HomeMy WebLinkAboutPermit Building 1989-6-5
.. RESIDEpT L"
SPRINGFIELD
APPLICATI T
225 North 5th Street
Springfield, Oregon 97477
Building Division
726-3753
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Job Location:
SubdiviBion:
CUrIel':
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_City: Sp\='\d,
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Date of Applicaticll
1ont.racr.ors
General
5-\0.-89
Acldrps~
Val"o 03,000"'::':.
Lise. II 'Illdes Ilounl
S -z.. ."1/0
Plumb ing
-Hechanical
-El.~cl:ric"l
G',;w,-, ko\..Jo\-O
D"'- L<2-u \ So
\-!,::)Y'-' e...., ~ Sov,
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Ta Lot H()(R03
G,..vcie""'''-l'::>,-,\ ~...\<..
PI;",,": 14b-3b~L
zip: 9,4ft
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Signed:
Data:
/tIjJ-
i /J "S ~(.f.(o,
j
Re'!.
EXPires
3-b-"IO
Pbonn
'''1-1,- 36 t.L.-
C.e,5- \9:' \
141,-"11,"'7,
_supervi_~ing c.lectr.icLIrI
H \.6 :he rooponoibdity of the permit holder to soo that aLL inopcctions aro r.tada at tho proper timc, tJ;at eaoh =ddrU8 is raa=a,;:o.?
from the /Jtreat, an.:/ that the pCl'lrnt oard iB txatud at the front of tho propel'ty.
.t!Jui!di!1lJ Divido.-: IlPPt'or..'cd FZa'l sJu:.lZ pemain on tile [Ju~tcU"g Sit:: at all times.
'p.70CEDUP.E FOn INSPECTION REpUEST:CALL 726-3769 (l'Ccol'd~r) Dtatu yOtH' City designated job nwr.bol'" job address, typo 01 in3poc~iC"1
requested a.-:d W.':<Jfl you win be ready for inspection.. COlltractol'S or G\Jnera ncmo and phone number. Requests l'ecoived bslol's 7:00 C':1
;.'i.L~ bs made t}IC /Jams clay, requests made after 7:00 ern LJin b:! made tho nc.:rt :.>orking daY.!) 4n<
Your City Oaaig"atod Job Nwnbcr Ia: ("')q () r)S
.JlNJ.lli.,.,.rI, Tn~:r.lf'(.t':r.rr"1
O SITE INSN:r::,"JQN: To be nude alter
c.:rcavation.. ,;ut pr'icl' tc set up of
forms,
O UNDtRSLAB PLL','.ffl!Nr;, ELECTRIC,t! &
NECHA,VICAL: To be foods beJOl'.? any
work is ~overed.
I"'J/FOOTINC J FOU,VO.1TICII: To be ""CO
L::::J after tr'om:h;::J ara e.:rcavatcd and
forme arc eractad, but prim' to
pouring cencz'ct,;.
JAF!bSRCROU,~ID P,~U"!!!INC.' S.r;:I/F:R. lI.iTER,
.LJ DHAINAGf.': ~'o be loo.:1e pJ'ioJ' to fi l-
lir.l) tr(mc}z6c.
~NDERF'LOOR PLU/..'lJr,'/c ,~ MEC!lANICAL:
..LJ T~ be made prior to irz:;taLlation of
j100r insulction or decking.
~sr AND BEAM: To be made prior to
-=:::::J i~stall.aticll of flool' in:Jl;lation or
dccki11{;.
---,~r;1I !'r,W!Rl1!!!.J.-El:f:r:r..{r!C/1!.. .~ MF-ClI;:..
~ AN/CAt.: No wor'k. i:.r '0 be <:or..'cz'cd
ur.til. t}tc:Je ill:Jpc(.'~io1::J h.1ve beer.
madc a,td approve:!.
~ FIREP~ACE: Prior to plccir.l) facing
.-J mc.tor'ial8 and beJoJ';! Jr'wning inDpec~
tior..
~RA}!INr.: Mud; be z'cqucDted after
...LJ ~pprov.J:l of z'ouiJh plwr.billfJ, alectri-
cal & mech.:.mi.::al. All rooj"i7llJ
bracina t chimncyo, et~. ~~st be
;comptetcd. no ~rk 1.0 to be con-
. cBcted untiZ Olio in:rpcction has
. been ma.d~ ane appror..'ed.
r-JANsur,/1TTON/VA/.l()R HARRIER INSPECTION..'
~ To be made after att in8ulati~n a~
. rcqu:'l'ed vapor barriers are in plaoe
but boforo any l.ath, gypswn board or
wall ~~verina is applied~ and bofors
any inau~atio'l itJ conceated.
~rIlAT,r, INSprCTION: Te ba ""da
l:::::J ~ftcr' all dr'ywaU io in place"
but prior to any tapina.
o
tocation" bond
01' vel'ticato in
U. B. C. Section
'D<WOLITIO.Y OR !,IOVEO BDILOI/lGS
~ Sani~QJ1Y BBUel' oapped ~t P:.Opcrtli Zir:o
=:J S.pti~ tank pwnp.d, and jHlDd uith ora",l
] Final - rlhen aboVe items are completed
ar:d uhon demolition is o~nploto or otMI~~
tUl'O moued and premises ol8ans3 up.
J./obi to 1/emBs
=:J B~ooking and Set-~p
=:J PlumbinJ connect~onB .- scuor and wa~er
---, Eleotrioal Connlotion - 8tooking, so:-u?
.-J and pltunbing conneotions l71"..lot tit appro.:ed
bolorc l'oquosting eloo~rical inepoc~io~
=:J Ao,::os80ru Bui lding
] Fin::zl - AftlJf' pOrcJ:BS~ skirting,
eto. are OOT/plated.
decks.
MASONRY: Staet
beron:J, gY'OIl :irzg
accordarwo wi t}l
2415,
o
WOODSTO'lE:
ccmplutcd.
Aftcl' inotaUation ia
o
:AU pz'oJ'cct c!ondition:r, :mc!: as the i.lIstatlat~on of u:roet troSB. co:-:rpZatian of tne' ,
required lam!:Jcc:pil:g, etc.. must be satisfied before the BUILDING FINA4 can !Jo rzquoDt3d.
~INAL BUIWTNC: 1'},e Pinal Bui/ding Inapeation nn,.t bo roqueatod aftor tl,a ;inal Plwnbi"3
<() ~lcctr'i~at, mil.! J./aaJulr:ical Inspcctiono hauo bOQn madQ and appl'o1J2d.
~IIIAL PLUI-:B/I!C
0FI/lAL NE~IIA:IlCM,
~AL EUCTHICI.L
~D .( APPROAClf APRON.' Aftc,,;, forma
b::::J ;.~ are~tcd but proiol' to pouring
.::on"1'ote.
r/(~~;f/Af'K ,( DRIt'f.'f.JI.Y: For 'all ~on-
~ Cl'ete pcwi'l!J uithin otl'set 1'iOht-
of-LX:.Y, to be made aftel' aU e:rca-
vating conplete & fOrr:! wrk & cub~
baDc l1Xltoria~ in pla~e.
o
[RJ ~+-ks
;ENCR: f"fJlar. complGta -- Provide
!Juta~ Ot' movabtc aaatione thl'ough
P,U,E..
'AT,L NANflCLES AND CU.'A/lCU'/'S 1111,','1' 81: ACCESSIBLF., ADJUST!fE.'NT TO BE.' 'HOE AT NO COST TO CITY I PO,lO of ~
!o
I JOO NoJ:10L/-?5 S"CCESS .REQ,-
Zona: Occu nc Craun:
Lot Sq. Ft.. ~<=\'\ 1....\
~ or lot C.:JVeragc ~(L
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L-COCt
.f of StorieD
TotaL Hoight
Topography
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k~l
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195? I
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MaLn
Gr.J'tfl';(!
I Carncrt
lt1ccr.3!10rlJ
/s,o.C,
TOTA/; VAWe
(vaLue)
), S '" '
Bu.ilding Permit
.sea tll Surcharge
Totc.l CharglllJ
lNO.me
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IITEII
"...turou ~ \C)~
/RooidentiaL 11_bath)
I Sanit,1ry SmJor
I Water'
10 . _ _
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PLumbing Porrr.i t
Stats Surc1-.arge
TotaL 1:1!!7,i:s!o.
I In''''
I Rp.!I. S". rtn.
I NarJ/ExtBnd Ci.rcuits
I Temporary ServicB
I
I NO, ;
I I
" I
I I
El6~trioal Permit
Stato Surcharae
TotaZ Charcoo
I IT~/of
I Furn.lcn !!TV'S
Exhauo t Hood
Vent Fan
I Woodntovo
P8rmit I8suanoe
I
I Curbcu~?B
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To ea 1. Cha1"!1CJs
I fcn:!n
ELoctricaZ Labor/(D"-J~~
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I~~A,/I~ I Electrica I Perm it
/!l.'2 ,. """'~ I
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I~~.'SCJI
I '2. , (03 I
I S:1, ~ I.
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Interior .: .
/'cornsr.......:
PanhandLo
CuL-de-iJ~C
x
n'E
I CI/ARCe
(o,('()
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((') .C'C\
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I P./;,
INorth
Ir.ant
Isou th
Ilient
T;'PiJ/Cor.nt:
V\
Sathnckn I I
lIlOUGp. ~~ It:cC(!,'l!!. : :
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n~droor.:~: ~
ElI~rnlJ SoaJ'r=cn
!leat l::\or-:;::-
Watm' !/r.otfl'f.::\J? (' \"
Rallgt? (..:..\. I) C-=\'
Fircnlnr:.? \" "\\ ~
Wood;; to(;.q \. '\ \ l'\...
Ti/('(1
Farm
Building Value
&
Permit
TIJia I'r.,.",it in (franted 011 t11/1 nxpr(Jon aOMit-ion Lila/. tilt; /I,lid COI1f:t./"UcU,
(lilaH, in all. l"t1l1l'cct::, confor,", to the O/yil:ll,lI;f.'t1 :trlopr.,'.! h!! dlt'! City of
Sprill(7finld. il1C!ud~"a the ~Ollin!7 Cf'd~Il""r:I:. 1'r.:ll1l(:Li.'l~J tll,J cCIl::tr:l.:tLClI
mId Iloa of lJlIildittgfi. and m:;!! luJ flIwpclldod 01' rCl)okcc (,:L (;':y t~",~ /./j'0/; U
lotioll of ally l'r.:Jvi.1i01:n of naid 'Ordi/:.t2l1c(!r..
I Plnn Check Fer.: "I) /I ,6L'\
I Cote Pa,d: 0' N' (:;'1
/llec:ipt,II:/7 f,::,clflfi
I Sia"'1'i2:J':[) 'rJ ~)
Plumbing Permit
No parcon ohnll COllntJ'uct, inotaL!., altar OJ' eha/lac t:11!l neW Cl' c=i.atiIlQ
plumbina or drainage (Iynia.:lI ill ;.Jhola aT' i'l part, w:Lc"r, [wail pCJ'r.OIl is tl:
leaal ponocr.nOl' of a lJaUd plwnbar't; liccn:;c, cxcapt t}:Gt a 1'1':;-0:;011 ma~1 do
pLwnbill!l work to IJJ'opr!l'f;y .IJhich ill owncd, Lca:::r.d or Oj1cl'atcc! bU tJ:~ c;.ppLi
cant.
',:
~
W]Ul1'O 5tata (,alJ rcquil'f!n that tho clr.ctrical Iol(,)I'K be dona by 01/ Elc:::tricQ,
Contractor, the electrical Fortion of :)lt3 rCI'rn~.t :;JIL1LL root be uaLic! IIfILi.;
tho laba l Jmo bean Oia1T~d by the ELee trica L ;'011 trGO tor.
Mechanical
Perm&t
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Ptnn-t;xamLIlr.,'
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(t,;'1~\ -IT\
I 1/A VE CAREFULGr EXAMINED tho completed application for p"rmi t, and do
Jloreby certify that aLl i..--:formatiol1 hOl'ooll ia trull and corrcce, and I
furtlu;ro certify that any ar.d an work perofol':1led aJlIll! bQ d0:111 in accoro.
I danc6 with the OI'dill;mcea of thd City of Sproi11oficLd, an..1. eh: La-.Ja of tho
.4 Stato of OrcO"lI !,srtaillill!1 to tho work ce8croibcd hGr6~'I, elld tJVlt NO oce!}.
PANel will be tTU.1e of ally otructlO'.g witho:.lt p3rmia;1Lo.'1 of tho Suildil1(1 Oi.
vioion. I furthnr certify that o:1ly contl'act01'3 a;~d c71pl.:Jyot>o who are in
ccr.rptianca with ens 701.05t witt bo u80d on this proJ'sct
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