HomeMy WebLinkAboutPermit Building 1990-7-6
.. RESIDANTlAL"
APPLICA_/PERMIT
225 North 5th Street
SpringfieZd, Oregon 97477
BuiZding Division
726-3753
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Job Location:
5' ) 6 VO~O'f\\o.L
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Omc", I A'\\ \ . ~ l\1\fl.L(' S
AddrB83: 'y)V\~ l'tl\O\\kO().
City: '~.~1~CJ'JG'
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l1occ8Dorz Map N
Subdivision:
'l1"l.I
Additicn
Remodel
,,'
!.'obi Za Hom"
r;-!o~qo
Date of"l1ppZicaticn
Contractors
General
l Plumbing
\ t-lechanical
E~"ctri!'aWc..9...)V\O d
I SuoeIi.",.r..tt;;,..lg Electr:ician
Address
Phone: I Q 1o~18lo'L
zip: C{ \4 17
Describe fl'opk:
Value
nftU
Rcce;pt ,~
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Siqr.ed:
Data:
d (~{): )
'7-/0 - C/()
LiRe. III
Bldrs Board Re~.
l~XD:i"i"eR
Pl,nnp
Your City Deoigr.atcd Job Nwnber Io:
INSULATION/VAPOR BARRIER INSPECTION:
To be made after all inBu.l.:;.ti~n and
required vapor> barriers are in place.
but before any lath, gypsWTI board or
u:ztt covel'ing is applied. and befoN
any inoulation i3 concealed. .
O DRYWA{,L INSPECTION: Tc be made
aftol' a It drywa II is in place..
.but prior to any taping. .
O MASONRY: Steel Location, boiul
beam3, grouting or verticals in
accordance IJith V.B.C. Section
Z41~,
O WOODSTOVE: After instapation is
ccmpZeted,
o
CURB & APPROACH APRON: Aftero forms
are orected but prior to pouring
.::Gn.:Jl'ete,"
SIDEWALK .f "DRII'ETo/I.Y: For all con-
el'ete paving LJitllin stroBot roight-
of-LJaY, to be made afteI' all. e:rca-
vating ccmpleto & fom W1'k & sub.
base material. in pla:le.
j
l"oadab:e I
It is the l'BsponoibiLity of the pe~it hoLdsI' to 888 that alL inopections are ~dG at the propel' tim~, that each ~88D is
fl'OtlJ tho street, and that tho pormit oard is Lvoated at the frant of the property.
~Bui!dina Divicior: approved plan shall. remain on tha Buildinfl Site at all times.
PROCSDUHE FOR INSPECTION R~QUEST~CALL 726-3769 (recordel') state your City dosign:Jted job number, job add.Pcos, typo of in3pec~ic'l
requested ar:d when you LJUZ be ready for inspection, Contractors or GUnero name and phone number.> Requests rtlcoived bsfcrfl 7:00 c::1
/..'Ul be made th€ sarno day, requests made after 7:00 am will b3 made the next :..JOrking ,day.
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ReulI.ired Tn.srJ~cticn8
O SITE INSPECTION: To be made after
excavation, but prior to set 'up of
forms.
0, UNDERSLAB PLUMBING, ELECTRICAL &
MECHANICAL: To be made before any
work is ~ovcred.
o
FOOTING {FOUNDATION: To be made
after trencheD arB excavated and
forma, are erocted, but prior to
pouring ccncrot~.
WWSRGROUND PLUMBING. SSWER. W.1TE.f?,
DHAINAGE: To be made pl'iOl' to fi!-
lir.g trenclltlc.
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UHDERFWOR PLUMBING & MECHANICAL:
To bo made prior to inotal.lat-z.on of
ltoor insulation 01' decking.
O POST AND BEAM: To be made prior to
installation Oft::, t;-.... 'lation 01'
docki11{j.
rJ1 jo/ff(c" PUIMBING. ELECTRrCllr ,e MECll-
L.J.}' ANICIII~: No lJOr i8 to b covered
until thcso ins ctions ve beer.
made and approve....
O FIREPLACE: PrioI' to placir.g fao.ing
materials and before framing inspec-
tior..
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FRAMING: Muot be requested after
approval of rough plwr.bing, alectri-
cal & mechaniaaZ. AU rocfing
bracing 4 chimneys, et.::. m"olst be .
,completed. No IJOrk io to be con-
: cecle4 until thia inspeotion has
. b6~n made and approved.
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PENCE: lIher. compZote -- Provide
gates or movable sectiono through
P.U.E.
I DEMOLITION OR t.:OVED BUILDINGS
:=J Sani~y seuer ~apped at P:.opcrtli Ur.o
3 Septio tank p'.mtpi:d and fi 1111~ L1i th ara;J/1 L
] Final - rfltsn arove itams are ccmplsted
ar.d when demolition io complete or Dtru~-
ture moved and premises .::l9aned up.
~
. Mobile Hcmes
=:J Blocking and SBt-~p
=:J Plumbing connections .- sower and ~ater
---, Electrical Conneotion - Blocking, sot-up
----' and plumbing connootions m'~8t be approved
before requesting Blec~rical inspsc~io~
=:J IIc~cssol'b. Bui14ing
] Final - /lft:Jr porcheo~ skirt'ina, dockB,
stc. aro oQrnpletcd.
o
All project conditions, ouch ao the installation of streot trees, c~~plation of the
l'6quired landscepir.g, etc. ~ must be satisfied befora the BUILDING FINAL ,can be raquestad.
o FIliAL PLUMBING
; ~~NAL NECIIANICAL
FINAL,ELECTRICAL
, (:J "l
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o
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FINAL BUILDINC: The Final Building Inspection must bo requeDted altor tho Final PZwnbin.3
Electrical, and Mechar:ical Inspections havo been made and appr~v~d.
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'A{,{, NANIIO{,ES AND CLF.ANOUTC IIUST OF. ACCESCIBLF., ADJUSTIfEII'!' TO RE /L1Di: AT /10 COST TO CITY
.....~ .'" ~
,I Parle
of j J
I JOB
NO.Gf[f'f3'lS SOLAR A.ifESS
OCCU?a/1CU G.
LOT TYPE
I ;~onc:
Lot Sq. Ftg.
l ~f lot C~verag<
.~ of Storieo
TotaL Height
Topography
Interior
Corner
PanhandLe
cut-dc-sac
I
I JTFJI
I "kzin
I.er.raae
I CarVOl't
1,1cce8sorll
S~.FTG
x
Value
TOTAl, VAWE
Is.o.c. 1.5 x llJat.UCI 1
BuiLding Permit I
State Surcharge
Total Cha..g6:J I
lITEM NO. FEE CHARGE
I Fixtures
!nesidential (1 bath)
I Sanit.'1l"Y Sewer
I Wntel"
I
Plumbing Perr.:it
State Surcfo.arge
Total Charnos ,
,IITt:M I NO.' FE/.' CHARGE
I Res. $('1. ftn.
INaw/Er~end Circuita ,:9-'- I-JI-.J .7D
I Temporary Service r
I I
Electrical Permit ~.?-..Ol
State Surcharp6 J. \~ I
Total Clllll"qes ,()'3. (0::\ I ,
ITEM NO. FSE CIIARCE
Furnace ,rrru' S
I E:r:haus t /lood
I Vant Fan
I Woodstove
Permit ISBuanca
Mechanical Permit
State Surcharoc
Total Charao3
-- ENCROACHMENT --
I SOC"'..Iri tu
I Storage
Daooait
Mainto1tt1ncs
Permit
Total CharaDe
Curb(.'U~
I Sidmua.lk
I Pmlca
I Electrical Label
I Mom Lo Bern6
I
I
I TOTAL AMOONT DUE:'
I
I
Q~. \03
R EQ.-
L-COC""
./
BedroomS:
1
1
1
1
1
'I
1
,
1
-..
Type/Cor.st: -1 I
Setbacks 1 I
Hou.se r:arage I Access. I I
II
I
i
I
En8r'l" Sources
Heat
Water !/t'atf'r
RanGe
I fi ran lac~
. Wooda tove
T"re
I Lot Faces -
I
I P.L.
North
East
South
r;ent
-- f:ws
I
I
]
1
&
Pe'rmlit
Building Value
This permit io granted on the express condition that the said construct.ion
slraU, in all respects, conform to the Ordinance adopted by tJta City of
SprinGfield, includino the Zonino erodina1lco, regulating tlte CCIlGtru.::tictl
and UDe of buildings, and m:lY b.c sw;pmuied or revoked at c':y t~mc upon vie-
lation of any provisions of oaid Ordir;Jm~es.
I Plan Check
I Catc Paid:
IRecdpt g,
I Signed:
Fe~:
Plumbing Permit
No percon Dhall construct, instaLL, aZper or change G.ny nelJ cr e=ir;tillg
plumbing or drainage sY8tem in whole or in par't, unless such perr;on is tha
legal pos8essor of a valid plumber'8 Zicense, except that a pe:oson may do
plumbing ~rk to property which is owned, leased or operated by the appli-
cant.
Electrica I Perm it
Where State ~ requires th~t the electrical work be done by an Ele~trical
Contractor, the electrical portion of this permit ohall. not be valid untiL
the label. has been nigned by the Electrical Contractor.
Mechanical Permit
P tan Examl-ner
uate
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I HAVE CAREFULLY EXAMINED tho compl.eted application for permit, and do
hereby certify that aZZ i~fo~tion hereon is true and correct, and I
fur thoI' certify that any ar.d all work perfornled shaH be do:1e i:1 ac~ot.-
dane. rJlth th. orodirt.2"OGS of tM City of Spl'in(Jfio1.d, and the Ltr";/J of tho
State of OregDn p~rtaining to the work cescribed herein, end :J~t NO OCCU-
PANCY bli!l be II'Ild. of any structure fJithout p3rnris3ion of the Building Di-
vision. I further certify that o~ly contractorG a1:d e:llplDyecG w}:o are ill
c~pliance with ons 701.055 witt be used on this project
Q1 ,,~~,-~-
Si(Jn3d
-X.E~C(n
/!ute
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Permit No: q()()~0~
Address: ni)?J Cr'))OY1 {(l ~
Issued by' ~li)() )Date: ~flo
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:
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1. I '-'"' I 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 '0 ~ W
,-0 n , I
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B. V..--I will be my own gemJl'al 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 wilr 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 here!Jy 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.
0J~~ " ~ L_
Signature of Permit Applicant
J- (~- In
Date
CONSTRUCTION CONTRACTORS BOARD
0244J 10/24/89
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()~PY TO ISSUING AGENCY PERMIT FILE
~COPY TO APPLICANT
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