HomeMy WebLinkAboutPermit Building 1990-11-2 (2)
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APPLICAT I~PERMIT
225 North 5th Street
Springfield, Oregon 97477
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Building Div~sion :
726-3753 I
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Add1'ess: ~ ~~ \ ~ S;. UJ)'(' 0(\" (\()\ . V Phone: 12lo - S ~q 4
.. Citlj: ~lL2.D we tI J' Zip: q 712fo
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'Job Location:
ASDesaol'S Map
SUbdivision:
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, Lise." Bldrs Board Reg.
SPRINGFIELD
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Describe r,'ol'l{:
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I )( I .~fobi le lIoma
"D~e of App7.icaticn.15-/5~"t:::>
:Cont.rac tors OO..HU2.V' Address
General ()W ~"f
Plumbing ()w i\S.V'"
~Hechanical ("\\\"\ ~ \(""
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Sl1pep'~('.n;j',1,=__~~ec tr~eian ~~ '
Value
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Sigr.ed:
Date:
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Expi'c.es
Phnnp
It is the respono~bility of the permit hoUler to see that all inapections are made at the proper tim&~ that eaoh =ddress is readabZe
from the street. and that the permit card is located at the front of the propel'ty.
"!Jui!.ding lXvi::ior. appl'ot:ed plan sha7.7. l'emain on tha Building Sits at a7.7. times.
PfrOCSDup.E FOR INSPECTION RSQUEST:CALL 726-3769 (l'ecol'der) state yoUl' City design:lted job nwr.bel', job aad1'ess, type of in3pec~iclI
N!qucsted ar.d W,!;f111 YUk wn.'l. be r.aady r;;;r'l'iGi;';;;i;;t;~,;;;,.. Co.ltmctO'i'B '01" 0lJr181'B' n.::J1,e-.:;;nd phc,;1'l3 1I"~.bel'. ,.Reques'i:i3 l'c:':eivea befcro 7: r.0
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t.'i7.Z. be made the same day, l'equests made alter 7:00 am Lri.7.7. ba made the nut :.JOrki1l{J day.
Remli'l'p.n r"'BDP.cticn,q
'0 SITE INSPECTION: r TO.'be made aftel'
excavation, but prioJ' to set up of
forms. ,
O ' UNDERSLAB PWMBING. ELECTRICAL &
MECHANIf..'AL: To be made befoJ'e any
WOl'k is ~overed. '
r:::::r FOOTING & FOUNDATION: To be made
~ after trenches al'e'e%cavated and
f01'l1ls are erected, but prioJ' to
pouring ccncret~.
~ UNDSRG.rroU.'!D PWM8INC. SSWER. w'1TER.
L.:J DRAINAGE: To be made priOl' to fil.-
7.ir.g trenches.
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UNDE!WLOOR PLUMBING & MEC!lANICAL:
To be made pl'iol' to inatallation of
j1001' insulation or decking.
POST AND BEAM: To be made priOl' to
installaticn of flool' insulation or
decking. .
ROUCII PW.'!BING. ELECTRICAl. & MECH-
ANICAL: No wo1'k is to be coveJ'ed
,ur.til these inspections have beer.
made and appl'oved.
FI!?EPLACE: PriOl' to placir.g facing
matel'ials and before J~.....:ng inspec-
tion.
FRA'!INr:: Must be requested aftel'
appl'oval of l'ough plwr.bing, electPi-
cal & mechanical. An roOfing
bmcing & chimneys~ et~. nr~st be
,completed. 'No L1Ol'k is to be con-
: oealed until this inspection has
. been made ana approved.
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o FINAL PLUMBING
o FINAL MECIIANICAL
o FINAL ELECT!iICAL
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Your City Deaigr.ated Job Nwrrber Is:
D INSULATION/VAPOH BARRIER INSPECTION:
To be made aftel' a7.7. insulation a!".d
,'. J'equiJ'ed vapol' barl'iel's are in plaoe
, ";,,.', :''",:. but l:'efo1'e any lath, gypsum boal'<! 01'
w7.7. coveJ'ing is appUed~ and befol'B
any insulation is concealed.
O DRYWALL INSPECTION: Tc be made
afteJ' a7.7. dzoylJaZl. is in pZace~
but pl'iol' to any taping. '
O. MASONRY: Steel location, bond
beama, grouting 01' vel'ticals in
accorodanoe Lri.th U.B.C. Section
2415.
D WOODSTOVE: After insta7.7.ation is
ccmpleted.
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CURB & APPROACH AP!?ON: AfteI' forms
are cl'ected but pliol' 'to pouJ'ing
aonal'e te.
9cC' /tt!/ 3" '7
DENOLITION OR NOVED BUILDINGS ", ".
--, Sani~ary se!Jer ~apped !Jt propCl't.:J 7.ir.e
--.-J " ". , ' ",I'_to """I.'h'~'W':'o'\lll',!",:" J'AiM,:..,~,
:=J Septic tank p:.:u:rped and fined Lri.th am:Jel
---, Final - ~~en above items are completed
---l and ~hen demolition is complete or Bt1'U~-
ture moved and pJ'emises aleaned up.
Nobile Homes
~lOOking and Set-up
~lumbing connections -- scweJ' and ~a~el'
---'_~lectrical Conneotion - Blocking, set-up
~and plUmbing conneotions mr~st ~e apPl'oved
befol'c J'equesting elec~rical inspec~io~
~ Aoae{Jsol";j Build~ng
~in:ll - Aftcl' pOl'ohes,
~ etc. are oompleted.
skil't~ng, decks,
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SIDE//ALK & DRIl'Er/AY: Fol' an con-
Cl'ete paving uithin stl'eet l'ight-
of-r.x;y, to be made aftel' all e%ca-
vating complete & fo1'm wol'k & sub-
base matePial in pZa::e,' ,
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All~pl'oje~t ~onditions. Ducn as tIle installation of stl'eot tl'ees, 'co~letion of the
l'equil'od landscapir.g, etc., must be satisfied bcfol'~ the BUILDINC FINAL can be l'squeots4.
FINAL BUILDING: The Final Building Inspection must be l'equested aftel' the Final ~Zumbing
Electl'ical, and Mechar.ical Inspections have,been made and apPl'oVod. .
AAT,L MANllOJ,ES AND CLF.ANOUTS Ul/8T lIF. ACCESSIBLF., ADJUSTlfl':NT TO BE MADE AT NO C~ST TO CITY I Pa!~e ! of 2
D
PENCE: When complete -- PJooviae
gates Ol' movable sections thl'ough
P.U.E.
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JOB
No<JOI030 SOLAR ~CESS REQ.-
V 1 ) 1 ) Occupancy G. fcJ r ~
LOT TYPE
L-COG~
Interior
Corner
Panhandle
Cul-de-sac
P.L.
North
East
South
,West
-- Fees
Setbacks
/louse CaT'a(1e
Access.
Bedrooms: ~ ~ ,,9'
I EneT'IJ}/ SouT'ces r-' /' Tlt[le
I !leat r C-J
WateT' HeateT' ~
Range tiP __
,..J......FiT'ep~
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Lot Sq. Ftg.
S "f lot C"1Jerag.:
!I 'of Stories
Total lleight
Topogrophy
Lot Faces -
Type/Cor:st: .
Zona:
ITEM
SQ.FTG
x
Value
\4Y.).~)
, . Building Value &
Perm it
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AcCeSSOT'll
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\ ') ~'TOTAL
VALUE
This permit is gronted on the expT'ess condition that the said construction
shall. in all respccts. conform to the Ordinance adopted by the City of
...",' ;~ Spr~ngfit!,ld. including the Zonina Crdinance. regulating tlte ccnstructicn
, and UDe '''f 'bui7..dings. and may be suapended or, re1Joked at any time upon 1Jic-
',:", '~" Zation: of if1y pro1Ji~jons of said Ordinances.: "
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cPl.o.6tS ~
Gcraae
CarpOT't
S.D.C.
IIXHucJ
1.5 :&
lITEM
I Futures
I Residential
NO.
FEE
CHARGE
Plan Check Fee: /~ . '<'S-
Datc Paid: !@-/<;' -~ e:>
. Recdpt H:/~/ ..
" Si,gned:$' ~~~ _
Plumbing Permit '
~~
Building' Permi t
sea te Surcharge
Total Charges
(1 bath)'
No percon ahall construct., install. alter or chp.nge any neLl cr e:::isting
plumbing or drainage system in whole or in 'part. unless such person is the
legal possessor of a 1Jalid plumber's license. e:&cept that a person may do
plumbing work to property which is or.med. leased or operated by the appli-
cant.
~~.oo
Watl!T' .., . -r<)~, C) 0
01rnYm ~l1l~'/J~ ,DO.
Plumbing perr.:it" -- - md- fj ~ .00
State Surcharge ~ ,I) 5
'7~, 1CSl ~
Sani tary SeweT'
Total ChaT'nos
.
ITb'M
NO.
FEE
CHARGE
Electrical 'Permi t
Ros. Sa. fta.
Naw/ertend Circuits
Where State La1J requires troat the cl.ectrical. woI'k be done by an Eleatl'ical
Controctor. the el.ectrical. portion of,this permit shall r~t be 1Jalid until
the Label. has been oigned by the Electrical Contractor.
Temporary Sel'lJice
EleatT'ical Permit
0'(\
State SU'f'ahar'Qe
Total Charges
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ITEM ..
NO.
FEE
ClIARGE
Mechanical Permit
Fur7'J.'lce !!TU' S
E:haust Hood
Vent Fan
Woodsto:Je
~.~' .
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Permit Issuance
'~..,
Meahanical. Permit
'"
State Surcharae
Total Cha'f'qes
-- ENCROACHMENT --
~)~
So~~rit~ Dep03it
I Sto'f'age
I MaintenanC!e
PCl"mit
Pl.an E:cann..ner
ua~e
Curbcut
~
C21
I HAVE CAREFULLY EXAMINED the compl.eted application foT' permit. and do
. hereby ceT'tify that all i~fo~tion hereon is true and corT'cct. and I
furthel' certify that any ar.d al.l. Llork perfor:ned shaH be dO:1e in aecor-
*~nce with the Ordinances of the City of Sprinafiel.d. and th.: ~~s of tho
> ~ 'State of Oreg"n pertaining to the work described heT'e~n. and that NO OCCU-
PANCY wiH be mde of any struatuT'.3 ",ithout permioJion of th~ Building Oi-
1Jision. I fUT'thoT' ceT'tify that o:1ly contT'aators aroll empl"yees wl:o are ill
co~pl.iance with ORS ?01.05~ wil.l. be used on this project
Total. ChaT'I7CS
Sidewalk
I r~n::e
I EZectT'ical Label.
I Mob~ le Home
. ''10to)~
t1\Jb
I TOTAL A/fOUNT DUE: 4
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Permit No: . C{() \()~f)
, Address:. 'Jj\..oloO \'Xli' .
. . Issued b{9i~ . Date:
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. STATEMENT: ,,/''''''-'
. . ..INFORMATION NOTICE'TO PROPERTY, OWNERS.
" 'ABOUT CONSTRUCTION: RESPONSIBILITIES
Note: Oregon LawjORS 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 permitcan be issued~ Licensed Architect
,and Engineer applicants, :exemptfrom 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 2Aor 2B:
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1; I \ "....'1 I own, reside in, or will reside in the completed structure.
2. A.. I . My general contractor is
Contractor. registration number
., 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 Vl 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 Qeneral
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 andthat 'have read and understand
/ ' the Information Notice to ,Property Owners about Construction Responsibilities on the
reverse side of this form.
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(: Ignature of P.,3rffi{t Applicant ',() .S .
(OeVAJh:LfYj,. . ' .
CONSTRUCTION CONTRACTORS SOARD'. .""
0244J 10/24/89, . ": <:, .
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Date
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. ", WHITE COpy TO ISSUING AGENCY PERMIT, FILE
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. . PINK COPY TO APPLICANT.
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