HomeMy WebLinkAboutPermit Building 1990-9-20
.. RESI'~TIAl".
APPLICATION/PERMI'l'
225 North 5th Street
. Spring fie ld, Oregon 97477
Building Division
726.-3753
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. \ \ (\ Tax Lot II
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CAJner: \\(\ )\ G~f\ _ \\\C\ 11 S (7\4. \ - 33 ~~
Ad"',"'.; p')~ o\oD \)\~1J\. \i*4 \ Phon" '14\(r 5l&\ U
City:~t-rJ;--.~~ \~) \J Ztp: q14lR
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I' I N~w . f\ "". ~ \ A l D~~,\be ~\rl~ N\ \.-1
AMit~n ~~ ~ ~ \\\ ~,
ri R-''' '---c~c1 $ f5:j5,CO
I Dat~ :;:::::::icn_ -Il-C 0 vaz",~&n~
Contract?,fS\ .. Address Lise. II Bldrs Board
General \ \.I.l.i,''\\\..Q f?-;)
i Plumbing KJi..l Jffi9 )
i t-1echanical- . . -_
L<::lt:d ci.!;a 1 tC)Q \. '")\'\SL1U
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SllPe,Ii'\jc.t1;;r.~Elec t r ~c ia n
It i8 the responsibility of the pe1'TT/it holder to 8ee that aU 'inspections are made- at tile proper tirol:, that ~ach .::.ddress is I'cadab:l
from the street, and that the permit card is located at the front of the property.
'BlIi!ding Divi:;ior: approved plan shaU l'emain on tJla BuiZdin(1 SIt" at aU times.
PllOCSDlIRE FOR INSPECTION RSQUEST:CALL 726-3769 (I'ecorder) state YOUI' City designated jocnwnbel', job addrcss, type of ill:;PO(l:'I:CIl
requcsted ar.d when you will be ready for inspcction, Contractors 01' OWners nr~e and plwne number. ,Requests received before 7:00 r.~
...'ill be made thl: same day, requests made after 7:00 am wiU be: made the next :.JOrkil'l{J day. qD\' C:!.... n
Your City DeGigr.atcd Job Nwnber Is: 0 V
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Job Location: '0\...9 \...oL 't
'As/wGGor:; Map H f\ <:6l) 1:
SUbdivision: '\\\\ .-\~A Q.t J"
SPRINGFIELD
FOOTING !l FOUND.1TION: To be made
after trenches are excavated and
formG are erected, but prior to
pouring concrete. @ii}
, " " 0 MASONRY: Steel
r--l/U.~D,!.?(,-~/J,~ID PLUMBING, SSWF-.. W.1Tf;!/,. beillno, g1'outillg
~ /J1fAJNAG/o.':) 1'0 be made 01' - accordance with
, ~nches. 2415. .
O UNDE!?FLOOR l'WMBING & MECHANrCAL: 0 WOODSTOVE': Afterinotallatiorz iG
To be made prior to installation of ccmpleted.
j7.oor insulation 01' decking.
Reoui.,.ed Irl[JD~cHcrlR
SITE' INSl'E'C'J'ION: To be made alter
excavation, but priOl' to set up of
forms.
UNDE'RSf,AB l'LUMBING. E'LECTRICAL &
MECHANIt:'AL: To be made before any
work is aovered.
o
o
,
'0
o
POST AND BEAM: To be made prior to
installaticno[ floor insulation 01'
deckirl{j .
D
ROUCH PW.'1TIJfJG. ET,ECTRfCA[, ,e MEClI-
ANICAL: No work is to be covered
,ur.til these ihspections have beer.
made and approve.:!.
FIREPLACE: Prior to placir~ facing I
mc.tel'ials and bcfore framing inspec-
tior:.
o
o
FRAMTNr.,: MuGt be requeated after
approval of rough plwnbing, electri-
cal & mechaniaal. AU roofing
bl'acing & chimneys. eta. nr~st be
,completed. No work is to be con-
, ceaZelj until this inspection has
. been made and approved.
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o FIfJAf, PWMBTflG
o FINAL MECHANICAl.
D FINAL EU:C7'.'IICAL
,n
o
D INSlJLATION/I'.APOH [i/1RRIER INSPECTION:
. To be made after all insul~tion a~4
..' required vapor barriers are in place
, "but before any lath, gypswn board or
wall covering is applied, and before
any inGulation io concealed.,
D
DRYWALL INSPfX'rroN: To be made
after aU drywaU 'is in p'lace,
but prior to any taping.
J/cce~pt ,~
\~'~Lp--
location, bond
01' ver'tica ls in
U.B.C. Section
D
CURB & APPROACH APRON: Aftero forms
are created but pl'iol' to pouring
concrete.
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sir/r.ed:
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, -,,,In ,YO
,0
II
SIDE/fALK ,e DRIVE:W:Y: For aU C01I-
crete paving within street right:"
of-way, to be made after aU exca-
vating complete & fom LJOl'k & sub-
baGe material in p'laae.
Data:
\
Re{~ .
E}~[)ir..es
Jlllf1llt'
,
,
D !"ENCE: liTher: compl"te --Provide
gates 01' movable sectiona through
P.U.E.
DEMOLITION OR ;~:OVED' BlJILDli/C8
"I Sani ~(l1;y SE1'.Jer :!apped at propcl'tit' Ur.a
~ . I, .tlj~\ I 1,lhlV l'\I"':~'~"~'..I" III :..r. ,:':I!' I~'
~ Septia tank p~cd and fi l lad w'i th GI'a:Je 1
,---, Final - >>Then above itcms are completed
.--l and when demolition is complete 01' st:'li~'
ture moved and prcmises aleaned up.
Mobile Hemes
0Bloc~ina and Set-up
3"Plwnbiltg connections s;;wel' and IJa~e1',
-",.Electrical Connection - Blocking, set-up
~ and plumbing connections m"~st ce approve,
before requesting elec~rical irlspec~io~:
~ Accessory Building
~inal - After p~rcr.es,
~ etc. are completed. .
skirting, decks,
D
B'~ ~2.c1'!>>ol~ b-~~&.
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AU proJect cond'itions, GUc!: QO the 1',nstallatiorl of st1'eet trees, 'ao,"'pltltion of tile
1'equiI'ed landscapir:g, ete., mus t be saLiofied beforc the BUILDINe FINAL eml !Je I'aque:r tad.,
F.TNAL BUIf.{JrNG: The Pinal Building InspeC!tion must be requeated artel' tlw Fim!l rlwnbill:l
Elact1"ical, and Mechar.ical Inspectiono have been made alld apPI'ovad.
'AU. ',MNJlOT,F.S AN/) CLf.'tlNOUT:: ,'/I/.':'f /If, I1CCI,:.';'"mLf:, AD,1fJSrW:N'!' 'fO .9/0.' ',f:1m: ..1'r f.'O r~lST TO C['!'Y
11';,/::11 ! oj' :!
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JOB
NO.'~'''lJ/~!J
Pi) 1
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SOLAR AIs REQ.7"
Oecu"ane!l Gr:;;'~-3
LOT TYPE - Lot Faees -
;~onc:
Lot Sq. Ftg.
~ ~f lot Coverag~
II of StOM.eo
Total Height
Topography
Interior
Cornel'
Panhandle
-
Cul-de-sac
.
ITEM
SQ.FTG
x
Value
l.o~ IooJo-.."""
t"Y') ( 1 Y 1
.
~fq;t't
rY\t4
Garaae
CarDolit
Accessorll
r~Y'
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'(~lp.f CO ~
~lY:
-LC)
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TOTA[, VAWE
(val.ue)
1.5 :r
S.D.C.
Building Permi t
State Surch.Tl'ge
Total Chal"ges
ITEM
NO.'
Ff,'E
CHARGE
Fixtw'es
Residential (1 bath)
Sani tary Sewer
~15.'Y J
,.(~~.OO
AISOO
r It; I'Y)
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\ > 1_)
r ~ .' J~
l,rlJl e"
>. -
.' df 1VTY }
,/
Plumbing Pern:it
State Sure1:arge
Total Charl1es
l'I'8M
NO.
FEE.'
CHARGl';
AtA .cD
D__
.\\\~
New/Extend Circuits
Temporary Service , ,
,
\. D()rJ..U
'\
Ele:Jtrical Permit
V State Suraharl1e
Total Charges
lTSM NO. FSE.'
?1~ .00
r ().W
~ .ff)
r"J 2J .::iJ ~
CHARCE
Furnace !!TV'S
E:::hauat /lood
Vent Fan
Woodatove
Permit Issuance
Me:Jhanic::zl Permit
State SurcharGe
Total Charoea
__ ENCROACHMENT u
~
'\\
,
1.~
Securi tll DelJoait
S tOI'age
Maint.enance
,
Pcrmi t
Total Charl1es
(\111 ~
Curb(..'U ~
Sidm.)a ll"
" " ,JID (\ (1 r L." 0 -
q.fJ...C)
Electrical Label
-...
? S\ .!-1c::.
~ re:.
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RClC:\rf ')
Mobile Home
r:J\ 1 ~.o ~aD
t::1%.
-
'/'{}'/';\/, ,1 MOUNT VUE: ·
L - CO G~
Iii'-'
.....
Type/Cop:st:
. Bedrooms:
Enerl7l/ SourceS r-' /' ')
_ !leat T -
~ Water .'/f!atf!r
-r-, Range .
~~
~ 0 v@
.,. r,
\
\
T./[le
\
\
\
l'. l"
North
E.'ast
South
,,rest
Setbacks
House Caraqe
Access.
.
-- Fees --
! I
!
"
Building Value"!&
.
Permit
This permit io granted on the express condition that the said construction
shall, in all respects, conform to thelOrdinance adopted b'y the City of
Spr,inafield, inaZuding the Zoning ordinance, regulating the cC'lstructicn
and use of buildings, and m::zy be suspe~ded or revoked at eny time uponvic-
,Lation'}' of any provisions of said Ordiriances. ..
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PlaJ Check Fee:
Date: Paid:
Recf/ipt II:
Sigrt'ed:
, I .
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Plumbin~ Pe'rmit
I
No percon shall conotruct, instaLZ" aUer or change any neW cr existing
pLumbing 01' drainage syst~~ in whole.~r i~ part, unless such peroon io the
'legaL poosessor of a valid plumber's:~icense,'e:rcept,that a person may do
plumbing work to property which is o~ed, leased 01' operated by the, appli-
cant. \
I
~
.
ElectricalPermi t
Where State Law requires th~t the electrical work be done by an Sle~trical
Contractor, the electrical portion of' this permit shall not be valid until
the label has been signed by the Electrical CO/ltractor.
"1' '
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,
Mechanical Permit
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P~an EXanl'l-ner
I HAVE CAREFULLY EXAMINED the completed application for permit, and do
hereby certify that all inforomation hereon io true and correct, and I
further certify that any ar.d aHwork per.foJ":'fled shan be done in accor-
dance lAri.th the Ordinanceo of the city of SpringfieLd, and tll~ La-..JS oftlla
~ State of Oregon p$rtaining to the work described herein, end that NO OCCU-
PANCY will be made of any struature without permio8ion of the Building Di-
vision. I further certify that only contraators and ~~pl"yeeB wl:o are ill
compliance with ORS 701.055 will be used on this prooject
.
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DEVELOPMENT SERVICES
PUBLIC WORKS
METROPOLITAN WASTEWATER MANAGEMENT
225 FIFTH STREET
SPRINGFIELD. OR 97477
(503) 726-3753
As required by the City of Springfield
that with the approval of the attached
manufactured homes will be placed at
Springfield, O~egon, City Job Number
Development Code, I understand and
permi ts, one,o.f. ,!he followin~ \
F)\Q~O \ n~\ \l~~
40\\~!l . ~
- .
agree
,
Class A Manufactured Home. A manufactured home of not less than 24 feet in
width and 16% (not less than 2:12) roof pitch, with exterior dimensions
enclosing a space of at least 960 square feet, with roofing and siding materials
that are commonly used or compatible with site built homes.
Class B Manufactured Home. A manufactured home of not less than 12 feet in
, '
width and 16% roof pitch, with exterior dimensions enclosing a space of not less
than 500 square feet, with roofing and siding materials that are commonly used
or compatible with site built homes.
'"ht\-~ ~ ~
Signature
kd' ~~J.5'10
Date
J ..'..J..
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Permit No: QD\\S9-
. Address: . L \ 0 (()() \Y~ 1 "'Dl
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I ssuedby:
Date:. ,
,4\ '
m/V
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,STATEMENT: . ,
.INF.ORMATION 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, exemptfrom registration under ORS 701.010(7), need
. " not submit thisstaterilent. This statement will be filed with the permit.
.
Fill in theapplicaqle blanks, and initial box 1 and either box 2A or'2B:
~.
1: L~ /! . , I own, reside in, or will reside in the completed structure.
2. ,A. I My gener(il contractor .is
. ... Contractor re~istration number
I will instruct my general contractor that all subcontractors who work on
the structure must be registered with the Construction Contractors Board.
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.
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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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~ fA YV\ J--. .... '1:....L 1"- (:} n rt ^ .
. Signature ,of Permi' ,Applicant
/' .
,CONSTRUCTION CONTRACTORS BOARD
0244J 10/24189
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~ill\..- COPY'TO ISSUING AGENCY PERMIT FILE
\ . \\~OPY TO APPLICANT
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