HomeMy WebLinkAboutPermit Building 1983-11-3
.
.. RESIDENTIAL"
APPLICATION/PERMIT
225 North 5th Street
SpringfieZd, Oregon 97477
BuiZding Division
726-5755
Job r.oc",ion: 72- e:r A f) IA /'.( V
A....om Xap N \1 ('{) ~~ ~L.\'
SzdJdioi.icn: fU c/.cJ'1 Z I .p -I-/. I i I. <:
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SPRINCFlEl.C
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Rece";:;)t .ii
B&/C? C/q
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Tc:::: Lot N ? u,(Y')
",~-n..: Si-L\,)e g uvK.-e..t+
Addr...: '1).. "( ~ yJ ou'.f; y
I I'
City: ~/'n "K;.-fl e. let,
Describe r-'ork: .........
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On 0 . ~ /
~/~_'.'.....-z..<.
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IrJ-;u, -~2 Value 417. 7"1 .-r
n
n
"1......1
At!d~:iCl1
~RGmOdllt
n ...'l .
,.ao.... II ..O~3
Dccell of A?plicaticn
(;o7l:raC:O:'8
P}-.one: 7-;;"~ -S"l'tbR'
Zip: cr '7Q'1 ')
Add."'es3
CI1rnfraZ ~ ~,l) l() 111 ~ y--
PZumbing /).11 t'-~ r.,.;( "?f:iu;, ~.
Electrica l { (
,.,te"hm:ic" Z I /
CO'lStl'"'..IctiC?t !.~tl7'
o~j,,&~ ,qL\q
\j \\'~ t\ f; to
~
Siqr,ed:
Dato:
Iv
1/- ~~S<<
Liac..ii
E--:iircs
PhOl1~
!~ is ':h8 r8sponaibilit:y of ehs pe~t: holde to 886 that aLZ i1U1pections are r.:adfil at ;hs proper ;i.m~, that ~c;, .::ddres8 is r5'a.:::a.;~"
,li*cm eM serest, end that the permit card is z.xated at the frene of ells property.
.3ui!.dir'.q jit)'i=w~ ~p1"O'I;ed plan sr.c.H l'ma-::n on tho Buf.Zding Sit:; at all times.
P.WCED('P.~ ?,OR INSPEC'!'I~" REQUEST:CALL 726-3769 (recorder) stata your City iesigr.:J.ted job 1t"~berJ job wid:!'css, typs of in.7pi'c:icn
1"':JqUs8ted a......d :.;::en you :.;iLl be ready foro ir.spcction, Contractcrs at' Q.,'nsrs ncms av1 ~hone rru.wa. Requ.~s:s receil;llfi ce,;cre 7:00 c::
:.'iZl. be rraao the sarr:s deb requests mt:de afta' 7:00 an wiU b:z r.ru18 t.":e 1"1&.:'C ~rkin.; da-:j.
<631..-.\"13
~Rm!i~P1 T~~~~~~~~~
r:-:::y"SITE !!lSP!~IO:l: To-b.-ncd_ -J".....
~ ~~~,-~u~.p~0?~.8e~.up.of
f:mns.
O UNDERS[.AB ?!.l','.{BI.'IG, ZLZC":.'?IC,lL 1
j'{ECHA:IICAL: To be made beJortl any
1J01",lc is .;ovcred.
o
FOOTING ~ .:'OU:!DATIC.'I: To be ."rade
after :renc~es ~9 e:cavat~d ar~
ferm:; a.re erectad, but pz-:..vl' to
pcurir.g ccncret~.
o
U."!OS?iG.'o/.JU.'.'D P:,r..;,\f3I;'l~. S-U::R. ;.T.I?'E.=:',
fJRA....-.'JAGE: 7'0 ae r.r:..is ?ri.or :0 /i~-
U".g :rencr..8s.
O UNDtRF!.CC.q P!U.'.S~:G ~ :'.fECHANIC:o!.:
To be mads prier =0 in3t.=l.Zat-:;on of
J100r insui:cticn or dtlcking.
D PaST AND 3E:AN: To be r.-.adc Pr"';Ol' to
; instaLl-aticn. of j"7.oor ir.sz.:Lation or
decki"f;.
I. .Jt~r.'-'CH ?'!.~~f3!.'}C_ ?1:EC":'_l?!C;'~ ~ .'.fEe."./.-
., ANTO.r.: ;'10 '.JO!''': ia :0 bc cOt.'€:oea
~:~~ thcs~ :r~~ec:icr.s h=v~ =eer.
r.:aCe: iInd =??:O:i"Jed.
D F.",',""_.' 'c.".' -"""- :-r :0
_ M ..... ?k:i."'..g tc.C";ng
ma:aMai.d aro.d bcfore: lrc:r.rinl} in spec-
:iol':.
[2]~l).ur'Ir.. ....,-- 1.. -ec:"'........~d a:' r
. t1I" ...:."I..~. .,. ,.,........ >J . -...... J ",Ol
i approv.::! of rough p1.L.r.-.birtg, OlLecer-i-
cal & mechanical. All !'aofing
br:1ain.g & ch~ys, et.;. .':T'..St .;e:
COf1TD Lated. ;"/0 """1'< ~8 to os con-
. cBc:ZQd un:-=: L this insoec:icn r.as
'b40B'1 madQ a.nd approved.
~I.'.r p'U'<Dr"c
~ ~.~~ w .~~_;.
~!:IAL NE':EA:I!CAL
~~AL ![.EC':'RICAr.
lOW" City. Dssigr.ated Job Numb...'" In:
r:;:t"1'NSULATIO.Y/VAPOR BA,qRIER INSP-=CTIOlI:
~ To be rr.ad.a (lfter aLL insul.;;.ti."n w.a
'. rcqu~red vapor ca:1"1""';ers are in place:
bu.t before any lath. gyptr.ml bocrrd or
r..t:lz,z covering is applied, and befors
any irwuZation fs conceaZed.
r-::I-"DR.Y"....ALl; INSP::C'!IO,'/: Ta eft ,"!!ade
l!:J after all. Cr;/lJaZL is in place,
but prior to c:ny tapir.g.
O ''!ASONRY: 5:0:8L Location~ bcmd.
aeam3, grou..~ng or VBl'ticcLs in
accordance with (j. 3. C. Section
241$.
WOODSTO"IE: After installation is
acmplet€d. ....
D
o
CURB & APPROACH AP'=!f)rl: After' forms
are erected but prior to pau:rin.q
.::on.c'1'ste.
SIDEr/ALK & [JRI'/Fw'A."!: For all C011-'
crete owing !Jithin street riaht-
of-'.X.Y: to be mads a;~ter aU e:.ca-
vatir.g ct71TpZeta & fo~ t.XJl"k & ,nw-
base :~teri.a1. in p~e.
r DEt.1OLITIOH OR .~:QV=; 3UILD!iiGS
=:J Sarti:ary 86"..)er ::apP6C .::t ;n:.op.rt"i U!':B
:=J SBpti~ tank ~~.d ~~ f~llad with ;r=~J~
=:J Final - :l'um c.XV/l it6.":'ls are: cc."m:ILatec
. .J '.' '. 4 ~. ~
ar~ when _e.~Gl~..~or. ~8 coep,e..s or S~.~~-
turs mouea and pl'~3SS clQanea U?
Nobi loB Hc:":,;es
~ aZocking and Sat-~p
~ PLumbing connecticns sC:Jer and watOlr
~ ElectricaZ Canr.ection - Blocking, set-u;
..-J and "Olumbina conr.ections m-~st ce o~rct:.c
befo~e request~T'.g sloeo:M.caL ir.spBc"::ia~
=:J Aacesso:r:,.' 3uit.d~ng
---, fir~l -'t.ft~r ;crc~e8,
~ etc. are c~le:.d.
skirting, decy.s,
o
o
:'E,'VCE:: When compl.te -- Provida
gates or movable sectui71s through
P.U.E.
o
All project cor.di:ions, JUC~ cs :he ~ns=a~lation of s=reet :r8e8, ::c.~Za;~~n of ehe
required landscc;piro4, ~tc., must ;;e satisfied oO!f'ore tr.s 3[,1ILDING FI:!~L ~an be rZq'.IQSt.:d.
o
~"AL ~:JIl;DING:. Th~ F~na~ 3uilding !ns?ection ,':;Ust be requ.sGted c:.t":ar ehe FinaL nur:bir..g
'C.J ELecc'M..:al, ana NllC:nar:....cat.. Ir.specti.::ma hava been made and approved.
,
,~
10-.-.
. -..
.A;C NANHCLES AND Cr.SANOUT5 ,'[US'!' 3e ACCSSS:SLE, ..tD,jt/S7:.':~:I'!' :0 SE :.~1CS ..tT .':0 :-:ST 'I") CI'J'!
of 2
I JOB NO~~?\'l"5
I ,""a: V-t.
ILet Sq. F"'d.
: ,jf l..:;;t; C.:roerc:qi:
.~ of StOl""';es
Total .:IeiGht
I
Topoqra;:hy
jif"'lr;''.J
I~~:~
I S~. F~G
l~aC'R
I
I Car:,cl'~
I .' I
1.-lCCCSS.:J!'''.J
'Ill!.:l'~\\ "~"'0Cl. <:>",I.Jl. \~-:>-.
I
TOT.~L VALUE
Is. D.C.
II.'Ct.;.U;)
1,5 =
Sui 'Ldir.g p~ t
State Sla'charge
Total cr;,a.:"ge3
I 17I,~ .
!'i--r:ures
I ReswantiaZ f1 beth)
I Sanit~ry Se'lJel'
I ;';c:.tu
It>.f\c\'~\r" \\:>.\ ~
PliJl1fbing Pe1'r.':i t
State Surcr.a...~e
T~tal. C1u='!'oes
~ :'1'::.\1
.~es. Sa. fto.
Ncw/E:::tend CirC"J.its
Temporary Service '.
I
Ele~triaa! Permit
State Surcilarae
Total O.arces
I ITI,~
F'urr..::tCB ETU'S
E=haust Hood.
I V07tt F:::n
I '
I iloodsto:JB
Mecr.anic.::.l Permi t
State Swocht:::!'ai;
'!'nt;(':l Chz!o'U!s
SOLAR aESS
OCC"J.::ar.C:J G~J.=': '\) - b
x
I NO. ,
I I
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FIT
LCT:'fP~
/, .
~ .r.:en.cr
Corner
Panhandle
CUl-ae-sac
Value j
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,-
\.-\~\. CO I
\. '1<0 I
I....\~."\U> ,_
C;':AR.GE
I
\ !\().CP I \D, CO
I\D.CO
1 .L..\[)
I \(),40
I ,va. , FII I
1\~.dJ I \S. cC
I I
I I
1\
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I
-- 2tJCRCACHNE::T --
I ;Ie. i ?SS
I
\ I~!=O
I I
'~~"'t'lI., 1\ 1(0,00 I (" .00 I
~~\\}\l<t.\llI\J)>IlIli,\- IO.llOl
r \C),DO I
"-\t> I
\C'\ . L\C:> I
! Sec.cI"";tlJ
IStort:.qrz
Da=:03i t
Maintenar...:11il
P~t
To"tal. C'''.al'~CS
I C'..a-,;c-.l:
I side!Ja.l~
I :cn:::e
I
I Elea~l'ica l r.;.oe z.
! :>lobi Ze Home
I Z'QTAt ANOU.'lT DU~:"
CHARGe
\~,OD
,(.,0
\'::\. bb
CHAR.;JE
':\ .00
I
I
~?,'~
REQ~=~e~. ~. I ~.
T:r:JeICo~.st: ~- '" Eec.roorr:s: ~
Cot Focas . ~ ~,\ \?r.\'T"' - I r Inar"u 5our=ase~ Of" r
Setb:2cks I J .~'ea:
I House I Caraae I A.ccess. ! I /lateI' 111'_'1":;0.'"
I I Ranga
I 1 I F~l'eolc.ce
I : : Wooaooo"a
L -CO G~
I
I
I P,L
If/ol'tit
IEasr;
S01O.tn
lWast
Tu-:.e
Fees
Building Value & Permit
This perm-:.t i3 gran.ted on the express condition tr.a.: the said, constl'Uction
shall. in all 1'8S?CCtS3 conjcnm to the Ordinance ~dopted by the C~ty of
Spr>";.,...afield. inc!ud--:'na the Zonina Crd::.nance. l'eaiilc.:ir:a =r:8 ccr.str'~~c::cn
and u;~ of buiZdingsJ~and m~y ~e~suopended or r~vokac ~t cr.y ti~e upon vie-
lation ot' any pl'ovi:sions ol said Ordir.ances.
I Plan Chaak
I Date Paid:
IReceipt U,
!Sig>:ed,
Plumbing
7~ G.. C\C1
IC'~
IO\C\()_~
(' h,
Permit
Fee:
No person shall construct, instalZ, a!ter or ehangs GnY r~ cr e--istir.g
plumbing or dr~inage system in ~hole or in part, ur.less su~h ~erson is tr~
LegaL possessor of a valid plumber's licenss, ercept tr~t a pe~son may do
plumbing work to proper"t":I which is owned, LQas~d. or "peNted :,y thQ appZi-
"""t.
.'1
1
, -
I
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I,
Electrical Perm it
Where State La:LJ requires tr.at the electricaL work be dene by an SZe~trical
Cont1'"actor, the electrical portion of this p8~t shaLL r~t be valid until
the labeL has been signed by the Eleetrical ~ontractor.
Mechanical Permit
,
~\t)~~\~\.~
Pt..i::m ';;Xcr.rLrzer .
\\-?,-<o~
ua;:e
I
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I HAt/!" CAREFULLY EXA.I1IN~D the completed application fol' ?e~i~. C?Ui do
hereby certify that aLl. i,-;fo;"r.'.ation hel'eon is true and COl"l'cct, and I
fother certi{y that any ar.d all I;;ork pel'f'omred shaLL be do718 in ac~or-
dan.c9 :.lith the Ordin:;maes of ths City of Springfield, and t:h~ Lc..,:s of tr.a
State of Oregon psr~ining to the :.x:lrk desc:-;bcd herein, c:nd :r.a:; .vo OCC:J-
P.~;'lCl :..rill be ,~.:ie of any st:-uctuz>e without parmisJion. of the 3ui.!ding Di-
vision. I fu:t'"';her ~ertif~ :h.at o:-tly ::ontra~tor8 ar.d e:::p?..;yees r.:r.o ars in
~l~nce with cns 101.055 will be used on this projzct
.~cU#--
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Sigr.zd
Data