HomeMy WebLinkAboutPermit Building 1990-7-5
.. RESID6NTlAL"
APPLICA.N/PERMIT
225 North 5th Street
Springfield, Oregon 97477
Building Division
726-3753
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. Rc(!e~pt #-
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Job Looation: 575"3 ~'-:;A/ ~.h'g-c. ~.
A8oe8oorc Map # /7-.$>2 --;;~_// Taz Lot # ~o/ec::> j
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Cl.mer: :,t"/:JY ~d2/"~V"c;;f;"~~"'A-/ """ '" -'T;.c~.-
Addre8s: 5753' #/~.v ~..r"5,Ab, Phone: '7 Y)~~ ~"3' .-
City: "'~.2? ~/'1': ' zip: 47$"?B
- ':;/;
W1 Np''''
n Addition
n Remodel-
Describe fl'ork:
~.P:ZO 72'$ / ~~~G ~
Z7r/7?7~ ~~ .
, .
n .~!obile Homa
Date of Applioation 6> - #-~p
Contractors
Gener a1 7'1.. --.. - -/~ -:'", =-
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Plumbing ,
Hechanical
I El,ec t ri.ca 1
ISuperrv_~~1gElectrician
Value
~~-~
Bldrs Board Rec.
P'hnnp
Addrpss Lise. U
~A/~
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Date:
Exo:!xes
It i.s the 1"6Bp011aibility of the pernti.t holder to see that all. inopections are made at thB proper timc, that Bach ~eB8 is readabre
11"Om ths street, and that the permi t card i8 located at ths fraont of the property.
*BuiZding Dividor: apprcn.'ed plan, shaU remain on tm; Building Sit;; at aU times.
PROCEDURE FOR INSPECTION RE:QUEST:CALL 726-3769 (recorder) state your City designated job mm:ber.l job address.l type of in3pec-;icn
1"equestcd ar:d when you J.Jil.Z. be ready foro inspection.l Contractors or Ol.me:-s ncme and phone number. Requests received befere 7: 00 C':'l
t..~ll bB made the same day.l roequests made after 7:00 am will b$ made the next :.x;rking day.
Your City' Desigr.atcd Job Number Is: Qr:x:::>7::?0
Rl?m,r1:":.",,1 T"l~""'~7:n,,:,.q
rvr SITE INSPECTION: To be rmde after
l6J excavation, but prior to set up of
. forms.
O : UNDERSLAB PLUMBING. ELECTRICAL &
r MECHANICAL: To be made before any
. II>Ork is .::ovcred.
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rvr FOOTING & FOUNDATION: To be "",de
~ after trenches are excavated and
forms are erected, but prior to
pouring ccncret~.
D. UNDERGROUND PLlfMBING. SEWER. W.1TE.~
. DRAINAGE: To be rm:ie prior to fiL-
Zi7".g trenches.
D.' UNDERFWOR PLUMBING & MECHANICAL:
.. 'To be mads prior to in3ta7..7.ation of
/1001' insulation or decking.
[J. POST AND BEAM: To be made prior to
instaUation of floor insto7.ation 01'
decki"!; .
O ROUGH PLUMBING. ELECTRICAL & MECH-
ANICAL: No tJOrk. is to be cot:ered
.ur.tiL thcsB inspections have beer.
. made and approve.:. . . _
D FI.~E:PLACE: Prior to pLacir.g facing
materiaLs and before framing inspec-
tion.
~ FRAJ!INC: Must be requeated aftel'
~ approval of rough plwr.bing, electri-
cal & mechanical. AU roOfing
. bracing & chirrmcys, etc. nrJ.st be
;: completed. No work is to be aon-
.... cealed until this inspection has
~b6~~ made and approved.
O INSULATION/VAPOR BARRIER [NSPECTION:
To be made after all insulation <X'".d
. .' required vapor baPl'iers are in place
. '.' but before any lath, gypswn board 01'
wll covel'ing is applied, and before
~ " '.fD1Y insulation is concealed.
DRYWALL IllSPECTION: To be made
after all drywall is in place,
but prior to any taping.
O MASONRY: Steel location, bo1ui
beam:;.1 grou ting 01' vertica l8 in
accordance with U.B.C. Section
241~.
D WOODSTOVE: After installation is
ccmpletsd.
o
[]
CURB & APPROACH APRON: AfteY' foI'ms
are erected but prior to pouring
conarete.
,
DEUOLITION OR ;'.:OVED BUILDIilGS
=:J Sani -;cry se'Jer :::apped ~t ~opc:rt-~. Line
~ Septi::: tank tr~~ed and filZe~ ~th gra~el
:J Final - rfilen above ite.'7'Is al'e acrrrpleted
and when demolition is complete 01' stru~-
ture moved and pr~3es cleaned up.
I
}.lobi 7..e Hcmes
:::J Blocking and Set-up
:::J Plumbing connections s~er and Wa:er
:::J Electrical Connection - Blocking, set-up
and plumbing connections nr~st be approved
beforc requesting e7..ec:rical inspec:ion
:=J Accessol"i Building
:J FinaL - After pOl'cr.es, skirting, decks,
etc. al'e c~le=c:d.
o
All pl'oject condi:ions, auch as the installation of s:reet trees~ cO'7o?lct~on of the
required landsccpir.g, etc., must be satisfied before the BUILDING Ff;'lAL can be requestad.
o FINAL PLUMBIllG
o FIliAL MECHANICAL
o FINAL ELECTRICAL
o
@
FINAL BUILDING: The Final Building Inspection must ba requeDted after the 'Pinal Plumbi~
Electrical, and Nechar.ical Inspectio1UJ hava been made and approved.
~
SIDEWALK & DRIl'EWAY: For aU con-
crete paving within street right-
_of-way, to be made after all exca-
vating complete & form ~rk & sub-
base material in pla.::e.
AALL MANHOLES AND CLEANOUTS nUST BE ACCESSIBLE~ ADJU5,T,'fENT TO BE WIDE !:T /.'0 C')ST TO CITY 1 Page 1 of 2
o
!'ENCE: Wher. compl~te -- Provide
gates 01' movabZe sections through
P.U.E.
o
I JOB NO.
I Zona:
Lot Sq. Ftg.
S Dr /.ot CiYlJerag<
# of Stories
TotaL Height
Topogl'Clphy
I
lITEM
I Main
I Gc1'aae
I Caroort
I Acc8s8oru
I SQ. FTG
~bQ
I
I
Is.D.c.
TOTAL VALVE
(vct..uc)
1.5 x
Building Permit
State Surcharge
Total Charogea
ITEM
Fixtures
ReeidentiaL (1 bath)
I Sani tary Sewer
I Water
PLumbing Pe=it
State Surcr.arge
Total Charoes
lITEM
Res. S(1. fta.
I N61.J/Extend Circuits
Temporary Service
EZeotricaZ Permit
State Suraharqe
Total Charc;es
lITEM
I Furnace ETU'S
I E:::haust Hood
I Vent Fan
I JlOodstove
I
Permit Issuance
Mechanica l Peztrni t
State surchcrae
OC:::~~R G:W;~
LOT TYPE
Interior
Corner
'-
I NO.
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I
I NO.
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I
If./D
NO.
Tntttl ChnroORS
I -- ENCROACHMENT --
I Sec-.uoi tt; DerJ03i t
I Storage
I Maint~e
I Permit
I Total CharGes
/Curbcut
I Sid_ Lk
j Fen:!8
I Electrical Label
I Mobile Home
I
I
I TOTAL AMOUNT DUE:'
PanhandLe
Cut-de-sac
x
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7~.c-1
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Value
I
/,frO
S,tf3
'7/, 93
FEE
CHARCE
IV/A-
('
FEE
CHARGE
FEE
CIIAReE
fJl q,~
l'::ga ;::
REQ.-
L-COG""
........~
Type/Cor..st: .., Bedrooms:
---rY En21'QU Sou.rces
I I Heat
I Access. I I Water Yeater
I I Range
I I Fil'epZace
I ; WOOd3 tove
.ffu7..F<;~ L..
1 Lot Ficee -
I Setbacks
I P. L. 'House I Caraqe
INorth
lEast
ISouth
IWest
T;;:)e
__ Fee8r~_ .
Building Value & Permit
This pem t is granted on the express condi tion that the said construction
shall, in all respects, conform to the ordinar~e adopted by the City of
Springfield, including the Zoning Crdinance, regulating the ccnstructicn
and use of buildings, and m:;.y be sucpended or revoked at cny t-':.me upon vio-
lation of any provisipns of said Ordinances.
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IPLan Check Fee: 'rC/. 5' :3"
ICate PafA: h"'/'~
IRecdPt~: ?~~
Si(r:ed: . ~ '
I 7" __.~, -e. ""e.,,-..r?
..' ,,,,,. .. -.... .. -.; -
Plumbing Permit
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No.person shall construct, instal!, alter or change any new or existing
plumbing or drainage system in whole or in part, unless such person is the
legal possessor of a valid plumber's license, except that a person may do
plumbing work to property which is ownsd, leased or operated by the appli-
cant.
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Electrical Permit
Where State LaLJ requires tr.at the electrical work be done by an Electrical
Contractor, the electPical portion of this permit shall r.ot be valid until
the label has been signed by the Electrical Contractor.
Mechanical Permit
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//K9-0;~
Pl.ah t:xt:mt.ner . (
va"e
I HAVE' CAREFULLY EXA.~INED the completed application for permit, and tin
hereby certify that aLl i~fomfQtion hereon is true and correct, and I
f'"lrther .certify that any ar.d all work perfo'r.7led shall be do:'18 in accol'"-
dance :.n.th the Ordinances of the City of Spn.ngficld, and thc= La'..:s of tho
. State of Oregan pertaining to the work described herein, and that NO OCCV-
P/;f/CY will be 1lt1de of any struatU1'2 witho:.4t p~rmis8io:1 of the Suilding Di-
vision. I fupther certifH that only contractors ar~ ~~yees ~~o are in
~pliance with ORS 701.055 will be used on this p~oject
~- ~Aau~=b-1
, ~gn3d t/ ~
7-'1-;7J
Date
'1
,.;';':::;;.:;;,1 L;
J-'. ;....."
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Issued by:
qmr; :Y)
0f13 ~qhtnJ1rf) "
I , DaYe: Jf4qo
Permit No:
Address:
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..~
,
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. ~ 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 ao 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
reverse side of this form.
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~__ ~/,,l/,-PA.'-</;_~./ 1
/signatlife/of/f>:r~jt Applicant
7-.e;-5'Q
Date
CONSTRUCTION CONTRACTORS BOARD
0244J 10/24189 '
~PY TO ISSUING AGENCY PERMIT FILE
~y TO APPLICANT , 'Ill.