HomeMy WebLinkAboutPermit Building 1990-9-26
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.. RESIDEeIAL"
APPLICATION/PER/lIT
225 North 5th Street
Springfield, Oregon 97177
Building DiviDion
726-3753
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Plumh:i.n~
fiechanlc..:J..t
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~tbditliDion:
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r<Zr Lot /I
Phon": r"'A:lo-Lo~\q
Zip: q141~
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Value
d.'d.Sk,
Illdrs I\oard K 'C:.
Add n:.~~
L-ise. II
.ce;pt ,#
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EXD'i{(~R
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StIPQr,"\J~~Jr,'g.. Lo:lectl-.ic i:lll
It. i:l ~;}lC rcnponnibiLity of the permit holder to cee that all incl'cctiorts are made at tile proper time.. that each -=dd1"CBD is rcacab:e
from the Dtreec. and that the permit carvi is lxated at the fl'Orlt of the property.
IHui.?,d1.::-:U [}!'tJi:;t:o~: (1ppr'oL.'~d plan Dlu.:Zl PCl1Uli,t on tll.;: IJ/6lding :;it:; at all timeD.
f.'!OCEDW?r.: FOR INSPECTION RE'OUF.'S'T.;CALL 726-3769 (recorder) state YOU1' City design.:J.ted job "w;;ber~ job add1"e8D~ typo of in:Jpac-:ictI
,'(,!quc:Ji'cd a~d whim you wiLL be '['(!ady for innpcction~ Contractor'n or a.me:-s name and phone numbcr. Requests l"eceivsd befora ? :oa C':'t
:.'ill. lIe rx:.dc th;; ~a:nC dey, rcquests medc aftcr 7:00 am will bfJ made the next :.XJrking day. qo II c q
Your City DeDigrJlted Job Nlunber Io: ' 0
B....nll~'.1.f't( T'1!:f'.f'r't1:r.r'fl
I f.'I'J'.l: IN.'lP.~'(.",~!O!.': ']'0 be r.ade
_1 CXC{W:ll.i:m, !Iut priol> tc set
farme.
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after
up of
U.vDE:RS~/1B PU',~mINr;. ELECTRICAL .~
,~!E(,'lfll../rr..'AL: To be made ber'Ol'e
Z;m'k ill :':OVCl'{]{!. .
.r..:ny
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PCOTI!IG ,~FOWID,1TICrJ: To be ,rode
{n't,.~l' r.l'.,!flchcn al'e excavatcd and
/()l'!.1[J {:J'e e1'cctlJd. but prior to
pOlIl'ir.a CC'IC!'et.;.
-.I
u:m.'?Rcr:OU:,'D P:"UN.'UNC; s::r/E.'?, r/;1TER,
/.l.'/AJlJA(;,~:: '1'0 h€J made pl'iol' to fil-
TD:u '[;c1fclw[;.
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(I:!/},~',IWLOOR P!,U.'.'.'1J.\'G l ,'..fECIIIINTe,1!,:
;',) I).:~ made tn.ior to ilwtflLlation' of
j'!r)()!' illlJltZ(:r.iml 01' decking.
!'d:;'," .,lND l1EAM: To be made prior to
:'~;;:::'l..:r.icll oJ f:oor in::dation or
,!,"":'111.:.,'.
LiJ..'i.''-EI:!!l.'!l [,'!e ,-E!.J~CTr. !C/l!'... ,~ MfX!I-
,t'/h',.ll.: ,"10 :"'01'1: i:: to he cOL'P.J'cd
1I,:':'-(i-til<~::,"1 im:rCCt.1~m:!'; h"!iJ€ bCf!r.
:'1.:.:',' ,:>/11 a!,pl'.7Vl'?:!'
:',',;':l'l..,lCE: I'r1:01' t.o pkcir:1] fr..cina
." ':~:;:Tr;!,-;; wul h":Io!"f: jlYUr1ill[J in!';[.'cc-
'{"":.
:'gg.~!J!!!..: ,..tWlt be !"cqllcatcd af;m'
dU,:..'I'.if. or l'OllUh pLW1;btlllJ~ clcctl'i-
i~,d ,'1 !1:,:,:i:.1llical, Al! l'Oo[ing
!')":":'''!f .'; {'hl:nlll":!f!J. ct~. m:wt !J(?
''.'''If,/..:r,'c:, :/0 n:)rk y:!,; to be C01f-
I!'~':'!"'! 1/1lt.i.l. Odn .i"::pc:ction hew
!l, ,"~ "!l,l,' lUll! {lj'prDI'cd.
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INSULA'l'IONJVAPOl? IMRRIER INSPECTION'
To be made after all insulati~n a!".d.
rcqu~rcd vapor em'riers are in place
but before any la th, gypsum board 01'
t.X1lZ covering is applied~ and before
any immlation in concealed.
I DEI-IOLITION OR gOvtlJ BUILVIi/GS
=:J SanitaPY sc-.Jer :!apped at p:..oPO:1'ty lir:e
=:J Septi:J tank p:.4.~cd and ft lle~ L1i th gra:Jo l
::J Pinal - t.'hen above ite:ns aro ccmpletcd
and when demolition is complete or stru:-
tUl'e InOlJed and prerrrises cleaned up.
Mobile J/cmec
=:J Blocking and Sct-~p
=:J Plumbi~3 connections sewer and wator
---, Electrical Ccnnaction - Blocking, sot-U?
~ and plumbing connections mr~8t be approved
beforc requesting eloc~rical inspactio~
~ Accescor!j Sui Icing
::J Final - Aftar p~rcr.eB~
etc. are compls~cd.
8k~1'tino, decksl
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DRyrlALL INSrCCTTON: Tc be made
alte}' aU cr'YlJall to in place~
but prior to r.ny tapina.
MASONRY: Steel t.ocation~ bo~d
beam3~ g1"'Oflting 01' verticals in
accordance with U.B.C. Section
2415.
WOODSTOVF.: After inotalZation to
ccmpleted.
D
All pl'o;ject condi.t1~ono~ :Hwl: as tile ~'.notaLlatioll of st1'oet trees. co::tplotioll of the
required landncc.pir.a~ ctc~.. must be satisfied before tho BUILDINC FINAL can bo r3queDtad.
/\\'/PIN/lL BUILDING: TIm Final Buildina Inspection must be l'oqueoted alter tho Pinal Plumbing
\..0' Elcf:trical. and Machar.1:eal Inspeationn have been made and app1'ovad.
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CURB I~ APPROACH Ar.r~N: IIfte:- forms
arc ."1rcwted but pl'ior to pouring
con.:!rc te.
SID,r;;r/ALK ,~DRn'f:rli".Y: POl' all con-
crete paving with-in street right-
of-wc.y.. to be '!lade after all exca-
vating conplete & fo~ work & cub-
ba!:e matcrial in pla~e.
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',1.'.!, ,~I,l::!!n/.1:.': liNn f.'/.",,/l,VDu-r:: 1I/1.',''f m: ,u:f,'r:::DT[1{Y. AD.Tf/!':7';'I,r::,'l'r TO TIF.' MADF. A7' 1.'0 (:'51' TO CT'!'Y
I rarC" ! of 2
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!"ENCF.: flher. comp7.atc n Provide
gatnc o~ movable sections through
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I JOB NO,
I Zone:
Lot Sq, Ftg.
$ .:;r lot C"verage
# of Storie.
Total Height
Topography
I
I ITEM
I Main
I Gr.J'aae
I CaY'PoJ"t
II1CCC8801"1I
I SQ.FTG
1 (p()
TOTAr, VAWE
IS.D,C,
,vat.uCJ
1.5 x
But Lding Permi t
State Surcharge
Total. Cha;ogea
SOLAR .SS
OccuoonCl/ Grauv:
LO~ TYPE
,
I.nterior
C01'no1'
Panhandle
Cul-do-sac
X Value I
1
I
I I
J1JQ c9, ~'Olol,
q ,q~(1) 1
1--'
,
I '-~ '1-. ,c.::J:l1
i,q~
14D,'\3
F,'E
lITEM
I Fi:z:t~e8
IH.sidentiel (1 bath)
I Sanitary Sewer
Water
Plumbing Permit
State Surcr.a1'f16
Total Chal't1cs
lITEM
I Ran. So. fto.
IN~/EXtend Circuits
I Tempol'CUY Servico
I
Elcatrical Permit
State SUl'CMrQe
Total Charges
IITSM I NO.
I Furnace P.TU'S I
ExhauB t Hood
Vent Fan
I WOodstove
Permi t 138uanca
Mechanical Permit
State SurchaJ"a6
Total Charano
__ ENCROACHMENT --
I Sl1C".4M.tll Daoo3it
I Storago
I Main tenan~e
I Permit
Total ChaMOB
eurbcut
I Sidewalk
I Fence
I Electrical
I Mobile Home
I
I
wbe 1.
I 'T'n'l'If'. M.lflIlN'T' nllp.~ A
I NO.
I
I
CHARGE
I NO. I
CHARGE
F<'E
FEE
ClIARGE
R EQ,-
I Lot Faces -
I
I P,&.
INor th
I~~~ ~h
rhmt
F{zer." --
T:f'Je/Cor.nt:
.
L - Cu l:
I~
-=--1
I
I
1
fl,.U:l'()OI:::::
.1'
Setbac:kn
~ /loune Caraqe"
I
I
I I Ent!rqy SOW'!!r!!]
I ~ :;:::1' "1/~o t~I'
II Range
Fircplrwc
1 ----w;;;:;d:;tOI,;C
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AaceS8.
Building Value & Permit
Thia pCl'mit it; granted on the exprecn conditioll thaI.; tilt! ::,1/'(;" ,:, '11.:: ,',I .: " '),
UhaLZ3i11 all rcnpcctc3 conf.oJ'TTl to tha 01'dinw:cc adop/;,d b!l /.ilo, n::'.'1 of
Spt'in(lfield, illc!udin!] the. Zoni11!] CrdinmlCc3 l.r.(flllc.t.ill:; t1w J.:1;J1,;[ !".", i 'I
and uae oj' lJu.Udin(l1J3 WId nb.y be r.ucpcndeJ or"l'(wokec. at ,:I:!! t~I.'I,' "i" "I, ".
lation of allY pt':Juiaior.o of oaid Ordi':ance:;.
I Pla/1 CJlt~ck
Date Pa-:.d:
IRaczipt II:
ISia~lCd:
f'r.o~ :
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I-
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Plumbing Permit
No pCl':;{ni :;halt conat)'uct, imJtaLZ., aZtcr or ChaIIU(: mi!l IleW Cl' c.:::,:;!-,:/I.,
plwnb"ing 0)' drainage oyute:n in wllole 01' in [Jal't, w:le:;:; :w.ch ;:C.l':;OI: i:; U:,'
legal posnC:1Hor of a valid plwnber'G licemw, except that a i)l!:'DOll md!f ,It'
plwnbing work to pl'OpCl'ty which i:; owned, lc.a:.Jcd 0)' opcl'atcd hy tJ:!: <~pp/.i.-
cant.
Electrical
Perm it
Where State Lat.) l'equil'es that the cl,ectl'ical wOl'k be dotle by all :;~~::(,l'ic~:~"
Contractor3 the electrical portion of thi;; permit shali. 1:0t bl.! ua"l-J L/lltLI.
the label Jms been :;igned by the Electrical ~Olltl'actor,
Mechanical Permit
Pl.an Examiner
vat-a
I lJ.1VE CAREFULLY EXAMINED the compl,eted application [or' permit, GIld do
hereby certify that all ir:fO:'TTlC1.tion hereon is true and corrcct3 and I
further certify that any ar.d alllJOrk perfol':TJcd shall. be done in ac~ot'-
dance with the Ordinances of the City of spl'inafio'Ld3 and t}l:: Ur.JS of tJza
StattJ of Oreg,')n psrt.a.i11ino to tho lJOrk c.escribed 11C1'e::n3 end that NO OCCU-
PANCY will be I1rlde of any structw'a without p:Jrmia3ton of the BuiZdil1(1 Di-
vision. I further certify that o:1ly contl'a:Jtors al:.d e:npl"ycCG who al'O in
co,"npliance with ORS 701.055 wiLl be used on tilis Pl'ojzct
1
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4f'\Ll':\I_~J'
9-Z*> 70
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Permit No: q()! (?Jq
Address: \.\ ~ ~ ~d 0 f) )
Issued by:.t1:l1 fY"i:J Date: ~ ()
STATEMENT:
INFORMATION, 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, exempt from 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 2A or 2B:
1,oz]
I own, reside in, or will reside in the completed.structure.
2, A. L-J My general contractor is
Contractor registration number
I will instruct my general contractor that all subcontractors who work on
the structure must be registered with the Construction Contractors Board,
OR
B. Ll,LJ 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 Clo 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 Responsibllltles on the
reverse side of this form. .
J~/A'JU ('/~ )
/ Srti~ature of Permit Applicant -:
" 9~?J; - '10
Date
CONSTRUCTION CONTRACTORS BOARD
0244J 10/24189
~1'E COPY TO ISSUING AGENCY PERMIT FILE
\ . '\ P. COPY TO APPLICANT
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