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Home My WebLink AboutPermit Building 0-8-13 ... RESIDfiWTIAL", APPLICATlu,,/PERMIT 225 North 5th Street SpringfieZd~ Oregon 97477 BuiZding Division 726-3753 ~\_.i :, '. -... ~. .. . " Job Location: l ~ Lf~ T sf-vee.r ASlJeslJorz Map # '/f)~ ~ (...:))- Subdivision: Owner: < ~Ocs.5 L. \....:, n€-. \~4b l: S+ ~~Y'\~~eJcP Address: CitlJ: I I I~I I I' I Np.w Additicn Ux.v povt Remodel I .~fobi le Home ~ J \, \ Cj '" Date of Appliaaticn Contractors General ()lU~~V- : Plumbing I Hechanical I E:~~ctri:.:al I SllPe!'....I<rt'}.;;r.1g Elec t r~c in n Tax Lot # Cd.. (n () <' . Phone: j4j-0JSS C() 4i '7 .1.. Rcceipt fi ...t~~.? ~?,2~, ()Q Zip: UJv . '\-.J. ~"':,~ v" .... . j' s,.. Describe r"orl(: Value d.J ~~,S~ , .Bldrs Board Reg. Phone Address Lisc. It "- "'. f "'t r] j)CU OJ. 9,. \5-l{rJ ".' .,: \ , Signed: Date: Expices It is the responsibility of the permit hoUier to see that all inspeations are made at the proper time, that each ~ess is reaiabZe from the street, and that the permit aa:rd is loaated at the front of the property. "Bui?ding rr:vi::ior: approved plan shall remain on the Building Sit:: at all times. . PJ?OCEDUP.E FOR INSPECTION RSQUEST;CALL 726-3769 (rccorder) state YOUI' City designated job nwr.ber, job addrcss, type of ir13pecticll requested ar.d when you will be ready for inspection, Contraators or Owners ~e and phone numbcr. Requests received before 7:00 ~ "-'ill be made the same day, 10equests made after 7:00 am will be made the next wrking day. Reaui~p.d JnsDp.cticns SITE INSPECTION: To be made exaavation, but prior to set forme. after up of o ~ ~ UNDERSLAB PLUMBING, ELECTRIC,1L & MECHANICAL: To be made before any work, is aovered. FOOTING & FOUNDATION:' To be made after trenches are excavated and forms are erected, but prior to pouring cencret~. UNDSRGROUND PWM3ING, SEWER. W,1TER. DRAINAGE: To be made prior to fil- l ir.g trena he e. o [] UNDERPLOOR PLUMBING & MECHANICAL: To be made prior to installation of 11001' insulation or d~cking. O POST AND BEAM: To be made prior to installatien of floor ins~lation or deckinq. 1,.1 ROUGII PW.'1BIllG. ELECTRICAL & MECFI- . ~ ANICAL: No work is to be cot.'ered "ur.til these inspections have beer. ,made and approve':. ".' D fIREPLACE: Prior to placir.g facing materials and before framing inspec- tion. d PRAl~JNr;: Must be requested after ~ approval of rough plumbing, eleatri- " cal & mechaniaal. AH roofing bracing & chimneys, eta. m"dSt be "completed. No work is to be con- , cealed until this inspection has . been made and approt.'ed. o FIflAL PLUMBItIG o FIliAL ME~F1ANICAL o FINAL ELECTRICAL [] % Your City Deaigr.ated Job Number Is: D INSULATION/VAPOR BARRIER INSPECTION: To be made after all insul~tion a~4 "" required vapor barriers are in place ,;.':" i:~, but" before any lath, gypsum board or wall covering is applied, and before any insulation is concealed, D DRYWALL INSPfCTION: To be made after- all drywall is in place, but prior to any taping. MASONRY: Steel location, bond beams, grouting or verticals in aocordance with U.B.C. Section 2415. CjotJ9'7?- DEf.fOLITION OR ;~:OVED BUILDIilGS =:J Sanitary ,~~.J~~ .~~~~1.;,5~'/~I~~~~!~,~r l:t~~i:':~" ~ Septia tank p~~d and filled with gra~el I Final - r,'hen above items are completed ~ ar.d when demolition is complete or stru~- ture moved and premises aleaned up. I Mobile Hemes ~ Blocking and Set-~p ~ Plumbing connections SC1Jer and water ~ Electrical Connection - Blocking, set-up ---l and plUmbing connections nr~st ce approved beforc requesting electrical inspectio~ ~ Accessory Bui ld-:.ng I final - After p~rches, skirting, deoks, ~ etc. are completed. o All projeat cond'itions, lJuch as the -installation. of str'eet trees, 'co.-:rpletion of the required landscapina, etc., must be satisfied before the BUILDINC FINAL aan be requested. FINAL BUILDING: The Pinal Buildina Inspection must be requested after the Pinal Plumbing Electrical, and Mechanical Inspections have been made and approved. AA['L MANHOLES AND CLEANOUTS NU!;T nF: ACCESSIBLF:, ADJUST!1[:NT TO BE '.!.1DE n' flO C:JST TO CITY P:z,~e! of 2 D D After instaztation is WOODSTOVE: ccmpleted. D CURB & APPROACH APRON: After> forms are crected but prior "to pouring concre te. O SIDEr-lALK & DRIVEr/AY: For all con- "" crete paving within street right- of-way, to be made after all exca- " vating complete & fo1':71 work & sub~ " base material\ in 'pl?ae. D !"ENCE: i1'hen compl~te -- Provide gates or movable sections through P.U.E. "0 ~ -;J.... - JOB NO. SOL A R A,..C C E S S R E Q.- L-COG~ , Zona: Occupancy Gr~ Type/Const: Bedrooms: Interior Corner I Lot Faces - I Setbacks I P,L. House Cara~e INorth East South If{est I Enerrrl{ Sources I .~eat Access. I Water Heater I I Range .&:1 ' I I Firep lace I Wood:;tove I Tlwe Lot Sq. Ftg. ~ .:Jf lot C.:Jverage; !I of Stories Total Height Topography LOT TYPE Panhandle Cul-de-sac Fees ITEM SQ.FTG x Value I Building Value & Permit Main Carport :)'S.:.J7 .JQ.rO _~ l..~.~J.. This pernr~t is granted on the express condition that the said' construction shall, in aZl respects, conform to the Ordinance adopted by the City of Springfield, induding the Zoning Ordinance, reguZc.ting the construction and use of buildings, and m~y be suspended or revoked at cr.y time upon vio- Lation of any provisions of said Ordir~nces. Gc:rac;e Accessory S.D.C. TOTAL VALUE (vaLue) 1.5 :z: Building Permit :?fh,SO /.13 Lit) .131 * Plan Check Date' Paid: Recdpt #: Signed: ::)l:; .0 '3 I J n I CJD l"}} ~ "3 ~(6 Permit Fee: State SUJ'chCll'ge Total Charges lITEM NO. I FixtUJ'es I Residential (1 bath) I Sani tary Sewer FEE CHARGE Plumbing Water No person shall construct, instalZ, alter 01' change c.ny new or existing plumbing 01' drainage syste~ 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. Plumbing Permit State SUJ'c"~rge Total Charaes * JITEM I Res. Sa. fta. I NauJjExtend Circui ts I Temporary Service I NO. FEE CHARGE Electrica I Perm it Where State Law requires tr~t the electrical work be done by an Ele~trical Contractor, the electrical portion of'this permit shall not be valid until the label has been signed by the Electrical Contracto~. Ele~trical Permit State SUJ'~harqe Total Charqes * ITEM . NO.' FEE CHARCE Mechanical Permit Furnace ETU' S I E=haust Hood I Vent Fan I W:>odstove I ... Permit Issuance Mechanical Permi t State SUJ'charae Total Charofls -- ENCROACHMENT -- I * Se~~rity Deposit pZaL6~~. 84/90 vater / Storage Total Charaes I HAVE CAREFULLY EXAMINED the completed application for permit, and do hereby certify that all ir.fo:'TTlation hereon is true and correct, and I". fUrther certify that any ar~ all work performed Bhall be done in ac~or-/ . dance :.rith the Ordinances of the city of Springfield, and the; [,a-.,;s of the \ * State of Oregon psrtaining to the work described herein, and that NO OCCU- PANCY will be made of any structure without permission of the Building Di- vil3ion. I further certify that o~ly aontra.:Jtors and e.~pl.:Jyees who are in co.-nplianae with ORS 'lOl.05t wiLL be used on this "project Maintenance I Permi t I eurbcut I Sidewalk I Fen~e I Electrical Label I Mobile Home I I TOTAL A~IOUNT DUE: ~ 40, ~J ~?/4' * " .,~. " Date ",., ..' ..~ '. . " .~ Permit-No: q(n~:J Address:, ,/ ~4-(j) :Eo ~~~J\ Q 0 T Issued by/~~lm ,Date:Hi~[)"" --- . - I f STATEMENT: , INFORMATION NOTICE TO pROPERTY OWNERS 'ABOUT .CONSTRUCTION/RESPONSIBILlTIES " . " 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 fired with the permit. Fill in the. applicable blanks, and initial box 1 and either box 2A or 2B: ." 1.1 .v-I 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 on the structure must be registered with the Construction Contractors Board. OR B. I \/ 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 00 hire a ~eneral 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 c:::) '-. (?:I ~ :' - 3<. .7C.=l/Y\..{ Signature oCRermit Applicant IP'- /) ~ Yci Date CONSTRUCTION CONTRACTORS BOARD 0244J 10/24/89. ,;, r )Uh~ '. W,BbTE COPY TO ISSUING AGENCY PERMIT FILE '. \ ~ jOPY TO APPLICANT luftUJL.; ~s ,