HomeMy WebLinkAboutPermit Building 1990-7-2 (2)
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APPLICAT1.PERMIT
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225 North 5th Street '
Springfield, Oregon 97477
BuiZding Division
726-3753_ .
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, Job Location: 5fW;O ~Lf ~ ~51 .
ASDeSOOl'~ Map H 1 ~ (:) d. n 4 I I
Subdivision:
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Q,mcr: ~'Ce.i.5fJ
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Address: . 5fD~(J fJI:H,iLf ST- -tt 5/
City: jP/lIItJt-,REl.-^ , 0/2.' .
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Phone: 74-l- o~4-~ 3#2.//:< I
Zip: q 7478
SPRINGFIELD
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61 .... 1 \.~ . .
Tax Lot H 6 (~) t 7
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Describe ,,'01'1<: r-..' ~d ~ ' . 4'
~9~N/MJO ~6E,-'foJ'''r
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valu'f6..Lf~I,: ~
Lisc. II
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1)4 1J.P1J
, I Addition
I I Remodel'
I '1 !lobUe 110m3
Date of Application 7 ~~-qo.
Contractors
. General
~'Plumbing
Hechanical
~J.~ctr:i.!:.al
I SUllel;'Vr.t!;jr.lg LUec t r:i cia n
It is the responsibility of the pennit ho~er to see that all inspections are made at the propel' time, that Qccl\ ~ddress is rea=abZe
fl'Om the street. and that the permit card is ~ated at the front of the propel'ty.
~Bui!dina Diuision. appl'oved plan shaZl remain on the Du~lding Site at all times.
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P.'IOCEDUP.E FOR INSPECTION RE:QUEST:CAll 726-3769 (l'ecordel') state YOUI' City designated job number, Job addl'ess. type of in3pec~iclI
requested ar.d "'.':en you ",iZZ be ready fol' inspection, Contractors 01' OI.Iners name and phone number. Requests J'eceiIJed before 7:00 c:I
I.'ill be made th~ samedcy. requests made aftcJ' 7:00 am \JiZZ b:z made the nc%t :JOl'kirIJ day. .
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Date: 7.~ .f;il~ L.
Address
Blurs nonrd Re~.
Phnnp
YOUI' City Desigr.ated Job Numbel' Is:
Required InspectinnR
I'vt' SITE IN~PEC'I'ION: :o.be made a.r;~r ___ 0 INSULATION/VAPOR 8ARR~ER IHS~ECTION:
~ 8Xoauat1.on, but pl'1.or ,t.o. set -up of To be made after all 'l-nsulahan aro.d
. forms. ' .'. l'equ-:.red uapor barriers are in place
O UNDERSLA8 PLlJ/ofBING. ELECTRICAL & .: but before .any .lath. !!ypsum board or
'MECH,I,VICAL: To be made before any L1Cl7.7. .couer1.~g 'I-~ apphed. and beforo
work is ~ouered. any 'l-nsulat'l-on 'l-S concealed.
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. All. project conditions, ouch as the 1~nstatzat-:.on of 8tl'8et tl'ees, o(J!:lplotion 0'1. t';i~ .,'
required landscapil'!g, etc., mu8t be 8ati8fied befol'e the BUILDING FINAL ,can be l'sque8tad.
d FOOTING If FOUND,1TION: To be made
,~ after tl'enches are excavated and
Go- fOJ'ms. aJ'e eJ'ected, but priol' to
pouring cenCl'et~.
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UNDERGROUND PWM.'JING. SElIE!? W,iTE!?,
D!MIIIAGE: To be made prior to fil-
lir.g trencl\ee.
-' D. UNDbERFLOOdR PL~MBI.vG ~ MEC1ZI1NI~AL: f
To e ma e pr'l-ol' to 'l-nota ~at1.on 0
floor inoulation Ol' decking.
O POST AND BEAM: To be made prioJ' to
installation of floor insulation 01'
deoki"!J .
O ROUGH PWHBING. ELECTR!CA[' & MEC"-
ANICAl,: No work is to be covel'ed
.ur.til these invpection8 haue beer.
made 'and apPl'Ove=. . . '
D FiREPLACE: 'Prior to placirq faci~g .
materials and bcfore framing .inspec-
tiol'!. .
M FRA~!INr.: Muot be l'equeoted afteJ'
.: ~ approual of rough plwrbing, el,ectri-
. ool & mechanical. An roofing
. bracing & chimneys, et~. mu8t be
; completed. No LXJrk i8 to be con-
I oea?~~ !1n~H ~hilJ iniJpSmll31l llalJ
a 1ic~n mad" aria cippJiOilia.
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D FINAL PLUMBING
o FINAL MECHANICAL
o FINAL ELECTRICI.L
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FINAL BuiLDING: . The Final Building In8pection must be'l'equeoted after tha Final Plumbi~3
EZectrical, and Meohar:ical Inspections IIQIJobeen made 'and approlJod. ' ,
O DRYWALL INSPECT!ON: To be made
. aftel' all dryLkJlZ is in place,
but prioJ' to any taping.
O MASONRY: Steel location, bond
beams, grouting 01' verticaZ8 in
accordance with U.B.C. Section
2415.
D WOODSTOVE: After insta.lZation is
ccmpZeted. . .
D CURB & APPROACH AP.'lON: Aftel' fol'ms
are created but prior to pouring
~on"rete.
D SIDEWALK & 'DRIVEf'''Y: For all con-
crete paving,within 8treot right-
.~ of-lJCy, . ,to be made aftel' all e%oa-
'. ' ..vating compZete. ~ form r.KJrk & sub-
. ~se material".,in pla:1e.
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PENCE:r.'hen complete -- Pl'ovide
gates 01' movable 8ections through
P.U.E. .
)~vp'.. "'(~"
~A ._L "n
000 9~(~
DEMOLITION OR MOVED BUILDINGS
~ Sanitary seuel' :1apped at p~op~rty lir.o
~ Septi" tank p-.mIpcd and rUled rJith gl'O'Jel
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] Final. - 'then aboue itoms are ocmpletcd
and wIlen demolitior. is complete or otrU"-
tUJ'e moued and premises cleaned up. "
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J.lobile Hcmes
=:J Blooking and SDt-~p
=:J PlumbinJ oonnection8. -- Scwel' and water
~ Eleotrical Conneotion - Blocking, set-up
~ and plumbing connections ",...lst 1:e appJ'o\Jod
before requesting electrical inspection
~ Ac::essol",j 8uild~ng
---, Final - Aftor p3roheo, skirHng, decks.
-.J etc.. are completed.
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~Ar.r, 1./liN/lGl.F.S AND Cf.F.ANOU7'[; ~/II!:'r m: ACCr.:J:JlllLF:. ADJUS7'!If:N'!' TO m: M,4n1:' AT NO r~lST TO Cl'!'Y 11':1!7~! of :!
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JOB NO. Cj00~Sl.o SOLAR ACCESS
Zone: JV\ Occupancy G.
Lot Sq. Ftg. ' IDI/.S. LOT TYPE
S of Zot Coverage ~/4i:J .dl.5 Interior'
g of Stories , " Corner
Total Height Panhandle
Topography CuZ-de-sao
REQ.-
L-COC-1t
Type/Cor:st:
Lot Faces ~ Lv,.;,,, -
Setbaoks
House Carage Access.
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Bedrooms:
I Enerrr.11 Sources
I Heat
I Water Heater
I Range
Fireplace
WOod3tove
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T.I/pe
P.c,.
North
East
South
lie's t
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~,-' Fees ;-....
ITEM
SQ.FTG
x
VaZue
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Building Value &
. Permit
Main
Garaae
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This permit is granted on the express oondition that the said construction
shaZZ, in alZ respeots. conform to the Ordinance adopted by the City of
Springfield. including the Zoning Ordinance. reguZating the censtl'Uatien
and use of buiZdings. and may ~e suspended or re~oked at cny time,upon vie-;
la. t. ion of any provisions of said Ordinances. \ . ... ". . ," ',.- ' .
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CarpOt't
Acc:essorl/ ..,
O\Q\!{\ t.\R - ~..D('~UJ>. ~D~' "
TO~C,VAWE I~l/
1.5 % (vat.ueJ I II/A
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Bui7.dina Permit
State Surcharge
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PZan Check
Date Paid:
Receipt #:
Signed:
Fee:7; L.1 0 ,~3
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Permit
'Total Chal'ges
ITEM ' , . NO., FEE
CHARGE
Plumbing
Futures to, ,_' ~, \ ,'~' " to. ',: . \ '
Residential. (1 bath)
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No per!1on ..o1u;z.LZ..coi!struct, instal!, aZter or change any ne'" er e:::istina
pl.umbing'o~larainage systGW in ",hoZe or in pdrt.: unl.ess such person is the
l.egaZ possessor of a vaZid pl.umber's Zicense. except that a person may do
pl.umbing work to property ",hich is.olJned. l.eased or operated by the appZi-
. cant.
Semi tary SerJer
I Water
Plumbing Perrr.it
State Surc1-.arge
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Total Charf1es
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, lTEM
, NO. I Ft:E
CHARGE
Etectrica I Permit
Res. Sa. fta.
Naw/EXtend Circuits
Temporary Servico
Where State LaLI requires tr.at the eZectrical. work be done by an EZectricaZ
Contractor, the eZectrical'portion of this'permit shaZI not be valid until
theZabeZ has been signed by the EZectricaZ Contractor.
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Eleatrioal Permit
State Surcharae
Total Charges
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ITEM
NO.1 FEE
CHARGE
Meche nical'Permit
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Furnace l!TU' S
EXhaust Hood
Vent' Fan
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Woodstove
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Pe~t Issuance'
. , Meahanica 1.. Permi t
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'.' State SUrcharoe' '.'
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Total Charaes
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I -- ENCROACHMENT --
Se~~rity Deposit
Storage
pA;~1U-
ua?/U;~~
Total Charqes
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I HAVE CAREFULLY EXAMINED the compZeted appZif!ation for permit. and do
hereby certify that all. information hereon is true and corre~t. ,and I ;
further certify that any ar.d al.l. ",ork perfor:ned shal.l. be done in accor;-',
dance with the Ordinances of the City of Sprinafield. 'and the Ur~s of tho
.t State of Oregon pertaining to the work described herein. and tInt NO OCCU-
PANCY 1Jil.l. be made of tIny struoture ",Uhout p3rmis3ion of the Building Di-
vision. I further certify that only' contractors ar.d e~pl.oyees "'no are in
compl.iance ",ith ORS 101.055 ",il.Z be used on this project
Main teni:lnae
Permit
Curbcut
SiderJalk
Fcn:Je'
I Eledtrical
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Label
Mobile'Home
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Sign3d
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Address: . ntQ \ 00 ill i
Issued ..by: ~ Lf1), ), Date:
Permit .No:
. STATEMENT:
. .INFORMATION NOTICE TO PROPERTY OWNERS
. ABOUT CONSTRUCTION RESPONSIBILITIES
Note: Oregon Law; ORS 70f055(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. Ucensed.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.
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Fill in the applicable blanks,andinitiaL box 1 and either. box 2Aor 2B:
1. I,X / I I own, reside in, or will reside in the completed structure.
2. A. , I My general contractor is.
. . Contractor registration number.
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 ,'Cj 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 Clo 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.
UAl,rVJ W /j .
stg7la~~rEh>~'j:f' Applicant
"7 wr).C;o
Date
CONSTRUCTION CONTRACTORS BOARD. ·
0244J 10/24/89
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~ . COPY TO ISSUING AGENCY PERMIT FILE
LJ CO:Y T.~; :~PLlCANT @s
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