HomeMy WebLinkAboutPermit Building 1984-10-9
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.. RESIDENTIAL'.
APPLICA':ION!PERMIT
225 North 5th Street
Sprir4fieLd, Oregon 97477
Buitding Division
726-3753
Job [.oc:::i:,":
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A.:c::eiCll Id
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Cat. ~;',::,:::[ w ~ ~/:;;; . 'alu. i :3 ~;;;;;;-
~Ol'l:r::c:o~~,., ~~ Adti.-ess
Gene~L ~ , _~ & " p. (j .~,( J I C, ~. 9'7</7_7
PrImlO'l.rtq ,'A.l ,J ~ J
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C01l.8tl"'..IC~01l [.;:nder
PI-.or.e: ? q &:'''' f-J '362 J
Zip: 97</"7 7
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.~cce::;: ~ t,"3 (P"7 c.-
lei / Q/~/)-r 4)/
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Siqr.ed:
Date:
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/d./9 / J'"S/
Lisc.;,
E=it'cs .
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Phon;;
'7Q 7. ,rirb..f
%S'17
!~ ill ~he resFonaibU::ty of' tns pel"M'it ha'ldszo to see that aZZ irn;pections are made at: the propeI' timE:, that o:ach =ddress is re~":'7:':
front tM street, end that the permit card is t..xated .::t the front of eM property.
.3ui!di",.g :>O:vicio:-: cp::rot:ed FZan sr.cz,z. rmain on ehz Bu~Z.ding 5it~ at all times.
P."OC::!JU?! Fon iN$?.:[;,!,ID!I R::~UE'ST,:CALL 726-3769 (recordel') state your City desiqr.ated joe mu;:cer, job at:.:::!'css, type of in:;pec-;icn
zo~ested a:-.d. :.I,':en ~ou ;.;iLL oe ready for ir.spcctum, Cont1'actcl'S or O!..'ners nc:ne .::nd phar.e nu.wer. Requesr;s receit:ed l;efcrg 7: 00 c.:
:.'iZ Z. be rrcae t~ sams Cc:J, requests meae afta' 7: 00 c:n wi n be made the nat :.;orkin.; da-:i.
.~I)~'t;r:: ?':.!/'!~T:.'C. ::.:;~?!"~~~ 1 /,fEC1-
AN i':,l;:': .'/0 'JOt'': ia ::0 be co~'er'?C: '
ur.:::::l :i:cs~ -::r.s:::>ec:icr.s ;...;;v'? ;;eer.
mece =r~ =??zo?lJei.
r:.=:;?!.-lc::: mOl' ~ ,?l.c::.r.g f'c::i.r..c
materiaia ar~ befol'e fr~ng inspec-
t icr..
."!'.~..uI.'!r,: MU3: be zoeq-.<a:Jt.?d af~.?r 0
<=;JPl'cv,;:!. of r~qh pLlr..iJir.g, JLec:~_
caL & mecr.mti.::al. ALL :'Oof-:.ng
braC--::r.g & Chimn~Y3, at.::. r.rooolSt: be ~ vJ~
col1TDl.?!:ed. ;'/0 ~r< "':s :0 oe CC1l- f<-,'
. cec.l.Jd unt-:.L :1:i:; ins~ec~C1l r.as
'been madJ and cpproved.
'.
~e~Ji~Dd ~~~~~~t~cn~
srI:: I:75?::c:'rJ:l: To be rrcc.e
e:::cav.::t::.:m, but p~cr t: se~
l~s.
o
o
aj:er
up of
1Y.lD=2S~A3 P!,[':f3I:IC. 2[2C':'PIC,1l. ~
XECH,l:/i,';,J.L: 7'0 be made oefore =y
IolOrk is .::ovc:-ed.
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FCO':!."/C ~ :OU:!D,1TI~"': To be r:r::C2
aj":.?r :rencnes <;rg =cavat.?d ar.d
ferms <;re erect.?a, but priol' tc
pourir.g concreto;.
CJ
!f:!~~c:~Om!D ,?~~~;."lC. Su::R. ::J.tT!".=?,
D,~A,I.'/':'Cc: Io i:;e r.a.ie pr:.or :::0 /ii-
Z.ir.g :rer.ches.
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W/CG.~"'::::C.'? !'UJ..,~r.:C ~ ,'{EC'EA.'lrt::.f:-:
To be rr:aC.s pri.;r :;a ins t,;: i. t.:!e::oll of
[7.001' "':r.suZction or deckir.q.
P'JST AND 3r,:,:.f: To be tr.ac.c p:r-~r to
i1l3:al~:::::Cn of 1'1001" i71Sz.:.la~ion or
deckin.q.
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or
:lour City. Desiqr.ated Jcb Numba' Ia:
O INSULATION/VAPOR SA.rIRI2R INSP:Ci'rON:
To be trade after aU i.r.sul..=ti..:ln a:-.a
, rcqu-::red vapor 1:fZ!'!>i.eI'S are in place
but 1:e;'"ol'e ar.y lath, gypsum bcCll'd or
=U covering is appL:.ed, and before
any ir..:rooollation ~s conceaz.ed..
o
DRY'''/ALL INSP'::CTION: Tc be made
ajter all. Crj'..Ja.U is in place,
but prior to =y taping.
MASONRY: SteeL Location, bo1zd
beama, grouting or verticaLs in
accordance UJi.:h fl. B. C. Sectian
2415.
8l./ D 7 ~ (7
. DE,~:OLITIOH OR :.~'OV::] 3UILDI,jCS
:J Sani t,;:r';J se'.Jer cap?ed ::t rr.:..op;;rt;-i U:-:e
=:J Septic tank p'..il?o:a a7'~ [-::Lled UJi.th ~.;e:
~ Pinal. - f-/hen c:,.,-ve ite:ns are c='''f'OLeted
., ,1 ... .. .... ""'-
ar.d wnen ~emcl.~v'l.Or. ~s comp~ete 01' s~.~c-
ture moved and pr~ses cLeaned up.
. Mobil.e flc.-roes
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WOODSTO'ri:: After instaLlation is
ccmpl.etc:d. '~
~ Blocking and Set-~p
~ PZumbing connect~ns s~er and water
~ ElectricaL Ccnr.ection - Blockir.g, set-u;
---1 and. plumbing acrtr.ections nr...:st ;;e approt:ei
beforc request-::r.g electricaL ir~?sctio~
~ A .~ ..
---1 ccesso~' Bu~~~ng
~~. 1.~ -
l't.1"'~", - ....lt~r..F~r~r:es,
etc. are ~cmp~e=~d.
sldrtir.g, dec,v~,
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CURS & APPRCACP. AP.'?ON: After fol'ms
are areated out ?riOl" to pouring
con.:::rete.
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All project cor.di~i~ns, JUC~ as ~he {ns=aLlati~n of s:reet =rees, ~~~!a~iv" 0; the
required rand3cC?ir~, etc., must be sa:isfiad Qc[ore cr~ 3u;r=I~C :I~AL ~an be r2~.<est~d.
::J FI::A:; P!.U.',.'3!::C
=:J .:'r:/:'l :!:::.'!A.'I!CAl
~ :'::IA[. ~:E=-:.':I=';[,
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."'::IAL aUI:':JI:1C: Tl-.e Final Suil.di,..q Insi:!ec:ion ,=t be !"~q'...el;:;.ui. ;:'ter t;'.e FinaL P!~bing
~Z~ccrical., and ~echa:-:ic~Z. Inspec:ian3 :uwe eeen mad3 arA ~pp~ov2d.
o
SIDEWALK & :JRr.'FJ/I.?: For aU con-
crete paving within stzoeet right-
of-wc.y, to bc made a;.t~r al.! exca-
vatir.g ccmpLet2 & jom wol'k & ~uD-
base rr.aterial. in place.
.A:'~ :.!A::W:::';S /..ND CLEANC{JTS .'fUST Be ACC::S;::Jl.2, .~j)Ji.:S":~.':T TO SE .~~1CE !!T ::0 :;ST T? ':I:'! ,~--:~! of 2
.r:o::NCE: When complc:te -- Provida
gates 01' movable sections through
p.{J.e.
Zone.e
X'/07d-a
Occupdncl1 G.
LOT TYPE
Job Number:
Lot Sq. Ftg.
% of~lot Coverage
II of Stories
Total Height
::'opography
lITEM
j
Il.fain
i
I
I Garac;e
i
I CaJ'vort
SQ.FTG
Accessoru
IRL-~
r l)
IS.D.c.
TOTAL VALUE
!va/.ueJ
1.5 x
Building PerrTrit
State Szaocharge
Total Char>ges
I ITEM
Fixtui>es
IResidential (1 bath)
I Sanitary SeuJer
I Water
I
Plumbing Permi t
State Szaocr.G.I'ge
Total Charoes
i ItEM
Res. So. fto.
N;;w/Exterui Circuits
I
I Temporary Service
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lITEM
I
! Purn.:we ETU' S
I E::::haust Hood
i Vent Fan
I .loodstove
Electrical Pe~it '
State Szaocharqe
Total Charges
,,' 1 HO. I
Permit Issuance
MechanicJ l Pe-rmi t
State Su:t'charoe
Total Charaes
ENCROACHMENT
Serr.A.riti; Deposit
Storage
Maintenance
I Permit
I Total Charaes
, eurbcut
I SideuJalk
I
1 Pen:::e
I E:teet7'ica 7.
Label
Mobile Home
TOTAL AMOUNT DUE: ~
Interior
Corner
Panhandle
C~!l-de-sac
x
Value
iNO.'
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19.'1 uo I
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9~1
,,9 J../. 9 {" I ~
CHARGE I '
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FEE
I NO.1
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FEE
CHARGE'
FEE
CHARCE
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'(-
aL/, 9(P
Refererce Numcers:
Type/Const: _I
Setbacks
House Carage Access. I
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[,-coc #:
Bedrooms:
Enerau Sources
Heat
(-later Heater
Range '
Fireplace
.100dstove
I Lot Faces -
I
I P.L.
INorth
East
South
West
T.L!oe
.. -~.---- -- -~I
Fees
Building Value &, Per,mit
'This pe-rmit is granted on the express condition that the said construction'
shall, in all respects, conform to the Ordinance adopted by the City of
Springfield, including the Zoning Ordinance, regulating the construction
and use of buildings, and may be suspended or revoked at any time upon vio-
Zation of any provisions of said Ordinances.
Plan Check Fee:
Date Paid:
Recdpt #:
!Signed:
Plumbing Permit
No person 'shall construct, install, aUer 01" change any neuJ or e::::isting
plum9ingor drainage system in'~hole or in part, unless such person is the
legal possessor of a valid plumber's license, except that a per>son may do
plumbing,work to property which is owned, leased or operated by the appli-
cant. "
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E I e c t rica I
Permit
Where State Law requires that the electrical work be done by an Electrical
Contractor, the electrical portion of this permit shall r~t be valid until'
the label has been signed by the Electrical Contractor.
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Mechanical Permit
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Plan EXCJn1-ner vate
I HAVE CAREFULLY EXAMINED the completed application for permit, and do
hereby certify that all infor'mation hereon is true and correct, and I
further certify that any ar4 all work performed shall be done in accor-
dance with the Ordinances of the City of Springfield, and the ~s of the
State of Oregon pzrtaining to the work described herein, and that NO OCCU-
PANCY will be made of any structure without permission of the BuiZding Di-
vision. I further certify th,at only contractors ar~ employees who are in
compliance with ORS 701.055 will be used on this project
~ ~ ~ /o~1'-?1
1/ ' .. J
Sig1'l'2d Date'
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