HomeMy WebLinkAboutPermit Building 1990-7-30
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. ,'.. RESIDiliJTIAL.",
l APPLICATW/PERMIT
225 North 5th Street
Springfield, Oregon 97477
Building Division
726-3753
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Job Location:
Assesaors Map
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RemodeZ
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SPRINGFIELD
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Tc;:r: Lot n
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Zip:
DescPibe ["01''':
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Receipt #
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Sigr:ed: 88
,.vJA- Date: "1J;oI~
VaZue
Lisc. It Bldrs Board Re~. Exoi'Ces Phonp
Date of AppZication I ~
Contractors Address
· General
iPlumbing
i Hechanical
EJ,t::ctri.!.:al
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It is the responsibility of the permit holder to see that aZZ inspections are made at the proper time, that each .:ddress is readabZe
from the street, and that the permit card is located at the front of the property.
~!311i!.ding Divi::ior: approved plan shall remain on the Building site at all times.
PfWCSDURE FOR INSPECTION RSQPEST:CALL 726-3769 (rcco1'der) state your city desigrzat.ed job nwr.ber, job addJocss, type of in3pec~iclJ
requested ar:d when you wilZ be ready for inspection, Contractors or Owners ~e and phone number. Requests 1'eceived before 7:00 ~
:..'i ZZ be made the same day, requests made after. 7: 00 am wi l Z be made the next working day.
Reaui~ed Insvecticns
O SITE INSPECTION: To be made after
excavation, but pPior to set up of
forms.
O UNDERSLAB PLUMBINC. ELECTRICAL &
MECHANICAL: To be made before any
work is aovered.
o
FOOTING ~ FOUNDATION: To be made
after trenches are excavated and
forms are erected, but prior to
pouring cencret~.
UNDSRGr?OUND PWM:JING. SEWER. WATER,
DRAINAGE: To be made pPior to fiZ-
Zir.g trenches.
o
o
UNDERFLOOR PLW-fBING & MECHANICAL:
To be made prior to instalZation of
floor insulation or decking.
O POST AND BEAM: To be made pPior to
instaZZatien of fZoor insulation or
decking. .
~ROUGII PLU:'!BI!IG.l~ & MEClI-
~ ANICAL: No :.Jor~~-cOl:ered
.ur:til these inspections have beer.
made and app1'ove.:.
D PI.'?EPLACE: Prior to pZacir.g facing
materiaZs and before framing inspec-
ti07':.
D
PRM1INr:: Must be requested after
approvaZ of rough plwrbing, alectPi-
cal & mechaniaal. AU roofing
bracing & chimneys, eta. nr~st be
. compZeted. No work is to be con-
, ceaZed untiZ this inspection has
. been made and approved.
Your City Desigr.ated Job Number 10:
D INSULATION/VAPOr? BARRIER INSPECTION:
To be made after aZl insulation a~-d
'. required vapor barriers are in place
, , ,.;,-:' :.:.; but before any lath, gypswn board or
wan covering is applied, and befo,re
any insulation is concealed.
. D DRYWALL INSPECTION: To be made
after aZl drywaZZ is in place,
but prior to any taping.
D MASONRY: Steel Zocation, bond
beams, grouting or verticaZs in
accordance with U.B.C. Section
2415.
D WOODSTOVE: After instaZZation is
ccmpleted.
D
CURB & APPROAClI APRON: After' forms
are ereoted but prior to pouring
aonCl'e te.
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DEMOLITION OR NOVED BUILDINGS
---r Sani tary seuer aapped ~t propcrtii Zir.e
~ ',", , , "",t IW~\ 1,""II!h'nl"7'~o'/\,i"'iil 1'"Ii"iM, ,I:~'
~ Septio tank p~ed and filZad with gra~eZ
I Final - [,'hen above items are compZeted
....:.J ar:d when demolitior: is complete or strua-
ture moved and premises aleaned up.
Mobile Hcmes
~ Blocking and Set-up
~ Plumbing connections -- scwer and water
~lectrical Connection - BZocking, set-up
j~ and plumbing conr:ections m"~st ce approved
. beforc requesting electrical inspec~ion
~ ACaessol"J Bui Zding_
I Final - Aftar porches,
~ etc. are completed.
skirting, decks,
"
D
SIDEWALK & DRIl'E[';AY: For aZl con-
crete paving within street right-
of-way, to bc made after aU exca-
vating compZete & form work & sub-
. base matePial in plaoe.
~
- -
All:projeat conditions, such as the instalZation of street trees. "co~pZetion of the
required landscapir.g, ctc., must be satisfied before the BUILDINC FINAL can be raquestsd.
o FINAL PLUMBlf/G
o FINAL ME(;IIANICItL
D FINAL ELECTRICAL
[J
D
PENCE: . Wher. compZc:te -- Provide
gates or movable sections through;
P.U.E.
o
FINAL BUILDING: The FinaZ BuiZding Inspection must be requested after the PinaZ PZwnbing
EZectrical, and Mechar.icaZ Inspections have been made and approved.
o
~Af,L MItNIIOLES AND CLEANOUTS llUST BF: /iCCESSIBLF:, ADJUST!fENT TO BE !.t.1DE AT NO C~ST TO CITY Pa[7C 1 of 2
I JOB NO,
I Zone:
Lot Sq. Ftg.
S of Zot Coverage
.II of Stories
Total Height
Topography
lITEM
I Main
I Garace
I Carport
I Accessoru
. SQ. FTC
IS.D.C.
TOTAr., VAWE
(vaLue)
1.5 x
Building Permi t
State Surcharge
Total Cha:'ges
lITEM
Fixtures
Residential (1 bath)
I Sanitary Sewer
Water
Plumbing Pemit
State Surcr.arge
Total CharQGs
j ITEM NO.
~o. JtJ. ,i1Ll4. ~
NawlExtend Circuits
I Temporary Service
_M ~. c::::...P-vll\ ("L
Ele~trical Permit
State SU1'charqe
TotaZ Charges
ITEM
Furnace ETU' S
I Exhaus~ Hood
Vent Fan
Woodstove
I
Pe1'mit Issuance
Mechanica Z Pe1'mi t
State Surcha1'ae
Tota Z Charaes
-- ENCROACHMENT --
SG~~ritu Deposit
Storage
Maintenance
I Permi t
TotaZ Cha1'aas
Curbcu~
SidewaZk
I Fcn~e
I EZectricaZ LabeZ
I Mobile llome
I
I
I TOTAL AMOUNT DUE: ~
SOLAR AIESS
OCCUDanCl( Cr
WT TYPE
Interior
Corner
PanhandZe
CuZ-de-sac
x
Value
NO.
FEE
CHARGE
FEE
CllARCE
---15 ,00
NO.
FEE
IS ,00
~,()O
I ,SiD
?, I . SO ~
CHARGE
S~l.SO
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REQ,-
L-COG~
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,
Type/Cor.st: ~
P.r.,.
North
East
South
,West
Fees
Setbacks
llouse Caraqe I Access. I
I I
I
I
I
Bedrooms:
Enerr/ll Sources
Heat
Water Heater
Range
FirepZaca
Woodstove
TIlDe'
Lot Faces -
Building Value & Permit
This permit is granted on the express condition that the sa"id construction
shaZZ, in all respects, conform to the Ordinance adopted by the City of
SpringfieZd, incZuding the Zoning Ordinance, reguZating the censtructicn
and use of buildings, and may be suspended or revoked at any time upon vie-
lation of any provisions of said Ordinances.
~
~
PZan Check Fee:
Date Paid:
Receipt II:
I Signed:
Plumbing Permit
No person shall construct, instalZ, aZter 01' change any new cr e~isting
plumbing or drainage syste~ in whole or in part, unless such person is the
Zegal 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-
can t.
~
ElectricalPermi t
Where State Law requires tr.at the electricaZ work be done by an EZectrical
Contractor, the eZectrical portion of' this permit shaZZ r:ot be valid untiZ
the label has been signed by the Electrical Contractor.
Mechanical Permit
~
Plan E:raminer
uace
I HAVE CAREFULLY EXAMINED thB compZeted application for permit, and do
hereby certify that al? info:'mation hereon is true and correct, and I
further certify that any ar.d aZZ work perfor:ned BhaZZ be done in accor-
dance with the Ordinances of the city of Springfield, and the Ur~s of the
~ State of Oregon psrtaining to the work described herein, and that NO OCCU-
PANCY will be made of any structura without permission of the BuiZding Di-
vision. I further certify that only contractors a,~d e.~ployees who are ill
ca~pliance with ORS 701.05~ will be used'on this project
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Date
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PermitNo: Cfoo?Xq
Address:<' S k,L.,n UI?\; <"'f~r
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. Issued . by: ()~ Date:
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I J-:ly'} I9.D
.STATEMENT:
. '. . INFORMATION NOTICE TO PROPERTY OWNERS.
. ABOUT. CONSTRUCTION RESPONSIBILITIES
. . .
'. Note: Oregon Law, ORS 701.055(4), requires residential building permit app'licants
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 box 2A or 2B:
. .",..' . '. I \ .
1.1 v-(
2. A. I
I own, reside in, or will reside in the completed structure.
My general contractor is
. . Contractor registration number
I will instruct my general contractor that all subcontractors who work oil
the structure must be registered with the Constructlon Contractors Board.
OR
B. I 0 I will be my own general contractor.
~ l
If I hire subcontractors, I will hire only subcontractors registered with the
Construction Contractors Board. If I change my mind and 00 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.
.1 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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atu~ot1'ermit Ap,plicant
7- 30 .90
Date
. "
CONSTRUCTION CONTRACTORS . BOARD
0244J 10/24/89 .
?In.( , .
WHffE COpy TO 'ISSUING AGENCY PERMIT FILE
WV\ Itt1NK COPY TO APPLICANT
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