HomeMy WebLinkAboutPermit Building 1990-11-30
.. RESIDEr tAL"
APPLICATION/PERMIT
225 North 5th Street
spnngf7-eld, Oregon 97477
BU7-ld7-ng D7-v7-s7-on
726-3753
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Tax Lot II
Phone
\41-5130
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Date (/-30- 'f U
Date of Appltcattcn
~~:~~~t(1;~ )/WJ/ ) _ Arlrlrp~~
lumb1ng l~"){lm
echdnl.cal ( .J....J,l.lQ:
,~~'-tl1.!_dl ( ~ J!(U
~lpe:C"\l~~'~~Jg_ Clectrlcl~n
t 1.8 the reBponD~btltty of the pe~t hoLder to Bee that all tnDpecttOns are nade at the Froper tume~ trat each ~esB 'L8 readao:e
~om the street. and that the pe~t card 1.8 located at the front of the property
~ltt.!dt'1{J P.~Vt.'::W'" approLed plan s1u.ll rematn on th~ Bu-:.ld'Lnq S1.t;; at all t1.mes
~OCEDUPE FOR INSPECTION RE..QUEST CALL 726-3769 (rccordel') state yOUI' C1-ty .1es1-gnated Job nwrbel', Job addrc8s~ type of 1-1I3pea~1-CII
1qucstcd a~d w~en bOU w~LL be ready fop ~nspcct~on~ Contractors or Owners nome and phone numbel' pequests l'ecetLed befcl'e 7 00 ~
~ll be made the same dc:.y~ requests made aftel' 7 00 am lJ1..ll b2 made the next .xn'kt.ng day q() I /l -::::>1\
YOUI' C~ty DeD1-gr~ted Job Number 10 ~ ~ ~
Value
L1C:;C. 11
BIdrs Hoard l{e(~
P....nI1P
~mn.,.pd Tl'I.<:r,,"f:1.c'1.q
] SITE IN':>PEC'" ION To be made at tel'
e.:.rcav.:Itwn~ but pM-or to set up of
forms
] UNDERSLAB PLUMBINC. ELECTRIC,1L &
:!J..J...H,1 VILAL To be made before any
lJOrk ~s .::ovcred
] FOOTINC ~ FOUND1TICN To be /Mde
aj tel' tre~lChes are excavated and
forms are erected, but pl'~or to
pour~ng ccncret~
] U~IDr:RGWU~'D P[.UM3INC.
DqAINA6E To be ma.:f'e
L~Y'.g trenches
] UNDEDFL009 PLW~I.vC & MECgANICAL
To be made pr~or to tn~taLLatton of
j1001' tn8ulat~on 01' decktng
SEWEQ. W1TF'l,
pr~o]' to ft L-
] POST AND BEAM To be Trade pNOl' to
tnstaLLattcn of floor ~ns~Lat~on 01'
dechng
JAOUG!! nr "BI" . FfECTnTCA~ ,~ UFClI-
:J ANICA&. NO/.JOl'r t8 to be l-oLel'ed
urt~l these tnspecttDrs have beer
made and approve.:!
] FIQEPLACE m.or to plactr.g factng
matenals and before frannng tnspec-
hor
] PRA,IINr: MU3t be requeDted aftel'
approval of rough plUffb~ng~ 8lectrt-
cal & mechal'l1.cal AU 1'00f~ng
brQctng & chtmncys~ eta nr~st be
completed ~lo tJ;lrk ~s to be con-
cealed unttl th~D ~nspectton has
been made and approved
["A-INSULATION/VI1POC? BARRIFR PISPr;oCTION.
~ To be made after all tnSulat~;ln a~4
l'cqu-:.:red vapor bar1'~ers are ut place
but cefore any Lath~ gypsum board 01'
LXlll C'Ovel'tng tS apphed~ and before
any ~nGuLat~on ~s concealed
rJrDRYWALL INSPfXTTON Tc be made
~ c;fter all drywall 1-B U1 place,
but pl'~o"(, to c:.ny tap1-ng
O MASONRY Steel locat~on~ bond
beama ~ gl'OU tv/!] or vert~ca La ~n
accordaJlae lJ1. th U B C Sect~on
2415
r:-::;rWOODSTOVF AfteI' wstallat1.on ~8
~ acmpleted
o
o
CURB & APPRCAC/I APD()N
are {Jre~ted but pI'tOr
.:::on':::1'ete
SIDJ:'rlALX ,~DRIl'EIIAY POl" all con-
crete pav1.ng tJttJnn street 'l'~ght-
of-tJCy.. to be made after aLL exca-
vat1-ng complete & fo~ work & eub-
bane mateM-al t.n pla:!€
F},.p:!.cps
'DEnOLITIO~1 OR 'JOVE.!) 8UILDI4JGS
:=J San~ ~a:t'y BC'Jel' ::appedt:It propC'1't:f It.re '"
, '/1t~,1 t,hill \~...".,,\, ,II )'J ~I J~
=.J Sept." tank p.<nped and [dIed .nth iiraJ21
:J F1.nal - [{hen akve tte'ls are ccmpleted
and when de~ol-:.ttor ~s complete 01' stnu~-
ture moved and pre~3es ::Leaned up
I
Mob~Ze flemes
=.J Blocktng and Set-~p
=.J PLumbtng connecttons scwel' and water
---, Elcctr~cal Connectt.on - Blocktng~ Bet-u~
---1 and plumb~ng eonrect1.ons nr~st ce app1'OL2d
befol'c request~ng elec~rt.cal ~nspec~to~
=.J Ac:::escorj Butld...ng
:J Futal - Aft;:1' p;lrcres~
etc are completed
sk~rt~ng~ deck8~
Arte... forms
to pour'/..ng
o
t
o
PENCE
gates
PilE
Wher co-nplde -- Provtde
01' movable secttons through
,t
All proJect cond/.t1.ons~ nuct. as tile "nstaLlat-:.on of stl'eet tl'ee8~ co'Wletl.on of tne
requtrcd landscc:pl.rg, ete ~ must be sat~:Jf'/..cd before tre BUILDINC Pl'"1AL can be 1'2queDt2d
g" FIliAL PLU/o'BIIIC
] FINAL IIE~IIAIIICM,
2r FINAL ELECTRICAL
o
G
FINAL BUILDINC The F~naL BlC'/..ld'wg Inspechon must be l'equeDted aftel' the Ftn"JL PlwnbtnJ
Elect1'tcal~ and Mechartcal Inspecttono hava been made and appl'ov~d
]
ItArr ftMIIICrF"<) AND CLrANOUT[; J!,,4:"T nr ACr'ESfJJBLr. AD.!!J'iT~1FN'T' TO 9E ff10F t1T NO ("~ST TO C['T'Y
1~'1'~e 1 of 2
L-COCo{<
I Zona
I JOB NO qOI4,':~J SOLAR ACCESS REQ-
T:1,",e/Corst
Bedrooms
I Enel'(1Y So ~l"ces
'ieat
I Water '(nr7tl?r'
I Ranqe
, I hrer,Lace
I I WOod.;;toLe
II
T,/(I(1
OC~FJancy G
i,1\,
I
Lot Sq Ftg
~ ~f lot C~verag€
~ of 5tol"'Les
TotaL Uetght
TopoGraphy
ITEM
I SQ FTG
Mmn
l CcI'ac:e
Carvor't
I Accessorv
I
I TOTA& VA WE
Is D C 5 x Ival.UC)
1
Butld1.ng PernrLt
State surch.:rrqe
Tatat Charges
I ITEM
I Futures
IRestdent~l (1 bath)
I Santtary Sewer
I Water
I
NO
<::\
.. pl.unbtng tE!l'r"t. t
State Surcr.arge
Total Charaes
I ITU( 00'
Res So rta
N~/extend Ctrcutts
I Temporary Servtce
I
'I
Ele~trtcal Permtt
State Sur:::ha:rqe
Total Charges
I ITEM NO I
I F'urna.ce eTU' S
I f:=haus t llood
I Vent Fan , .c \
w""dstoJe- 6. ~l'O v \
( "('Q~~I ,IS<: \ '1 I
'\ ~OpeI'71l'1-t Issuance
He::hant.c:1l Pernnt
State Surcharae
Total Charae:J
__ ENCROACHMENT --
ISe~Mrtt~ Dary03tt
I Storage
I M(]'t.ntenan'"e
I Pcrm'Lt
I
1 Cw'bcut
I Stdewa lk
I f('tl::e
I Electrt.cal
1 Mobt-le Ilome
I
Total Charogcs
Label
TOTAL AMOUNT DUE ..
LOT TYPE
I Lot Faces ~
I Setbacks
I p [, I lIousf' I Caraqe
INorUI
Ifnst
IScn.th
lIvest
I h_CCGG
Inter1.or
Corner
Panhandle
Cul-de-sac
Faes
x
Value
Building Value & Permit
Th1.S perm1.t 1.8 granted on the express condt-tt-on that the sat-d aonstruct1.011
shall, 1.11 all respects, conform to the Ord1.nanoe adopted by the CLty of
Spr1.ngf1.eld. 1.ncZud':.ng the 20n1.ng Crd;nance, regulat1.I1g the ccns truct1.C11
and use of bU1.ldt-l1gb, and m~y be suspended or revoked at cry tumc upon V1.C-
Zat1.on of any prOV1.S1.ons of SQ1.d Ord1.r~nces
I~OC)
I I,
i
8> Y. 'Cd
\,~
4().. ~
IPlan Check Fee
I Datc Pa,d
IReeHrt /I
Is~g-ed
FEE
\\")
CHARGE
LlJ')CD
Plumbing Permit
No perDon chall construct, l.nstalZ, alter or change any p~w cr eZ1.st1.ng
plumb1.ng or dra1.nage system l.n ~hole or 1.n part, urles8 such person 1.8 the
legal possessor of a val1.d plumber's l1.cense, except that a person ma~ do
plunb1.ng work to property wht-ch 1.S owned, leased or operated by the appl1.-
cant \
4UCU
2- 00
I 4L- CO I '
FEE- CHARGE I
Electrical
Permit
Where State Law requ1.res tr~t the electr1.cal work be done by an EZeatr1.caZ
Contractor, the electr1.cal port1.on of th1.S perrn1.t shall r~t be val1.d unt1.l
the label has been D1.gned by the Electr1.{~al :::mltractor
1
I,
FEE
CI/ARCE
Mechanical Permit
\S ou
\() 00 1
a~OU]
\.~S
8(0 (15 '
f
vate
PI-an E:ram1.ner
I HAVE CAREFULLY EXAMINED t'w completed appltcat1.On. for perrott, and do
hereby cert1.fy that all t~fo-mat1.on hereon. tS true and correct, and I
jUrther cert1.fy that any arn all work p6rfo~ed shall be do~e 1.11. ac~or~
dana. r.nth thQ Ord1.naMfifB of the C1.ty of spr1.ngf1.cld, and th~ La-...s of thG
A State of OregDn pcrta1.n1.ng to the work descl'1.bod her6~n., and ~hat NO OCC~
PANCY ~ll be made of any struatura wttho~t p~r.m1.831.0n of the BU1.ld~nq D1
V1.8tOn I furthar certt.f~ tha.t O'1Zy contractors alul e.'11pl"yees w10 are tt
ca~pl~ance w~th CRS 701 05~ w1.ll be used on th1.s proJect
v~o~..A.
I D <6 loB I ' / ~a".d j V / ~d it \.
1/- 30 - <jO
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\'c<Y; C1f\ n () ~
~I~[)(l ~ Date (((?{~q()
Permit No
Address
Issued by
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~_
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
B f'---:-::I-.I will be my own general contractor ~~ ~
If I hire subcontractors, ~ subcontractors registered with the
Construction Contractors Board If I change my mind and 00 hire a !;leneral
contractor, I will contract with a contractor who IS registered with the
Construction Contractors Board and I will Immediately notify the office
Issuing thiS bUilding permit of the name of the contractor
I hereby certify that the above mformatlon IS correct and that I have read and understand
the Information Notice to Property Owners about Construction ResponSibilities on the
reverse Side of thiS form
Uv.-I, ~.!.( ~ cfc, < \ /,
Signature of l-'eru1'lt Applicant I J
11- 30-- ?O
Date
CONSTRUCTION CONTRACTORS BOARD-
0244J 10/24189
~ COPY TO ISSUING AGENCY PERMIT FleE
/, l\.. BJlSI1<COPY TO APPLICANT
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