HomeMy WebLinkAboutPermit Building 1990-1-26
.. RESIDWTIAL..
y' APPLICAT.PERMIT
225 North 5th Street
Springfield3 Oregon 97477'
Building Divisi~n
726-3753
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SPRINGFIELD
Job Location:~~5' f)o...~ S I,J #96
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Assessors Map H
Subdivision:, rn f\nCl on
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Ol.1ner: ~,^rll.f ... In rk<;. ~ VI
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Address: ~<;,9 (' Ia. i. ~~
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City: ~ ~A ~
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Addition
Remode'L
Ta:r: Lo t II
Phone: 6 r/l - ;u,99 ---..
Zip: q7~b~
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Date of App'Lication
Contractors Address
i general 1/(."i'-(,-I.~y\Jj" M~P.,S
i Plumbing "./' S'
I Hechanical "")
E~e€trical f)L-L'T1to~
S\1Pervj:'Sing Electt~cian
Hobi'Le Home
,Bldrs Board Reg.
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Date:
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Expir,es
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,the proper
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tims~ that each address is readable
It is the responsibi'Lity'of the permit hotder to see that a'L'L inspections are made at
from the street, and ,that the permit card is 'Located at the front of the property.
*BuiZding Divi~ion approved,p'Lan ~ha'L'L remain on the Bui'Lding sit3 at a'L'L times.
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PROCEDURE FOR INSPECTION REQUEST:CALL 726-3769 (recorder) state your City designated job nw.:ber, job address, type of inspecticn
requested ar.d when you wil'L be ready for inspection, Contractors or Owners name and phone number. Requests received before 7:00 am
wiZ'L be made tho; same day~ reC{'.lests made after 7:00 am LJiZZ,ba made the nczt :,)()rkiYl{J day.
l~'" Your city Desigr.ated Job Nwnber Is: q ()() / 3C:::)
Reaui~ed Tnsoer.tinnR
D' SITE INSPECTION: To be made after
exoavation, but prior to set up of
forms.
O . UNDERSLAB PLUMBING. ELECTRICAL &
: MECHANICAL: To be made before any
. work is covered.
o
FOOTING & FOUNDATION: To be made
after trenches are excavated and
forms are erected~ but prior to
pouring concrete.
0, UNDSRGROUND PLUMBING. SEWER. W.1TER)
DRAINAGE: To be made prior to fiZ-
, ,U1".g trenches.
D, UNDERFLOOR PLUMBING & MECHANICAL:
, To be made prior to instaUation of
fioor insuZation or decking. '" " ' '
O POST AND BEAM: To be made prior to
insta'L'Lation of f'Loor insuZation or
decking.
D ROUGH PLUMBING. ELECTRICAl, & MECH-
ANICAL: No work is to be covered
,unti'L these inspections have been
made and approved. '
D FIREPl,ACE: Prior to p'lc.ci1".g facing
materials and before framing inspec-
tion.
D FRAMING: Must be requested after
approvaL of rough p'Lwrbing, e'Lectri-
,ca'L & mechanica'L. An roofing
bracing 8 chimncys~ etc. m".lst be
:comp'Letad. No work is to be con-
,,' cea'Led unti'L this inspection has
~ be~n made and approved.
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D FINAL PLUMBING
o FINAl, MECHANICAL
D FINAL ELECTRICAL
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, '0 INSULATION/VAPOR BARRIER INSPECTION:
To be made after an in8,u'Latian and '
;::: ,., ,raquired vapor barriers are in pZace
'; 1,( ',: but before any Zath, gypswn board or
, " ",', UJan covering is appLied, and before'
, ,,":: ;,' "f11lY insuZation is concea'Led. ' \
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'0 DRYWALL INSPECTION: To be made
after an drywaU is in pZace,
, but prior to any taping.
0, ~SONRY: Stee'L 'Location, bond
beams, grouting or verticals in
accordance with U.B.C. Section
2415.
, D WOODSTOVE: After insta'LZation is
comp'Leted. ,
D
CURB & APPROACH APRON: After forms
are ereated but prior to pouring
concrete.
DEMOL'ITION OR MOVED BUILDINGS
, ~ Sani tary sewer aapped at p~operty Ur:e
~ Septic tank pumped and fiZZed with gra~eZ
I Final - IYhen above items are completed
~ and when demo'Litior. is comp'Lete or struo-
ture moved and premises a'Leaned up.
MobiZe Homes
Q-j'Locking and Set-up
~'Lwnbing connections scwer and water
~ E'L~ctrica'L Connection - B'Locking, set-up
~ p'Lwnbing connections l71'..lst ce approved
" before requesting e'Lec:rica'L inspec:ion
:=J Acaessol",i, Bui'Lding
~ F..4. - Aft~~ p:Jrches,
~~~~are comp'Leted.
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skirting, decks,
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SIDEWALK & DRIl'EWAY: For an con-
crete paving within street right-
pf-way, to be made after aU exca-
vating comp'Lete & form work & sub-
, base materia'L in pZaae.
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A'L'L project conditions, such as the insta'L'Lation of street trees, c~~'Lation of the
required Zandscaping, etc. ~ must be satisfied before the BUILDING FINAL can be requested.
FINAL BUILDING: The Fina'L Buitding Inspection must; be requested after the Fina'L P'Lwnbing
E'Lectrica'L~ and Mechanica'L Inspections have been made and approved.
~AiL MANHOLES AND CLEANOUTS MUST BE ACCE~SIBl,E, ADJUSTUENT TO BE ~L1DE AT NO COST TO CITY 'page 1 of 2
D
PENCE: K'hen complete Provide..
gates or movab'Le sections through
P.U.E.
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I JOB
I Zone:
NO.
C1Ci1(i~OLARACCESS
" ~ccupancy G~
LOT TYPE
REQ.-
L -CO G~
Type/Const:
.
I Enerq}/ Sources
I Heat
I Water Heater
I Range
Fireplace
Woodstove
Bedrooms: I"
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Lot Sq. Ftg.
~ of lot Coverage
# of Stories
Total Height
Topography
Lot Faces -
Type
Interior
Corner
P.L.
Worth
East
South
.West
-- Fees
Setbacks
House Garage' I Access.
Panhandle
Cul-de-sac
ITEM
I/olain
I SQ. FTG
x
Value
Building Value & Permit.
Ca:l'aoe
This permit io granted on the express condition that the said construction
shall, in all respects, conform to the Ordinance adopted by the City of
Springfield, incZuding the Zoning Ordinance, regulating the construction
and use of buildings, and may be suspended or revoked at cny time upon vio-
U2tion of any provisions of said Ordinances.
Carport
Accessoru
S.D.C.
TOTAL VALUE
(vaLuc)
1.5 x
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Total Cha....ges
I ITEM I NO.
I Fi:J:tu:res
IResidential (1 bath)
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Plan Check Fee:
Date Paid:
Receipt #:
, Signed:
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Bui lding permi t
State Surcharge
FEE
CHARGE
Sanitary Sewer
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No per;on shall construct, instalZ, alter OP change any new or existing
plumbing or drainage syste~ in whole or in part, unless such person is the
legal possessor of a valid plumber's license, except that a person may do
plumbing work to property which is owned, leased or operated by the appli-
cant.
Plumbing
Pe r m it
Water
t
Plumbing Perrr.it
Total Charges'
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US /;]
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State Su:rcr.arge
ITEM
. NO.' FEE
I ' CHARGE "
Electrical Permi t
Res. Sa. fto.
New/~xtend Cir~~its
I Temporary Service
~Y~rI
.Where State Law requires that the electrical work be done by an Electrical
. Contractor, the electrical portion of this permit slzalZ not be vaZid until
the Zabel has been signed by the Electrical Contractor.
Electrical Permit
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State Su:rchi::lrge
Total Charges
Furnace ETU' S
Exhaust Hood
I Vent Fan
I Woodstove
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I NO.
I
FEE
CHARGE
Mechanical Permit
lITEM
Permi t Issuance
Mechanical Permit
I.
State Surcharoe
Total Charaes
-- ENCROACHMENT --
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Security Deposit. ,. .... ..".......::-:;.-'.-,-.,;.. ---'-.
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PZan Examiner
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I HAVE CAREFULLY EXAMINED the completed application' for permit, and do
hereby certify that all information hereon is true and corrcct, and I
further certify that any ar.d all work performed shall be done in accor-
dance with the Ordinances of the City of Springfield, and the UT~s of the
J * State of Oregon pertaining to the work described herein, and that NO OCCU-
PANCY will be made of any structu:re without permission of the Building Di-
vision. I further certify that only contractors and e~loyees who are in
c~~pliance with ORS 701.055 will be used on this project
Maintenance
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permit
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Sidewalk " ",' ..,;.\. '"
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Electrical Label
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Permit ~o: qCO\t:>~ ttO
. '. Address: 'f,~~ ~S~ .' b
'Issued ,by: C\~ate: )-;Q(n-C{)
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'5T A lENIENT:
, INFORMATION NOTICE TO PROPERTY OWNERS
ABOUT CONSTRUCTION RESPONSIBILITIES
, , Note: Oregon Law, ORS 701.055(4); requires 'residential building permit applicants
'J, who are not registered with the Construction Contractors Board' to ,si,gn the
following statement beforeJhe 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 Hied with the permit.
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, Fill in the applicable blanks, and initial box 1 and either box2A or 2B:
1. I v I I own, reside in, or will reside in the completed structure.
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, 2. A.,I I My general contra~;tor is -1:1 n..h~ -" ~ ~~, '
Contractor' registration number ,-') ~ 7 ,-) 10
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I will instruct my general contractor that all. subcontractors who work, on
the structure must be registered with the Construction Contractors Board.
OR
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B. , 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
reyerse side of this form.
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Signat~re of pe~ Applicant"
1-;;<'0-9LJ
Date
CONSTRUCTION CONTRACTORS BOARD ,.'
0244J 10/24/89. -".'r,.,
WHITE COPY.TO ISSUING AGENCY PERMIT FILE
PINK ,COPY TO APPLICANT '
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