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HomeMy WebLinkAboutPermit Building 1990-7-5 .. RESID6NTlAL" APPLICA.N/PERMIT 225 North 5th Street Springfield, Oregon 97477 Building Division 726-3753 ,~-:."..-'. '-- . Rc(!e~pt #- I r! 03/ Job Looation: 575"3 ~'-:;A/ ~.h'g-c. ~. A8oe8oorc Map # /7-.$>2 --;;~_// Taz Lot # ~o/ec::> j ~'",.,~, .. ~~~ Cl.mer: :,t"/:JY ~d2/"~V"c;;f;"~~"'A-/ """ '" -'T;.c~.- Addre8s: 5753' #/~.v ~..r"5,Ab, Phone: '7 Y)~~ ~"3' .- City: "'~.2? ~/'1': ' zip: 47$"?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.. --.. - -/~ -:'", =- ~.-.,..,---' ..~-- ,.. ." ,."..., Plumbing , Hechanical I El,ec t ri.ca 1 ISuperrv_~~1gElectrician Value ~~-~ Bldrs Board Rec. P'hnnp Addrpss Lise. U ~A/~ -/ I ",,~~I!W . I) ~ '::) -Lf () 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. " 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. I I I I I NO. I I I I 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 I I 7~.c-1 . I / I I " 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. , . IPLan Check Fee: 'rC/. 5' :3" ICate PafA: h"'/'~ IRecdPt~: ?~~ Si(r:ed: . ~ ' I 7" __.~, -e. ""e.,,-..r? ..' ,,,,,. .. -.... .. -.; - Plumbing Permit , ~ " 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. I I I l . I I I I I I I ~ ' I I I I 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 , ' I I I I I //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-'. ;....." . . 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. \ ~__ ~/,,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.