HomeMy WebLinkAboutPermit Building 1990-11-2 (4)
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APPLICAT I~PERMIT
225 No~th 5th St~eet
SpY'ingfield, O~egon 9'14'l'l
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Building Div~sion :
726-3'153 I
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51Pf.oD DeliS;! / :*. -:If Jj.q
N [g O~O 'tL( Ta Lot n
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AddJ'ess: ~ ~~ \ ~ S;. UJ)'(' 1'\, (\~ . V Phone: 12ln - S qq 4
.. Citlp ~lL2.D we tI J' Zip: q 712fo
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'Job Loc:Jtion:
ASDesao1'S Map
SUbdilJision:
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, LiRe." Bldrs Board Reg.
SPRINGFIELD
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Desczoibe r,'o1'I::
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I )( I .~!obile lIoma
."D~e of Applicaticn.15-/5'-'C:>
:Cont.rac cars OO..)(ULV Address
General ()W ~'Y
Plumbing ()W '{\S.~
~HechanicDl ("\\\"\ ~ \("
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Sl1pep''Ilr.n;jr",=__~~ee tr~cian ~~ '
Value
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Expi'c,es
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It is -ehe responD~bility of the permit hoLder to see that all inapections are made at the proper tim&, t1:at ec:ch =ddress is l'eadabZe
from the street, and that the pemt card ie located at the front of the property.
"!JuiZ,ding lXlJi::ior. appl'oved plan shall 1'emain on tha Building Sits at all times.
PfrOCSDURE FOR INSPECTION RSQUEST:CALL 726-3769 (reco1'der) state yoU1' City design:lted job nwr.bel', job aadJ'ess, type of in3pec~iclI
N!qucsted ar.d W.';f111 yu.. wn:l. be ....ady f;;;r'l'iGi;';;;i;;t;~,;;;., Co.ltmctO'i'B .01" 0lJr181'S' 1'k::J1,t3-.:;;nd phc.;1'l3 rt"~.bcl'. ..Reques'i:i3 l'c:':eived befcro 7: 00 .::::1
t.'ill be made the same day, requests made aj"'ter 7:00 am Lri.ll ba made the nut :.J01'ki1l{J day.
Remlirp.d r>lBDP.cticn,q
'0 SITE INSPECTION: r TO.'be made aftel'
excalJation, but pJ'ior to set up of
forms. ,
O ' UNDERSLAB PWMBING. ELECTRICAL &
MECHANICAL: To be made before any
work is aOlJered. '
r:::::r FOOTING & FOUNDATION: To be made
~ aftel' trenohes a1'e'e%cavated and
f01'l1ls are erected, but pzoior to
pouJ'ing ocnC1'et~.
~ UNDSRG.rroU.'!D PWM8ING. SSWER. w'1TER.
L.:J DRAINAGE: To be made pJ'ior to fil-
z,:r.g trenches.
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UNDE!WLOOR PLUMBING & MEC!lANICAL:
To be made pl'ior to inatallation of
j1001' insulation or decking.
POST AND BEAM: To be made pJ'ior to
installaticn of floo1' insulation or
deoking. '
ROUGII PW.'!BING. ELECTRICAl. & MECH-
ANICAL: No wol'k is to be oove1'ed
,ur.til these inspections halJe beer.
made and app1'olJed.
FI!?EPLACE: PzoiOl' to placir.g facing
metel'ials and befol'e J~.....:ng inspec-
tion.
FRA'!INr:: Must be requeated afte1'
app1'olJal of l'ough plwrbing, electJ'i-
cal & mechanical. An roOfing
bmoing & chimneys, etc. nr~st be
,completed. 'No lJOl'k is to be con-
, cealed until thia inspection has
. been made ana approlJed.
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o FINAL PLUMBING
o FINAL MECHANICAL
o FINAL ELECT!iICAL
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Your City Deaigr.ated Job Nwrrber 10:
D INSULATION/VAPOH BARRIER INSPECTION:
To be made aftel' all insulation a!".d
,', required lJapol' bazol'iers azoe in place
, ,,;,'." :'.',:' but l:'efo1'e any lath, gypsum boal'<! 01'
wll colJering is applied, and befol'e
any insulation is concealed.
O DRYWALL INSPECTION: To be made
after all drylJaZl is in place,
but p1'iol' to any taping. '
0, MASONRY: Steel location, bond
beamo, grouting 01' lJel'ticals in
accordanoe Lri.th U.B.C. Section
2415.
D WOODSTOVE: After installation is
ccmpleted.
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CURB & APPROACH AP!?ON: Afte!' foms
are e1'Bcted but pliol' 'to pouring
aonal'e te.
9cC' /tt!/ 3" '7
DEMOLITION OR NOVED BUILDINGS ", ".
--, Sani~ary eelJer capped !:It propcl't.:J Hr.e
--.-J " ,,' . ' ",' ,_10 1,.."I,'hl,'\'r.o'Illl'\I.',:d J'AiM.:..,~'
:=J Septic tank rr.:u:rped and filled Lri.th am:Jel
---, Final - ~~en abolJe items are completed
---l and ~hen demolition is complete or StJ'U3-
ture mOlJed and p1'cmises cleaned up.
Nobile Hemes
~lOCking and Set-up
~lumbing connections -- sewer and ~ate1'
---'_ElectJ'ical Connection - Blocking, set-up
~and plUmbing connections nr~st ~e apPl'oved
befol'e requesting eZectJ'ical inspeo~io~
~ Acce{Jsol";j Building
~in:ll - Aftcl' pal'ohes,
~ etC. azoe completed.
skil't~ng, decks,
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SIDE//ALK & DRIl'Er/AY: Fol' all con-
C1'ete palJing uithin stl'eet 1'ight-
of-r.x;y, to be made aftel' all e%ca-
lJating complete & fo1'm wol'k & sub-
base mateJ'ial in pla::e,' ,
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All~proje~t ~onditions. Ducn as tIle installation of stl'eot tl'oes, 'co~lotion of the
l'equil'od landscapir.g, ctc., must be satisfied befol'~ the BUILDING FINAL can be l'squeots4.
FINAL BUILDING: The Final Building Inspcotion muet bo l'equeotod artel' the Final ~Zumbing
Eleotl'ioal, and Mechar.ical Inspectiono halJo,been made and app1'olJod. '
AAT.L MANllOJ.ES AND CLF.ANOUTS Ul/8T lIF. ACCESSIBLF.. ADJUSTlfSNT TO BE MADE AT NO C~ST TO CITY I Pa!~c ! of 2
D
PENCE: When compl~te -- PrOlJiae
gates or mOlJable sections thl'ough
P.U.E.
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JOB
No<JOI030 SOLAR ~CESS REQ.-
V 1 ) 1 ) Occupancy G. fcJ r ~
LOT TYPE
L-COG~
Interior
Corner
Panhandle
Cul-de-sac
P.L.
North
East
South
,West
-- Fees
Setbacks
/louse CaT'a(1e
/lccess.
Bedrooms: ~ ~ ,,9'
I EneT'IJ}/ SouT'ces r-' /' TIlDe
I Heat r C-J
WateT' !/eatel' ~
Range tiP __
,..J.......FiT'ep~
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Lot Sq. Ftg.
S "f lot C"lJerag.:
!/'of Stones
Total lleight
Topogrophy
Lot Faces -
Type/Cor:st: .
Zona:
ITEM
SQ.FTG
x
Value
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, 'Building Value &
Perm it
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AcCeSSOT'll
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VALUE
This permit is gronted on the expl'ess condition that the said construction
shall. in all respccts. confoT'm to the Ordinance adopted by the City of
....,,' ;~ Spr~ngfit!,ld. including the Zonina Crdinance. l'egulatillg tlte ccnstructicn
, and uiJe 'bf 'buildings, and may be suopended or, revoked at any time upon vic-
',:", '~" lation: of if1y prolJi~jons of said Ordinances..' "
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Gcraae
CarpOT't
S.D.C.
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1.5 :&
lITEM
I Futures
I Residential
NO.
FEE
CHARGE
Plan Check Fee: /~ . '<'S-
Datc Paid: !@-/<;' -~ e:>
, Recdpt H:../~/ .
" Si.gned:$' ~~~ _
Plumbing Permit '
~~
Building' Permit
Sta te Surcharge
Total Charges
(1 bath)'
No percon ohaZZ construct" instaZ.l. alter or chp.nge any neLl cr e:::isting
plumbing or drainage system in whole or in 'part, unless such person is the
legal possessor of a valid plumber's license, except that a person may do
pZ.umbing work to property which is oLlned. leased or operated by the app'li-
cant.
~~.oo
Watl!T' '., ,-r<)~. C) 0
01rnYm ~l1l~'/J~ ,DO.
Plumbing Perr.:it -- -- - md- fj ~ .00
State Surcharge ~ ,I) 5
'7~, 1CSl ~
Sani tary Sewel'
Total ChaT'nos
.
ITb'M
NO.
FEE
CHARGE
Electrical 'Permi t
Ros. Sa. rta.
Naw/ertend Circuits
Where State La1J requires tJo.at the cl.ectzoical woI'k be done by an Eleatl'ical
Controctor. the electrical portion of,this permit shall r~t be lJalid until
the label has been aigned by the Electrical Contractor.
Temporazoy SeJ'lJice
Eleatl'ical Permit
0'(\
seate SUl'ahaJ'Qe
Total Charges
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ITEM "
NO.
FEE
ClIARGE
Mechanical Permit
Fur7'J.'lce ETU' S
E:haust Hood
Vent Fan
Woodstove
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Permit Issuance
.~..,
Meahanical Permit
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State Surcharoe
Total Charqes
-- ENCROACHMENT --
~)~
So~~T'it~ Depo3it
I Stol'age
I MaintenanC!e
Permit
PZan E:cam1.ner
ua~e
Curbcut
~
C21
I HAVE CAREFULLY EXAMINED the completed application foT' peT'mit, and do
, hereby ceT'tify that all i~fo~tion hereon is true and corT'cct' and I
further certify that any ar.d all 1J0rk perfor:ned shall be dO:1e in accor-
*~nce with the Ordinances of the City of Sprinafield. and th.: ~~s of tho
> ~ 'State of Oreg"n pertaining to the work describcd hel'e~n. and that NO OCCU-
PANCY will be mde of any structuT'.3 ",ithout permioJion of th~ Building Oi.-
lJision. I fUl'thol' cel'tify that o:1ly contT'aators ar.d empl"ye€s wl:o azoe ill
co~pliance with ORS ?Ol.05~ wi.z.~ be used on this project
Total Chal'l7CS
Sidewalk
I r~n::e
I Electrical Label
I Mob~ le Home
. ''10to)~
t1\Jb
I TOTAL A/fOUNT DUE: 4
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Permit No: ' q() \()~f)
, Address:, 'Jj\..oloO \'Xli' ,
, , Issued b{9i~ ' Date:
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. STATEMENT: .' /.-....
, ','INFORMATION NOTICE'TO PROPERTY, OWNERS'
" 'ABOUT CONSTRUCTION: RESPONSIBILITIES
Note: Oregon LawjORS 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 permitcan be issued~ Licensed Architect
,and Engineer applicants, :exemptfrom 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 2Aor 2B:
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1; I \.....-'1 I own, reside in, or will reside in the completed structure.
2. A., I 'My general contractor is
Contractor' registration number
'\ 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 Vl 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 Qeneral
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 andthat \ have read and understand
/ ' the Information Notice to ,Property Owners about Construction Responsibilities on the
reverse side of this form.
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(: Ignature of P.,3rffi{t Applicant ',() .S '
(OctUJh:LfYj" ' ' ,
CONSTRUCTION CONTRACTORS SOARD', ,.."
0244J 10/24/89, ,": 0:, ,
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Date
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, '" WHITE COpy TO ISSUING AGENCY PERMIT, FILE
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, - PINK COPY TO APPLICANT,
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