HomeMy WebLinkAboutPermit Building 1990-6-22
, .. RESI.NTlAL"
APPLICAYfoN /PERMIT
225 North 5th Street
SpringfieZd, Oregon 97477
BuiZding Division
726-3753
'.
Job Location:
~ 1/4 mo,/;n -:stJLu.h
.\ f\rV~3~ ~) T= wt # ()4.J)()O
Otmer: ~ Qr\ f\ \ \\()~9 1 ~1'"
Addre83: f, \\ 4. \\\0 l'n :stJi1.d
City: \.~ l'n~ 1 CUD
n
n
n
n
6)+' ciJL&dt'Se r'~~'L)I\f\C\)
LA Oo-m ~oldtbCY\-- 6
lo-fR,-qn Value nlrG
AB~e8GOr.; Map H
Subdivision:
N/!YM
Addition
Remodel
Hobi1.e Homo
Date of AppUoation
Contractor~
. General
,Plumbing
jHeehanieal
.~ EJ,eetrical (U , '\ n 0 Jf .J
:! Supeli'\lan.~.lg Electr~cian
- -~- -
Phone:
04 1)- ( 0 r;q()
Q14'J X'
Reeeopt ~ 17 L{-77 ~
*
Sigr.ed: (I A ~
Date: -(0 -7>7_-'1-0
Address
Lise. I'
Bldrs Board Reg,
'P'hnnp
O INSULATION/VAPOR BARRIER rnSPECTION:
To be lOOde after aU insuktian w.d
. - _ required vapor barriers are in place
. .' but cefore any lath, gyp8W7! board or
wll.. covering is appUed, and before
. any insulation is conceaZed.
O DRYWALL IIlSPECTION: To be made
after aU d:ryIJa.Zl is in place,
but prior to any taping.
O MASONRY: Steet location, oona
beam3, grouting or verticals in
accordance !.Jith U. B. C. Section
2415.
D WOODSTOVE: After installation is
ccmpleted.
O CURB & APPROACH AP'/70N: Afte,:, forms
are erected but priOl' to pouring
.:!01U!l'cte.
D
SIDEWALK & DRIt'EWAY: For all con-
crete paving lJithin street right-
of-way~ to be made after all exca-
vating complete & form work & sub-
base ma.teria7. in pUwe.
Zip:
Exvires
It is the responoibility of th6 permit hoLder to Bee that alt inspections are made at the proper tim€~ that each ~e8s is readabZe
[J-Om the street~ and that the permit ca:I'd is tocated at the front of ths property.
*Buitding Dividon approved ptan. shalt remain on the Building Sits at alt times.
'pROCEDURE FOR INSPECTION RE:QUEST:CALL 726-3769 (recorder) state your City desigru:r.ted job mm:ber~ job address~ type of in3pec-:.icn
requested ar.d when you win be ready for inspcction~ Contractors 01' OtJne1'"S name and phone nwnbC1". Requests received before 7:00 CZ':'I
r".'ill be made the Bame day~ requests made afte:!' 7:00 am !.Jill bc made t,'ZuJ nat :.JOrking day.
. ", .Y~ City Desigr.ated Job Nwrrb€1' Is: q Ml..o / q
RRnvir~d T~~n~~tir.~R
O SITE INSPECTION: To be Trade after
excavation~ but prior to set up of
forms.
O . UNDERSLAB PLIJ/.fBING, ELECTRIC,1L &
, MECHANICAL: To be made before any
, work is covered.
CJ
FOOTING & FOUNDATION: To be mule
after trenches are 6%cavated and
forms are erected~ but prior to
pouring concretQ.'
o
UNDERGROUND PLUMBING.. SEWER. W.1TE.~
DRAINAGE: To be rrrzde prior to fit-
.liro.g trenches.
o
~
o
UIIDERFWOR PLU/.rBING & MECHANICAL:
To be made prior to instal.lation' of
j100r insuLation 01' decking.
POST AND BEAM: To be made prior to
instalZation of floor inBklation 01'
Meking.
ROUGH PLUMBIN
ANICAL: No' k is to
until. these ins .
'made and approved.
FI.'qEPLACE: Prior to pZacir.g facing
materiaZs and before framing inspec-
tion.
FRA1~ING: Must be requested after
approval of rough plwr.bing, electri-
cal & mechanical. AlZ roOfing
bracing & chimncys~ etc. trr.lst be
,completed. lIo work is to be con-
.. cealed until thiD inspection has
'bG~n made and approved.
[J
o
1-
o FIliAL PLUMBIIIG
o FINAL MECHANICAL
~ FINAL ELECTRICt.L
O ~ENCE: When compl~te -- Provide
gates 01' movable sections through
P.U.E.
D
DENOLITION OR ;'.:OVED BUILDIilGS
~ Sanitary seuer ~apped at p~op..:rt;-::i tine
=:J Septic tank p".i:?ed and fiz.ze~ LJith ;;ra~el
I Final - rl'hen above ite::rs are completed
~ ar.d when demolition is complete 01' stru~-
ture moved and pra:ri.ses cleaned up.
Nobile Homes
::J Blocking and Set-up
::J Plumbing connections 8&Wer and water
::J Electrical Connection - Blocking~ set-up
and plumbing connections nr...st he approved
before reque8t~ng electrical inspectio~
::J Accessol"i Bui 72::,ng
--, Final. - Aftcr p:Jrcr.es~ skirting, decks,
~ etc. are cample;~d.
o
All project conditions, such as the installation of street trees, co.~letion of the
required lar:dsccpir.g~ etc. ~ must be satisfied before the BUILDING FINAL can be requested.
o
FINAL BUILDING: The Final Building Inspection must be requested after the Final Plumbi1l3
Electriaal, and Mechar:.ical Inspections hava been made and approved.
o
"'ALL MANHOLES AND CLEANOUTS MUST BE ACCESSIBLE, ADJUST/fENT TO BE J.!.1DE AT NO [;JST TO CITY I Pa!?f2 1 of 2
JOB NO. q()OtO(C{ SOLAR ACCESS
Zone: Occupanc_~ Grou.
Lot Sq, Ftg. LOT TYPE
I of lot C:;verog;; Interior
# of Stories C0r718r
Total Height Panhandle
T""p....:1~ ...t'hy Cul-de-sac
1
ITEM
I S~.FTG
Main
Gerace
Caroort
ACCe8S01'tI
S.D,C,
TOTAL VALUE
(val.ue)
1.5 :r:
Building Permit
State Sta'cha:rge
Tota l Cha.--ges
lITEM
Firtuzoes
I Residential (1 bath)
I Sanitary Sewer
I Water
I
Plwn!n:ng Permi t
State SurC}-.aI'g8
Total Charaes
lITEM
I Res. S(1. fta.
I N6l.J/E:ctend Circuits
I Terrzpol'a:ry Service
I .
E1.e::rtricaZ permit
State Surt:!harae
Total Charaes
lITEM
I Furnace ETU'S
Exhaust Hood
Vent Fan
I WOodstove
Permit Issuanca
Mecha.nica.Z Permit
State Surcharae
1110.
I
I
I
I
NO, FEE
1)+
I I
I I
I NO.
I
I
I
I
Total C'hart"'(!,'J
-- ENCROACHMEIIT --
I SeC'.-lrit;u D:ronsit
I Storace
I Ma.int~e
Ipermit
1 Total Cha7'4cS
I Curbcut
I sidm.!a lk
I Pen::e
l Electl'ica Z Labe Z.
I Mobile Home
I TOTAL AMOUNT DUE:'"
ra.ge it
REQ.-
I
,
"" L-COG-{;
.
Bedrooms .'
Type/Cor.st ..
I Lot Faces -
I
I P.L.
INorth
lEast
South
IWest
I Access.
Enara,lJ Souraes
Heat
Water' .tIl?atp.p
Range
Fil'€rolace
Woodcrtove
TilDe
Setbacks
I House I Camqe
I
I
Ii
II
-- FaBS
x
Value
Building Value & Permit
This permU i3 granted on the express condition that the said construction
shall, in all respects, confann to the ordinance adopted by the City of
Springfield, including the Zoning Crdirumce, regulating the construction
and UDe of bui7.dingB, and may be suspended or revoked at any time upon vic~
lanan of any provisions of said Ordinances.
-
I
I
I
I-
I
Plan Check Fee:
Catc Paid:
Recdpt N:
Sf.<:rted:
FEE
CHARGE
Plumbing Permit
No pereon [;hall construct, ins'taU, alter 01' change cn.y nelJ 01' e--i.sting
plumbing 01' drainage systen in whole 01' in part, unless such person is the
legal possessor of a valid plwnber'8 license, e:rcept that a person may do
plwr.bing !Jork to property which is otJned, leased 01' operated by the appli-
cant.
I-
CHARGE I
Electrical Permit
c9r\J .50
Jlh2l'e State LabJ l'equil'BS t;..at the aZectrical work be done by an EZeatrical
Contractor, tho electrical. portion of this permit shaLl. not be valid until
the Zabel has been signed by the Elecmcal Contractor.
I
I
I~~ .flJI(;y
I IJ~I
k-9C4, La3 , -
FEE
CHARGE
Mechanical Permit
I
I
I
I
I -
I.
I
I
I
I
~ -
I
I
I
I iJ 'im
I I k/1') ~~
c---- ~~.t03 I ~ tgn'd '
PLan Exc:m1.71er
vats
I HAVE CAREFULLY EXA.I,fINED the completed application for permit, and do
hEreby certify that all info:"mO.tion hereon is troue and correct, and I
f.4rther .cer:ify that any ar.d all IJOrk perfornted shall bB do':18 in ac~or-
dance :.nth the O1'din::mcea of the City of Springfield, and the w,,;s of tho
State of Oreg:m p~rtaining to the work described heJ'"ein, end that NO OCCU-
PI.f/CY will be rrr:zde of any structura without parmis3ion of the Euilding Di-
vision. I fUJ'"ther ceJ'"tify that only contra~tors ar~ ~~yees who are in
~pliance with ORS 701.055 will be used on this pJ'"oject
i ~?2-7t)
Date
".aIIIIll:ISl",
, ..RESI~T1AL..
~" APPLICATION/PERMIT
225 North 5th Street
SpringfieZd, Oregon 97477
BuiZding Division
726-3753
I"". ..~~.."
,I,
.Job Location: 7 J I tj. m Ovm Sf:
A8ceDao,. MaP" 17 oZ<~631
Subdivision:
().m,,: -::fPM1 mO':fheuls
Addrac.: 7 j) Y yv1 (AjTVl 3t
CitlJ: 5pn v'l3c-e Ie
n
R1
n
n
Nt""
.,...~....,'" ..,~..
Ts: Lot n Dl..J7{)O
Phone: 7L) 7 1.0 79D
Zip: C(74 Ii)
Desoribe fl'ork:
.1ddi ticn
Li\!lvt5 I'7J?> m
ojd~-f1zl (\
Data of Application
Contractors
General I'mJJ!1t>Y
i Plumbing I
i Hechanical . '. _ .
I E~"ctri!:al ~1\H..Ql'ic4 Q Ri.,\'f\::?J 0 C'i
I Slloe1i~till;~.!g_Eleci:r~ci.:ln'
Remodel
:.!obi.le Homa
-5 -24-<10
Value
\~,~ <(5[).cV
Rccdpt #
. ,
.
rillS
Sigr.ed:
Date:
~1JYh
. {j}- I ~ -'"1()
Address
Lise. II
Bldrs Board Re~.
Exoj,:ces
Uhnnp
It is tho responDibility of tho permit hoLder to see that al! inapectionD are made at the proper time, that ~ach ~e88 is rc~:e
from the street, and that the permit card is 'Located at the front of the property.
ABui!ding Ir:vi::ior: approt:ed Flan shat.l remain on th2 Building Site at aU times.
PROCEDURE FOR INSPECTION R!..QUEST:CALL 726-3769 (recorder) state your City desianated job nwnber, job addPcss, type of in:;pec-;icn
requcsted ar:d tJ,l:en you 1Jil.l be rcady for inspecti.on, Contractors ot' C'Mners ncme am! phone number. Requ~sts received before 7:00 a::'I
:..>il.l be made th~ same day, l'equests made afta' 7:00 am will be nr:u1e the nczt :.JOrkinJ day. .
.' Y~u,. City Deaigr.atcd .Job Numb.,. I.:' q(Uo\C\
~W"':"'J!>1 T'l~'2l'>{!'+,'I':nJ1,Q
O SITE INSPECTION: To be ""de afte,.
o.:caavation, but prior to set up of
forms.
O . UNDERSLAB PLUMBING. ELECTRICAL &
: MECHANICAL: To be made before any
work is covered.
lZJ
FOOTING & FOUNDATION: To ba nru!a
aftel' trenches are excavated and
101'11ls ar~ el'ected, but prior to
pouring ccncret~.
R'7I UND?WW]!lND PLUMBING,. S'Sr.fER. W.1TE-~
I.7'J:-J2JAINAGEi/TO be made p'io, to fi!-
tir..g-rnnchec.
D. UNDERFLOOR PLUMBING & MECHANICAL:
, To be made prior to in3taUat1.on of
floor insuZc.tion 01' decking.
r\7f POST AND BEAM: To be made prior to
~ insta~Lation of floor insulation or
dackil'l{; ,
;ROpCl! pr.u"!Rn~a;:E~ECTR~CAtJ .<< MECH-
ANICAL: No work ts W be cOL'ered
,ur.til .~hcse inspections have beer.
made and approved.
FIf?EPLACE: Prior to plc.air.g facing
mate1'ia~s and b~fore framing inspec-
tier..
f':71 FRAI.~ING: Must be requested after
~approvaL of rough pl.wr.bing, electri-
cal. & mechaniaal. A1.t roofing
, bracing ~ chimneys, etc. 17r.J.st be
; completed. No LJOrk is to be con-
..! cealed until this inspeotion has
. b6~n made and approved.
,~
o
f'Jf INSULATION/VAPOR BARRIER INSPECTION,
~ To be made after all insulati:m aro.d
" required vapor barriers are in p ~ce
. but before any lath, gypswn board or
wl'L covering is appl.ied.. and before
any int1ulation is concealed.
R7l DRYWALL INSPECTION: Tc be ""de
~ after au' drywl.l. is in place,
but prior to any taping.
O MASONRY: Steel location, bomI
beam3, grouting 01' verticals in
accordance with U.B.C. Section
2415,
o
After inotal.l.ation is
I DEMOLITION OR J.:OVED BUILDINGS
~ Sani"tQ1'1J se'..)er ~apped at p:..op~rty 1.ir.e
.:=J Septic tank p-..Jr.1?cd and fille~ lJith gra~et
--, Final - rlhen cWv'"'Ve ite.'1ls are completed
~ and when demolitior. is complete or stru:-
ture moved and pr~3es al.eaned up.
I Mobi te Hemes
:=J Blocking a?Ui Set-up
:=J Plumbing connections -- s~er and water
---, El.ectricaZ Conr:.ection - Blocking, set-up
---.J and pl.wnbing' connections lrT'.lst ce approt:ed
before requesting eZectrical inspectio~
:J Acaeseol':; BuiZding
I Final - Aft~r p:Jrc1:es, skirting, decks,
~ etc. are completed.
o
Al.t projeot condition3, ouch ao the inotal.l.ation of otreot trees.. c~~Zotion of the
required Zandscapir.g, etc., must be satisfied befors the BUILDINC FINAL can be r8questad.
o FII/AL PLUII,BII/G
D FIliAL MEoHANICAL
~ FINAL ELECTRICt.L
WOODSTOVE:
ccnrpl.et~d.
o
CURB & APPROACH APRON: Afte:o forms
are created but prior to pouring
concrete.
~
FINAL BUILDING: The Final BuiLding Inspection must bo requested after the Final Plumbing
Electrical, and Mechar.ical Inspections havo becn made and appl'ov.?d,
o
SIDEfrALK & DRIt'ErrAY: For an con-
crete paving within stroet right-
of-way, to' be made after an exca-
vating complete & for.m work & zub-
. base material in pZaae.
o
'AU MANHOLES AND CLF.ANO(JT{; /f//{;T RP. ACCP'{J[;TB~P.. A[).1IJST!lENT TO liE /.lAnE AT 110 COST TO cInl Pare! ;-1
O FENCE: Wher. complete -- Provide
gates 01' movable sectionG through
'P.U.E. .
o
I JOB NO.
IZona: ~
Lot Sq. Ft(;.
~ ~f tot CJ<Jerage
# of Stories
Totat Height
Topography
SOLAR ACasS
Occu nc crou.
LOT TYPE
Interiofl
Corner
Panhandte
Cut-da-sac
I
IITEJ.I
lMain
I CcYaCl!
I CarOOl't
I SQ.FTG
I~'(}
AccessorII
TOTA& VAWE
Is.D.c.
(VCtUCJ
1.5 :r
Building permit
Sta te SW'charge
Total Cha:'gea
x Value
.lQf1L) \5.,'X)<{)CL'
1
1
1.
I N/A I-
I / / (p S"o
5:1P3
1/:2.2- .3 3 I-
CHARGE
lITEM
I Futures
!Residentiat (1 bath)
I Sanitaroy Sewer
Water
Plwnbing Permi t
State Surcr.arqe
Tota 1. Chal'fH18
NO'1 FEE
1
I-
I
:2a~/I1(})(i 22...'5'0 I
I I . I
I~
2.3 .~3" -
FEE
lITEM
j Res. So. fto,
I N3LJ/Extend Circuits
I Temporary Service
I
State Surcharoe
Total CJtmoqes
IITSM
Furnace ETU' S
Exhaust Hood
I Vent Fan
I WOodstove
Permit IS8uanca
Mechanical Permit
State surcharac
I NO. I
CHARGE
HC, I
I
FSE
CHARGE
I
I
I
/
I
Total CharaeD
I . -- E/lCROACHMENT --
I Sec-.A:ritt/ D~OO3it
I Storago
I Maintenance'
Permit
Total Charoqos
I eurbcut
I sidelJO.tk
I Fen.::c
j EZectrica l Labe 1.
I Mcba. Hem.
I
~\m,.'r ,unlll1T nll~:'
,
\ CL--,..)3 /4-:) ?~ r -
. -;J~
L-COG-l',r
REQ.-
.
Bedrooms:
T':lpe/Cor.st:
'!Jt!!!
Lot Faces -
enel' SouI'ees
Heat
Watnyt .tJ(Ultl'yt
Range
Fire'Olaee
Woodotovs
Setbacks
I P.L. IHouS6 Carage
I/lorth
lEast
ISouth
IWest
'Acces8'll
1 !
Fees
Building Value & Permit
This permit is granted on the GXpl'OCS condition that the said construction
shall" in all respects" conf.orrm to the ol'liinance adopted by tho City of
Springfield" incZuding the: Zoning Ordinance" l'egulating the constl'U~tion
and use of buiLdings" and may be suspended Ol' revoked at eny time upon vio-
lation of any provisions. of said Ordirumces.
!Plan Ch~ck Fea: \ p.t ~:')
Date Pa~d: ~- 'l<~JJ\b
IReceipt #: \ (I '2'. ~
jsigncd: 'Ph U,!') -
Plumbing Permit
No percon shall construct" instalZ" aLter or change eny new or e=isting
plumbing or drainage system in whole or in part" unless such person is the
legal possessor of a valid plumber's license, except tr~t a pe~son may do
plumbing work to proper~J which is owned, leased or operated by the appli-
cant.
Electrical Permit
Where State Law requires tr~t the electrical work be done by an Eleatl'ical
Contractor" the electl'ical portion of this permit shall roOt be otlalid until
the label has been Di-gned by the Electrical Contractor.
~\ f)~QD '\bUS &0
~-~
~
Mechanical
Permit
-
A ~ .
.'. ~9-YJ~
PLan Exal:n1-nel' /''' ( l
lla~//~70
I HAVE CAREFU&&Y EXAMINED the completed application for permit, and do
hereby certify that aLl. i~fo:mation heroon is true and correct, and I
further certify that any ar.d all work performed shall bB don.s in acaor-
dancs urith the Ordinances of the city of Sprinaficld" and th.= Ltr.J8 of tha
.. Statd of Oreg.m pertaining to thd work ddBcribod hcrd-:.n# and that NO OCCU-
PANCY will be made of any structura lJithout ptJrmisawn of tho Building Di-
vision. I further certifH that ~ly contraatol'S ar~ a~~yess who are in
ca~pl-:.ance with ORS 701.055 will be used on this project
~
& ~!::;-tf;)
./ ~J)~.~_~
A.
Da.te
-9.
.. RESIDAlTlAL"
APPLICATB/PERMIT
225 North 5th Street
Springfield, Oregon 97477
Building Division
726-3753
Job woation: ~ \ \ t.\ NY) i . 1\ ~~ 0 0 f _
Aeaeems Map H \ 'In'd ~s ~ \ - To:< w~ H (141m
llJner: 0 \) tLC\ \\\C\ tt'\\~~
Addreee: '\ \ \L\-. \'\\(\ Lf\ ~i ' Phone:r4l~tnrCj'()
City: "'f\\ t f\~ ~cil n~ZiP: ql41~
n
n
n
n
Subdivision:
NmJ
Addi ticn
RemodeL
Mobile Home
:=:y- \~ r q() .
Date of Application
Contractors
General
: Plumbing ~"'\I\i'\ J 'YO
i Hechanicill
IElectrical
Su P~Ii';.:n:;,..lg_ Elec ~ r ic ia n
Value
i Reoe'pt #
.~
'~
LI{) Lj
"
_M,rAlfiD' _).
Dat., - . ~ HO-'-((
Address
Lisc. /I
Bldrs Board Rec,
Phnnp
dl..O O() m.r 4~ I Y. \d J
,~ \42,[ ')
Exo~'(es
\!~,,=3la\
It; is the responoibiUty of the permit ho'LtUzr to 866 that an inopeations are made at the proper tim€~ tr..at each .:ddrs88 is l'ea.dabZe
ftaom ths Btreet~ and that ths permit card is locatsd at the front of the property.
"Buitding Tr;vi.::ior: approved plan shall remain on the Building Sit:; at all times.
PROCEDURE FOR INSPECTION RE:QUEST:CALl 726-3769 (recorder) state your City designated job number, job adC.:rcss~ type of in3pec~icn
raquested ar.d when you lJiH be ready for inBpection~ Contractors or OI.me:,s name end phone nwnbcr. Requests received befere 7:00 Q;';'l
r..'iZZ be made the same day~ requests made after 7~'OO am will be m:u:1e the nat :Jerking daY.!') 1 n
Your City Deeigr.ated Job l/wnb<r Io: '--f[OJ lO \ '-'\
Rp-nui~ed Tnsoecticns
O SITE INSPECTION: To be made after
e:ccavation~ but prior to set up of
. forms.
D WOC~MBnU~mG. U8~ll~L&
MECHANICAL: To be made before any
. work is covered.
O FOOTING & FOUNDATION: To be m:zCe
after trenehes are exaavated and
forms are erected~ but prior to
. pouring concreto;.
~RCROUND PLUMBING SEWER. W.1TE.~
L..:::J _ DHAINAGE: To be "'-. -6 to fi l-
. }ir.g trenches. .
o
UND8RFWOR PLUMBING & M8CHANICAL:
To be made prior to inata~Zation of
floor insulation or decking.
POST AND B8AM: To be made prior to
installation of floor inBt4Zation or
daoking.
ROUGH PLUMBING. ET-ECTRICAL & MECH-
ANICAL: No lJOrk is to be cOL'ered
.ur.til these inspections have beer.
made and approve::.
FIREPLACE: Prior to plaair.g facing
materials and before framing inspec-
tion.
D FRAMING: Must be requeated after
approva.~ of rough pltm.bing~ electri-
cal & mechanical. AU roofing
braaing & chimn.cys~ etc. llr.Jst be
,. completed. No work is to be con-
,".cealed until this inspection has
'be~n made and approved.
o
D
o
U iNSULATION/VAPOR B.4RRIER INS?::CTIOll:
To be made after all insulati::m w.d
'. required vapor carriers aJ"e in place
,:. .: but before any lath~ gyp8W1l board or
wall. covering is applied, and before
any inauZation is conceaZed.
o
DRYWALL INSPECTION: To be made
after all drywa II is in p lace ~
but prior to any taping.
D MASONRY: Steel location~ boiui
beam3~ grouting or tJ(Jl'ticals in
accordance with U. B. C. Section
2415.
D WOODSTOVE: After installation is
ccmpleted.
D
CURB & APPROACH Ap,r!f)N: After" forms
are created but prior to pouring
COn;)rete.
DE/.!OLITION OR gOVED BUILDIiIGS
=:J Sanitary se'..1er capped at ~op.::rt"':l line
=:J Septic tank p-".o.-:-:pcd and fiZZed r.n.th ;;ra~e1.
I Pinal - rthen ab...-"'tJe items are ccmpleted
~ ar~ when demolitior. is complete or stru~-
ture moved and premises a~eaned up. .
Mobile Hemes
:::J Blocking and Set-up
:::J Plumbing connections -- SDWer and water
:::J Electrical Ccnr.ection - Blocking~ set-up
and plumbing connections nr~8t be approved
before requesting elec~rical inspection
=.J Accessory Building
--, Final - Aftcr p:;rc1:es~ skirting~ decks~
~ etc. are c~ple:~d.
D
A~l project conditions~ Duch as the insta~~ation of street trees, ca~~ation of the
required Zandscapir.g~ etc. ~ must be satisfied before the BUILDING FINAL can be requestad.
o FIliAL PLUMBIIIG
o FINAL MECHANICAL
o FINAL 8L8~HICAL
o
o
PINAL BUILDING: The Pinal Building Inspection must be requested after the Pinal P~umbing
Electrical~ and. Mechar:ical InspectiornJ have been made and approv;Jd.
D
SIDEWALK & DRIVEWAY: For all con-
crete paving within street right-
of-wcy~ to be made after all exca-
vating ccmplete & fom IiJOrk & sub-
base material in pla::!e.
~ALL MANHOLES AND CLEANOUTS nUST BE ACCESSIBLE, ADJUST!!EN'!' TO BE r.f.~DE AT NO CDST TO CI'!'Y I Page :1 of 2
D
PENCE: When complete -- Provide
gates or movable sectians through
P.U.8.
D
q[j)(olCf SOLAR ACCESS
OccuDancl/ C.
WT TYPE
I JOB
I Zona:
NO.
Lot Sq. Ftg.
S of lot CJlJerage
!I of Stories
Total Haight
Topography
I
lITEM
I Main
I Ga:t>aae
SQ. FTC
Caroort
Acceasoru
Is,D.c,
TOTAL VAWE
(J.Jcl,uc)
1.5 "
Building Permit
State Surcharge
Total Charges
lITEM
Fi:ctures
I Residential (1 bath)
I Sani ta:ry 5eLJ8l'
I WatlU"
NO.
Plumbing Pe=i t
State Surcr.a.rge
Total. Charaes
ITEM
NO.
Res. Sa. fto.
I NeuJ/Extend Cil'CUi to
I Temporary Service
Eleatrical Permit
State Suraharqe
Total ChtzIoc;es
lITEM
I Furnace ETU' S
I Exhaust Hood
I Vent Fan
I JlOodstove
I
/Ie,
Pernn.t Izsuanca
Me~hanic:ll Perrmi t
State Surcharae
rpnta.l Chtno"A9
-- EllCROACHJ.!ENT --
I SeC'olM. t'q DaPOsi t
I Storage
I Maintenancp.
I Permit -
I Total ChaNCS
I Curbcut
I Sidewalk
IFe~e
I Electrica Z Labo l
I Mom te Home
I TOTAL _AMOUNT DUE: 4
Interiol'
Coroner
Panhandle
Cut-ds-sac
x
Value
FEE
CHARGE
FEE
,~.OOI
I I
I I
B\. CQ()
I 1.<00
13 \ . <SUI.
I
I
I
I
I
I
I
CHARGE
FEE
ClIARCE
r:::.ge .i:
.-'
REQ.-
L-COG~
Type/Cor.st: .
II
II
Access. I I
II
II
I:
Bedrooms:
l Lot Faces -
I Setbacks
I P.L. IHouse Carage
llortn
lEast
South I
Ir,est I
Enarny Sources
Heat
Water Yp.atf?r>
Ratlge
Fireplace
Wood:; tOIle
Tu'Oe
-- Fees
I
I
I
I,
,.
Building Value & Permit
This pemt io granted on the express condition that the sciid construction
shall, in an respects, conform to the Ordinance adopted b'y th6 City of
SpringfieLd, including the Zoning Crdinance, regulating the construction
and use of buildings, and m::y be suapended or revoked at cr.y time upon vie-
lation of any provisions of said Ordir.an.ces.
, .
Plan Chack Fee:
Date Paid:
Rec;;ipt #:
Si.g>:ed:
Plumbing Permit
No person ahall construct, install, aUer or change any new or e::isting
plumbing or drainage system in whole or in part, unless such person is the
legal possessor of a valid plwnber's license, e:rcept that a person nrlY do
plwnbing work to property which is OT.,,'71ed, leased or operated by the app1.i-
aant,
Electrical Permit
flhere State LatJ requires tr.at the electrical work be done by an Electrical
Contractor, the electrical portion of this pemit shall r.at be valid until
the Wel has been signed by the Electrical Contractor.
I
I
I
I.
Mechanical Permit
I
I
I
I
! .
I
I
I
I
I
I.
Plan Examiner
va.e
I HAVE CAREFULLY EXAMINED the completed application for permit, and do
hereby certify that all i,-:fo::rmation hereon is true and COrl'cct, and I
further certify that any ar.d all IJOrk perfor:ned shall be do:te in accOr>-
dance :.lith the Ordin:::mces of the City of Springfield, and th;; Ur..;s of tho
State of Oreg::m p2rtaining to the work described herein, end that NO OCCU-
PJ.flCY lVill be rrr:zde of any struatura. lVithout permission of the Building Di-
vision. I further> certify that o:tly contra~to~s ar~ ~l~yess who are in
~pliance with ORS 701.05t will be used on this project
I Ie
I I
I I )
I I~
01 .~Ol Tnsd
S'-I/" , q7J
Date
fl.
.
.
Permit No: q mlo r q,<, ('? L
Address:!J.ll1 m(\' R ^ of
Issued bY~ I ro ) 'o:te: .!5jJ#cru
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(?), need_\
not submit this statement. This statement will be filed with the permit, i ~, i J
, :' -l'(..<,:--,'(,_"'l{/
..J \..' ({ -
Fill in the applicable blanks, and initial box 1 and either box 2A or 2B:
1.~
2'A.%
I own, reside in, or will reside in the completed structwe.
My general contractor is ~\() 9.. -yo J~~ n l ~ f)I\~Jl;
Contractor registration number -3 \4....=t)) .
I will instruct my general contractor that all subcontractors who work on
the structure must be registered with the Construction Contractors Board,
OR
B. L-I I will be my own general contractor.
If I hire subcontractors, I will hire only subcontractors registered with the
Construction Contractors Board. If I change my mind and 00 hire a general
contractor, I will contract with a contractor who is registered with the
Construction Contractors Board and I will immediately notify the office
issuing this building permit of the name of the contractor.
I hereby certify that the above information is correct and that I have read and understand
the Information Notice to Property Owners about Construction Responsibilities on the
reverse side of this form.
I \
"- \d4.4') ~~4~ :t/~ ~ )---.
0'01"1e of Pe,ml App loao'
CONSTRUCTION CONTRACTORS BOARD
0244J 10/24/89
.s - / ~ - 7 (,J
Date
1\1lf\ '() COPY TO ISSUING AGENCY PERMIT FILE
y~ COPY TO APPLICANT
W~
~.
.
CITY OF SPRINGFIELD
IMPROVEM~ AGREEMENT AND APPLICATION FOR~WER HOOKUP
We, the undersigned property owners, request permission to connect the following
described property to the sanitary sewer owned and maintained by the City of Springfield.
We therefore agree to pay a charge of .17~ per square foot of the benefiting property for
the first 150 feet of depth as a deposit against future assessments for sanitary sewer.
Tax Lot No. 17-02-35-31 04700 Receipt No. 'r")(YJ ~
Property Description:
Address: 7114 Main Street
A parcel of land lying in Section 35, Township 17 South, Range 2 West of the Willamette
Meridian, Lane County, Oregon, bounded on the South by the McKenzie Highway; on the West by
the East lines of Lots 30 and 31, Francisco Park, as platted and recorded in File 71, Slide
27, Lane County Oregon Plat Records; on the North by the South lines of Lots 22 and 29,
Francisco Park and on the East by the West lines of Lots 20 and 21, Francisco Park, all in
Lane County, Oregon
This agreement does not include the cost of a house connection to said City sewer, sewer
user charges, connection fees, plumbing permits or other such costs to be assumed by the
property owner.
The applicant agrees to waive all right to remonstrate against an improvement project for
santiary sewer to be duly initiated by the City Council, but not the right to protest the
amount or manner of spreading the assessment thereof, if the same shall appear to Applicant
to bear inequitably or unfairly upon said property of Applicant;
NOW THEREFORE, the City agrees that if Applicant complies with the terms of this agree-
ment and with all other applicable laws of the State of Oregon, Lane County, and the City,
the said Applicant shall be entitled to connect the existing residence to the public sewer
systems. .
The covenants herein contained shall run with the land herein described, and shall be
binding upon the heirs, executors, assigns, administrators, and successors of the parties
hereto, and shall be construed to be a benefit and a burden upon the property herein described
This agreement shall be recorded in the Lane County Deed Records.
WHEREFORE, the parties have set theirc~ ,,' ,,,I "" \l.Q ''Y.. of \'(\C1~ ' 1flO.
CITY OF SPRINGFIELD \!.PPLICANT l . J ~
By . .1/#--;') i/Yb//-hpu "",) <D
Director of Publ ic Works t'. < C2.)
STATE OF OREGON)
)
COUNTY OF LANE )
On this llO"\\0day of",ffi\\l ^'--, 1 ill,
above document. \.J
(S) \J~I~ (_ ~~~Q rU
5.\~.qO
Information:
La tera 1
ss.
there personally appeared before me and signed the
(?:)
My commission Expires:
For Finance Department
Trunk Sewer
cis ED 120
REV 2/81
Sewer
10,275 Sq. Feet X $0.17 =
1,746.75
_i..DING
DIVISION JOBO 900GJ~
-LEGAL-
LOT BLOO(
FINAL
-ADDRESS-
7J.!.4 MAIN ST
-VALUE-
o
DESCR:100' SAN SEWER/SERV. CHG
1702353104700
900517 / 900G07
-OWNER-
JEAN MATTHEWS 747-6790
71.14 MAIN STREET
SPRINGfIELD, OREGON 97478
-ENERGY-
HEATl-
H20-
RANGE-
-STATS-
BLDG ZONE
STORIES fLOODPLAIN
BEDRM oee GHP
UN ITS
SQ fEET
CONST TYPE
-CONTRACTORS-
GENL-
CONTRACTOH PHONE-
PLMB-.BRAVADO
ELECT-MCKENZIE RIVER
MECH-
DESGN-
".
,,-
..
-INFO-
NEW
RES :([IENT IAL
111.1
REpT CAT ,,930
SEQ-HEQUIRED PEHMITS-----------fEE-SURCHARGE-DATE-RECEIPT-PERMIT~-------VALUE---
OOI-014-SANITARY SEWER
002-0IG-IN LIEU/ASSESM
003-004-ELECTRICAL
30.00
1746.75
37.50
1.50 900516 17073
0.00 90051G 17073
1.88 900521 17124
$
'b
$
o
o
o
SEQ-MINIMUM INSPECTIONS + REQUIREMENTS--------------------EXP DATE---ACT DATE-
OOI-026-SANITARY SEWER
002-044-ELECTRIC SERVICE
900530
900G07
SEQ--INSpECTIONS-------COMMENTS--------------------------DATE----RESULT--INSp---
00 1-02G-SAN ITARY SEWER 900529 NR ,,~
.."
002-026-'SAN ITARY SEWER 900530 O~( 'l~
........
003-044-ELECTRIC SERVICE 900G06 NOTOf( 35
004-044-ELECTRIC SERVICE 900G07 Of: 3 ~s
005-049-PINAL ELECTR ICAL 900607 0'/ 3:5
"
.. RESID~T1Al"
APPLICATION/PERMIT
225 North 5th Street
SpringfieZd, Oregon 97477
BuiZding Division
726-3753
.
l'I\~4
Job Location:
'1 l \ i\ \ '\ \lli 1\. J
6 Ir)o,Q:)S~)
(,)41fY\
Assessors Map
Subdivision:
T= Lot 6
~e(: ij )') 11 ~, r f kl1fn LuJ-S,
AddPe;;T) I 14 rY\~. Pr.me: I
City: SDUJ1,ND ~ . (UJZ ~ Zip: C?14 7?:
I 01 1 - 1 -
Describe r,'ork:
6)CD~1nf ~eo
Q .,cQ\ ~q 0- Value (\ W
n
n
n
n
NPlJ
Addition
Remodel
.'.lobi le Home
Date of Application
Contractors
.General
i Plumbing
:~~~~:~~:~~\0tOJlt1'1l FiUO()~
ISupeFv~s;.li Electrician ,~__P?~.~f
Address
'.Li!=ic. 11
Bldrs Board Rec.
"Phnnp
*.
\~ ". .:
; -.
/.
Siqr.
Date:
.'"'i. ()/-'--{( J
Expires
( 0 ~nns
Your City Desigr.ated Job Nwnb€1' Ia:
O INSULATION/VAPOR BARRIER INSPECTION:
To be made after aU insulatian cr'.d
. - . . required vapor barriers are in place
'.: ., but before any lath, flYpsum boazod or
. wan covering is applied, and before
. any inauZation is concealed.
DRYWALL INSPECTION: To be made
after all drywall is in place,
but prior to any taping.
O MASONRY: Steel 'Location, boYui
beam3, grouting or vertiaa.ls in
accordance with U.B.C. Section
2415.
O WOODSTOVE: After instaUation is
ccmp le ted.
o
O CURS & APPROACH APRON: Afte:> forms
are ereated but prior to pouring
ooru::rete.
o
SIDEWALK & DRIVEWAY: For a'Ll. con-
crete paving within street right-
of-l.JCY, to be made after all exca-
vating complete & fo~ work & sub-
base material in pl.a:!e.
C-S/?,\ /4'1
f
It is the responsibility of ths permit hoLder to see that alL inDpections are made at the proper time, tr~t each ~es8 is readabLe
fl'011f tits street, and that the permit card is Zccated at ths front of the property.
~Bui!dirtg Division approved p'Lan shall. remain on tha Building Sits at aU times.
PROCEDURE FOR INSPECTION RE:OUEST:CAll126-3769 (rccorder) state your City designated job nwnbel'.. job at:Zacss, type of in3pec"f;icn
requestcd and when you lJii.l be ready for inspection, Contractors 01' Owners name and phone number. Requests received before 7:00 am
:..>i'Ll. be made the S(Q1le day.. requests made after 7:00 am tJi'Ll be made the next :.JOrking day.
RR~1i~~~ T"~~r-tin~R
SITE INSPECTION: To be rrrzde after
excavation.. but prior to set up of
forms.
~OC~~BnU~I~. U8~M~L&
: MECHANICAL: To be made before any
work is oovcred.
o
o
o
FOOTING & FOUNDATION: To be made
after trenches are excavated and
forms are erected, but prior to
pourir.g cGnCret.a.
o
o
UNDERGROUND PLUMSING. SEWF:R. W.1TE.~
DRAINAGE: To be rrr:u1e prior to fil-
.'Liro.g trenches.
~D8RFWOR PW/.!BING & /.fF:CHANICAL:
To be made prior to inataUation of
floor insulation 01' decking.
POST AND BEAU: To be made prior to
instaZlation of ['Loor insulation 01'
decki,," '
ROUGH PLUMBING, Rr.ECTRICAT. & MECH-
ANICAL: No :.JOrk is to bc covered
. untiZ these inapectior.s have beer.
made and approved.
FIREPLACE: Prior to p'Lacir.g facing
materials and before framing inspec-
tior:.
FRANINC: /1ust be l'equented after
approval of rough plwr.bing3 alectn-
cal & mechanical. AU roofing
bracing & chimncys, eto. m'..tst be
:' completed. llo work is to be COt1.-
.0 cec.led until thin inspection has
'be~n made and approved.
o
o
o
D
O PENCE: When cOo'l1plete -- Provide
gates 01' movable sections through
P.U,8.
o
q rfJl O\C\
DEtfOLITION OR ;~:OVE:; BUILDIilCS
~ Sani'tary S6'.Jer :Japped at rn:.opert'~ line
~ Septi:: tank p:.cyed and fi t te~ LJi th grav.e l.
I Pinal - rnum above items are cc.7pleted
--.J and when demo l i tior: is camp lete 01' stru.:!-
'ture moved and prC!mises :Jleaned up.
Mobile Hemes
:::J Blocking a7L1 S2t-Up
:::J Plumbing connections sauer and wa-:er
:::J Electrical Connection - Stocking.. set-up
and plwnbing connections T1T'...st ce approved
beforc request:.ng eZec:rical. inBpec~io::
=:J Ac~essol"d Build:.ng
::J Fin.a.l - Aft;;r p.:Jrcr.es.. sk:.rting.. decks..
etc. are comp7.e=~d.
o
All project conditions.. such as the installation of s:reet trees3 co.~Zetion of the
requil'ed landscc.pir.g, etc., must be satisfied before the BUILDINC FINAL can be l'equestad.
o FIliAL PW/.fBIIIG
D FII/AL 118~HANICAL
o FINAL eL8CTRICAL
o
o
FINAL BUILDING: The Final Building Inspection must be requested after the Fin.a.Z Plwnbi'13
Electl'ical3 and Meahar:ical Inspectiona haVC3 been made and approved.
/tALL MANHOLES AND CLEANOUTS }/UST BE ACCESSIBLE3 ADJUSTlfEl/T TO BE /.f,1DE I:.T NO CDST TO CITY Paqe 1 of 2
~NO.
I Zone:
Lot Sq, Ftg.
% of lot Coverag;;
# of Stories
TotaL Height
Topography
lITEM
I Main
I Ga:Jtaae
I Carpel't
IAcce88o~
I
I
SQ.FTG
TOTAL VALUE
IS.D.C,
1.5 %
(vaLue)
Building Permit
State 5ur'chcrrge
Total Cha.......gea
ITEM
I Firtures
I ResidentiaL (1 bath)
I Sanitary Sewer'
WcteI"
Plumbing pend, t
State Surcr.moge
Total. Charaes
I ITEM I NO.
'Re8. Sa. fta.
I Nw/Extend Circ:ui ts
I Temporary Service
I
Ele~trical Permit
State Surcharae
Total C'harqes
lITEM
I Furnace ETU'S
E:::haust Hood.
Vent Fan
I W:wdstoiJe
Perrrrit IS8UanCa
Mechanical Permit
State Surcharac
",,,"tal r.haraRs
I -- ENCROACIJ}!ENT --
I SeC"04ri ttI DePGsi t
Storage
Uaintenanae
I Permit
Tota Z. Cha'flOOS
I Curbcut
I Sidew Lk
IFe~e
Electrical Label
Nobile Home
I TOTAL AMOUNT DUE: ~
SOLAR _ESS
OcC!UpancII C.-
('
I ':T TYFE
NO.
1110.
I
I
I
I
I
In.terior
CU1'ner
PanhandLe
Cul-de-sac
X Value
FF:E
CHARGE
FEE
I.
CHARGE I
FEE
I
I
1'3) ,2()
I {, ~'lS I
13CL ?, ~ .
I
I
I
I
I
I
I
I
, .
I
I,
I
I
I.
I
I
I
I
I
I
I
I
CHARGE
....tf<o; '-'
'"
L-COG~
REQ.-
T;'pe/Cor.8t:
Bedrooms:
I J Enel'G.u Sources
Heat
Watel' HRntp.l'
Range
l Fireplace
I Wood:;tove
II
TUDe
I Lot Faces -
I Setbacks
I P.L. IHouse Caraqe
INorth
lEast
ISou th
Ir;est
Fees
I Access.
I
I
I
I
I
I
I
, .
I
I
I
,.
Building Value & Permit
This pel'TTr';t in gronted on the express condition that the sdid construction
shall, in aZl respects, conform to the Ordinance adopted by the City of
Springfield, including the Zoning Ordinance, regulating the ccnstructicn
and use of buildings, and m::lY be suspended 01' revoked at cr:y t"';me upon vic-
lauon of any pr~visions of said Ol'dir.ances.
I Plan Check Fee:
I Date Pa-id:
IReodpt #:
I Signed:
Plumbing Permit
No pereon shall construct, instazz., altor 01" change any new cr existing
plumbing 01' drainage system in whole 01' in part, unless such porson is the
legal possessor of a valid plumber's license, except that a person may dO
plur.hing work to property which is owned, leased 01' operated by the appli-
"""t.
Electrical Permit
Where State LazJ requires tr.at the electztical tJOrk be dOne by an Electrical
Contractor, the electrical portion of this permit shall roOt be valid until
the Zabel has been signed by the Electrical ~ontractor.
Mechanical Permit
p~ E~nel' uate
I HAVE CAREFULLY EXA.'of.I/lED the completed application for permit, and dO
hereby certify that an ir:fo:omation he'fleon is true and correct, and I
f.il'thero cel'tify that any ar..d all tJOrk perofor:r.ed shaLl bs do:1e in accor-
dance :.lith the Ol'dina.nces of the City of Springfield, and th~ La:.is of tha
State of Ol'eg.:m pzrotaining to the work described heros.:.n, and that NO OCCU-
PAllCY /Jill be rrrr.,de of any structure J.Jithou.t parmission of the Suilding [)i-
vision. I furthero ce'fltify tha.t o:1ly contractors ar..d ~Lvye2s ~ho are in
compliance with ORS 701.05~ will be used on this project
Sign3d
Date