HomeMy WebLinkAboutPermit Demolition 1990-1-29
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97477
Job
Assessors Map #
Subdivision:
SPRINGFIELD
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Rcceipt # I ':'.C1 ( ) I
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~ep,J\\C\ ~'\fJ ) ~~Qyl(\t ~Q r\ J -
Addrees: \ \~~ C) 1) _ - Phone: (~\.O -Cl\D\o~:
City: ~lti) 8L Zip:G\,4l1
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.'Iobile Home 1 fl(l (\ h A ~
Date of Application \ " 'U\ - '-'\lJ . Value \\.' ~
n
n
n
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Nm,)
Addi ticn
Remodel
Contracto"~
. General ~ \) .l
i Plumbing
I Hechanical
I EJ,ectrical
ISuDe~~~~ng Electr~cian
Describe fl'or1,:
_~,~;hV ,;
Date: r -'!""H !-if )
Exp'it'.es
'Dhnnp
Bldrs Board R2~.
D
INSULATION/VAPOR BARRIER INSPECTION~
To be made after all insulation and
required vapor barriers are in place
but before any lath, gypsum board or
LXlU covering i8 applied, and before
'~y insulation is concealed.
, .Lise.
It is the responsibiLity of ths permit holder to see that all inspection.8 (%1"6 made.at the proper tim~~ that each .:::ddres8 is readable
from ths street, and that the pernrit oard is "Located at the front of the property. I
~Bui!dirtg Dt;vi~ior: approved plan shall remain on the Building Site at all times.
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PROCEDURE FOR IN.'jPECTInN RE:~(1EST:CALL 726-3769 (recordep) state your City designated job nwr.ber, job address, type of inspecticn
requested ar.d when you wi~l be ready for inspeation~ Contractors or OWners name and phone number. Requcsts received befere 7:00 am
l..'ill be made th~ 8CUT1e dcy, requeBt~ made. a~~eI' 7~OO.can LJill be made the next working day. n . A n
. YouP City Deoigr.ated Job Nwnbep Io: \[)() \<-t' I
Reauipp-d InsDRctionR
D' SITE INSPECTION: To be made after
excavation, but pripr to set up of
fol'ms.
0: UNDERSLAB PLUMBING. ELECTRICAL &
; MECHANICAL: To be made before any
wopk is covered.
D
FOOTING & FOUNDATION: To be nade
after trenches are excavated and
forms are epeated, but prior to
pouring aonarete.
D
SEWER. W.1TER,
prior to fi l-
UNDERGROUND PLUMBING.
DRAINAGE: To be rooJe
.lir.f} trenches.
0, UNDERFLOOR pr,U/.!BING & MECHANICAL:
, To be made prior to installation of
j100r insulation or decking.
O POST AND BEAM: To be mad~ prior to
insta~Zation of floor inB~lation. or
decking.
ROUGH PLUMBING. ELECTRICAL & MECH-
ANICAL: No :JOrk is to be covered
. until these inspections have beer.
made and approved.
FIREPLACE: Prior to placir.f} facing
materia~8 and before framing inspec-
tion.
D FRAMING: Must be requested after
approval of rough plUff bing, electri-
.cal & mechanical. AU roofing
bracing & chimneys, etc. nr~st be
::' compl.eted. No work is to be con-
,..<-,-:ceaZed until thifJ inspection has
, /be~~ made and approved.
D
o
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O DRYWALL INSPECTION: To be made
after aU drywall is in place,
but prior to any taping. .
O. MASONRY: Steel location, bond
beCUTlG, grouting or verticals in
acoordanoe with V.B.C. Section
2415.
D WOODSTOVE..: After installation is
completed.
D CURB & APPROACH AP!ION: Afte~ fo,,",s
are created but prior to pouring
cotU!pete.
SIDEWALK & DRIVEWAY: For aU con-
crete paving within street right-
of-wcy, to be made after all exca-
vating complete & form work & cub-
. base. matenal in pZaae.
D
D
PENCE: "'hen complete -- Provide.
gates or movable sections through
P,U.E. '
DEMOLITION OR MOVED BUILDINGS
:=J Sani tary 8etJer ::lapped at p:.operty line
~PtiC tank v~ed and filled wi~h gra~eZ
~~l - ff.hen above items are completed
~ and when demolition is compZete or 8tru~-
ture mOlJed and premises r::leaned up.
I Mobi le Hemes
=:J Blocking and Set-up
=:J Plumbing connections -- sewer'~ wa~er
~ Electrical Connection - Blocking~ set-up
~ and plumbing connections nr--,st ce approved
. before requesting electrical inspectio~ .
~ Acr::essoP':i Building
] Final - After p:Jrches, skirting, decks,
etc. are completed.
D
All 'project conditions, such as the installation of street trees, co~lation of the
required Zandscaping, etc. J must be satisfied before the BUILDING FINAL can be requested.
o FIliAL PLUMBING
o FINAL MECHANICAL
o FINAL ELECTRICAL
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FINAL BUILDING: The Final Building Inspection must be requeated after the Final Plumbi113
Elec.tricaZ, and Mechar:ical Inspectiona have been made and approved.
*AT.L MANHOLES AND CLEANOUTS MUST BE ACCESSIBLE. ADJUSTNENT TO BE MADE AT NO 'COST TO CITY I Pa.~7e 1 of 2
\ JOB NO.
lone:
LOt Sq. Ftg.
S of lot Caverag~
.II of Stones
Total Height
Topography
SOLAR ACCESS REQ.-
Occur;anClf Gl'OU;::'>.
LOT TYPE
lITEM
lMain
SQ.FTG
Gr.I'aae
Carport
ACCe880l"U
I
Is,D,c,
TOTAL VALUE
(vat.uc/
1.5 :.r
Building Permit
State Sul'chCU'ge
Total Char-ges
Interior
Cornel'
Panhandle
Cut-de-sac
x
Value
1
1
1
1
I
1
I'
I
CHARGE
lITEM
I Fixtures
I Re8id~tial (1 bath)
I Sani tal'Y Sewer
State Surcr.arge
Total Charaes
nEM
RIU'I_ So. fta.
I ~~/Extend Ci"t'cui ts
I Temporary Service
Electrical Permit
State Surcha.rqe
Total Charges
i lTE:M
I ~A"'n.':WP. PTU' S
I Exhaus t Hood
I Vent Fan
I Woodstove
I
Pe1"1TT'i-t Issuance
Mechanical Pernrit
State Surcharoae
I NO. I FEE
I NO, I
I I
I I
I I
I NO. I
I
I
I
I
Total Charaea
-- ENCROACHMENT --
ISec:uri"tll
I Storage
Deposit
Maintenance
Permi t
Total Charqee
I Curbci.t
I Sidewa lk
I Fence
1 Electl"iaaZ Label
tr\~ffi f )
I
l'I'O'FM.J AMOUNT
DUE," ~
D~
FEE
PSE
CHARGE
\~UU ]
,QO]
I
L-cod~
I
1
1
I
I
I
I
I
I
~
I Lot Faces -
I
I P,L.
INol"th
lEast
South
IWest
. Becfl.ooms:
Enerq,l/ Sources
I I Heat
Access. I I Water Hp.atpy>
I I Range
l I Fireplace
I I Woodatove
II
Tt/pe
Type/Cor:st:
Setbaaks
House Carage
Fees
Building Value & Permit
This permit io groanted on the e:rp1'9D8 oondition that the sdid construction
8haZl~ in all re8pect8~ aonfonm to the Ordinance adopted by the City of
Sp'l'ingfield, including the Zoning Ordinance, regulating the constru<Jtion
and uoe of buildings, and m~y be 8uapended or revoked at cny time upon vio-
lation of any provisions of said Ordinances.
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Iplan Check Fee:
Date Paid:
I Receipt #:
I Signed:
Plumbing Permit
No pereon shall construct, install, alter 01' change any new or existing
plumbing OP 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 o~ operated by. the appli-
cant.
Electrica I Pe.rm it
Where State Law requires tr~t the electrical work be done by an Electrical
Cont~ctor, the electrical portion of this permit shall not be valid until
the label has been nigned by the Electrical Contractor.
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Mechanical
Permit
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Plan t:xclTl1..ner
vate
.] I HAVE CAHEFULLY EXAMINED the completed application fop pernnt. and do
I hereby ce~tify that all information hereon is t~e a~'corrcct, and I
further certify that any ar.d all work performed shal-l be done in accor-
'dance with the Ordinances of the City of SpringfieLd, and thz Ur~8 of the
. A State of Oregon pertaining to the wo~k described herein, and that NO OCCU-
PANCY wiZl be made of any Dtruotura without PQ~i88ion of the Buildina Di-
vision. I fUrther certify that only contractors and e~loyees who are in
compliance with ORB 701.055 will be used on this project
(- ;)-1- 10
Date
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Permit No: q/l) \4 ~ , ,_
Address: ~"_f\'-d\ ~fQQ!/\
Issued by: tfll~~ Date: ("'614u
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STATEMENT: \
INFORMATION NOTICE TO PROPERTY OWNERS
ABOUT CONSTRUCTION RESPONSIBILITIES
Note: Oregon Law, ORS 701.055(4), requires residential building permit applicants
who are not registered with the Construction Contractors Board to sign the
following statement before the building permit can be issued. Licensed Architect
and Engineer applicants, exempt from registration under ORS 701,010(7), need
not submit this statement. This statement will be filed with the permit.
Fill in the applicable blanks, and initial box 1 and either box 2A or 2B:
1. L.....J
I own, reside in, or will reside in the completed structure.
2. A. L.....J My general contractor is
Contractor registration number
I will instruct my general contractor that all subcontractors who work on
the structure must be registered with the Construction Contractors Board.
OR
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B, Lt.LJ I will be my own general contractor.
If I hire subcontractors, I will hire only subcontractors registered with the
Construction Contractors Board. If I change my mind and ao hire a general
contractor, I will contract with a contractor who is registered wtth the
Construction Contractors Board and I will immediately notify the office
issuing this building permit of the name of the contractor.
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I hereby certify that the above information is correct and that I have read and understand
the Information Notice to- Property Owners about Construction Responsibilities on the
reverse side-o ,this form.
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'Ai f:- / / t/f fl(;~
Si{Jriature of Permit' AP,iicant
1 I ,.
/ - ;:]9'- 9/J
Date ~ ,
CONSTRUCTION CONTRACTORS BOARD
0244J 10/24/89
WHITE COPY TO ISSUING AGENCY PERMIT FILE
PINK COPY TO APPLICANT
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