HomeMy WebLinkAboutPermit Building 1990-8-22
, '.. RESID~TIAL-",
APPLICAT lfI/PERMIT
225 North 5th Street
SpringfieZd, Oregon 97477
BuiZding Division
726-3753
Job Location: ~~ 't?~ 12lA-'~ Sf- jf 1/ 3
Asoesoors Map # r()oJ~ 3,5J.:) T= Lot /I
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Subdivision:
SPRINGFIELD
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Receipt II
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City: ~I)f)f\ ~ f\r\~Q\)~' Zip: ~f)41(~
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NpL1
AdditiOn
Remodel
Reaui~ed Jnsvpcticns
O SITE INSPECTION: To be made after
excavation, but prior to set up of
farms. '
O UNDERSLAB PLUMBING. ELECTRICIIL &
MECHANICAL: To be made before any
work is covered.
D
FOOTING & FOUNDIITION: To be rrKlde
after trenches are excavated and
forms are erected. but prior to
pouring concret~.
UNDSRGFlOU.'!D PLUMBING. SEWER. W.1TE.q,
DRAINAGE: To be made prior' to fiZ-
1.ir.g trenches.
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UNDERFLOOR PW!,!BING & MECHANICAL:
To be made prior to inIJtallation of
11001' insu'~tion 01' decking.
POST AND BEAM:' To be madc prior to
installation of floor ins~latian 01'
decking.
ROUGH PW',1BIlJG. ELECTRICAl, & MECH-
ANICAL: No work is to be cOL'ered
,until these inspections have been
made and approve4. ~
FI.'?EPLACE: Prior to pZaair.g facing
materials and before framing inspec-
tion.
FRA!1JNr.: Must be requeIJted after
approval of rough plurrhing. electri-
cal & mechanical. An roofing
bracing & chimneys. etc. nr~st be
,completed. No work is to be con-
, cealed until thiIJ inspection has
. been made and approved.
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Describe f.'orl,:
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D INSULATION/VIIPOR BARRIER INSPECTION:
To be made after aZZ insulation a".d
" required vapor barriers are in place
,,;,'" :''",:; bUt l:'efore any lath. gypsum board 01'
wll (]Overing is applied. and before
any insulation is cancealed.
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D DRYWALL INSPECTION: To be made
after aU drywaU is in place.
but prior to any taping.
0" MASONRY: Steel location. bond
beama. grouting or verticals in
accordance with U.B.C. Section
2415.
D M,OODSTOVE: After installation is
completed.
D
CURB & APPROACH APRON: After' forms
are created but prii?r 'to pouring
~onal'ete.
Signed:
Date:
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Reg., EXD:!.'c,es
Phnnp
D SIDEf{ALK & DRIVEf{/:Y: For all con-
crete paving within street right-
. of",r.x::y. ta be made after aU exca-
.......: vat'ing cf'!1lP.!~te & form wOrk & sub-
.....,. base material'in plaae.
D
FENCE: When complete Provide
,gates 01' movable sections through
P.U.E.
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DEMOLITION OR ;~:OVED BUILDINGS
---, Sanitary seuer aapped at propcrt':i Ur:e
--1 " ,'., ".'"t/W~\I,""II~hW\~{\I.1",',;il r.lj,iM:::j:,~:
~ Septi:: tank p;im?ed and fiZZed L1ith gr'a:Jsl
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I Final - mIen abcve ite~s are completed
~ and when demolition is complete or stru~-
ture moved and premises aleaned up~ '
Mobile Homes
~ Bl;~king and Set-up
~ Plumbing cannectians -- scwer and water
~ Electrical Connection - Blocking. set-up
---.J and plUmbing connections nr~st 1;e approved
before requesting electrical inspection
~ Acaessory Sui Zding
I Final - Aftar porches.
~ etc. are completed.
skirting, decks.
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FINAL PLUMBI!/G
AU :projeat conditions, IJueh as the ~',nstaZZation of street trees, "co,"71pletion of tire
required landscaping. etc.. must be satisfied before the BUILDINC FINAL can be requeat3d.
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FINAL MECIIANICIIL
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FINAL ELECTRICAL
FINAL BUILDING: The Final
Electrical. and Mechar:ical
Building Inspection must be requeIJted after
Inspeetiona have been made and approved.
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the Pinal Plwnbing
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AAr.L MANHOLES AND CLF.ANOUTS !WET DR ACCESSIBLR, ADJUST!fENT TO ,BE f.t.~DE AT NO C~ST TO CITY
I Page ' of 2
JOB NO.
Zona:
Lot Sq. Ftg.
Z of lot Coverag~
.II of Stories
TotaL Height
Topography
ITEM
SQ.FTG
Q{XJ.
Main
Ga:raae
Carport
Accessorl/
S.D.C.
TOTAL VALUE
IvatucJ
1.5 :J:
Building Perrrri t
State Surcharge
Total Char'ges
I ITEM NO.
, Fi.:.r:tures
IResidentiaL (1 bath)
I Sanitary Sewer
Water
PLumbing Perrr:it
State Surcr.arge
SOLAR ACCESS
Occupancy G~
LOT TYPE
Interior
Corner
Panhandle
CuL-de-sac
X Value
\D.ID .~Jlq:)
FEE
Total Charaes
ITEM . NO.' FEE
Res. Sa. fta.
Now/Extend Circuits
Temporary Se1'Vice ,I
I I
EZe"tl't.caZ Permit
State Suraharge
Total Charqes
ITEM
Furnace ETU'S
I E:::haus t Hood
I Vent Fan
I Woodsto;}e
Permit Issuanca
Mechanical Permit
State Surcharae
Total CharoeD
I -- ENCROACHMENT --
Ise~~rity Daposit
I Storage
I Maintenance
I Pcrmi t
Total Charaes
Curbcu~
SideWalk
Fen:)s
I Electrical
Mobile Home
Labe l
I TOTAL AMOUNT DUE: ~
NO.
FEE
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,3, r5?:f:)
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'1t/.Sv
-:7...2 ~
lfb . 7 ~ "
CHARGE I
CHARGE
CHARGE
1"6. 73
REQ.-
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L-COG~.
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Type/Cor.st:
e..
Bedrooms:
Enarr/u SourceS
Heat
Water Yeater
Range
Fireplace
Wood:;tove
TilDe
1 Lot Faces -
I
I P.L.
North
East
South
West
Setbacks
House Carage
Access.
-- Faes
Building Value & Permit
This permit is granted on the express condition that the said construction
shall. in all respects, canform to the Ordinance adopted by the City of
Springfield, incZuding the Zoning Ordinance. regulating the constructicn
~ uIJe of buildings. and may be suspe~ed 01' revoked at any time upon vio-
lation of any provisions of said Ordinances: . ..
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I PZan Check Fee: r-}f3. lJ...~'~
Date Paid: C::3. lu, ~'pj
Recdpt HL! ' I j?O "
I Signed: ~"l)a )
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Plumbing Permit
No person shali construct. instaLL. aZt~r o~ change any neW 01' existing
plumbing 01' drainage syste~ in whole OP in part. 'unless such person is the
legal possessor of a valid plumber's license. except that a pe~son may do
pLumbing work to property which is owned. leased 01' operated by the appli-
cant. '
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ElectricalPermi t
Where State La1JJ requires that the eLectrical work be done by an Eleatrical
Contractor) the electrical portion of' this permit shall not be valid until
the Label has been signed by the Electrical Contractor.
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Mechanical Permit
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I HAVE CAREFULLY EXAMINED the completed application for permit. and do
hereby certify that all infor'mation hereon is true and correct, and I
further certify that any ar.d all" work performed shall be dO;'le in accor-
dance with the Ordinances of the city of Springfield. and th~ L<<~s of tho
~ State of Oregon p&rtaining to the work described herein, and ~hat NO OCCU-
PANCY will be made of any structura without permission of the Building Di-
vision. I further certify that o;'lly contractors al:d e~pL"yees who are in
c~~pliance with ORS 701.05S will be used on this project
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Permit Nt>: . CfD ,0 ,D \ . L
Issued. bY~ Date: f:t'/) q.
"STATEMENT:
, , ',INFORMATION NOTICE TO PROPERTY OWNERS
ABOUT CONSTRUCTION RESPONSIBILITIES
Note: Oregon Law, ORS70'1.055(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 ORS701.010(7), need
, not submit this statement This statement will be, filed with the permit.
Fill in the applicab~e blanks, and initial box 1 and either. box 2A or 2B:
1. I
I own, reside in,or will reside in thecomp.leted structure.
My general contractor is
,Contractor registration number
2. A.I'
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I will instruct my general contractor that all subcontractors who work on
the structure must be registered with the Construction Contractors Board.,
OR
i I?/ I I will be my own general contractor.
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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 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.
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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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