HomeMy WebLinkAboutPermit Building 1990-06-26!
z2s North s*, st elfPLrcArr,N/PERItrr
Springfield, 1r'egon 97477
BaLldi.rq Diui.sio.n
7 26- 37 53
" RESIDEI\- lAL"SPEINGFIEI.D
s7-
?os lot #Aesessot's Map #
Job Locaticn:
Subdioision:
E
9"::'/AeA 1/3 a 97-ehone' )/7'S6TT
c;ta, SQ/7,V g {, u //?7tt 78
Date of Applieaticn_
Desezibe lv'ork:lkl ,-
{-t
/furlr ' Sha pAd.diticn
RenoCeL
S e
l,fechanical
Date:
General
Plurnb
Su Elec tr:c 1an
I-t ie +-he responsibility oi tle petnrit ttotd.erfron the stteet, and. tlat tne pawtt catd ia*suilding D.)oicion appro,^ed plbn shall ni^iin
.b 1"1 that-alt-inspections oe nad,e at the p?ope? time, that ecch address is reolabittedted. at the frcnt of tlte otaetb).on tle Bunlding Site at aLL'tikes.-
PI?)1EDUPE-FoR. TNSPEC?r1N RgSuEST..calu726-3769 (recot'det') state youz, city ,i.esigrn-ted job ntmber,, job aciress, type of inspec=icntequested and a1^'en uou urill be neady fot'inspecti"r, Coiio.l;;;- o" ouners rnneLnd prpne nwnber. Requests z,eceh;ed befcre z:00 an,iLL be rade the sdte dcv, "nE niiii"an ij't* z,oo- rn ,,titi i ,*;Z;h:;";L:f:;"i:;; d"r.
Iout, City Desigr"ated Job Nunbe? fs:?OD 7/7
SI?E INSPECTION:
excauation, but
?o be aftez,
uP of
forms
pr.ioz, tc set
these inspectiors haue beenmad.e cnd.appz.oueC.
alpwL-o)_! PLUPTNG e MEC|\ANT1AL:10 oe made Drior to instaTlat-ioi off7ooz. insulation or d,ecking. -J
ry A,ryD ryLy: - To be mad.e pr\ot toLnstaLLatian of flooz, insulb,tion oraecklTtg.
DEI4OLITION OR
Scnitaty saset capped et proper,fi1 Line
Septic totk pwltped a?1d, fi,Lled. with grauel
Mobi Hcmes
Blocking otd Set-up
Plunbing eonnectiona -- sane? ad, water
Eleetrical Connection - Bloeking, set_up
i:I ^lly|hn e onne e t ion s,*
"
t t""' opii rJi aDei o"c reque e ting e Leclrt cal l,"rpiZ1i.l-*
Aecessory BuilCing
#ffi#ffi',"o{';;!;*"
S_!:?|IIALK e pRI|?r,/Ay: por all con_
"-!!.1 e"ri"t vtthin street night:_
?.I:yU, to be naCe after aLL Lrea_u,1!rrS lanqle-t1 & forn usork a cti-base mctertal in pLace.
aLL
,,
.tsotk is cottet,ed.
>11 Pc;orINc & FquNpAruclt: ?o be naCell \l aite? tyenchee aye-dscauated and.forms ate erected, but pz,iot, tipouz*tng ccncrete.
Dqr'wALL=I-NS?ECTI7N: Tc be nad,ealter aLL dtguall is in plaee,Dux p?Lo" to any taping.
Final - h1ten abcrte itens ate ccmpleted.and uhen Cmolition is eotplete Z"- ith"_ture noued ard. prerrises ctZaneC "p.-"'-MASONR!: Steel
beons,- gtouting
accotdotee vtth
24L5.
ilO)DSTO;/E:
ccrnpLeted.
Locatton, bond
oz, uez,ticals in
U.B.C. Section
Aftet instalTation ie
FRA,I.'IIIIG: lfust be requested of+an
v{:7ii:rtr"ii.l1!01ff
,x;,,il"t"t_
'Qfr.rY;
"5 ".'1 ;nl,:":o "o!. ;.\Z'".!,f, _
i"-1:"d untit -this t"rp"oaoi iiDeen mol.e anC appro-"-ed
PIPEPI,.ACE: prior to plccirg facinq
i1:"_:0"r" and b e foz,e fr;;fr 'r;;;: ;Z_Pinal - Afteretc. at,s g,37y1p,,'":r::o: " "' s kirtins, d e cks,
!E!!E: hthen eonplete __ prouiCegates o" nooable sections thnoujhP. U.E.
i!1":"e"'*,;::W";,":"0:::l:i,t"7ete..,mtst;;;;;;;:ii: jri:r:{.,i;?rrr:;;n7*l"ra",ir*-,;:tr:r:::;
ETAAL PLUWTTIG
FilUL I4ECHANTCAL
Page 1 of Z
\
FTNAL ELEC?RTCAL
*ALL I,TANITCLES AND CLEANOIJ?S IIUS? BE ACCESSTBLE,ADJI]S?IIEII? ?O BE ltltDE A? No cos? ?o cry
\
Amer:
vot "a 417-^'.( n
r
l
JOB NO SOLAT.\CCESS RE a.-L-COG*
Lot Faces -
House# of Stot4es
Total Eeight
Iopography
LLJ JfTL
_ fnterict
_ Cotnet,
_ Panlnndle
_ CUl-de-sae
Lot Sq. Ftg.
% of Lct Couerage
IiEM tib Y Va
-- Fees __
llain
'b /e
?OTAL 'lALUli
endla-
50,e3check Fee: 32.
Date Paid:{3
#3
\i"..enrrit-is granted on the e,press condition tha.t the said. consttuction
"^MlL, ^r.n-1LL -tespects, gonforry to the tuditnnce adopted yty the Citg ofSpmngi4ield, including the Zoning Cydinance, z,egulat:tng thle ccnstzulca)Zn
otl. use of buildings, urd mey be suspend.ed oy reuokeC at eny t'ine upon oic-
Tation of dtA prctsisions of said Ordir.ances.
Build ing Volue & Permif
Building Pe"trit
?otal Chargea
State
Signed:
NEM NO.EEE l; kAllUL
Fi^ctures
Resil.ential (1 bath)
Satzi Seuer
Plumbing Perrnit
No person slnll consh."uct, inslalL, alter or ehantge attA nea cr eeisting
plwnbing or dtainage systan in ulole or in part, unlees such person is the
legal possessor of a ualid plunber's License, ezcept tlnt a person mag do
plmbing uork to propertg uhich is omed, Leased or operated by the appli-
eant.
Plwnbing Pernit
State
d2Nau/Extend, Circuits
Set uice
7s
Electricol Permit
Wlpre State Lan requires tl"a.t the electrieal uork be done by att Eleetrieal
Conttactor, the eleetrLcaL portion of this permit sLnLL not be ztaliC untiL
the LabeL lns bem signed bg the Electrical ContTacto?.
State
Iotal
NC.FEE CI]ARCE
bhanst HooC
Vent Fot
tlcodstooe
Mecho nicol Permit
PermLt fssuurce
t4eetnnical Perrftit
- ancaoncuwff '-
Sec,wt
Main
Pennit
Cwbcut
Sida,talk
I'lobile Hone
Bedrooms:
t
6
I HAW CAREFULLI EXAfiINED the completed application fot pennit' and do
lereby certifg ,n ,""ti"l'i"'-"tion t''nnni7;;-i;" ittl' eor'nect' an"d' r
further eertify tnot*Zia- i'a aLL uo.rk pertoied' slnll be dote in acsoo-
'dan"n vltt, th" o,di:";:;1"J'fr in1 ct!-i ,L7:""i1*:Zf'::Zr* Jk ,ff" ,fif o'l"r'r stotn of 7regcn pertaining to the *"k.:1:",*^o-2r'!.'iz7"Lr iie suilcins Di-
zuncv *ttt be naie of ala- st"uctur'z "1"^i"iz"lzir"'iri ""pt"y"es tho a;e tn
ii".on. I further cet'tify thet -onLy con
eonpLiance unth cns 101'"iss 'ilr be- used on thia proiect
q
T0TAL AI'!0UNT ouu: * l;
1'5g r,{=tttr
;to
Date
ntM
Ftmttno Ffll'S
Storaqe
!en3e
a
Permit Nol
Address:
lssued by
q0
STATEMENT:
INFORMATION NOTICE TO PROPERTY OWNERS
ABOUT CONSTRUCTION RESPONSIBILITIES
Fill in the applicable blanks, and initial box 1 and either box 2A or 28
Note: Oregon Law, ORS 701.055(4), requires residential building_permit applicants
*no are iot regi6tered with ttie Construction Contractors Board to sign the
folowing staterient before the building permit can be issued. Licensed Architect
"nO
inglneer applicants, exempt from registration under ORS 701.010(7), need
not subhit this btatement. This statement will be filed with the permit.
{
Date:
1 I own, reside in, or will reside in the completed structure.
My general contractor is
Contractor registration number
2. A.
OR
B. fE
I will instruct my general contractor that all subcontractors who work on
the structure mJsibe registered with the Construction Contractors Board.
I will be my own general contractor.
lf I hire subcontractors. I will hire only subcontractors registered with the
Construction Contractors Board. lf I change my mind and do hire a general
contractor. lwill contract with a contrabtor-who is registered w-ith the
Constructibn 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 lnformation Notice to Property Owners about Construction Responsibilities on the
reverse side of this form.
,41jr-/ -J -fur,,Y,h)b qd_
GONSTRUCTION CONTRACTORS BOARD
v244J 10t24t@
Date
TO ISSUING AGENCY PERMIT FILE
ui\\ffio* ro APPLIcANT
@s
\:2-1f.
n
(
v