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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 ,~~ '. '. Subdivision: SPRINGFIELD O(\~r:O . , Receipt II /0/(.5 .... ...'..... ...-...-...... ....~.... .-.'..... .,'......'." ': . ""'e~ ili f\ Q. h\) \ l..- J. f\ 'frl. ~ 'D n' ~ rMi ~ City: ~I)f)f\ ~ f\r\~Q\)~' Zip: ~f)41(~ -- r ' (\t) ~ J] , 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. o o 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. D ,D I , :0 i I ; D Describe f.'orl,: ~ . . 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. .... '. . 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: . 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. ,,- " -'.~ . 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 " 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. o ~ - 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. ,0 , :0 I ;0 Ie;] FINAL MECIIANICIIL @ FINAL ELECTRICAL FINAL BUILDING: The Final Electrical. and Mechar:ical Building Inspection must be requeIJted after Inspeetiona have been made and approved. , ' the Pinal Plwnbing \ \ \ , 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 - J I ' ,3, r5?:f:) I " '1t/.Sv -:7...2 ~ lfb . 7 ~ " CHARGE I CHARGE CHARGE 1"6. 73 REQ.- ... -;:]- - , " , , L-COG~. '..... '- 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: . .. i , I PZan Check Fee: r-}f3. lJ...~'~ Date Paid: C::3. lu, ~'pj Recdpt HL! ' I j?O " I Signed: ~"l)a ) . I I I. 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. ' I ' " 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. " Mechanical Permit .~ I I " l u~-> /' 4~; f ~-< <-90 uate 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 " wi! ~~ /P~C) Day' 'l ....-/' , \. e e 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' - 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. ~, .~r:- 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. ~' , ,,'1Jk'1I','" //, /", /. ?:1!~i(.d_0 :~(0 (i-:~ SlgnatUfeof l'ermtrAppllcnT' P'bdl./t?t"J -nata CONSTRUCTION CONTRACTORS BOARD',' " ' 0244J 10/24/89 ' , .: ."". .. : \~. ~'. COpy TO ISSUING AGENCY PERMIT FILE COPY TO APPLICANT .-.. . < ~:\.:~~~:. :::: @>S' . "