HomeMy WebLinkAboutPermit Building 1990-07-24#.. RESIT'NTIAL..
APPLICAT,ION /PERMiT
225 North |th Street
Springfield" 1regon 97477
Bui,Lding Di,ui.si.on
7 26-37 53
ect,a
SPFIINGFIEI.D-
Date:
-l
!
L
('
\/
?cs Iot. #o3
s
s 6o
Job Incaticn:
Assessors Map #
&tbdiuision:
A,mer:
Addtess:Phone:
Ci.tA I
Desct"Lbe h'opk5*
br ValueDate of AppL
n Na,
tl
bo
Ad.dition
RenoCel
Bldrs Board Ree.ontract
General
Llechanic
Plurnb
SUD Elec tr c 1an
It ie the responsibility of tte pemtrit lold* to see that all inopeetiotts oe nade at the prope" tine' that each cdlrees is peu.
fian tle atteet, @d that the pqltit cal, ie l,eateil at the ftont of tle Woperty.*BuiHing DJoician apraed plan e?nll, remain on the Building Site at aLL times.
PR1C1DU?E FQR INSPT!!f9!-_F29.WS!:CALL726-3769 (teeorder) state you! City desigrnted iob ntmber, iob aCit'ess, type-of inePe_cll
eadyfot,itnpeetion'Cantrcetoleoi,a;no*"-',a,e'*lcp1*lerulrhel.F'equesitreaeixedbeicre7:0C.
'*IZL be nnde the eane dcy, ?eErcsts made aft* 7:00 an rtLLL be nnd,e the nert:,nrkitq day. t
Iott? city Desigr,ated Job llwrbez' ,", " qrf;]1U +Rearinerl Tnsoeeticns
RZ roorruG & FIUNDATT)N: lo be nace
lA @er-t";A6s a"e ercaated and
forrns are erected, but prior to
pow"tng ccncreta.
SflE INSPECTI)N: ?o be rrcde after
e*;ao*hn;Vut pr"tor tc set up of
fonns.
UNDERSLAB PLUMBING, ELEC?RICAL &
WCH!-IIICA!: Io be tmde before angffi'li-iaered.
trenehee.
these inspeetions hatse been
nad.e and. approued..
I<71 INSULA?ION /VAPOR E.ARRIER II\SPICTION :t\7- requited uapon beriers ee in pl.ace
'; but before ory Lath, Wpswn boarC or
rnLL eooering is applied, otd before
ag itauZation is eoncealed.
X
DEI.IOLTTIO]! OR !.:OW' BUILDIiICS
Sattitaty serser capped at PtoPerfui Zi
Septic tank pttnped attd. fi.Lled ut'.th ;
Final - l{hen abctse itens a.re canple
and uhen dqtclition i,s conplete ot
ture nooed and premLses cleaneC up.
Hcmes
Blocking otd Set-uP
Plunbing connectians -- ea'ler otd t
UNDEPELoort.4ffih & I,IECIIANICAL :of
floor insul.ation or decking.
9 PoOE tlP PPlut To be made priot totd ffit;tffit;oy floor insuT)tion ot
decking.
DRYWALL IIISPECII1N: Tc be nade
@erZtT@ls in p|a.ce,
but priot, to any ta?tng.
tlAS)Nff: Steel Loeation, bond
tffig"outing or uerticals in
aceozdotce Lltth A.B.C. Section
24L5.
VOODSTOI"IE:
@Tetea.
After install.ation ie
CURB & APPRCACIT APPON: After fornsoe erecteC but prior to pouring
corerete.
SfDWALK & DRf'"TIAI: For aLL con-
crete paoirq t'vtthin stteet rtght-
of-teg, to be mad.e aftet aLL erca-
oati.ng a6nplete & fot-n ttotk & sub-
base materLal in place.
Electrieal Cotmection - Blocking,
and plunbing connections m;st be a,
before requesting eleetrtcal inspe
Accelsory BuilCing
EIPEPLACE:
^"t;ii;
Prtot, to plceirq
and befot,e franing
facing
inspec-
Pinal - After pcnekes, akirtitq' c
ete. are cornpleled.
e
D
Pt
Si
EZ
l,la
tion.
lQAll!!!: lrtust be requested after
@ioo-at of rough plut*ing, electyi-
cal & neclwnical. ALt toofing
braaittg & chinmegs, ete. tntst be
eotrpleted. lto ucrk ie to be eon-
. ce7led until this inspectton lns
'been nad,e anC approoed.
?ITIAL PLUMBIIIG
PTilAL IilECHAilTCAL
FTilAL ELECTRTCAL
?ENCE: Vhen eonPlete -- fuotti-Ce
gates o" rnooable sections through
P.U.E.
grt 3wL+1",-!1-
ALL projeet conditionb, such as the i.nstallation of s!?eet trees, co::roletion-of th
requ.Lned Land.sccpir:g, etc., mtat be satisfied before the BUfLDINC E|NAL ean be req
g, FLNAL BUrLDrtrtG: The Final Building rnspection must be requested altet the Ftnal E
)C( Electrieal, atd-Meclnnical fnspections lt4ue been nade ard apptoueC,K
*ALL ilAtll{cL4s AltD cLEAN)a?s MUS? BE ACCESSTBLE, ADJUS?rEil? ro BE t!,4D8 /.r ilo (csT T0 cl?y Dn
?o:
\I
tr
SOLAR ACCESS REQ.-L-co c,OB NO.
2t Sq. Ftg.
cf Lct Cotterage
of Stor[es
'otal Eeight
'opography
N tseCroons: 3
YARIB
LCT TWE
X ntericr
_ Cormer
_ Panhandle
CuL-de-sae
-- Fees --
.TEM
S.D.C. 7.5 t
TOTAL VALUE
Building Vqlue & Permit
This pemnit is granted on the etpress cond.ition tlnt the said eonstmtction
slull', in all rZspects, conforn to the Crdirance adopted 6;y the City of
Sry"tngfield, including the Zoning Crdinance, r'egulating the ccnstructicn
otd. use of buildings, and mey be suspended ot, retsokeC at cnA t'lne upon oic-
la.tion of oty prcoisions of said ordir,ances,
Electricql Permit
lllaere SLate La't tequireo that the electrieal. uotk be done by <m Eleety,ieal
Contraetor, the electrical portion of this permit elu.Ll not be oaliC until
the Label lne been eigned bg the ElecttLcal Conttacto!.ro @ oamNa) Bl VE
E/A/f4/cA-L aM<Acfaa
Mechonicol Permit
Nofe: OwN% ruL/6f F).rulF
t naa,el ANnce
L
bile Hcne Tot
Building Pemrit
State
?otal Clnrgee
I Neu/Eotetd Circuits
Iotal
IrcM
khanst HooC
Vent Fot
Vcodstotse
Petnrtt fssuanee
Mee?nnical Permtt
State
-- ENCROACHMENT --
zmnit
TotaL
sbeut
'.da,talk
L
lleattbacks
DT House
Lot Faces -
SQ. F?G xt\\x 3f,t flti 4,5ft1
4f1.3'Aq
fu,q
/3.o3
)
Date Paid:4(\
Receipt ,L
273,5s
CHAP,GE
Signed:
NO.FEE
Eictutes
Resil.etttial (1 bath)52,60
Sattitarg Sa,ser 2t.ta
Water /5!o
6Vxn Vtal %.00
/07{o
,{,36
//?-,o9
Plwnbing Penrit
State Swehange
?otal Clwrqes
Plumbing Permit
No person slnll consttuct, instal'|,, alter or ehatqe anA neu cr eristing
plutnbing or drainage syeten in ultole or in pant, unless such person is tle
Legal possessoz, of a oalid phtnbet's Lieense, eseept that a pe?son may do
plwnbing uork to property uhich is otmed, Leased or openated by the appli.-
cant.
NO.FEE CHARGE
Res. So. fta.'lE
1o,L.3 5o
75,a0
3,?g
7v,
CllARCENC.F??
I 4,So
2 100 60u
/5 00
,75
TAL AMOI]IIT DIJE: */06?,?3 r 106 l'loT /No/./i*/2tr
o
(nt)'
North 17.',
Tn* f 2f)
South tl'4"
llest 50,
Permit No:
\{AAddress:
lssued Date:
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 2Bl.
-/'1.flV-' I own, reside in, or will reside in the completed structure.
2. A.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
I hereby certify that the above inlormation 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 onlv subcontractors reqistered with the
Construction Contractors Board. lf I chanoe mv mind and Eo hire a oeneral
contractor, I will contract with a contrattor -who is reqistered witn tne
Constructibn Contractors Board and I will immediately-notify the office
issuing this building permit of the name of the contraitor.
c- 0 'l / zl /qo
B
Date 7
CONSTRUCTION CONTRACTORS BOARD
0244J 10t24t9 1)u\,p\ Urot COPY TO ISSUING AGENCY PERI
r f$Egrpv ro APPLToANT
\.1-ii\; i n )"\ u--/
/
APPLICA: ION/PERMIT
225 Nonth ith Stt'eet
Springfield' 1negon 97477
Buildtng Diutsion
7 26-37 53
..RESIITNTIAL..
SPFTINGFIELD I
,lob Locaticn:
Tar Lot llAssessorc l,lap ll
Subdivision:
Otmer:
Acldress:
zip:City:
Describe tttork:
ValueDate of App Licaticn
q-p.J -tAdditicn
RemoileL
)
onIr:
(ir,'ne ra I
P l urnb in6i
l.lechau cal
cc L r iJ.lil
c lilIilec t rS rrDe
It ia the
fron the,Bui!-ding
to aee that aLL inspections are made at tlp tilne, that ecch address ts rea:lai'le
Located at the front of the
on tlp Building Sit; ut aL
propet'tYI tines.
26-3769 (tecorder') state 11our Cit11 ted job nwtber, iob aCdr,css, tgPe of insPe':!lcn
inspec tion, Cotttractors ot Atners
Cesigrn
ncme and phone nwnbcr. Requests recetted befcne 7:00 tci
aftet,?:00 on uiLL be made the nctt uorking day
Iout: City Desigrtttetl Job Nwnbet Is:
P!!1:EDUPE Fon TNSPEC?I1\\ ,I!=QIIEST:CALL 7
rcqueste<l and uhen you '")iLL be PeadlJ tor
'siLL be nade the satne dcg, nequests nade
SITE INSPECTION: To be nude after INSI)I.A
escauatton, bub Prior tc set uP of To made
NR IER ,ION:
aLL insu
UNDERST,AB PLUT$INC. ELECTRTC.IL &
utc'iNic'at: To be nade before anY
Gik1iioue,ed.
FO}TING 4 FOUNDATICN: To be naCe
ifier'trerrcnes are etcauated antl
forns an,e erected, but Ptior to
pouring ccncrete.
u lt DE RG t?o t t tt D P i,UM\ I N|r {; SW!. :?, il.|r!!!!.'
DRAIilACE: To be trale P"Lot' to ILL-
Tlfi-tr6n"hes.
uttpERFLOoR PLU\.!BIilG q ilEc!!_4NrC,AL:
^To be nade Prior to instaLLablon ol
floor insulction ot' decking.
forns
PAST AND BEAM: To be made Prion
TiiTETTill7{o f floot' insulation
decking.
to
or
R1uat PlttllRtltc, El:ECIRl?Al' ,N t|ECIt:
ANICAL: No uork is to bc aou^ered
GtlTthes. inspections haue been
made aruJ approoed.
required ttapor
but befone any
tntl eouering
oty insulatton
batriers ate in Place
Lath, gypsutn bcarC or
is ap1>Lied, and befone
is concealed.
T
DRYHA\,L INSPECTI)N: Tc be nade
;fL";;n-fiya"Tie .in ptace'
but prion bo atry taPtng-
MAS1NRI: Steel location, bond
6iifr]grouting or oerticals in
accordahce Lvtth u.B.c. seation
24 L5.
WOADSTOVE: Aftet ittstallation is
ccmpleted.
CURB & APPI?CACI\ AP!?ON: After forms
ave erecLeC bub Pt'ion to Pourlng
concreLe.
\IDEWALK ,9 DRII'L'I'IAY: Fot all con-
,""t"n"u1rrg ;l bil; s tteet right-
of-rx:u'. to bc maCe after aLL exca-
ilt;""g- "rnptete & fonn wt'k & eub-
base nateriaL in Place.
IENCE: h4ten conPlate -- ProuiCe
jdtii or nouable sections through
P. U. E.
ALL project conditions, such tts L\-te install.ation of stl'eet t-\Te-:.: conplction of Lhe
requiretl Landsccping,'Lt.-., ^r"t be satis1ici-L,"folni tnn BUILDIN:6 FIiAL can be reque:tted'
FINAL DaTLDIN|: The final Builtting Inapectiotr mtst be requested alter Lhe linal Plwnbing'Ei;;;|";;;1;|i uu.n ri.i...i. li"pi.ti.i" 'hq,a been made arul.app,otted.
t,l, t|ANttct,Es ANt) CLl,:ANOU\',: lttt!:'t lry ArcL::;:;IBi'li, AD,ttts'i!tl:::T',ro nt tlltllt t\'l l!0 c!:i'f TO rt'!Y
ti.on.
FRAIIINC: l4ust be requested aften
fipii6t of rough plwnbing, electt'i-
iil & neclanical. AL'!. toofing
bracitrg E chi.nmcys' etc. rrust be
conpleted. lto ucrk is to be con-
cecled unti.L this insPection las
'been made anC appt'ooed.
FI!?EPLACE:*ct;;l;G
FIIIAL PLUMBITIG
FINAL MECIIANICAT'
FINAL ELECTRICAL
Pni-or to plccir,g facing
and before fratning insPec-
e Hcmes
Blocking and Set-uP
Plwnbing connections " sa/)e! anC uater
Electrical Ccnnection - Blocking' set-ue
and olwtbinq connections tlirst be ap?rcte'
befine requLsting eleclrical inspec'-iot:
Aceeseory Bui.LCing
pcrches, skirting, decks'
leted.
Pinal - After
etc. dre comp
BUILDDEIIOLI'TIO!! OR
Sanilat'y serset' capped ct property Li'ne
, .rt r , ,i i,!r \,-:,!,f,.,,. ,r ,, I,
Septic tank pnped atul filled uith gra"sei
Einal - l',1ten abcue itetns are ccnpleted
antl uhen Cenolition is conplete oP st:'tir'
ture moued and preniaes cleaneC up'
i'r1:,' ! of ii
ncce
Date:
I
Pss.dlAf[-l ,-,
[at Faces -t
Access,P, L.ilouse
Zone:
cSOLAR ACCESS REQ.-JOB NO.
L-CO
Bedrooms:
st
Iot Sq. Ftg.
1 cf Lct Coterage
! of Stories
't'otal lleight
TopograPhY
LOT ?YPE
_ Interi-ot'
Corner
Panhandle
-
,ul-dn-"o"
-- Fees --
ValucXFTCt'ft:t't
l,laitt
t
TOTA\, VAI,UE
s.D.c. 7.5 t
Fee
Date Paid
Receipt ll
Building Volue & Permit
This permit is granted on the exp"ess cond-ition ttut the satd'consttttcLion
shall, tn all reepects,- ioitlo,*'Lo th-e.1rdinance adopteJ liy the City of
Vpri"iftiti, in llialng'til'2oit'"g crdinanc-e, regulcii,tts ,the c11s-tnt:l:-t:..^
i"a "'lL of Luild.ings,'and mey be- suspended or reuokec at cny tine upon DLc'
Lation of any prcuisiona of said Ordinances'
Building Perrtt
Total Clnrgea
State
CITARCENO.FEElTEM
I'i"xtwes
Residential (1 bath)
SeuerSani
Plumbing Permit
No Dereon sLnLL consttttct, inetall, af,ter or clange -cnlJ ne|.Cr existitrg
ii"i,Z'ti""r'Tr"i;;;'s;-;i;L;" in uhoie o.r in part, inless :""h-p-'-::o" is Lhe
'tLi"f iL""rt"on o1"o;L1;e p,r^'"t"s LicensL, e$cept that a person na's do
plutnbing uotk to p""p"rti-int'ih i" ournd, Leased or operated by the appli-
cant.
Plunbing Pernit
State
Nan/Ertend Ctt'cuits
Seruiee
Electricol Permit
l{ltet,e state Lau requires ttat the eleety,ical uork be done by -an Electrical
cont?ac!,or, the electr|.iol pirtion of this _permit slnll not be oal.ic until
the Label lns been signed by the Electnical Contractor'
L
lt?otal
Stcte
ELec
[trtr CIIARCElTSt't
ce
khant llood
Venb F'an
llcodt t ooe
Mechqnicol Permit
Permit fssuance
l'lechanical Permit
-- ENCROACI(MENT -.
tSectri
t.enance
Pcrmit
C\tbcut
SidettaLk
Fottce
ELec
Mobile llcne
Sigted:
Plant Ercniner uate
*
I ITAVE CAREFULLy EXAMINED the completed application fo1 pernit, and do
i";;L; irTtii-|nit aLL infotmation hereoi- is true and' eortect, cnd r
funti"nn i""tliiy that ang ard aLL utork pe-rfor-ned alnll be done in accot'-
'dance vtth thZ- Ordinanc"ee of the City of b,,ingfield, and th-e Laaa of the
X"|i 4 ,r,egcn pertaining to the wik Cescribed herein, cnd tlat NO OCCU-
t lncl t:ttt b"e ru\e of any' atruoture wi.thout Permillion of the SutldinSl Di'
ui.eion, I lurther certily Lhat only contracLond and enplcyeea dho are Ltt
canpliance uith oRS 701.055 uiLL be uaed on thia proiect
Total
II'r)'l',1l. ,ltlOUll'l' ltlt[i: I -18
Si11rt'tl D,t L t:
Wafet'
Total Charqes
NC.
Total Chn?ocs
State SD:chat oe
Sboraoe
CITY OF OREGO'V
siPRIIllGFIELO
EI..BCTRICAL PERHIT APPLICATION
City Job Nunber
COHPIJTB FBB SCEEDTII^E BELOII
Nev Residential-Single or
Multi-Family Per dvelling unit.
Service Included:Items Cost
100 amps or less
101 amps to 400 amps
-
401 amps to 600 amPs
-
601 amps to 1000 amPs
Over 1000 amPs/volts
-
Reconneet OnIY
1500 sq.ft. or less
Each additional 500
sq. ft or Portion
thereof
Each Hanuf'd Home or
Hodular Dvelling
Service or Feeder
$ 8s.00
$ 1s.00
$ 3s.00
Services or Feeders (10 Branch Circuits
included). Installation, Alterations
or Relocation:Electrical Contractor
City Phone
Supervisor License Number S
Expiration Date C.
Constr Contr. Number
Expiration Date
'signature of sing Electrician
4?s
),
225 FIFTE STPGET
SPRTNGFTBLD, oRBGoN 97417
INSPEGTION REQTIEST I 726-3769
OPFTCE: 726-3759
1 'B'TS,$D
F0
3
A
IJGAL DESCRIPTION
JOB DESCRIPTION
Su
00
00
00
s see ilBtr a,Eor.
Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2. COMRACTOR INSTALI.ATION ONLY B.
$ 3s.oo
$ 60.00
$ 80.00
$130.00
$3o0. oo
$ 3s.oo
TemporarY Services or Feeders
i."i.ri.iion, Alteration or Relocation
200 amps or less
201 amps to 400 amPs
-
0ver 401 to 600 amPs - =Over 600 amps or 1000 volt
$
$
$
35.
OIINER INSTALI,ATION
Name
Address
Ci ty Phone
D. Braneh Circuits
Nev, Alteration or Extension Per Panel
one iircuit
Tvo to ten Circuits
Eaeh Addt'I ten or
portion thereof $ 1s.00
B. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/0ut1ine Lighting-
Signa1 Circuit or
limited energy Panel-
SUBTOTAL OP ABOVE
5Z State Surcharge
TOTAL
\
40
80
s 35.00
s so.oo
The installation is being made on
property I ovn vhich is not intended
for sa1e, lease or rent'
Osners Signature:
$ 36.00
$ 36.00
DATE:
RECEIPT *:
RECEIVED BY:
5
s 36.00