HomeMy WebLinkAboutPermit Building 1990-07-16tl.. RESID-\TIAL..
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/PERMrr
SprLngfield' 1regon 97477
Building Diuision
726-37 53
SPFIINGFIEI.D
It ia the responsibitity o! tle pemrit holder to aee that aLL inepeetions are nade at the pro?e! ttme, that ecch cddress is readabie
frcn the st"eet, ard that the permit catd ie Located at lhe fnont of the,propenty.-tSuilding Nuision appz,ot:ed plan sfu:Ll yematn on the Building Sitc at aLL times.
Date:
26-3769 (reconder) state your City Cesigrated iob nwnber',
inspection,Contractors oi asners rctne and phone number
r.es
iob aCdress, type
P.equestl receixed
of inspeclicn
befcre 7:00 ctPnoCtDUPE FOR INSPECrt)tt ASQUqSr:CALL 7l
requested iri ahen you uiLL be ready for'siLL be nade the sante dcy, requests made after 7:00 an uvtll be nade the nert :mrking
Qco 8ffi
fozme.
FC)TINC 4 FOUNDATICN: To be rruCe
Aftez, tten;Fes ate ercaoated and
forns ate erected, but pt'ioz' to
poutirtg ccncrete.
Ioun City Desigr,ated Job Nwnber Is
r N S U LAT T o N / v APo R B A B LTE! !!10!E!!l p N :
lo be made after aLL insulaticn avd
required oapor bon iers ale in pl.ace
but before any Lath, gApswn bcav'C ov'
rnLL cotsering is applied, and befor.e
otg insulation is concealed.
DRYI,IALL INSPITION: ?c be made
UNDERSLAB PLUT'IBINC. ELECTRICAL &
ilECH!.llICAL: To be made before any
Gik-iiiooered.
SITE INSPECTION:
er;au;non, but
FT!?EPLACE:
^dt;;l;l;
To be nlade after
pt'iot, tc se! up of
UNDSRGROUI]D PLaMErNc, S,WP,2 l,lATER'
Onatlt4qg: To be maCe prior to fil-Tfr-liinches.
UI|DERFLOOR PLUI,EING & I4ECHANICAL :
o7
floor insulation or decking.
?OS! AND BEAM: To be nade prior to
TiiiiTTil6n of floor insu'l,ation ot'
deeking.
ROUCil PLUIIBIIIC. EI,EC?RICAL & I|ECII:-
ANICAL: No uork is to be co"*et'ed
GliL these inspections haue been
nade and. approt-ted.
after aLL dtyuall is in place,
but prior to anA taping.
MAS)NRY: Steel Location, bond
Eiffiilgrouting or uerticals in
accotdotce Ltith U.B.C. Section
24L 5.
WOODSTOTIE: AfteP installation ie
cctnpleted.
CURB & APPRCACH APP)N: After fonns
are erecteC but pt'ion to Pout'ing
concrete.
SIDEWALK & DRIYEI'IAY: Por aLL eon-
c"et;nat 6AtFn street right-
of-teA, to be maCe after aLL erea-
oating conplete & fotn utot'k & sub-
base natertal in Place.
?ENCE: h4ten conPlete -- ProttiCejEG on motsable sectians througli
P.U.E.
ALL project conditions, sueh as the i.nstallation of slreet trees, conolotion of the
required Landsccpit:g, ctc.' mtst be satisfied before the BUILDfNC FINAL canbe requested.
PIIIAL BafLDINc: The Final Building Inapection mtst be requested aften the ,oinal Plwnbing
Electrical, anC Mechariccl Inspections hquc been nade atd approueC.
Pri.ot, to plceirg
and. before froning
fceing
inspec-
tion.
!,!ust be requested af*"er
approual of rough pltnbing, electti-cal E neetanieal. AL!, toofirq
bracing E chinmeys, etc. nrast be
eornpleted. llo acrk is to be eon-
cealed until this inspection lns
'been nade anC apptoo-ed.
FN]AL PLUT|BITIG
FITIAL I4ECIIANICAL
PINAL ELECTRICAL
Job Locaticn:
Icr lpt llAesessot's MaP #
Subdiuision:
A^mer:
Phone
ci
Address
Date of AppL
ot
@
Valueto
Desct"ibe ffork:
Additicn
RenoCeL
General
Plurnbi
Llechanica
Electrician
E ec f.f
Srrpe
DETIOLI?ION OR
Sanitary seten capped at pz'operty Line
, jt&.r.r.,,lJril :rj/P,lr, r',lt i.,',,1,r, ,I
Septic totk pqryed ard. filled with gra;sel
Final - L4ten abcrte itens are eonpleted
and uhen Cenolition is complete or st?uc-
ture moued and prewises cleaneC up.
Hcmes
Blocking ord. Set-up
Plwnbing connections -- sa)e? and. uater
Electrical Ccnnection - Blocking, set-uc
and plunbing connections rrust be appncved
before requeating eleclri.cal inspection
AccessoTil Building
Fital - After pcrekes, skirting, decks,
etc. a"e cornpleted.
Pqelof2*AI,L I.IANIICT.ES AND CLEANOUTS IIUST BI'- ACCESSIBLT, ADJUS?IIEIII ?O BE I,ITDE I? IIO CCST TO CI?Y
T
r
JOB NO.soLAR AACESS REQ.-L-CO d
P.L House Can'aqe Access,
North
East
South
I,/est
% of Lot Cooaage_
! of Stortes
Total lteight
SQ. FTG x ValueITEM
Lot Sq. Etg.
Topographg
LCT TYPE
_ Intet'ior
Corner
Panlwndle
CuL-de-sac
llain
C,saqe
Ca"Dort
Accessot t)
TOTAL VALUE
( ueLue )S.D.C. 1.5 s
/&s
ITEI'I N0.FEE
8{p 35
CHARGE
Flittures
Residenti.aL (1 bath)
Sanitary Seuer
Hcter
CHARGEITEMNO.otp
Res. So. fta
Neu/Ert,end Circuits
TaWor@A Sentice
CIIARCEFEEI?SM
Furnace PTU'S
bhanet lloo,7
Yent Fot
llcodsto;te
*
Mechqnicql Permit
Permit fssuanee
llechanical Pemtt
-- ENCROACHMENT --
Secaritu Deposit
Storage
I4aintenance
Pcrmit
Cvtbcu
Sideualk
Fence
ELectrical Ia.bel
Mobile Hone
Gr(Bedtooms
[pt Faces -
Building Volue & Permit
This perntt is granted on the eipress cond_ition that the satd consttaction
slnll', tn atl r-espeeti,- conform'to the ordirwnce edopted 5:y the CLtU of
Springyield, ineluding- the 2oni.ng Crdinance, regulcting the ccnstrueticn
,ird "ob of buildings,'and mag be suspended or reuokeC at cna time upon uic-
Lation of any prcoisions of eaid Ordirrznces.
Ilea
nge
tr;Lace
FeeEuilding Perrtt
State
?otal Charges
Plunbing Pernit
State
State
?otal
Total
*
*
Date Pa't-d
Receipt ll:
Signed
Plumbing Perrnit
No pereon slull construct, install, alter. ot change _cn! neu).cr eeisting
pturtlng or drainage sgsten in ulole oz' in part, unless such person is the
iegal p"osses"on ol"o rtLlid pl*rbnr"s Lic-ens-e, escept that a pe"son ma'g !o.
ptimAlig uork to property uhich is otsned, Leased o, operated by the appli-
cant.
Electrico I Perm it
hrhere state Lan requires th,at the elect?i,cal uotk be done by _an Eleetrical
Conttaetor, the electrical portion of this petmit shall not be ualiC until
the Label lns been si.gned by the Electrical contPdctot'
*
PLarT Etanlne?uate
I HAW CAREFULL( EXA]4INED the conpleted application for permit, and do
ierety certify that aLL infolmation he,eoi ie true and eotrect, anC I
fuz,th"er certZig that ang a,d aLL aoz'k perfor-ned s.lnll be done in aceor-
dan"e vLti, thb" OydinancZs of the City of Springfield, anC the Laue of the* State of 1regon pertaining to the aork Cescribed herein, cnd that N0 )CCU-
pANCy uitl bZ nnCe of ang structure uithout permiesi-on of the Building Di-
uision, I further certii.g thet otly cont"ac'tops at"d enplcyees ulo ane itt
eatpliance'rltt ons ?01.05s ui.LL be used on thts pt'oiect
:/- ?*--rr Z ru-r.Z 7 td za
T?IAL Atl0UllI DUE: t {r.as
f\efr"n -[1,2 be
$Eirtr
Electrtcal
State Swchcrge
Tol:al. Charoes
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:
qDNBEA
I own, reside in, or will reside in the completed structure.
My general contractor is trT lr,t+
Contractor registration number Lo 5q()
! will instruct my general contractor that all subcontractors who work on
the structure must be registered with the Construction Contractors Board.
S\
1. t-^----t
2.A.1 - I
OR
B I will be my own general contractor.
lf I hire subcontractors, I will hire only subcontractors reoistered with theConstruction Contractors Board. lf I chanoe my mind and Eo hire a oeneralcontractor, lwill contract with a contrattor'who is reoistered with theConstruction Contractors Board and I will immediately-notify the officeissuing this building permit of the name of the contraitor. -
I hereby certify that the above information is correct and that ! have read and understand
the lnformation Notice to Property Owners about Construction Responsibilities on the
reverse side of this form.
F- / /' iio
Signature of Permit ApFlicant
CONSTRUCTION @NTRACTORS BOARD
0244J 10t24t89
Date
pffio* ro rssurNc AGENcy pERMrr F'LE\-\ESK COPY TO APPLTCANT
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