HomeMy WebLinkAboutPermit Building 1990-1-26
.. RESIDWTIAL 00
y' APPLICAT.PERMIT
225 North 5th Street
Springfield3 Oregon 97477'
Building Divisi~n
726-3753
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Receipt il
SPRINGFIELD
Job Location:~~5' f)o...~ S I,J #96
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Asoesoors Map H
Subdivision:, rn f\nCl on
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OWner: ~,^rILf ... In rk<. ~ VI
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Address: ~<;,9 (' Ia. i. ~~
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City: ~ ~A ~
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Addition
Remodel
Ta:r: Lo t II
Phone: 6 r/l - ;u,99 ---..
Zip: q7~b~
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Value
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Date of Application
Contractors Address
i general 1/(."i'-(,-I.~y\Jj" M~P..S
i Plumbing "./' <)'
I Hechanical '")
E~eā¬trical f)~T1to~
S\1Pervj:'Sing Electt~cian
Nobile Home
,Bldrs Board Reg.
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Signed:
Date:
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Expir,es
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,the proper
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tims~ that each address is readable
It is the responoibility'of the permit hotder to see that all inopections are made at
from the street, and ,that the permit card is "Located at the front of the property.
*BuiZding Divi~ion approved,pLan ~halZ remain on the Building sit3 at all times.
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PROCEDURE FOR INSPECTION REQUEST:CALL 726-3769 (recorder) state your City designated job nw.:ber. job address. type of inspectien
requested and when you will be ready for inspection. Contractors 01' OWners name and phone number. Requests received before 7:00 am
wiH be made tho; same day. req-..lests made after 7:00 am wiZZ,ba made the nczt :,)()rkiYl{J day.
l~'" Your city Desigr.ated Job Number IIJ: q ()() / 3C:::)
Reoui~Bd TnsoBr.tinnR
D' SITE INSPECTION: To be made after
excavation. but prior to set up of
farms.
O ' UNDERSLAB PLUMBING. ELECTRICAL &
: MECHANICAL: To be made before any
, work is oovered.
o
FOOTING & FOUNDATION: To be ~de
after trenches are excavated and
forms are erected. but prior to
pouring concrete.
0, UNDSRGROUND PLUMBING. SEWER. W.1TER)
DRAINAGE: To be made prior to fil-
, ,lir.g trenches.
D, UNDERFLOOR PLUMBING & MECHANICAL:
, To be made prior to instaZlation of
f7,aor insulation 01' decking. '" ,. ' '
O POST AND BEAM: To be made prior ta
installation of floor insulatian 01'
decki1lfj.
D ROUGH PLUMBING. ELECTRICAL & MECH-
ANICAG: No work is to be covered
,until these inspections have been
made and approved. '
D FIREPLACE: Prior to pZc.cir.g facing
materials and before framing inspec-
tion.
D FRAMING: Must be requeIJted after
approval of rough pZurrbing. eZectri-
,cal & mechanical. AU roofing
bracing 8 chimneys. eta. m"..lst be
: completed. No work is to be con-
,,' cealed until this inspection has
~ be~n made and approved.
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D FINAL PLUMBING
o FINAL MECHANICAL
D FINAL ELECTRICAL
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, '0 INSULATION/VAPOR BARRIER INSPECTION:
To be made after aZZ insulation and '
;::: ,., ,required vapor barriers are in place
'; 1,( ',: but before any lath. gypsum board 01'
, " ",', UJaZZ covering is applied. and before'
, ,,":: ;,' "f11lY insulation is concealed. ' \
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'0 DRYWALL INSPECTION: To be made
after aZZ drywaZZ is in place.
, but prior to any taping.
0, ~SONRY: SteeZ location. bond
beamIJ. grouting 01' verticals in
accordance with U.B.C. Section
2415.
, D WOODSTOVE: After installation is
compZeted. ,
D
CURB & APPROACH APRON: After forms
are erected but prior to pouring
concrete.
DEMOL'ITION OR MOVED BUILDINGS
, ~ Sani tary sewer capped at p~operty Zine
~ Septia tank pumped and filled with gra~el
I Final - IYhen above items are completed
~ and when demoZitior. is complete or stru~-
ture moved and premises cleaned up.
Mobile Homes
g3locking and Set-up
~lumbing connections sewer and water
~ EZ~ctrical Connection - Blocking. set-up
~ plumbing connections l71'..lst 1;13 approved
" before requesting electricaZ inspection
:=J Accessol",i, Buitdi.ng
~ F...4. - Aft~~ p:Jrches.
~~~~are completed.
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skirting, decks,
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SIDEWALK & DRIl'EWAY: For an con-
crete paving within street right-
pf-way. to be made after aZZ exca-
vating compZete & form work & sub-
, base materiaZ in place.
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AlZ projeot conditions. IJuch as the installation of street trees, c~~lation of the
required landscaping. etc.. must be satisfied before the BUILDING FINAL can be requested.
FINAL BUILDING: The Final Buitding Inspection must; be requeIJted after the Final Plumbing
Electrical. and Mechanical Inspecti.onlJ have been made and approved.
*AL'r, MANHOGES AND CLEANOUTS MUST BE ACCE~SIBLE. ADJUSTUENT TO BE ~L1DE AT NO COST TO CITY 'page 1 of 2
D
PENCE: K'hBn compl;;te Provide..
gates 01' movable sections through
P.U.E.
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I JOB
I Zone:
NO.
C1Ci1(i~OLARACCESS
" ~ccupancy G~
LOT TYPE
REQ.-
L -CO G~
Type/Cor.st:
.
I Enerql/ Sources
I Heat
I Water !leater
I Range
Fireplace
Woodztove
Bedrooms: {
~
Lot Sq. Ptg.
~ of lot Coverage
II of Stories
Tota'L Height
Topography
Lot Faces -
Tl/pe
Interior
Corner
P.L.
!North
East
South
.West
-- Pees
Setbacks
House Garage' I Access.
Panhandle
Cu'L-de-sac
ITEM
IMain
I SQ. FTC
x
Value
Building Value & Permit.
Ga:raae
This permit iIJ granted on the express condition that the said construction
shall. in all respects. conform to the Ordinance adopted by the City of
Springfield, incZuding the zoning Ordinance. regulating the construction
and use of buildings. and may be suspended 01' revoked at any time upon vio-
U2tion of any provisions of said Ordinances.
Carport
Accessoru
S.D.C.
TOTAL VALUE
IvatucJ
1.5 x
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Total Cha....ges
I ITEM I NO.
I Fixtures
IResidentia'L (1 bath)
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Plan Check Pee:
Date Paid:
Receipt #:
, Signed:
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Bui lding Pe2'rrri t
State surcharge
FEE
CHARGE
Sanitary Sewer
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No per;on shalZ construct. instalZ. aZter OP change any new 01' existing
pZumbing 01' drainage syste~ in whole 01' in part. unless such person is the
legal possessor of a valid plumber's license. except that a person may do
pZumbing work to property which is owned. 'Leased or operated by the appli-
cant.
Plumbing
Pe r m it
Water
t
P'Lumbing Pemt
Tota'L Charges'
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State Surcr.arge
ITEM
. NO.' FEE
I ' CHARGE,'
Electrical Permi t
Res. Sa. fta.
New/~xtend Cir~~its
I Temporary Se1'Vice
~Y~rI
,Where State Law requires that the electricaZ work be done by an Eleatrical
,Contractor. the electrical portion of this permit shalZ /lot be vaZid until
the Zabel has been signed by the E'Lectrical Contractor.
EZeatrica'L Permit
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State SurahQrge
Total Charges
Furnace ETU' S
ExhO:ust Hood
I Vent Pan
I Woodstove
I
I NO.
I
FEE
CHARGE
Mechanical Permit
lITEM
Permi t Issuance
Meahanica'L Permit
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State Surcharoe
Total Charaes
-- ENCROACHMENT --
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Security Deposit. ,. ...' ...,.......::.:;,-'-"..,:... .,-,-",
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Plan Examiner
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I HAVE CAREFULLY EXAMINED the comp'Leted application' for permit. and do
hereby certify that aU information hereon is true and correct. and I
further certify that any ar.d aU work performed shan be dO;'le in aceor-
dance with the Ordinances of the City of Springfield. and the L<<~s of the
J * State of Oregon pertaining to the work described herein, and that NO OCCU-
PANCY wiU be made of any structure without permission of the Building Di-
vision. I further certify that o;'l'Ly contractors and e~loyees who are in
c~~p'Liance with ORS 701.055 wi'L'L be used on this project
Maintenance
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Electrica'L Label
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Permit ~o: qCO\t:>~ ttO
. '. Address: 'f,~~ ~S~ .' b
'Issued ,by: C\~ate: )-;Q(()-C{)
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'5T A lENIENT:
, INFORMATION NOTICE TO PROPERTY OWNERS
ABOUT CONSTRUCTION RESPONSIBILITIES
, , Note: Oregon Law, ORS 701.055(4); requires 'residential building permit applicants
'J, who are not registered with the Construction Contractors Board' to ,si,gn the
following statement beforeJhe 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 Hied with the permit.
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, Fill in the applicable blanks, and initial box 1 and either box2A or 2B:
1. I v I I own, reside in, or will reside in the completed structure.
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, 2. A.,I I My general contra~;tor is -1:1 n..h~ "" ~ ~~, '
Contractor' registration number ,-') ~ 7 ,-) 10
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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
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B. , I 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 00 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
reyerse side of this form.
~~, SJ(U9I<[s~
Signat~re of pe~ Applicant"
1-;;<'0-9LJ
Date
CONSTRUCTION CONTRACTORS BOARD ,.'
0244J 10/24/89.. "':r,.,
WHITE COPY.TO ISSUING AGENCY PERMIT FILE
PINK . COpy TO APPLICANT '
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