HomeMy WebLinkAboutPermit Building 1984-8-21
.. RESIDENTIAL..
APPLICA':ION/PERMIT
225 North 5th Street
Sprir4fieZd, Oregon 97477
BuiZding Division
726-3753
Job :"'c~:i:,": 9f< ~ S- i3~A !/,t;'R'ST
AS38saON :.f:rr> /I /7"OZ" "32.. 'II
SlJ.bdi:r..sic":
sPt")) OIC~ ;17~7 J'
T= Lot # <:)(:)"'2 Z I
~.;nJr: ..:5ePP .,;-.1AI7A- WI! /J)/)tJ/y
AddreS3: ~?(.~j3ec:l//~/t'5'~
Ci~: S//.//N4 sC/h~/) /rlf'r::
~'.'l
I I
IXJ
I I
I I
'!D"J
Pr.ane: "/2-6 - 31() 2-
Zi~: ,17~7,g
Descr-:be f.'ork:
AdCi ticn
/O~ ;)01 ~t:)2141C1ICo/~
RJr.To.::el
,'fobile :~~3
Data of Applica:icn j] (J(;, ) 5( /9.it.;
~on=~c:ors
Value
-r-t1t1tJ ~
~ ~
.::c:e~;: ~
( t?:~ iff
Ad.dres3
. .\)J-IY
G~ (j}~
. ~Jf\f\ J '
SiQ7'.2d: ',-, (DlJ(J . .
Da~e: (' Jj /J.2/,Zi4-__
(J I
Li3C.!i
C-aiAl-^ ~ (? \
.-/
E=oi!'~s
Phan<;
Ceneral ~-r~ &./ J..1ID/)trN
Plumbing
i El,u~tr-:.cc:l ~ J<'> Of;) 0H I\)~N.
. I Nechar.ic:: l
. I COlUltT".lCti.?7l c,l:1'IIier
!t i8 the resF07lcibilit!! of the peMlrit itoLd.u- to see that al! inspectiol'lS are made at the propSI'. time. that ;:::ch :ddress is re~":"":
;i'onr tM stre6t. c.nd that th6 permit. ca;rd is t..xated at the f1'07lt of the property.
o3ui!di,-.q :r:vicio:-: C?Frot:ed plan sr..:::Z7. 1'main on thG auiZding Sit,z at all times. . "'., \ .
P.'~(}r:::DU?~ ?on J::S?E;::'I~!l .:i'!'!;,1ZS'l':CAlL 726-3769 (recorder) state youzo City desigr.a.ted job =1;er. job czd:::ocss. type of in:;pec-:icn
rzquestcd w.a :.I.~en ~ou :.riLl. oe ready for ir.spcction. Cont:ractcrs 01' Ol.;ne:-s =e c:nd phar:e number. Requesr;s received berer!! 7: 00 <Z":
=--iZ1. b6 'l1rlde t~ same Cc-:!> requests :nc.ae afta' 7: 00 am /Jill. be rrnde the n=t :JOrking dcr:i;
'.
~e~Ji~cd T~~~~~t~~~
SI';'!' IJS?EC7:)~:, To ,be mace
=ccw.::t~.:m. out pl"':cr t:: set
l":Jrms.
o
o
after
u? of
lr.lD;."?S~A3 ?~L':-'9r:IC. ErZC':'.OIc'1!. ~
,'(ECHA:J;,';.J.&: ';'0 De maae oefore eny
wrk i.s covered.
iKl
FCO'r!.";C ~:tjU:!DI1TIC.'I: To bs r.rzee
aj"tJr :rencites (;1'g e=cc::iJat.zd ar.d'
fC1'.'lls ere erectJd. but prwr :a
pourir.g ccncret.>.
i17l '.r.!Dj<~G~!D ?~r.::C:::<;. S:::'::R. :J.l~!'.".
~ (1'.~..fI,'J';C;.::) Io Cie ~'e 011'":.01' :0 fi~-
nr.g -;1';';:c;'.28.
o
UrlCE.'?:-:CC.'? !'!'U.~~r.:C X::C::A.'lIt;,;!,:
'1'0 be tr.O.I:ia pn.;r :0 in3r;'::j.~t~on of
['Zaor ir.sui:<;t:i07l or deckil'.g.
P'JS'l' .~,'/D 3'E:A:-t: To be ",mic pr-'~1' to
i1Ul;alz-=:-.:.cn 0;" floor ins~latior. or
deckinq.
[]
KJ
R(}~~t;r.. ~.~~..l.t~ :!:;~?!"::~~ ~ ~
~ ./0 '.JOri: ia ~o be co~'er'!c.
. ur.:~ l. :i:es~ -::r.s::lec:icr.s ;...;;:v'! ;;e~
maCa =r.d =??r?tle~.
r:.=::?!'"CE: mOl' eo pZc..::ir-1 f'c.::ir.g
mc.r:er-W.La ar.d ::u:fore fr~r.q inspec-
t ior..
o
[l]
."'!'A.UI.'I'7: NU3: b6 rec-..lBotJd af'::Jl'
ct'p1'cv.::!. of rough pl.t.r..bir.q. e!ec:r::-
cal. & r.:ecr.a7'li.:~l, Al! :'Oof-::~ '
braC'ir.q & chiJ'r1u;ys. (lto:. r.r.J.sc !;~
COmD lJ<:ed. ;'/0 . '..l:lr< is '.:0 De CC1'l-
. c~'!ed until '::1:ia insC'ecticn r.as
'b~en ma.:i~ and apPl"Oved. .
...
CI f hb'. Bt;A 1/1= 12 5..,-
t;f(t,.,~ 13~ A l/~ R Sf" (OW./N ~6)
YOUI' City'Deaigr.ated Job Nwrrba 10:'
IXI INSUL.J.TION/VAPOR BARRI2R INS?!'C~ION,:
To be ll'ade after aLL v:sul..:::twn a:".a
, required vapor blZ!'!"':ers are in p.lace
but before ar.y lath. gypsum bcard. or
w:1.Z covering is applied. and befol'e
. any ir..G".J.lati<:m ~s c07lcea.led. .
ri/I DRY''/ALL INSP::CTION: To be made
I6J after aLL Cr-:f;;all is in place.
but prior to en!! tapir.g.
o
MASONPY: Steel
beamo. grouting
accordance !Ali.th
2415.
location, b07ld
or vel'tica!s, in
[J.B.C. Section
R'-/ 0 ~CJ 9
DEI~:QLITIO.~ OR .I.~.av::] 3UILDltiGS
=:J Sanitary .se'.Jer cap?ed ::.t rr.:.oPW't":i U:-:e
:=J.septi.: tank p-....?d a:-.d fillJd EJith ~,;ei
~ Pinal - r?hen c::,.,."Ve itlr.ls are c=.o:roleted
.. T .J ..... .. - ~
ar.a wnen ~emc.l~~~r. ~s comp~ete 01' s~.~~-
tuzoe mov'!G. c:nd pl'~3eS de=::: up.
. NooiZe iic,-r.es
:=J Blocking and Set-~p
:=J Plumbi~ connectiQnB 8~er and water
~ EZec~:C::.! CC1'll'.ection - BlOckir-1. set-U?
---1 and ::llwnbinc o:mr.eatiol'lS nr..;,st ;;e ap~l'::;v.zc
beforcrequ~st-::l'.g electrical ir.s?ec~io~
:=J Accessor7i 3ui!.iing
. -, Fi1"..::l - ,1ft::r J::;rc1-.es. skirtil'.g. dea,:".s.
~ etc. are c:r.p"'2=~d.
D
ALZ pro;ec: car.di~iDns, JUC~ as the ~ns:aL!at~Qn of s:reet =rees, ~~~!at~~" of t~
1'!1qui1'ed ZanC;;Ca;>ir.q,:tc., .7:Ust !:Je sa:-::s;'ied. !:J~fore :r,8 3Uil.::r::C :-1::),[, oan !:Je 1'2~..lest,zd.
=:J Fl:/A;. PW,...'3!::C
~ .:'I:I';C, :!:::.'!A:l!CAL
$1 F!:JAL :::::::::.':1::'L
.~
.
<R>
."'I:I.U 3UI::'D!.':C: '!1:e Final Suildi,..g Ir:s?ec~ion .=t be reque:;r:ed. =.""'::21' ,::r.2 Fi=l P!~i;;inq
rZJc"ri~aL. and ~echa:-:ic~L Il'.specr;iQno ;~a bee" made a"~ app~oD2i.
o
;;OODSTO'/?: After i1lStalZation is
ccmpLe:.;;d....
.A::';: :.!;'.':p't;::.~S AND CC,2ANOlJT5 :fUET SE .~C:ESS:~r.2. .J,j)J.~'S"?:~::'::':'O 32 :.~1C2 ,!:' .':0 ::sr ':''J Cr:'! I ?~'ie ! oj 2
D
CURS :1 APPRCACP. AP!'?ON: Af1:2:' forms
are arecr;ed out prior to pCUl"'~ng
con.::rete.
snjg;;ALK & DRnTI//,'!: Por all C07l-
creta pcwinq !Jithin str'eet right-
of-wey. to be made' a;"tJr an e:r:ca-
vatir.q ccmplete d fo'l"'l work & .;ua-
base ;;'.aterial in place.
"D
D
!!!NIT: When compl.;;te -- Provide
gates 01' movable sections tr~gh
P.[J.E.
D
Job Number: ~1../ 0 :\"99
ie:'L
Zone:
Lot Sq. Ftg.
% Df lot CDverage:
# of Stories
Total Height
Topog2'aphy
lITEM
I
iMain
i
I Ga:rac;e
i
! Carport
I Accessor!/ I
b:p/_77t:SN "<15'.251
SQ.FTG
Is.D.c.
I
r
TOTAl, VAWE
Ivaiue)
1.5 x
Building Permit
State SUI'charge
Total Charges
lITEM
I .
I F1.xtures
IResidential (1 bath)
, NO. I FEE
I
Sanitary Sewer
Water
Plumbing Pem:i t
State Surcr.arge
Total Ch1::.roes
, ITEM
NO.
Res. So. fto.
N~/Extend Circuits 1:1'
I Temporary Seroice I
I
Ele~trical Permit
State Surcharqe
Total CharGes
ITE1\1
I ,vo. 'I
I
,
I
, I
I
! Purn::::ce ETU' S
! Exhaust Hood
I Vent Fan
rloodsto;;e
Perrrri t Issuanca
Mechanical Permit
State Surcharoe
Total Charoef)
ENCROACHMENT --
Se~~rit!/ Deposit
I Storage
I Main t enan~ e
I Permi t
I Total Charoes
Curbcut
Sidewalk
I Pen~e
I .
I Electrwal &abel
I Mobi le Hame
I
i
I
TOTAl, AMOUNT DUE: *
Reference ~umcers:
l,-COC li:
,/?-:f #~7/
I wt Faces -
I
I P.l,.
INorth
East
ISou th
IWest
Ocaupancy Gra
&aT TYPE" ,
Interior
Corner
Panhandle
Cul-de-sac
x
Value I
I
~~~
8,,# ~i *
J
.::?8.4
I~/~I
:;,>9./2.. *
CHARGE I
I *
CHARGE ,I
I
/"',~
I
I
/t?~1
.~
IO~ YO *
FEE
.L
~--.'I -r )
FEE
CHARCE
I
I ~~O
I
I
I
3~., 7<
---=-,4-' Bedrooms:
I I Enera,!/ SOUI'ces
I I .':feat
II, rlnter Henter
Range ' ,
I I Fireplace
r1oodstove
Tl1pe
Type/Const:
Setbacks
~ Carage
~6"
~-;;:' &> '
I
Access.
..- Fees
Building Value & Permit
This permit if) granted on the express condition that 'the said construction'
.?haU" in aU respects, conform to, the. Ordinance adopted by the City of
Springfield, incZuding the Zoning ordinance, regulating the construction
and use of buildings, and may be suspended or revoked at any time upon vio-
lation of any provisions of said Ordinances.
Plan' Check Feef" 1f.J~ --=>
Date Paid: 8-20-~t:y
IRecc:ipt #: Bt;3~/2
I Signed: ~;Z:>,
, r1(.
Plumbing Permit
I
I
I
No person shall construct, instalZ, aZter or change any new or existing
plumbing or drainage system in whole or in part, unless such person is the
legal possessor of a valid plUmber's license, except that a person may do
plumbing work to property which is owned, leased or operated by the appli-
'cant. '
Electrica I Perm it
Where State l,aw requires tr4t the electrical work be done by an Electrical
Contractor, the electrical portion of this permit shall not be valid until
the label has been signed by the Electrical Contractor. .
I
I
"
Mechanica I Permit
I
I
I
I
, *
I
I
I
I
I
r *
I
I
I
I
I
>=8d1*~ Ph~~
~~.- ~/ ~---
P"!f1-,rExc:miner ,-~ ~~
g -::?/'-e y
Uate
I HAVE CAREFUUY EXAl.fINED the compU~ted application for permit, and do
hereby certify that all information hereon is true and correct, and I
further certify that any ar.d aU work perfor:7led shaU be done in accor-
dance with the Ordinances of the City of Springfield; and the: L~~s of the
State of OregDn pertaining to the work described herein, and that NO OCCU-
PANCY wiU be made of any structura without permission of the Building Di-
vision. I further certify that only contractors ar.d enplayees who are in
ca~pliance with ORS 701.055 will be used on this project
~df 1991
Date