HomeMy WebLinkAboutPermit Building 1990-6-19
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.. RESID.l.JTIAL'.
APPLICATION/PERMIT
225 North 5th Street
SpT'ingfieZd, Oregon 97477
BuiZding Divicion
726-3753 .
SPRINGFIELD ..".......",
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Rcc.,pt #
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.'ob ~~~~ion: ./lgCQ 66 'tcn4i'\.+ ML\ D \<0 Q mI.' 1\ ~
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ASGClIlI01"': M.'t.p H \ 0: a ,~\ Tax Lot II ~
SUbdivi.ion, K'~t'ixn ) (:\,r:k/ ~C\ ()~'ifY)
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Qoncr: \\(\ 'l\ ~c)'0 I). ~~Xy\()SG)f"--,.
Add]'c.c: .!JpA JA \~ \. ,"t' ) 0 rOk ' ~ . Phono: ,1\ , - If,{(-{LPJ
City' '- Fj\,\_\~ \ \ ~_)\?_) zip: c:r\4\ l
It 1.0 ~110 retponcibil.ity of the permit ',oldero to Gee that at! inGpactionll are made at ~he proper tim,.. that ~ach -=ddre8s is rea:!ab:e
from the Gtract, and that the permit card io located at the front of the property.
AEui!di.~g Divi::io~ apprOt:cd pl.an ohell J'emain on tit;; Bu~ldin(1 Eite at all times,
pnOCSDu.r!E FOn INSPECTIOiJ R~OUEST,:CALL 726-3769 (recorder) 3tate your city ,:j(!!Jign.ated job n14':':ber, job add:rcsa, type of in:;pec~ic11
requested a~d w,l:en'you wilL be ready for innpection, CO'1tractors or QJnera nc.mc and Fhone number. Requests received before '1:00 c:2
....'ill be made th~ carne dcy, requests medc after> 'I:(}O am tJill b~ nr:zdn the nc:rt :.JOrkin] day.. (
. .. You]' City DOGigr.atod Job /lwnbc]' In: qDLJlCrl .)
R~mlirr~ J~nn~~tir.r.A
O SITE INSPEC~"JON: To be made after
cxcavati.?n, but prior tc set up of
forms,
01 UNDeRSLAB PLlfl,mING. ELeCTRICAL I:
: NHCH/1;'J"Zili: Fo be made befol'e any
wrk is ~ovcred.
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n .~dditicYl
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n !~b~lr. noma
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Date of Applicaticn
~:'~:~~wr~q U\-t- ,{')0 \\CX\6tl~\~~R
Plumbing \ \ ..
t.!eehanical
EJ.~ctri!:al
SUDe,Ji'v{'~i!!::!R_~_lec t r~c i[ll1
~
FeOTING & FOUNDATION: To be mIde
after trencheD ure excavated and
forma arc erected, but prior to
pouring ccncret~.
UND~GROm!D PUfICING; SEllER. r/.1TE.'7,
DRAiNAGE:: To be rrrJ.ie prior to fii-
Lir-!J trenchec.
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UIlDE:,.FUJOR PW/.$I,VC " MECHANICAL:
To bo made prior to in~taL~tion of
~oor inculction or decking,
POST AND' BEAM: To be "..adc prior to
in~taLLaticll of floor in~n:lation or
decki1l{j,
RO!.'CH pur.mIlle. ELECTRTCI1r. /, MECJJ-
ANICAL~ No :.Jerk. is to bc covered
,ur:tiL ,these inspectior:n have bear:
made and approvc.:i.
FI,r~EPLACE: Pr1:or to pZacir.(J feeing
mat~riaZs and before framing innpcc-
tior:,
FRA1~nJr;: Must be requet1tcd after
approvaL of rough pZwr.bing, 2lectri-
cal & mechani.:al. AlZ- roofing
bracing & chimneys, et~. m'.Ist bC!
; completed. No IJark is to be eon-
: cealed until tlJio in!Jpection haG
. bc~n made and approved.
De:Jcribe II'ork:
Value 1hZ (J/0
L-iRC. If J
llJ.drs I\"~rd
IJJ INSULATION/vArOR IMRRIF:R INSPSCTION.:
L.LJ- To be made after aU insulation Qro.d
. r>cquired vapor barriers are in place
but before arty lath, gtJpSUTn board or
wl.l covering is applied" and beforG
any insulation' i:J concealed.
m DRYI/ALL INSPr.r:r!ON: Tc bo mado
LLJ after all drYIJaLL in in place,
but prior to any taping.
O MASONRY: Steel location, bond
becl7Tl:J, grouting or verticals in
accordance Ltith U. n. C. ~ection
2415.
flOODSTO'lE: After installation is
ccmpleted,
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CURB A APPROACH AP.rxJN: /If to:" forms
arc erected but pl'ior to pouring
COICrete.
SIDm{ALK J; DRIt'F.f"'~Y". For all con-
crete paving within street right-
of-r.x:y, to' be made after all e%ca-
vatinq complete & form work & cub.
. ba:;e material in pla:;:e.
~
o
;ENCE: W1.er. eompl~te -- Provide
gaten or movable scctions through
'P,U,E,
Siqr.Cd:a~~.
V / C' n ""'7;:;::> ,
I Datc:
Reg,
gxo:!:cps
Phonp
/,.;/?-25"S/
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DEMOLITION OR ;",JOVED BUILDIiIGS
:=J Sani ~ary sC"Jer ::!apped ~t P~OP{;1't:; Ur:e
:=J se~ti~tank Jr~cd and filZ~~ with gra~el
] Fina~ - rfhen abcve ite::!8 are ccmpletcd
ar-d when dcmol~tior: is compLete or 8tru~-
tUro moved and prt:mi3eo aleaned up.
I Nobile Hemec
=:J Blo~king and Sct-~p
=:J Plumbing connections -- sewor and water
~ Electrical Connection - Blocking, sot-up
--.J and' plumbing connections m'.lst te approved
before requesting elec~rical inspec~ion
~ Acac8~or;,' Build~ng
] Final - Aft~r porcr.es, skirting, decks,
etc. are completed.
o
FIlIAL PWI.!BI/IC
All p1'ojec't condit1:on3, nllcJ: an ti,e ,%',ntttallation of s~root trees, co"~plotion of tite
reql~ired landacc.pir:g" etc., must be satisfied before tho BUILDINC FINAL can be requested.
[Xl
[2$J
01
o
FIliAL IIE(;IIAIIICAf.
(D
FINAL BUILDINC: Till'] Final Building Inopection must b~ requested alter the Pinal Plumbing
Electrical, and Necllar:ical In~pecti.ono have been made and approv.?d,
FIliAL ELE:CTRIC!.L
',I:.!, :.I,:::!i'.::.!::' ,1:.'/1 CU..,I...'c1J'r:~ If,"o'''r n!;' M:r.r-:::;rnr,r., ,If),,'/I:-:r,'.'F.','/'!' ':'0 .rJF. ::AN.: :11' l.'O r:}$7 TO t:T'!'Y
, ra::r ! of .~
,--..--,'--'" -----,-.-.'..'-,. ._.._-~,_._..._-, .,...-,-.--..
I JOB ,NO. SOLA,R AC1"SS !lEQ.-
Izono: ~ Oocu no" Crou __ .I
Lot Sq. Ft(J. 7-::l-:;xJ -&j LOT TIPE in
'.i'" .
~ of wt C""era(Jo .,,3':?~ Int~r' ,
,f of Stories / .x- cor~e~~:i:'.:.
Total Heiaht 1 "'}.4."7'#' Panhandle
Topo(Jraphy t:?- -:::?9/1 Cul-de-sac
I
lITEM
I Main
CaPano
r;ar"'Jrt
/lCCCSD01'1I
,
S.D.C,
Bui'Lding Permit
Stats surcharge <'" s'B
Total Cha....g63
I ITEM I NO. FeE
I Fix~ec
IResidential (1 bath)
Sanitary Sewer
'rateI'
I -:JltJun M.m,v
PZiHTIbing Perrr.i t
State SU1'Cr.al'g6
Total Cha't'flOS
lITEM
Res. Sa. rta.
I Naw/E%t6nd Circuits
I Temporary Service
I Nr;.) \,-;tI'If't=
Ele~trical Permit
State Suraharae
Total Charges
lITEM
I Furmce ETU' S .
I E:::haus t Hood.
I Vent Fan
I wbodstove
0A-<; 1./,,/)6
Pemt Iasuanca
Me::hanica 1. Permi. t
State Surchal'(FC
//) 7. I;{J
.5 j8
//2.9'1
I NO, I FO'E CHARCE. J
/1.3"7 ,-0, :17 5-~.
1
I zco A.
Ne. F!::E
I
-z.. 4-,<;;0
3 3"'"
2- 15~
Total CharGeo
-- ENCROACHMENT --
I SoC".rritll DZD03it
I Storaqo
I Maintenan~e
I Permi t
I
I Curbcu~
I sid_lk
Total Chal'(108
4-z'-
i'7/ I
Fon:1o
EZQctl'ical Label
I Mobils Home
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l'rn'I'M. AMOLJNT DLJE: A
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L-COG'
B.drooms: 21>'3 :> .r
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I'
1
TilDe
./CS~
Enel'nl/ SO:41'"COS
iieat / 6A'~ .
Water .U"n1;"r Vol'
Range ....-c.
Fironlaco
Wood~toJ:e
1
1 P.L.
., 1N0rth
lEast
ISou th
IWest
I
11
11
11 I
LEJ
Access.
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".1,-"72.'>'
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2Z~
7'5,9'/ '
CHAHCE I
5"'7-:;; c.>
I Plan Chock Fee:,.QQ8 ' I S
ICate Paid: 5- 2r.:t -YO
IRecdpt U: \ 1\ 'K i
ISigned: (C)/ {()O ) .
Plumbing Permit
No percon :Jllll11. con:JtructJ inotal.?.J aLter 01' change any neW eJ' e:d.sting
plwnbing 01' droina!le syote:n in wllOle or in partJ ur.lcGG such person is tJ:e
legal posocssor of a valid plumber's licenaeJ except tr~t a pe~son ff~Y do
plumbing LJOrk to propaJ'ty which is olJnedJ lca:uzd or operated by the appLi-
cant.
"20, ~ c
i S-,o,:}
2 t': c;J{j
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,
,
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.
Electrical Permi t
15.CO
~-., '2>
.7 ",,-,,:;'
9,:? _ vi?
If'- 'OP
t
;77::. ?"V' I '
Where State LaIJ requires tr.at tIle electrical. work be done by arl Eleatrical
ContractorJ the electrical portion of this permit ahall r~t be valid until '
the label IlO.s been aigned by the El.ectrical Contractor.
CLcC:7/J/'c#,C' /",",~...r?7'#~7? 5#~~
?PP7:7'"-0"rr-?J';??/7 ~?'l (r*7?//70 /,y
/9 E/YT#-L . ?-',ry /' 7:
CHARCE
~f%>
q.~()
9 &0.
30''''0
2-~o
Mechanical Permit
:>~ ,t?
-:J. ~e>
5/1.:,&0 ,
jLt/
0//7 /'7~
001;' rJ
/~MfiU
niZJiCer ~
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. I HAVE CAREFULLY EXAMINED the completed application [or permit. and do
heJ'eby oertify that aU ir.fo:mation hereon ic true and correctJ and I
further certify that any ar.d all IJOrk perfor:ned shall. be done in ac:::or-
dancs lJith the Ordinances of tllO City of sprinafictdJ and tl1~ La'.JD of tho
. StatG of Or8gan pcrt~ininu to tho work cSBoribod haroin~ and ~}~t NO OCCV-
PANC'! will be nrldo of any structUJt,z witho:4t p3rmio3ion of the SuildinU Di-
vision. I further ce~tif, that only contractortJ ar.d e:np'L.:Jyecs who are in
compliance with ORS 701,055 will bo used on this project
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