HomeMy WebLinkAboutPermit Building 1984-10-12 (2)
.. RESIO.T1AL"
APPLICATION/PERMIT
225 North 5th Street
SpringfieZd, Oregon 97477
BuiZding Division
726-3753
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Location: ~ \L\, '--<\\)'\~\ \fu I. r\. ')
ABaeBsors Map #\~ m \i(, ?, \ (.J T= Lot # lO\ Co \
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SubdiviBion: \\ C X.~\....7 '\~
CUner~~ ~ \'\\t~,jC\ l- \-\\~O r\l
Address::,\\ 0\1\ ~ ~\~ QI\f'1~t},J:.one: \:)
City: r;'\-n')'S, 'J\~ ~c~'f'\t~}.hiP: qrsLo/f)
IRNm,'"
i n Addition
In
Remode l
n Mobile Home
Date of Application
(:ontI'a~tOI'8
General
Plumbing
Describe fl'ork:
6;,'-{.
9-/7-.8Y VaZUB 7.:'. ~ 1'3. "?t1
Address
Electrical
: Il.fBChar.iC.:J.l
Construction icndor
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f R~mJ1:~i!rJ. Tl'l~'2"VP':7:r.,.,.q
i ;--'. ~ INSPECTION: To be I1tIde after
',', b e.xcavation3 but proioI' to set up of
forms.
10 UNDERSLAB PLUMBING. ELECTRICAL &
: MECHANICAL: To be made before any
I work is aovcred.
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~TING & FOUNDATION: To be mde
L::J after trenches are excavated and
i forms are erected, but prior to
I poul"ing ccncret~.
i~GROUND PLUMEING. SEWER. W.1TEH,
lLi::::J DRAINAGE; To be rrruie proior> to fi1.-
i lir~ trenches.
l:--l ~FLOOR PLUMBING & MECHANICAL:
I ~ ~~"'b~' made prior to inatallation of
j floor ins~Zation or decking. . -
jrl ~AND BEAU: To be madc prior to
:~i~;tallation of j100r ina~lation or
, decking,
III~ ~UMBIlIG. ELECTRICAL & lfECH-
I~ ANICAL: No work is to be aot:ered
! ,ur.ti 1. thcse inspections have beer.
i made and approved. .
10 FIREPLACE: Prior to placir~ facing
1 materials and before framing inspec-
tio~
rl ,.nfM1ING: Must be requeDted after
"L.:::J approval of rough plwr.bing, electroi-
.cal & mechanical. All roofing
braaing a chimncys, etc. Trr.lst be
~'completcd. flo LX>rk is to be con-
._.....:cealed until this inspection has
. :,~"b6~~ made and approved.
_Receopt' \_q ~ 11{ )'r')
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GJCULt
tv
Siw.ed.0./ltj )
Date: ~L J7ur,f ),161-, /,'1Cf1
Lisc.H
EXiJirC8
Plwnc
It is the responoibility of the permit holder to see that all in.cpeations are made at the proper tim~, that each .:::ddr6S8 is reada:.?~e
froom the street, and that the permit card is located at the front of the property.
*Bui!.ding Divi:;io~ approved plan shall remain on the Building Sit:;: at all times.
PROCEDURE FOR INSPECTION REpUEST:CAll 726-3769 (recorder) state your City desig7Ulted job mo;;ber, job addrcss, type. of in3pec~ien
raquested ar.d when you lJiZl be ready for inspection, Contractors 01' OtmeI'S ncme and Fhone ~C1". Requests l'eceived befol'e 7:00 c:'l
:"'iZl. be made t.h€ same day, l'equests made a~tcr 7:00 am will ba made the nc:rt :,xn'king. daY.,. "\
" Your City Desir;r.ated Job /lumber Ia: RU,() 1 d (){ }
n IIi8t!PTION/VAFOH BAHHIEH INSFF:CTION,
L..:::f To be made aftel' all insul.::zti:Jn w.d
'. required vapOl' bcr:rriel's are in place
. but befol'e any lath, gypsum board or
waU covering is appUed, and before
any insulation is concealed.
Ii ~ IIISPECTION: To be made
L::::::J after all drywaU is in place,
. but pl'iol' to any taping. .
O MASONRY: Steel location, bond
beams, grou ting 01' vel'tica ls in
aceol'dance with U. B. C. Section
2415.
O WOODSTOVE..: After installation is
ccmpleted. "
.r-1 ~PROACH AP.I:f()N: Afte"J:' forrns
~;:~... c;e7:ted but priol' to pouring
concrete.
. n. ~ DRIt'F;WAY: For all ~on-
~ Cl'ete paving within street l'ight-
of-wc.y, to be made after all exca-
vating acmplete & form WOl'k & sub-
base matenal in pla:Je.
D
PENCE: When complete -- Provide-
gates 01' movable sections through
P.U,E. '
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i~PLUMBIIIG
!~ECHAIIICAL
!~CTHICAL
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I DE/.10LITIO!! OR :'-:OVE'D BUILDINGS
~ Sani taI'Y se'..Jer :Japped a.t v:,op~rt":i lir.e
==:J Septi:J tank p~~ed and fill~~ with gra~el
I Pinal - r~'hen ab...."Ve ite:ns al"e ccmpleted
~ and when demolitior. is complete or 8tru~-
ture moved and pramises ~leaned up. .'
Nobile Hemes
:::J Blocking and S~t-up
:::J Plumbing connections -- sewer and water
:::J Electrical Connection - Blocking, set-up
and plumbing connections nr~st ce approved
. beforc l'equesting electrical inspec~io~
:::J AC:Jessop',i Sui lding
--, Final - After porcr.es~ skil'ting, decks,
~ etc. are camplet~d.
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All Fl'oject conditions, such as the instaLlation of street tl'aes. c~~Zetivn of the
l'equired landscc.pir:g, etc., must be satisfied bcfol'e the BUILDINC FItlAL can be l"squest.2d.
AL BUILDINC: The Final Building InspcC'tion must be l'equeGted aftel' the Final Plwnbing
EZectrical, and Mechar:ical Inspectimw have been made and appl'ovad.
~ALL MANHOLES AND CLEANOUTS HUST BE ACCESSIBLE, ADJUST!fENT TO BE NADE AT NO COST TO CITY Page 1 of 2
, JOB NO, gW()YoI{)1)OLAR A~SS REQ,-
I Zone: Q - L Ocaupanc" Group: Q - ~ '
3lo1.4O
'LWb
7-
?Co
l'l- '5
Lot Sq. Ft;;.
s ~f l~t C:JVerago
#- of Stories
Total Height
Topography
Total Charge.
lITEM NO. FEE
Fixtures
Residential (J bath) \ 'l~-
Sanitary Sewer I
Water
~~"\N."t>I ~',\ \ \[)-:-
Plwnbing Pern:i t
State Surar.apge
Total Charaes
lITEM NO. FEE
'Res. Sa. fEL:..~ \ "':1,'5.-
I New/Extend Circuits
I Temporary Service \ \0:-
I I I
EleetPical Permit
State Surcharqe
Total Charces
I ITSM INO.
I Furnace ETU' S ~ \
I E:haust HoodVlV'UA '\ 1\
~nt F~ ~~ 1\
I WOodstove I
I I
~:-
LlfO
~<:C
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Permit Issuance
Me::hanicaZ- Permit
State Surcharae
Total Chart'llUJ
, -- ENCROACHMENT --
Ise~~tv DeDOsit
Storage .
I Maint~e
Permi t
Total CharGos
Curbau; ':2. L\ I
1 sid€walk
Fen::e
I Electrical Label
I Mobile Home
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I TOTAL AJ~OUNT DUE:'
'l.u.4
FEE
LOT TYPE
-L In.terior
Corner
Panhandle
Cut-do-sac
-- Fees
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7/ ~<.a.* '
53,." .,
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Value
'7~/3. ~I
I/Y.". ,.
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'1,U I
/<s:s~l.
CHARGE
\~.'SC
I 5.00
I \ '1.EO
I "lD I
I \?- '2D I.
CHARGE I
\'l\,~ I
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I :,\,00 I
I I
I ?'L: '50 I
I 00 I
I '(~ .l.\O I.
CHARCE I
3OC::> I
?,'l.5 I
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(" .~5
'2.'J
'l.O~
'1.'-\1.\
~.'1'2.
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\ 9. s,. (,. '-\
Type/Cor,st: \J'-)
':<'t ~'"'-
Setbacks
House Carage Access.
::>0.
~'
\fI'N'
:'I'
L-COG~
Be6oooms: \
I Lot Faces -
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I P.L.
[North
lEast
'ISouth
IWest
Ti.J'oe
En21'aU Sources'
HeatR (::C\
Water .Ilp.atp.1' Co~
Range
or Fireplace n~)~
WOod3tove
Building Value &
Pe r m i t
This permi t is granted on the express condi ticn that the said construction
shalt~ in all respects, conform to the Ordinance adopted by the City of
SpPingfieZd, including the Zoning Ordinance, regulating the construction
and USe of buildings, and may be Buopended 01' revoked at cr.y time upon vio-
lation of any provisions of said Ordinances. ~
IV~II: ~',IIfV~P'~ ~F/ES ~
~ J?w<# r~S.
I Plan Check Fes: ( () (. 0 U
IDate Paid: Y-I'7_-KU
IRecdpt #: (",..:~~!:')( nCf
I Signed: (t::j., J.fYL/
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Plumbing Permit
Nq person shall construct, install, alter 01' c~e any r~u 01' existing
pLumbing 01' drainage system in whole or, in part, unless Buch person is the
lEgal possessor of a valid plumber's license, except tr~t a pe~son may do
plwnbing work to property which is owned, leased or operated by the appli-
cant.
Electrical Permit
Where State LalJ requires tr.at the electrical work be done by an Electrical
Contractor, the electrical portion of this permit shall. not be valid until
the label has been signed by the Electrical Contractor.
Mechanical
Permit
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\1k, J.~\=( ,.-=\ \\
~ner . ~
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I I HAVE CAREFULLY EXAl.fINED the compZeted application for permit, and do
I hereby certify that aU information hereon is true and correct, and I
further certify that any ar.d an work perfol":1led shall. be don.e in accor-
I dance lJith the Ordinances of the City of Springfield, and th~ Ltr..;s of tha
'~ State of Oregan PQrtaining to the work described herein, and that NO OCCU-
I FANCY tJill. be nnde of any structuzoa without permis8ion of the Building ()i-
vision. I further- cer-tify that on.ly cont1'a::tOl"S ar.d e:npZvyecs who are in
compliance with ORS 701.055 wilZ be used on this pr-oject
)f)-? ~~'-\
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0J:JJ~ ~ ~ ~.~ (!A
I Signed DatY
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