HomeMy WebLinkAboutPermit Building 1991-03-18tt" RESIDE, - ilAL""SPFIINGFIEI.D
Phone:f,F3 /
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4 Ll Ll etL
APPLTCATT1N/PERl,lIr
225 North |th StY'eet
Springfield, 2regon 97477
Building Division
7 26-37 53
.tob Locaticn:t //urts*r-rf LU D
Aesessorc !'!aP ll
S-ubdivieion:rc> utLt
Onler:/L u Ctezac 7o B4norto^l
Addtess:3tSt P/^e*o Zt AD
City:/)4r.ro
Descz,ibe h'ot'k:
.ndditicn
RcnoleL
Datc of Appliea VaLue
General
P lurnb ing
nical
Lilec E r
r)
rxl AllfffiT cfflrueT To *4,T RaDtu(
tute:
Tc,z lot ll
S trpe El-ec E r cran
It ie the responcibility of the permtt tolde* to aee that at! inspections are nade at the p?o?er tine, that ecch addrees is readabie
lron the atreet, aruC that the pennrit card, ie Located at -lh-q frcnt of the-,propetty.-tguildiq D.luis-iot appro"'ed plan shcll renain on the Building Sitc at aLL tines.
P\Q!'DU1E FOR INSPE1IO!_ESUESITCALLT26-3769(rccordet) state yout, City Cesigna-ted job
eadyforinspection,contractol,solasneratlc,lneandploneltill be nade the sane dcy, requests ncde after 7:00 ott viLL be nnde the nctt :,ntking day.
nunben, job aCdtcss, type
ntnbcn. ReEtests recei"*ed
of irspeclictr
befcre ?:00 c;r
-_-I ST?S INSPEC?ION:
I etcauation, but
Iormg,
-1
UNDERSLAB PLUIErNC. ELECIRTCAL 6
| ,uucttl:ttc'at: To be nade before any
Lbt k i,s eoDcrecl.
7 rcorrnc t FInNDATIIN: To be naCe l-/
) ;7;"t tt"".E;are ercauated and 12([
forns are erected, but prior to
pourtng ccnctete.
- uvDsRcp,oulrD pLUMpllqJEuER2_uglR'
)Lirq trenchee.
-1 uao*ptooR ?LUt:Br:tc E tiEettAilrcAL:tof
floor insulction or decking.
fl pon ero oeor: To be nade prior to
A d;tat6ilcn of ftoot, insulition oP
' deckittg.-Yl no,-,cu prullBrltc. ErffiFnrfu, & tiEctt-x,
f ffiiTthcse i'nspections hale beet
Iout, City Deaigrutted Job Nutnber fs:.
priot tc eet up of
INSULA?ION/VAPOR I]ANRIEN IIISP|C?ION :To be after
but
rnlL
@ty
DRYIIALL INSPECIION: Tc be nade
ifte"TtT@GTTts in ptace,
but prior to cny taping.
MASONRI: Steel loeation, bond
iffiilgrouting or verticals in
aceordantce tith U.B.C. 9ection
2415.
VOODSTO'/E:
ccnpGTA.
Aften installation ie
CURB & APPRCACil APru!: After fonnsare erecteC but pt'ior to pottring
concrete.
SIDF,\'IALK & DRIIlEllAl: For all con-
cret; pau6,r{tffi st?eet right-
of-tey, to be nade after aLL erca-
uating catrplete & fona utonk & eub-
base nnterial in Place.l
f,
X
made and approted..
FI!?EPLACE:
,tE;;i;G
FIIIAL PLUI4BIIIG
FIilAL t|ECilAilICAL
FINAL ELECTNICAL
Prton to placi.rg
ard before franing
facing
inspec-
tion.
EE!!!!!!: t4ust be requeated aften
approual of rough plwr,bing, electrt-cal I neclanical. AlL toofing
braeing C chirmeys, etc. tast be
. conpletcd. llo ucrk is to be eon-
cecled until thic inspection las
'been nade anC approved.
IENCE: Ilhen conPlete -- ProutCe
@di or nooable sections thnougli
P,U. E.
ALt projeet eondltions, such aa tte i.netallation of alreet treea, conplction-of the
required Landsccping, ctc,, rust be aatisficd bcfore the B||ILDI\IC PINAL can be requested.
)(J( FINAL BUILDIN7: The Final Building Inapection nuot be requeeted alter the Finil Plwnbing
.)1}( Electnical, anC Mechanical rnapections haoc been nnd,e ard approtteC.
{t
DEI.NLITrcil OR BU
Sanitary setet eapped at property Lire -
.., rr*, r,r,,Jlr!t brirtdr,,r,lrl i.'r ; It. r i
Septic totk ytped atd fi.lled vith gra:tel
Final - lfiten abcpe itens are ccnpleted
and uhen Canlition is conplete or strni.T-
ture nooed atd pretrises cleaneC up.
Hcnes
Blocking cnd, Set-up
Plunbing connections -- aclteP otd, ua2en
Electrical Ccmnection - Blocking, eet-ut
and plwrbing eow:ections tast be apprc"-ed
before requeating elec)rical inspeclio:t
Aceeaeory BuilCing
akirting, decks,Pinal - Aften pcrches,
etc. ate cotnpleted.
Pege ! ol 3r-l
^AI,I, TIAWCT,ES ANI' C\EANOUTS IIIBT NE ACCESSIBLE, AD,IUSTITSIII ?O BE I.IAI'E A? IIO CCST TO CI?Y
i.,
r
I
T
tr
lob Faces -
P.L
t
Iat Sq. Ptg.
7 of Lot Cooeraga
ll of Stories
Total lteight
TM TYPE
_ Intetior
-
Forner ,
-
Panhandle
CuL'de-eac
oF 3?
lI tuITEM
TOTAL VALUE
S.D.C. 1.5 x
5
Date Paidf)il
3,O 3
NO.FEE
ttb.tures
Resilettti.al (1 bath)
Seoen
I,TEI'I
Nttr/E tend Circuits
Sertlice
CIIARCE
bhanet HooC
Vent For
llcodstore
ENCROACHMENT .-
Pcrmit
Curbcu!
Sida,taLk
Mobi.le llone
L-CO G+
JOB NO.
Building Pernit
Stdte
Total Clangea
Plunbing Pernit
State
Total
Permit Issuance
llechanical Penit
Total
SOLAR P ..ESS REQ.'
-N BeCtooms:
!!eat
tote
Ihis permit ia granted on the eT eo'.: condition that the
stall, in atl reapects,-';";i;;i" ^th:. 2:!i^'-"ce edoptec
ifri1b f i i fi ,
-
rno tlra'-ng' til 2o"tns cr din1lc,e' r e s ulc t ir ts
otd use of buitd'inge ,''nd ^'y be- euslynda7 or teuokeC at
ition o1 ony pncuisione of said otdlr'ances'
/
P/&) cl'(etr ffr r3Z'83
$36.tr1
3( r\lcl l, Ul
Plumbing Permit
No percon al-nll constntct, ins!al!" alter ot clange 'cny nel'cr ezisting
;j,;4:i;'i:ii,i::#;ir'"1*if,iz1i"::-"b:z:;li"r;*1""2,,f,1,ti21";i:i"legal poeeessot oI d t
plunbins uork to p."P;7i;";hi;;"1;;;;;' izl";i;i operated bv the appli-
cant.
Electricol Permit
Building Volue & Permit
Iatn tequires
the electtica
that the electrLcaL uork be done bY
llonl'io" of this Permit shdll rat
CV tne Electrical Cont?dctor'
sai.d eonstntction
by the city o.f
the ccnstt'ttiticn
cny time uPon oic-
an Electrical
be oaliC until
#//k/-
?-/r-? /
cmrt
{
t
Nhere State
Contnactor.
the Label las been signed
Ary"ffffie
,+/'/hmto'o
*
Mechqnicol Permit
*
I HA1E CARIEULL| EXAMINED tle eonpleted application for permit' and do
herebu certifv tt'ot oi'i-i'iitmatibn hereoi 7"- i"l"n 9i'e'or'rcct"-atut I
WJz;tii:b',ix:;;:{";?,i1:,';;i,,iTi:##"r#i",1y:#,Hi"ii,zti?;r'";7- ;,;sJ" 4"**:l:,, ,i?":,i:,#ilrlZi,ir, ;Z;ri;;i" br l,e suirit"f,-bi..
'lli:{",?x,mx":";:!f '"ixz'.;;1;;;;i';i":;ti:*,nplcve"'uhootei"caapliance ttith cils toi'b"ss 'itt be" uaed on thia ptoiect
T?TAL AM1IINT DUE: a 53 03 Azta
I
t
I
a
CITY OFSPR ONEGON
51'tttN(;Er€LL
h
225 ruFTE SlTBBf,
SPRTNGEIBI^,D, ORBGON 97477
INSPBCTION RE0IIBSI: 726-3769
OPPICB: 726-3759
I
C2r>D
Permlts are non-transferable and expirelf vork ls not started vtthln 180 daysof lssuance or lf work ls suspended for
180 days.
2. CONMACTOR INSTALIJTTION ONLT
Electrlcal Contractor
Address
clty-Phone
Supervlsor Llcense Number
Expl ratlon Date
Constr Contr. Number
Explratlon Date
Slgnature of Supervlslng Electrlclan
Ovners Name
Address
3. COHPI,Ef,E PBB SCIIEDIII.B BEIOU
A. Nev Residentlal-Slngle or
Multl-Famlly per dwelllng unlt.
servlce rncruded:
rtems cost
1500 sq;ft. or less
Each addltlonal 500
-sg. ft or portlon
thereof
Each Manufrd llome or
-Modular DweIIlng
Servlce or Peeder
$ 85.00
$ 15.00
$ 35.00
B Servlces or Feeders (10 Branch Clrcults
included). Installatton, Alteratlonsor Relocation:
C. Temporary Servlces or Feeders
Installatlon, Alteratlon or Relocatlon
100 amps or less
101 amps to 400 amps
-401 amps to 600 amps
-601 amps to 1000 anps
over 1000 amps/v.olts
-Reconnect 0nly
BI,ECTRICAL PBrulIT
Clty Job Nunber '
!
APPIJCATIONq'tnlh'n
Sum
$300$rs
$ 35.
$ 60.
$ 90.
$130.
$
$
m$ 35.00
$ 50.00
$ 15.00
00
00
00
00
00
00
200 amps or less
201 amps to 400 amps
-Over 600 amps or 1000 voltr
Branch Clrcuits
35.00
40.00
$ 80.00
s see llBr aE6F
D.
B.
Nev, Alteratlon or Extenslon Per panel
Ct ty--fTI-
OSNER IdSTALIATION
The installatlon ls belng,made onproperty I ovn vhlch ls not lntendedfor sale, Iease or rent.
Slgnature:
DATE:
One Circuit
Tno to ten Clrcults'
Each Addtrl ten orportlon thereof
SDUrT-, \4t-bg3Phone -l-
Miscellaneous (Servlce/feeder not lncluded)
-Each lnstallatlon
Pump or irrigation $ 36.00Slgn,/outllne Lighting- $ 36.00Signal Clrcuit orllmited energy. panel $ 36.00
SUBTOTAL OP ABOVE
5Z State Surcharge
TOTAL
RBCBIVED
5 oc
Permit No:
Address:
/")
\&,
lssued
R OFFICE USE ONLY
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 24 or 28:
1 I own, reside in, or will reside in the completed structure
2. A. l-l My general contractor is
Contractor registration number
r/-
I will instruct my general contractor that all subcontractors who work on
the structure must be registered with the Construction Contractors Board.
{
I
I hereby certify that the above information is correct and that I have read and understand
the lnformation Notice to Property Owners about Construction Responsibilities on the
reverse side of this form.
I will be my own general contractor.
lf I hire subcontractors. I will hire only subcontractors reoistered with the
Construction Contractors Board. lf I chanoe my mind and do hire a general
contractor. !will contract with a contrattor-who is reoistered w-ith the
Constructibn Contractors Board and I will immediately-notify the office
issuing this building permit of the name of the contradtor.
fu E"-
OR
Signature of Permit Applicant
CONSTRUCTION CONTRACTORS BOARD
0244J',190
B
3-tr- 7/
L
PERMIT FILE
D^I
Date
@s
*