HomeMy WebLinkAboutPermit Building 1990-7-30
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,.' ' . RESIDF~TIAL..
'~' APPLICAT. /PERMIT
225 North 5th Street .
SpringfieZd, Oregon 97477
" Bui "Lding Division
726-3753. .
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Job Location:
AsaesGol'::: Map
SUbdivision:
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BuA
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Addres3:
City:
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Ta.:r: Lot N
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Phone:
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Of-- Zip:
l~ ~PiJ
I I Addi ticn
I I Remodel'
I I Nobile 110m3
Describe rl'ol'l~:
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Rece{pt if
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- \ '7 '-30'GfU
Signed:
Date:
Date of Application 7~/C:>'9~ Value ~"9:.~~. ~ 3' "
Contractors Address LiRc. il Bldrs Hoard Re~. Expixes Phonr>
. General () 11 I 'VI -L rr- I
;Plumbing r~n_/1J ^ .()j.l.AN1'~~\'d..\/')alJndU5/~\D~~ (f//Q4!Cf;" 1
I Hechanical ~.A..3 &-s~ 4~l 0 <K. '6 ~Y\a. ~ }f\. . . So ~~C?=)l 0)<; ~ A I tJ.. (0 lC1 L I
IEJ,t:ct..ri!;~.l ~.l~L~. ~~-l-J~ .CJ.,tf"li'l \.l")\\~L. J ~"2~~}r4/~~5 J '4:.,/f:}~JG{'1 I
Super;'o,mtl;,Y:lg., hlec t1-:1 CHI n "0 . ~. I
It is the l'esponsibiZity of the permit holdeI' to see that all inspections al'e maae at, the pl'opel' ~ime. that Dcdl .:ddl'ess is l'ea:!ab:e 1
fl'om the stl'eet, and that the pCl'mit oard is located at the f!'Ont of the pl'opel'ty.
'Bui!diny ~vi~io~ appl'ovcd plan sl~ll remain on thz Building Sit$ at all times.
prWCEDURE FOn INSPECTION nE:QUEST~CALL 726-3769 (l'ccordel') state YOUI' City desi!J~ted job nwr.bel'. job addrcss, type of in3pec~iclI
.l'aqucs~ed ar.d when you wiZZ be ready fOI' inspection, Contl'actol'S 01' Owners name and phone numbel'. Requests l'eceived befol'e 7:00 ~
I.-ill be made the same day, l'equests made aftel' 7:00 am LJilZ b:! made the next :JOl'kin.] day.
Rp.'!"i..,d TYlRnpf!t1:rmR
r\JY SITE INSPECTION: To'be made aftel'
1.61 excavation. but pl'i~ t~).. 'up of
forms. (eA S eM f!}u I i:)
O UNDERSLAB PLUMBING. ELECTRICAL &
. MECHANICAL: To be made befol'e any
WOl'k is $ovcl'ed.
1'\/1 FOOTING & FOUND,1TION: To be ,oode
~ aftel' tl'ellches al'e excavated and
fOl'maal'e el'ected. but pl'iol' to
poul'ing ccnCl'ete.
rvT UNDERGROUND PWM2ING. (SEWERYW.1TER)
~ FNAGE:) To be made pi"iOl' to]TI-
~''':) _t<enche:::.
~.
UNDERFLOOR "PCT)NBING) & d!ECllANIC/iL:
To be madc 'p1'1.01' to inatallation of
J100r inaulction 01' deckin!J.
POST AND BEAM: To be made pl'iol' to
installation of flool' insulation 01'
deckin:; .
nouGu au,'mI!Jm_ wCTnrcfl.} &GEC~-
ANICAl:!f ..v wOl'k is to bc covere
. ur.n ~ - thcse inspections Ilave beer.
made arid approve:!.
FIREPLACE: Prior to placir.g facin!J
mctel'ials and before framing in spec-
tion. .
FRAMING: MU3t be l'equested aftel'
appl'oval of l'ough plwrbing. el.ectl'i-
cal & mechanical. An roofind
bl'acing & chimneys. etc. must be
. completed. No LJOl'k is to be con-
, cea?~~ !m~H thfn imJfl:ianon fJI!J
~ };~o.n made aria approvea.
,~
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YOUI' City Deoigr.ated Job Nwnbel' Is:
"
a INSULATION/VAPOR [MURIER INSPSCTION.:
,.6.1 T~ ,be made after an insul:/tion ar'.d
, .' . l'equired vapol" bal'iiers al'e in place,
but before any lath. gypswn boaro'ol'
wlZ covel'ing is applied, and befol'e
any insulation is concealed.
~ DRYWM,L INSPECTION: To be made
aftel' aU drYLJaU is in place.
but pl'iol' to any taping.
O MASONRY: Steel location. bond
beams, grouting 01' vel'ticals in
accol'dance Llith U.B.C. Section
2415.
1'\/1 WOODSTOVE: Aftel' installation is
~ completed.
r\7l' CURB & APPRDAClI AP!lDN: After- forms
~ are cl'e$ted but pr"ior to poul'ing
$on~l'ete.
. !'v1"SIDEWALK &DRIl'ErtI:Y: Fol' all ~on-
~ crete pavina within street l'ight-
of-LJCy, to be made aftel' all e:r:ca-
'vating complete & fol'm wol'k & sub-
base material in pla~e.
~
ca~s~
PENCE: "'hen complete -- Pl'ovide
gates 01' movable sections through
P.U.E. '
?~.o~~'
I DEMOLITION OR MOVED BUILDINCS
:=J SanitaI'Y SelJel' ~apped at p~OpCl'ty lir.e
~ Septi~ tank pumped and filled with al'a~el
] Final - rlhen alwve items al'e ccmpleted
and when demolition is complete 01' stl'U"-
tUl'e moved and pl'emi3es cleaned up.
Nobile Homes
~ Blocking and Set-up
=:J Plwnbina connections -- SCLJel' and wat:el'
---, Electl'ical Connection - Blocking, set-up
---1 and plwnbing conr.ections lTr..lst ee apPl'oved
befol'c l'equestillg elec~rical inspec~ion
:=J Ac~essol'1i Building
----, Final - Aftal' p::Il'ches, skil'ting, decks,
~ etc. aI'e completed.
~
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FIliAL PLUMBIlIG
All. project conditions, ouch as tile installation of stl'eet tl'ees, co.~plotion of tiie
l'equil'ed landscaping, etc., must be satisfied bcfol'e the BUILDINC FINAL ,can be l':!quest:!d.
'.-
~
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In
FINAL MEClIANICAL
~
FINAL BUILDING: The Final Building Inspection must bo l'equested after the Final Plurnbin.3
Electl'ieal, and Mechar.ieal Inspections have been made and appl'oved.
FINAL ELECTRICAL
~IIU f./IINllcr.F:!; IIND Cr.f.'IINOIJT[; f./1I.,":'f m: IICCF.S[;[[lU-:, IIDJlJS7'm:N'J' TO RI,' N.1Dr AT NO rUST TO Cf'!'Y I P:l!)(' of:~
I JOB
I"
..one:
.. ....,,- ~
L-COG-It
L/)~
Lot Sq. Ftg. (, I ~S'
% of lot CoveragE:_
N of Stories
Total Height
Topography
SOL A RAe C E S S R E Q.-
Occupancy Gro S.r:Al7's I tt:1tJII'~E Type/Cor:st:
LOT TYPE I Lot Faces - SouTFI
I Setbacks
I P. [". House Carage Access.
North
East
South
r"est
NO.
~
Interior
'''2..-
:l ~I
f~
Corner
Panhandle
----CUl-de-sac
lITEM
Main ~ ~
.t.
SQ.FTG
x
Value
/ slia:l$' ~-,:. ~ S'7tt:bJ. Ij'B
3$t ~~ I~
Garaae
Carport
AccessorII
, .
TOTAL VALUE
( val.ueJ
1.5 It:
.51i??2P3 "
I g,~.3~' 4
3/300
/5/'S
3~~.b$ 4
"ls.D.C.
Building Permit
State Surcharf!e
Total Charoges
lITEM
I Fixtures
Residential (1 bath) 2-
Sanitary Sewer I
Iwatel' I
<4-~ ~.
. '. . Plumbing Per#- t .
NO.
FEE
CHARGE
5250:
20 DP
IS t!TO
2O~d.
/07. 5D
.5. '3"
jl~.~
...1 .;~. .
'. State .. Surcr.arge
. If . ',;',. t /,-"," ;. '.~.,..
Total Chai'l1es
i
lTE.'M
Res. Sa. fta. ISct~
Naw/EXtend Cil'cuits
. NO.. n:E
CHARGE'
.3 7 6{;)
~
dOO '~
.Eleatl'ical Permit
52.. 5'0
91?,~
4.50
State SUl'charge
Total Charges
I
ITSM
NO. FSE
C/lARGE
~ , tf}O
4.50
i;. f) t:)
J 15.t70
Furnace ETU' $
I E:t:haus t /lood
I Vent. Fan
I WOodstove
I
J
).. 3.00
J
Permit Issuance
, ; Mechanical pem t
3/. So
1.5$
3 3.~.e. ,4
. State Surcharae
Total Chal'oeo
-- ENCROACHMENT --
Ise~~rit~ Deposit
Storage
Maintenance
Permit
Total Chal'fToS
Curbcu ~ Q..{ I
Sidewa lk ~ 'I (
/3.30
20- "s
. I.
Fenae
. Electrical lAbel
IM~bile\H~e':' ','.
I
'1'11'7''' r. "UIlI/AI'" n1l1i'."
/391 ,31
'.
-~ Bedrooms:
I Enel'(/.II Soul'ces
I iieat
~
7:'~"
Water !If?atel'
Range
Fi l'ep lace
Woodatove
Tw'e
~ :J.-I.<A-~
9~
J1;
J/J!/-,"
'f:..
-- Fees
Building Value & Permit
This permitio granted on the express oondition that tlle said constl'Uction
shall, in all respects, conform to the Ordinance adopted by the City of
Spl'ingfield, incZuding the Zoning Ordinance. regulating the constl'Uction
and uoe of buildings, and may b,e suopended or revoked at c:r.y time upon vio-
lation of any provisions of said Ordinances.
Plan Check Fee: .:203. Ys
Date Paid: 7-/0. 9c:>
IReceipt II: ~7ht:;9 "'--_
ISigned/~D ~~r-:::>
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Plumbing Permit
No person shall.conatl'Uct, install, alter or.,change any nelJ 01' existing
'plumbing or drainage syste~ in IJhole or in part. ur.~ess such peraon iG the
legal pOS8eSSOl' of a valid plumbel"s license, except that a peroson.ma~ do
plumbing work to property which is owned, leased or operated by the appli-
. cant. .'.
'.
4
Electrical Permit
WlIere State LaIJ l'equire8 tr.at the electl'ical work be done by an Elecl~rical
Contl'actol', the electrical portion of this permit shall not be valid until
the label has been aigned by the Electl'ical Contractor.
To,S6 o:e,i?f(,ut3V
aaA/~. "
Er B~7i!/~~.
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4
Mechanicol Permit
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plaIr E,b:arlfiner'" 1'''
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vtyte 7 7
I /I,1VE CAREFULLY EXAMINED the completed application fol' permit. and do
hereby certify that all inforomation hereon is tl'ue and corl'c~t, ,and I -
further certify that any ar.d all LlOrk perfor:ned 8hall be done in acoor- .
dance :.1ith the Ordinances of the City of Spl'ingficld, and th;: L<r..s of tho-
4 State of Ol'egon p$rtaining to the IJOrk described hel'ein, and tl~t NO OCCU-
PANCY will be made of any stl'UCtU1'2 without permission of the Building Di- I
vision. I furthel' cel'tify that only contractors and e~plDyeea who are in
ca~plianae with ORS ?Ol.0S5 will be.used on this pl'oject
-.
~Pl.J AO~ 4e.(/~/3()!,.9o
Signed ;Jor /4J~{. E-;LOvT;- ~. /'
1
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Permit No: q OO'6trt-4
.Address: to_~~?; N~\Q'(""5b .
Issued by:6:1 M ...) .. Date: 0 j3t(1D
STATEMENT:
INFORMATION NOTICE TO PROPERTY OWNERS .'
ABOUT CONSTRUCTION RESPONSIBILITIES
'. .
. '. , . .
Note: Oregon Law, ORS 701.055(4), requires residentialb\Jilding 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
an.d,Engineer applicants, exempt from registration under ORS 701.010(7), need
n'ot submit this statement. This statement will be filed with the permit.
. . Fill in theap~licable blanks,. and initial box.1 and either box 2A or 2B:
. 1. I V! I own, reside in, or will reside in the completed structure.
.2. A. I r . 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 V 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 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.
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Signalure' of fJermit App'ilca-nt
/7 /" I -::?/J/', Lt.,' :,1
IA//,.t.-I... . ,-,
Date /-/- /
v (/
CONSTRUCTION CONTRACTORS BOARD; .' '
0244J 10/24/89" ,.
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D1t\0 .
. \~. COpy TO ISSUING AGENCY PERMIT FILE
W~'I COpy TO APPLICANT
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