HomeMy WebLinkAboutPermit Building 1990-10-2
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.. RESIDEhl.IIAL.'
APPLLCAT I()~RMI11
225 North 5th,Street
Springfield.3 Oregon 97477
Building Division
72G-3753
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Job Loc_1ti:m:
5.5 I s. 4J.
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17() ?J::72 ~,(./
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t1twessoY'~ Map II
Subdivision:
OUTlel': -rn Y1'l tJ Pn m
Addr>e:;s: ,c..,SI S. LId.
city: C"r('lV1j-C,;trl.
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Date of I1pplieatien
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Address
Li ~ c. 11
Bldrs Board Reg;'
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,:unrr,lctors
Gener:,ll 6W,,(./e~
Pl.umbing
!'leclHlll,LcLll [)t ,l:"5f\.Q.l? ')
E,l~ctr i.!;,ll ((J:' l~J,) U
SlI peli"'l:t1;",1~ Inee t r i c i<1 n
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SPRINGFIELD
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It is the responsibility of the per>mit hoUfeY' to see that all inspections are made at
from the street, and that the permit card is located at the fY'Ont of the propeY'ty." "
A!lld?di,'1{! Divi::ior: IlppY'Ol:ed plan shall remain on tlla Buildin({ S'/:tc at all times.
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Phone: --; L/7 - I cQ I L!
Zip: 01 4 7 <6
Rece:pt ./f
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Descl-ibe IioY'h:
ba. r .0 ~ e, C.c;>lIuerSI on, +0
.9nd- ('esf;Jef)~ / duple v-".
Value
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Sigr:ed:
Date:
EXI>ires
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the proper time, that each ~ddress is Y'eadab!e
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!,.'IOC!mlJ,'?E FOR JNSPEC'f[(JN R::QUEST:CALL 726-3769 (1'(](JoY'derJ state YOU1' City deS1:gn.:zted job nwnber,
I'l.!qucsted ar:d when you wiL l be ready foY' inspcction, ContY'actoY's 01' Ot.meY'tI nane and phone' number.
...'i II be made the scune dcy, Y'equests made aft;;r 7: 00 CCII wi II bz made the next :')()Y'king day.
job addretls, type of iTwpec-;'icll
Requests received before 7:00 ~
Reflln: Y'f.'rLInfl,T'pc t1: C>/o"
'I SIn..: INSI'E'C'!'JON:' '/'0 be made
.--.J excavation, !mt pY'ioY' to set
[oJ'ms.
~
aftel' ,
up of
VNDERSDAB PLUMBINC. ELECTRICAL ,~
NEC/lANICAf.: 'fo be made beJol'8 any
wol'k is covel'ed.
["\1 FO()TIN(;,~ FOVND,1TJON: To be made
.AI aFter tl'C!IldWll (I1'e excavated and
fOl'mv are eY'ectad, but pY'ioY' to
poul"ing ccncY'et".
Q UND,SR(;!lOfJND PWM!?INC, ~~
..li-TJ!0/~: 1'0 be made prwi' to-rn-
"tu:g trcnchee.
~ VNm:.'IFWO.'/ (:!V,.mING J> MF.'C!lANJCI1D:
~'J'o be made I~"~UL' fO iTwtaUat'ion of
fluol' insulction OY' decking.
I'OS''/' ANf) BEAM: To be made pY'ioY' to
instaLZat'ion of flooY' inslOlation OY'
deekint].
MUG/I ~!..'nniJ:1...P.r:F:t'TR TC{!1\ ,rt'11ECll-
ll7'll CA ~ -----,,0 :.JOIfi: 1:" w trc eOI-'el'ed
w'!T'tt""tJwse inspections have beer:
II/ade mid appl'olJ,e::.
PJ.'!f:PLAI:F:: Pr'1:0Y' to placir.g facing
me:: [el"l:a Lv tlnd bcfoY'e fY'cuning inspee-
t'I:Or:.
><L PFII1!,!ING: Muvt be l'equested afteY'
appl'ov':IL of l'ough plwnbing, alectY'i-
ca]. & II/ech:miaal. Al! Y'oofing
IJl.aeill{J .'l eJdrrmeys, eta. trr.lst be
complecod, tlo w:Jl'k 'ill to be con-
cer;Led until this inspection has
.. been made and appY'oved.
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'youY' Ci ty ,DeGigr.a ted Job NtunbeY' Is:
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1'\71 INSIJDA1'ION/VM'OH HARRIER INSPI'XnON:
~ To be made afteY' all insul:;tion a~.d"
requiY'ed vapoY' bar'Y'ieY's are in place
, "but befoY'e any lath, gypswn boar>d OY'
waZZ covel.ing is applied, and befoY'e
any insulation is concealed. (-
~DRYWAr,L INSPf.'CT!ON: Te be made
after' all dl'YwaZZ -is in place,
but pY'ioY' to any taping.
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MASONRY: Steel location, bond
beaJr/lJ, gY'outing 01' vel,ticals in
accoY'dallce with V.B.C. Section
2415..
q 17 / f) ~q
DEMOLITIO!/ OR ;~:OVED BUILDIi/GS
---, Sl;lnitary sC'.JeY' :Japped at pY'opcY'ty lir:e
--1 ., , lll~.I.""jh1f~\I'":r'\h"\~f";11 \~).'fh.j. t~
=:J s.epti:J tank p::urTped and fi llad wi th gl'a:Je Z
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---, Pinal - ~~en abcve items are completcd
~ and when demolition is complete OY' stl'U~-
ture moved and premises :Jleaned up.
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Mobile }Jell/es
~ Blocking and Set-up
~ Plumbing connections scweY' and wa-;er
~ Elcctrical Connection - Blocking, set-up
~ and plumbing conr:ections m'~st te approved
befoY'c l~questing electY'ical inspec-;io~
==1 Acaes~oY'Y Bui lding
---, Pinal - AfteI' pOY'ches, skiY'ting, decks,
~ etc. are completed;
QI Street trees are requi red
adjacent to both street
frontages @ 3D' oncenter unle~s
already in existence.
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AU pl'o.fec:t eonditions, such au tire 1',nstaUation of stl'eat tY'ees, "co.'7lpletion of the
I'equil'ed landscr:p'ir.g, etc., must be satiufied befoY'e the BUILDINC PINAL cmJ be Y'aquestad.
~ FINM, Pw!,m mt;
I~ Fl :IA!. '.I1,'[.'l/l1.'l1 CM,
i& F I N,l I, !c'!.H"I'.'I1 Ct~ (,
o
AfteY' 'installation is
3&
PINAL BUnDING: The Filial Building Inspection must be I'equested alteY' tire Pinal Plwllbing
EleatY'-ical, and ~wchar.i~ll Inspections have been made and apPY'oved.
WOODSTOVE::
eell/pleted.
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CURB ,~ APPROACll AI'..'?ON: After' foY'ms,
QI'e eY'8ated but pl'iol" to pouY'ing
~on;:rete.
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'ill.!, l,/,lNIICU':S AN/) CU-:ilNCIJ'/':: II!!.',"/' 111-: ..1 r:('I'::;" {[I{.f.' , MM/J.'.'7'W:N'!' TO Fil:: f.l,1m: !'T NO r~X;T TO Cr'."Y r:'J~':" I oj' ::
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SIDEI/ADK,~ DRn'E'Iit.Y: POY' aZZ con-
crete paving with-in stY'eet righ't-"
of-way, to bc made afteY' all exca-
vating complete & foY'm woY'k & sub-
basp material.in plaae.
D !'ENCE: ~1}1(!r. complate -- PY'ovide
gates OY' movable 3ections thY'ough
P.U.E.
r-)'~our off-street parking
~ spaces shall be paved as
well as the driveway.
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SOL A RAe C E S S R E Q.-
Occuvancy GA R--:3'
I JOB NO.~/6'~
I~one: ~~~
wt Sq. Ftg.
~ ~f lot C~verag~
,q of Storieo
Total Height
Topography
WT TYPE
Interior
~ner
Panhandle
Cul-de-sac
J
IZI/e-~
TTEM
I SQ. FTC
Value
x
Main
Garaae
CarvoY't
Accesoorl/
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I TOTAT, VAWE , is, ~~
I (vaLue) I
S.D.C. 1.5:r -:Z-:?g~?z:>
Building Permit I 1/6.. 1>0
State Surcharge fS"~ $3
Total Cluz:'gea '2 Z , :;3$
lITEM
I Fixt~es
Residential (1 bath)
I, NO.
I
II
9,/.- ff'tt)
FF.:E
CHARGE
Sar.itaY'Y Sewer
I"ater
Plumbing Perr.:it
~'7_ S- tP :
':. ~'~~
39. :g$~~
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State Surcr.arge
Total Char(1es
lTEM
I NO. I FEE
CHARGF.:
, -'.-. -.'
Re,,:. Sa. (tn.
IN~/E:rtend Circuits
I Temporary SeY'vice
I
Electrical Permit
State SUY'chaY'(1e
Total
ChaY'ger.
I NO.
I
FEE
CHARGE
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ITEM
Furnace ETU'S
I E::hau8 t [food
I Vent Fan
I Woods tove
I
(
~SO
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Permit Issuance
Mechanical PeY'mit Ji'j/~
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I /'$'- ?~/'~
State Surchar!7e
Tota l CharaeD
-- ENCROACHMENT --
Se~~rity DeV03it
Storage
I Maintenance
I Pcrmit
Total Char(1cs
eurbcu t
Sidewalk
fe,z:::e
ElectY'ical Label
I Mobi le Home
I
I
I TOTAL AMOUNT DUE: ~
~ Y/S-b6
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l - COG _.. ')
"" .. N Bed1.:oomG\ 4-
I En er,., I' So:wces V \ ~ ) I 7';".c
!leat WI-/
Watel' !/eatcY' e-~r
Hall!/e ~r-
Firenlw:e .
Wood:; tOile
wt Faces -
Type/Cor:nt:
W~I
P. ["
.'101' tll
f:as t
South
r"ent
Setbacks
/JoUGe r:m'WJe
Acccno.
-- Faes
Building Value & Permit
This permit is granted on the express condition that the said COI1:'tl~ldioll
shalt, in all Y'espects, conform to the Ordinance adopted Ii!! tile Cit.y of
Springfield, incZuding the Zoning Ordinance, regulc:tilZg the eCllstl'lI.~I.i'::lI
and use of building:l, and III:;'Y be suspended or revoked at c/:!! time 11['0>: vic-
Zation of any provisions of said OY'dinances.
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Pl(ln Check Fee: ~$i 73
Date Paid: ~/31/~4
IR~cdpt 11: liP. I~f'
IS1-g~1ed: a'1'J?~d)1L<
L)L.
Plumbing Permit
No person shalt constl'Uct, instaLZ, atter OY' change CIIY /leW Cl' e:::istl:IZ!!
plwnbing OY' drainage oyste:n in whole or 1:n pal't, UI,1leG.s sz<ch pel'GOI: i:; U/I;
legal possessoY' of a valid plwnber's license, except that a pe:'GolI mail do
p'lwnbing wOY'k to pY'opeY'ty which is owned, leased OY' opcl'ated by U:c di'l,lt:-
cant.
Electrical Permi t
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Where State T,aw requires th.at the eZectY'ical wOl'k be done by all Slectl,ic<l/,
ContractoY', the e'lectrical portion of this peY'mit shalt not be valid wltil
the Zabel has been signed by the ElectY'ical [,'olltractOY'.
e~ett::.//J/?""~ ~#//'1;;P-c/ -A 5~~t:.
~T#'/~ 4'- ~/P'#~#/ ~ ~/?;
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Mechanical
Permit
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Var.e
I HAVE CAREFUUS EXIlMINED t!w completed application foY' peY'mit, alld de
hereby certify that a'll i~fo~ation heY'eon is tY'ue and correct, and I
further certify that any ar.d al'l work perfor:ned shal'l be dO:'le ill accor-
dance with the Ordinances of tile City of springfield, and tIll: La-.JS of tlla
~ State of OY'eg~n pertaining to tile work c!escY'ibcd herein, C:lld that NO OCCU-
PANCY !Jill be mde of any structure without permis;n:on of tile Buildillfl Di-
vision. I fUY'ther certify that o~lly contractors and e:npz.,yees wl:o are ill
co~pliance with ORS 701.05~ wil'l be used on this project
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Permit No: q() n~
Address: ,--' n\ CY)4;2f{j
Issued bY:\ LC:ol_' Date: lif!Jf1{)
, 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.
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Fill in the applicable blanks, and initial box 1 and either box 2A or 2B:
1)- j I I own, reside in, or will reside in the completed structure.
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2. A. I 'My general contractor is
Contractor registration number
I will instruct my general contractor that aU subcontractors who work on
the structure must be registered with the Construction Contractors Board.
OR
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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 co hire a general
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 information 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. '
19i!!;~~irk~r
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Date ' --
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CONSTRUCTION CONTRACTORS BOARD
0244J 10/24/89
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, ~ COPY TO ISSUING AGENCY PERMIT FILE
~ COpy TO APPLICANT
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