HomeMy WebLinkAboutPermit Building 1990-03-14''' RESIDE,'-ilAL"
" APPLICATION/PERI,fiT
225 Not'th |th Street
Springfield, 1regon 97477
Building Diuisio.n
7 26-37 53
Job Iacation, Zj ln3 z-
Aaseseore Map ll 1-q-3
SPTINGFIELD
6Lo z
q toSubdiuieion:o
L. {_ S aAd;d-LL L.Ailer:
t )r ehone: -Jt f a _sq 3LAddt ess:
1t47)City:L
Desct"ibe h'ork:
lVt^t lp-!/LL €X< L L, D /'Y1
1-- tl\32t
OOValue
9ro 2Zztrtaedditicn
RemoCel
('s
Date:
ftq03'
'ceei ll
6LGeneral
l.Iechanic
ectfI
Plurnb in
c1:lnlile<: L t:Su I
BU ILDIiICSOR
Sanilary seser capped et property Line
Septi.c tank pwped and filled uith gra;tel
Final - h4ten abcoe itens ate canpleted
and ahen Cenolition ie cotnplete or et"uc-
ture noued and premises cleaneC up.
Hcmea
Blocking and Set-up
Plunbing connections -- saier otd uatet
Electrical Ccnneetion - BLockitrg' let-up
and plrnbing connecttons nrtst be approoed
befoie requesting eleclrieal inapeetion
Accessori Bui.LCing
Pinal - After pct'ches, skirtittg, decks,
etc. are conpleted.
Pege 1 of 2
It ie the reeponaibilitY of tlg pemi t hotder to aee that aLL inspeebiona ate made at the ptoper tine, that eceh addrees is tea'cabie
,Buildina Dioicion
the stne-et, and that the
appro"*ed P
pertrtt
Lan shc LL renain on tlp Building Stt; at aL
eatd ie Located at the front of the propenty.
L Limes.!rom
PRocsDU PE Fon I NSPEQ!!pN-!fr!!9!: C A
eadY
'aiLL be nade the sane dcy, requests
for inspeetion,Contraetors or Asnets nane ind plone nunbcr.
job aCiress, tyPe
P,equests receil:ed
of inspecliclrLL 726-3769 (recorder) atate lour CiLy designzted iob nw;ber'befcre 7:00 d:t
ncde aftet, 7:00 on aiLL be made the nctt aorkin^3 day
Ioun City Deeignnted Job Nwnber fs
w
SITE INSPEC?ION: To be tmde after
erc;;;tlon" but pt iot tc set up of
forne.
IJNDERST,AB PLUMBING. ELECIRICAL &
MECHL,\ICAL: To be made before anYGE ii-iooered.
FOOTING & FOUNDATICN: lo be nade
;fr;; tren;nes a"e elcauated and
forns ate erected, but prior to
pow,ing ccncrete.
UNDERCROUND PLUMEING. SSWER, W,1TER,
DRAI\IAGE: To be made P"1,o? to ILL-Tl{fiin"hee.
UI|DERFLOOR P.,UMBTNG & MECHANICAL :
ot
floor ineulation or decking.
POST AND BEAM: To be made Ptior to
TiidTffi{of floon insulation or
deckinq.
ROUGII PLU!,IBITIG, ELECTNICAL & MECII:
ANICAL: No uork is to bc couened
GtlL-the se inspections hart o- b een
made atd approoed,
f-i;1 I NSU I.ATION / VAI'OR IIT R R I T:I? t IISPECTIO N :l I r;-;,*tZn;;ar-;;;;t"" ",4-.- rcquired oapor bawiers are in plaee
' but before any lath, gYPsun boatC or
unLL cooering is applied, ald before
ay insulation is concealed.
h.ior to plccirg facing
and before froning inepee-
DRYWALL INSPECTION: lc be made
df te"-inAt yu"tTt.a in place,
but prior to any taPing.
MASONRY: Steel Location, bond
Gifrijgrouting or uenticals in
accordance tith U,B.C. Section
24 15.
I,/OODSTOVE:
ccrwT;m.
Aften installation is
CURB & APPRCACII APPAN: After _formsate ereeteC but pr'ion l;o pottting
concrete.
SIDEWALK & DEII.EWAY: for aLL eon-
ct ;Cn"Dfr-fitifi street risht-
of-rnA, to be made afl;er aLL exca-
oattng conplete & for'n tsork & sub-
base rnteri-al in Pktce.
IENCE: When conPlete -- ProuiCej&i or mottable secLians Lhrough
P. U.E.
Wa|*t&r,
l@
t,
a
w
tion.
FRA\'IN6: ltust be requected after
approval of rough plunbing' electti-
cal E neclnnieaL. ALL roofing
bracitrg E chinmcye, etc. mtet be
, conrpleted. lto uonk ie to be con-
, cealed until this inepection lae
'been nade anC approted.
FIPEPLACE:n;r;;t;G
FTilAL PLUMBIIIC
FTNAL MECilANTCAL
FII,IAL ELEC?RICAL
ALL project conditiona, such ae tIE i.nstallation of etreet trees, conpletion.of the
,nquirnh Lanisccpirg, Ztc,, mtst be satisfied bcfore the BUTLDTNG FfNAL can be requested.
PINAL BUfLDIN7: The Final Building fnepection nuat be requeated cltet the Pinal Plunbittg
Electrical, anC Mechaniccl fnspections haoe been nade atd approveC.
*Ar,L ttAMrcr,ES AND CLT:ANOU?S MUST nE TCCES|||BLI|, AD,rUSTtlEttT rO BE NAIIE AT t10 CCST T0 CI?y
@
la
'|Ll
K
:
:
Nat,,
w
tr
w
M soLAR AccEss REe.-u-co d^
Sedroorns
JOB NO.
..71
Lot Faces -
DT It,tuSe Cat'aqe Aacesa.
Nottlt ?.3 'Railge
Eos t ['ineplace
South Hoodctor;e
Iat sq. Pts. /324_
7 cf lot Ccoeraga 16?o
I of Stortes
Total Height
Iopogmphy
LCT ?Y;
_r!_ Int,ericr
o-z%
Corner
Panharulle
CuL-de-sac Hest 4/'3t'
-- Fees --
ITEM SQ. FTG X VaLue
tbin zdga3 42 zc /ur*z-ct
fuaqe €9<-zt /q.,/a 7-4d,ry
Caroort frr-qz.1//,zzzr.o
Accessot'tt
//.,/2?.@
/a./.a/.e€ ,loI'AL I,ALUE
DC:s.D,c. 1.5 x
2IA Lqe!" ,g?4t
Building Volue & Permit
This penrtt is granted on the er?ress condttion tlat the said constructton
sltal.L, in all r.aespects, conform -Lo the lrdinance adopted, by the City of
Sptingfield, inc!.wling the Soning Crdinance, regulating the ccnsttacticn
and uac o{ buildings, and may be auspended or yeookeC at oty time upon tsic-
lation of any pncuisions of said ordinances.
*
Buildtng Pettrit
Total ('lnrgea
State
Signed:
11.
Plumbing Permit
No pepcon ahnll constmrct, ins!;al!-, alter or cltange cnlJ ned cr existing
plwnbiryl on dnainage sllsta'n in uhole on in part, unless such person is the
legal poscesson of a ualid plwnbet,'s License, ercept that a pe"son nay do
pLwnbirrg ur,trk to p"opepty uhich is owted, Leaeed or operated by the appli-
cant.
NO.t'f: [:CIIAR(;E
Etbtut,es
Resid.ential @ tta*l
Sewer
Plunbing Pernit
State
. Electrico I Perm i t
I{het,e State Lar,t tequires tlat the electrical uork be done by an Electrieal
Contractot,, the electrical portion of this pernit ehall not be oaliC until
tlrc 'label lns been signed by the Eleetpical Contractot,.
A Ea&-zrzz* Fr
EZa7v7q.. 1ee7ry77
NO.
42
Total
Il as,/Ert e7td, CilcutI s
Setltice
NC,
.le ae
I63
Mechqnicol PermitCIIARCE
Erlwnst llooC
l,lcodetote
Vent ,F@t
Permtt fssucnce
Meclunical Pemnit
zro,
Securttu Dewsit
Storage | ',474" t'o"
l,binterance
Pemtrtt
C\ttbcut t/-za/?s /Si.da,talk 23.5
lenee
Electrical label
Mobile Hotne
fzz*, rTarzoto /%
232,7/
-)a-e/\
e
?otal ,t
3-lt(-,0
'rorAL Awouttr our' 1J
Date
zone: /-DR occuDanau crouo: 2-7 I
7t
{
I
Job Locaticn:
Toa Lot #Assessors Map #
Subdioision:
Ormet:
Phone:Address:
Describe h'or.k:
Value
Ned
Date of
Additicn
RenoCel
rStors
ectri-ca
Page 1 of 2
#..RESIDF\TIAL..
APPLICATM/PER\LIT
225 North Sth Street
Sprtngfield" )r'egon 97477
Building Diuision
7 26-37 53
General
Plurnb
l,lechanic
Su E ectric n
SPF!INGFIELD
N-
Date
res
It io lhe tesponsibility o! tle petmtt ltold* to eee tlnt aLL inspections ee nade at the pvope? tine' that eaeh,zddtess is z'eadabie
ftotn tlu at?eet, and tlat the p*mit eavd ie Loeated at the front of the properfu.
*Buil.ding biuision approxed pLan sltc.Ll remain on the Building Sitc at aLL tines.
PPocgDUPE FoR INSPECTI)I\ R!?.UEST :CALL 7
eady fort"iLL be made the sane dag, requests made
26-3769 (recordet,) state yont, City
inspection, Contraeta"s ot, Ooners
after 7:00 an vtLL be nade the nect tot'kirg dag
You? CiW Desigr,ated Job Nutnber Is
desigrnted job ntmber, job aCitess, type,
nane and phone nunber. Requests recei'"^ed
of inspect'Lcn
befcre 7:00 m
Reouired fnsoccticns
SfTE fNSPECTI1N: Io be nade after
e.ccantation, but pr"ior tc set up of
fonns.
ANDERSLAB PLUMBING, ELECTRICAL &
WCHAILICAI!: To be made before any
GikTi-iuered.
POOTLN? & E)UNDATICN: Io be tneCe
after trenches a?e and
forns ote erected, but prior to
pouYLng ecncrete.
TNSULATTON/VAPOR BARRIER ITISPICTION :
?o be made after aLL insulaticn ad
required oqoz, buviers @e in p'La.ee
but befone otg Lath, Wpswn bcarC or
tnll couering is cpplied, cnd. before
otg ir*ulation is concealed.
DEI.NLTTIO!] OR
ScnilarnJ saser capped et pz,opetw^ Line
Septic tank plnped and. filled tith gta;sel
Final - h1ten abcoe itens are ccnpleted
and uhen Cancliti.on is eornplete o" strae-
ture maued and. prewLses cleaneC up.
e Hcmes
UNDERGROUIID PLUMBING, SEVER. W.4TER,
inlfltAct: To be maCe pr"ioz, to fil-
Tfr-i-renchee.
UIIDERFLOOR PLUI,ETNG & I|ECTLANICAL :
oy
floor insuktion or decking.
POST A!! !EAt[: To be nade prtot' to
TiiiiTTilf,inlof floon insulatior, ot'
decking,
ROUGH PLABIIIG. ELECTRICAL & I,IECH-
ANICAL: No uov'k ie to be coxered
6lil these irnpections h,aue- been
nad.e and approued..
DRYI|ALL INSPECIf0N: ?c be made
aftet' aLL dryuaLl in place,
but ptior to ang taping.
MASONRL Steel Location, bond
beans, gYouting ot oertieals in
accozd.qtce tLth U.B.C. Seetion
2475.
VOODSTO',/E:
ccmpleted.
After installation is
CURB & A]'PRCACH APPAN: After fonnsd,e et,"ciAE; pi." to paurLng
conc?ete.
SIDWALK & DRT"WAI: Fot aLL con-
cr.eteiao@Aiffi street right-
of-tny, to be maCe after aLL e*ca-
rsating conplete & for'n tnrk & eub-
base matertal in plnee.
Blocking od Set-up
Plunbing connectiorta -- aarJer od uater
Electyical Connection - Blocl<Lng, set-uc
and pLutnbing conneetions rntst be apprct:ed
befor e requesting eleclri,cal inspection
Aeceseor; BuilCing
Pinal - After pcz,ekes, skitting, decks,
etc. @e cornple"ed.facing
LTTSpec-
tion.
FBlt!!l!C: ttust be z,equested after
approuaL of rough plttr,bing, electni-
eal & neclnnical, ALL rool-izrg
braeing & ehinmcys, etc. rrust be
. completed. llo ucrk is to be con-
.. cecled until this inspectton las
'been made anC approt:ed.
CfDDDf A al.
materl;I;
FTilAL PLUI/:BIAG
PINAL I4ECHANICAL
FINAL ELEC?RIUL
Prtor to plaeirg
and. before franing
?ENCE:
gates
P,
h1ten cotrryLete -- ProtsiCe
or motsable seetians thnough
E
o
ALL project conditions, such as the installation of slt,eet trees, eonolet.ion of the
required Landsccpirg, etc., rmtst be satisfied before the BUILDtNC EillAL ean be requested.
FINAL BULLDLNG: The Einal Building Inspection mtst be requested after the Pi.nal Plwnbing
Electrical, anC Mechanical fnspections hque been nade and approueC.
*ALL I4ANHCLES AND CLEAN1UTS MUST BE ACCESSTBLE, ADJUST\1Z\\? TO BE ||ADE /,? NO C1ST T0 CI?y
l
u
I
u
bt Sq. Ftg.
% cf Lct Couuage_
# of Stortes
?otal lteight
Topography
Building Pentut
State
?otal Clwrges
oLAR ACCESS REQ.-
Cr'
LCT TWE
_ fntez,ior
_ Co?ner
_ Panhand.Le
CUL-de-sac
L-co *
!':;Pe/Const:BedyoomeLot laees -
Range
Lace
Building Vqlue & Permir
This perTnit is granted on the erpress condition that the said. consttwctionslwlL, in-all.respe.ets, conform to the Crd.inance ad.opted 6;y the City ofSpringftel^d, i.nc-ludrng th,e Zoning C,dinance, regulatZrg thL ccnstru-eticn
aTta .use o^f building3,. utd may be suspended ot reuokeC at cny time upon oic-Latlon of any prcuisions of said )rdirtznces.
*
PLcn
f HAW CAREFULLY EXAUINED the conrpleted application fot, permit, and. dohereby certify that aLL information het,eon is ttae and. cbruect, attC I
f"rther' .eertifg that any ard aLL aork perforned slnll be dotze in accot,-
danee tLth the Otdinancbs of the City of Sprtngfield, and the La;;s of theState of O"egcn pertaining to the uotk Cescribed here.ln, end tTDt NO OCCU-
PLllcy uv|ll be nade of any st?uctu"e uithout pernission of the Buitding DL-uision. I furthez, certifg that otLy eontractors ozd enplcyees aho ate in
eonpliance uith CRS z01.7ss uiLL be used on thie project
Date
Z-lt4-7 o
JOB NO,
DT House Cayqqe Aceess,
East
South
West
ITE14 x Value
Main
Geaae
Corport
Aceessoru
TOTAL VALUE
ueS.D.C. 1.5 x
Date Paid
Reeeipt #:
Signed:
Plumbing Perrnit
Ng person stnll eonstntct, install,, alter or elnrzge anA ned cr e*)sting
qlwnb-ing or drainage systan in alnle or in part, unlesi sueh person is'tleLegal.possessot, of a oalid plwnberrs Licens-e, eceept th.at a pZrson na,g doplutnbing uotk to propertA uhich is oaned, Leased or operated by the "ppZi-cant.
NO FEE CHAPGE
Sani Seuer
Ei^xtutes
Residentia.L (1 bath)
Plunbing Per,rrLt
State
Electricql Permit
were state tas requiree tha,t the electtical uork be done by att Eleetrlcalcontr.etor, the electrLcaL portion of this permit slnll not be oali.c untilthe Label las been signed bg the Electrical Contractor'.t
State
Neu/Eetend. Circuits
Setuiee
FEE
*
Mechqnicol Permit
k|w$t HooC
Flcodstotte
Vent Fot
PermLt Issuance
MechaniceL Pe"trtt
-- ENCROACIIMENT --
Sectrtt! Deposit
Stot,age
I4ainterattce
Perwit
Curbeut
Sideualk
!ence
Electtieql, Label
Mobile Horne
70TAL Al4)UIlI DUE: *,E Date
t'!0tlth
f L?en
Total C'ltarqes
iicar"ii.'t ll r) t3:\..RESIDENTIAL..
" APPLICAT I/PERMIT
225 North Sth Street
Sprtngfield, 1regon 97477
Building Di,uision
7 26-37 53
SPFIINGFIELD
DRYWAI,L INSPEC;TI1N: lc be nade
after aLL dryuall is in Pkzce'
but ptiot to any taPing.
MASINRI: Steel Location, bond
EZffilgrouting on oerticaLs in
aceordonce uith ll,B,C, Section
2415.
WOODSTOVE:@aa.After installal;ion ie
Date
Sanilary seaer capped at propcrty Line
Septic tank ptrped and filled uith gna;sel
Ftnal - t{hen abcoe iterns are ccmpleted
and uhen Cetttolition is complete oP st"uc-
ture mooed and premises eleaneC up.
Blocking and Set-:tP
Plunbtng connections -- sa)er and' uatet
IJNDERST,AB PLUI'IBING, ELECTNICAL &
MECHTNICAL: To be made before ang
Gfr-lia6oened.
7Cl roorruc & F)UNDATT?N: To be rnade
LL an;;'tr;at;t "r" "reatated and
forme ate erected, but prior to
pouring ecncrebe.
m UNDSRGROUND PLUMEING. SqWER, W.4TT4?
DRAII'\$1E: fo be nade Priot to fil-
Tff66nches.
UNDERFLOOR PT,UIEING & MECHANICAL:of
floon ineulation or decking.
POST AND BEAM: To be made Prior to
Ti€ittTitGVof floor insulation or
deckittg.
ROIIGI] PT,UIIB.TIIG. EI,ECTRICAL & MECII-i
ffiiTthese inspections haua' been
made and apptoted.
FIPEILiALE: tuior to pLacir.g faeing,nat;;l;G and before -frani,ng inspeb-
tion.
FRA!|ING: t"tust be requeated after
approoaL of tough pluxbtng, electni-
cal & nechanical. AIL roofing
bracing 8 chinmeya, ete. mtst be
t completed. No uork ia to be con-
'cecled until thia inepecti,on lae
I been ttade anC approued.
l:l
It ie the responoibility of tle permit holder to see that aLL inapec-tiona are nade at the prope" tine, that ecch cddtees is reaCdbie
fron the atnezt, d,nd thdt the parrtt card ie. Located at -t-h-e. frolt of .Lhe-Ttropenty.'*Buitding NuicTon approxed plbn shall renain on l:lp lluilding Sit.; at a.LL bines.
rRocgDURE lg!? Il.sEEcryg!__tri@Eglrcaul 726-3769 (tecorder) sta!;e!1out, cita designa.ted iob nunber, job aciress, t!)pe.of inspe-ct-i'clr
ffiniaafoninspaction,contractorso|rasn.l's"n"^eLndp1onenunbcr.P,equestsrecei,:edbefcre7:00aetiil be nnde the eine dcy, requeets-mcde aft-et, ?:00 an uiLL be nnde the ncsb'aorking dt
rour city Destgrated Job Nunber ,r,'
*'81
l3[Y)
r N r; t t L AT f o N / v AI,o R It.4 R R.r l:lt t tt s P li ()T I r ) N :
rone n"de aftei al.L insuL';ticn atd
requined oapor batrier:j (n'e i-n plaee
bul belore any Lat;h, (lltpsun boarC or
tnLL couet,itt.(t is applied, and before
any incula!;ion ts concealed.
SITE IilSPECfiON:
escaoation, but
forme.
?o be nade after
pnior to aet up of
CURB & APPRCACA AP!?1N: After.forms
ax,e erected bui prior !:o ltountng
concrete.
SIDEVALK & DRIVEI'\A!: For aLL con-
;t eteiaufrilTil; street risht-
of-rfrA" to be nade after aLL ecca-
uating eonplel;e & forn wrk & cub-
base matenial in Place.
Elect;rical ccnnection - Blockitt4' set-up
and plwnbi.ng connections tntst be appror;ed
beforc requestittg eleclrical inspection
Accessori BuilCirui
Final - After pcnches' skirting, decks,
etc. an,e conpleted.
FIIIAL PLUMBINC
FINAL MECHANICAL
EINAL ELECTRICAL
?ENCE: hhen conPle!;e -- ProuiCej&6i or mouable sectians through
P.U.E.
Voa;'*ttup
ALL project conditiona, suclt as t,le installat1on of slreet trees,- conple'"iort-of tie
n"qr|rnh t)rrd""api.rg, Ltu., mtst be saLisficd befo're tte BIJILDING FINAL can be requested.
FINAL BUfLDING: The Final Building fnsitection nuat be requeeted cfter the Final Plwnbing
Elecbrical, and Mechanieal fnspectiona iuuc been nade and approued'
Job Iocationt Zj 3z-
2-q-s ("Lo zlAeseeeors Map il 7-
q tooSubdiviaion:
L. +_ S L L.oA*r;cil-Asner:)r phone: ltzla-SL43Z-Addt ees:
1t41)rLCiL
zr2
Ol\L
Date of /2^B yL"e_/
Stfa U7t<rz7e->tddition
RenoCel
Desctibe h'ork:
NL^t l{'t''tt
oar
aT 2-General
Plurnbin
l.lechauic
ectrica
lilec t t:cl:tnSu
BU,TLDIiICSDETIOLT'IIO!!
e ltcnes
,ALL ILANIICLES AND CLEANOUTS IIUST BE ACCESSIBT,E, AD,IUSTI\EIIT TO BE I,IAI}E A? NO COST TO CITY Pege 1 af 2
/3
eK-
I
'k'
SOLAR ACCESS REQ.-L-co d
.qedroorns
Lot Faces -
P. L.ilouse Cat,arle Aacess
Not.tlt -/< 'trts t II Fir.epLace
South <//ll l.loo4stoue
Int sq. Ftg. /38t4_
7 cf Lct Ccueraga - /67a
Ocatpancq Croup
LCT ?YPE
* Intet'icr
^'?82
/?O-z%
Zone: /
q"Corner
Panhandle
CUL-de-sac
I of Stortes
Total Height
Iopogruphy West 1./ '9t'll
-- Fees --
Building Volue & Permit
This pemnit is granted on the erpress cond.ttion tlwt the sctid-eonsttuction
slnll', in aLL rbspects, confonn'to the Ontlinance adopted by the City of
Springfield, inclu,ding the Zoning Crdinance, regulating the ccnsttucticn
and use of buildings, and mty be suspended ot, reuokeC at cny time upon vic-
lation of any prcoisions of said 2rdinances,
s. D. c,
S.igned:
[''l'c x
*
Va uc
DC e
fo
ITEM
tb.in
€ 't'oyAL ttALrJE
1.5 c
Buildtng Perrrit
Total /-'horgea
State
77.tv
4.4?Date Paid:
ll:
Plumbing Permit
No pepeon slnll constmet, instal!, altet' ot, clange Gny neD cr existing
plumbing on drainage slJste-n in uhole or in part, unleas auch person ia the
Legal possessor of a ualid plunber's licenee, eccept that a person nay do
plunbing aov,k to property uhich is obmed, Leased or operated by the appli-
cant.
NO,I r,L cil.4R(;t:
4
rTFM
Fiatutes
Sani Seuer.e
&
.ua
z-79
€z.zS
. Electrico I Perm i t
l{het,e State l,ao requ'tres tl"ttt the electrical uork be done by an Eleotrical
Contractor, the electrical portion of this pemnit altall not be oaliC until
the label. lns been signed by the Electrical Contractor'.
Res.
a&0
Nau/Estend Citcuits
Set:oice e
dc5
Electrical Pernit
Stcte Surcln
Ito tal
at
T'CE ClIARCE Mechqnicol Permit
Eshanst HooC
l,lcodstoue
Vent ?an
Petmit fssuanee
Mechanicel Petwrit
-- L:NCR)ACIIt'tf:N',l' - -
Seew,ity Deposit
Storage
Maintenanee
Permit
C'urbcut
Sideualk
Pence
Electrical Label
Mobile Hone
Vn^,, Ftrrat*, ,FE-d-Ejo, fu>vF 4.,/3
f ilAVE CAR\FULLy IXAMINED tle eornpleted application for permit, and do
hereby eertify that aLL infonnation hev'eon is t?ue atrd coru'eet, and f
furthet' certify that any arl aLL aork perforned slnll be.dote in accor'-
danee tith the 1rdinences of the City of Sry'ingfield' and the Lass of the* state o!' orejcn pertaining,to the uork Cescribcd henein, cnd tlnt N0 )ccu-
PANCY ditl bb ruie of any struc'tune uithout penniesion of the Building N-
u'tsion. I furthen certify that only cont?actora and mplcyees uho are in
conpllance uith oRS ?01.055 uiLL be uaed on thie project
/2a7-6>2
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Iotal
'!'0'l'At, i,i.!OUilT {,!r";, t t//?. z /Date
JOB NO.
Residential (1 bath)
/
Wetev
-d4r.>r-rn fuzz^r4
Plunbing Pernit ,,
State Surckarge
fotal ('lnl(teq
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225 Fifth Street
Springf ield, 0regon 97 477
FENCE PERMIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
SPRI]{GFIELO
Offi ce:
INSPECTION LINE:
726-3759
726-3769
CITY OF SPB"VGFIELD, OFEGO'U
Job Location: 237 7 N Z
Assessors Map #:Tax Lot #:h &zo
q-
0wner:
Address:L777
C'ity :S
vatue of Fence: 0 30D'oD
State:ok
Fence Permit is $5.00
Phone #:7'/z - 5q3z
Zi , ?zq7Y
z-
Z
p
Contractor/ I ns tal I er :klbul' F+-*rr D
State:ae-
Phone #:qtrqLzSy
Zi p .q.t 740C'ity :Et,t n\vr\-
--rConstructjon Contractors Reg'istration #:l, ob| b
-Ex
p ires: !,, 13*
By s'igning this permit/app'lication, I agree
fence has been constructed (726-3769). I al
this appl jcation/perm'it 'is correct and that
to call for an inspection once my
so state that all information onI was provided w'ith the Springfie'ld
dards .D e'lopment Code requirements for fence stan
C>
)
na a e
FOR OFFICE USE
Date of Application:t-7t
Receipt #:
3
o *z t4l zdD
Issued By:
cbTotal Amount Collected:
Checked for Del inquencies, *- Checked for Historica'l Status:
Address:
Permit No:
Address:\
u-
lssued
R OFFICE USE ON
STATEMENT:
INFORMATION NOTICE TO PROPERTY OWNERS
ABOUT CONSTRUCTION RESPONSIBILITIES
Fill in the applicable blanks, and initial box 1 and either box 2A or 28:
1 comp ed ture.
2.My general contractor is
Contractor registration number
OR
above inlormation is correct and that I have read and understand
to Property Owners about Construction Responsibilities on the
Date
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 3tatement. This statement will be filed with the permit.
t will instruct my general contractor that all subcontractors who work on
the structure musf be registered with the Construction Contractors Board.
B I will be my own general contractor.
lf I hire subcontractors. I will hire only subcontractors registered with the
Construciion Contractors Board. lf I change my mind and tio 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.
3-11-7
n pplicant
CONSTRUCTION CONTRACTORS BOARD
0244J 1t90
Date
@PY TO ISSUING AGENCY PERMIT FILE
TO APPLICANT
@s
:<
I own, reside in, or will reside ipv.i ^
A! r+,
E
COHB i NAT i APPL I CAT IT
Construction Lender
EiIERGY SOUP.CES:
Heat
.l'lai
Ftg. Access._--
Hea ter
Ran
Val ue of,
In
l.l
Des
Fam i Gara
,e,, Build Single
I /)
PhoneAddress
DE5IG TEAI4 name dress tcs. n )t ohone no.
Pri
Structura I
/ri (
El ectri cal
l,lechani cal
name aa dres s ics. no-)exot res
I
Pl umbi nq
I 5T
j#-
PLUI,IBI NG ELECTR I CAL MECHAN I CAL
N0.FFF CHARGE NO FFF CHARGE I't0 FFF CHARGF
Each single fixture Residence of
#I&D-sQ. Fr 5&s furnace/burner to
BTU' S
Relocated building
(new fix. additional)
New ci rcui ts a l ts
or extensions
Floor furnace
and vent
S.F. P.esidence(1 bath)SERV I CES
Recessed wal I
Soace heater and vent
Duplex (l bath) each r{t )5(fl!)4 ).5C
Additional bath **0.u, constrlction Apol iance vent
seDarate
l^Jater serv ice Chan ge in existing
dpncprpq l
Stationary evap.
cool er
Sewer multifamily, comm or
Tndrrstrial
Vent fan with
sinole duct
Storm Sewer 0f amps
Vent systern apart from
heat-ino or A.C.
COMI'I./IND. FEEDERS
Mechanical exhaust
hood and duct-
I n stal I /a I ter/ rel ocate
di stri h- feeders l,Jood stove/heater
0f .amp$
ISSUANCF OF PFRIlIT
TOTAL CHARGES TOTAL CHARGES ).6)TOTAL CHARGES
WHERE STATE LAN REQUIRES that the Electrical work be done by
shall not be valiC until the label has been signed by an Electri
an Electrical Contractor, the electrical portion of this permit
cal Supervisor and returned to the Building Division
it, and do hereb.y certify that all information hereon is truei CAREFULLY EXAI'1INED the completed apnlication for oerm
shall be done in accordance with the Ordinances of the Cityand correct, and I further certify that any
of Springfield and the Laws of the State of
and al I work performed
0reqon
the Buil
oertaining to th e work described herein, and that NC OCCUPANCY will be made
of any structure without the perm
Board is in full force and effect
ission of ding Division.I further certify that my regi strati on uri th the Bui l der' s
as required by ORS 701.055, tha t if exempt the
701 .055 w.i l l be
basis for exempt ion is noted hereon, and that
only subcontractors and ernployees who are n comDliance with 0l1S used on this rrroiect
?4Lea
t'lAl'!E(please print I G'ilATURE 11J.*r"tn Gu'tn DATE
Zone Const its Sn Ftg
Ftg
Ftg
l'la i n lue
Fire Zone cy Load Sq Access x
Other x
Val ue
Fl ood P1 a'i n__ $tori es 0cc.y Group Val
TOTAL VALUATION
!q
BUILDING PERMIT
Charges and
Surcharges
P l an Ck . Cornm/ I nd
65%/B1do Per Fee
Svsterxs Deve'
Charqe (1.5{'opment
Plan Ck. Res
30%/B1dq Per Fee
PLUI4BING PERMIT
Charges and
Surcha rges
Fence
D6mo
ELECTRICP.L PERIlIT
Charges and
Surcha rges
Sidewal k
A/C Paving Total Cornb. Permit
14ECHANICAL PERMiT
Charges and
Surc harges
Curb Cut
TOTAL q1Y)
Legal Description
Job Address
n
0ther
ul
t f.
Phone
Owner
Address
I *tr ,TYK)C((
0t lfo
COI,'TBINATI0N APPLICATI0N/PERMIT (CAP)
I. Appiicant to furnish
A. Job Acidres s
B. Legal Description
1. exampie_- Tax Lot 100, Lane County Map Reference
17 03 432. example- I-ot 1. Block 3, Znd Addition to
Springfield Estates
C. Name, etc. of owner and construction IenderD. Energy Sources
1 air gas
2E. Squa
1.ga rage
2 i ti on,
F Building perm
1. example -
attacfed
rit information:
construct single family house with an
garage
2. example - remodel existing garage into famiiy room
3. example - convert single family residence into
iesfaurant (change of use)G. Value of work as defined 'in Section 303 (a) of the
Structural Specialty CodeH. DESIGN TEAT1 AND CONTRACTORS
To avoid design or construction delays, Building
Division Staff must be able to contact appropriate
persons regarding design information or job site
corrections, etc.
II. Abbreviated Plumbing, Mechanica'1, & Electrical SchedulesA. Except where blank spaces occur in the descriptionportion of the Mechanical and Electrical Schedules,
the applicant need fill-in only the No. Boxes adjacentto the appropriate item(s) to be installedB. Full Plumbing, Mechanical, and Electrical Schedules
are available at the Building Division1. To conserve space on the permit form the schedules
- have been abbreviated2. If the item(s) to be installed are not covered on
the abbreviated schedules you should consult thefull schedules
C. BUILDING DIVISION STAFF WILL FILL OUT ALL FEES AND
CHARGES ON THE SCHEDULES
D. As noted on the CAP, the label must be delivered to the
electrical contractor for signature by his electrical
supervisor. The general contractor is.not authorized
to sign the electrical label.III. Applicant to sign and date
Whenever possible, the initial application will be used as
a worksheet on1y. Where possible, Bui'ld'ing Division Staffwill prepare a type written copy and return it to the
applicant at the time the actual permit is issued for his
signature.IV. Fees and Charges
PIan check fees are due and payable at the time of the
application, and no plans will be processed until these
fees are paid. All other fees and charges are due and
payable when the permit is issued.
V. FOR OFFICE USE ONLY
PERMIT VALIDATION
\ruq\5
5l
Permi t Cl erk
PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPAIICY:
Permit applicant exempt from registration with the Builder's Board because:
Additional Project Information:
PLANS REVIEWED BY:
name SJ gn ature date