HomeMy WebLinkAboutPermit Building 1990-8-22
. ... RESID~TIAL-",
APPLICAT lfI/PERMIT
225 North 5th Street
SpringfieZd, Oregon 97477
BuiZding Division
726-3753
Job Location: ~~ . t?~ 12lA-'~ Sf- jf 1/ 3
ASDesDors Map # r()oJ~ 3,-:YJJ T= Lot /I
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Subdivision:
SPRINGFIELD
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Receipt #
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City: ~I)f)f\ ~ f\r\~Q\)~' Zip: ~f)41(~
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AdditiOn
Remodel
Reaui~ed Jnsvpcticns
O SITE INSPECTION: To be made after
excavation, but prior to set up of
fo1'TTls. '
O UNDERSLAB PLUMBING. ELECTRICIIL &
MECHANICAL: To be made before any
work is ~overed.
D
FOOTING & FOUNDIITION: To be 17K2de
after trenches are excavated and
forms are erected, but prior to
pouring concret~.
UNDSRGFlOUND PLUMBING. SSWER. W.1TE.q,
DRAINAGE: To be made priOI' to fiZ-
1.ir.g trenches.
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UNDERFLOOR PW!,!BING & MECHANICAL:
To be made prior to inatallation of
11001' insu'~tion or decking.
POST AND BEAM:' To be made prior to
installation of floor ins~lation or
decking.
ROUGll PW.',1BIfJG. ELECTRICAl, & MECH-
ANICAL: No :Jork is to be eOL'ered
.ur.til these inspections have beer.
made and appI'ove4. ~
FI.'?EPLACE: PriOl' to pZacir.g facing
materials and before fl'aming inspec-
tion.
FRA!1JNr.: Muat be l'equeated aftel'
approval of rough plwrhing, electri-
cal & mechani~al. An roofing
bl'acing & chimneys, et~. nr~st be
,completed. No work is to be con-
, cealed until thio inspection has
. been made and approved.
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Describe f.'orl,:
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D INSULATION/VIIPOR BARRIER INSPSCTION:
To be made after all insulation a".d
'. l'equil'ed vapor carriers are in place
,,;.'.' :',',:; bUt c'efore any lath, gypsum board or
wll covering is applied, and before
any inaulation is concealed.
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D DRYWALL INSPECTION: To be made
after all drywall is in place,
but prior to any taping.
0" MASONRY: Steel location, bond
beama, grouting 01' verticals in
accordance with U.B.C. Section
2415.
D M,OODSTOVE: After installation is
completed.
D
CURB & APPROACH APRON: After> fo1'TTls
are 8reated but prii?r 'to pouring
~onal'ete.
Signed:
Date:
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Reg., EXD:!,-c.es
Phnnp
D SIDEf/ALK & DRIVEf/AY: For all con-
crete paving within street right-
, of "way, to bc made after all exca-
.......: vat'ing cf'!1lP.!~te & form lJOrk & sub-
....... base material'in plaae.
D
FENCE: When complete Provide
,gates or movable sections through
P.U.E.
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DEMOLITION OR ;~:OVED BUILDINGS
---'"] Sanitary SelJer aapped at propcrt':i Zir:e
---1 " ,'. , " .",t/W~\ 1"'''II~hW\~{\lo1,,,'.;il r.lj.iM:::j:,~:
~ Septia tank p;imped and filled LJith gra:JeZ
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I Final - mIen abcve items are completed
~ and when demolitior. is complete or strua-
ture moved and premises aleaned up~ '
Mobile Homes
~ Bl;~king and Set-up
~ Plumbing connections -- scwer and wa~er
~ Electl'ical Connection - Blocking, set-up
---.J and plUmbing connections nr~st !:e approved
befol'c requesting electrical inspec~ion
~ Acaessory Bui lding
I Final - Aftar p:Jrches,
~ etc. are completed.
skirting, decks,
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FINAL PLUMBI!/G
All :Frojeat conditions, auc!: as the ~',nstaZZation of street trees. "co."71pletion of tire
required landscaping, etc., must be satisfied before the BUILDINC FINAL can be requested.
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FINAL HEel/ANICAL
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FINAL ELECTRICAL
FINAL BUILDING: The Final
Electrical, and Mechar:ical
Building Inspection must be requeated after
Inspectiona have been made and approved.
, '
the Final Plwnbing
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AAr.L MANHOLES AND CLF.ANOUTS !!UHT DR ACCESSIBLR, ADJUST!fENT TO ,BE f.t.~DE AT flO C~ST TO CITY
I Pago ' of 2
JOB NO.
Zona:
Lot Sq. Ftg.
Z of lot Coverag~
.II of Stories
Total Height
Topography
ITEM
SQ.FTG
Q{XJ.
Main
Ga:raae
Carport
Accessorll
S.D.C.
TOTAr, VALUE
(va'ueJ
1.5 x
Building Permit
State Surcharge
Total Charges
I iTEM NO.
, Fi:.r:tures
IResidential (1 bath)
I Sanitary Sewer
Water
Plumbing Permit
State Surcr.arge
SOLAR ACCESS
Occupancy G~
WT TYPE
InteriOr
Corner
Panhandle
Cul-de-sac
X Value
\D.ID .~Jlq:)
FEE
Total Charaes
ITEM . NO.' FEE
Res. Sa. fta.
Now/Extend Circuits
Temporary Sel'lJice ,I
I I
E!cctl' "ca Z Pe1'TTli t
State Surcharge
Total Charqes
ITEM
Furnace ETU'S
I E:::haus t Hood
I Vent Fan
I Woodsto;}e
Permit Issuance
Mechanical Permit
State Surcharae
Total CharaeD
I -- ENCROACHMENT --
Ise~~rity Dep03it
I Storage
I Maintenan~e
I PC1'TTlit
Total Characs
Curbcu~
Sidewalk
Fen:)s
I Electrical
Mobile Home
Labe l
I TOTAL AMOUNT DUE:"
NO.
FEE
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,3. r5?:f:')
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-:7...2 ~
lfb . 7 ~ "
ClIARGE I
CHARGE
CHARGE
1"6. 73
REQ.-
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L-COG~.
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Type/Const:
e..
Bedrooms:
Enel'l'/u SOUl'ces
Heat
Water Yeater
Range
Fireplace
Woodstove
TilDe
I Lot Faces -
I
I P.r,.
North
East
Sooth
West
Setbacks
House Carage
Access.
-- Fees
Building Value & Permit
This permit ia gl'anted on the express condition that the said construction
shall, in aZl respects, conform to the Ordinance adopted by the City of
Springfield, including the Zoning Ordinance, regulating the constru~ticn
~ use of buildings, and may be suspe~ed or revoked at any time upon vic-
lation of any pl'ovisions of said Ordinances: ' ..
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I Plan Check Fee: r-}f3. lJ...~'~
Date Paid: C::3. lu, ~'pj
Recdpt HL! ' I j?O "
I Signed: ~"l)a )
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Plumbing Permit
No person shali construct, instal!, a!t~r o~ change any neW or existing
plumbing or drainage syste~ in whole OP 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. '
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ElectricalPermi t
Where State La1JJ requires that the electrical work be done by an ElectI'ical
Contractor, the electrical portion of' this permit shall not be valid until
the Zabel has been signed by the Electrical Contractor.
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Mechanical Permit
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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
furthel' certify that any ar.d all" WOl'/( performed shall be done in accor-
dance with the Ordinances of the city of Springficld, and th& ~~s of the
" State of Oregon pgrtaining to the work described herein, and that NO OCCU-
PANCY will be made of any structure without permission of the BuiZding Di-
vision. I further certify that only contractors al:d e.~pl"yees who are in
c~~pliance with ORS 701.05S will be used on this project
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Permit Nt>: . CfD.O.D \ . L
Issued. bY~ Date: f:t'/) q.
"STATEMENT:
, , '.INFORMATION NOTICE TO PROPERTY OWNERS
ABOUT CONSTRUCTION RESPONSIBILITIES
Note: Oregon Law, ORS70"1.055(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 ORS701.010(7), need
, not submit this statement This statement will be. filed with the permit.
Fill in the applicab~e blanks, and initial box 1 and either. box 2A or 2B:
1. I
I own, reside in,or will reside in thecomp,leted structure.
My general contractor is
,Contractor registration number
2. A.I'
.
I will instruct my general contractor that all subcontractors who work on
the structure must be registered with the Construction Contractors Board.,
OR
i I?/ I I will be my own general contractor.
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If I hire subcontractors, I will hire only subcontractors registered with the
Construction Contractors Board. If I change my mind and ao 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.
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SlgnatUfeof l'ermtrAppllcnT'
P'bdl./t?t"J
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CONSTRUCTION CONTRACTORS BOARD'.' " .
0244J 10/24/89 .
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COpy TO ISSUING AGENCY PERMIT FILE
COPY TO APPLICANT
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