HomeMy WebLinkAboutPermit Building 1990-08-02Recei i.. RESIDF"ITIAL..
: -- APPLICAT]Ofr/PERI'1IT
225 North |th StY'eet
SprLngfield' Oregon 97477
Butlding Diuision
7 26-37 53
Ceneral
P lurnb i
t hoder to oee that aLL inspections oe nade
at the ft'ont of the ProPertY-
Buitding Sttc at aLL- times.
(
Date:
{e
at the propet time, that each address is readabie
iob aCdress, tYPe
P,equests receit;ed
of inspeclicn
befcre 7:00 an
SP'ItNGFtEI-.D
It ia the
fron thetsuilding
respotzsibility of the Permi
stre'et. anC that the Permit' Diuicion apPt'oxed PLan sfu:L
card ie Located
L remain on the
PP,ocsDUPE FoR INSPECTI1N .89-Q, lEsr:CArequested atd uhen you uiLL be reddy
tiLL be rmde the sone dcY, ?equests
LL726-3769 (tecordet) state your City Cesignated iob nw:ber,
for inspection, Contractars or ALmers ncrne and plnne nwnber.
mcde aftet ?:00 on viLL be nade the nett ',nrking day.qMB ro
UNDERSLAB PLUT{BINC, ELECTRICAL &
-ittiidtcl,t: To be made before anY
6ii-ii-i6oet'ed.
FO}TING & FOUNDATIC!: To be tmCe
Afi;;-$;ncnes are -etcaoated and
forns are ez,ected, but Pt'ioz' to
pour"ing ccncreta.
UND1RGPOUIID PLUMDINC. SSHER. W.4TER'
Dnalunct;-;-ta naCe prion to fil-
T@-f,i6n hes.
i-l uno*rrco\ prumnc q uw14-wtc,nr-,
^I t To be nade priot' to LnstaLLatLon oI
floor insulction o* decking.
required oapor batrie?s are in p'lace
bui be|ore any Lath, gApsutn bcatC oz'
tnLL couet'ing ts applied, and before
oty insulntion is concealed.
SITE INSPEC?ION: To be rmde aften
e-.a,r;;lon;6t priar tc set uP of
forme.
POST AND BEAM: ?o be nade PrLot to
iifiTTfrld-of floon insulation ot'
decking.
ROI-ICII PLUI,IBII|C, ELECTRIQAL & IIECII,:
autcl.f: -io 'aotk-is to be co"*eted
GliTthese itapections hatse been
nade and approued..
FIPEPLACE: Py"Lor to plceirq facingmcterials ard before froning inspec-
tion.
FRAIIINC: l,lust be requested after
approval of rough plwr,bing, electni-
cal & neclnnieal. AL! r,oofirq
braeing E chinmeys, ete. rrust be
completed. llo ucrk is to be con-
cealed until this inspectton lns'been nade anC approued.
FTilAL PLUI|BTIIC
FIIIAL I4ECITATIICAL
FIIIAL ELECTRICAL
Iour City Deeigzated Job Nwnbet fs:
VAPOR
To after
DRYIIALL INSPECIION: Tc be rrude
;7;"" "17-@uatTis in place'
but prior to cnA tafrng.
MASONRY: Steel Location, bond
6ifrijgrcuting or oerticals in
aceordorce uith U.B.c. Section
241 5.
WOODSTO'IE: After instalZation is
ccrnpleted.
CURB & APPRCACH APP)!: After forns
a,e erect;{6; p;lo" tu Pouring
eonct,ete.
SIDEWALX & DRIltEl'lAY: For aLL con-
-__-__---.._:--crete pauing uithin stteet right-
of-tnA, to be made after aLL erca-
oating canplete & for'n utork & sub'
base nnterial in Place-
:l
I
?ENCE: hhen conPlete -- Pt'ouiCe
i&6i or motable sections througli
P,U.E.
ALL project cond'itions, such as the i.nstallation of street trees, co:pletion-of the
required Landsccping, ctc., must be sati,sfi,cd before the BUILDINC FINAL ean be requested.
FrttAL BUTLDINC: The Final Building fnapection mtet be requested alter the .otnal Plunbing
Eleetrical, qnC Mechar-iccl Inspections hqve been nnde atd appt'orteC.
I
Job Locaticn:
Tcz Int flAesessots MaP #
Sttbdiuision:
Asner:
Phone \+1"\
zip:J
Address:
City:
Value
h'ork:
@tr(
iLe
Date of APP Lieaticn
Additicn
RcmoCeL
t.lechanica
Iilec Er
c]'anecErStrDe
0R !.:)v|t
Sanilary saset capped tt propett:; Lile
r rlt{rr.r,rlrl(l'lti''}di""ill i''rli,l,'t
Septic tork p'tr,t7ed ard filled uith gtat;el
Final - h\ten abcoe itens ave eanpleted
and uhen Cenolition is conrplete ov stltis-
ture noveC and prercises cleaneC up.
Hcmes
Blocking o'd Set-uP
Ptwnbing eonnections -- aa)er and, uater
Electrical Ccmnection - Bloeking, set-ua
and plwnbing connecttons nrtst be apprcr;ed
befoire requeeting eleclrical inspec tio:t
Accessory Bui.LCi'ng
pcrches, skirting, decks,
Leted.
Final - Afta"
etc. ate coitP
P4'te 1 of 2IAI,L I,IANIICI,ES AND CLEANOUTS IIUST RE ACCESSIBLE, ADJUSTIIEII? TO BE I.I/IDE I? IIO C1ST ?O CITY
Fn-q-etr)
tr
SOLAR TCESS REQ.-L-CO d
tpt Faces -
Setbaeks
P. L.Ilouse Caraqe Accesa
North
East Fire
South
LOT TYPE
_ fntericr
_ Corner
_ Panhand.Le
Cul-de-sac
VaLueI?EM FTG x
JOB NO.
Iot Sq. Ftg.
% of Lct Couerage
I of Sturtes
Total lteight
lopographg
I'lain
C,cxace
Carport A k{ u)
Aceessot'a )
TOTAL VALUE
( uclue )s. D.c. 1.5 t
62fo
te Paid:3.t3
Reeea;,63
CHARGE
Signed:
ITETI NO,t Lt
Fi-xtures
Resi.dentia.L (1 bath)
Sdnita?g Sa)er
Wctet'
N0.FEE
Res. So. fta
Na,t/Extend. Circuits
?atporoy Seoice
CIIARCENC,rcr
Ftrtaee PTUTS
E=hanst llood
Vent Fot
llcodsto;le
Mechqnicol Permit
Pentn,t fssucnce
Meclanical Pernrtt
-- ENCROACHMENT --
Secarity Deposit
Storage
l.laintenance
Pcrmit
Cutbeu
Sida,talk
Pence
Eleetrieal hbel
Mobile Hone
Building Volue & Permit
Ihis permtt is granted on the etp?els cordition tlnt the said consttactionslall, in all reepects, confotm to the Ordinance adopte,L 6ly the City of
Spr_ingfield, ineluding the Xoning hdinance, r,egulating the ccnstntcticn
cnd -use of buildings, and mey be suspended or reuokeC at cny tine upon uic-
l.a.tion of any prcoisions of said Ordir.ances.
Bedroonts:
!teat
Plumbing Permit
No pereon sltall const?uct, install, alter or clange c.nA neD cn existtng
plwnbing or drainage systen in uhole or in part, unless such person is the
legal poseessor of a ualid plunbet,'s License, ezcept that a pe?son ma.g do
plunbing uork to property uhieh is ormed, Leased or operated by the appli-
cant.
Electrico I Perm it
Vhere State Lan requires t nt the electrical uork be done by an Eleotrical
Contraetor, the eleettical portion of this permit slwll not be oaliC until
the Label ltas been signed by the Electrical Contracto".
Butlding Permtt
State
Total Clntgee
Plunbing Pernit
State
State
lotal
Total
Jrl*J Eor*vfr
*
I HAW CAREFULLy EXAI{INED tle cotnpleted application for permit, and do
hereby certify that aLL infottnation hereon is true and eorrcct, dttC I
furth-er certifg that ang ard aLL uork penfonted alnl-l be done in accor-
dance tLth the ordinancee of the ci.ty of Springfield' aruC tha La;e of bhe* State of Oregon pertaining to the work Cescribed he?ein, cnd tlnt N0 occu-
pl.Ncy;itl bz nade of any structure uithout permisaion of the Building\ D_i.-
oision. I further certif:1 that otly contractoPs and .enplcyeei dho are irt
conpliance iltn cas 701.oss uiLL be used on thia project
V
,I)TAL AMOUIIT DUE: ^65,63 \i9rr"d Dzte
*
,tr/"
l, ilO4st
N/*
r6l(_il.
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 28:
1 I own, reside in, or will reside in the completed structure.
2. A. l-l 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 information is conect and that I have read and understand
the lnformation Notice to Property Owners about Construction Responsibilities on the
reverse side ol this form.
tl
ig le it Applicant Date
CONSTRUCTION @NTRACTORS BOARD
02MJ 10t24189
COPY TO ISSUING AGENCY PERMIT FILE
B
I
COPY TO APPLICANT
@s
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contractor L,qt)t
fi\:ts Bqnfttrt,
lwi be my own
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of
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