HomeMy WebLinkAboutPermit Building 1990-08-08.. RESID-NTIAL..
APPLTCATYIN/PERILTT
225 North |th Stteet
SprLngfield, )regon 97477
Bui,Lding Di,ttision
7 26-37 53
General
Plurnb
l.lec lc
It ie tlte
fian the*BuiHi.V
a -22-9 2
to aee tlwt aLL inspectioftE, @e nade at the propet tine, that eceh addrees is realabie
ia leatad. at th9 ftotrt of tle
z,emain on tha Building Site at a -?Tdp*tyL tLmes.
SPFIINGFTELD
t#
Date:
\)
c..r'
L
PRocgDUPE FoR INSPECfiOU E1,O.UEST:CAiaq,teeteA-A@enlou tiLL be readY
l,vill be nade the sone dca' tequeste ,
LL726-3769 (reeotdet) etate yout Citg ted job ntmber,
for ir,spection,Contrd.cta?s ot' A,mers
designa'
rcme crtd plane nur,tber.
made aftet 7:00 on ttill be nade the neot :'nrki.ng dag.
Iou! CitA Deaigr,a.ted Job Numbez' Is:
job aCitess' tyPe
P.equelts teceixed
of inspeericn
befcre 7:00 dn
qohtl nad IuanoafT-afr9
Job Locaticnt 3 a .H
Tc,s Iot #Assessors Map #{-)
$tbdioision:
0.mer:
Phone:Addtess
zi-p:ci.fu:7
9;zf4/
ffi%
hueha,//a*ir.& fu,frdfi
Descrtbe Wot'k:
Date of
AiAiticn
L
Ya'!.ue
/i./(y 4
rSontrac
ectrE a
tr c 1anE1_Su
Page 1 of 2
SITE INSPECTION:
"icffion,nutfonns.
P1S? AND BEAM: To beffitilffiGi-o1 floor
decking
ANICAL: No
dllT-these
mad.e and approoed..
To be nade afterpriat tc se+- up of
INSULATION /VAPOR BARRTER IIISPICTIOII :
Io be made after aLL insulaticn ed
tequired uapor baviers @e in Place
bui before ory Lath, Wpswn baarC or
tmLL cooering is applied, attd before
oty insulation is concealed.
ANDERSLAB PLUWING. ELECTRICAL &
WCHA-IIICAL: To be nade before any
ffitZiaooered.
FOOIfNG ,9 F)UNDAIICN: To be rul,e
af;A-$enctrs ate eccaoated and
fonns are ereeted, but prior to
poul"itq ccncz'eta.
UND9RCPA UIt D PLLI\UE ING, 9EWE!2_ WATI&
!Onl.tltl.Ct: fo be naCe prior to fil-
@-trenehee.
AIIDERFLOOR PLNEflG & T,IECEANICAL :
of
floor ineul.c.tion or decktng.
DRWALL INSPECIION: Tc be made
fitet, m-@naZl-is in place,
but prior to cny taping.
I,\ASON{: Steel Loeation, bond
ffijgrouting or tserticals in
accordanee Lltth U,B.C. Section
24L5.
VOODSTOI|E:
@ntpT;tA.
After instalLation is
CURB & A"PR1ACH APP,)N: After fornsoe erecteC but prior to pouring
eDnerete.
SIDWALK & DRfIWAY: For aLL ean-
e"ete pat A-fitffi street night-
of-tny, to be maCe after aLL eoea-
oating carplete & fotn uork & sub-
base matertal in place.
DEI.IOLITIA!: OR :.10W) BUILDI,
Sanitatg ser,ter capped at Pt'oPetfui Litte
Septic tank punped and filled trith gra;tel
Final - llhen abcte itens oxe eanpleted
and uhen Cenoliti.on ts eanplete otl strae-
ture nooed ord prer'rLaes cleaneC up.
e Hcnes
Bloeking od Set-up
Plunbing connections -- sate? otd, uatet
Electrical Ccnnection - Bloekitrg, set-up
and plunbing connectt)ons m;st be apprcted
before requeeting eleclrical inspec'-io;t
Accesco?i Bui.LCing
Pinal - After pcz,ckee, skirting, decks,
etc. ate c.cnpleled.
nad.e pt'iot to
or
e beer,
FIPEPLACE:mct;ii;
PTilAL PLUI4BITIG
FTNAL I,TECHATIICAL
FINAL ELECTRICAL
Pt'Lor to placirq
and befot,e frotrtng
faeing
Lnspee-
tion.
EW|fNG: l'lust be requested af',er
approual of rough plwr,bing, electri-
cal & neclnnical. AL! r'oofing
bractng & chhmeye, etc. rntst be
. cornpleted. lto ucrk is to be con-
. cealed until this inspeetion lus
'been moLe anC apptooed.
IENCE: 'a4ten conplete -- ProuiCe
gates o? motsable secti.ons through
P. U. E.
eet conditionl, such ds the i.nstallation of slreet trees, conoletion of the' lanCseeping, etc., rrust be satisfied before the BUILDINC FI\IAL ean be requested.
ALL proj
required
-]n F-LNAL BUTLDTNG: The Final Bui.Lding rnspection mtst be requested after the Final ptunbing
\J Eleetrical, anl l,leclnnical Inspect.i-ons hqoe been nade ald'appToueC.(
*ALL I4ANhICLES AND CLEANOUTS IIUST BE ACEESSIBLE, ADJASTIEiII ?O BE I,L4DE !.? NO C1ST TO CITY
l-l ,-,
T
JOB NO.SOLAR AC-^ESS REQ.-
Type/Const:
L-co d
BeCroons:
Lot Faces -
lleat
PLan Eroniner Date
I HAW CAREFULLy EXAMINED the eornpleted application fo" pennit, and. do
hereby eertifA that aLL infotnation heyeon is ttae and. eorrect, and f
further ee"tifA that any ard aLL t)ork perfo?.1ted alnll be dote in aecor-
dance rrith the ordinances of the CitA bf SprLngfield, atd the La:,;e of the
State of )regcn pertaining to the tnrk Cescribed hereln, end that N0 OCCU-
Pl-tlcy ttill be nnCe of any strueture uithout permission of the Building DL-uision. f further certify thct only eontracto?s ad enplcyees dho are in
cotnpliance arth CRS 701.055 ai.LL be used on thia projeet
t/)c *
Df House# of Stories
?otal Height
Iopography
LCT ?WE
_ Intez,icz,
Cor.nel
Panhandle
CuL-de-sac
Int Sq. Ftg.
% of Lct Couetage
ITEM IJU x Value
TO?AL VALUE
S.D.C. 1..5 d
Date Paid:
Receipt #
Building Vqlue & permir
\is--eennt,i-s gnanted on the ec'p?ess condition trnt the said. consttaction
2?1!:-!.1,111 .respee.ts, gonform io the hdinance "d"pr;e Li- tl"J-'ctty .fEp"Lng;ield' i.ncludtng th,e zontng crdinance, regulatzng th-e ecnstnrcticn
?y,yon of building.s,. and m-ay b.e- suspended ot, y,buokeC -ot
"ry time upon uic_Latlon of any prcuisions of said Oz,dir,ances.
Building Penrtt
?otal Clwrgea
State
Signed:
NO.FEE CEARGE
Fistuz,es
Reeil.etttial (1 bath)
Sani Seuen
Plumbing permit
No person sLnLL consfuact, ine*all, alter ot etonge any nel cr eristingq!4"irrg o-r,dtainage eA2l? in ulwle or in patt,'u*Les"s such pe,son ie theLegaL .possessor of a ualid plunberrs LicensZ, eseept that a pZtson nay dopltnbing ao,k to pt,operty ihich is orsned, L.-asea o'" opi"it"ilu-ln" ippli-@nt.
Plunbing Pernrit
State
Neu/Eetend Circuits
Sensice
Permit
Total
Electricol Permit
Whez,e State Lan re-quires tlat the electri-cal uoz,k be done by an Eleetticalcontraetor, the electrieal pontion of this pernit stnll iot- be oalil, untilthe Label lns been signed by the Electtical- Contracto".
,+
NC Frr CIIARCE
khanet Hood
Vent Fot
Vcodstooe
I
Mechonicql Permit
Permit fssuutce
Mechanical Permit
State
-. ENCROACHMEN? .-
Permit
C'urbcut
Sida,talk
Mobile Eotne
TOTAL AI4OUI|? DIJE: *
Signed Date
tl. -- _ .. REslDr !TIAL..
APP L I C AT LT)TV / PE R 14 I T
225 North |th Stneet
Springfield, 1regon 97477
Building Diuision
726-37 53
Plurnbing
SPFIINGFTEI-D
Date:
3 \Job Locaticn:
?c,s lpt #Aesessore MaP i
Subdiuision:
Otmer:
5r4r -Addtess:Phone
zip:
Describe tr'otk:
Value
(
&,
oo
Date of
L
nl \:-qo
Additian
rSt
General
nical
EJ,ec Eri;:a 1
Srroervqqrlz:rf; Elec tr ic ia n
OR :.IOVED BUILDI\ICS
Sanitary serser eapped et propertg Lix.e
, st;1 r,1,,,l161 irlY/Idt,,,,bl i,,! ; i,,r., t
Septic tank ptnped and. filled uith gra;sel
Pinal - t{hen abcue itens are eanpleted
and uhen Cenolition is eomplete o! str,uJ-
ture moued and. prenrises cleaneC up.
Hcnes
Blocking and set-up
Plwnbing eonnections -- aaie? cnd uater
Electrical Ccnneetion - Bloeking, set-up
and plwnbing eannections rrust be apprcv-ed
before requeeting eleclrical inspeelio:t
Aceessor.i Bui.lC:lng
pcrehes, skirting, decks,
Leted.
Pinal - After
etc. ate contp
Page 1 of 2
It ie the responsibility o! the pernrLt hotder to aee that aLL incpeetions ate nade at lhe proper tine, that ecch ,;ddress is readabie
fnom the stneet, anC that the permit catd ia Located at the front of the propenty.l9uildiry Diuiciot approu*ed plan slu:Ll remain on the Building Sitc at al-L times.
PROC|DUPE FOR INSPECNOII RIQUEST:CA
requested and ahen Eou uiLL be ready
'siLL be nade the sane dcy, "equests
SI?E fNSPECTI)N: To be nade aftet,
acau;;l;;;-bE prtar tc set up of
fotne.
UNDERSLAB PLUI"IBING, ELECTRICAL &
\ilECHL]|ICAL: To be made befoz,e any6iia fiotsered.
PCOTINC & FOUNDATICN: ?o be naCe
aftet trenches a?e and
forns are erected, but prior to
poun'ing ccncrete.
u lt D r R c?, Q Ullp l!!l!!!_a!-fgyE R __y!LLL
D llltlpE: ro be naCe prior to fil-Tfi-Tiinches.
LL 726-3769 (reeorder) state yout, City Cesignated job nutnber,
for inspection, Contracto?s ot Oumers ncme and plane number,.
nade aftet, 7:00 @n uvill be tnde the ncrt :mrking dag.
Iout, City Desigr,ated Job Nwnber fa:.
I N SULA? ION 1 VAPO R BA ILILRJ !E?EE!!9! :
To be nade after aLL insulaticn atd
required oapon bawie?s a.?e in place
but befone any Lath, gypstun bcarC oz,
raLL couering is applied, and before
oty insulation is concealed.
DRYI,IALL INSPEC?TON: ?c be nade
Vfiei-au dryuitT-ts in pla.ee,
IENCE: h4ten conPlate -- ProuiCe
idles or nottable seetians througli
P, U. E.
job aC&,ess, type
Requests reeei"*ed
of incpectior
befcre 7:00 ct
7-1 uaomrLooR pLUtErlG & LIECIIANrcAL:itof
floor insulction or decking.
PQ L ANp BEAM: To be made prioz, to
TifrTTillc-Tof floor insulation or
decking.
RO!,|Cil PL,U!,!BAG, ET,ECTRICAL & I|ECII:
ANICAL: No uork is to be co"*ened
ffii-L these inspectioris haue been
nade and apptotseC.
but ptior to cny taytng.
MASONRY: Steel loeation, bond
Eiffiilgtouting or uertieals in
aeeordotce L/ith U.B.C. Section
24L5.
WOODSTOVE:
ccntpTAT;A.
After installation is
1URB & LP|B949!_E!9!: After forns
at " ereciA-ilt p;lo" to pouring
concrete.
SIDEWALK & DRII.E\'IAY: For aLL eon-
c"ete parr@Atd; stneet right-
of-rxA, to be made after aLL exca-
oating conplete & fom LPrk & sub-
base material in Place.FI!?EPLACE:
^ct;;ia-G
Prior to plccir4
and before froning
facing
inspec-
tion.
ttust be requested after
approual of roughcal E mectanical.
plwnbing, electti-
ALI t oofittg
braeing & chinmeys, ete. rrust be
conpleted. Ito ubrk is to be con-
cealed until this inspection lws'been made anC approved.
FIIIAL PLUMBIIIG
FIIIAL I4ECIIANICAL
FINAL ELEC?RICAL
'AI,L l.lANIlCtES AND CLEANOUTS llusT Bti ACL-ESSIBLE, ADJUST\IEiIT TO BE l.t!1DE LT Il0 CCST fO CITy
ALL project conditions, suck as the i.nstallation of street trees, conoletton of the
required Landsccpitg, ctc., tmtst be satisficd befoTe the BUILDfNC FfNAL ean be requested.
FINAL BUILDINC: ?he Final Building fnapection rmtet be requeeted after the linal Plwnbing
Electrical, and Nechariccl fnspections hquc been nade ard approoeC.
T
n
r
tr
JOB NO.
Duilding Pernrit
?otal C'lwges
Plunbing Peznit
State
State
Total
Total Cha
SOLAR A-^CESS REQ.-L-co d
Bedroons
Lace
tote
Building Volue & Permit
This penn:tt is granted on the erpress cond_ition tlwt the said.construction
slwll', in atl rZspects, conform to the ordinance cdop.te'7 liy bhe ci'ty gf
Spi;ng7i.eta, inctlud.'i,ng- the 2oning Crdinanc-e, regulating the ccnstructicn
ira
""oL
of 'buildings,- and mey be suspended ot, reuokeC at cny time upon oic-
Lation of any prcoisions of said 1rdinances.
Check
Date Paid:
Receipt ll:
Signed:
Plumbing Permit
No pereon shall constmtct, t)nstal!,- alter or change -cnA neu)-cr ecist|ng
il*rtl"g or drainage sAstan in atale or in part, unless such peyson is the
iegal p"osses"o, oT"o rLlid pl*rtnt"s L'ic-ensZ, eacept th'at a pe,son 'au 49ptiittirg uork to'property ihi"t i" otned, Leased or operated by the appli.-
eant.
Electricql Permit
llhere State Las t:equi|es tt",at the electri-cal uork be done bg an Electz'ical
conttaetor, the electticaL portion of this permit slnll not be oalic until
the Label ltas been aigned by the Electrical Contractot:'
PLafi Eeanlne"uate
I HAW CAREFULLr \XA\4INED the completed application fo-r permit, and do
n"inty cettify that aLL infotmation he,eoi ia true and eor,ect, anC I
f"nti"n" iertiig that ang ard aLL agt'k pe-nfotned a.lnll be .do.te in accon-
iiile- tttn the" odinane-ee of the City of Springfield, anl th-e Lc";s of the
* State of \regon pertainina to the oork Cescribcd hereln, cnd tlnt N0 OCCU-
ANC| iltt b"e ,nde of any" strueture uithout permisaion of the BulldingT D.i'-
urision. f further eLrtiill that oily contyactors and ezplcyees uko are i;t
eonpliance ultt, oaS ?01-055 uiLL be used on this proiect
r/t-r /qo
t
Accesa
t
P, L.House
Lat Faces -Lot Sq. Ptg.
% cf Lct Couerage_
LOT TYPE
_ fnterior
_ Corner
_ Panhandle
Cul-de-sac
SQ. F?C X VaITEM
! of Stortes
Total lleight
Topogrcphy
tlain
Cctaoe
Ca"port
Aceeesoru
TOTAL VALUE
0es.D.c. 1,5 x
CHARGEN0.FEE
Fi.rtut es
Residential (1 bath)
Saniteta Seaen
Wctcr
NO.
Res. Sa. ftq.
Neu/Extend Circuits
Tqnpora"y Sensice
CIIARCE
{
Mechqnicol Permit
llcodstore
Vent Fa
bhanat Hood
F7llnaee
Permit lcsuanca
llechanieel Perwit
-- ENCROACHMENT --
Secaritu Deposit
Storage
l.laintenance
Pcrmit
C'utbca!
Sideualk
Fence
Electrical ta.bel
Mobile Hone
TOTAL AI,IOUNT DUE: *+le'13 w-7-
State , 1-:4
*
\stq0
STATEMENT:
INFORMATION NOTICE TO PROPERTY OWNERS
ABOUT CONSTRUCTION RESPONSI BI LITIES
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 ! own, reside in, or will reside in the completed structure.
2. A.
OR
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.
B I will be my own general contractor.
lf ! hire subcontractors. I will hire only subcontractors reoistered with the
Construction Contractors Board. lf I chanoe mv mind and Eo hire a oeneralcontractor. I will contract with a contrattor -who is reoistered w'itn theConstructibn Contractors Board and I Will immediately-notify the office
issuing this building permit of the name of the contraitor.
I hereby certily that the above information is correct and that I have read and understand
the lnformation Notice to Property Owners about Construction Responsibilities on the
reYerse side of this form.
Signature of Permit Applicant
CONSTRUGTION CONTRACTORS BOARD
v244J 10t24t8p
B#k- ro rssurNc AGENcy pERMrr FrLE
Ehf,( coPY TO APPLICANT
tDll&o-@s
Permit No:
CIDO
e h tAddress:
lssued Date:
\ o\R?i
DATE:fuf r:cY?
JOB ADDRESS: .?to -i,-fr<?&-tr
OI{NER,:
OWNERS ADDRESS:
"(
APPLICAT{T: :r-*'?r.4- rL-r /7)>22/\-
APPLICANTS ADDRESS:
CITY OF SPRINGFIELD
Department of Plannin
Bui I d'i ng Saf et
225 North 5t
Spri ngf i e1d, 0r
726- 3753 (Bus. ) 72
g andv D'i
h st
egon
6- 37
?u' 'l opment
vl !_Jn
reet
97477-
69 (Insp. )
HOUSING INSPECT'
APPI,ICATION
SPRINGFIELD
A S35.OO INSPECTION FEE TS REOUIRED AT TI{E TII.fE OF
APPLICATIOI{
THIS APPLICATION FORM MUST BE SIGNED BY TI{E O\,,,I.IER OF THE PROPERTY TO BE
INSPECTED.
/4u
SIGNATURE OF PROPERTY OI^iNER
FOR OFFICE USE ONLY
DATE OF INSPECTION:
DATE OF REPORT:
DATE OF CERTIFICATE OF COMPLIANCE
COIO{ENTS:
RECEIPT NU}{BER:l7t a>a
DATE PAID, 1*3 -? c>
(o,q o
FoR ACCESS To PROPERTY--PLEASE INCLUDE TELEPHONE NUMBER , 7/( -fuVd
SPRIi|GFIELE,
%
FENCE PERMIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
Offi ce:
INSPECTION LINE:
726-3759
7 26-37 69225 Fifth Street
ipiingrield, oregon 97 477
CITY OF Onrcoru
--)D 33
Assessors MaP #:7 oZTt 3I
0wner:
Tax Lot #:ool a-
Phone #:("1 441
d^
Addre
City:
SS
gn ure
e(d State
Value of Fence:.oD Fence Permit is $5.00
Contractor/I nstal I er :
Address:Phone #:
City:State: D Li p 1z'{ l;
Construction Contractors Registration #:Ll (t bU Ex pires tL 3t -?e
,, /v /zotr*er
)
Z
By s'igning th'is permit/app'ltqq!i9!r l agree-to call fol an inspection once my
f"ence"has been c6nstruct'eb Q264769). -I also state that all 'informat'ion on
t[ii-appiicat'ion/permit is iorrect and that I was provided with the Springfie'ld
Development Code requirements for fence standards.
FOR OFFICE USE
Date of Applicat'ion r-1L-82f)Job #:
Receipt #:l3t t I Issued By:n n-v\L_
Total Amount Collected , q-A)
Checked for Del inquencies:-/ Checked for Historica'l Status: /"
Job Locat'i on :
.U:p.9fif3-
CITY OF SPR OREGO'V
SPRu--FIELD
DEVELOPMENTSERY'CES
PUBLICWORKS
M ET R O PO L I TA N WAST EWAT E R M A N AG E M ENT
JuIy 19, 1990
CERTIFIED LETTER
225 FIFTH SIEEEI
SPRINGFIELD, OR 97477
(503) 726-3753
Ms. Laree Richard
Mr. Jay Russell
7087 Aster Street
Sprlngfield, Oregon 97478
RE: llousing Inspection At 310 South 35th Street, Springfield, Oregon
Dear Ms. Rlchard and Mr. RusseII3 ,i
At your request, a Housing Inspection vas performed at the above referenced
address on July 10, 1990. The inspectlon revealed condltions vhich do not meet
the minimum requirements of the Springfleld Houslng Code and are potentially
hazardous.
The belov listed items must be repaired and/or replaced vlthin 30'days from thedate of this letter. AII applicable permits must be obtained prior to beginnlngthe vork.
MECHANICAL/PLUMBING
A temperature and pressure valve (relief valve) is requlred to be installed
on the hot vater heater in order to prevent the build up of hlgh
temperatures or pressure.
The laundry sink trap needs to ie secured to the waII.in an approved mannerto prevent the possibility of leakage.
STRUCTI'RAL
1 Plans are required to be submitted for plan reviev for the completion of the
bathroom.
2. A handrail betlreen 30" - 34r' in height must be installed on.the stairway toprevent the possibility of personal injury.
ELECTRICAL
Replace all existing ungrounded grounding-type receptacles with nongroundingtype receptacles or provide ground fauLt circult interrupter protection for-these receptacles.
1
2
1
\
Housing Inspection
310 South 35th Street
JuIy 19, 1990
Page 2.
2. Provide physical protection for the exposed vater heater wiring.
3. Provide a hood fan for the range or terminate the viring in an approved
junction box.
If you have any questions, please phone me at 726-3790.
IY'
Lisa Hopper
Building Technician
I
cc: Dave Puent, Building 0fficial
2B
PM
(\
/990
A3 J'J LSENDER INSTRUCTION
Print youi namo, addlose and ZIP Code
in the space below.. Complole ltems 1 , 2, 3, and 4 on lhe
reverSe.. Attach to front of artlcle lf sprco
permhs, otherwiss affix to bact of
articlo.. Endorse article "Return Recoipt
Roquostod" adjscont to number.
UNITED STATES POSTAL SERVICE
OFFICIAL BUSINESS
E'.
llil
PENALW FOR PRIVATE
USE, $3OO
RETURN
TO I>qr\
GFIELD, OR 97d77
Print Sender's name, address, and ZIP Code in the space below.
rrr-Y r_L\rrtvtE tI I DE I(YluE 5225 FIFTH STREET
+
additional services aie deiired, and complete items
(Extra
this willthe reverse side. Failure to this card
ressee's address. 2. E Restricted Delivery
4. Article Number
oA A7aO1 0-12
Type of Service
E Registered
Ehertified
D Express Mail
E lnsured
E coo
T-'l Return Rsceiotu for Merchandire
Always obtainlsignature of addressee
or agent and DATE DELIVERED.
l,'ls. Laree Ri chard
l4r. JaY Ru ssel I
7087 Aster Street
Spri ngf i el d , 0regon
rticle
I $
97 478
5.
x
- Add
T-isnat..rt" - Ase"t
x
8. Addressee's Address (ONLY d
requested and fee paid)
PS Form 381 1, Apr. 1989 DOMESTIC RETURN RECEIPT
c'5-JXi'f
address TO"in the
z-./a
..RESIDI\TIAL..
- APPLICA?LUI{/PERILIT
225 North Sth Street
SprLngfield" )regon 97477
BuL Ldl-ng DLUI,S'.LO4
726-37 53
t#
SPRIT':GFIELE
Pege 7 of 2
Blocking od Set-up
Plwnbing connections -- saoe? od. uater
Electrical Ccnnection - Bloeking, set-up
and. plwnbing eonnections rntst be apprc"*ed
before requesting eLeclrical inspection
Aecessory Buildi.ng
Einal - After pcrekes, skirting, decks,
etc. @e ecmpleted.
Job Locaticn:
Assessore Map #\?cz Lot #
svbdioision:
Otmer:
Phone:Address:
City:
-,'Dlornfit
I
Descrtbe Hotk:
r6
Date of AppL
t-t
t-l
Value
AiAitian
RemoCel
Plumb
Date:
General
ec
Su Electr ].an
It ie the reepono'ibility of the pe*ttrtt hode" to aee tlat all inspections oe nade at the pyope? time, that each addrees is reaAable
fron tlu etneet, and, that the penrtt cad. ie Located at the frcnt of the Wope?tA.*Building Nuicion appro"*ed plan slnll remain on the Building Sitc at aLL- t'ines.
PRocBpupE FoR rvsp*crrpy- n?0.wgg-lcalL z@eadyfor,tiLl be trude the sone dcg, tequests mcde
Reati-*arf T*cnan*i nne
26-3769 (recorder) state yout, Citg designated job nttnber, job aliz,ess, type of inspee;i.cn
inspecti.on, Contractots ot A,tneys nctne and pTone nwber. P,equests z,eceixed befcne 7:00 ott
aft* 7:00 on tiLL be nnde the nert ;nrking dau.
rot/r ci,ta Desi.gr.arted. Job ltunbet, ,"r"
" q(Y\q
SI?E INSPECTION:
er;a*an.n, ill ?o be nade aftez,priar tc set up of
forrns
ANDERSLAB PLUMBING. ELECTRICAL &
MECH|IIICAL: ?o be made befoz:e anywrk ie caeted,
Fj)TING & E)UNDA?ICN: To be rmCe
@A-tl,ffi are ercauated' and
fotns ate etected, but prior to
ccncrete.
ANDERCROUTID
UIIDERELOOR PLUT,DING & MECI|ANICAL :
TNSULA?TON/VAPOR BARRTER IIISPEC?ION:
Io be nade after aLL insulaticn ad
required uqor berie?s @e in place
but before oty l,ath, Wpsun baarC or
tnLL couering is applied, azd before
ag iraulation is concealed.
DEI.IOLITfi|I OR !,|OVED BUTLDI|ICS
Sotituy seset eapped et p?opevw" Lite
Septic tutk p*;tped artd fi.Lled tith gra:;el
Final - tt4ten abotse itens ote eanpleted
and uhen Canolition is carplete or sttuc-
tuye nooed otd prenrises cleaneC up.
Hcmes
@onoffloor insulction or decking.
PQE! 4!! PLaU: To be nade pyLot' to
installaticn of floor iraulation or
decking.
ROUGH PLUTIIBII.IG, ELECTRICAL & MECE:
ANICAL: Ilo uork is to be cotset,ed
,ffiil these inspectior,s haoe been
nade and approued..
EILryIACL: Pm)or to plccitq fccing
matez.tals and. before franing inspec-
tion.
FRAIIIIIG: l4ust be requested after
apptooal of rough plwnbing, electri-
eal & neclunical. ALt z:oofing
brucinq & ehinvtegs, etc. rmtst be
: eonpleted. Ilo ucrk is to be con-
. cecled until this inspectlon Las'been nade anC approued.
\ rram PLutqBINc
PINAL I,IECHANICAL Ihe Fi-nal Bui,Ldi'rq Inspecti'on mtet be re4uested oftet the FiruL PLmbLtl
;;;;;;;
-tip
n ii'""n"'hqr> e b e en made and' appr oo ec'
DRYWALL fNSPECII1N: Ic be nade--:-_-;=-'-;--,after aLL dryuall is in plaee,
but prior to any tarynq.
IIASONRY: Steel Loeation, bond
6i6ilg?outi,ng or oerticals in
accordotce ?,/ith a.B.C. Section
24L5.
WOODSTOVE:
@rrpT;T;A.
After installation is
CURB & APPROACH APPON:After fonnste erecteC but prior to pourtng
coficrete.
SIDEWALK & DRf"EWAY: Fot aLL con-
cret;Vat GAffi street right-
of-w,!, to be nade after aLL e*ca-
oating conplete & for"a rnz'k & sttb-
base rnaterLal in pLace.
IENCE: hthen cornplate -- ProtsiCe
gatel or mouable sections thtough
P.U.E,
ALL project eon&itions, sue?. as the i.nstallation of stl,eet trees, conpletion-of tie
,nqiirna Landsceping, etc., rm.tst be sati.sfied before the B\ILDLNG FIttAL can be z'equested.
TINAL BUTLDING:
E1,eetri.cal, and
\AL ELECTRICAL
*AiL I4ANHCLRS AII,D CLEANOUTS MUST BE ACCESSTBLE' ADJUS?IIENT fO BE l'44D8 A? NO cOSr TO CITI
tr
tr
soLAR AC^Ess REQ.-cL-CO
BeCtooms
Aceess.
Sout ces
Df House
Lot Faces -
Lace
tou"e
Lot Sq. Ptg.
% of Lot Cooet'aga
# of StorLes
Total Eeight
Iopogrqky
LOT TWE
_ Inteticr
Co?nez,
Pan?nnlle
-
,ul-dn-"o"
JOB NO.
Building V<llue & Permit
Thi.s perndt is granted on the e8press cond-ition tlnt the sciid consttaction
"not[, .tn aLL r"espects,- ioitiri 7i- the CrdLnance adop.ted 6y the City o.f
spit"g|i.nd, inc|.iiing'the 2oning crdinanc-e' regulatittg the ccnstmtcticn
*ra
"Z"n
of -buildings," and may be suspended oy ret:okeC at cnA time upon oic-
Lation of attA prcoisions of said 0r'dir,ances.
-- Fees --
Value
TOTAL VALUE
x
tbi.n
Fee:
S.D.C. 1.5 c
Building PenrLt
?otal Ctnrgea
State Date Paid:
Receipt #:
Signed:
Plumbing Perrnit
No person sLnLL conshntct, instaLL'- alter ot change,any ned-cr existing
ilit+rrg or drainage systql in ulale o,r in patt, unless such pe,son is the
ingil p"o""n""o, o7"o uiolid plu^bnrts Li-c-ense, ergept tlwt a !'?"8?n ^aa 42
piwrbiig uork to p?ope"ta ihi"h i" ot^med' Leased ot' operated by the appli-
cant.
CEARGEN0.
Sazd Sa,tet
Pi.ctutes
Resiletttial (1 bath)
Plwnbing Pen'1|t
State
Electricol Permit
where state Lan ?equires tlnt the electyical work be done by,an Electrical
Contraetor, the el)etu"Lcal porti.on of this permit shall not be oaliC until
the Label lns been signed by the Electtical Contractor'
FEE
Total
Na,t/Eatend Circuits
Set"uice
CEARCENCFIE
,(
Mechonicql Permit
I,lcodstotse
Vent E@t
b\@.tst Hood.
B?U, S
PermLt fssucnce
MeeTnnical Pefirit
-- ENCROACHT4ENT --
Pezhit
Ctttbeut
SiduaLk
MobiZe Hone
PLan EsotLnet,
ToxaL
f EAw CAREEULLY ExAl,fillED t?e cornpleted application for pennit, and do
hereby eettifg that aLL infornation heyeon is ttue and eorreet, and I
furthet' .cettify that ang ar.d aLL aork perfor-ned alnll be done in aecoy_dance tith ,r, o,or::i:.: o{-tt:: cita.Zt.sprtfsfj"t;: ;,rd-;i; La*s of the* state of onegcn oerta-ining to the uoik cescribed herein, cnd trat N0 occu_'iff*?'|?:=Vi;:l*fyo"{Xi:Xi;"'}l*p"*tiirii."r-ii"nilahsoi,-
eonp zianc e'"i ti' ias z o t . b s s
" ii t"';;, .;;;':I, ii;: #:Jtrtcy
e e s uho arl in
TOTAL 4g6sp7 pyg, *J
Permit No:
Address:
lssued
Fill in the applicable blanks, and initial box 1 and either box 2A or 28:
1 a.a::1 lown,residein,orwillresideinthecompletedstructure
2.4 My general contractor is
STATEMENT:
INFORMATION NOiGE iO PNOPERTY OWNERS
"' IE6Ui ConsriUErloN RESPoNSI BlLlrlEs
Note: oregon Law, oRS 701.055(4), requires residential building permit applicants
who are not regisie;; ;iih i6d C"L;iil;ti". c6.iractors -Board to sisn the
following stat"m"ni;;d;ineouiroin;;;*''t t3-l!? ltt'ed' Licensed Architect
and Ensin.", "ppiil".it,.i9,,.'ol lidfr iJsistration under oRS 701'010(7)' need
not submit this .ilt..i"hi. Thi; staGmeit will be filed with the permit'
Date
Contractor registration number
I will instruct my general contractor that all subcontractors who work on
the structure must"beiegistereO with the Construction Contractors Board.
I will be my own general contractor.
lf I hire subcontractors, I will hire only subcontractors registered with the
Construction Contractors Board. lf I change 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 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 form.
Signature of Permif Applicant
CONSTRUCTION @NTRACTORS BOARD
o24J 10124t89
Date
pkilF*py ro rssurNc AGENcy pERMrr F,LE
, ' ,)85, COPY TO APPLICANT
LL4t LfE- @s
5\D3X,,,
OR
B. l---l
2
--.. ., RESIDT ITIAL,.
APPLICATIZ\TPERMTr
225 North |th Street
SprLngfield, 1r,egon 97477
Butlding Diuision
ooe 2cF2/ au-o( oo
SPFl'ruGF'ELD
Iout, City Desigra.ted Job Nwnber fs:
t .tt
E
SrrDerrra-f,2;izt Elec Er:c]'an
STTE INSPECTION:;;;;;i"4a"t ?o be afterpricn to set up of
foms.
a N DE& s L4P P L!w!!!,_! m8!!9!I_!
P 1-urnb ing
l.lechan
ecE.rica
nade and aPProoed.
F(PEPLACE: PyLon to Plccir4
^ct;;l;G and befot'e ftaning
tion.
FIIIAL PLUI|BII]C
FINAL I|ECHANICAL
FINAL ELECTRICAL
Date
job aCdress, type of inspecliot
Fequests recei"^ed befcre 7:00 ctr
f--1 TilISULATTON/VAPOR BARRTER IIISPECTTON :
tcquited oapon botrie?s a?e in place
but before anA Lath, gypsun boar.C or
tnLL covering is appLied, and before
ay insulation is concealed.
t-1 DRYWALL INSPTCII1N: Tc be nade
l@ts.inplace,u but prior to cnY taPing'
MASONRI: Steel Location, bond
Sifiilgrouting or oet'ticals in
aecordalrce ttith U.B.c. Section
WOODSTO'IE: After instalZation is
cctrpT;tA.
CURB & APPR=1ACH APPpN: . dfler,lyns
diZt'ecteC but Pt'ior to PcurLng
eoncrete.
SIDEI'IALK & DRII-EI!4Y: For all eon-
crete paolrrg nlthin s-t?eet night-
n-r-r*u'- to be made aftet aLL exca-
"LtL"L'"ooptete
& forn uork & sub'
base 'rnate.r"tal in place.
IENCE: h4ten conPlete -- Pt'ouiCe
ffn, o, nouable- sectians through
P,U.E,
I^t ie the resPonsibi-Lily oi-the permit hozder to aee that aL'!. inspeetions ore nad.e at the p?opet, tine, that eceh cd.4ness is z,eadabiefton-tle st?eet'. and that the-penmt-card ia Located at the front of the propenty.tBuilding D.iuisiot appro"*ed plan shcll remain on the Aunidin:q- iiie at aLL tines.
PNOCSDUPE FOR JNSPECTIOII R\QIIEST:CALL 7
nequested and uhen gou uiLL be neady fot,tiLL be nlade the sdte dcy, nequests-mZde
itECtttltICAL: To be made before any
ffi1{iluercd.
FC1TING & F0IINDATICN: To be rmCe
after trenches dte eleauated ara
7or^" *n erected, but Pnior to
pouring ccncrete-
TNDERCROUIID PLUM7IN1,, ssqER, :ti!try-;l'O?l,ta-eCt: To be naCe p"LoP to ILL-
TQiinchee.
i-]; u a om ru.o on p ru t nlq a- -!!Eq!4a{ElL'l-) ro be made priot
floor insulation ot' decking'
POST AND BEAM: To be nade Pt'iot to
ffiof floon insulation ot'
decking.
RoLlcll=pr,ul,BLtc...EtiE-^AZTebtLz:L,a*,ZF
ANICAL: No 'nork Ls t(
ffii-th."" insPectiotts haoe been
of
fccing
inspec-
FRAI':IIIC: ltust be requested afte?
" t of t'ough Plwrbing' electni-
cL't E neclanieal. - AL! roofing
bracirq E chtnmcYs, etc' ttrtst be
comoLeled. lto ubrk is to be eon-
, oeiled until this insPection las
'been made anC aPPt'oted.
- ..-- -.-:
ALLprojectcondit.ions,suckasLheinst,allationofs+-reettree-s,congleLionoftie
required Lond,sc"p"r.g)-Lt"".','i"t a" "rtt"fiZTi')fZi""" tn""--'t't'rbin:c FIiaL ean be requested'
FINAL BUILDIN\: The Final, Building Inapection n1.ust be neouested alter the Final Plwnbing
\J Eleetrical, i't uLin"'t"at rnspectio;:;i';2";;;;l'ioii a"d' opprou'c'
Job Locaticn:
Assessot,s Map #?c,.r lat ll
svbdiuision:
Address Phone:
t0cr-LL-s
n Neu c{
,1
Value
. Deser.tbe h,otk:
\q
Date of Appl ieaticn
Additicn
RenoCeL
Ceneral
Fi.nal - 't{hen abcue itens are eanpleted
and uhen Catoli-ti.on is conplete o! sttruc-
ture moued and pt'etrises cleaneC up'
Le Hcnes
Blocking and Set-:tP
Plutnbing connections -' aa)e! od ualet
Electrical Ccnnection - Blocking' set-up -ZiTifurtl."q connecti'ons mtst be apprct;ed
i; ;7"i " requ-eating eleclrtcal inspee lion
Aceessor.l BuilCittg
Pirnl - Aftet' pcnel''es, sklrting' decks'
etc. dte conPleted'
P.:tL':e 1 of 2
,AT,L I,IANIICLES AND CLEANOUTS IIUST BE ACCES,IBLN'ADJUSTIIEIII TO BE |I,4DE II.T NO CCST TO CTIY
U\*
tr
vt \
ft
<:
Cita:rt
@
tsldrs llxo -! aesBoarcl Ree.
Sanitaty eeset ecpped at pt opents- Lir:e
r rtt,r,,,,,i!gl1yA,1rr/r,,r,,1if i.l;il.,t
Septic tutk ptnped and filled uith grartel
I
Lob Faces -
L.P
tast
South
West
LOI TYPE
Interi'cr
Corner
-
Pant'andle
I ,rl-d,'"o'
Iot Sq. Ftg'
% of Lct Corserage
TopograPhY
x ValueSQ. FTGITEM
I'lain
C,crdqe
Caroort
Accessory
TOTAL VALUE
S.D.C. 7.5 t
CHARGENOFEE
Eistwes
Resil.ential (1 bath)
Set'lerSani
CHARGENO]TEM
Res. Sa. ftq
SeruiceTanporarY
$
E
L-co
SO LAR CESS REQ.'Bedrooms:t:
I!eaL
Zone
tote
-- Fees --
Building Volue &
This permLt is gtanted on th-e n"p.'n'.? "o:4:.slwll', in all nespects, conform. to tne uPaLl
spring\ield, inc|uding the Zoning Cndinanc,e
and. use of buildlngs, and mzy b.e- susp.enaea
Lation oY ony prcolsions of said ordir'ances
Permit
tion that the said-constt'uctton
nance adopteT 6iY the CLIY o.f
, regulct'ing tlzb ccnsttuettcn .or reuokeC at cnY time uPon otc-
*
Euilding Permi,t Fee:
Date Paid:
State t ll:
Total Charges Si,gted:
Plumbing Permit
No person sln-Ll .constntet, inslall"' altet ot change GnA nel 'c? existing
plwnbins or dralnase ;;ZZ;"';;";;i"',1-i" p'"t' -unlesl such person is the
Lesal possessor of ";:;;Z"pi:';;'nl';iit"n"t-L-'
*"npt that a pet'son na's do
plwnbins uonk to pr"o;xi;""i"i;;"r-";;;e: tzl""a o'r operated by the appLi-
cant.
Plwnbing Pernit
State
CIIARCE
Electricol Permit
Whet'e State Lau requires th'at the eleetrical uork be done by -an Electrical
Contractor, the electrZcotlo't':o' of thts e"y't't shall not- be oaliC until
;;;1;;;L- n"" L"L" si,gned tv the Electri'cal conttactol"
Total
NC.FgE
Fvrnx.ee PTUTS
E=hanet Hood.
VenX Fot
tttcodstore
*
Mechqnicol Permit
Pernat fssuance
llechanical Pennit
-- ENCROACI(MENT --
Secartt! Deposi!
Stdrage
l4aintetunce
C-utbca!
SideuaLk
Electrieal l_a.bel
Mobile Hane
PLarl Eedmlner
TotaL
r HAW CAREFULLy ExAt4r_NED the eotnpleted appli-cation for permit, and daherebg certif-y that aLL information heneoi ie true and correct-, or,i. ffu*ther certify that any ard aLL aork perfonted etnll be done in aceor-danee tith the ordinances of the city of bpringfield, anl. the La;e of the* state of 0regon pertaining to the work cesZribLd hnnbir, cnd tlnt No occu-
PANcy uiLL be nace of ala structure without permiesion of the Building Di-ttisio_n. r further certify that only contrae'tot,s and enpicyees uho are i;teazpliance utth ORS 701.05s wi.LL be used on thie projec't
TOTAL AMOUN? DUE: */J At
Access.House
ncks
CataQe
Tsrc
rTEM
l,leter.
JOB NO.
*
Nau/Eotend Circuits
IT9M
Pcrmit
9ence
I