HomeMy WebLinkAboutPermit Building 1990-7-31
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,'- .. RESlrMNTlAL"
! APPLICA_/PERMIT
225 North 5th Street
Springfield, Oregon 97477
Building Division
726-3753
,
Job Location:
\~m t n~\\tyy\\~-
\~CY~/A ~ ~ Ta:=LotN (Y'11 rf'{J
Asaessol's Map II
Subdivision:
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_e~mo?. Vv 11
AddPess: \ nr;!A n
City: ~.~ G\'
~ \ '1~" ' \
QNm.,
n Addition
n RemDdet
n Nobile 80m3
~","e:lru.9 ~ ~ ~ lo
Zip: q-,c+ 1 ;
Descztibe fl'Ol'k:
UDJ\~LD f~~
, \.0 "/ L tJOG
6.\4,~O: vatue~
Date of Application
Contractors\{', _ ~ _ _ __ Address
General \I ~ ~ '
i Plumbing'
iMechanical ~
I E~eetr:i.!:al \\ \(1 ~
I St10e""~~M; EiJtr~cian
-Lise ./1
I~
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Sigr.ed:?c' ,lC(L; , _ )
Date: '-./ I } - :':) '~'-f (
Bldrs Board Re~.
Phnn&:l
EXD~res
It is ths l'sspontribility of ths pBrmit ho1.dsr to 866 that alt. inapections arB made at ~hs proper time" that Qach .:ddr688 is l'eadabZ6
fl'Clm the street, and that the per.rit card is l=atsd at tho front of the property.
ABui!.di!1g D!.lJicior: appl'oved plan shall remain on tha Building Sit~ at all times.
PROCEDURE FOR INSPECTION RE:QUEST:CALL 726-3769 (rcr::orderJ state your City designated job number" job address" type of in3p6r::~icn
l'rJqUestcd ar.d when you tJill be ready for inspar::tion" Contractors or Ot.mezos name and phone ~cr. Requssts received befel's 7:00 at
~~ll be rmde the sams day" requests made a~te:r 7~OO am will be tttUie the rn;xt :.x>rking day. ,q D^ (\Iq n
. Your City Deoigr.atcd Job Nwnber Is: l n 'I
Rp.~Ji~~~ T~n~~tir.n~
O SITE INSPECTION: To be rrrlde after
excavation" but prior te se~ up of
forms.
O ' UNDF:RSLAB PLUMBING. F:LF:CTRICAL &
. l.fECHA.'lICAL: To be made before any
work i.s covered.
[XI
FOOTING & FOUNDATION: To be mods
after trenches are excavated and
forms azoe erscted" but priol' to
pouring ccncret.;;.
UNDERGF?OUND PLUMBING. SEWER. W.4TER.
DRAINAGE: To be TTrlde prior to fil-
.lir.g tl'encMs.
O ' UNDF:RFWOR PLU/..'BING & MF:CHANICAL:
, To be made prwl' to in3taHation of
[lool' insulation Ol' decking.
o
o
POST AND BF:AM: To be mode prior to
installation of f100r ins~Lation or
deckiTl(; .
O RDUGH PLlP.!BIlIG_ ELECTRICAL & MECH-
I ANICAL: No work is to be r::oL'ered
,ur.til these inspections have beer.
made and approved. .
O FI-~F:PLACE_:' 'Prior to placir.g facing
materials and before framing inspec-
tior:.
f\"':1 FRANING: Must be requested after
l&J appl'oval of rough plwr.bing" electzti-
cal & mechanical. All roofing
bNlr::ing t chimneys" etc. m"..Ist be
;' completed. !lo IJOrk is to be CGn-
.... cec.led until thio inspection has
~b6~n made and approved,
O INSULATION/VAPOR B,4RRIER INSPECTION:
To be made after all. insul:;.tian cr-,d
" required vapol' barztiel's are in place
,;'. ~ but 'before any lath" gypswn board or
. wall covering is applied" and before
. any irwuZation is concealed.
",
O DRYWALL INSPECTION: To be made
after all. dryl,>all is in place"
but prior to any taping. .
O MASONRY: Steel l.ocation" bo1ui
beam3" grouting or verticals in
accordance with U.B.C. Section
2415.
O WOODSTOVE: Aftel' installation is
ccmpleted.
o
CURB & APPROACH AP.f?ON: Afte:' forms
are oreated but prior to pouring
co~l'eto.
I DEl!OLITIO!! OR NOVED BUILDINGS
:J Sani ~ SQ'.J6r ~apped :It P~OPl:l't-~ lir:e
==:J Septi~ tank ~~ed and fitted ~th ara~ot
--, Final - r{hen ab...."'Ve items aro cet'frploted
---l and whon demolition is complots ol' stru~-
ture moved and pr;:mi38s ~loaned up.
,
Nobi le Hames
=:J Btocking and Sat-"p
=:J Plumbing connections s&IJor and ~:sr
---, ElectricaL Connection - Blocking" sot-up
~ and plumbing conr:ections nr~st co approved
before l'equesting 6lec~rical inspec:ion.
~ Ac~esso"'i Building
--, FinaL - After porcr.es" skirting" decks"
~ et~. are cample:ed.
o
All project conditions" such as the installation of s:reet trees, c~~lation of tho
requil'ed landscapir:g" etc." must be satisfied before tho BUILDING FINAL can bo r3qtlsstad.
o FIliAL PLUMBIIIG
o FIliAL 11F:~HANICAL
D FINAL F:LF:CTRICAL
D
9{)
PINAL BUILDING: The Final Building Inspection must be requeoted a/tel' tho Final Plumbina
Electrical" and Mechar:.ical Inspectiono halJe been made and approv.1d.
D
SIDE:WALT< & DRn'EWAY: For all con-
crete paving within street right-
.of-IJC.Y" to be made after all exca-
vating carrplete '& fo1':':1 wrk & sub-
, base m:::."terial in plaae.
D
FENCE: . When compl~te -- Provide.
gates or movable 8octions through
P.U.F:.
AALL ,MANHOLES AND CLEANOUTS !lUST BE ACCESSIBLE" ADJU5..T,'fEtlT TO BE MADE AT NO COST'TO CITY I Paf:c 1 of 2
o
SOLAR 'CESS REQ,-
OccuDanc" G M- I
WT TYPb'V I Lot Faces -
. I
Interior
I P.L.
lIorth
I
1
"./)..& 14/C ~(l'2:"50
1375' 110..0 .37bi',
IIJlqOQ.J;
I!VA I,
,
02,':::-0 '
7 ......:.4
"_4..roi I
97,/3\ ,
I JOB NO,
Izonc:
Lot Sq. F~g.
S \)f lot C':"iJel'agt:
# of Stories
Total Height
Topography
lITEM
l1-kIin
I GcPaae
SQ.FTG
Carvort
ACC8S80l"U
I
I
Is.D.c.
TOTAL VALUE
evat.uc)
1.5 x
Building Permit
State Surcharge
Total (:ha....gea
lITEM
I Fi:rtu:Jtes
I ResidentiaL (1 bath)
I Sanitary Sewer
I Water
/10. I FEE
I
I
1
PLumbing Pe=;. t
State SW"ar,apge
Total Charaes
lITEM
I Res. So. fta.
I NQJ/Extend Cil'CUi ts
j Temporary Service
I
I NO'1
I I
'I I'
I I
E2e~trical Permit
State Suraha.:rqe
Total Charr:;es
lITEM
NO. FEE
FUrnace ETU' S
E:::haus t Hood
Vent Fan
WOodStO"J6
I
Permit Issuance
Mechanical Permi t
State Surchmoae
Total ChtrrORtJ
I -- ENCROACHMENT --
Se(!"~ritl/ Deoo3it
I Storage
I Mainte~e
I Pcl"mit
Total Chal"l'1cS
CUl'bcu:
Sid_Lk
Fence
Electrical Label
I Mobi le Home
I
I d'li-", r:llc-c,t- r~-<
TOTtlL AUOUNT DUE:"
Comer
Panhandle
Cut-de-sac
x
Value
CHARGE
FEE
CHARGE
CHARGE
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I,
1
I
I I
I 1
I
I
I u,/,.I3.
c 15'1~1 '
r;,;gc- ....
East
South
flest
, , L-COC""
TypeICor.st: 41 N Bed>'oCJr.:s: 0'
I r Enel'GZJ Sources
Setbaoks I I ,~eat
I HouSe Caraqe Access. I j Watal' Yp.at(''f'
I I Range
I I I Fireplace
I ill) I I Woodoto"e
I 10 II
Ti.roe
,
Fees
Building Value & Permit
This pernr~t is granted on the express condition that the said construction
shall3 in all respccts3 conform to the Ol'dinance adopted by the City of
Spl'ingfield3 including the Zoning Crdinance3 l'egulating the const~"ction
and use of buildings3 and m::.y be suspended or revoked at cr.y time upon vio-
lation of any provisions of said. Ordir.ances.
1
Ip1.an Check Fe,,' ,(bQ,{3~
Date Paid:
I Recdpt #:
I Signed:
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Plumbing Permit
. No person ohaZl constrouct3 instazt3 aUer o~ change any new cr e--1.sting
plumbing or drainage system in whOle 01' in part3 unless such person is the
legal possessor of a valid plumber's license3 except tr.at a pe~son may do
pl.umbing tJOl'k to pl'opel'ty which is owned3 leased or opel'ated by the appti-
cant.
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Electrical Permit
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Where State LaLJ requires tr.at the electrical. !Jork be done by an Sl.ectncal
Contract01'3 the electrical portion of this permit shall roOt be valid until
the Zabel. has been signed by the Electrical Contractor.
Mechanical Permit
,
pLZ~AU
u~t0/J
I HAVE CAREFULLY EXA."1IllED the completed application for pennit, and do
hereby certify that alL info~tion hereon is true and corrcct3 and I
fo.ather certify that any ar.d all work pel'foMled shall be do:'7.e in accor-
dance ~th the Ordinances of the City of Springficld, and th~ ~s of tha
State of Oreg~n p$l'taining to the work described herein. end that NO OCCU-
PANCY will be TTrlde of any stI'Uctura without permis8ion. of the Building Di-
vision. I further certify that o~ly contractors ar~ ~l~yees who are in
c~pliance with ORS 701.05S will be used on this project
i::r-.;J /Yf
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7-3/- 70
Date
..~..-...;or.J';"";::NI
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Permit No: qCC:J-~fJ
Ad~ress:" \ j ~R ~ A'rY\1)(' "
Issued by:U11 ()() ) Date: ~!:<'} /],.0 .
.,
STATEMENT:
INFORMATION NOTICE TO PROPERTY OWNERS
ABOUT CONSTRUCTION RESPONSIBILITIES
Note: Oregon Law, ORS 701.055(4), requires residential building permit applicants
who a're 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. L..+-J
I own, reside in, or will reside in the completed structure.
2. A. '----.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. L.fJ 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 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.
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.
1Y1"Ll /!. p --tLt;
Signature of Permri Applitant
7-~J-'70
Date
CONSTRUCTION CONTRACTORS BOARD
0244J 10/24189
\JU\U '
Wfltl(, . , COPY TO ISSUING AGENCY PERMIT FILE
OPV TO APPLICANT
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