HomeMy WebLinkAboutPermit Building 1990-12-13
, ,~ .. RESIDE. [IAL" ~ Rcpe~pt!l
.~ . COMBINATION APPLICATION/PERMIT -SPRINGFIELD- : #'
225 North 5th Street . .
- Sprirl{!fieZd~ OrefJon 97477 ~
BuiZding Division ~ L/
726-3753 ~~.
Job Location: l2 f1 rd. ~n Q ~~\ ffi~ __ ~v -1
.....- Nap' \ IJ D ~ 3?-. \ .4.= "'.. on Am it1
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nl I ruM . . .1 1\ ^ ,,"'(':\1 '"f'..~:e~Cribe WOl'k:
Additicn ~ I\ULlDJ\
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, ~:::~tol'n >Jt \ ~' R )
It is ~he I'esponaibility of ths permit holder to see that aH inJJpections aJ'e made at tI,e propel' time,
fl'om the stl'eet, and that the permit card is located at the front of the propeJ'ty.
. ABui!.ding Divi::ior: approved plan shall J'emain on the Building Sita at all times. .
PROCEDUliE FOR INSPECTION REQUEST: CaH 726..::t7fi9 CrccoJ'derJstate youJ' City designated job numbel',
J'tlqullsted ar.d wJ:en you ui.l.Z be ready fol' inspection, Contraotol's or Ownsre =e and phone number..
r..'ill bs made the earne dc.y, J'equests made aft;;zo '1:00 ~ will~e mo.de the nc:r:t:JOJ'ki1l{Jday. q'O
. ... . ... . .YourC:J-ty. DeB1.gnated Job Nwnb6J' 10:
R~ml,:.,.t>rf Tmmt>fOt:innR
. 0: SITe INSPECTION: To be mo.de aftel'
ezcavation, but prior to set up of
. . . forms. .
. --,.. UNDERSLAB PWMTJING. ELECTRICAL &
-..J MECHAlIICAL: To be made befoJ'e any
LlOrk is '-:o.IJcJ'ed. .
Plumbing
Electrical
Ueahm:ic.::l
SUDervisino'E~ectrician
-0
FOOTING ~ FOUNDATION: . To be mo.de .
after tJ'enohos are eJ:cavated and
foJ'ms aJ'e erected, but prior to
pouring cencret~.
UNDERGROUND PLUMBING. SEWER. w'1TEll,.
D.qAIf/AGE: To be Imde prior to fil.-
lir.g trenches.
o
o
Ul/DE!fFWOR PW~ffJING ~ MECHANICAL:
To be made prioJ'to inatalZation of
fIoor insuZatio~ OJ' decking. .
POST AND BEAM: To be made prior to .
inJJta1.Zation of fIool' insulation OJ'
decki.1Ifi .
ROUGH PLUMBING. ET.ECTRICAr. & MECH-
ANICAL: No :JOrk. is to be cOL'eJ'ed
ur.ti1. those inspections have been
made and approved. . .
FI.~EPT.ACE: . Prior .to placir.g facing
materials .CU!'l. before f.......;ng inspec-
tior:. .. ,'. .. ,.
FRAMING: Mu:1t be J'squslJtsd afteJ'
approval of rough plwrbing, alectzoi-
001. & mechani.:aL. AH roofing
bracing.& ohimneys, .et.-:. nr~st be .
completed. No LlOrk is to be con-.
cealed .'until this inspection has .
. be.en mads and. approved.
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Address
O INSULATION/VAPOR BARRIER INSPECTION:
To be mo.de after all insulat~n and
rcquiJ'ed vapor barrieJ's aJ'e in place
but before any lath, gypsW1l board or
wll coveJ'ing is applied, and beforB
any. inaulation is concealed.
O DRYWALL Il/SPECTrON: To be made
afteJ' all dl'ywll is in place,
but prior to any taping.
D.MASONRY: Steel location, bo7ul
. bearna, grouting 01' verticals in
aocozodance I.1ith U. B. C. Section
2415.
O WOODSTOVE:. After installation is
.ccmpleted.. . ..
o
CURB & APPROACH AP.'!ON: After forms
aJ'e eJ'eoted but prior to pouring
.-:oncretB. .
( zq31
. .1~F3,qD
:~~~\~Ai~~~~~ .
Li8t:;.H
Expires
Phonc
O. SIDEWALK & DRIVEWAY: FoJ' all con- .
cJ'ete paving within. street right-
of-wc.y, to. be made afteJ' all exca-
vating ccnrplete & f01':1l wOrk. & sub..
. base material in plaae.
O .fENCE:. Wher: compl~te --Provide'
gates 01' movable sections thJ'ough
P.U.E.
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.',
-:
that each ~ess is readab~e
job at!dzoess, typll of in:Jpectien
Requests J'eceived befere 7:00 ~
.4loCX
DEMOi,ITIO!/ OR .v.01';, 3iJIl.::.'ICS
:J Sani ~ S6IJIZ!' oc:;ped. ::t p:.op;:!'t';j Zir.e
:=J Septia tank p:omp€d ar..i filZed :.Jith;ra:Jel
~Final - .Tlhen above it:.~s are cr..mpleted
ar.d when demoLition ia cDm?leta or struc-
ture moved ar.:! pJ';::rriOiiS ai-eane:! up.
Mobile Hemes
~ Blocking and Sat-~p
~ Plumbing connections -- s&UeJ' end wateJ'
---, ElcctJ'ical Connection - Block~r~, set-up
~ and plW1lbing connections tr.'.l3t !;e approved
befoJ'c requesting eleatrioal ir.spect;ion
.:=J AcaessoJ";j Bui:di~
I final - Ilfto:r .,?orc1:es, sk~rti~, decks,
.--J etc. are comp~at&d.
J
. All pl'ojeot conditions, such as .theinstallation of street tJ'ees, complJtwn of :;itg
J'equiJ'ed landscapir.g, etc., must be satisfied bcfore tr.s BL'ILDI.~'G FI:!AL ~an !:e raqu9st:Jd.
o FINAL PLUMBING'
o FINAL MECHANICAL
o FINAL. ELECTliICAL
o
..0 nNAL BUILDINC: The Final Building Inspection must ba requeatea afteJ' tile FinaL ?LW1Ibing
Electrical, and liechanical Inspectiona hava been made and approvad. .
AALL. UANHOLES AND CLEANOUTS MUST BE ACCESSIBLE, ADJUSTHENT TO BE M.1DE .AT NO COST TO CITY I F;;.~e ! of 2
..
IJOb Nwnber:
I Zone:
Lot Sq. Ftg.
% of lot Coverage
II of Stories
Total. Height
\ Topograz;hy
ITEM
SQ.FTG
Main
GcYaae
I Carpor t
I AccessorII
I
I
TOTAL VALUE
S.D.C.
(val-us)
1.5 :c .. .
Building Pe1'IIIit
State Swocharge
Total Charges
ITEM NO.
Fi.rtwoes
/Residential (1 bath)
I Sanital'Jl Sewer. .1
I Water ..
I
Plumbing Pei'mi. t
State Swocharge
Total Charqes
'ITEM
Res. So. ftn.
I New/EXtend Circuits
I Temporary Seroioe
I
Eleatrical Permit
State Swocharqe
" Total Charges
IT'EM
Furnace ETU' S
EXhaust Hood
Vent Fan
woodstove
Permit I3suanoa
Mechanic:! l Pem t
State Swocharae
, Total Charaes
-- ENCROACHMENT -- .
Se~~rity Deposit
Storage
Maintenanae
Pcrmit
Total Characs
eurbcut
Sidewalk
fi'en:Je
Occupancy,r-~p:
LOT ~
. NO.' FEE
I
NO.
Electrical Label
'Mobf!:e Home
'Jl '1J lYl nLd;c 01\ )
. .~.cJ), ')
TOTAL AMOUNT DUE: 4
l
I
I
I I HAVE CAREFULLY EXAMINED the completed appl.ication for permit, and do
I hereby certify that all information hereon is true and corrsct, and I
further certify that any ar.d all work perfor:ned shall be done in accor-
l dance with the Ordinances of the City of Springfield, and the La:Js of the
. 4 State of Oregon pertaining. to the work described herein, and that NO OCCU-
PANCY will be mde of any structwoe without permission of the Building Di-
vision. I further certify that o~lly contractors and e:nployees who are in
IX. LV (/7/7
. ~.() .~ iJA~~~
( K~Ol'.{~
Interior
Cornel'
Panhandle
Cul-de-sac
X
Value
FEE
CHARGE
CHARGE'
FEE
CHARGE
Reference Nwncers:
L-COC #:
Type/Const
Bedrooms:
I EnerGu Sources
I Heat
I Water Heater
Range
Firevlace
Woodatove
Tl/ve
Lot Faces -
Setbacks
P. L. 'House 'Garage . Access.
North
East
South
West
.,- Fees
...l
Building Value & Permit
This permit is granted on the express condition that the said construction'
shall, in all respccts, conform to the Ordinance adopted by the City of
Springfield, incZuding the Zoning Ordinance, regulating the construction
and use of buildings, and may be suspended 01' revoked at any time upon vio-
. laUon of any provisions of said Ordinances.
4.
4
Plan Check Fee:
Vats Paid:
Receipt #:
Signed:
Plumbing Permit
No person shall construct, install, alter or change any n~w or existing
plumbing or drainage system in.whole or in part, unless such person is the
legal possessor of a val.id plwnber' s l.icense, except that a person may do
plwnbing work to property which is owned, leased or operated by the appli-
. 'cant. .
"
4
Electrical Permi t
Where State LaJJJ requires that the electrical work be done by an Electrical
Contractor, the electrical portion of this permit shall not be valid until
the label has been signed by the Electrical Contractor. .
.4
Mechanical Permit
4
J.
PW-Il Examiner
uate
/d? ~/3~70
Date
..- ., ..
Permit No: g() ~ loB \ IF,
Address: lo'\B ,~\ffiys~.
Issued b{t:j{IJ)(')~_) Date: }!)-IS .q()
FOR OFFICE USE ONLY
STATEMENT:
INFORMATION NOTICE TOPROPERTYOWNERS.
.. ABOUT CONSTRUCTION RESP.ONSIBILlTIES.
Note: Oregon Law;ORS701.055(4), requires residential building perrilitapplieants
. who are..not registered with 'the .construetion Contraetors' Board to sign the
. following statement before the. building permitean be. issued. Licensed Arehiteet
.and Engineer applieants, exempt from registration underORS701.010(7), need
not submit this statement. This statement will be filed with the permit.
Fill in ~1applieable blanks, and initial box 1 and either box 2A or 2B:
C /) . /
1. ,r ~ I ownjreside in, or will reside in theeompleted strueture. .
I
.2. A. I . I My. genera,1 eontraetor. is
Contraetor registration number
I willinstruet my general contraetor that all subcontraetors who work on
the strueture must be registered with the Construction Contraetors Board.
OR ( 11
B.' /(/1 will be my own general eontraetor.
I If I hire su~eontraetors,1 will hire only subeontractors registered with the
Construetion Contractors Board. If I ehange my mind and co hire a general
eontractor, I will eontraet with a eontraetor who is registered with the
Construetion Contraetors Board and I will immediately notify the offiee
issuing this building permit of the name of the eontractor.
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. ( /ill
\xO? a=-'A~O ~~ /,;2 -/ ':5 - 90
/SJg1nan.rre of Permit Applieant --- Date
CONSTRUCTION CONTRACTORS BOARD
0244J 1/90
WHITE COPY TO ISSUING AGENCY PERMIT FILE
PINK COPY TO APPLICANT
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