HomeMy WebLinkAboutPermit Building 1990-09-12Pago 7 of 2
Job Location:
Tat Int llAssessote MaP #
Subdittision:
Asnen:
PhoneAddress:
+ll
^
c4 .. RESID \TIA,L
N, U APPLICATION/PERMITu rz| North |th Street
SprLngfield' 1regon 97477
aa
SPHINGFIEI.D
BuiL&Lng Ditsisio.n
7 26-37 53
Date:
a
Desct"ibe h'otk
3+
6vValue1sI-Qt)Date of APP Lication
,,tdditicn
RcnoCeL
General
Plurnbi
rrica
SrrD Blec t r:ician
Sanitory seaet capped at pt'operty Line
Septtc tar* purtped and filled uith 7'a;tel
Final - l{hen abcoe itens are eanpleted
and uhen donolition i,s complete ov struc-
ture noued and ptetrrLses cleaneC up'
Ilcnes
Blocking and Set-uP
Plunbing connections -- sanei @IC dater
Electrical Ccnnection - Blocktng' set-uc -ii olwnbinq eonneetions nrtst be appra;eC
before requ-eoting electrical inspecliot
Accessor'; ButlCing
pct:ckes" skirting, decks,
Leted.
Final - After
etc. ote conP
responsibility of the permit holdet
st?e'et' anC that the -perttrt't cat'd is- iiLLlo" approu*ed plan shcll remain
Located at the ftont of
on tla Building Sitc at
the propertY.
aLL tines,
to see that aLL inaPec tions ate nade at the proper time, that acch cddrees is nealabie
It is the
fron the*9uiUing
PI?ocgDUPE FOR INSPEC?ION ,EI=QIIESTTCALL 7
requested and ahen liou'diLL be ready Io?'*'iit be made the sone dcy, requests mcde
26-3769 (recorden) state your City
inspection,Contractors oY A,mers
Cesigrt'tted iob
nctne cnd phone
nunber', iob aCitess'
nwber,.
of incpectior
befcre 7:00 cn
after 7:00 an urill be nade the ncxt uorking daE'
UN1ERSLAB PLUMBING, EI'IC?RI1AL I
l4ECU,l.llIAU ?o be nade before anY
6i{Zia6ueted.
lf7 FoorrNC 4 FoUNDA?rcN: To be rruCe
L) AftrrffinG "";Z"cattated and---- lornts ate erected, but prior to
pourtng ccncrete.
m
fT=1 DRy\,/ALL INSPECAI1N: Tc be made
I X | ;na-mA,*ffts .in plaee,
-
brt prior to cnY taPing.
MASINRY: Steel Location, bond.
6ifiiigrouting ot' oerti.cals in
accorld&.e rlLth U.B.C. Section
2415.
snE TNSZECYToN:
escarsation, but
To be nade after
pr.tor tc se+- up of
to
Iout City Desigr,ated Job Number fs:
be
required oaPor ban'iers ate in Placefonne.
floor insu or decking.
.these inspections hate been
FTNAL PLUI|BIIIC
PIIIAL I4ECIIANICAL
FINAL ELECTRICAL
but before anY
rnll cooering
oty insu-lation
ilOODSTO'IE:
ccmpT;tA,
Lath, gypswn boarC or
is applied, and before
is concealed
After installation is
of
E1 posr AND BEAM: To be nade pnior to fil cuna a appng4cx api.on: After.forns
6) zamtaa;of floor insulation ot, I A.l are erectec but pt+on to poutLng
decking. conetete'
t.---:| STDEILALK ,g DRrVEtlAy: For aLL con-
I Yl "re-ret;;ao6 al;il" sireet risht-
7 of-*a'' to be nade aften aLL etca-
oatinb canplete & forn uot'k & sub'
base naterial in Place'
nade cnd. apptoued..
PLPEPLACE: tuior to plcci.ruJ facingffi;iA; and before franing insPec-
tior.
FRA|'|INC: l,tust be requested after
fiirooat of t'ough plunbing, - -electri-cil 8 meclanical, - AIL roofittg
bracirtg & chittmcys, etc. rmtst be
. comoleted. Ito ucrk is to be con-
,"nilnd until tltis insPectLon las
'been nade anC approved.
PENCE: h4ten conPlete -- PtouiCe
jfrG or nottable sectians thnough
'P, U.E.
*"*Au--
AIL projlebt, eondi,ti.ons, such as the i.nstallation of slz,eet trle_1-, coryLcticn of the
required Land.secping,'Lt"-.', ,*ut be aatisfiid, b"line the BUTLD1NC FIiAL can be requested'
IINAL BUTLDING: The Einal Build.ing rnspection mtst be requested altet the Ptnal Plunbing-EL";;i;;;1:-'anC uechartical rnspectlons hqvc been nade ard approoec'
*/tf,f, itAltttCLES AND CLEANOUTS tttt:;T RE ACCESSI\L\|' AD.IUSTrtEltf fO 3E t'i,4DE AT llo C'Sf TO Cf?v
f1 t,oorrn oo "
tr
SOLAR ACCJ SS REQ.-0M'70
Zone:
dJOB NO.L-CO
Bedt ooms:
LOT IYPE
^/ rntertot,
Co"ner
Panlard.Le
Cul-de-sac
Lot Faces -Lot Sq. Ftg.
Z of Lot Cotterage,P. L.
# of Stories
?otal Height
IopograPhY o-ae>
ITEI'I FTC x Building Volue & Permit
This permLt is granted' on the erq)"eas condition that the said'consttuction
shall" in all ,espects,-;";iii'to the ,rditnnce adopted 6v the citv of
ii,i"iftita, inctirding'*Li,'io"i"g ctdinanc-e, reguLctittg the ccnstr'tcticn
and use of buildittgs'' "ii'aiy a'i, sui'sPended bt rbvokec at cny time upon ''tic'
T.ation o7 ony prcuisions.of said 1rdinances'
id
A
TOTAL VALUE
,c.23S. D. C,1.5 r
Building Permit 0o
Date Paid:
Stdte Receipt
Total Clwrgea 36e,*
ITEM NO,L LL,CHARCE Plumbing Permit
No person slnll constraet, instaL'!., altet or clange.GnlJ netr).cP eristing
;i,,i;b;;;"';';;;i;;;;;-'';;;L"-ii-ir'oi" on in pott' unless such petson is the
iZi'it"rit"Z"i, ,t " ,Z"tia'p7iti'-'i ticens.Z, ercept that a ??'s?n nav do
plunbing uot'k to propn|;i*iniZiZt i*na, Leased on operated bg the appli'
cant.
ELxtutes
Residential (1 bath)4./-,50
Seuer
I e0,
Pl;nbing Pennit
,3
*
ITEM Electricol Permit
Wlpl,eStatel,a,lrequilesth,attheelectriealuolkbedonebyanllectticaT.
Contyacto?, the electrlla:t-piotio" of this,permit shall not- be taliC until
W #'f""*-ltri iy Ra" " ff v "T PE""'E z E c z'ril c a L
C'ofi{rndc7 0 n
Neu/E*end Cit'cuits
Setoice I F,OO
Stcte 7
Total ,t
a
NC F!E CIIARGE Mechq nicql Permit
,s
bhanst Hood
Yent Fat 3
Wcodsto'oe
crLe
Pe"rtLt fssuance
Mechanicel Pemtat 5c
ENCROACHMENT --
Sec'*'ttu DePosit
Storage
Maintenance
Permit
:
/t+, OiC'utbcu!
71,/CISida,talk 2q /
-
Yence
Electrical Inbel
Mobtle Hone
A;7-%
THAwIAREFULLyE0A}|INEDthecompleted.apolicationforpennit,anddo
hereby certify tn"t''ii-r"ii*,*tion heyein'is true and cor?ect, anc I
fw'ther certify tnat'Liy irn aLL uork pe.nfor:ned alnll be done in acco?-
i"i;":*li tnti o"a.i"l"z"*;r;;,; iti.zr ,bp*tizlifi!"!;ox!"iyrm'r{r'r\:r-* State of lregcn pertaining to the ttot'k CG
ptNcy uiLL be nade ;7-;i;:;',;;";i"i-iiit7i"i- plii,aion of the Bui.Ldi.ns Di'-
uision. I further c-entiig thet -ottly "o'tiiitoou arl enplcyees uho are in
ii"pl,il"i'rttt ons-ibt.b"ss 'ttt be-used on t'hie ptoiect
l*'t';1't"lr, it!o!lil? l1l-ttt :'/6zz.o?D;t bc
I
State
I
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CITY OF SPRINGFIELD, OREGO'V
t\-rlr-
IJOOD STOVE/INSERT INSPECTION APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
225 Fifth Street
Springfield, 0regon 97477
Job Location:
Assesso Map *:
Owner:
Address:
Ci ty:
0ffice:
INSPECf,ION LINE:
726-3759
726-3769
Tax Lot S:
Phone *:
Stat zip:
Value o
(p
PeIIet Stove/Insert:
approprlate appl lance
Prellminary Inspectlon is $15.00 (prlor to lnstallatlon of-insert)
Ilood Stove/Pellet/Insert t ts $15 00+00 Issuance + $1
Type of Inspec
Contractor:
Address:Phone il:
City, State:zlp:
Constructlon Contractors Reglstratlon *:lres:
ure
FOR. OFPICE USE
REQUTRED rNSPEgrrON(S) :PRELIHINARY
Date of Applieatlon:Job *:
Total Amount Collected:-lftt\
state
By slgning this permit/application, I agree to caII for an inspection(s) as required(726-3769r. I state that all lnformatlon on thts ap[llcation/permit ls correct andthat I vas provided vith the Uood Stove Safety information for vood burnihg
appllances and prellminary lnspection standards. I also understand that if I am
reques t a prellmlnary lnspectlon, the vaLi covering may be requlred to be removed.
te /t /o _7 /
1L tfL
Receipt fl'\$T b
{\
'hecked for Delinquencies:L---
By:
\0-
r s tor e a
n-lEiEri-ffi{.sq.kF....-4
ilm
C'TY SPR OREGOTV
225 FIFTE SI?BET
SPRINGFTEID, OREGON 97477
INSPBCf,ION REQUBSTI 726-3769
oFPICE: 726-3759
1. LOCATION OF INSTALI.ATION
= r_/L,7 /rz*Z;>,>,.".1r: .
IJGAL DESCN,IPIION/?-o2^/r^7-
JOB
---
PTION
Permits are non-transferable and expireif vork is not started within 180 daysof issuance or if vork is suspended for
180 days.
2. COMRACITOR INSTALI,ATION ONLY
Electrical Contractor
Address
city- Phone
Supervisor License Number
Expiration Date
Constr Contr. Number
Expiration Date
Signature of Supervising Eleetrician
Address
Ci ty Phone
OHNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
si
DATE:
SPTIINGFIELo
SUBTOTAL OP ABOVE
5Z State Surcharge
TOTAL
200 amps or less $ 40.00
0ver 401 to 600 amps _ $ 80.00
Over 600 amps or 1000 volts see rrBrt above
EI..ECT?.ICAL PBRHIT APPLICATION
City Job Nu ber ()/4,-1,'-=,
3. COHPI.ETB FEB SCEEDULE BELOS
A. Nev Residential-Sing1e or
Hulti-Family per dvelling unit.
Service Included:Items Cost
1000 sq.ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Hanuf'd Home or
-Hodular DveIling
Service or Feeder $ 40.00
B. Services or Feeders
Installation, Alterations or
Reloeation:
200 amps or less
20L amps to 400 amps
-401 amps to 600 amps _
601 amps to 1000 amps_
0ver 1000 amps/volts
Reconnect Only
C. Temporary Services or Feeders
Installation, Alteration or Relocation
Sum
00
00
00
00
00
00
$ so.
$ 60.
$100.
$130.
40
$300
$
D. Branch Circuits
Nev, Alteration or Extension Per Panel
one Circuit $ 35.00
Each Additional
Circuit or vith Service
or Feeder Permit S 2.00
B. Miscellaneous (Service/feeder not included)
-Each i.ns tallat ion
Pump or irrigation
Sign/0utIine Lighting-
Limited Energy/Res XLimited Energy/Comm
Za**
-t>O
$ 40.00
$ 40.00
s 20.00
$ 36.00
E'n,
RECETVED BY:
5
Q4 ze
ovners *^ . ./rt;r/- ffrraf-t
CITY OF SPR"VGFIELD, OFEGO'V
lsPRI]YGFIELD
BACKFLOW PREVENTION DEVICE PERM-IT APPLICATION
CITY OF SPRINGFIELO
BUILDING SAFETY DIVISION
225 Fifth Street
Springf ield, Oregon 97 477
Offi ce:
INSPECTION LINE:
726-3759
726-37 69
Job Location:
As s es sors MaP /l :/
Owner:
Address:
C'ity :L State:
Backflow Permit is $15.00 + $0.75 State Surcharge
Tax Lot lf:e
Phone #:4)'2D<
Li p:
Contractor:
Phone #:Address:
City:State:
nature
FOR OFFICE USE
Date of Appl ication' z)--t/-/-? f
Receipt il:2c:>Issued By:
Zi p:
Construction Contractors Registration #: Exp'ires:
By signinq this permit/appljcation, I agr99 to call for an inspection once the
backflow prevent!on dev'ice has Uee^ installed and is v'isible for inspection
(726-3769). I also state that ail information on this application/permit is
correct.
a
Total Amount Col lected , ,/5,5
Job #:
/\/<=?r'P-z ?z
7t
(
CITY OF
SPFIIN.:IELcl
,%
225 YXYTII STREET
SPRTNGEIBID, OR8GoN 97477
INSPECIrON RBQIIBSI: 726-3769
OPPICB: 726-3759
1 OP
EI.ECIRICAL PBh}rrr AIPIJCATION
Clty Job Nunber g'or)
3. COHPI.ETB TEE SCEBDT'I.B BBLOS
A. Nev Resldential-Slngle or
Hu1tl-Famlly per dvelllng unlt.
Servlce rncrudedl
rtems cost Sum
-I.BG/TL(,)oA ffiHf'oncr,tot q
Permits arelf vork ls
of lssuance
180 days.
not sorl
transferable and explre
tarted vlthin 180 daysf vork is. suspended for
1500 sq.ft. or less - S g5.OO
Eaeh addltional 500sq. ft or portion
thereof S 15.00
Each Hanufrd Home or
-Modular DveI).ing
B. Servlces or peeders (10 Branch Clrcultslncluded). Insta1latlon, Alteratlons
or.Relocation:
2. COIitIIACTOR INSTALIATION ONLI
Electrical Contracto
edaress 84.O'..r.
ci Phone
Supervlsor e Number
CiJ
Expiratlon Date
Constr Contr. Number S
Explration Date
of Electrlclan
Ovners
Address
ci Phone
OIINBR
The installation ls belng made onproperty I ovn vhlch ls not lntendedfor sale, Iease or rent.
Ovners Signature:
DATE:
100 amps or less
101 amps to 400 amps
401 amps to 600 amps
601 anps to 1000 anpi
Over 1000 amps/volts'
Reconnect 0nly
s 35.00
s 60.00
s 90.00
s130.00
$300.00
$ 3s.00
2ol amps to 400 amps
-
$ 4o.oo
0ver 401 to'600 anps
-
S 90.00
Ovbr 600 anps or'1000T6T[s see nBr
$ 3s.00
s, s0.00
s 1s.00
C. Temporary Servlces or Feeders' Installatlon, Alteratlon or Relocatlon
above
D. Branch Clrcults
Nev, Alteratlon or Extenslon per panel
E.Hlscellaneous (Servlce/feeder not included)
-Each lnstallatlon
Pump or irrlgatlon S 36.00Stgn/outline Llghttns- S 36.00Slgnal Clrcult or
One Clrcult
Tvo to ten Circuits
Each Addtrl ten orportion thereof
Ilmlted energy panel
ST'BTOTAL OP ABOVB5f Stite Surcharge
RECEIVED
5
TOT
s 36.000-
IIOOD STOVE/INSERT INSPECTION APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
SPFIT{GFIELD
0ffice:
INSPE TION LINE:
225 Fifth Street
Springfield, Oregon 97477
Value o
(p
726-3759
726-3769
Job Location:
Assessors Hap $:Tax Lot *:
Address:Phone *:
Ci ty:S tat zip:
ellet Stove/Insert:
e approp riate appliance
Pr.ellminary Inspectlon is $15.00 (prlor to installation of insert)
lIood Stove/PeIIet/Insert t is $15 00+00 Issuance + $1 s tate rchar
Type of Inspec ue
Contractor:
Address:Phone #:
Ci ty: State:.Zlpz
Construction Contractors Registratlon f:lres:
By signing
(726-3769).
that I vas
appliances
this permit/applicatlon, I agree to caII for an inspection(s) as required
I state that all informatlon on this appllcatlon/permit is correct and
provided vith the llood Stove Safety informatlon for wood burnihg
and prellminary inspection standards. I also understand that if I am
a preliminary inspection, the vali coverlng may be requlred to be removed.
CITY OF SPR 'INGFTELD,
reques t
,//- /?- 7r)
ure Date
FOR OFFTCE USE
REQUIRED INSPECTION(S) :
Date of Applicatlon:
Total Amount Collected:t
Receip , *' $)-l') (,I
Job #:
PRELI},IINARY
Checked for Delinquencies t L-'*
By
e
\c-.
s tor a
Owner:
OREGO'V
\c{l
Permit No:
Address:
lssued Date:
STATEMENT:
INFORMATION NOTICE TO PROPERTY OWNERS
ABOUT CONSTRUCTION RESPONSIBILITIES
Note: Oregon Law, ORS 701.055(4), requires residential building permit applicants
who are not registered with the Construction Contractors Board to sign the
following statement before the building permit can be issued. Licensed Architect
and Engineer applicants, exempt from registration under ORS 701.010(7), need
not submit this statement. This statement will be filed with the permit.
Fill in the applicable blanks, and initial box 1 and either box 2A or 29:
't I own, reside in, or will reside in the completed structure.
2. A.My general contractor is
Contractor registration number
OR
I will instruct my general contractor that all subcontractors who work on
the structure must be registered with the Construction Contractors Board.
B I will be my own general contractor.
lf I hire subcontractors. ! will hire onlv subcontractors registered with the
Construction Contractors Board. lf I chanoe my mind and -do hire a general
contractor. I will contract with a contrattor -who is reoistered w-ith the
Constructibn Contractors Board and I will immediately-notify the office
issuing this building permit of the name of the contractor.
I hereby certify that the above information is correct and that I have read and understand
the lnformation Notice to Property Owners about Construction Responsibilities on the
reverse side of this form.
/ /- /?* I l
t Date
CONSTRUCTION CONTRACTORS BOARD
o24N 10t24t89
M^PY ro rssurNc AGEN.Y PERMTT F.LE
I {$K COPY TO APPLTCANTU)fLft- @s
d
SPFl]NGFIELEl
DEVELOPMENTSERY'CES
PUBLIC IYORKS
M ETRO POLITAN WAST EWATER M AN AG EM ENT
Augus t 24, 1990
Jack Barkovic
218 H Street
Springfield, 0R 97477
Re: Lot Line Adjustment (Journa1 No'
239L, 2403 and 2427 N' 32nd Street
90-06-95) - Betveen properties located at
in the CitY of SPringfield.
),E EIETU C-OETTcLJttt t i,J,,rLr
SPBI !,JG F IELD OP, :J7177
(503) 72a-37=3
Dear Mr. Barkovict
Staff Decision: Final APProval'
The retter dated July 3, stated that there vere tvo conditions to be met prior to the
gr"riing of Final epiroval. These conditions vere submittal of:
1. Tvo copies of a survey shoving points set; and
2. The nev legal descriptions for each property'
Conditions 1 and 2 have been met'
Ifyouhaveanyquestions,pleasecallmeat(503)726-3759'
Sincerely,k
G . Karp,
Associate Planner
cc:Jeff Schwirtz
Tom Balzhiser
Tom Poage Engineering