HomeMy WebLinkAboutPermit Building 1982-7-29
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.. RE!DE'NT~AL..
COMBINATION APPLICATION!PEP.MIT
225 North 5th Street
SpzoingfieZd, Oregon 97477
BuiZding Division
726-3753
- SPRINGRWl-
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6-1..Lj~ Zip: 9 71/ (JI I) 'tk.:- ..j..... _~ _ (C ~.JI.-
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ASQQSaOr3 Map #
Subdi.vision:
Ctmsr:
71~
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A.ddrrJsa:
City:
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f71 RfIIffOd81
n .'1obiZ4IHtmta
~o-~O-/U Ck:(7~~
Dat. of Applicati<m
::;on1:MCtors
7--: 2 ~ -8"2.-.
Valu.
...# (c; g:5
()O
GIlmIiNl
Plumbing
EZsctM.cal
.~ttl=har.i.c.::.l
C"",,=ti<m Landar
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Add.....G83
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Siqr.ed:
Date:
;;}JfJ
7- 2..9 -J? z.,
Liso.1I
Phon= f
.~ <.j r -O?oC
E::iil'C8
It is ~h. rsspO'PlOibility of ehs pfmff'it hoz.cw. to SQ. that aLL inspactions are r.:aU at :hB p7'0ptTt' time, tr.at each .::ddres8 is r6'a.::a.:,~G
from the ..,...t. and that the p.....t card i. l.>aated at tha front of tha rrup...ty.
.9ui.Zding IXlJi.::ior: apprO't.'ed plan shalt l"CZIIIrin on :ha BuiZding Sit. at all t1.ms1l.
fRoa:DUFfE FOR fl/SPECTION Re.Ql/EST: CaZz., _ ez.CJ:JOl'dszo) stat. your City d4si.gnatsd iob nurr.b.r, iob add:rcS8, typil of in3pec-eicn
l"SqU"st.;a ar.d IJ."'..,.. yeu. ~LL b. ready tOl" inspcct"'.:cn, Contl'aCtcrs "1" c:un.rs name and phcn8 rrumbcr. Requsst8 recn;,;ed :;efcre 7:00 a":'l
:..'iZz. bI1-rrrzdg-thrr_....:~... ..-"I:-......,,~ r...J-"_ ;.",'; ...... ...~U-b_ ,._.:.._ ..~__ .~_... .:JOzoki.n::; ..1"1'
_ D"'''1/i'''''J'Jl r,.""'...."ti~,
. 0: SITE INSPE~IOIV: To b. trI2lU aftn'
a:o:zv.:tt...""n. but pri.c':o tc ..t up of
fo.....
.0 II"LJ~l1.)l.oAB PU'H9mc. ELECTRICAL &
NECHA.'1ICAl.: To be mad.iI befcr. any
work is .;wC'Jrfld.
o
o
F"XlTrNG ! FOUNDATICN: To be 17I2dII
aftar tNnches are ____,;.Mi and
forms ar. .l".ated. but p%"i.cr to
pouri.ng ccncr.t..
UNDrnGROW.'D PI.UMSINC\ S~. ,""iT!'R,
D.r?AINAGE: To be f1J'.l:U prior to [1.1.-
1.""4 trmtaMs.
D
UBDE;f?FWOR PLUgBING ~ MEC!lANICAl.~
To bfJ ItrJliJJ pM.or to inat:a1.lanon of
{tool" insulation or dec1d.ng.
POST AND BtAM' To 0. .~ prior to
insta1.l..::tt.cn of floor insulation or
deaki....
.0/2P'l!1 P!:rP.}8I!1r;.. _:;~E~rC.t!;..4 MECH-
ANICAl.: NO:Jerk i8 to oe COI:erea
ur.n ~ these inspecti01".8 hav. been
nr:de and approve.:!. .
FIEEPLACE: Prior to p1.a.cir.g fa.cing
IIICterial.s and before [rarrri.ng inspeo-
tior..
o
o
o
D
z;oPJJ!.TNC: Mu:Jt btl rsqus3tfld af~fIr
approval of l'CUgh plUll'.bing. 81"".,.,;-
cal & :r:schani..=a.l.. AL! roOfing
aracing ~ ch.imnJ:ys. et.:. m:L8t be
camD Lstod. !lo wrk is to be ccn-
cscisd Wlti z. thi.8 insNCnCPl has
b.... mode and approvad.
r_ City D.ri.gM.... .lob Numb... Io:
D INSUl.A.TIO"/VAPl'R BARRrrR T."1SP!:CTION:
To b. ~ afttzr aLl. iMu~t,:.,n a:1d
- requi.r8d l1apor b~ are in pLactl
bit befere any t.ath. gypswrr board or
u:zz.t aovmng is appUsd# and before
any iMULation: i.s acncllaLsd.
D DRNAL!. IllSPECT~OR: To be l1rZIis
attU' al.l drywU is in place#
but prior to _ taping.
O MASONRY: St..L l.oaation, bcmd
. b<<Z1Jl3# grouting or vertiooLs in
a.acordancs with U.B.C. SectWn
241$.
Dl ;l()ODSTO'I'I:: Aft... inBtallati<m i.
~ ccmpl.eud.
D CURB & APPPOAC11 AP."!'R: Afte:o .forms
are ersctsd but pr"..or to pOUM.ng
~'"Nte.
O SIDEWALK ~ DRIn"WAY: ."or aLZ C07t-
erste paving within streot ri.ght-
of-ux;:y# to be mads after all e=ca-
IJating acmp14te & f~ r.mok & cub-
bas. l7CteriaL in pla:e.
D _7NCF:: """" eompr..t. -- l'rolri.c!s
ga:;;; or mCIJabl. sections through
P.D.E.
o
S 2/ n J ~
. DEUOr.ITIO!1 OR .\fOt7' 3'JIZ:::ICS
J
~ SC%Il'i-:ary SfAJC' =;pei. =t ~C!"1:"i Ur..
~ Sept1..:: tank ~..Jl'Ir9~ crr.:i fi1.Zad :.o{.:11. ;rr:r:JsL
:J FinaL.. .mum 1:i;.....'lU/ i;~ a:r. ecr.rpz.Q'ted
ar.a :JhBn ~!it"":"'r. 1.0 c~z..:a or struC-
ture li"IOUfId and pr~:J.s ~~am::: up.
lMobiZ,,a Hertles
=:J az.ooking and S~t-:A.p
=:J Plumbing Cann8ct~ns .- Bc:.Jer ~ :Jatar
-, CkctricaL Ccnn.ction - S~ck-;r.:;, set-up
-..l and pl.umbing ~anr.Bctians ~...,t ;s c;:prol:ea
before r8qU6sting 6Z..~:ri.cal. -:.r.8pec':io:1
=:J Ac~sssot"'.i Sui Zdi~
:J FinaL .. Af~~r.?~r~r..8J
e'Ce. are ccmp:..at~a.
I
s1Creing, dscks.
o
Al~ project condi:ianll. sue,1: as tha ins-:aL~on "f S-:N8t 'trus. c~!.;:i.:n1: 0; :tta
requi,..d 1.tmdsc~,..g. etc. # muS'C bs satisfiod befortl tl-.s BUIUJI.":C FI:"Al. .::zn =e r3quest3d.
o FIlIAL PWMBINC
o FINAL ,1fEf:HANICAL
o ?IlVAl. ELECTRICAL
o
o
5'INAL SUIl.DINC: 11:e Final Building Inspection must ba requeatBd af"';sr ~r.B FinaL ?!ur.:bing
EZllctriaaL# and .'fschar.icaL Irzspsct:io7'UJ kava bSI11l mads and approIJsd.
*AU ,'.JANHCLES AND CLEAtlOUTS uUST BE ACCESSIBLE. ADJUS7?fEflT 7:0 BE M/IDE '/.1" flO COS7 TO ';I'!'''! I =.'-e of 2
_i
Job Number: 75 2. I 0 '13
.
Lot Sq. F1:g.
s ~f lot C~erag&
!f. of Storiss
Total HBight
?opography
Occ:u:oaru::w Group:
LOT TYPE
Interior
Corner
Panhandle
Cut-de-sac
Zone:
I ITF:IJ
I
i /.1m
I=e
I CaMJort
I AecesBortI
S~.FTG
I
I
Is.v.c.
TOTAL VALUE
1.5 x
{val.u(:}
Building Pel'nrit
State Surcharge
Total CIuz:ogea
lITEM
I Fi:rture.
I.qeaidential (1 /xrthl
I Sanitary SfM(J,1'
I ;later
I
I NO. I
I I
I I
I
I
FIT
Pl:mrbing Pel'nri t
StcT;ts Surcr.a.rge
Total Charaes
I ITEN
j ReB~ So. fta.
I NDJ/Ezttmd Circui ts
I'Temporary Service
, NO'1
I
I
i
FEE
I
I,
I
Ele~tM.cal Permit
StatB Surcharae
Total C1ra:rCBB
I'~!!N
~ce!!'1'U'S
E=haust Hood
Vent Fan
I 'WoodJJtove
I i/O.
I
I
'1
'-f -10 I
FEE
Permi. t I:;suanca
Mechanical Permi t
State Sta'charae
rota 1. CharasC'
-- ENCROACHMENT --
Sec:'..lM.tl! DarJOsit
Stora~e
!:uaintenan.::a
!Pcrmt
I' Tetal C}:aroas
Curbcut
Sidswalk
I' Fen::e
I 'Elect1'ica l f.ab(ll
I Mobile Heme
I
I
I TOTAL AMOUNT VUE:-
x
Value
CHARGE
Page 2
Refel'er.ce Nwnhers:
.
L-COG #:
Tyoe/Cor..st:
Bedrooms:
I Enercp Sources
Heat
I WatRJ' .t{pnt:p.yt
I Rcurge
I I Fireo lace
I I wo0J3tove
II
T'<J"e
I Lot Faces -
I Setbacks
I P.L. House Caraqe Access.
INorth
lEast
ISouth
IWest
..- Faes
I
I
I
I
I
I
I,
,-
I
I
I. -
Building Value & Permit
This psrmit io granted on th9 upress condition that the said construation'
shall, in all respects, conform to the Ordinance adopted by the City of
Springfield, incLuding the ZOning Crdinanc9, regulating ths acnstruation
and u:;s of buildings, and may be suspended or reookiuJ. at cmy t"':.me upon vio-
lation of any provisions of said Ordinances.
I P7An Cheak Fee:
Dat€: Paid:
I Reodpt #:
I Sig>:ed:
Plumbing Permit
No person Dhall construct, instal!, aLter 01' changs any nft, CI' e:risting
plumbing 01' d.rainage systsm in ':JhoZs Ol" in part, unLess such person is ths
'Legal. possessor of a val.id pZwnber's l.icenBe, ezcept that a person may do
pl.umbing wol'k to r-" "'r-"'.:":J which is mmed, lsased 01' operated by the appl.i-
'cant.
Elect~1 Permi t
Where State LaLJ requires that th6 eLectrical work be done by an Elscmcal.
Contractor, t1ureCgu:". ~...c:' t"... ....:..... ~hi~ r' _....o,:~.-shaU-nct-b9-vaUd-un.til- --
tits label Ira. boen .igned by tits E~ecmaal Contractor.
Mechanical Permit
PLan EzcJm.nsr
lIa_e
I SA VE CAREFULLY EXAMINED the aomp l.6ted app lication for permi t, and do
hereby certify that aU inforrrrz.tion hereon is true and COl'Tect, and I
f'.aotr.er certify that any ar.d all. lJOrk performed shalZ b9 done in aceGr-
dance OJith tho Ordinanae. of tho City of Springfield. and the La:J. of tho
State of Oregon pzrt.::ining to the work c9scribed herein, end that NO OCCU-
PANCY 1.Uill. be rrrI.de of any stJtuatura withcr.lt permission of the Building Di-
vision. I further certify that only aontractors ar.d e:rpl::;yeBs who a:t'B in
compliance ~;th ORS 701.055 wil.l. be used on this project
,~
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11:2.1)1$2
Sign8d
Vat.