HomeMy WebLinkAboutPermit Building 1983-11-3 (2)
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.. RESIDENTIAL"
APPLI~A~IQNIPERMIT
225 ~orth 5th Street
Sp~;r.gfieZdJ O~egon 97477
auiZd~ng V-;vis~on
726-3753
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:Jescribe !lork: '-..
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/6 -;z. {, - f!; 2 Value $7. '1 PI .-.r
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Phon.: 7:2-'" -S"I'tM?,
Zip: c['7?/ /(
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P!umi>ir.g U. VlI'-...........vv\ t:t...:t ~.t<:.."A,
~lectrical ( f
Mechar.ic::l I ,
Const~~cti~ ~~qr
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Sigr.ed:
Date:
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E=:;irocs
Phone
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It i4 ths respcmDi.biZity of' ehB per'r.'ri: itoUd!" tc see that aU i7tDpectiortB are r.:ade at the ;;roper timc# t}-.at &:.cn ::d.t:1Jo6S8 is l"Ba.::.a,;:"
frcnr eM strut, c:nd that ths pC1':'lTi.e ca:rd 1.8 t...x!J.ted at the front of the =,roperty.
"~ui.!.di!"..g J:.vi=i.o:-: 9F:ro!:ed Fl..an sr.c!.Z. rer.t:l:::n on t~ Su";Wing $f.t~ at aLl' times.
?'!?OC~!)Op.~ FOR !,'.'SP!C':'I'll R!'CUES7':CALL 726-3769 (recorder) state your City desigr..:zted J.ol; nur.:ber~ job adC.zocss~ type of in.3pe:::icn
Z03q'LUl's'Cca a......d :.I.::8'n i'ou :.1i.l.l. be ready for ir.apc::ction, Cont:7'ac:crs or Ot..'ne::'"S 11Cme end phone number. Requi:8~8 r6ceit.:.a cs;czot:J 7:00 (:':":
:..~LL be rrcae the same dt::f, reques:s m~ afta' 7: 00 ~ wn:n be r.nde t.1te nat :Jerkin.; day.
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r e:cavae~",..."ue-pMcp.to.se:~u?'oJ
13rms.
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WlDE:.'9S..A3 ?!..L','f9I.'IC, E:['2C":'.OIC.:!. l
,'.tECH.~.:I;C,J"i.o' ':'0 be meas :,e;'o1'+4 c:.ny
W1'< ::s .:ovcrea.
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.:OCO':'!.';C ; FOa:!D.tTIC:lo' To:,e ..:cds
af:er :renches =re a:~atdd ar~
ferms are lrec:~d, but privr eo
pc:J.rirJ] cC7lcre t..
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a.'.'D?:iG.~'JIJ.'!() P:.t.;\CI::':,
DRA.;.-:IAG2o' ;o:;e r.r:.;e
lir..g :rer.c;....e.
c:~-="o
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?r"~or :0 /i.. i:-
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um:ER:~cC.q ?~,:','.~r.:G ,'1'ECH).NIC:,:,:
To be ~e J~ZO :0 ~r.3~~L~t~cn ~f
floor ir.suz.C:icn or deckir.g.
PQST .J.,vD 3EA.r.'1: To be r.".aCc pr-:..?r ca
ins~aL':':~i.cn of l'1oor ir.st;l.a:::on: or
dec<i"!; .
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n.....~:;''''_ft;f::' ?!.~~f3!'.'G. ~"-Z~P!~:'~ oj .'.(!C7!-
l.!J ..idrc..:.r.o' :10 '.JO:"O: ia :0 :,C a~n:e:"~a
~~i~ :r.C$~ ~r~~ec:i$r.s ~~U€ =~er.
made ;;r.d ~?!'''J"ed.
O F;~2?U.CZo' ?!o-;or ~ ?k~;"'.; .~::.r..g
mc::03!"'~i.d ~r.d :,cjore lr~r4 ir.spec-
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; ~r F~~~I5r.: ~~3: ~~ req'~~~:2d af:03zo .
! G?pro:J"::~ of rou~11 pLLtr.'.Dt.r.l}, .2t2C:t"':.-
caL & ~ec;..:v:~aL. AL!. ,:,oo....ir..;
br:z.C"';roo] ~ c;rur:ru;ys. et.:. .~8r .;e
corrroL.a::cd. :.'0 ..Ja1'< is :0 oe ccn-
. cea'!~ un::iL :l:i3 1.nsr:ecticn r.as
. been .~~ and apPl"Ot.:ed.
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:71 '.....'A. pr'I~<or"G
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lour City.Desigr~tcd Job lVumb~ Ioo'
0"1NSi..:"'Lri'!'ION/VAPOR 8A.QRIZP. I.~'SP::CTIONo'
To be !T.ade after aLL insuL.::::i."n ct"'..a
. _ required 1Japor bar!'iers are in p lacs
Cut before ar.y Lath. gypfl'l.4r.J board or
wLZ. covering is C?pli.ed~ and befo1'B
ar.y inculation fs concealed.
r-::I,,'ORY".JALI; nlS?::CTIi);I: Tc be ,'OOde
L:::::J aftar .aZL dr;{!Jal.Z is in pLace~
but prior to any tapi.r.g.
O N.ASONt?y: SteeL location~ boiui
beam3~ arou:ina or 1Jezo~icc.!s in
ac~o~ce with a.a.c. Section
241.5.
~ODSTOV::o' Aftezo in.staLZation i.s
ccmpZ.at~d...,.
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CURB & n'PROACP. AP.~N: After' forms
are ere~ted but ?rt.Ol' to POU1"";ng
.::on::l'eta.
SIDEr'ALK & JRnT'tt"A:!o' For' all ccn-
~ete pavi~ wit~in ~trect right-
oI-wcy~ to O~ ma~e a;tar aZl. e:ca-
vati.r.Q' ocrrrotete ,j ;"'o~ work & ZuD-
base .::.:cte~;aL in pla::e.
I02.'-.'Ot.iTIO!! OR .~:Ov=; 3UI:'DI:J.GS
~ Sani:cry se'..Jer capped ::t r:.opO:1't'~. Li:-:e ,
~ SBpti~ ~k ;r.J?d a:-.d f~Lla.d vieh ~;"J~
:J Pin;:L - :lhen ~~e -::~e.':'lS ar~ C::$.~t.tcd
ar~ ~hen d~l~t~or. t.a c~~.te or st~~~-
cure m01Jea and pr~3es cle~r.ed ~?
I Nobile Hc."I':es
~ alocki~.g and Sat-:J.p
~ PLumbing connections B&Wel' and wat.r
~ ElectricaL Ccnr.earion - BLockir4~ set-up
---1 and ~Z.W1lbina connections nr..:st =8 Q=,r~l.'.c
before l'equest~r.g el.ea:JM;c!J.l. ir.B?ec:io~
=:J Accessoro:,. sui !.ding
] Fir..:1.L -' ~1ft~-r ;:;rci:es,
etc. .are c~ple;.d.
skirtir.g, ~ec;".s.
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ITIVC'2: When c::ompL.te -- Provida
gates or movabLe sections through
P,U.E.
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AL! project cor.di:ions~ auc~ as :he ~ns:a~Zction of s:r€et :rees. ~a~!at::~" ~f :hs
required :.an.:::.'scc:pir.q, etc. ~ must ::e sari-slice bo::jore ~r.B 3UIL::INC FI:!AL ::!J.n :;6 !'.2lf'.l6st:d.
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~Leac~~aL~ and Neana~~c~~
Sui~ir4 :nspec:ion .~.l8t be !'equ6Gtad af:ar :r.a F::nal ?!~~inq
Ir.sp€c:iona ;~a been mad~ and cpp!'ou~i.
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1.5 =
Buil.di.r.g P6r.r.it
Stata Sur~h~e
Total. cr.a.-ge3
II:~.Y
1.C'i...-n.:rEJS
. I ReS"'.:dzntiaL (1 ba:hJ
I San.it..:::r4 Sr..Jer
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Pl:..mUir.g PIlI'r.:"";t
Stats Surcr.a....'.gB
T"'tl:! cr.c.!"!1es
1:1'5.\1
f .~(}!J. Sa. fta.
I N~/E--tsnd CirC"J.irs
Tf:1TfPCrary SeM.ce
Electrical Permit
seats Surcharae
Total Ci'.ar=es
.'-1 I;~I
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F'uro-~c.q ?!!J' S
E::ht:r:.l.s t Hood.
I Vd'7lt F=n
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~e::;..ani.c:::.L Perrri.:
State Surc~c
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SOLARlcESS
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I L.ot F::ces ......, ':~'., '.'
5e:=-:::cks
?, r.. House I r::::.rc:ce
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11'!ner~.J :ourO::O'1g.")\ ti("\-
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IS0t4"Cn.
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Fltes
Building Value & Permit
'!'his perm-:.t ia grcn:ed em the uprr1ss. cor.ai.tian tr.at the s~id. aOl1stM.lc:iol1
sha!1.. in aZl roe8?Ccts~ conrcr.m eo the Ordinance =dOpead cy the :~:~ af I
Srrt'"!.r.gf'ield, inc!ud"':na ;r.e .:oning Crd-:.nar.co. reautc::i'~a ;;;:s ccr.st'l'"'.l.:c:icl1
~~ ua~ of ~uiZdings~~cr~ m=y ~c du;;pended or r6vokai ~t cr.y :i~6 upon uic-:
lation of any pro,uisions of aaid Crci~~ces,
It,
I Plan Check
I Cat~ Paid;
IRec<~pt #:
IS;q,:ed:
Fse;
Plumbing
7~G.,C\Q
10- ~1l_~'X3.-
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Permit
N.o pereon Dhall conatro..!ct~ ins:aL!~ a!ter 01' change c:n.y l"'.gw ar B--:.stir.g
plumiJing or drainage syste:n in :JhoZe or in part~ unless such pers.ol1 is tr.e
Legal poS84ssor of a vaZid plumber's licensQ~ ezcept tr~~ a p6~Son may do
pl.ur.:bing work t.o propert":j which is oumed, l.eaa4d or "pBrat~ !Jy the appLi-
cant. ./,'/
I.
Electrical
Permit
Where. Stats lA:.J requires tr.at t;h6 ol.ectl'ical. work bs dens by an Slsctrical
Contl'C%ctor~ the eLectrical. porotion of this pe~t shall. not bB valid. until
tJuJ label. has b~sn signed ,;y tho Electrical. ~ontractor,
Mechanical Permit
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P~an ~xamt.r.er
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I HAVE CAilE!'UU..Y SXA.'!I:/ED t.f.:a complated appLication for p8!'mi:. end de
hereby certify thet al.l i~jo~.a:io" hereon ia true ar.d ccrrcct~ and I
j'.aot1:er certify that any ar.i all t.;Ork perj"o~ed ahaLl. be do:-:B in accor-
danali :.Jith 'tils Ordin-'7lCSS of t;.,4 Ci.ty of S?z-;ngficld~ an.:! :h: !.c'..;s of tha
.. Stata of Oreg"n p$r'::.::.ining t" the wor',j( dssc:-;bcd here'::l1. and :r.a: .VO OCC:J-
PJ.:1CY :.Jill. be :rada of any JtructUl'il without parmis.Jio:': "f the 3ui~di.ng Di.-
vision. ! !Ur:har ~er:if~ tr~t o~ly contraators aT~ ~L;yses ~r~ erG ir.
~liance with ORS lOl.OSS will be used on this ;roj3ct
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