HomeMy WebLinkAboutPermit Building 1990-8-23 (2)
.. RE.S10it"lTIAl..
- APPLICA'l'.LvLv/PERMIT
225 North 5th Street
SpringfieZd, Oregon 97477
BuiZding Division
726-3753
5~\on lX\~1 \~. ~4'?<'
Asoessors Map # ,./7- f?2-'- ~ <-- j< <L~ Tc;::: Lot #
Subdivision:~bl.\)\rO Ai)\,\\\) -?l 'JD dfr-l4-
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Job Location:
..-,
SPRING!9~LC '
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OlJner:r ;A. i> .I (J' n Q n). J{ fffi. j
Address: ~7B(ol [l~.Y\lmO.~
City:l_>>LQ . (~~
,I I .' Describe riork:
NmJ W\ck- \f\O'o~~
I I Addi tion
I I .. .
Remodel .-"
I '1' Signed:
VI UobiZe Homa
Date:
1~~~~
Phone: ~- f}J.9 5
Zip: qf74-,.~.~
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Date of Application
Contractors
i Genera(l ~ r ~_
i l'.lumbi,ng (!(-)/R (f!. )/()'1 )
Hechanical n /tLJ
E~ec.tri.cal " ~PJ.;b~ ~. Z~ Co
J Sil?~~;;~J~__EJ.,e~tr~ciaJ:. ,~ .6tm~ 9C/S-~
It is the responsibiZityof the pel'mit holder to see that aZZ inspections are made at the propel' time. that each ~ess is readabZe
from the street. and that the pel'mit card is located at the front of the property.
*Bui!ding Divicior: approved plan s,haZZ remain on t1w Building Sits at aZZ times.
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PROCEDURE FOR INSPECTION REQUEST:CALL 726-3769 (rccorder) state your City designated job nwnber. job addPcss. type of inspectien
requestcd ar.d when you will be ready for inspection. Contractors 01' Owners name and phone number. Requests received before 7:00 am
r.rill be made the same day. requests made after 7:00 am wiZZ be made the nc:ct :xJrking day.
,', :.'\.. , . " .,,: :::',. ;~'City Desigr.ated Job Number Is: q{}/O:J I
Reauired Insv~tionR
D: SITE INSPECTION: To be made after --, INSULATION/VAPOR BARRIER INSPECTION;
excavation. but . prior to set up of ---1 To be made after all insulation ar.d
. forms. . . '. ,'.":'" .... .required vapor barriers are in place
0: UNDERSLAB PLUMBING. ELECTRICAL & .: -.:: ..' .:: but before .any . lath, !!ypswn board 01'
: MECHANICAL: To be made befa.re any . :.... !Xl'l'l .coveru~g 't-~ apphed, and before
. bJOrk is covered. . .. ":: . . ....any 't-nBulatum l,S concealed.
. . '"
.. . .\.:
Value
fJfll.#M~()~L~SC .
....... .
~. FOOTING & FOUNDATION: To be made,
~/after trenches are excavated and
forms are erected. but prior to
pouring concreto.
r-:vVNDERGROUND PLUMBING. SEWER. WATER,
~.: DRAINAGE: To be made prior to fil-
Zir.g trenches.
O " UNDERFLOOR PLUMBING & MECHANICAL: .
., 'To be made prior to installation of
floor insulation 01' decking. ... .. . ..
O POST AND BEAM: To be madc prior to
instaZZation of {ZOOl' insula-tioil or
deckirl{i .
D ROUGH PLUMBING. ELECTRICAL & MECH-
.ANICAL: No work is to bc covered
.w.til thcse inspections have beer.
made and approved. .
D. FIREPLACE: Prior to plc.cir.g facing
materials and before framing inspec-
" tion.
D FRAJ.1ING: Must be requested after
approvaL of rough plwrbing. electri-
cal & mechanical. All roofing
,,' bracing & chimneys. etc. TTI'.lst be
:' completed. No work is to be con-
,'" ~cealed untiL this inspection has
~be~n made and approved.
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Rcce:pt #
l-g/~
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.Bldrs Board Re2.
EXP:!.'C.es
P.hnnp
'0 DRYWALL INSPECTION: To be made
after all drywall is in place.
but prior to any taping.
O ~SONRY: Steel location, bond
beams. grouting or verticals in
accordance with U.B.C. Section
2415.
WOODSTOVE: After installation is
completed.
L
D CURB & APPROACH APRON: After forms
'ell'e erected but prior to pouring
, qonarete.
, O'SIDEWALK & DRn'EWAY: For all con-
. crete paving within strect right-
. . pf-lJJC.y, to bc made after aZZ exca-
vating complete & form bJOrk & sub-
, base material in place.
D
PENCE: When complete -- Provide.
gate~ or movable sections through
P.U.E. .
D
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DEMOLITION OR :\JOVED BUILDIiVGS
:=J Sanitary seuer capped at p:.opert;!f " Zir:e
':,
:=J Septic tank F.mrped and fH'le~ with aravel .
. I
---, Final - rVhen above items are completed I
--.J and when demolition is complete 01' struc- .
ture moved and premises cleaned up.
. MobiLe Hemes
~ocking and Set-up
~ ~umbing connections sewer and water
""7l pectrical Connection - Blocking. set-up
-Y'and p'lwnbing co"ne,']tio~il< m:~st r.e app::,.,ved
.' beforc requesting electrica~ inspection
~ Accessol"d BuiLding
~ p~- Aft;rp::Jrches,
~~-:-- are completed. .
":
'.' .
A,. .....
skirting. deaks,
~
D
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All project conditions. such as the installation of street trees, c~~Letion of the
required landscaping, etc.. must be satisfied bcfore the BUILDING FINAL can be requestad.
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o FINAL PLUMBING
o FINAL MECHANICAL
o FINAL ELECTRICAL
o
o
PINAL BUILDING: The FinaL Building Inspection must be requested after the Final PZumbing
Electrical, and, Meahar:ical Inspectiono have been made and approved.
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~ALL MANHOLEB AND CLEANOUTS MUST BE ACCESSIBLE, ADJUSTHENT TO BE MADE AT NO COST TO CITY Page 1 of 2
JOB Nq.f!D1D5D SOLAR ACCEi\.S REQ.-
Zone: Ou \ ) Occupancy Grou4IP r'~
Lot Sq. Ftg. LOT TYPE I Lot Faces -
I Setbacks
~ of lot Coverag;; Interior I P. L.
House . Carage
# of Stories Corner North
Total Height Panhandle East
South
Topography Cul-de-sac West
I ITEM SQ. FTG
. ;1(7"'J milL-
x
Value
-
, ?fVil)
Caraae
Carvort
AcceBtSorl/ .
rJriIij
~ - TOTAL VALUE
I 1 - / Ivaiuc)
's.1Jl..,I.r. 1.5 x
111m ,co
l.:f1S:j..OU *
/;::; fY)
. . '7"
/5.Q!l *
CHARGE .~
(S j lXJ
Building Pe1'I1Tit
State Surcharge
Total Cha.....ges
I ITEM. . NO.
~ ~.. "W~eB I fJ-N
I Residential (1 bath)
I Sanitary Sewer
I Wat clo ,
~!J.. Pem'
FEE
c1J(),OD
10~~
~}1oo
6; "50\
.73,~ *
CH~
I~.
State Surcr.arge
Total Chtiraes
ITEM
NO.
FEE
Res. Sa. fta.
New/EXtend Circuits
Temp,grary Service
( Vi fLfr:rvt.,
Ele~trical Pel'mit
I~S. CJU
~\VU
(.~
3" .~() '*
State Sur~harge
Total C1uz2'qes
ITEM
NO.
FEE
CHARGE
Furnace ETU' S
Exhaust Hood
Vent Fan
Woodstove
Permit Issuance
Mechanical Permit
State Surcharae
Total. Charoes
-- ENCROACHMENT --
Se~~rity Deposit
Storage
Maintenanae
I Pel'mit
Total Charges
CU1'bcu.
(;L_~:f' ~ 1\ ('L C(. rJS
I*,n..~n ~rt -,\0C'O!\ l!tvnlrr .
1l!:~e8tFiilQZ ~Qe~M'0tll~ l ~~ )J()F<-'
I Mobi~ ~t^ ~ \1\ 1\ ~. <)
f',(,"~,UJlJ ~ \S.
I " 74fhs~
fJ4C? I'C. ~
TOTAL AMOUNT DUE: *
.I......'::}1t,; <J
l-COG~
,
f
~,
-
II
I Access. I
I
"."
Type/Cor:st:
. .' -..:-.J. ...r i
Bea.rooms: ~-l
Enercl<1 Sources ~f: /_- ..:......:1.,lIDe
Heat ~'
Watel' Heater
Range
FirepZace
Woodstove
I.'
I
'1
I
I
'-- Fees
Building Value & Permit'
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This permi t is granted on the express condition that the said construction
shall. in all respects, confol'Tll to the Ordinance adopted by the City of
Springfield, inc!uding the Zoning Ordinance. regulating the construction
and use of buildings. and may be suspended 01' revoked at c.ny time upon vio-
lation of any provisions of said Ordinance8.
Plan Check Fee:
Datc Paid:
Receipt #:
Signed:
Plumbing Permit
No person shall construct. instalZ. aLter 01' change any new 01' e--isting
plumbing 01' drainage systen in whole 01' 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 01' operated by the appLi-
cant.
Electrica I Perm it
Where State Law requires tr.at the electrical work be done by an Electrical
Contractor. the electrical portion of this permit shall r~t be valid until
the Zabel has been signed by the Electrical Contractor.
Mechanical Permit
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QV
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I HAVE CAREFULLY EXANINED the completed application for pel'Tllit. and do
hereby certify that aZZ information hereon is true and corrcct. and I
further certify that any ar.d aZZ work perfomred shaZZ be done in accor-
dance with the Ordinances of the City of Springfield. and th;; L~s of the
* State of OregQn p8rtaining to the work described herein. and that NO OCCU-
PANCY will be made of any structure without permission of the Building Di-
vision. I further certify that only contractors ar.d e~lQyees who are in
compliance with OES 701.055 will be used on this project
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/'tigned
jJ'-c:23 - 90
Date
~
/
0..-< . \
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.',
e
~P-R.~IELD
. -.
DEVELOpMENT SERVICES
PUBLIC WORKS
METROPOLITAN WASTEWATER MANAGEMENT
225 FIFTH STREET
SPRINGFIELD, OR 97477
(503) 726-3753
As required by the City of Springfield
that with the approval of the attached
manufactured homes will be p~aced at
Springfield, Oregon, City Job Number
Development Code, I understand and
permi t~, onr--?t tQe. follEt'iqg .
~o, at) UUo ~ -.\.XL\- 'X
4tJ,()\~ .
agree
,
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Class A Manufactured Home. A manufactured home of not less than 24 feet in
width and 16% (not less than 2:12) roof pitch, with exterior dimensions
enclosing a space of at least 960 square feet, with roofing and siding materials
that are commonly used or compatible with site built homes.
Class B Manufactured Home. A manufactured home of not less than 12 feet in
width and 16% roof pitch, with exterior dimensions enclosing a space of not less
than 500 square feet, with roofing and siding materials that are commonly used
or compatible with site built homes.
~/~
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Date
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e
e
1
Permit No: .q()/()~)
Address: !6\O\-7t'l '\)0 ; ~H--1 Y: .
..'Issued.. by: ~t f'().) Date: Ej ~.3,r]O .
STATEMENT:
. INFORMATION NOTICE TO PROPERTY OWNERS
ABOUT CONSTRUCTION RESPONSIBILITIES'"
I.
. . . . , .
,. Note: Oregon Law, ORS 701.0~5(4),requires residential building permit applicants
who are not registered with the Construction Contractors BOCird 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 p~rmit.
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Fill in th.e applicable blanks, and initial box 1 and either box 2A or 2B:
1. I a../l I own, reside in, or will reside in the completed structure.
'2. A. I ,....;--1 My general contractor isd.v<~A24 ~ .-JcL/.; T7' ~ ....
jI .
. Contractor registration number
j
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 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 Inforr!lation Notice to Property Owners about Construction Responsibilities on the
reverse side of this form. ' .
/'; ~'" ,
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1/ f" P.A_~j) ,/ ~~
Sig:nature of P rmlt ~4p-licant
Jt~_7:?- 90
Date - ,
<-..
CONSTRUCTION CONTRACTORS :SOARD .
0244J 10/24/89
v
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COPY TO ISSUING AGENCY PERM"IT FILE
COpy TO APPLICANT
@Is' -"