HomeMy WebLinkAboutPermit Miscellaneous 1990-5-21
i
.. RESI~TIAL"
APf:'LIC~NiPERI1IT
225 North 5th Street
Springfield, Oregon 97477
Building Division
726-3753 .
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Job LoGation: ril 0 ~~':'\ h() m 0 ':dh 1'\
ABaeBaors Map # \ ( 1 (2-d. ~ 44-
1fY\. ~(\
T= Lot # (j,sFz:nn
~er: \~\ \ 1\ ~ 'lo ro 0 t Q. . .
AddreBS:/) (n3~ G0 m Q _ ~r.one: l.2Jn~f)RrL~
City~J~,..~ Zip: G14i1
L/ I U - J
nN<>>J
n Additicn
n Remodel.
n ,'.fobile 80ma
. (yf. ~ CSt' ~(O
Ufu '
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Subdivision:
Date of Application
Contra(',t-or~
General
i Plumbing \ .H Q l'I\ 0 r -'
i Hechanicar-
I EJ,ee.tri!:al
ISuoe~~i"-1g.Eleetrieian
Describe fl'ork:
Value
f\ Ill)
/-'/'1 YJ
Rcce-:.pt # I t?l-
"D6D
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,
Address
Lise. 1/.
Bldrs Board Ree.
'P'hnnp
Sigr.ed:
Date:
(Air/Lan
Exo:i:ces
It is the rsspontribility of ths permit holder to Bee that aZl. irwpections aPe made at ths proper tims~ that each wddres8 is psadahZe
from ths BtreBt, and that thB p""":t oard i. Locatsd at ths front of ths propsrty.
ABuiUi!1{J [)I~1Ji::ior: apprcn.:ed plan shall remain on the Building Sits at all times.
PROCEDURE FOR INSPECTION RE:QUEST:CALL 726-3769 (recorder) state your City designated job 1tl.Unber~ job ~css~ type of in.3pecticn
requested ar.d when you /Jill- be ready for inspcction~ Contractors 01' Ot.me1"'S ncme end ~hone number. Requests received befcre '1: 00 C':'l
:""ill. ~6 rrrzde the Bame dcy~ requests made a~ter 7:00 om L1iZZ be rrr:u1.e the nc:rt :.x;rking day. A A
. Your City DeBi(l".ated Job Number Io: q fjJ( ()~
Rp.mJ1:t'I'!,1 T'3:,p'Y'f!+:ir.71$'1
D. SITE INSPECTION: To be rrrlde after
e.xcavation~ but prior to set up of
forms.
D . DNDERSLAB PLUMBING. ELECTRICAL &
. MECHANICAL: To be made before any
- z.JOrk is covered.
O FOOTING & FOUND,1TION: To bB 1TrU:!s
after trenches are excavated and
forms are el'ected~ but prior to
pouring cencret,;.
r\'"VUND8RGROUND PLUMBING. SEWER.. W.1TEf?,
~. DRAINAGE: To be TTK1.de prior 0 fi"L
.lir.g trenches.
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UNDERFWOR PLUMBING & UECHANICAL:
To be made prior to instal. lation of
floor insulation 01' decking.
POST AND BEAM: To be made prior to
insta"Llation of floor ins~Zation 0'1'
. decki,,".
ROUGH PLUMBING. ELECTRICAL & MECH-
ANICAL: No :.>ark is to be cOL'ered
,until. these inspections have beer.
made and approved. .
FI.~EPLACE: Prior to pZacir.g facing
materia"Ls and before framing inspec-
tion.
O FRAgINC~ Must be reque3ted after
approval of rough plwr.bing, alectl'i-
cal & mechanical. All roofing
bracing d chimneys, et.:. nrJ.st be
:' completed. No work is to be con-
... cealed until. thiD inspection has
. b6~~ made and approT)ed.
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O INSULATION/VAPOR BARRIER INSPECTION:
To be made after a'll insul::::tian CC".d
- _ - required vapor bcz:tt1'iers are in place
,: -: but before any Zath~ gypswn board or
, wU covering is applied, and before
. any insulation is concealed.
O DRYWALL I!lSPf:CTIO~: To be made
after aU dPywa"LZ is in place~
but Fior to any taping. .
O MASONRY: Steel location~ bo1ui
beam:; ~ grou ting 01' vertica ts in
accordance with V.B.C. Section
2415.
O WOODSTOVE.: After installation is
ccrrrp"Let~d.
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CURB & APPROACH APRON: After> forms
are ere:)ted but prior to pouring
aon.:zre te.
SIDFWALK & DRIT,,'EWAY: For all con-
crete paving within street right-
of-way~ to be made after all exca-
vating comp"Lete & fo~ work & ~ub-
base material in pZace.
. DE.'-!OLITIO!! OR ;~:OV:;D BUILDIt'U;S
~ Sanitax>y Se'.Jet' :::apped at vr:.op;;r~' tine
:=J Septic tank p:.;mped and fUZed lJith JraoeZ II
I Final - [{hen above itetllB are ccmpleted
--1 and when demolition is complete or 8tI'U~-
ture moved and premises cleaned up.
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PENCE: Wher. complete -- Provide-
gates 01' movable sections through
P.U.E.
Mobile Hemes
:::J Blocking and Set-up
:::J P"Lumbing connections s~er and wa~er
:::J Electrical Connection - Blocking~ set-up
and plwnbing conr.ections nr..:st be approved
before requesting elec~ricaZ inspection
:::J AcceBGol"~ Bui"Lding
---, Final, - Aftcr p:Jrcf:.es~ Bkirti.ng~ decks,
~ etc. are co.mple:ed.
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All project conditions~ 3uch as the instaL"Lation of street trees~ co~"Leti~n of the
required landscapir.g~ etc. ~ must be satisfied before the BUILDING FINAL can be requested.
o FIliAL PLUMBIIIG
o FINAL MECHANICAL
o FINAL ELECTRICAL
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FINAL BUILDING: The Final Building Inspection must be l'equeoted after the Final Plwnbing
Electrical, and Mechar.ical InspectiontJ have been made and appl'otl2d.
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ItAr;L MANHOLES AND CLEANOUTS /lUST BE ACCESSIBLE~ ADJUSTHElIT TO BE n~DE AT NO COST TO CITY I Page 1 of 2
I JOB NO.
Zone:
SOLAR ACCESS
Qoouvano" G,-
WT TYPE
Lot Sq. Ft;;.
i :;f lot Co:n;e't'ag;;
!I of Stories
Total Height
Topography
lITEM
I Main
I SQ.FTG
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Carace
Cal"'DOf't
I Aaaessol'u
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TOTA& VAWE
IS.D.C.
(vat.uc)
1.5 :r:
Building Permit
State SurchaI'ge
Total. Cha..-ges
ITEM
Fi::t:tures
IND.
ReBidentia~ () bath!
Sani tar-y Sewer'
Water
II I
I I
Pl:.onbing perr;:i t
State Surcr.arge
Total Charaes
ITEM
f Res. Sa. fta.
I New/Extend Circui ts
I TempOl'a::ry Serovice
I
liD.
Eleatncal Permit
State Suraharqe
Total Charces
lITEM
110.
Fz.lnzace !!TV'S
Exhau8 t Hood
Vent Fan
I WOodSt07J6
Permit Issuance
Mechanical. Permi t
State Surchcrae
Tn1;n.1 r.harofTP.S
I -- ENCROACHMENT --
Ise~~t~ Deoo3it
I Storaqe
I MainteruInC!6
Permit
Total Charoaes
I Curbout
I S idel,)a I k
I Fen.::e
j Electrical Label
I Mobi le Home
I TOTAL AMOUNT DUE: 4
In.tel'iol'
Cornel"
Panhandle
Cut-de-sac
x
Value
FEF:
CHARGE I
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l~( )UU
I \.'50
r~ .rol*
FEE
GHARGE
FEE
CHARGE
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31,c::JJ
t'agc ;::
---I
REQ.-
L-cod~
,
.~
TypeICor.st, _
I
I Access. I
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--..
Be:iroor.:s:
En2rou Souree8
Heat
I Lot Faces -
I Setbacks
I P,L. IHouse Caraae
INorth
lEast
ISouth
IWest
TU::;B
Wate't' Hpntl''t'
Range
Fireplace
Wood::; tOL'e
-- Fees
Building Value & Permit
This permit ia granted on the express condition that the said construction
shall~ in aZl respects~ conform to the O't'dinar.ce adopted by the City of
Springfield~ incZuding the Zoning CTdinance~ regulating the construction
and use of buildings~ and m:zy be suspended or revoked at any time upon vic-
lation of any provisions of said Ordinances.
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I Plan Check Fee:
Date Paid:
Recdpt #:
Sig>:ed:
Plumbing Permit
No pereon shall construct~ install~ atter or change any ne~ or e:isting
plumbing or drainage system in whole or in part~ unless such person is the
legal possessor of a valid plwnber'a licen8e~ e:rcept that a pe:"son may do
pllm'.bing work to property which is ownedJ leased or operated by the appli-
cant.
Electrical Permit
Where State La1.J requires tr.at the electricaZ IJOrk be done by an Electl"ical
Contractor~ the eZectrical portion of this permit shall roOt be valid until
the label has been. signed by the Electrical ~ontractor.
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Mechanical Permit
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PLan E:rc;rmner
uate
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I HAVE CAREFULLY E:XA!.fINED the completed application for permit~ and do
hereby certify that all. i:-:foromation hereon is t-rue and corrcct, and I
foirther .certify that any ara all work perfoP.7led shall. be do:1e in aCCOr-
dance lJ/..th the Ordinances of the City of springficZd~ and th~ La-...;s of tha
State of Oreg.:m pertaining to the work describcd herein, and that NO OCCU-
pl-lIey will be rmde of any structure without parmissio:1 of the Building Di-
vision. I further ~ertifY that o~ly contra~tors ar~ ~l~yees ~r.o are in
c~pliance with ORS 701.055 will be used on this project
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Date
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Permit No: . q('f)e04-4 cO",.
Address:~~33 6(\ Mo ,'4:Hm
Issued by' ,(ill J Date: Q/dJjq{)
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.':i. I own, reside in, or will reside in the completed structure.
rL-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.
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OR
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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 ao 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 and that I have read and understand
the Information Notice to Property Owners about Construction Responsibilities on the
reverse side of this form.
'- JnlS. - '-;} I ~
"tnarure of P-ermit .t<pplicarit .
CONSTRUCTION CONTRACTORS BOARD
0244.1 10/24189'
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Date
~I(\() COPY TO ISSUING AGENCY PERMIT FILE
"\ ~ COPY TO APPLICANT ,
~ QO.: