HomeMy WebLinkAboutPermit Building 1989-12-27.. RESIDFNTIAL..
,/PIt',RMLT
SPFI'NGF'ELDM
zzs Notth sth s;treea'PPLrcAr'
SpringfieLd, Oregon 97477
Building Ditsiston
7 26-37 53
ob Location:
tssessore Map #3
Subditision
Otmer:
Address:
o6ji
itrt I
rs Iitt 1: (- ri
4 -84bI
Phone
Val,ue
htorli
.*6
Date of Applicatian.
L
/2 -/?-
Additicn
nt rac- t o
General
nica l-
taec trU
IiIec Ir c1afslnS rrp
fi.l'.r'r'. ii'i'i,)i/ i)R '.ilVE-. :i:iiLi)
;;dni":a,:) sc.-ter :ap?ed :'c pt'operty Lire
Se;:i;ic tank p'"tncd ond iilled uith gra-'el
linal - Ifiten abcue ite::ts are ecmpleted
atiJ uhen Cenclition is complete or st"uc-
tuyc: naueC and prenises cleaneC up.
Itlol,i Lr: ilcntzs
Ii /..,.:k btg a:rl Set-;t1t
Fl-tutibisiiJ cowleciticns -- sar)er and ualer
ii i.':,:tt,i.cal Ccnre,:'cion - Bi.oeking' sel:-u:
an.i. plitnbittg cowtecLLcns rn;st be apprcte,i
b c !', t r c r e q ue s t i rtg el e. c ! t'i c a7- insp e c ! to; :
,1cce ;;sr:t y EuiLC:.ng
i:'i.l,t-!.. - Aftcr pcrcl'-es, sk"-t'ting, decl:s,
ati:, e)"e csnple!.:,.i.
h,:c 1 ol' i':
Pl uinb1ng
SITE INSPEC?I2N: ?o be made after
e;a1r;tlo/t,-but prior tc set up of
forme.
ultp. lsLAB PLUAB! N6 Ef,lq:Al AL- e
It ia the "eeponsibility of the petmit holrlet to see that aLL inspec_tion.s are r"iade,:tl: !;hi:
fron the stre'et, and that the pettrtt cayd is Located at -lh-e front of the-pxop'crty.isuilding Diuision approt;ed plan shr:Ll pemain on Llp Building SiL: at aLL tinvt'-
1ROCEDURE FOR INS1ECfION RnqAESTrCaUT26-3769(recoyd.et) state yout, City Cesignated joi, nunber, job aCctess, type.of inspec:i^cti
eadyfot,inspaction,Co,7tl.actarsoia,,n,"",u-e2ndpinnerL;,m};ct,,Pequest?,receite,7befcre7:0Cc:,*^iil be made the s&e day, "equests made aftat, T:00 on uiLL be made the next:sorking dci.
rour city Desistuted rob Nwrber, ," 5qffi BD?
f7-71 INStII,ATION /VAIOR BARRIER TIlSI'l;tl'l'l 0!! :lVlm,,tn;d" required uapor brwriers are in plac'z
but before any Lath, gApsuttt boarC or
unLL cooering1 is applied, aru7 before
any insulation is concealed.
ir':'l:pv tine , that ecch address is readab''e
w
m
K
F)1TING & EOUNDATICN: To be naCeaftet trenches are etcatsated and
forms are erected, but prior to
pour.ing ccncrete,
UNDERGROU!]D PLUMEING. SEWER, W,|TER,
PRAI\IGE: To be nade prior to ftl-Tfr trenchee.
UI|DERFLOOR PL,IJI,IBING & MECHANICAL :
o1
floor insulation or decking.
PlST AND BEAM: To be made prior to
Tiiit7ici of floor insulation or
decking,
R0ttCil PL,UllBItlG, ELEC?RTCAL & l,lECH:_
ANICAL: No aork is to be cotet'er1
ffiiL these inspeetions haue been
made and approued..
FIPEPLACE: Ptior to plccirq facinqmaterials and befor:e franing inspec-
tion.
f rjl pnlt:tnc: Ltust be requested. ,tft.er
|Z) "pp"",)"L of nough plm,bing, ciectni-
cal 8 meclnnical. ALL noofing
btaeing I clttnmeys, etc. tntst be
. cotnpleted. lto uork is to be con-,cealed until thia inspection tas'been nade anC approued.
MECHT-fifCAL: ?o be made before any
6Fi'7i-iooered.
FTNAL PLUMBING
FINAL MECHANICAL
FINAL ELECTRICAL
W1 utsonnY: Steel Location, bond
V I be,ms, groutinly or uerticals in
accordttnce atth U.B.C. Secti.on
2415 .
DRYWALL INSPECTI)N: Tc be macTe
"f t.r,Zn'fii;;Tft s in p Laee,
bub prior !;o cny taping,
WOODS?OI,/L;:
ccrnpt etiZ.
After installation .Ls
CURB & APPRCACII APRON Aftet fomns
aro ere"ted but ptioi to pauring
eoncrel;e.
SIDCWALK & DRLYEWAI: For aLL con-
;r.te paufu;ltiln street righl;-
of-rx:y, to be maCe after aLL ecca-
oating conplete & fotn wrk & suh-
base naterlal in place.
aaa
h4ten conpleLe -- Proui.rle
or nooable secLion:: t intxql;
w
P,U.E
ALL project eondittons, cuch aa the'tru;l-alLat,aon c)-l':;!.t't'et 2v2s25, :cnrlc'"lon of the
requircd Landscaping, ctc., tntst be satlsfi.cd baJ'ore lJe BLIIT,DINC IMAL ccn be tequested-
FINAL BUIf,DING: ?he \inal Building fnsiteatiotx tiu:;t b,: requesteri,;.i'i:ar tli,: F'inal Plwnbing
Electrical, and Meehanical fnspecl;ions lnlc been ntoclc and apnroDct'
*ALL lul'tilor,rl: AND cttiANolffs ltusr DD ACL-El;srEt,r, lD,ri,::T!:,:|.1? ri] .r,'' ',',:t:.,17.r,'.,"'.;," t. /'i'.-'\i
v
Tc.t
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Page 2
J()B NO.
Access
F-i
Itouse
[,ot Faces -
!!eat
Sources
t/e st
th
l.tt;:t' :l
D^^.-
cOLAR ACCESS REQ..L_CO
Bedroons
LCT';',l!.j'
tt:t. et ict,
Lot Sq. Ftg.
f" cf Lct Co,tet a5ie
I of Stortes
Total lleight
Topography
! 'i)ttne?
Lmhat,tll i:
' \tL-rlt'-,;,:ti:
r'!!:il X 1"'tt l,l1{)
tlai.n 5(-)6qO lcl x=:'
Gzraae
Carport
Aacessoru
TOTAL VAT,UE /q 8S.*
-SD
Date Paid:-6V
Receipt l|v Signed
Building Vcllue & Permif
This permit is granted on the er:prless condition that the said construction
sltall-, trt all rbspects, conJbrm:Lo tl,e Crdirnnce adopte;l tiy the City of
Spnl-ngfield, incT-uding the Zon'ing Crdinance, regulating the ccnstntcticn
and use of bu'tldtngs, and mty be suspencletl or reuokeC at cny time upon oic-
LaLion of any prcuisions of saitl ordinances.
Duildintt Permtt
Total Ch.a::ges
State SLd,ch(lr(te
I1'EM t'!(.)r LL (:llAIl(;1,;
Fisttu,es
Residenttal (1 l,:cttit)
Sani Seoer
l,latet,
Plumbing Permit
No person slnll constmrct., insl;alL, aLter. or cltange -anA neD-cr existing
plinbing or drainage systen in uhole or in pa,t, unless such pet,son is the
iugal pZsse""o, of a ,s-olid plurbnttts License, etcept that a pet'son may do
pllr^aLig uo*k to property wlic:lt is or,med, Leased o7 operated by the appli-
cant.
PL'ffiblno !'e1T:Lt
.t0 !'],],L:M
Nau/ExteruL CircLtits
fenpcl,ory Seruiae
petmit shall
L Conttactor.
pot,tion of this
by the Electriea@7nZ-7n//7,WtY paz5tr-7n
ELeatricabedoneQNaoykbyt'lul thet Lectricaleef,c0)Lltere requ
LuntibeDAnoteLectricaLthetracT,orCon
edtheLLabehabeenLgn
C5rrC,b4€caa',al
Vra
Electricol Permit
I Pertnit
eState
lotal
,\jc t-!EI?!:M
B?UIS
Eshaust HooC
Vent Fan
I,lcodstote
CE
State
Mechonicol Permit
Permit ft;sttanc:t
l.leclnnic:tl Pexnrit
-- LiNCRCAa'llt'tL:NT --
tSe<:tri
Permit
L\sbaut
Sidcualk
!ence
L Lab,:.:lELec
Mobile llcne
Iotal Cha
.t t!,1v8 1AREFULLy DXAMINED the conpleted appLication fo,r' perrnit' and do
inilnba c,ertify that aLL irifo,nation he,eoi^is tnue and ccrrect, and I
iir,li"". .n"tt1y that any and aLL u21k fellorrned slnll be done in accor-
danae uit,t th'e" oy,dinai,c"es of the city 'of springfield, .and the La;s of the
State of \t'egcn pet:taining to the uoik Ces'cribed herein' cnd tlnt No )CCU'
pl.ycy dill be nnCe of- anLy" structure uithout pemnission of the Building Di--
ui::'ton. I further "nn-iLii1
that onLtl con-trac'tors and .enplcyees aho are in
"i*pl"nn.n
"rltt OnS ?01 ."0'55 uiLL be used on this project
/2-2€-t=,-nru
-
lt-z ?- P7
Signtil
't)'L'AL ALI)U!1T [)ltti: r
J*h
Date
*
Storaqe
Mainternnee
*70'r4)
4
CITY tr SPF :iELO
t
225 EIYTE STREET
SPRINGPIBLD, OREGON 97477
INSPECIION RBQIESTz 726-3769
OPPICB: 726-3759
1
I^EGAT\-ro3 a
EIJCTRICAL PERXTT APPLICATTON
Pernits are non-transferable and expireif vork ls not started vlthin 180 daysof issuance or if vork is. suspended for
180 days.
_t 0r.,LL
2. CO}ITRACTOR INSTALIA:TION ONLI
Electrical Contractor
Address
ci Phone
Supervlsor Llcense Number
Explratlon Date
constr contr. Number
ixplration Date
;ignature of Supervislng Electrlclan
rners Name
ldress
Phone +W
OIINER
\,K
: installation is belng made on)per_ty I ovn vhlch ts not intenaea' sale, Iease or rent.
City Job Nuuber
COI{PI.ETE FEE SCEEDTT.B BELOS
Nev Resldential-Slng1e or
HuItl-Famlly per dvelllng unit.
Service rncruded t
,,'"r, cos t
s130.
s300.
S 3s.
1500 sq.ft. or less - $ g5.OO
Each additional 500
sq. ft or portionthereof $ 15.00
Each Hanufrd Home or
Modular DveIIing
Servlce or Feeder $ 35.00
Services or peeders (10 Branch Circultslncluded). Installatlon, AIter"iion"or.Relocation:
s1r
3
A
o\4cc Sum
B.
c
D.
E
00
00
00
00
00
00
$ gs.
$ 60.
$ eo.
Temporary Servlces or FeedersInstallation, Alteratlon or-ielocation
200 amps or less
201 amps to 4oo a
-
S 35'oo
over 401 to.6oo .,rP" _ s 4o.oo
o;;;60 "iol";.:itio *rr" !"30;39 "#Branch Circuits
Nev, Alteratlon or Extension per panel
One Circuit
Tvo to ten Circuits
Each Addt,l ten orportion thereof
SIIBTOTAL OP ABOVB5f State Surcharge
TOTAL
$rs
Sso
00
00 *3s
s 1s.00
ers
Hiscellaneous (Service/feedir not lncluded)-Each installatton
lY*p.9. irrigatton S 36.00
:Ifl19,:line. Lightrns- 5 si.bosrgnal Circuit orlimited energy panel_ S 36.00
iIVED
5
)
100 amps or less
101 anps to 400 amps
-401 amps to 600 "rps -601 amps to 1OOO amos-Over 1000 amps/volts
Reconnect 0nly
l@
OO
L---,-
Note: Oregon Law, ORS 701.055(4), requires residential buitding_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 28:.
Permit No
Address
lssued Date
STATEMENT:
INFORMATION NOTICE TO PROPERTY OWNERS
ABOUT CONSTRUCTION RESPONSIBILITIES
lown, reside in, or will reside in the completed structure
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.
that the above information is correct and that I have read and understand
r Notice to Property Owners about Construction Responsibilities on thethis 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 Eo hire a oeneralcontractor, I will contract with a contrattor -who is reoistered with theConstruction Contractors Board and I will immediatelv-notifv the officeissuing this building permit of the name of the contraitor.
1
2. A.
OR
B rrt
I hereby certify
the lnformation
reverse side ofr,
App cant
CONSTRUCTION @NTRACTORS BOARDu&) 1012418p
'o /)* -7
Date
ili nf-
[- tt_Hr+E coPY TO TSSUTNG AGENCY PERMIT FILEr '\ Bt+ff( coPY TO APPLICANTe*-,lt,ja, @s
w
DEVELOPI.IENT SERViCES DEPARTMENT
GEN ERAL COMPLAINT FORM
ADDRESS OF COI',IPLAINT :uilding
Land Use
Nu i sance
Engineerirg
Transportatj on
l4aintenance
81d9. Attendant
TII'IE:
DATE;Sle
i OMP iNT:
C0MPLAiNANT (optional ) :
ADDRESS OF COI1PLAINANT
PHONE:
TAKEI{ BY:
t{}
Y
0
CITY OF SPRINGFIELD
Development Services
225 North Sth Street
Building Division
Dale 2* d-Jc' 'lo.
JOU ADDRESS TO:
a Ll 7-> t73
L)
a tl.
'7
INSPECTOR I t7qCALL FOR REINSPECTION
....CALL FOR: - INSPECTION 726-3769 - INFORMATION: 726-3759...-
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