HomeMy WebLinkAboutPermit Curb Cut 1990-3-21
.. RESIDAHIAL"
APPLICAJ8!v/PERMIT
225 North 5th Street
Springfield, Oregon 97477
Building Division
726-3753
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Job Location:
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ASD68GOl"Z Map #
Subdivision:
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AddreS3:~r)f\ 8(' . \\C\J\ \'-t V
City: '- . Q K \ \ UL \)
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QN"'M
n Addition
n Remodel
n :.!obiZil Homa
Phone:
ZiP:qt~~l
DsscPibe r.'ol'k:
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Date of AppLication G. n\. qo
Contractcu:.s
Generall'1rY'Y'LQ fl5
i Plumbing
jHechanical
I qectr:Lcal . .
Sl1pe~~;::ll~Elec tr;ician
Va lUB
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'" Rcce:pt "
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f-'.J121 .() Gj
Siqr.ed:
Data:
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tA~;:rJ
h . Lise. #\ n Bldrs Board ReQ. EXD~res PhQ1P
.:. \. Qn t.,Q~I~\><('\. .?Ftyt ~~'1. 'l'l-t-,-;:<,I~
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It ill ths zo6sponoibiZity of ths psrmit holder tc 888 that all inopections are r.-.ade at ths proper timE~ t1:at GC.Ch .:;ddro88 is l'oadahZs
from ths e~eet. and that the per.rit card i. located at th. front of ths property.
*BuiUi'!1!l Di.vicior. approved plan shall remain on tha Building Sits at all times.
PROCEDURE FOR INSPECTION RE'QUES!,:CALL 726-3769 (recorder) state your City designated job nwnber, job addrcss, type of in3pec:icn
requested ar-.d 1J.~en you tJiH be ready far ir.spcction, Contractors or lA.me:"s name end phone numbcr. Requests receivsd befers 7:00 a':'I
:..~n be nnde the same day, roquests made, a~ter 7~OO am will ba trruie the next :JOrking day. n7\(\ Q )
. Your City De.igr.atad Job Nwnbe" ID' '\ l A ) uD\
Rp.(Dn:~p.l't T'1"t?)'p;1'!~7:r.':'R
O SITE INSPf:CTION: To be rmde after
e:z:cavation# but prior te set up of
forms.
D . UNDERSLAB PLUMBING. ELECTRICAL &
MECHANICAL: To be made before any
work is a01Jcred.
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FOOTING & FOUNDATION: To be made
after trenches are excavated and
forms are erected# but prior to
pouring eoncret~.
UNDISlIGHOUND PLUMBING, S~R. W.1TE.~.
DRAINAGE: To be nrz.:i.e prior to fil-
. Ur.g trenches.
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UNDERFWOR PLUMBING & MECHANICAL:
To be made prior to inatalLation of
f'oor insutation or decking.
POST AND BEAM: To be made prior to
installation of floor insl.:.Zation or
dscki"ii .
ROUGH PLUMBING. ET..ECTRICAL & I.fECH-
ANICAL: No work is to be cor;ered
,until these inspections have beer.
made and approved.
FIREPLACE: Prior to placir.g facing
materials and before framing inspec-
tior:.
O FRA,.!ING~ Must be requeoted after
approval of rough pl~bing, electri-
cal "mechani.:::al. AU roOfing
bracing & chimneys, et.:::. nr~st be
completed. No work is to be CGn-
... cealBd until thiD inspection has
4 b6~n made and approved.
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O INSULATION/VAPOR BARRIER INSPECTION:
To be m::zde after all insul,:;,twn w.d
. -. required vapor barriers are in place
. . but before any lath, gypswn board or
wU covering is applied, and before
any insulation is concealed.
DRYWALL INSPECTION: To be made
after all drywall is in place#
but prior to any taping. .
O MASONRY: Steel location. 1Joj"j
beams, grouting or verticaZs in
accordance with U.B.C. Section
2415.
O WOODSTOVE: After installation is
completed.
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f:""! .e1JRB & APPROACH APRON: After forms
U::::J are created but prior to pouring
aon.:::rete.
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SIDEWALK & DRIVEWAY: FOl' all con-
crete paving within street right-
of-lX.Y, to be made after all exca-
vating complete & for.m work & sub-
. base materiaZ in plaae.
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FENCE: Wher. complete -- Provide
gates or movable sections through
P.U.E. '
I DEUOLITION OR ;~:OVED BUILDIilGS
:=J Sanitary se:Jer aapped at p:.op;;r~. lir.e
=:J Septi~ tank p-.q>sd and [illsd with i11"'oel
I Pinal - rYhen ab...""Ve ite.'1fs are completed
~ ar~ when demolitior. i8 complete or stru~-
ture moved and premises aleaned up.
Nobile Hemes
::J Blocking and SBt-~p
::J Plumbing connections -- scwer and water
::J Electrical Connection - Blocking# set-up
and plwnbing conr.ection8 trr..8t co approved
before reque8ting elec:rical inspec:ion
::J Ac.:::e8GoI"'i Building
--, Firuzl - After porcr.es, 81d.rting, decks#
.--J etc. are comple:c:d.
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All project conditions, such as the insta~lation of stpcet trees, c~~lotion of thB
requiped landscaping, ete.# must be satisfied bcfore the BUILDING FIllAL can be raqu.oDt.zd.
o FIliAL PLUMBIIIG
o FIliAL f.lE~HANICAL
o FINAl, ELECTRICAL
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FINAL BUILDING: The Final Building Inspection must be requeated arter the Pina.l Plwnbin;
Electrical# and Mochar:.ical Inspectiono have been made and approvad.
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AALL MANHOLES AND CLEANOUTS JIUST BE ACCESSIBLE, ADJUSTNEUT TO BE 1.t.t1DE AT NO CaST TO CITY I Pagc 1 of 2
Zona:
SOLAR ACCESS
Occuoanc" G_
WT TYPE
JOB NO.
wt Sq. Ftg.
S , f lot CiJl)e~ag<
# of Storoies
Total Height
I TopofTl"1?hy
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lITEM
,\b.in
I Gerace
j Carvort
I AcoessorIl
. SQ.FTG
TOTAL VAWE
Is. D.C.
(vat..uc)
1.5 :r:
Building Permit
State Suroharge
TotaL Cha."ges
I ITEM NO. I
I Fi:rtu:Joes
I ResidentiaL (1 bath)
I Sanitary Sewer
Water
PLumbing Perrm. t
State Suror.a.rge
Total Charaes
ITEM
I Res. Sa. fta.
IN~/EXtend Circuits
I Temporary Service
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I NO. I FEE
Ele~tn.cal Permit
State Suraharqe
Total Charces
lITEM
I Purn:zce BTU' S
E::haust Hood.
NO'1
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I
Vent Fan
I WOodst(r.)e
Pel"rTrit Issuance
Me::hanical Permit
State Surcharae
T(}taZ ChtrrOP.lJ
I -- ElICROAGHMENT --
Ise~~rit~ Deposit
I Storage
I Maint~e
Pcrrrrit
Total Charoacs
Cu.l'bcut
I I r QfidLA
SidewLk
IF(!~e
I Electrical Label
~ Mobile Home
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I 'I'OTAL A:'!O~:~T DUE:.4
Interior
Cornel'"
Panhandle
Cul-de-sac
x
Value
FEE
CHARGE
CHARGE
FEE
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U ,D_~_
CI/ARCE
11.05
t"c.gc .i::
REQ.- L-COG~
Type/Cor.st: . Bedrooms:..c ;. J.";
I Lot Faces - , I Ener-u,lf SOUI'CBS T11'Oe
I Setbacks I I Heat
I P. L. House CCU"apc Access. I I water" gp.atnI'
INo~th I I Range
lEast I I Fireplace
South I I wooditove
I~st I I
Fees
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Building Value & Permit
This permit is granted on the express condition that ths sdid construction
shall, in aZl respects, conform to the Of'dinanoe adopted by the City of
Springfield, including the Zoning CrdinancB, regulating the construction
and uoe of buildings, and may be sUDpended 01' revoked at cny time upon vic-
lation of any provisions of said Of'dir.ances.
I Plan Check Fee:
Date Paid:
!Recdpt H:
I Signed:
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Plumbing Permit
No pers~n oha"ZZ constMJ.ct, instal!, aZter or change any new ar e...""1.sting
plumbing 01' drainage system in ~hole 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 property which is owned, leased or operated by the appli-
cant.
Electrical Permit
Where State l..al.J requires tr.at the electrical work be done by an Ele:::trical
Contractor, the electrical portion of this permit shall r~t be valid until
the Zabel has been signed by the Electrical Contractor.
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I Mechanical Permit
Plan E::raJ1nner
va.e
I HAVE CAREFULLY EXA.'.fINED the completed application for permit, and do
hereby certify that all i~fo~tion hereon is true and corrcct, and I
f~rther certify that any ar.d aZZ work per[o'r1fed shall be do~e in accor-
dance :Jith the Ordinances of the City of Springficld, and the: [q,,;s of tho
State of Oreg~n p&r~ining to the work described herein. and that NO OCCU-
PANCY will be nude of any structur.1 urithout parmio3ion of the Building Di-
vision. I further certify that o~ly contra~t01'8 ar~ enpl~yee8 who are in
o~pliance with ORS 701.05E will be used on this project
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CtXA)?Wv\
2:-21''2D
Date
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Permit No: Qrn3:S J
Address: f#R ~ '{\c\ (\('..ce)
Issued by: IM.J Date: 8~ I IQO
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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 2B:
1.~
2.A.DZf
I own, reside in, or will reside in the qompl;ted structure.
My general contractor is (JrY"'fi 0(\ <::::,
Contractor registration number !;)~06q
I will instruct my general contractor that all subcontractors who wotk on
the structure must be registered with the Construction Contractors.Board.
OR
-; ~ 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 co 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.
L7Ma.l d /2, [MJ1'ftA.
Signature of Permit Applicant
3- Z I - 90
Date
CONSTRUCTION CONTRACTORS BOARD
0244J 10/24/89
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~COPY TO ISSUING AGENCY PERMIT FILE
I . )1\~PY TO APPLICANT
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