HomeMy WebLinkAboutPermit Building 1990-10-30,4.. RESIDF'ITIAL..SPHINGFTELD
APPLICA?].>-, /PERMTT
225 llorth Sth StYeet
Springfield, O:r'egon 97477
Building Diuision
ao? 2nE2/ /,()-o I dd
Date:
It is the resPonsibi Litg of tle permi t holder to see that aLL insPee tions at'e nade at the pt'oper tine' that aaeh ad'dtess is readabi"e
fron lding Diuiciot
the street'
appro"*ed P
that the pentrit
Lan shc LL renain on the Building Si,te atcard is Loeated at the front of the properfu.
aLL tines.anC
*Dui of inspeclicn
PI?octDUPE F1R INsPECrIott ,E9=QyEST;CALL 7
requested and uken iou DLLL be readA !o"
r.'iil te made the sane dcy, requests made
26-3769 (reeordet') state yout' City Cesignated job ntanber',
inspection Contractars or Otmers tntne and plnne nwnbet,
aftet, 7:00 an url LL be nade the ncxt aorking dny
Iour City Desigrated Job Nutnbev' Is:
job aCdtess, tYPe
Requests ?ecz1,u^€d-befcre 7:00 a:r
orfro fiteDianTnll
eecattation, but
fonne.
decking.
To be nade after
pr"Lar tc set up of B be aL
UNDERSLAB PLUMBING, ELICTRI?AL &
MtcULlltCnf': To be nade before any
GFtT{iot;et'ed.
FOOTING & FOUNDATICN: To be nwCe
;F;l;enAa ar e-eccao at ed and
forns are erected, but Pt'ior to
poutLng ecnerete.
uNpiRGPOUItp PLUWTNE slrlaP. w.4\E-3'
DRAII|AGE: To be made P?Lo" to J1'L-
Tfi-TFdnehee.
uilpERFLoaR PLU\.ETNG q I4ECt!4-Nrc.!'L:
^Io be nade prio" to LnstdLLatLon oJ
floor insulction or decking.
POST AND BEAM: To be nade Prior to
ffiTffii[16{of floot' insulatlon oY
required oapor batrie?a @e in pLaee
bui before otu Lath, gaPsun boarC ot'
rnLL cbuering is dpplied' and before
aty insulation is concealed.
f--N DRYWALL TNSPECTION :| r'l;rtey;tT@tfisu but prior to anY taPi
MAS1NRI: Steel Location' bond
diffilgz,outing or oertiecls in
accorddn.e tttth U.B.C. Section
241"5.
l,to0DSTOl'E: After installation is
arnpleted.
CURB & APPR1ACH APP'QN: After fonas==-ave erecbeC but Priot' to Pourtrq
concrete.
|TDEWALN & DRf'lEllAI: For aLL eon-
;et eiaofr';l;E" st?eet right-
of-unu-. to be made after aLL eaca-
uZtlnb- cowlete & forn wot'k & cub'
base "materLal in Place.
Tc be made
in plaee,
,ns.
uoTk
.these inspee tions haoe been
FIIIAL PLU!4BING
FINAL T,IUCHANICAL
FINAL ELECTRICAL
to be
nade and approued..
1IP.EPLACE: Pv'Lor to placirq facing
^atAAG and befot'e fruning insPee-
tion.
FRA\IINC: t4ust be requested after
6iia"t of t'ough plwr'bing' electni'
ebi & necLnnical. ALL toofing
braeing t, chitmegs, etc. m'$t be
conoleted. Ito ucrk i,s to be eon-
eeilnd until this insPection has
'been made anC aPProoed.
PENCE: h4ten conPlete -- Pt'ooid'e
gA;; or notsable seetians tht'ough
P,U.E.
_ -___ -
ALL project conditions, such as the i.nstallation of s+.reet trees' conpletion of the
requit ed. Landseepirg," LtZ. , ' i"t tn ,otr1"fiZ|- t"fri"- it n BUTLDTN| FrNAL can be requested'
f\t FINAL BIIILDING: The Final Bui-Lding Inspection mtst be reauested after the Final Plunbing
\J ;i:;2i;Z;:r:''lia il;iit"al rnspeet)io;;';i';;' been made and" app,oued'
Job Locati.cn:
Tan lpt llAssessore MaP #
$tbdirtision:
Asnet,
Phone:Addtes s:
City:
Descr"i,be lv'ork:
Addtticn
f -) no,oaot
(
TDIN
d)
Va'!.ueDate of
ract
General
l,lechanica
Pl-urnbin
El,ectr 1
c].anElec t t:Srrpe
DEINLITTOI'! OR !,:OWD
Sanitaty seser eapped tt property Lire
Septic tank puped attn fi'lled r,tith gratel
Final - hlren abcue itens ave canpleted
and uhen Cqnolition is eotnplete or atrac-
ture notted otd prenises eleaneC up.
Ilcmes
Bloeking urd Set-uP
Plunbing eonneetions '- saue? and aater
Electni.cal Ccnnection - BlockLng' oet-u? -ii pluntinq eonneeti-ons mtst be apprcr;eC
beforc requbsting electrLcal inspecliot
Accessory Bui-LCirtg
' -pcrckes, skirting, decks,
Leaea.
Pinal - After
ete. ate eanP
Page 1 of 2
y"-J
*AI,L L,IAIIHCLES AND CLEANOUTS NIIST RE A IIESSTBLE, AD,IIJSTllEttr TO 9E NADE A? llo ccsr r0 er?y
1
I
L-CO C
SO LAR AC!ESS REQ.-JOB NO.
Iot Sq. Etg.
% cf Lot Ccuetaqe
# of StorLes
Total Height
Topography
C?o'
LOT TYPE
Interior
Lot Faces -
Co?ner
Panhandle
CuL-de-sac
BeCtooms:
DT House
LaceltoDeSouthllWest
Building Volue & Permit
This permit is granted on the erpress condition tLnt the said.eonsttuction
slnll', in atl rZspects, confgrtnio the Otdinance edop.teCb;! the city 2f
spil1,g1tn2, inciudr,ng- the ioni,ng Crdi-nance, reguLctit'tg the ccnstTaeticn
ina ,i'n of buildings,- and may be suspended ot' reuokeC at cny time upon uic-
Lation of any prcuisions of said 1vdir,ances.
TOTAL VALUE
Itee
x ValueI?EM
S.D.C. L.5 s
Euilding Pettnit
?otal Clarges
State
Receipt #:
Date Pa"-d.
PLan
Signed:
Plumbing Permit
No pez,son sltall construct, instal'!., alter or cTtange anlJ neln cz'existi.ng
plwtbing or drainage systan in uhole oz' in patt, unLess such person is the
iegal pbssessor ofa oalid plwrberts License, eccept that a person mag !o-
plunOlitg uork to property aikich is ottned' Leased or operated by the appli,-
canl;.
Plutnbing Pernit
NO FEE
Sani Seuet,
rTEM
Ei*tu.r,es
Residantial (1 bath)
Electricol Permit
Were State La,t requires tl",at the electrical uork be done bg an Electrical
Contz,actoz,, the elicttical portion of thie pernit sltall not be oaliC until
the LabeL lws been signed by the Electrical Contractor'.
L
Na,s/Eeterd
Set uice
NC FEE CHARCE Mechqnicol Permit
bhanst EooC
Vent Fan
Petttn t fssuanee
Mechanical Permit
-- ENCROACHMENT -.
Sea,n"Lty Deposit
Stot age
Maintenance
Permit
C\ttbcut
SideuaLk
lence
ElectticaL Label
Mobile Eone
TOTAL AMOUNT DUE: *
f ilAW CAREFULLy IXANINED the completed application fot permit, and do
hereby certify that aLL infonnation hereon is true and. coz:rect, attC f
furtket, cet'tify that any ard aLL uork perforned slnll be done in accot'-
danee wlth the Ordinances of the Ctty of Spr"LngfieLd' and. the Lcas of the
State of otegon pertaining to the uotk Cescribcd herein" cnd tlnt No ?ccu'
PANCY uill be nade of any structure uithout perTnission of the Building Di-'
oiston. f futther certify that only contractot's atid anplcyees uho ate in
conpliance Dith oRS 701.055 uiLL be used on this proiect
uate
*fotaL
,{
(t -3/-7a
Pf,ai Eorn[nez,
SQ. FTCt(AMai-n
fflada
Can nort
Aco-assortt
)" c3
Wel: an
State
NO.TFEE-
----'/
*
Permit No:
Address:
lssued by 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 28:
I own, 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.
OR
1
2
B I will be my own general contractor.
lf I hire subcontractors. I will hire onlv subcontractors reoistered with the
Construction Contractors Board. lf I chanoe mv mind and Eo hire a oeneral
contractor. !will contract with a contrattor-who is reqistered with the
Gonstructibn Contractors Board and I will immediately-notifv the office
issuing this building permit of the name of the contraitor. -
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 this form.
1o -30 -?a
Applicant Date
CONSTRUCTION @NTRACTORS BOARD
02eJ fit24189
COPY TO ISSUING AGENCY PERMIT FILE
PY TO APPLICANT
@s
*-LJ
D
tr
A. r-r
t
\
SPFltr ,FtELO
225 FTrrE SI"EET
S-PRINGPTBLD, oRBGON 97477
IMlcrIoN RBOnBST: 126_316soPPfCE: 126-3159
EIJCTRICAT PEh}TTT APPLTCATION
Clty Job Nunber Lo
\o \+
JO8 DESCRTPTION
Address
ci Phone
Supervisor License Number
Expiration Date
Constr Contr. Number
Explration Date
Slgnature of Supervlslng Electrlclan
Ovners Name
Address
ci Phone
OgNER TNSTALIATION
The installation is being made onproperty I ovn whlch is not intendedfor sale, Iease or rent.
Ovners
3.
B
c.
D.
B
5. SI,BTOTAL OF ABOVB
5f Stdte Surcharge
TOITAL
COHPI,ETB FEB SCBEDT'I.E BBLOS
Nev Resldential_Slngle or
Ill.ll - l*r rI ?"! a,Eiirie uni t .rervrce fncluded i
ftems
1500 sq.ft. or less tEach additional 500sq. ft or portion
thereof
Each ilanufrd Home or
-
llodular DveIIing
Dervlce or Feeder
Servlces or Feedern"_rui"i r :'#;ii:, {:3,
rii[l":i;;:,,
"or.Relocation:
?enrporary Servlces or FeedersInstallatlon, Alteratlon oi-ietocation
200 amps or less
201 anps to 400 amps
-
over 401 to 600 amps
-over 600 amps or rbOOE'IIs
Branch Circults
I OF
A.
I,BGAT
\q
Permits are non_transferable and explreif vork is not started ,i;;i"-i;o daysof issuance or lf vort fs
-su"p"ii"a
fo.180 days.
2. COIfIRACTOR INSTALIATTON ONLY
Electrical Contractor
Sum
(-/t^(J,-)
Cost
s 8s.oo
$ ls.00
$ 3s.00
$ 3s.00
$ 60.00
$ 90.00
$130.00
s300.00
$ 3s.00
Sove-
00
00
00
Btt a
$ gs.
$ 40.
$ so.
$ 3s.00
s s0.00
s 1s.00
S
Itsee
Nev, Alteration or Extension per panel
One Circuit
Tvo to ten Circuits
Each Addt,I ten orportlon thereof
Iinited energy panel s 36.00
Mlscellaneous (Service/feedir not included)-Each lnstallatlon
Pump or irrigation S 36.00Slgn/0utltne Ltghtins- $ 36.00Signa1 Circuit or
OFC,ITY
RECEIVED
OD
100 amps or 1ess
101 amps to 400 amps
-
401 amps to 600 "rir"
-
601 amps to 1000 "ip"-Over 1000 amps/volts
Reconnect Only