HomeMy WebLinkAboutPermit Building 1982-2-24
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.. RESIDENTIAL"
COMBINATION APPLICATION/PEP.MIT ~ SPRINGFlEI.D
225 North 5th Street . .
Springfield, Oregon 97477
Building Division
726-3753
Job I.oc~tian: ~9:l '? )rsS';rG. /.J~V-e
A'.".ON Map li tS1- 0]..'02.- U1 Tc= Lo' # "z.,3~5
Subdivision.:
Q.mer:
F}..tlM-t': ~
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I eS'),C4
Add:reS3:
.{ Q{J. ?
)".Lld.
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City:
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Addi. ticn
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Elf1MOdgL
Habi ZA ,flamtl
Dat. of AppLi.catic7l
:.:onrractor8
~-Jlt/-'2
GsnsraL
PLumbi.ng
!J,w,'u ~ t.//'k..Rdr
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flu./-~
JI'J.J.
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Phons:
Zip:
q? V? 7
DfUlcribs Work:
~.(!,
.r,';~I'I",.-<
,'''1'~ 1:'.
Valtur
Hcce~ct' /!) ~ J I ~
/.AJ-.o-" cf ~ -f ~
Jj"'1o
16.00
,c'o
Jii'J< & 0
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Si.t;r.sd:
Date:
dIG
,!)-d.<I- g:L>
Adt:i:t'U8
;qQ.~tJX 'II~
Lise. II ''1f/I.".$ E:rnir:!s /-/Y- 1I;iJ Pho11~
,y,.NcI. ??l::L'h 2.
electricaL
:'1.ohar.ic::L (] v..-U ; e S; if tI h / ~ Kc:;-'lt/-
Construction Li11tde
"q tJ. et:! K %~l(
.AY>/! d.
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It is ~hs H8J:ort.lI'ibi'Lity of tlw p8l'1f'l'i.t hcl.dco to IIfIS that aLZ.- inspflOti.cns arB r.rad4. at :1%. prapn' timc~ tr.at lXZCh .=ddrSSB is rfladab!..
from tho ..,..... am:! that tho p-,t caN i. !.>catsd at tho front of tho p""p.,.ty.
49ui.!ding Divi.::ian apr:rovsd pZ4n sht:.L1. rat:rin on rha Building Sit. at aZ1. NS8.
7d1fp-. ?-f/~ .
PlWCSDUP.E FOR INSPECTION R~aUEST: CaUl I ... ocozod.er) stat. "!ICU1" Ci.ty duignatad job 1UI1I".bez-, job address, typ" of in:JpectiC'71
zteqUCfJted. ar.d w.J:871 you :.Ji."Li ba ret:dy foz- inspcct".:mt, ContractcJ-. or Q.m.8rs ncme and phDne number. Requssts l'eceivtui. befcre 7:00 a':'l
"'i.LL bs nr;rds the .om. dq. ....quAl... nr;rds af':::, 7:00 0IlI loIi.n b. nr;rds tho nat ""rki.ng d4y.
!:J",,,"J."~ ':.-'-" r...,--'--U"WQ'
0: f.IT~ lNSPEC':ro,v: 1'0 ba 1ffI1lU aftR
_~....... but p1"Lor tc .... "l' of
forma.
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UNrJERStAB PWHBINC. ELECTRICAL &
MECHA.'JICAL: To be rrm:to before any
work is .xnJarfld..
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FOOTrNG ! FOUNDATIC,V: To b. nr;rds
attsr trfmchss are ___..:..Mi and
ferms aN n-ect#d, but prier to
pcuring acncrau.
UNDERGP.OU..m PUJNSING\ SE:W:Ft.~ rt'.1TE8.
DRAINAGE: To btl ma.:u prior> to fi,.1.-
l.i.r.g trmchss.
I/IIDEJ!noOR PWglWIG ! UECi/ANICAL:
To be mraas pl"ior to tnDtaZ.~n.07l of
[1.001" insulatiarl or dscking.
POS"!' AND BEAM: To ba made pM.o1" to
inataLlan.cn of floor iJ1B~Z4tion or
docking.
lJortrm ~r,m.~Brt'qJ er.ECTR!CAf..<4.. ,wr!l-
ANIeAL: No :Jerk. is to be cOl.'tu'ea
ur.ti l. thos8 inspections have been
~ and approv...:. .
F'I~!.ACe: Pr-ior tc pLaci.r.g facing
mc1:sriaL8 and before framing inspBC-
tio,._
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7P.A.~!fllG: Mu:1t be r6qu8otad after
approvaL of r-ough plwr.bing, 4lecm-
.::aL d :r.eckani.::al. AH l'Oofing
l1rc:cing ~ chimru:ye, st.::. m:.:st be
aompLetod. No r.m-k is to be con-
cealed until em.o inal7ecti07l has
b.... nr;rds am:! opprov.d.
r_ City Dsrignatsd. olob 1IwmbtlZ' Is:
O INSlJUTIONIVAPDR B.@!RI?R VlSPE;C'!'IOn:
To b. ~ af"" aLl iNrul...--ei.:m Gt"td
~..Hd l1<Zpw b~ aN in pl.aca
but bater. any lath. gypsum board 07'
r.rzZl at)vflZ"'ing is applisd. and b.fore
any inmlLation is crmc~l4d.
O DR~ALL nTSPECT:rO'!.: Tc b. nr;rds
aftiU" aLl. drywll. is in pl4ce.
bu. p1"Lor to ""11 taping.
O MASOIfRI: St..L 7.ocatic7l, baftd
. bsama, grouting or vQ'%"ticaZa in
(L._,...~ J._~. IJith U.B.C. S.ation
2415.
n ""ODSTO'IE: Aft.,. i.nstaLLatic7l i.
l2S.J ccmpLeted.
O CURB & APPROACTl APEDN: After forms
are arflatfld Owt prior to pcuring
~'T'8ta.
O. SIDE'WALK ,{ DRrI&AY: For all r::07l-
erete paving r.nthin streD't right-
Of-1i/f;1h to bc ma::is af"t6Z' alt. e:ca-
vati.ng acrrrp1.4ts , lam t.m'k , sub-
bas. nr::teriaZ in ?la::e.
O :niCE: ~ comp~te -- Pratrids
gaiii or .'7JOVab l. ssct'icns thrcu.gh
P.U.E.
o
X' ~ n /,<; '1
I DFJ.!OWTIO!l OR .\fOt7:1 3UIL::::ICS
J
:=J Sani.:ary Bt1LJe:!' x:;peci ::t ;.::r;C!"'t;j Zir..s
:=J Sep'ti.:: tank r.mrped a:"..:i J~l:ad :Jith ;ra'.)j'Z
::J FinaL - .rl;um ai:J...~e it~ a:t's ac::rpleted "
ar.d lJMn :!er.fc!itior. ia cor.:Ls:a or struc-
tura moved and pr~.s ~z4ans.:: up.
I Mobil,s HcmSB
::J Blocking Cl1Id Sat-:J.p
::J Plumbing eonnscti~ -- SC,Jfll" c::nt1 wa-:ar
::J EtiJctM.ccL Connection - Bloekir4, set-up
and plumbing ~ectum8 ~...3t :8 a??rovea
bafore reqt4Qsting eLB~~rica;' 'ir.speo::ion
~ AC~8SS0l"':i Sui :.diru::
] FwL - Aft~..?Ozta.r.eB. sk~:rti11f. dseks.
at:. are canp:'8:~a.
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ALL yrooiact condi-:ians. sue.": as the instaLlation of street 'trS12i1. ~~!.::-:..:rn of :iw
I'fIqu.il'8d landacc:pi,..g. etc., must be satisfiod bojo1"e tr.ll 3UIWI::C ?r:,rAL :m =e l"2qu8st:zd.
0 FIlIAL PWMBIlIG
0 FI,VAL ,IfECHANtCAL
0 FINAL ELECTRICAL
. 0
o
SINAL BUILDINC: Ths FinaL Buil.ding .!nspBctUm must bo requeot8:i af"':er ~r.s .."'inaL ?tumbing
El.ac"t:1"'i4aL, and Heciuzr.ica.l InspBct'iorw kava b6Q1'l mads and approvad.
.ALL MANHOLES AND CLEAtlOUTS MUST 3E AC::eSSIEGE. ADJUST!fENT 'I'O BE M/tDE "i!T NO COS7' TO -:!'!! I f;;,;e
of 2
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IJob Number:
,
: Zona:
<;;20 15 't
I
,Lot Sq. Ftg.
;: ~f lot Caverag~
! tI of Storoi8S
,
~ TotaL Height
f~''''t.''''':;1.""''t'hy
I!TEN
I
iMain
I
lGa:foaaR
I
I Caroort
IAcc8s8oru
! S~.FTG
I
i
Is.D.c.
TOTAL VALUE
(Vc'"u(:)
1.5 ::
Building Pernrit
Stat. Suroharg.
TotaL Ch=g.s
lITEM
I Fixtures
I R.aidentiaL (1 bath)
I Sanitary Sews?"
I Water
i
1/10. I
I
.1
i,
I
PLwnbing PB1'Ir.i t
Stats Surc"'.args
Total Cha:raes
ITEM
I NO.
I
I
I
Res. Sa. fto.
N;zu/Ezttmd Circuits
I Temporary Service
I
I
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I
I ,."~,
..._~'2
I Furnace ETU'S
I E;ha;ust Hood
I Vent Fan
I Waodsto:Js
Eleat1'"1.cal Perrrrit
State Swoaharos
Total. Charc:t1B
Permit Iasuanca
Us:;!hanic.:zl Pe'1'Tl'f'it
State SUrcharae
'rot",l ChaT'(I~tJ
i -- ENCROACH/1ENT --
ISe~~t~ DeDOsit
Storage
uaintenan.:e
I P01'rIrit
I TotaL ChaNcs
I Curb""t
Si.d.elvalk
:'en::e
I'Elect:ricaL Label
I Mobile H:;me
I
I
I TOTAL ANOU/IT DUE:'
Occuoanc14 GrouD:
..
LOT TYPE
Intericr
Cor-ner
Panhandle
CuL-de-sac
x
FEE
FEE
NO.
FEE
I
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I
/S' cd
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I
Value
CHARGE I
I,
I
I,
I
I
1
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I .
CHARGE I
I
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I
CIlARCE I
I
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I
/(.t10 I
I
/o.crO I
$, ~.-{) I
,&0 I
/C;.t, 0 I.
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,.
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.j;/ IS, &0
Page 2
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L-COC #:
Reference Nwnbers:
Tyve/Cor.st:
Bedrooms:
I I En.erau SOUJ'C8a
I i Beat
I I Voter lfp./'ftp.1'
II Ra"ge'"
I I Fipftolace
I I Wo_tove
Ii
Ttroe
I
I
I
I
I
-1
I Lot Fac.s -
I
P.L.
rwopth
~a8t
ISouth
West
Setbacks
House I Ga:rage
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Access.
r._ Fees _u
Building Value & Permit
This PSl'1rU ia granted 0J1 the e.rpl'ess condition that th6 said OO11struction'
shatt, in an l'sspects, conform to the Ordinance :uiopted by the City of
SpringfieLd, incLuding the Zoning C1'dinan.ce, pBgUlating ths aonstl"Uaticn
and UGe of buildings, and may be suspended OP l'evoksa at c:n.y t"':.me upon vio-
lation of any provisions of said Ordir.anaes.
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,.
I Plan Check Fee:
Date Paid:
!Reodpt #:
I Signed:
Plumbing Permit
No person shall construat, instal!, az.t6l' or ahangs any nelJ C1' eristing
plumbing or d:minage system in 1Jhole or in part, unless such person is ths
Zsgal possessor of a valid plwnber's license, B%cept that a persOJ1 rrr::y do
p lurr.bing work to property which i. wned, Leased or operated by the app H-
cant.. .
Electr.,i~.al Permi t
Where State LaLJ requirss that the electztical lJOrk be done by an Et.Qctricat.
Contractor, tlw elsarncaL portion of this penrrit shatt not bs vaLid untiL
the Zabe I has be... eigned by the ELectrical Con=tor.
.
Mechanical Permit
Pl.an E:ram'Lnezt vate
I HAVE CAREFULLY EXAMINED the completed application fOl" permit, and do
hereby certify that att information hereon is true and C02'Tcct, and I
furtr.er certify that any ar.d all- tJOrk perforo:ned shall be done in ac~or-
dance :Jith the Ordinances of the City of Spl"ingficZd, and thE La:Js of the
State of Oreg:;n ptll'taining to ths lJOpk d.sscribcd herein, c:nd that no occu-
PANCY :Jill. be rrr:zds of any structure lAJithout permission of the EuiLding Di-
vision. I fuzother certify that only eOJ1tract01"S ar.d e:rrpl.jyees whp are in
compliance lJith ORS 701.055 1AJil1. be used on this project
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,..:;~-l v~f/~
Dat.