HomeMy WebLinkAboutPermit Building 1990-08-01tll.. RESIDFNTIAL..
APPLICATi'=,1/PERMII
225 Nonth ith Street
Springfield, )negon 97477
Buildtng Dtuision
7 26-37 53
SPRINGFIEI,D
Date
1
P lurnb ing
l.lechanical
EJ,ec E r a
Srrpe Elec Er clan
It ie the responsibility o! tle penrtt hold,et to aee that aLL inepee-tions at'e nade at lhe E)rope" time, that ecch addteas is readdbie
fron the stneet, anC tlut the pettnit-e-atd. i.a Located qt.*". fryl! of the-prope?ty'-tBuildiq Nuicion approt;ed pl,an sfu:Ll remain on the Building Sitc at aLL tines-
PnoceDUPE FoR I NSPEca I!!-!!!!! t!: C A
eadY
'siLL be nnde the eante dcy, "eqrcsts
SI?E INSPECTION: To be rrude after
"*ca";;|o", but priar tc set up of
forme.
UNDERSLAB PLUTEING. ELECIRICAL &
iilECHnllICAL: ?o be nade before anY
6fi7i-i6uered.
FOOTING 4 FOUNDA?ICN: TO bE IMCE
aftet trencnAs are eccatated and
forns are erected, but priot' to
puring ccncreta.
UNDSRCPOU\ID PLLIMSIN1, sswP., tl.4TER,+OnanACt: To be nPCe Priot to fil-
T@-iiinchee.
i--1 unompLooR pLUtErvc & I4EcttANrcAL:llof
floor insulction or decking.
LL726-3769 (recorder) state yout' City ted job nwr:ber,
for inspection, Contraeto?s or Oumers
Cesigrn',
nctne and plone nunber.
ncde after ?:00 on tLlL be nade the nctt :mrkitg day.
Iour City Desig:nated Job Nwnber Is:
iob aCdrees, type
Pequests receixed
of inspec'-i.cn
befcre 7:00 cn
INSULATTON/VAPOR BARRIER II\SPECTION :
fo ie nade after aLL insulaticn ad
requiz,ed uapor batriers a"e in place
but before any Lath' Wpsum boarC or
raLL cooering is applied, and befone
oty iwul.ation is concealed.
DRYIIALL INSPECAI)N: ?c be nade
af*n a1@"tTl.s in place,
but pnior to cnA taPing.
MASONRY: Steel Location, bond
Eidijgnouting or oet'ticals in
accotdorce uLth U.B.C. section
24L5,
WOODSTO'IE:
ccnpTetea.
After installation is
POST AND BEAM: To be nade prior to
Lation otl;;rarTincn of floor Ln9U
decki.ng.
ROrryil ?r,U!.!BIilC- ELECIRTCAL & \4ECH-
ANICAL: No uork is to be cor:ered
ffiiTthese iwpections haue been
made ard appnooed,.
FLPEPLACE: Prtor to plcci-rq facing
mcter:ials atd before froning inspee-
tion.
FRAI'!I\\?: ltust be ?equested afte"
appnoval of rough plwr,bing, electrt-
cal & neclanieal. ALt roofing
bracing E chinmeys, ete. ,rust be
eonpleted, llo ucrk is to be con-
cecled until this inspeetton lns
'been made anC approved.
FIIIAL PLUMBIIIG
FII/AL I4ECIIANICAL
PINAL ELECTRICAL
concrete.
SIDEIIALK & DRIIlEtlAy: For all con-<crete paoirq uithin st?eet night-
of-rxy-, to be naCe after aL! etca-
oating canplete & forn wrk & sub'
base npterLal in Place-
@e bu t prior
Aftet formsto pouting
?ENCE: hlhen conplete -- ProuiCe
fiGi or mooable sections througli
P, A. E.
ALL project conditions, suck as the i.nstallation of street treea, conoletion-of the
n"quinn-d. LanCsccping, ctc., mtst be satisfi-cd befote the BUILDINC PI1IAL can be nequested-
PINAL BUILDINC: The Final Building Inepection mtet be requeoted aftet the fi.nal Plumbiry
Electrical, attC Mechanical fnspections hqua been nade atd appnoveC,
OR !.:OVE' BUI,
Sanilany seuet capped et pt'opet'ty Line
' ,r*, I 1.'iiiilf iva/Id' ',',irl i,.; ; l', ,'.
Septic tork pznped attd filled r,ttth gra;tel
Final - lfiten abctte itens are eanpleted
and uhen Cenolition is conplete o" st"ul-
ture noved and ptenrises eleaneC up.
ItobiLe
Blocking o'd Set-up
Plwnbing connections -- la)e! anC uater
Etectt'ical Ccnnection - Bloeking, set-ui
and plwnbing connecti,ons nust be appncved
before requeeting eleclrtcal inspeelion
Aeeessor-g BuilC.!.rq
Pinal - After pcrehes, skirting, decks,
etc. ate conPleted.
Page 1 of 2
Job Locaticn:
?c.s Lot #Assessors MaP il
Sttbdivision:
Phane:Address
Describe h'onk:
!!ob't,Le
Date of Appl VaLue
ctnw,L
-/-
edditian
s
General
's;-^(.-
il ,AT,L ILANIICT,ES AND CLDANOUTS IIUS? NE ACCESCIBLE, ADJUSTIIEIIT TO BE I,IADE AT IIO CCST TO CI?Y
T
JOB NO.
Iot Sq. Ftg.
% cf Lot Cooerage
I of Stortes
Total lleight
Topography
Butlding Pertrrit
State
?otal Charges
Plunbing Pemit
State
Petmit
Stete
Total
TotaL
soLAR ACCESS REQ.-
Gt
LOT TYPE
_ Intericr
_ Corner
_ Pan?nndle
CuL-de-sac
L-CO C
Bedroott :
f,ot Faces -
-- Fees --
lleat
Date Pa':.d:
Receipt ll
Sigted:
C.'
Building Volue & Permit
This pennt ic granted on the erpress condition tlwt tke satd eonsttaction
shall', i-n all r"espects, conform'to the Ordinance adopted Liy the City of
Springfield, inetuding the Zoning Crdinance, regulatinE the ccnsttacticn
and use of buildings, and may be suspended or reuokeC at cny time upon uic-
lation of any prcoisions of said ordinances.
tote
Fee:
*
*
*
Plumbing Permit
No pe?son ohall consttwct, install, altet ot elange cn7 neu cr ecisttng
plunbing or drainage sAstel in ohole or in part, unless such person is the
legal pbsses"or ofo ualid pl*nbet"s Ltcense, eecept that a Pe"son naV 49ptuntl:ng uork to property ihich is ottned, Leased or operated by the appli-
cant.
Electricol Permit
llhere State Lan requires th.at the electrical uork be ilane bg an Eleotrical
contractor, the eleetrical portion of this permit slwlL not be oalic until
the Label lns been aigzed by the Electt'ical Contractor'
T[an cxaiiier
3:1.fu'
Date
f HAW CAREFULLY |XAI''IINED the eornpleted application for permit, and do
herebu certifu that aLL infotmation heneon ie true and cornect, crtC I
fut,th"er certiiy that aity ard aLL uot'k petfotmed alall be dote in aceor-
dance tith the- 1rdinaneea of the City of Springfield, aruC the La;,;s of the
State of 1regon pertaining to the uork Cescribcd herein, cnd. tlnt NO 1CCU-
ptNcy witl bL raTe of any st"ucture uithout permisaion of the BuildingT Di-
uiaion. I fu?thet' c'ertiiii that only contvactors ad 3nplcyees uho are itt
eonpliance -uith ons ?01.05s uiLL be used on thie project
P,L House Can aqe Access, | | w
Not,th I I Rart
Eost ll
South
llest l
Sq. FTGITEM x Value
llain
Cclace
Cd"Dort
Accessoru
TOTAL VALUE
S.D.C. 1.5 c
f rr
&3 3U
CHARGENO,FEE
FLrtures
Resi.d.ential (1 bath)
Sanitaru Seuer
Wctet,
CHARGEN0.FEE
Res. Sa. ftq.
Iaipora?A Set'uice
CIlARGENC,
State
*
Mechonicql Permit
bhanat Hood.
llcodsto;se
Vent Fot
Permtt fssuance
Meclnnical Petrrit
-- ENCROACHMENT -.
Sec,u.ity Deposit
Storaoe
Mainternnce
Pcrmit
Cltrbcu
SideuaLk
lence
ElectricaL Label
Mobile Harc
TOTAL ALIOUNT OUE: ^k Sign:zd D,t te
tt
(0cLue)
ITEM
N a,t / Ertetd Ci.r,cui t s
rT9M FEE
htnaee PTU'S
{Permit No:
Address:
lssued Date:
STATEMENT:
INFORMATION NOTICE TO PROPERTY OWNERS
ABOUT CONSTRUCTION RESPONSIBILTT!ES
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.f7l ! own, reside in, or will reside in the completed structure.
2. A.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
B I will be my own general contractor.
lf I hire subcontractors. I will hire onlv subcontractors reqistered with the
Construction Contractors Board. lf I chanoe my mind and Eo hire a oeneral
contractor. I will contract with a contrattor'who is reoistered wlth the
Constructibn Contractors Board and I will immediately-notify the office
issuing this building permit of the name of the contradtor.
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 Iorm.
/./,,,--4/ 7 .r--/E'--l
Signature of Permit Applicanl
CONSTRUCTION @NTRACTORS BOARD
0244J 10t24t89
Date
TO ISSU]NG AGENCY PERMIT FILE
TO APPLICANT
@s
Receipt #
/ z-? /3
qo\
l)/
4-C-
Date:0-
l'lechanicaL
APPLICA, )N/PERMIT
225 North Sth Street
Springfield, Oregon 97477
Building Diuision
ooa ?nE7/ ao-o / oo
..RESIDENTIAL..
SPIITNGFIELI)-
.tob Locaticn:
Aasessotc uap I 11'D 3'-tLl -rar lot lt ,h\OQ E
fiibdioision:
rH ZAlfr)5
Ailer:
city
Addt,ess Phone:
zip
Value
't'lorl<:
i/-Date of ApP Lication
1
-fy
tdditicn
General
ELectrica
Constntction Lendet'
It ie the Tesponsibilitg of the permit holder to see that aLL inspec_tions ate rtade at lhe pvoper
f,om the st,eLt, anC thit the_peinot,card is. Located at.!h-e. ft,ant of the_-property.
isiiti{rrs- D.;t;t.; approu'ed plbn sLr,:LL remain on the Building sil;e at aLL times.
pRocEDUpE FOR rNsptgg!911_!!9g!!!.GALL 726-3769(recorder) state aour City cesigrnted iob nwnbet'
nadyfoyinspection,Contractcrso,o,,tnn,"nclneendphonenulber,,
uiLL be nade the satne dcy, requests-ncde afiet, ?:00 on uiLL be nnde the ncxt aoz'kirq day,
IouT City Designted Job Nutnbet: Is
time, that ecch address is teadabl-e
,, iob aCitess, tYPe of incPec=ioi
Pequests receit;ed befcre 7:00 ct
Reatired
W
es.auii-o", b"i prior tc set uP of
fonne.
UNDERSLAB PLUMBINC. ELECTRIC,IL &
MtCUtilICl,t: To be made before dnY
ffii-li-iouened.
?OOTING & FOUNDATICN: TO bC TACE
a|t er - t riliG{ ar e Zr c au at e d artl
fotms are erected, but Prior to
pouting ccneret€.
DRY\IALL INSPECTI)N: Tc be made
;ft;n-;rr-inwall is in place,
but pnior to any taPing.
MASINRI: SteeL Location, bond
GZdilgz,outing ort oeY'ticals in
accordance ulth U.B.C. Section
2415.
WOODSTOVE:
;;@etA.
After installation is
SITE INSPECTIOI|: To be nade after INSI]LATION /VAPOR BARR tER IIISPII)TION :
fo tn ,"anifter aLL 'i-nsulal:icn artd
required uapor batriers ole in place
bui belore any Lath, gApsutn boat'C ot'
rnLL couering is appLied' and before
oty insulation is concealed.
DEI.IOLilrclI OR ].:AVED
Sanitory seter eapped at propet'ty Lire
Septic tank p;inped and filled aith gra:;el
linal - l{?ten abeoe itens ave cc,ttpLeteC
and uhen Canclition is complete or str'r3-
ture noued and premises cleaneC up.
Mobile Hcnes
Blocking atd Set-uP
Plwtbing connections -- sater at'd uater
Eleetrical Ccmnectian - Blocktng, set-ut
and pltunbing cottneetions mtst be apprc"*ei
before requesting eleclrical inspection
Aecessory- BuilCittg
Pinal - After pcrehes, skirting, decks,
etc. are conpleted.
UNDXRGPOU:ID PLIJM?TNC, SIWER. r't.4TER'
OnAttUCt: fo te naCe Prtor to fil-
T@-tr"n"hee.
IIIIDERFLOOR PLUI,EINC & I4ECI|ANICAL :
ot
floor insulation or decking.
POST AND BEAM: To be nade Priot' to
Ti€liTTatf,ii'o! floor insulation ordeckins. V>
noucu prunttc<ffid wcu=
ANICAL: No Ltork is to bc cotered
GtTTthese inspect.iotts haue been
made and approoed..
FfREPLACE: Prior to plaeirq facing'
^atAAG and before franing insPee-
tion.
FRAtlltlc: lhust be requested after
approv"t of rough plttrhing' electri-
cal & mecLnnical. AL! roofirry
btacirq E ehinmcys, etc. rntst be
conrpleted. llo ucv,k is to be con-
. cealed until this inspection las
'been nade anC approt'ed,
/a,t, L,i !"lucuRB & APP41ACE APPTU: After forns
aa,; ercctelEt p;lor to pouring
conc?ete.
SIDEWALK & DRf',tEltAI: tot' aLL eon-
.ret "narr@Atlffi stre et right-
of-tay, to be made after aLL etca-
oating canplete & for-n aork & sub-
base material in Place.
?ENCE: hlten conPlete '- ProoiCe
j&6i or mottable sectians through
P.U,E,
ALL pro;jecb conditions, :iuch us ttrc i.nstallation of street tree_s, conpleti.on_of the
n"quinnd LanCsccping,;tu,, mtst be satisfied befot,e the BUILDINC FII\AL can be requested'
ilNAL BUILDINC: The liinal Building Inspoctiotr rmtst be requested cltezr the Ftnal Plwnbing
Electrical, anC Meehanical Inspeetions itquc been made and approueC'
FIIlAL PLUIIBIIIC
FINAL MECHANICAL
v{4
FINAL ELECTRICAL
l1
P,:qt 1 of ';il *AI,T, hTANilCT,ES AND CLDANOUTS III]ST BE /ICCTSSTBLT, AD,IUSTI\ENI TO BE ],IADE !.? NO CCST TO CIIY
-rb
zltz/
?LC5
t Ll
\
tr
u
I
OSf soLAR AcF-Ess REe.-JOB NO d
Zone t
L-CO
Beciroons
Sourees
Access
oe
!1,tbacks
Lace
P. t,.House
Lot Faces -Lot Sq. Ftg.
% cf Lct Cctserage_
LC? TYPE
_ fntericr
_ Cotner
_ Panhandle
_ Cul-de-sac
# of Stories
Total Height
Topography
-- Fees --
Building Volue & Permit
Thts pernit is granted on the erpress condition that the said-constraction
slnll, in all respecl;s, conforrn l;o tlrc Crdirwnce adopted by the Citg of
Spningfield, inctuding the Zoning Crdinance, re-gulctirtg t|rc ccnstrtcticn
and use of butldings, and may be suspended or reuckeC at cnlj tine upon uic-
LaLion of an17 prcoisions of said 1rdinances.
TOTAL VALUE
lt
x Va
s.D.c. 1.5 c
2--
ITEM
Main
Building Permit
Tol;al Clnrgea
St;ate
Signed:
Receipt ll
Date Paid:
PLan
ITEM NO FEE
Fittzll es
Residential (1 bath)
Sanitery Seuer
Wa1;.er.
PLunbing Pemit
I
,rorn ,*"honnn --]]|
Plumbing Permit
No per,eon slnll consttuct, install, alter or clwnge cnll n"-D cr eristing
plunbing or drainage systen in i,shole oz, in part, unless such person is the
Legal possessot of a ,talid plunberts License, escept that a person mail do
plunbing uork to property uhich is oDned, Leased or operated by the appli-
cant.
Electricol Permif
Were State Lart requites tlnt the electrical aork be done by an Electrical
Conl;ractor, the electrical portion of thh permit sLwLL not be ualiC until
the Label lus been signed by the Electrical Contractor.
2eoA 2?-u^
TFtr
D^^
.?
u t4
Na,s/Eetend Circuits
Set uice
State
Total
iTXM NC.FEE CHARCE Mechonico! Permit
Vcodsto;se
Vent Fm
Eehanst HooC
BTUIS
PermLl; Issuance
Mechanical Permtt
f ttAVE CAREEULLy EXAMINED the cornpleted application for permit, and do
hereby cet,tify that aLL information hereon is tt'ue, and. ca*cct, cnC f
further certify that ang ard aLL uot,k pez.forned sLnLL be done in aecor-
dance trlth the ovdinances of the City of Spz,ingfield, and tha La;s of the* State of 1r,egon pertaining to the uork Cescribed het'ein, cnd tlnt No )CCU'
-- PANcy uiLL be nade of anA st?ucture Dithout permission of the Building Di-
l-)- uision. r further cLrtii;1 that only contraeioi:s aiid anplayees aho arb in
conpliance uith CRS ?01.055 uiLL be used on this project
//--7o-=6
2O
Mobile Hcme
Date
T)TAL Al'l?UllT DUE:*QfoZ.^b
Taf,e
TotaL
6 {a
e \7
t(-so t(
-- ENCROACHMENT --
Cutbcu.l;
5LdA)ALk
Total Charaes
State