. ( Comer North,,~ I I Range ~;'/.~
Total Height /-:<5' / Panhandle East ~~/. ~' 1/ I Firep!oce ~"'-',;;;>.".
h South k>.d'~/ I I Woodatove
TopogMP y CUl-de-eac IWe8t 1:24-; I I
I
I ITEM
I SQ.FTG
1-g9~
.,;:3'.:::>
Main
Garace
Cal'DOrt
ACC8SBOru
S.D.C.
TOTAL VALUE
(vct..UC)
1.5 :r
Building Permit
State Surcharge
Total Cha..~ge8
I ITEM' 1 NO. II
I Fixtures
I Residential r;e bath). 12 I
I Sanitaroy SeLJer 1/ I
IWater 1/ I
fuR/"?> zPA'Mk-d=-
Plumbing Permi t
State SurC}o.a:JOg8
Total Charaes
I ITEM I NO. I FEE
I Res. So. fta. 13~&" I I
I NeuJ/E:r:tend Ci'l'cui ts I
I Temporary Service ' II I
1-:::?a>A~/.cE 1/ I
Ele~tl'ical Permit
State Sta'::harqe
Total C1uzrqes
lITEM
I;' FEE
II
13'1 ?
I I
I /~ 7#>/.n<=-..1 I
Furnace ETU'S
E=haust Hood
Vent Fan
JlOodstove
-
Perrrri t Issuance
Me::hanical Permi t
State Surcharae
Tntf'1.1 ChaYocum
-- ENCROACHMENT --
S8~~~ Devosit
Storage
MaintenaMB
I Permit
I
I Curbcut
I SideLJalk
Total. Cha'l'QC8
/- ::zq -'
/.:" B '
I F'Sn:J8
I (z-;;;r=n:~:i IF
I Nobile Home
I
I
I TOTAL AMOUIIT DUE:"
-- Faes
I
I
I
I
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I
I~S'~ I
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:?'2B. PC> I
/6. yo I.... ).
3~'/. ~O I,
x
Value
I
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I
I
I
d /5'&'1./1
FEE
CHARGE
52.50
-:t?t9- .-e>
//5":P'fP
Building Value & .Permit
This permit is granted on the express condition that the sdid constI"Uction
shaU, in all respects, confonn to the Ordinance adopted by the City of
SpPingfield, incZuding the Zoning Crdinance, l'egul.ating the construction
and une of buildings, and may be suspended or revoked at c:r:y time upon vio-
lation of any provisions of said Ordinances.
Plan Check Fee: Q I. "=? . ';:) (")
r~~:J. -:L ~ l( ~
/1-,,1
LL
Plumbing Permit
r
Date Paid:
Receipt #:
I Signed:
No person ahaZl construct, install, alter or change any new or e=isting
plumbing or drainage system in whole or in part, unless Buch person is the
legal possessor of a valid plumber's license, except that a person may do
plwnbing tJork to property which is otJned, 'Leased or operated by the appli-
cant.
1
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I ':Z &. en:> I
I /t'7. ~O + S-
I S-:"38 I
II/z -Bg I,
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I :?7- SD I
I "76>. -=- I-I..(
I Lr. ~e:>j
I '97'-~I,
CHARGE I
6.-1
~~
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CHARGE
-:< _ """D
Electrical
Permit
Where State La1J requires tr.at the sz.ectnca1. work be done by an E1.e~tricaz.
Contractor, the electrical portion of this permit shalt not be valid. until
the Zabel has been signed by the Electrical Contractor. .
,
Mechanical
Permit
'?I-Sc> 1_ (..,
I. .081
7.z~581 '
I'/. "35'
2&. ~
l
I
I
I I HAVE CAREFULLY EXAMINED the completed application for pernn:t, and do
I hereby certify that all info'?mO.tion hereon is true and COlTcct, and I
furtheP certify that any ar.d atl work perfo!":TIed shall. be done in accor-
I dance :.nth the Or>dinanC6B of the city of Springfield, and the La-..;s of tha
'.. State of Oregon partaining to the work described herein, and that NO OCCU-
PANCY will be rmde of any structure TJithout permission of the Building Oi-
I )..vision. I fUl"thel' certify that o':1ly aontroctol'S ar.d e.'11pz"yees who are in
compliance with ORB 701.055 will be used on this project
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