HomeMy WebLinkAboutPermit Building 1990-9-26 (2)
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.. RESIDEeIAL"
APPLICATION/PER/lIT
225 North 5th Street
Springfield, Oregon 97177
Building DiviDion
726-3753
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~tbditliDion:
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r<Zr Lot /I
Phon": rf4lo-Lo~\q
Zip: q141~
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Value
d.'d.Sk,
Illdrs I\oard K ..,.
Add n:.~~
L-ise. II
.ce;pt . #
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EXD'i{(~R
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StIPQr,"\J~~Jr,'g.. Lo:lectl-.ic i:lll
It. i:l ~;}lC rcnponnibiLity of the permit holder to cee that all incl'cctiorts are made at tile proper time.. that each -=dd1"CBD is rcacab:e
from the Dtreec. and that the permit carvi is lxated at the fl'Orlt of the property.
IHui.?,d1.::-:U [}!'tJi:;t:o~: (1ppr'oL.'~d plan Dlu.:Zl PCl1Uli,t on tll.;: IJ/6lding :;it:; at all timeD.
f.'!OCEDW?r.: FOR INSPECTION RE'OUF.'S'T.;CALL 726-3769 (recorder) state YOU1' City design.:J.ted job "w;;ber~ job add1"e88~ typo of in:Jpac-:ictI
,'(,!quc:Ji'cd a~d whim you wiLL be '['(!ady for innpcction~ Contractor'n or C\.me:-s name and phone numbcr. Requests l"eceivsd before? :oa C':'t
:.'ill. lIe rx:.dc th;; ~a:nC dey, rcquests medc aftcr 7:00 am will bfJ made the next :.XJrking day. qo II C- q
Your City DeDigrJlted Job Nlunber Io: ' 0
B....nll~'.1.f't( T'1!:f'.f'r't1:r.r'fl
I f.'I'J'.l: IN.'lP.~'(.",~!O!.': ']'0 be r.ade
_1 CXC{W:ll.i:m, !Iut priOI> tc set
farme.
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after
up of
U.vDE:RS~/1B PU',~mINr;. ELECTRICAL .~
,~!E(,'lfll../rr..'AL: To be made ber'Ol'e
Z;m'k ill :':OVCI'{]{!. .
.r..:ny
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PCOTI!IG ,~FOWID,1TICrJ: To be ,rode
{n't,.~l' r.l'.,!flchcn al'e excavatcd and
/()l'!.1[J {:J'e e1'cctlJd. but prior to
pOlIl'ir.a CC'IC!'et.;.
_.I
u:m.'?Rcr:OU:,'D P:"UN.'UNC; s::r/E.'?, r/;1TER,
/.l.'/AJlJA(;,~:: '1'0 h€J made pl'ioI' to fil-
TD:u '[;c1fclw[;.
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(I:!/},~',IWLOOR Pf,U.'.'.'1J.\'G l ,'..fECIIIINTe,1L:
;',) I).:~ made pl.tOr to tlwtflLlation' of
j'!r)()!' illlJltZ(:r.iml 01' deckiYlg.
!'d:;'," .,lND l1EAM: To be made prior to
:'~;;:::'l..:(.icll oJ f:oor in::dation or
,!,"":'111.:.,'.
LiJ..'i.''-EI:!!l.'!l [,'!e ,-E!.J~CTr. !C/l!'... ,~ MfX!I-
,t'/h',.ll.: ,"10 :"'01'1: i:: to he cOL'P.J'cd
1I,:':'-(i-til<~::."1 im:rCCt.1~m:!'; h"!iJ€ bCf!r.
:'1.:.:',' ,:>/11 a!,pl'.7Vl"1.-!,
:',',;':l'l..,lCE: I'r1:01' t.o pkcir:1] fr..cing
." ':~:;:Tr;!,-;; wul h":Io!"f: jlYUr1illg iYl!,;[.'cc-
'{"":.
:'gg.~!J!!!..: ,..tWlt be !"cqucatcd af;m'
dU,:..'I'.if. or l'OllUh pLW1;billlJ~ clcctl'i-
i~,d ,'1 !1:,:,:i:.1llicaZ, Al! l'Oo[iYl{J
!')'.i":'''!f .'; {'hl:nlll":!f!J. ct~. m:wt be
''.'''If'/.'!(''c:, :/0 n:)rk y:!,; to be C01f-
I!'~':'!"'! 1/1lt.i.l. Odn .i"::pc:ction hew
!l, ,"~ "!l,l,' lUll! {lj'prDI'ccl.
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INSULA'l'IONJVAPOl? IMRRIER INSPECTION'
To be made after all insulati~n a!".d.
rcqu~red vapor em'riers are in place
but before any la th, gypsum board 01'
t.X1lZ covering is applied~ and before
any in:ltllation in concealed.
I DEI-IOLITION OR gOvtlJ BUILDIi/GS
=:J SanitaPY sc-.Jer :!apped at p:..oPO:1'ty lir:e
=:J Septi:J tank p:.4.~cd and fi lle~ L1i th gra:Jo l
::J Pinal - t.'hen above ite:ns aro ccmpletcd
ar.d when demolitior. is complete or stru:-
ture molJed and prerrrises cleaned up.
Mobile J/cmec
=:J Blocking and Sct-~p
=:J Plumbi~3 connections sewer and wator
---, Electrical Connection - Blocking, sot-U?
~ and plumbing cOYlr.ectiono mr~8t be approved
beforc 1'equesting eloc~rical inspactio~
~ Accescor!j Sui Icing
::J Final - Aftar p~rcr.eB~
etc. are compls~cd.
8k~1'tino, decksl
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DRY{lALr. INSrCCTTON: Tc be mado
alte}' all cr'YlJall. io in place~
but prior to r.ny tapina.
MASONRY: Steel t.oaation~ bo~d
beam3~ gr'Oflting 01' verticals in
accordance with U.B.C. Section
2415.
WOODSTOVF.: After inotalZation io
ccmpleted.
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All pro;ject condi.t1~ono~ :;Iwh as tile ~'.notaLlatioll of streot trees. co::tplotion of the
required landncc.pir.a~ ctc~.. must be satisfied before tho BUILDINC FINAL can bo r3queDtad.
/\\'/PIN/lL BUILDING: TIm Finnl Buildina Inspection must be roqueoted alter tho Pinal Plumbing
\..0' Elcf:trical. and Mcchar.1:eal Inspectionn hava been made and app1'ovad.
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CURB ,~ APPROACH Ar.r~N: Afte:- forms
are r:rcwted but pl'ior to pouring
con.:!rc te.
SID,r;;r-lIlr.K ,~DRIl'f:r.;I'.Y: POl' all con-
crete paving with-in street right-
of-wc.y.. to be '!lade after all exca-
vating conpletc & fo~ work & cub-
ba!:e matcrial in pW:Je.
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',1.'.!, ,~I,l::!!n/.1:.': liNn f.'/.".'.il,VDu-r:: 1I/1.',''f m: ,1f:(:F:::DTnr.J~. AD.Tf/!':7';'I,r::,'l'r TO ,'1F.' MADF. A7' '.'0 (:'51' TO CT'!'Y
I rarC" ! of 2
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!'ENCF.: flher. comp7.atc n Provide
gatnc o~ movable sections through
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I JOB NO.
I Zone:
Lot Sq. Ftg.
$ .:;r lot C"verage
# of Storie.
Total Height
Topography
I
I ITEM
I Main
I Gr.J'aae
I CaY'PoJ"t
II1CCC8801"1I
I SQ.FTG
1 (p()
TOTAr, VAWE
Is.D.c.
,vat.uCJ
1.5 x
But Lding Permi t
State Surcharge
Total. Cha;ogea
SOLAR .SS
OccuoonCl/ Grauv:
LO~ TYPE
,
I.nterior
C01'no1'
Panhandle
Cul-do-sac
X Value I
1
I
I I
J1JQ c91 ~'Olol,
q ,q~(1) 1
1---'
,
I '-~ '1-. . c.::J:l1
i.q~
14D.'\3
F,'E
lITEM
I Fi:z:t~e8
IH.sidentiel (1 bath)
I Sanitary Sewer
Water
Plumbing Permit
State Surcr.a1'f16
Total Chal't1cs
lITEM
I Ran. So. fto.
IN~/EXtend Circuits
I Tempol'CUY Servico
I
Elcatrical Permit
State SUl'CMrQe
Total Charges
IITSM I NO.
I Furnace P.TU'S I
ExhauB t Hood
Vent Fan
I WOodstove
Permi t 138uanca
Mechanical Permit
State SurchaJ"a6
Total Charano
__ ENCROACHMENT --
I Sl1C".4M.tll Daoo3it
I Storago
I Main tenan~e
I Permit
Total ChaMOB
eurbcut
I Sidewalk
I Fence
I Electrical
I Mobile Home
I
I
wbe 1.
I 'T'n'l'If'. M.lflIlN'T' nllp.~ A
I NO.
I
I
CHARGE
I NO. I
CHARGE
n'E
FEE
ClIARGE
R EQ.-
I Lot Faces -
I
I P.&.
INor th
I~~~ ~h
rhmt
f'{zer." --
T:f'Je/Cor.nt:
.
L -- Cu l,'
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fl,.U:l'()OI:::::
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Setbac:kn
~ /loune Cal'aqe"
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I I Ent!rqy SOW'(!(!!J
I ~ :;:::1' .1/~o t~I'
II Range
Fircplrwc
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AaceS8.
Building Value & Permit
Thia pCl'mit it; grontcd on the exprecn condi.tioll ihal.; tilt! ::,1/"(;. .:, '11.:: ,',I .: " '),
UhaLZ3i11 all renpccta, conf.oJ>TTl to the 01'dinw:cc adop/;,d b!l /.il', n::'.'1 .(
Spt'ingfield, illc!uding the. Zoni11!] Crdinallcc, l'r.(l1I1.c./.i/::; LIz,] J.:1;J1,;[ !".", i 'I
and uae oj' lJu.Udin(llJ, WId nb.y be r.uapclIdeJ OJ" 1'r.wokec. at (:I:!! i~I.'I,' "i" "I, ".
lation of allY pt':Juiaior.o of oaid Ordi':ance:;.
I Pla/1 CJlt~ck
Date Pa-:.d:
IReczipt II:
ISia~lCd:
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Plumbing Permit
No pCl':;{ni :lhalt c01Wt)'uct, imJtaLZ., aUor or ChaIIU(: mi!l l:eW Ct' c.:::,:;!-,:/I.,
plwnb.ing or draillage sY/Jte:n in wllole or ill [JaJ't, w:LC:;li lwei! pCl':;Oll i:; U:,'
legal posnC:;Hor of a valid plwnbcr'G licemwJ except that a i)l!:'IJOll md!f ,It'
plwnbing !Jork to pl'opcrty !Jhich i:; owned, lca:.Jcd 0)' opcl'atcd hy tJ:!; <~pp/.i.-
cant.
Electrical
Perm it
Where State Lat.) pequil'es that the clectl'ical W01'K be dotle by all :;~~::(,l'ic~:~.
Contractor, the electrical portion of thi;; permit :;Jzali. 1:0t hI.! ua"l-J L/lltLI,
the label Jms been :;iglled by the ELectrical ~Olltl'actor.
Mechanical Permit
Pl.an Examiner
uat.e
I lJ.1VE CAREFULLY EXAMINED the compl,eted application [01' pennit, GIld do
hereby certify that all ir:fo:>mation hereon is true and correct.. aId I
further certify that any ar.d aU lJOrk perfoJ>:ned shaH be done in aC~OI'-
dance IJith the Ordinances of the City of spl.inaficZd, and t}l:: Ur.JS of tJza
StattJ of Orog,')n psrt.ai,t1.nO to tho lJOrk described 1Icre::1I.. end that. NO OCCU-
PANCY !JiZZ be I1rlde of any structUJ'.1 wi.thout p:Jrmia31.on of the BuiZdil1(1 Di-
vision. I further certify that o:1ly contl'Q:Jtors QI:.d e:npL"yecG who al'e in
co,"np'Lianca with ORS 701.055 will be used on tilis Pl'ojzct
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9-Z*> 70
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Permit No: q()! (?Jq
Address: \.\ ~ ~ ~d 0 f) )
Issued by:.t1:l1 fY"i:J Date: ~ ()
STATEMENT:
INFORMATION. NOTICE TO PROPERTY OWNERS
ABOUT CONSTRUCTION RESPONSIBILITIES
Note: Oregon Law, ORS 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 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:
1.oz]
I own, reside in, or will reside in the completed.structure.
2. A. L-.J 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
B. Ll,LJ 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. '
J~/A'JU ('/~ )
/ Srti~ature of Permit Applicant -:
"9~?J; - '10
Date
CONSTRUCTION CONTRACTORS BOARD
0244J 10/24189
~1'E COPY TO ISSUING AGENCY PERMIT FILE
\ . '\ P. COPY TO APPLICANT
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