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HomeMy WebLinkAboutPermit Building 1983-11-3 (2) \~ . .. RESIDENTIAL" APPLI~A~IQNIPERMIT 225 ~orth 5th Street Sp~;r.gfieZdJ O~egon 97477 auiZd~ng V-;vis~on 726-3753 '7" aLl Job !.oc~:i()n.. ~ -, n \'<"1 (')';' ..tS.16SaON .'1:zp 11 . I IJ 0. ,-,( Y __ ",' I -:-~~, . "~\ ":"''''," / "~I \ ) I Sobdi,isic": at c/,(ci... Z I ., Tc= Lot # /-1- If; <( g (.{ v}<.e.-H- ACdrm: "7).. C( 11 t7 c;t l'S; Y I I' CiO'J: ~""h ],\.q.-fl e. \ n. I' :Jescribe !lork: '-.. ~~, ~ N--t.v-' ,'...... ~ I ~~ ~. /6 -;z. {, - f!; 2 Value $7. '1 PI .-.r C"....'7'Ier: si.e...\J e n n ,..." Ac!di :ic7t ~R.zn:OdBl n..;....., ':1 3 ..OiJ...e ,.~ Dcrt;: of ..t,?plicc::icn ~":r::.:':O:"8 Phon.: 7:2-'" -S"I'tM?, Zip: c['7?/ /( Add....es3 C"".1'C.L '~'_,f) 4J '\1\ ~ y-- P!umi>ir.g U. VlI'-...........vv\ t:t...:t ~.t<:.."A, ~lectrical ( f Mechar.ic::l I , Const~~cti~ ~~qr l\ ",. .~o:ce:?: '" Bfo/Cf Cj<j n ,,~~ q,~ 1.8 \~ lY _~- lo,q \\. tl S { ~ Sigr.ed: Date: Iv /J.g'i<< Liac.:' E=:;irocs Phone I ~ .! 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 $f.t~ at aLl' times. ?'!?OC~!)Op.~ FOR !,'.'SP!C':'I'll R!'CUES7':CALL 726-3769 (recorder) state your City desigr..:zted J.ol; nur.:ber~ job adC.zocss~ type of in.3pe:::icn Z03q'LUl's'Cca a......d :.I.::8'n i'ou :.1i.l.l. be ready for ir.apc::ction, Cont:7'ac:crs or Ot..'ne::'"S 11Cme end phone number. Requi:8~8 r6ceit.:.a cs;czot:J 7:00 (:':": :..~LL be rrcae the same dt::f, reques:s m~ afta' 7: 00 ~ wn:n be r.nde t.1te nat :Jerkin.; day. <33L--\"13 .~2C'U.i"'D,f T,.s~.,et~C""!~ _. . . [2j~ ,""~'C" T"~"'-~"""'I' "......~o ' '._ ./ _.I.._ _, ~t"':"'_:J.'. "._ e-mcu:,e-ar..c". r e:cavae~",..."ue-pMcp.to.se:~u?'oJ 13rms. o WlDE:.'9S..A3 ?!..L','f9I.'IC, E:['2C":'.OIC.:!. l ,'.tECH.~.:I;C,J"i.o' ':'0 be meas :,e;'o1'+4 c:.ny W1'< ::s .:ovcrea. o .:OCO':'!.';C ; FOa:!D.tTIC:lo' To:,e ..:cds af:er :renches =re a:~atdd ar~ ferms are lrec:~d, but privr eo pc:J.rirJ] cC7lcre t.. [J a.'.'D?:iG.~'JIJ.'!() P:.t.;\CI::':, DRA.;.-:IAG2o' ;o:;e r.r:.;e lir..g :rer.c;....e. c:~-="o ~_.._.. , ;J.l~!'.~. ?r"~or :0 /i.. i:- o um:ER:~cC.q ?~,:','.~r.:G ,'1'ECH).NIC:,:,: To be ~e J~ZO :0 ~r.3~~L~t~cn ~f floor ir.suz.C:icn or deckir.g. PQST .J.,vD 3EA.r.'1: To be r.".aCc pr-:..?r ca ins~aL':':~i.cn of l'1oor ir.st;l.a:::on: or dec<i"!; . :=J n.....~:;''''_ft;f::' ?!.~~f3!'.'G. ~"-Z~P!~:'~ oj .'.(!C7!- l.!J ..idrc..:.r.o' :10 '.JO:"O: ia :0 :,C a~n:e:"~a ~~i~ :r.C$~ ~r~~ec:i$r.s ~~U€ =~er. made ;;r.d ~?!'''J"ed. O F;~2?U.CZo' ?!o-;or ~ ?k~;"'.; .~::.r..g mc::03!"'~i.d ~r.d :,cjore lr~r4 ir.spec- ::i07:. / ; ~r F~~~I5r.: ~~3: ~~ req'~~~:2d af:03zo . ! G?pro:J"::~ of rou~11 pLLtr.'.Dt.r.l}, .2t2C:t"':.- caL & ~ec;..:v:~aL. AL!. ,:,oo....ir..; br:z.C"';roo] ~ c;rur:ru;ys. et.:. .~8r .;e corrroL.a::cd. :.'0 ..Ja1'< is :0 oe ccn- . cea'!~ un::iL :l:i3 1.nsr:ecticn r.as . been .~~ and apPl"Ot.:ed. ,/ :71 '.....'A. pr'I~<or"G I .I.. w ..I,/..U_.' lour City.Desigr~tcd Job lVumb~ Ioo' 0"1NSi..:"'Lri'!'ION/VAPOR 8A.QRIZP. I.~'SP::CTIONo' To be !T.ade after aLL insuL.::::i."n ct"'..a . _ required 1Japor bar!'iers are in p lacs Cut before ar.y Lath. gypfl'l.4r.J board or wLZ. covering is C?pli.ed~ and befo1'B ar.y inculation fs concealed. r-::I,,'ORY".JALI; nlS?::CTIi);I: Tc be ,'OOde L:::::J aftar .aZL dr;{!Jal.Z is in pLace~ but prior to any tapi.r.g. O N.ASONt?y: SteeL location~ boiui beam3~ arou:ina or 1Jezo~icc.!s in ac~o~ce with a.a.c. Section 241.5. ~ODSTOV::o' Aftezo in.staLZation i.s ccmpZ.at~d...,. o o CURB & n'PROACP. AP.~N: After' forms are ere~ted but ?rt.Ol' to POU1"";ng .::on::l'eta. SIDEr'ALK & JRnT'tt"A:!o' For' all ccn- ~ete pavi~ wit~in ~trect right- oI-wcy~ to O~ ma~e a;tar aZl. e:ca- vati.r.Q' ocrrrotete ,j ;"'o~ work & ZuD- base .::.:cte~;aL in pla::e. I02.'-.'Ot.iTIO!! OR .~:Ov=; 3UI:'DI:J.GS ~ Sani:cry se'..Jer capped ::t r:.opO:1't'~. Li:-:e , ~ SBpti~ ~k ;r.J?d a:-.d f~Lla.d vieh ~;"J~ :J Pin;:L - :lhen ~~e -::~e.':'lS ar~ C::$.~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. o o ITIVC'2: When c::ompL.te -- Provida gates or movabLe sections through P,U.E. o / -;:1 :;or'". ~ ...."'- 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. o ...fE:Hri:1IC,tL g--1. ';'T' ~ , ~. 1''' . ~. . :...l.4.1.; ~VIl.D....C. 'I1:~ F-:nc:~ ~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. ---.:;]....-:',.. :~ :...AL !;E=:'RIC:':' ~? ....- '.""p'l"'r::-<:" I'VD C'"AVQU'f'~ "V". 3" .C....:'S.'3L:' ''''J''S':'''''<:;-''''' ""03" ,,'C::- .'~ "0 ^'ST -. rr""v I ::I...... ..,...w'.....I....__w...1 ......1 __.._. c.."i..._w.. _,.-IL..t....._..... _,.._.......~ ...I~._ __: of 2 \. :,"~) I (.., ,00 J3su.:nca ~'t;\\\ \\~(;.,'~i', \L-Vill',',~ H):' ~ I I \(),:.:0 I I \" ',iC \ ....' I JOB NO'--J:t"('\"i'::, ., ~ ,,-1 I _i !'!:"':a: '.! -. I'.:ot Sq. F~. II: " ~t ~.:;verc:.f. ". of.:. eor-:.ea I :o:c.L E..;gh: I I :Opor;rc;irf I ::!.~/ l"l:::~n I~.':ce i I :..1r::'C!"': i ACCCS3":":1 .1..,....)\..\ '\'S:l'\r(\ \:\..1 ':. \-:1"";":.'_ I 15;;.F:G :'OT.g VA!.U! Is.D.C. 1:,:C;::..:.&CJ 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 :;"~tLw \V\r':.;'.,..... '1":\.\ ~~\r-, 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 I :/Q. I :'~:' F'uro-~c.q ?!!J' S E::ht:r:.l.s t Hood. I Vd'7lt F=n -f ilaocsec"J8 I~", . ........ ........,f''''l" P_....: , ~e::;..ani.c:::.L Perrri.: State Surc~c '!'n~,,:l. C1-a!''';~!J -- E.'IC:~:;AC.~'.\rr:"T ::, j Se~.Lr";t"./ ()z:;o3ie : 1 Stor=:16 .I.~ain=.m...~.::z !Pc....",.;' I I Tc,:,=Z cr.c't"1CS I C'.a-';CO.l= Is'-' .. r t..:::B:Jat.< I Pf!'f'1::B I I EZec-:Mc-=r ~-=~ql ! .'.fobi ra i{~e I "tit ':NGU.'IT co,,, SOLARlcESS C~C".l=anc".J , " \,' -;~"'=': LeT :?P! /' In=2roicro COro'!e:" !'mJt.c.....dla Cul-de-sac x "aZu~ \-.\\_\,0'::> , " 1_\ c., " ' '. , \ I,;,? 1,','0. FIT CF.ARQE I 1\ I I\GP'> I \Dee: \D,OC .:......\{-r \().~O 1"0'1 F;; h. IV:~,CI~' I I I C.~';'_='G~ I I Ii::, CO -, , I I I \~,OO (~O \~, ,,:;(::> C!!-:..~!;E \ --. ,....-, ::;.......,-' -=< c<.> ." -..\D I I I i I I I S?\Co ?=;a 2 \'\ :~. ''''.', I ., . -:'..:~e/Cc~.s:;; 3<lC:-~or.:s; ......, R EQ,- ~'r-""" \,' f-J L-COC~ I L.ot F::ces ......, ':~'., '.' 5e:=-:::cks ?, r.. House I r::::.rc:ce c.... _ \ \ .' " 11'!ner~.J :ourO::O'1g.")\ ti("\- I ".a. J I ;./a~er'r.:t>~-::H. I I Ra"fa II Ii ,II T:J':a I I!lo:'~it lEes;: IS0t4"Cn. IW.st I Access, I I ?-:.reotcce ;';Ooc.;;:01.:6 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.- I Ii, \ o.(')~ (' h.:' 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 ~ ~--.. -;--..",\\~.......'...,.' , ,\~-. -- \ "'\-,1 \. ),.\ \~\:, 1;--',. Y\, P~an ~xamt.r.er " \\-? _ 0.;-:::.., . "'._.J",-, uar;a 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 ~cMu-- //-s-!!...? ;;r..:;r.2d I ~ Ca.:.