HomeMy WebLinkAboutPermit Building 1990-6-12
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.. RESIDI:NTIAl"
,/N /PERMIT
SPRINGFIELD ""."..,.", .oJ'
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APPLICk
225 North 5th Street
Springfield~ Oregon 9?4??
Building Division
?26-3?S3 '
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Subdivision: I ;nf:G ~J)U cl
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Address: 4 ~ ") 0
City: 5/J f. VY\..C"
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l..xt New
I I Addi ticn
I I Remodel
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Phone:
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Describe fiol'k:
S F- fl- e-3.
I Nobile Home
Vala" tl J ~ 04 .W
~isc. # Bldrs Board
<:'" ,$j fr t) ft
Date of Applicaticn '3 -- Z-/'...c,' 9 ()
Contractors 1\ Address
General S.e_& P.
Plumbing ~ J J}, I ~~ P /& 'I:fl" b I"':'"
Hechanical :'}~\~b.~J~<!. fI M.ee .J.t~t'
EJ,ectri.cal 1'-;) 'I{' ~/.""...I \ 0
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S l1oervi"Sing Elec t r-~c ia n
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Sigr:.ed:
Date:
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Reg.
Expires
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Phone
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It is the l'esponsibilftyof the pel'mit haUlel' to see that all inspections are made at the pro?el' time, that ~ach ~es3 is rea2ab~e
fl'om the stl'eet, and that the pel'mi t caI'd is located at the fl'ont of the property'.. " i:: :i! I.
'BuiZding Diviaion approved plan shaZlremain on the; Building sits at all times. "; i; Ii
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PJWCEDURE FOR INSPECTION REQUEST:CALL 726-3769 (recol'der) state your city de?ig~tf'd job nw;;ber, job adircss, type of inspec;;ic,li,i'
l'equested ar.d when you will be l'eady fol' inspection, Contl'actors or OlJners ncine and phone numbcl'. Request.s l'eceive.a befere 7: 00 '~7r.i
z.'i~l be made the same day, requests made after 7:00 am will be made the next ~Orking daY'GDO I -A
'~ Y,?Ul' City Desigr.ated Job Numba;Is:- --- -l lO"T?
Reauil'ed InsDectiens ", - ,,'
SITE INSPECTION: To be made after
excavation, but prior' to s'et. up of '.;
foms. . ",'
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UNDERSLA13 PLUMBING, ELECTRICAL' &, - . , '
: MECHANICAL: To be made before any
wOl'k is covel'ed.
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FOOTING & FOUNDATION: To be made,
after trenches al'e excavated and
forms are el'ected, but pl'ior to
poul'ing cenCl'ete.
UNDSRGROUND PLUMBING. SEfVF:R, WATER,
DRAINAGE: To be made pl'ior to fil-
,lir.g tl'enches.
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UNDERFLOOR PLUMBING & MECHANICAL:
To be made ,prior to installation of
f1001' insulation or decking.
POST AND BEAM: To be made pl'ior to
installation of flool' insklation,or
decking .
ROUGH PLUMBING. ELECTRICAL & MECH-
, ANICAL: No wOl'k is to be covel'ed
,ur:.til these inspections have been
made and appl'oved. '
FiREPLACE: 'pyoiol' to placir.g facing ~
materials and before framing inspec-
tion.
111 FRAMING: Must be l'equested aftel'
appl'oval of l'ough plumbing, electl'i-
cal & mechanical. AU l'oofing
bl'acing & chimneys, etc. nr~st be
,completed. No wOl'k is to be con-
..,ceded until this inspection has
~been made and appl'oved.
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-:tl INSULATION/VAPOR BARRIER Il'lSRECTION: - -DEMOLITION OR ,'JOVED BUILDIilGS
:LD :To be made after 'all insulation a~.d , ' 'I'
l'equired vapor.' barriel's are in p lac~ '~sp.ni ;;ary se'.Jer capped at pr'opcrty lir.e':!
but befol'e, any lath, 'gypsum b~ard' 01'. ' ~ :;; I
Wall' covering is' applied, and. befol'e "---1 Septic tank p~~ed and filled with cra0el
any insulation is conceal.ed. . ~ --.:JI, .. oJ 'c~
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, F~na~ - ~ en a ove ~te~s are cemp eteal:
;~;' , ar:.d when demolitior:. is complete 01' st:,/.ir-
. ,f;ure moved and prcmises cli:?aned up. ".; I,
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DRYWALL INSPf:CTION: Te be made
aftel' all drywall is in place,
but pl'ior to any taping.
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Nobile Hemes
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MASONRY: Steel location, bond
beams, gl'outing or verticals in
accordance with U.B.C. Section
2415.
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~ Blocking and Szt-up , ,i: i
~ Plumbing connections sewer and water,
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~ Electl'ical Connection - Blocking, set-u~
--..J and plumbing conr:.ections rrr.!st te apPl'oz;~d
before l'equesting elec:rical ins?ec:io;-;
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WOODSTOVE:
completed.
Aftel' installation is
==:],AcceSSOl'Y Building
~, Final - After pJrches, skil'ting, decks, .
~ etc. are completcd.
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CURB & APPROACH APRON: After forms,
are erected but priol' to pouring
concrete.
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rn FINAL PLUMBING
prJ FINAL MECHANICAL
[Zj FINAL ELECTRICAL
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All proJect conditions, such as the i,nstallation of s:reet trees, co,"pletion9f the ,j!:lI:
l'equil'ed landscaping, etc., must be satisfied befol'e the BUILDINC FINAL call, hf' l'aquestad.,. i
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FINAL BUILDING: The Final Building Inspection must be l'equested after the {~,:a'l Plwnbi1tJ i
Electrical, Wzd Meahar:.ical Inspections have been made and approvd. ' ): \;
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SIDEf.JALK & DRIl1Ef.JAY; For all con-
Cl'ete paving within street l'ight-
of-wc.y, to be made after all exca-
vating complete & ;0= wol'k & sub-
base'"!~,~e~i!!,l i.n ?l~ce.
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'ALL MANHOLES AND CLEANOUTS NUST BE ACCESSIBLE, ADJUST!lENT TO BE N,~DE AT NO COST TO CITY, Pa,:e 1 of ,2,
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PENCE: h'her:. compl6te -- Pl'ovide
gates 01' movable sections thl'ough
P.U.E.
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I'JOB NO. q/Y)b+2-S0LAR
IZ~~e: 4l?~.
Lot Sq. Ftg. ,7500
'%:~;f lot Cover'a~~
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g'iof Stories "
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Totai Height
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Topogroaphy
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lITEM
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Ace E S S RE Q.-
Fage G
L - CO G~
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~3 .; ,/,?-/ Type/Const:
r Lot Faees - ~r.A' .
I Setba'e(s
I P.L. House Carage Aeeess.
INorth "!)//
lEast ~/
South "':2"9'/ 27/
II>'est . 1~.1 .
FEE
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182~.~6 '*
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1.31 z. ~~ I *
,CHARGE I
Oecupaney Gl'OUF-
LOT TYPE
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Interior
1-A. / t.cA..
I I Enerq1./ Sourees '$ #I~ ~Tl1De
I I .~eat ~ b . -;.,~ '
II Water f/;;;{ter t-.
Range ....-..
I Fil'eplaee I, I "
I Woodctove IJJ;_J
II
Bedrooms:
-3 .'
Corner .
Panhandle
Cul-de-sae
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J, V/P~fA 1.23..A-
LJI'5
, -- 'Fees
X Value I
SQ.00 4~g /O,4P
ILt.]O .5 I ~q3 _~O I
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SQ.FTG
Garaae
CarDor t
Aeeessor1.{
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TOTAL VALUE
(va~ue)
1.5 x
S.D.C.
Building Permi t
State,Sw>eharge
Total ,ChaY'ges
ITEM
NO.
Fixtures
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I Residential o......bath)
I sd.nitary Sewer;
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~J, .Water
.'s~ :::Sh.l!F%. D^<'lA...A' ~
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" P,lWf!.~ing Pem:i t
, StdteS;]r.a!;cr.rge
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Tota l :'C!w.y.oes
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, ii'EM
, NO.' 'FEE:,
R~s. Sa. fto. /'2"':/-<':
J N"iw/Extend Ci;~'Uits \
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Ele~tpieal Permit
State" Sw>~harqe
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Total Charqes
ITEM
I ~=ce ETU'S
EXhaust Hood,
I NO. I FEE
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, 0
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II I
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Vent Fan
I W;odstove
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Pernii i Is suane e
Me~hd~;ieal Permit
Statd.'Sw>eharoe
Tota l:'Charaes
--: 'ENCROACHMENT --
'(t':. ,.::
Se~~rity Deposit
I Storage
I M~intenance
I Permit
Total Charoes
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7~
Curbeut
I Sidewalk
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-Fen~e
IEi~etrieal Lab~l
Mobile Home
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I '/'OTA& AMOUNT DIIE:'
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CHARGE I
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I 7fGQS' I
CliAReE
b. o-p
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;<1.25
1'3/?~7
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Building Value
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Pe r m i t
This perwr~t is granted on the express eondition that the said eonstruotion
shall, in all respects, oonform to the Ordinanee adopted by the City of
Spr.ingfield, inoZuding the Zoning Ordinanoe, regulating the ecnstructicn
and use of buildings, and m~y be suspended or revoked at any time upon vio-
lation of any provisions of said Ordinanoes.
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Plan Cheek Fee: I~y . F) ()
Date Paid: ,~-Oll -9 ()
IReedpt #: 1 fli tJ ~
I Signed: t::/) /./Y) ')
Plumbing Permit
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No person shall eonstruot, install, alter or ohange any new or existing
plumbing or drainage syste~ in whole or in part, unless suoh person is the
legal possessor of a valid pltonber's lieense, exoept that a person may do
plumbing work to property whieh is owned, leased or operated by the appli-
- eant.
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Electrical Permit
Where State Law requires tr4t the eleotrieal work be done by an Eleotrieal
Contraetor, the eleotrical portion of this permit shall not be valid until
,the labeZ has been signed by the Eleotrieal Cont~aotor.
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Mechanical Permit
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I H,1VE CAREFULLY EXAMINED the eompleted applieation for pel"mit, and do
hereby oertify that all infoY'mation hereon is true and eorrect, and I
further oertify that any ar~ all work perfor.TIed shall be done in aeoor-
dance ~th~th~ Ordinanees of the city of Springfield, and thz Ur~s of the
* State of ' Oregon p$~ta~hing to the work deseribed herein, and that NO OCCU-
PANCY will be made of any structure without pel"micsion of the Building Di-
vision. I further certify that only eontraotors and e~ployees who are in
co~pliance with ORS 701.055 will be used on this projeet
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Signed
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p'ermit No: C\ D~\cAt ,
Address: \.Q~ \() AS~( ct~QO-r
Issued by: OIfD..- ~ Date: .0(1 \ 'q 0
STATEMENT:
INFORMATION NOTICE TO PROPERTY OWNERS
, ABOUT CONSTRUCTION RESPONSIBILITIES
Note: Oregon Law, ORS 701.055(4), requires residential.building permitapplicant$:;"-
who are not registered with the Construction Contractors Board to sign J.t:t'e
following statement before thebuilding 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:
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1. r \. I \ I own, reside in, or will reside in the completed structure.
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2. /f.. I I My general contractor is
Contractor'registration number
I will instruct my general contractorJhat all subcontractors,who work on
the structure must be registered w.ith the Construction Contractors Board.
OR
B. ,\. A 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 Jde of this form;
M ~rl, _ I ().,..-;-, Q/..),:;, J ::> / c; !,
, SlglfatLirEf of p/i1nffAppiicant grate .': - / ( ,
CONSTRUCTION CONTRACTORS BOARD
0244J 10/24/89
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WHITE COPY TO ISSUING AGENCY PERMIT FILE,
PINK COPY TO APPLICANT
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