HomeMy WebLinkAboutPermit Building 1982-12-14
.. RESINTlAL':
Apor -C"'7'-ON/o~-MI'7'
_ o..J.1 1"1_1. .. r:.1"t _
225 North 5th Street
SpriY'.gfieZd, Oregon 97477
BuiZding Division
726-3753
SPRINGFlE1.C
Job r.oc::.tion:
4362 Elderberry Street
Tc;:: Lot #
A8:::eSGOr~ ,\!ap olj
SUbdiuisicn: Donald Subdivision, Lot #1
~"7Ier:
Charles
542 "0"
and Dawn
Street
Add!'aS3:
City:
Springfield, Oregon
n
n
n
n
'/t"".J
Peterson
Pr..one:
746-7988
Zi:l:
97477
Desal"";be II'ark:
S.F, Residence with attached garage
Addi ticl'l
RemodeL
,'!obi Za .~oma
11-30-82
rate of AppZicaticn
Conr:racr:O!'8
G~.rol Howard Constructlon sys,
Plumbing Gene Lewi s
~l.ctricalNorms Electric
M.c~ic=lHarvev and Price
COl'1stl"'..u:ti.::rn [.~rta.'er
VaLue
63,500,00
Rcce-:.~t; ,it
I',;\.~' ',~
..;. I i""'\~~.
(PO / /0.; &0/))
AeareS3 Lise.!!
~U ~o~ lllj~, tugene j~l~j
866 NE Nash. Roseburq
128 Spalding, BrownsvilJe
2015 Nuqoet Way. Euoene
Siqr.ed'~J1j' .
- -, J'\
Data: I"
/<:::.j) 1'1'X"}l
E~il'CS
j-l<::-~j
:?J:om:
O~j-~jOj
673-0714
466-5328
746-1621
[t. is ths reBponaibility of' ehJJ permit holder to see that al~ irwpections are ,-;:ad6 at the propel' time, t,J,..at ~ch .::ddrlilSS is rea.::a.;Z.
.from eM street, and that the pcrm:t card is t...."Cated at the [1*Cnt of the property.
~3ui~i~~ Diui.=io~ ~proved F~ s~~lZ remain on tha B~iZding ~its at ~ZZ times.
P.70CSDljRE pon rNSP~CTrOfl ,q.s:.Q()'~ST:CALL 726-3769 (~caord.e:r) state your City desigr.::.ted job nUT;';bar, job_ad60css, typo of ir::;poc-;icn
l'~questcd a:,,:d when you 1.1iz.l. be :-eady tOl' ir.spcction, Contractors or OI...,"nez-s r.cme ar.d phone nu.':'lbcr. Requ€sts receiuad csfere 7:00 ==!
:..>iZZ 00 Ir.ado thE; same day, requests mcde aft;:.:r 7:()O a;'1'I !JiZZ be rrr::z.ce the JU:Zt :;orkin; day.
~~i~pA r~~~~t~~"q
O <:~...~ ""SP-~~"'''' To' . .....
..l.!_ ,t.. .:....._'..1... oe r.rlce al;,2r
ezcavation. ~u: prier t~ set up of
forms.
o
u,'IDSRSL:..3 _':JU.1:.f3I.VG. FtEC":'RIC,I[. .{
....'ECii;....'IC:.,,: 'To 003 "..ade bej"ore any
work is -=o:Jcred.
Lm
F'OOTING ~ FOlR1DAT:C:l: To be .~e
after trencnes are exca-~ated and
forms are erected, ~u: prier to
pouring acnc:oet;.
[XiI
W!DSRC.~(J'J.'.'!) P:'UN3ING.. S!:.IFR. ;/.1T!R,
DRAn1AGE: fo be rr.a.:1e p:-:'c;r :0 fi L-
Ur.g r;rer:cr.es.
mlDE.~E"WO.' P!.U,'.,'EI:lG ~ !'f::'C::r.4.VICAl.)
To be r::ae.e prier :0 in3tc::iZar;~on of
floor insul.c::icn or d.ecking,
MS! ..HlD 3EAN: To JJe .'7'.cC.c pr-'':'or to
insrall.:;::icn of floor ir.3!.OZa:icr. 01"
decki"..
~.
w
@
RO'-'CH ?!..r.r.~!!DGo ~!..ZC'7.F:?~C.!'!.. ,~ .'.fECH-
~: .';0 '.Jork :..; :0 :;e COI,:2:'.,a
ur.tiZ :r.eSB :r~=ec;icr.s ~ve ~€er.
m..7.:ie era ::ppl"~n/q.:!.
FI.~ZP!.~CE: Prior:o ;:Lacir.q jca-:.ng
mct~l'iaLs ar-.d o6j01'6 frc::mir.g inspec-
tior..
o
@
PR..4.'~I,'1r;.' .'1U3t ~6 '!'e~ue3ted Cf~21'
apprcv~l of rough ~l~~ingJ aleatr-'':'-
cal j r.:ecr.anic.:J:Z,. ,HZ. l"Oojir.g
bracing ~ c.ltt..r.ncus, stc, ,':7'.lsc JJe
. co~Ze:ad. . ;'10 ~r~ is to. btl con-
.. ceat-old ur.t:." :ht3 t.r:soeC:-:'cn r,Q.S
. b6~n ..r:ad~ enc apPl'Qt:ed.
Your Cit:-,. Desigr.atcd Joo tVu/Tlba Io:
I XXi Ij"lS~l.~T!~N/"/Af:o_-q 2~RR~.:a I."lS~=:C':'ICt~:
To 06 ::'!aae a; ..61' a" 1. l.n$'.l latt..011 a:"'A
rao-.Ail"ed V.x:or barriers Cl'e in =' lace
. c-.At eefore any Lath, gypsum boCz.d or
I.XZU covering is c:ppZ-ied. ~.d oe'lor6
any insul.ct:ion is concealed.
I XXI [H?Y;/ALl. I:/S. P::CTION: Te be !~acI.e
~f=er all. dr:f!.;a l. l is in place,
au c prior to czny taping.
O ,'1ASO.'lRY.' Steel. Location, bond
be~s, grouting or verticals in
accoreanae ~th V.B.C. Section
2415.
O ;'iOOOS':'J'n:.. Aft2!' instaLlation is
CC"~Tpl.2:cd.
o
[3
CUPS & APP.90ACH .4?~~:Jtl: Alta:o fo~s
c:re c:oecud .;ut pr~or W pC".lring
.:on.:'rete.
SIV!WALj( & JRrlEWA"!: For aU ccn.-
a~ece paving wi chin street rignt-
ol-<.x:.y, to be mcde a;'tel' .:J:lz. e:::ce,-
:.latina ::urrvZe:e & f'01':':1 ~..:ark .j :;u.b-
base ;;'.ctet'iaz. in pl.a::e,
822652
TJEUOLITIOH OR ;'.:OV;:: 3U!l.DI;;CS
~ Sani:ary 86'Jer ::apped ::t p~op~rt-;i lir.a
=:J Septi:: tank rr...yed a:1d f:.lZ..d :.;ith ;r::::;Q~
:J E"inaZ - r/hen ch.::tJe -;,te,~s are ce.'':':::lleted
ar.cI. when :Ier.rcl.-:.:ior. i:3 cor.:Pt..tQ or st:""...:.::..
tu""O moved ar~ ?r~;3eS cZ.e~n2d up.
Nooi La Hc.'~:.es
:::J Blocking ar~ Sat-up
:::J Pl~~ing connec=iar.s -- s~ar c.r~ wa~er
:::J Elcct~;cc.l Ccnr.ec~-:.on - Blockin;, S8~-~:
and plumbing c.:mnections 1:':'"....st =~ G?P!""u~d
oe;orc l'equesting eLec:r-';cal ins?ec:io~
~ /'c.::e850. 0' Sui Zd.:.r.q
:J Final - Aft~r ?.?1'cr.es. skir:ing, dec~~,
etc. are cc.m?le;~d.
o
CRJ. fIUAL P!.U:-!SI:/G
All. projea: conditions, .1:":c':: as <;;'08 {.ns:aLlacion ol13treet: :r.les. ,::;::,:'~lo::::on of :iu:
required l.cr.dsacpir.g, etc., .'~usc .;e satislicd oc.-or6 tr.s BUII-cr:,'G ?I::AL :an be l'sq".lss:3d.
w. FI:!A' iofE:aA:IICA'
<0
YI~AL 3UIrDIJC: The Final Buildir~ !r.sp2ation ,~St 09 requeaeed ~fter the Fir~Z. PZ.~~bir~
rlectrica~, and ~ecr~~icc.Z. Inspecticna r~va been made ar~ appl"eved.
D. ?I,'1Al. E!.EC':RICA:'
,c:J
o
~";'!NC'S: :rh6T: compl...t2 -- ?rovide
sates or ~ovable' aeatic;ns through
P.IJ,E.
" I
.ALL NANHOLtS AND CZ.ZANC{)TS .'fUS';"3E.AC:i:SSI3f.E. A.C.n",'S'i'.'!E::T 70 3E gADS I!T ;'.'0 :;;S':' T? ~I':''! ~"'.~i1
o
of :.:
i JOB NO, 822652
!, RL
!,;.C7'.a:
SOLAR .ESS
CCC"J.=a.nc~ CrO'.t;:;: R3
I Lot Sq. Fe;.
. -f ,~. ~_. -
j" _ ._. ___orag.
.:,; of Stcr-:.e8
! :'otaL HJigh:
,
'T'
I cpo9'1"a?ftY
I
I ITS:.I
I"lain
7378
31%
1
I:>'
o -
'~~2
I
1 ::.Ir=~r:
I.
t ..tC::eS3~r',
I
I
I SQ.FTG I
11.807,25
! 486,75
7OT.-tL :'All./S
S.D.C.
l:.J<::':.U;J
1.5 =
ZuiZd:.ng ?i!Tm";t
State Surchrge
':'o"taL C;..a:"ge~
2%
I
I I':'::;\f 1,'/0. I F~::
I Fi--:;u.res
I Resid""tial (! ba:hJ 1
I Scr.i.tarwj Sewer
1:;c.-=tJ!'
IAdd. Bath 2110,00
PZ:m:ln.ng Perr::i. t
Stats Surcr~e
T.:taL Chc.rces
; ;::':' Sa. fta. 1807. 2J "~'I
I N;uIErt.md Cil"'cuL ts
I Temperary Service 1
Ele::trical. ?e~t
State Su:r::;..arae
To:aZ C'~ce8
I :;:F,~
'FUrr.::ae "TV'S 12 KW
E=haus t Hood.
I Vent Fan
I '
, ilooasto:.:e
I
I ;c. I
1
3
Perrm.t Issu:zncs
.'ofe::;..anic:zl. ?e1"I':T'i.t
State Surc~c
or"':':.-::l Charo:unl
-- E:lC.'9.::AC!:.'.~!E:!'!' --
I a ' D ..
..eC".lntu C::031...
Stora.qe
,'m"':"tenc7"~e
I Parmi::
I
TotaL C'flCl'''1aS
I C".a'.?C'.lt
I Sid2!oJaZ.~
lo.,,-,e
I E!.zc:rical
,
1.'.fobiLd H:;me
1 - 20'
l.ci;el
I roTAL A.~!OU.'IT DUE: 4
ml
I
3,00
LOT T'!?!
X Ir.:re'!'ioro
COM1er
Panhandle
C"'..lZ-de-sac
x
I
I
I
I
I
163,500,00
I 952,50
Value
215,00
8,60
223.60
CI!ARCE
25.00
20,00
45.00
1.80
46.80
C,i'A..QCE
25.00
10.00
I
35,00 I
1.40 I
36,40 I.
CHARGS
6,00
4.50
9,00
10,00
29,50
1.18
30.68
I.
14.40 j
7.00 I
I
,20 I
I
I
--
$1,311.58
P::.qe 2
R EQ,-
Yes, approved LP
Tiioe/Cor.sr; :
I [,ot ,aaes ,South
I Setbacks
I P. I.. I .;'0'...56 I Caraes
IlIOl'<;.It
lEast I ' I I'
ISouth ~' i
IWest I
-- Fees
I
I
I
I
I
I
I
I.
,
I
I
,.
,
'L-COG~ NA
3
I Access.
I
I
I
VN 3eenoms:
I I Enerau Sour-:es
I I Heat
f I ;{ate'!'Ul?a~~r
I I Range
I I :-:-reo i.ace
I I Wooa:3to:.:e
II
1:;::6
Building Value
& Permit
This oernrit ia granted on the e::::press condition that the sdid const2""..u.:~-::on
shaLL: in alZ l'8Speats, aonform to the Ordinance adopted by tfts ::i.ty of
Sprir.gf':.eld. -;nc~ud:.ng the Zoning Crc-:.rtance, 'l'egu.Zc.tir:g the CCr.3tT:I.:::.cn
ar~ ~$e of buildings, and ~y be ~uGpended or revoked at cr.~ t:'Ne ~?or. vio-
lation of ~y ?r~Vi3ior.s of said Ord:.r~ces.
Plan Cheak Fee: $64, 50
Cote Paid: I I /30/ tJi::
#: 60033
B,J,
Rec.ipt
IS,;g,:ed:
Plumbing Permit
No pereon chell C07'.st1'tlct, instaZZ., a~ter or change any r.ew cr e=isti7'.g
pZumbing 01' drainage syst~ in ~hole or in part, unLess such F6rson is the
ZegaZ possessor of a valid plumber's license, e=cept tr~t a pe~son ,T.a~ do
plur.:bing :,jork to propert'!:I which is OTJ7'.ed, leassd or operated by the cppl.i-
cant. .
/
Electrical Permi t
Where State Lc:J.J requires tr.at the electr-'~caz. work be done by an Ela~trical
Contractor, the electricaL portion of this permit shaLL roOt ba vaZid until
the labeL has been signed by the ELectricaL t:ontractor.
Mechanical
P/,.a7t ~"l.ner
Permit
L/ata
I HAVE CAREFULLY EXA.~INE:D t.w complatsd c:ppLication jot' permit, c:rui. do
hereby certify that aLL i;o:fo:-mation he:>8on is true ar.d c01'1'cce, and I
f.a'the:r certify that any ar.d all r..;ork plJt'lo~ed ahal.Z. be do:-:e i:-: ac~or-
dance :.rith -che Or>din:znces of th,; City of'Springfield, and ;h~' U::.;S oj' tn"
State of' Oreo.:;l11. DZl't.::inina to the /JOrk. dBSC"!"";bcd herein, c:r.d tha;; NO OCC!/-
PJ..'ICY ~li. b~ rrr:J.d.e of c:ny~ ai::ruct:ura without ?:Jl"m"i.s~io!"', oj' the EuiZdir:g f/';-
vision. I further ~eri;iJ""':i t;r.:::.t ~i.y contra~tors ar.d e:rrpl..::;yees r..;,~.o ~B in
c~pZiance with CRS 701.055 will be used on -<;hia projzct:
~;)
~'
~47.
,
It', "
.. RESIDENTIAL"
AF?~ICATION/PE?~lIT
225 ~orth 5th Street
SD~~r~fieZd3 Oreccn 37477
. "". ....
BuiZding Di~i3ion
726-3753
Job ::.oc.::d~":
4362 Elderberry Street
~c: Lot: .1/
..ts~esaor= .t.'ap .~
S1<bd,,,":sic".: Donald Subdivision, Lot #1
~_"7tel':
Charles
542 "0"
and Dawn
Street
Add....es:;:
Ci:-d:
Springfield, Oregon
n
n
n
n
'/",..,
Peterson
Pr.one:
746-7988
Zi::):
97477
Descrf-be ;I'ork:
S.F, Residence with attached garage
Addi z:iC71
Remo.::.eL
.'!obi lot ::tcma
11-30-82
Dc:e of Ap?Zi~~icn
Con::rcc::o:,s
G~eraL Howard Constructlon ~ys.
PL""""",, Gene Lewi s
SLect"';ca!Norms El ectri c
I "'.chcr.iccLHa rvev and Pri ce
I, CO"~t:l'"'...tC!":.:rn [.~,"c."el'
Vatue
63,500,00
.
, ~
.=?cae:;],; .~ ..{ ":.~~8'lf;..:I~~
]
(,{;O II 0.) (PO!) )
Addres3 Li3C. ,;
~u tlox IllJ~, lugene J~ltlJ
866 NE Nash. RoseburQ
128 Spalding, Brownsville
2015 NUQQet Way. EUQene
,
S,qr.~d'tfv ~
Date: - -J (JJ i'
J<::1) 1'1'15"c_
e--jil'es
J-IO::-tlJ
PhonD
btlJ-:>JbJ /
673-0714
466-5328
746-1621
It, is :ho re8p011.o-ibiZi.:y of' th8 Fermi: holder :.0 see ~ha:- aL! 'incpectio7lS are :::adll at the proper tim~~ t,"".at .u:ch ddrflBS is l"ca::ab:.
from eho street, and that the pc.rr.r::t c:J...-.d. is z..."'Ca:ed..:t the f'l'C7tt of tr..e property.
"3ui!di:",.g [)f.',)i.=i.o~ ~~1"ot:t]d ;:l.cn s;..:;:ZZ 1"~ain on tha a~iZdi.11f1 Sit.;; at :lll ~es.
P!~OC~!)1JPS .r'aR .r,'lSPECTI:;fl ,~.:C.UE"ST.:CALL 726-3769 (rccorder) state your City .:1esigr.:::ted ,job nur.:ber, job addrcss, tYFB of ir.3?Bc:icn
l'flquestca' a!'".d /Jhen yeu t.ral. ~e :oe::dy f;;1' ir.spcct-:..::m, Cor.t;rac1:ers or Ct.'ne:os ".c,";'1e c:.r.d Fhar.e nur.tbcr. Requ€sts redBiJ.:~d cafc1"8 7:00 =::l
:..'il.l be l1"~d6 the. scr.:e day, requesr::$ r.:cde aft~... 7:00 a'n IJiZl be made the nat :.Jar-kin; day.
~p~J{tCfl rr~-c~~~r-~~
O Sr:.'~ I:1S?E".':':'~.],Y: To be r.r:de aft,tr
e.:ccw.::t:...:m, .;u: Fricr ;:: ae: up of
forms.
O U:J~~.~S!.':'3 ?!:.:':.'.S!.'lG. =!.zC"':'.:a':,l!. i
,\'ECH.2.,'liC:'i.: To be tr.cde be:a:'03 cny
work is ~o~a:'ed.
IXX1
~
F'COTT1G ~ ?CU,'!DA':':C.'l: To ce ,~o
after t1"encr.es ~r6 ~ca-Jcted ar~
forms are ar-ec:ad. bur:: Friar to
pour-:r.g ccnc:'e::.c:.
V.lfD2fG.~CIJ:,'!) F:'l;.~f7![:;'G. ssn.~, :I.1T.:.:;',
DRAl:'.'AGZ: :o:,e r.:a:::'e pr-:c:, :;0 fi:'-
Zir.g ;rer.cr.az.
U,'/DE.'t?:-::lC.( !'!J}.I..~r:!G 1 ...~,:."!_4'\'ICAL)
ro ';6 rn:Ce :;rur :0 :..n.Tr;cii:.1:;:::on :;f
!toor' -:.nsul.C:;;icn 0:' deck inc.
GYI
[M'
~
?'JST ,J.t'lD 3KA-N: To be :r.c.ac =,r-;o:, :0
ins~,:l.l...::~cn ot [lcor' ir.3to.G:-::cr. Cr'
deCK"'''':;..
o
P{}'J(;.'.!. ;:!.'P.'f!~_?C. ;~2~_1:?!':.':"~ :, 'E,~.:;-
AHJ~A~: ~o ~:Jr~ ~~ ;0 ~c co~erec
ur.:i~ ;~C3~ ~r~=ec;i.~r.3 ~V~ ~€~
,~~e ~~ =??~?~~~.
F:.~E?!.)"CE": .?rior ~o ptcc~r.q :=c-:..."ti]
mc:eria~s c!'".d b~fore fr~r4 .inspec-
:ior:.
o
@
P.o..t'~I.'Jr;: ,vu:;t ~e :"e~:.uz:;ted c.f'";ti1"
ap?rov~l of 1":Jtogh ?l~hir~. zZcctri-
cal j r.:ecr..:ni,::z.!. Al.! '!"':Joj:r.q
b1"acir4 ~ ch~~cusJ Jt~. .~~3= ~e
. cOm'Dle;cd. :.'0 '';;ri( is :-0 ~.;! ::::ocn-
" cec.1.tld ur.=i~ :hts ir.soec:-:.cn ;'..:28
'b~en ,~~ end ~??r:J~cd.
Your Cit'i' Desigr.atcd ,job Nlmrba It]:
@J
I:lSUtA'I':'J.v/'lAPO.f? 2ARRI::.=i I."!S::::C':'ICN:
To be made after a Z ~ inS'".( L.:;t~n cr".d
ra~.(i~ed u~or barriers C!'e in olace
C-.l.t ~Bj'ore ~y lath, gypsum cadre 01"
wZZ; cover-;ng is cppZied, =r.d aefol's
an:! in.1UZa~ion is ccm.cea~ed.
822652
-::
I CEUOLITIOH OR ;,.:av;; 3!/ILDI;:CS
~ SOl'i.tar"';I se".Jel' c:::;?ed :::: ~'?-=r~' tir.:a
~ Septic tank ~~~~d and fiL!.~ ~~th ;r~~Bt
:J F:..naZ - flhe1'1. ab.;-ve its.,:,:s a:t'e cc:~:=,Z6t~d
ar~ whQn i~oL~:ior. is c~Z~:a or 8:~~~~
tu."S r.:ouec ar~ pr~3es cLe~ad U?
c
~
DF('!;.!AU, 7.','SPE:CTTC.\': Tc be r."~de
czt:el' all. Q>o::/L,:al.Z is in place,
bu t prior to any taping.
.~SCJRY: Steet location, c~d
:'cGr.:s, grou:iro.g or verticcls in
accorcencs ~;:h U.B.C. Section
2415.
I NoaiZe HC.':':BS
~az."c,lc-:.ng
~P~;.ur.bi.r..;
~ ~Zectricct Ccnr.ec=~on - Btockir~, sst-U?
--.J and p~tunbing cor.r.Qctu,ns 'T..:st =~ c:pp:,:n:a=
bejor'c request~ng s!ec;~;caz. inspec=io~
:md Se:-up
cor.nec::icns
S,aJQ1" c:r..:! 1.lc.:a1"
o
o
;""OODS':;J"I2: After -::nstaZZation -:.s
ccmpl.a;i:d.
:.J .4.CCeS:;O~ ':,' 3uil.:i~r.g
:J Fin.:;,Z - Aft~r ;:;1"cr.~s,
etc. are a;m?tB=~d.
$kirt~ng, dec~~,
o
CURS & .4.t:"P.9CACH _4.?}?~;'l: Aj'te:o fo~s
.:::re ~:'ec~ed b:.lt pr;or .to pc-.n-;ng
~on.::1"e te.
$IJ::r';ALi<. & JRI:rcr-lA?: For aU ccn-
c:'ete =,cving ~ith~n 3treet richt-
of-'x.y: to be made a/tar al! e.::cc-
vati.na ~cmvz.er::a j faI"-T ',.:ark ~ ::uiJ-
base ,;.cter.;al in pLace.
o
All p~ojec~ conc~=~ons. ~~c~ cs ;r~ ins=a~la=~on af $treet :rces. ~~~!~c~on of :~
1"equired Lar.c:sccpi.r.;, c-:c., ::o:ust be sa::..sj:.cd oo:/ore tr.a 3UI:'CI:,'(; F!.','AL =an l;e 1"3t;'.(3S:.zd.
:JJ. FINAl. ?tr.;.~!3[.'/G
CiJ. F!,'/Al. :-!E~HA.'l!CA:'
CJ FI.'1AL 2!.EC':'.9!C';';
,~
<D
?I~AL 3UlrDIYC: The F~ncZ. E:.li.Zdir4 !r.s~€ction .~8t 09 reauested ~f:ar tho :ir~L ?L~~~ir~
~Zac~~icar, cr~ :~~r~~~ccZ :r.s?ecti~na ~~ua beBn mada ar~'a?prou~d~
"AL':' Mh.~'HC:'2S AN!) C:.S......;'lCU':S .'W=':' EE AC:::SS:Er.E. A[;J~'S';':!2::T ':0 3:: :.:'1C! ..!T !:O :;S'; :'? ':I':''!
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ga~as 01" ,~vabl2' 3ec;i~ns through
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I JOB NO, 822652
! :~a~ RL
I Lot Sq. :t;.
j. ~f 1~. ~~er~6
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7378
31%
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1.807,25
486,75
"~':.,t.C. Z.t:'l.'!'
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1.5 =
Zuildir:g ?~;;
State Surcnrge
::'o~L CJ-A:-ge3
I r:,,'-t I ,70. I
I :L~.g6S
I ResidentiaL f1 bc::hJ I 1
I Sa:i.t.2~/ $elJiZr I
I "e'.~ I
IAdd. Bath I 2
Pl:..m1r;ng Prlm t
StatQ Surcharge
T:zta! C"llCrces
i ;:::1 Sa. "a. 1807. 2d :i~. i
l.vi>IJ/E--tand Cil'C"".d:8 '
I Terr.pcrc::ry SeroJics 1
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Ele:;t~~caL ?e~;
St~te Sur:;r~ce
To:al C'I'.a:!'C6S
1,,",",,'1
~'::C13 ET!J'S 12 KW
E=ha:.:st Heod.
I Vent F::::n
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I iloodsT;o:;e
I ;;Q.'
11
11
13
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Peme l3~B
."f8:;r.anic::1. ?err.-ri. t
Statt1 Sur:;~c
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ISe~~~;~J O~=o3i~
I Star'1ce
I ,'~.:.r.;er.cr~~
PC!"m";:
T~taL t:t1Cr'':'cs
Ct.a';CO,.ol:-
1 - 20'
Sidz.u!K.
I.
; .'~1"-=e
Inolc:r:.c:tZ
Lc1; e 1.
! ,"'OCi.!d ",XUJ
I :"QTA!: .~}!OU:lT DUE:"
SOLA'-CESS
('C'::-..I::'anr.~ ~ro-..I:::: R3
l.C': -::'?!
X Ir.re!"'icr
Corne:"
P~le
CUL-de-saC'
X i'alue
163,500,00
I 952,50
215,00
8.60
223,60
F!2 CHA?GE
25,00
I
I
10,00
20.00
45,00
1.80
46.80
r.;.i'~J~GE
25,00
10.00
35.00
1.40
36.40
3,00
I
6,00 I
4.50 I
9.00 I
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CHARGE
10,00
29.50
1.18
30.68
P=qa 2
approved LPfl
VN
L-COG~ NA
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REQ,-
Yes.
'7:...''Oe/Cor.st:
I Lo. ?ocas - South.
I 5e:ca~ks
1 2,:. I' ii"" I Coreee
11Ioro~it
lEas. I I' I 7 '
S,,"on 5' I'
I..est I
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II
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Fees
Building Value & Permit
This perm:.t ic granted 071 the e--press ~orzdieion that ehe sdid. con3t1""..IC;~on
shaLL, in alL r'esFccts, conform to the Ordinance ~dopted by the :ie~ of
Sprir.gf~eZdJ inc!ud-:.ng the Zon.-:.r.g Crd-:nance, roeq'..I.tc.tiI1g th~ ccr.3tro:l.::i.;r.
arA ~ce of buildings, and m~y be Juspenaed or roevoked at cr.y t"':m2 u;~r. vic-
lation. of ~y provt3ions of said Ordi.r~es. .
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I Plan Check Fee: $64, 5~
Da.e 2a';d: 1 J /JU/tJ2
IRec,';? #: 60033
Is,;g,:ed: B ,J,
Plumbing Permit
No person chaLZ construct, instal-!, a!.t:er or char.ge any l".8lJ or e=isting
plumaing Or' drainage ayat~ in ~hoLe or in part, unless such Feraon is :r~
legal posse3S0r- of ct valid plwnoer's license, e::cept tr.at a pe:oaol't ma;! do
plumbing :.:ark to prapert'":I which is owned3 leased or- opcrat~d by tha appli-
~t. ~
Electrical Permi t
Where. State U::J.J requires that the eLectr'ical. work oe done by em Elactl"ical
Contractor, the eLect-rical pOJ"tior. of thi3 permit shaLL roOt ba valid until.
ths labeL has been. signed by the ELecrncaL ~ontrac:or.
Mechanical
Permit
Pi.an Z=.c:niner
00:::.1
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j.
14.40 I
7 ,UO I
I
.20 I
I
1 'v.I)/lr~;J
$1,311,58 I ~;';i(;/
I HAVE CAREFULLY ~XA".fItlED t:.":s complClted =?pLication for permit, =nd de
hereby cerdfy tkt all i:o:jo:T.ration i:e:oeon is tru,a ::.r..d cOr!'cct, ar.:J. i
r..l.I'"':J:er cezo~il;; ;hat any and an ~...ork F~rlor::ted 3halZ. 08 ao:18 i:1 :::c:ar-
dance :J'ith the Ordin::nces of eha City of Spl""~ngfi~ld3 and th& L.zs of ti:3
State of Orea.:," ozzot..::inino to the work d.esc:-~bcd. herein, c.r.d the:: NO OCC!J-
pl..'leY :.ri.zz. o~ :rr:zde of t.::1f.yWatruc"t:U'8 wit:iur....t p~rm-~.33io:o: of the =uiZdir.g ~;-
vision. I furthBr -:el'tif"d cr..::::t: o:1ly ccn.tra.-:tors ar.d e:::rpLvyeBs who .:rs in
c~pZ~e with CRS 701.0S~ will be used en this proj2Ct
.'t hir4?
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