HomeMy WebLinkAboutPermit Building 1991-2-27 (2)
00 RES~NTIA.Loo ' .
COMBINATION~LICATION/PEP.MIT, r SPRINGFIELD"""'-:
= 225 North 5th Str,eet ' " ,', i
- Springfie'LdJ Ol'e(Jon 97477
BuiZding D~vision
- 726-3.753
I'
-"'"
.f. __ ~4;
Job wc.ztion: 5~~~ \. X\{~\.A.~_~S _-
Assessors ~p # \ f\ 0 ~ 3 3(YJ \ lTc.r' wt H [1) (~C'D
SubdivilJi()n:
()Jner: ~'0AQL 8 \l;,Q\Y\-P \ or
AddressSA~ C' ~ ~~Qb
City: ~~9' ~(' \\JJtJ
~~, ~. \)',~ ~ -
Phone: t ?,J 0 ~ ~ \'6 'i<
q~~l
Zip:
I I Describe I.'ork:
~J
I I Addi tion b'A W\ch.~.~
.1 I
Remodril
M 'Mobile .'1om~
.o',.J)fJ. (:::1.
Dat9 of Application
SuoervisinQ'Eiectrician
'value":f, (\J
~:::~:~t~\~'.,. ~ .,.(At ~LtC(((l \trk~f'\W Ihw.( ~'44[,)'5
Plumbing ~~ \^'~110 nj) ~xrY:Y;J;zJ '
Electf'ical : Q.ejJ)I)PL / . , . " '
Neahar.ic..:l
Rcce';pt ,~
(qt'-Sl () V
,
..
, Siqr.ed:
Date:
{ffiJ - I
....ll . .~~ , -l1.....
-oJ
Expircs
q,'/01ln /l{/
, I
Phone
It is :he responoibi7.ity of the permit holdsr to see that all inDpectionsare made at tile proper tim,;. that Iilcoh .;ddreso is rea.::ab!a
from tlls 8trset, and that the pcnm: t card is located at the front of the property.
,ASui!.dillfl Dividor. approved Fl4n shall remain on tha Building Sita at all times.
PROCSDU!1E fOR INSPECTION R~QUEST: Call 726<t71i9 (recordsr) state your city designated job nwr.ber, job address. typR of in:;pecticn
raqucsted ar.d w.l:en you c.n:z.z bQ ready for insPQction, Contraotors or Q.msre ncme cmd phonQ number. Requ,;sts reoeived beforll 7:00 a':t
lo1iZl. b9 mads th,; same day.r9quests made aft~ 7:00 am will be made the nat ;.)Orkin; daY'n 4
. YOW' Ci.ty Designated Jeb NumbG1' Ia: '-1 \ () \ ry
Reauir~d rnso~ctinnn
- 0: SITS INSPEC':'ION: To. be madQ after
B:l:cavati.:m, but pnor tc set up of
, . forms. ,
'0 ' UNDF;RSLAB PWHBING. ELECTRICIIL &
MECHANICAL: To be made befere any
LIOrk is .:JO,lJerl1d. '
-0
D
D
o
D
O.
0,
o
0:
o
0"
fOOTING ,~ FOUNDATION: ' To. be rode'
after trenches are B:l:cavated and
ferms ar9 I1rl1otlld, but prier to
pouring concreto.
iJNorRGROU!!O PWMtJING/ S~R. W.1TEll.'
OHII II/A GE: To be Jrr2:1.e pnor to fil-
lir.g trenches.
UflOF;!'!FWOR PW~~ING ~ MECHANICAL:
To be made pnar '.to, inatallatien ef
fLoor insulation or dscking.
POST AND BEAM: To. be made pnarto .
iJllJtaUation of fLoor insulatien or
deoking .
ROUG/I PW.'IBI!/G. Er.ECTRICIlr. & MECH~
'ANIC/lC,: ,vo ;.)Ork, is to be oeL'ered
until thQse inspeotions have been
, made and i2pprovs,:. '
FI.'?EPCACE: ,Prior to placir.g facing
materials, aJ!d. b.,;fore, framing inspeo-
ticr..' , ',' ,
FRAf~ING: MU3t be requested af:er
approvaL of rough plwrbing. eleotri-
caL & i1leohani"aL. AH roafing'
bracing,~ ohimncys,eto. nr~et bs ,
completed. No. LIOrk is to be oon-'
cecled'untiL thia inspeotion has
,been made and, approlJed.
,-
-'
O INSULATION/VIIPOR BARRIER INSPECTION:
To be made after all insulati..?n crui
raqu~red vapor barriers are in plaoe
cut cefcre any lath, !!!/pswrr board or
wl1. covering is applied, and before
any, insulation is concea1.ed.
O DRYWALL IlISPECT!ON: To be made
after all drywall is in plaoe,
but pnor to any taping.
O MASONRY: Stesl location, bond
, 'bllama, grouting or vertioals in
accordance with U.B.C. Seotion
2415.
0- WOODSTOVE:, After instaLlatienis
, ccmpleted.., " '
o
CURB & APPROACH AP.'1ON: After forms
are erected but prior to pouring
ooncrete. '
0, SIDF:WALK & DRIVEWAY: For aLL con-
crete paving within etreet right-
of-way. to be ma::Ie after alL e:J:ca-
vating o""Plete .. form wOrk .. sub.
, base material in place.
O ,!'ENCE:" !.'her. oompl;;te -- Previde
gates ar movable sections through
P.U.E.
D
- -
I DEMOi,ITIO:J OR .'fOt'::' 3UIL;:.'1GS
I
....~.' ~...
.,' , ""'\.
" \ \, ~. . '\ \.-... ;\ - ,.
. " ~.... ...... . \ -'" 1-':' . ...., "
,AALL MIINHOLES AND CLEANOUTS ~IUST BE ACCtSSIBLE,
:J Sani~ e6lJ'!' ::c:r;peC: ::t f~OP{;!'t':i Zir.e
:J Septi..? tank p:.impt:d ar..; fili-ad :JUh ;raOJel '
--, Final - .Ilhen above it:.-:rs are c:;r.rpleted .
~ ar~ when demcZitior. is c~lQtJ or struc-
ture moved ar.d prc.7ri:us ci.eans.: up.
Mobile Homes
~Cking and Sst-:Ap
~wrrbing oonnectians .- saJer a7ld water
~ ~riccL Ccnnection - Block~r~, set-up
..J:::t"" and plumbing conr.eoticns tr.'':3t !:e approved
before requesting el~~:ricai. ir.speo:ion
=:J Ao~eSGol"d Bui:.di~
--, F~l - Aft;;r.?:Jro.r.es,
~c. are oomp~etca.
sk-::rt-::"f, decks,
D
- -
FIliAL PLUMBING'
AlL projeot conditions, such as the instalLat~on of s:reet trees, co~l~tion of ;~
required landsoapi,..g, ~to.. must be satisfiod bQfore tl'.e BI1ILDI.W; FI:fAL .;an !:e l'3q1AsstJd.
FINAL MECHANICAL
o
nii.4L BUILDINC: The Final, Buildi.ng Inspeotion muet bo requeotsd after
Eleotrical, and UeohanicaL Inspectiono halJa been made and approved. ,
, ~ ~.
'.. '. .
.FINAL ELECTRICAL
, .
:ile Final numbing
ADJUSTIIENT TO BE M.1DE AT NO COSO; TO eI'!Y I F,;;e !
.
I
af ;:
. . . "'_' ........__.....~,...n_....._._........ .... _..._........... ................_............. ~.._'.... ....
,
. . ...- . ..... ..... . . . . .. ..
Job Nwnbor: q (('J 10 4 Reference Nwnbers:
Zone: 1 X) r t -' - Occupancy G1'OUP.~,..'~') . TypeICor:st:
Lot Sq. Ftg. LOT TYPE I Lot Paces -
I Setbacks
,:; of lot Coverage Interior I P L H ' ,.
, .. ouse uaI'age
I ' N of Stories Comer 'North
, ,Total Height Panhandle lEast
I South
.\ Topography Cul-de-sac, IWest
I
lITEM
SQ.FTG
x
Value
Main
GaJ'al7e
C_,,~. t
AccessorII
I
I
TOTAL VALUE
Is.D.c.
(vat-ue)
1.5:::
Building permit
State SUI'c1uu>ge
Total Charges
ITEM
Futures
I NO. I FBE
CHARGE
Residential. (1 bath)
Sanitary Sewer
Wat er _
~Jl\.. '*
\S oQ
\ ~ .CJ-J
.U)S
1~.'l5, -
CHARGE. , I
I
I
I
I
ptwnbing Permi. t
State Surcr.o.ztge
Total Chal'aes
I
lITEM
I Res. Sa. rta.
I NewlE:::tend Circuits
I Tempol'ary SeNioe
I
NO. FEE
Eleatricat Permit
State Surchar~e
Total. Charges
iITEM
I NO. I FEE
CllARCE
Furn:1.ce ETU' S
E:::haust Hood
I Vent Fan
I Woodstove
I
,
Permit I3suance
Medranic:l l Permi t
State SUI'chams
Total Charoeo
-- BNCROACHMENT --
SeCTolr1.tl/ DSTJOsit
Stol'oge
Maintenance
PCl'mi t
Total Char17cs
Curbcut
sidewalk
I Penae
I Electrical Label.
I'Mo 'l Home
t
,I
~
PJ-{.fJS
(~ .'15
"-- -<; . cG,<;
- - I I
..J W'J )
!::jm;{)
TOTAL AMOUNT DUE: ~
L-COC #:
. Bedrooms: ,,r) /
r,'nef'Q.!/ Sources r' ~r:;:' J e. TI/De
Heat r- e-..---
. Aeeess. Watef' Hp.ater
Range
FireDlaoe,
f(oodatove
-...
I
"
,.- Fees :.....
i
I'
; \
Building Value, &
Permit
This permit io granted on the e:::press oondition that the said construotion'
shatt, in all. respects, confol'm to the Ordinance adopted by the City of
Springfield, incZuding the Zoning Ordinance, regulating the oonstruotion
and use of buildings, cind m:lY be suspended 01' revoked at any time upon vio-
, lauon of any pl'ovisions of said Ordi~es.
-,
~
Plan Cheek Fee:
Date Paid:
Receipt II:
, . SigniJd:
'Plumbing' Permit
No person shalt construct, instalt, q,tter 01' change any new 01' e:r:isting
ptumbing 01' ~inage system in 'whole or in paI't, unless such person is the
tegal possessor of a valid plwnber's tieense, e:::oept that a person may do
ptumbing work to property which it! olt1/'led, teased 01' operated by the appti-
'cant. .,'
. ,
,
"
. "\
I
:
Electrical Permi t
Where State Law requires that the etectricat Work be done by an Eteotricat
Contractor, the electrical portion of this permit shall not be valid until.
the label has been signed by the Eleetrical Contraotor. '
,
,
I
'I
-
,Mechanical Permit
..
I I
I
Plan E:r:aminer
lJate
I HAVE CAREFULLY EXAMINED the completed application for permit, and do
hereby certify that al.t information hereon is true and eorrllot, and I
further certify that any and all work performed shall 'be' done in accor-
danee with the Ordinanees of the City of SpringfieZd, and the La:Js of the
~ State of Oregon pertaining to the work described herein, and that NO OCCU-
PANCY will be mde of any structure without permission of the Building Di-
vision. I further certify that only eontraotors and emptoyees who are in
compl.ianee with ORS 701.055 witl be used on this project
:l
~
-2'~7.4/
-Date
~dL.
_:,-. .....1
,,-
.
..
Permit No: Q\O\14 .
,Address: 6~~ D~\~lV,
. ISSUedbY~ lID.. )oate:{) /OO,/q I
, FOR OFFICE USE ONt Y
. .
'STATEMENT:
INFORMATION NOTICE TOPROPERTY,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 box2A or2B:
,1\ '
1.W
2.A.~
/
,/
I own, reside in,'or will ,reside in the comple~ ~\~:ure.
My genera,lcontractor is\. ~ ~ Y11-l: l n '
Contractor registration' number, l ()q~ ~)
, 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.
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.
:A 1/ /
' . .") , ~-...b
//,P-l /q' )~/j./rL
'Signature of P~rmlt Applicant
.J"dl'O;;
Date
-
CONSTRUCTION CONTRACTORS BOARD
0244J 1/90
rlwV ,,'.
Y WJ::lITE COPY TO ISSUING AGENCY PE~MiT 'FILE
~Y TO APPLICANT
@s
I I I I r '.1 I I I I I I
I I I I I I
- I I I I I I
,I I I I I
'.) I I V) I I I I
.., ........ ...,.,.. ........ ....,....... .......... ...,................... ..............., ..,.....1........ .....
;! I I I
- I I I
-L ' ",_ _~ 1) J 0, J I
. '. f'L ()"T -1-/;'1'1 I
~--o,-~~- I
r vI- .. I
I T
r
I I I
I I, I I I I
I I I I I
1 I 1 1
===- -== c:=--+,------ ----~ 1 ----
---______1 1 . -------:- 1 I 1 ,
~-====--~ IL===~=_ ==========,+1 I ~---
--~ ~----~~------------~~=
____,--- 1 1_____1______________ I '
: - ,-----1 1----"7------..:..--. -1-1 1----
, ==-----1 1______ ______ ___ ~ . U-I 1----
_____, ,______ __' I ; , 1----.
________~ L_____[_~=====~ ~- I---~
_________, I___~________ ~x - -- --
__~-----~ I ". ~~-~---- L__
_ ~. _ ~I L----I--c-:-~-~,.. ,. --~~--- I -
~ ___<{_ __________~. i-\ ----
__~-- ~_ . 1 I ___" 1- -:l:i--- ------
_ -:-__ 1__ __I )Il.~ ---:- -- ~--- - ----
~-~---. ___===--====-1\):~ __ 11----
.1 . I -:---:-. . --:- , 1-:--:--:--:--:--.-------1- - -I C==:
==~===== 1-====_ - _:~18 '~_-:-____J 1----
____ _____ ,___ ,--I --+ -I 1----
: I I I ,I 1 ------:~--I --:--:-- ,- 1---::-
.1 " ·
L I I
) I '
~ I
~,-!+,-'-'-'-,-, ---I '
Iii I
I j I I I I
I I I I I I
----
-I)'...'
v.'<
(1
..1....... ...-.....
I
I I I
I I I
.
I
v
.
I I
I I I I -
I I 1,,-,. '~.
I I
I I I I I I -