HomeMy WebLinkAboutPermit Building 1988-9-9
.. RESI.NTlAl"
APPLICATION/PERMIT
225 North 5th Street
SpringfieZd, Oregon 97477
BuiZding Division
726-3753
Job Location:
<?'l4- 701+..1<,-
11-03-,34-- JI.:L
Tc:r: Lot # I q~O
AS06S80l'S Map /I
S1JxJivision:
LoJ-1- #- /
Omer:
,-
r .....-I...-L
:6
f-JIJ..- :s'
Address:
J7~J... G....:\...._+ s--t-
E U-~{~, t/""'-S,./
City:
16La"'"
n Addition
n Remodel
n Uobile Homo
U 1(<-
ii, 1/6.JL
Pr.one:
VJ'S-~.3i1 y
Zip: t; 7 VO /
Describe rl'ol'k:
~""'-Slt. F.-..s ~<\~d,';'~
. Ft;PNP-17Y~d 7' V',y,p~~h".l> t/rrUT/E'S
. .r4.'f/fY
Va IUB
6, ::?<Zl. OC>
Date of Applicatio~
Rcce-:.pt .11-
!? "?(J r
.
\0\ ,
\ \ \ \
CG
Siqr.ed: ~ ~
Date: ii;?:;Uf-'" q~q-vf
....
Contractors Address Lise. II Exoipos PhonQ
Cenerat r... /....... J3 1'1.-.u- t7fJ... l~,...o)frr i?,- ~ :;w-lffi S-/.f't <I.l r.1l 7 '"
Me,) (c;,,~ j>/.~h, 1'0 Bo>- ,,)-33 . , IP(H fllL-.rJ,J..L
numbing CL-' "l'1.J-ol
Electrical Jk'~D-:-d t::"'~~,:,,:" 1fl03 Uv :;-..t,;. ft<L L" 3k,uf.o 1/.1'1 -;'h.ffe7.l1!...
Maclrar.ic.::t k'<J j:.,-. '/__1 ,,,-, . '3,70 C;::"d ,>If<.. t:c.. ( . du..l.YC:; .2./H 7 lIl-WO"1-
J,/ ...A... ~
eo...m.ctian tmrda
It i.a tl&. l"6sponsi.bi.lity of ths psrmit holder to S8e that al1.. iMpections a:t'6 made at tits propsr timG~ tr.at QCCIt =ddrSBB is raadabZ
j'1'CIIl tlut strsst, and that ths psrrrrit can:I is !.ocated at the frent of the prDpaty.
-Bui!.di!1!l Diui:::i.or. approved plan shall remain on tha Building Sits at all times.
PROCEDURF: Fon INSPF:CTION R:cOUF:ST:CALL 726-3769 (recorder) etate your City aesignated job nur.:ba, job a&:rcss, type of i713pec~
l"(3({Uestcd arod 1J,&:en you tJilZ. be ready fol" inspcct-o:.on~ Contractors 01" CUners name and ~hone number. Requests receivGd befere 7:00 a':'I
:.~ll be 11Wie the Bame day~ requests made afta' 7:00 am urill be TTWie the n(':,%t :.JOrki~ day.
Rl?m''':'t,,:rt' T'1~'?.r..r'~1:r.,.,~
O SITE INSPECTION: To be rmde after'
e.zcavation~ but prior to Set up of
" forms.
O . UNDF:RSLA8 PWMBING. F:LF:CTRICAt &
MECHANICAL: To bo made before any
WOl"k is .::overed.
, ~ .
r;<1 Pri!nNG & FOUNDATION: To be "",de
~ after trenches are excavated and
forms are erected~ but prior to
pouring CC"<'Tet.. -,~ "
[g] -,.o,"J\P ,
UNDSRGROUND nriMsING. SEWER, W.1TE.If.,
DRAINAGE: To be rra::ie pI'ior to fil-
.Ur.g tl'encMs.
o
UNDF:RPWOR PWt$ING & MECHANICAL:
To be made prior to inataLLation of
Jtoor insuLation 01" decking.
POST AND BEAM: To be made prior to
instaLLation of floor insuLation or
"",u,ckil1fj.
ROUGH PLUMBING. ELECTRICAL & MECH-
ANICAL: No IJOrk is to be covered
,untiL those inspections have be~
made and approved. "
FIREPLACE: Prior to p lacir.g facing
materiaLs and before framing inspec-
tion.
O FRANING: Must be requsDted after
approvaL of rough plwr.bing~ alectri-
.caL & mechanicaL. All roofing
bracing & chimncys~ et.::. nr..tst bs
;' comp Letcd. No wrk is to be con-
....."cealBd until this inspection has
:O"be~ made and approved.
o
o
o
rour City" DS8igr.ated Job Number ID:
O INSUtATIONIVAPOR BARRIF:R INSn:CTIOII:
To be rrnde after all insul.::.tian tr".d
,'. required vapor barriers are in place
-. ':: .: but before any lath~ gypuwn board or
" "u::zlZ covering is appl.ied~ and betors
. any irwuZation is concealed.
O DRYWAtL INSPF:CTION: Te be made
after aLL dryIJaLl is in place~
. but prior to any taping.
O MASONRY: Steel location~ bona
becunD~ grouting or verticals in
accordance urith U.B.C. Section
241..
O WOODSTOVE: After installation is
ccmpLeted.
D CURB & APPROACH APTiON: After forms
are ereated but prior to pouring
.. CO~rete.
. 0" SIDEWALK & DRIVEWAY: For all con-
crete paving within street right-
.of-way, to be made after all e:z:ca-
. vating cc;mplete & form wrk & sub~
. base material in plaae.
O !'F:NCF:: fIhen compt.te -- Provide.
gates or movable sections through
P.U.F:. "
o
f-~O I}tflo
I DEUOLITION OR ;'.;OVED BUILDIilGS
:=J Sani:ary se:Jer capped at rn:.op~rt"~' lir.s
.=J Septia tank p-.,qu:d and filZ~~ LJith gra~B:
:J Pinal - rfhen ab..,'""1Je items ars completed
ar~ when demolition is complste or struo.
turs movsd and prcmiaes :::leaned up.
I Nobi le Homes
~ Bto,*il1fj and Sst-"P
~ Plumbing connections scwsr ~ lJa~er
---, Electrical Connection - Blocking~ set-up I
---l and plumbing connsctions nr~st be approv6c
before requesting slec~rical inspsc:ion
~ Acassso1";j Bui lding
:J Fin..:J.l - Aft;;r p:}rc1:es~ 8kirting~ dscks,
stc. are completed.
"
D
ALL project conditions~ 8UCr: as tho installation of st1"6st trees, co::,rplation of tits
required Landscc:pir.g~ etc. ~ must be satisfied before the BUILDING FINAL can be requestsd.
D FIliAL PWMBIIIG
D FINAL MF:CHANICAt
o FINAt F:tE:CTRICAL
o
o
FINAL BUILDING: The Final Building Inspection must be requeotGd aftsr ths Final Plumbi"3
ElectricaL~ and Mechanical Inspectiona hava beon mads and approved.
'Att UANHGtES AND CtE:ANOUTS HUST 8F: ACCF:SSI8tF:, ADJUST!fENT TO 8F: HADF: AT NO COST TO CITY I Pa~;; 1 of Z
I JOB NO. ~~O 1L/f.o SOLAR(ACCESS REQ.- _ L-COG~
I Zone: 1_'f?P Occuoonc" ;~ R'3~,h?-/ T:,.eICor-Bt:AIJ!.p,. ~N"-or> Bedroom.:
Lot Sq. Ftg. 7$??c:. LOT TYPE r Lot Faae. - tJ:~;r- 11 Enerau So""ae.
S of lot Couerag< "7'<:;""...0 Interior Setbaak. I I Heat
. . - I P.L. House CaraQ8 Access. I I WateJ"l.'!p.f1tpyo
a of Storie. / L C01'7ler INorth 1'-/ / I I Range
Total Height /.tt; / Panhandle IEa.t ?~ / I I FireoZaae
..., ISouth -Z,.r ~~' I I WOodsto"e
1_r_.....hy r.;-:;z /6 CUl-de-.ac IWe.t I~' i I I
J
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1
I I I I
I;S;",....D~ .e~<Y' I?q,y ifEWeW ~ ~D 1'7 ~
TOTAL VALUE_ _. 16.~~- I ~77,;Y~6=?~....... ?/Jct/€CT:
(ualue) r n~ '~n
-)
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i~- LfU K I
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.;f -:z /6. 5&
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lITEM
I "b.in
I Gara.ce
I CarnOl'"t
1 AcceS80r-u
I
I
SQ.FTG
x
f~'I9
g~,.,
S.D.C.
1.5",
Building Permit
State 5w'charge
Total Cha.'"!Ie.
'UINO'I
(1 bath) 1 1
1/1
III
-5Tb~~#-/N~
IITEM-
I Fixtures
I Residential
FEE
Sanitary Sewer
Wctm-
Plwnbing Permi t
Stata Surc}o.arge
Total Cha'l'oes
lITEM
Res. S(J. fta.
I N3l;}/E:rtend Circuits
I Temporary SGroico
I
I NO. .
FEE
EZe~tricaZ Permit
State Surcharae
Tota l Charces
lITEM
Furruzce ETU' S
I E::haust Hood
I Vent Fan
I J/OodstO'/JB
I
11/0. FEE
I
I
I
I
I
PeY'TTrit Issuanca
MBchanica Z Pem t
State Surcharae
Total CNrrQl-'!n
I -- ENCROACHMENT --
Si1C"m trJ Da'OOsi t
I Storaqe
IMaint~8
JPermit
I
Total Charao8
Curbcut:
Sidez.lalk
I Fen::B
7 E/)?r'. F'
tlectrica l . Labs l
MOM li1 Home
TOTAL AMOUNT DUE:'
Value
~2.?<:J
-::]./"3
6?~ I.
I
I
I
1
1
:20_ -c I
S--s-: -- -')
7_7~
~7~7S-l.
CHARGE
~p'P""
I?:~
CHARGE
CHARGE
'l...vl
~
Pc.ge 2
I
TU'OB
A;>,
\",0
l.,r.... J
aJo
Fees
Building Value &
Permit
This permit in granted on the express condition that the sa"id construction
shaU, in all respects, confonn to the Ordinance adopted bOy the City of
Springfield, including the Zoning Crdinance, regulating the construction
and UDe of buildings, and m:lY be suspended or revoked at cr.y time upon vio-
lation of any provisions of said Ordinances.
J-
!pZan Cheak Fee: .:11J ? 35
Date Paid: K ~ :? L/ - f?,f
iReaeipt H: {2- ( 8' to
ISi(p:ed: Q..C
Pe r m it
Ii
,
Plumbing
No person shalt construct, instal!., aUer Or change any 7'.etJ or existing
plumbing Or drainage system in whole or in part, unless such person is the
legal possessor of a valid plumber's license, e:ecept that a pe~son may do
plwnbing work to property which is owned, leased or operated by the appli-
cant.
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Electrical Permit
Where State LaJJJ requires tr.at the electrical work be done by an Eleatrical
Contractor, the electr>ical. portion of this permit shalt roOt be valid until
the Zabel. has been signed by the Electrical Contractor.
Mechanical Permit
.
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'7- 9-SlB>
ua.e
I HA VE CAREFULLY EXANINED the camp leted app l ication for permi t, and do
hereby certify that aU infoTm1tion hereon is true and correct, and I
further certify that any ar.d all lJOrk perfo~ed shaU be done in accor-
dance :.nth the Ordinances of the City of Springfield, and th< La:.J. of th.
State of Dreg"n pertaining to the wrk described herein, and that NO. OCCU-
PANCY lJill be rrrlde of any structura lJithout paf'mis;1ion. of the Building Di-
vision. I further certify that a:1ly contractors ar.d e:rrpwyees who are in
canpl.iance IJith ORS 701.055 lJiZZ be used on this project
~7E" IF G'y~ /.t?.? W1"!S /IV/~<: ~#~
J/=/ "-'~ /#::>"""""'7""",,,#$ ~ 0?'"...~.z:
~ }'~.a:::/ 4<>#~ i5'O/4P/~
P/V;~/4ff F4P,R ,?--;';'",/T L5Y~.s/<:::r-9.
R~
[' jJ.y(o J-
Date
Sign:zd
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