HomeMy WebLinkAboutPermit Building 1983-10-28
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.. RESIDENTIAL"
APPLICATION/PERMIT
225 North 5th Street
SpPingfieZd, Oregon 97477
BuiZding Division
726-3753
SPRINCFlELD
Job [.ocati:m: \ 'Z[~\ \Lel ')t-~\ ~ \...ry---cJ
A'DS'DOrs .'!ap # \~ a~ ~q; \ \ ~
Subdi:;-:,s1.on:
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T= !,at U rl'LD.C':C}
Address:
l\"A,P C'"':\ {'-~'h \;-u
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Pr.or.e: "1 \..\;\ - "l. ~ t.\ \ '<\0
Zip: ~IJ../. ~~~U.\l\\L
O..mBl' :
City:
nv~"
r:::::::t';ddi ticn
n Remodel
n :-fobitll Romo
Data of App!i<>:lticn \(),? ~- ~,(~
Describe r~'ork:
C~""~,,~
(.'ontraC':01'8
Gen.sraZ
P1.umbing
Electrical
Mschar:1.c.::.L
Constl'"'''':ction r.::'1del'
VaZus (dD. cO
AaareS3
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.=?cce:.:;r; .'4
lolq~").....,
.
cy 1><)
Siqr.ed:
Date:
\
C:D,:Ut3
Lise. .;;
E:;:r,i'N!S
Phone
It; is 'tJu zo6sponoibi1.ity of the permit holder to see that aU inDpectians are made at th. proper :im~~ that ~h ::ddresB is r6ada.;~"
from ehs street, and that the pe.rrrri.t card is l.acated at the fI'011t of eh8 property.
~3ui!.dir'.g f>i.TJ1.Cic!": ~rot.'ed plan./"J,.,L" rer.:a..H DUo th2 BuiZdinf;' Sit:; at an times.
.PROCSDUP.E FOR I~VSPECTIOlJ .RE'QUElr,:CALL 72?-376~CCOrder) state yaur City dssifl"'.1lted J'oc 1t'~ber, .lob address, type of in:.:pe~-:icn
requested G:--.d !.men you ;.n.l.z. be 1tet:ltfij7.... -....t"................, Contractors 01'" OI.,"n6rs ncme c.n.d phone number. Requests recei:;ed beJ~crfJ 7:00 c:'l
':.>iZ.l be made th~ same d.t:y, requests mc.de cfta' 7:00 a"lT wilt b:z made t.1ze nc:rt :.JOrkin.; da1J'.
ct ";J'L \C~?
~~,.,;...,,1. T"1'p'~I"'1t~~'7.
O SITe INSP'2C': ION: To be mr:uis
e:rcavati"n, but prier to set
forms.
o
alter
up of
V<"lDeRS[,AB P!.L'M3I,'lG. ELcC':'.t?IC,1[. j
ltECHA,'JICAL: To be made before any
wrk is .=ovcred.
I /~"OOT.!'!IG ~ FGUI/DATICN: To bs "",d.
after trenches are e=cavatud and
ferms are ereot.zd, but priar to
~t.lrir.g ccncret~. UI.)\c~':a ~'t".::.\t.
.-P\e.~ ~'f"o'e., ~,"e.o..
.:iI rmDSRC,':!OU.'!D ?:'f..,~'CING. S~.lER., :.t.1TER,
U D8A.iNAGE: To be r.r:z.:e ~or to J-~ii..-
lir.g trenor.8s.
o
UNDEtiFWCR P!WSE:C ~ MECHANICAL:
To be mads priar to in.:n::aLZation af
[7.001' insulation or deCking.
POST AND 3EAlof: To be r.-.adc pz-.:.or to
inataLlao::icn of {Zoor ins:.l.ation or
,u,okint; .
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':inrr(jp::Jr.!I~!BT',lr. :"r.EC":'!'!.~CA.L { ,~f?C'!/-
ANICA[,~-'ao';Jb~k-is to bc oo:;e~ed
ur.til. thes~ ins~ec:ior.s h:v~ beer.
made and ~pr?ve.:i.
FI.~E:PLAC!': mOl' to pLc.:f,"'..g fceing
nt:t'eriaLa and befot'B fra:r.ting in,spec-
tior..
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FP.A}~ING: Mus: be recr~:3ted af:ar
approva.:. of rough plwr.Ding~ aleotri-
ooz. & mechaniaal. AtZ. roojing
bracr;ng d chimn.;;ys, etc. r.t.tBt !JfI
como Latcd. :10 :.lOr,i( is to Oil C07l-
.. esc'Zad until this inspecticn ;'.as
. b6~ rna.tl& ant! approt,oed.
.YOW" City. Desigr.ated Job Numba 10:
D INSl1LATIO.V/VAPO.r? BARRER INSP:;CTION:
To be mad.4 after all. insul.atim ar.d
. t'cquired vapor barriers are in p laoe
l:ut cofcre any lath, gypsur.f beard or
L.tIU covering is appLied~ and before
any i7I.GUZat:ion ~s oonceaLed.
D
DR:!'.JALL rlSP~CTIO~: Tc be made
after aU CrdwaU is in plaoe~
but prior to c:ny taping.
I DE,'.:OLITIO;Y OR .~:OV::~ 3U;LDIilCS
~ San:i=c:r-d S(l'..)Br aap?ed ~t rn:..opl:rt'i Zir:s'
=:J Sflpti:: tank p'.J?d ar.d f'f,ll.ed uith gr::l:..:a:~
I FinaL - ."hen ab...-ve ite:::s are c~.-:rpLet~d
---1 ar~ when d~Lition is compLete or s:~~::-
turs moved ani ?:r~3es aLean2d up.
Nobi La Hc:::es
=:J alocking and Set-~p
=:J Plumbing oonnections B~er and ~:ar
---, ElectricaL Ccnr.ection - Blocking~ set.u?
--.J and pLumbing connections nr~st cs c:ppr~l.'.c
before request'ing sz.ec~ricaL ir.s?ec;io~
=:J Accessol"'i Eui z..;:.ng
I ?iruZ - ~1ft~r F:Jrcf:es, skirt~,..g, decy..8,
.--.J etc. t:1'e c~~e::.d.
o
ALL project cor.di:ions, ~uah as the ~nst'aZLatien of street trees, ~~~ta:~"n of the
required Zandscc:pir.g, etc., must be sati.sfied bcfore t'r.e 3Ulr.;:It;C FI:!AL -:an :,e rsques:::d.
o FI,'JA[. PLU:..'BI:1G
o FI.'IAL ,~fE;HA,'IICAL
o FI.'lAL ELSC':'RICAL
::=J
o
Zocation~ bo?td
or vertica Zs in
U. B. C. Section
MASONRY: Steel.
beam3~ grouting
accordance 1JJi:h
2415.
WOODSTOV;;, Aft""
acmplet~d. ....
installation is
?DIAL 8tJILDING: The fincZ 5u.il.ding Ins!,ection .':':':lSt bs requsDted ztter the N.nal P!umbin;
EZeccri.::aL, and .\!echa:-;:.c::.Z ir.speo:ia1L:J have been made ar.a approved.
D
D
CURE & APP,riOACP. .4.PHON: After' forms
erre erected but prior to pouring
~ncrete.
SIDEWAL;( & 'Rn'E'If'A?: For az.z. con-
crete paving within street right-
of-wc.y~ to be made after all ezca-
vatiro.g ccmpZete & for::r wrk & suiJ.
base nt:terial in p~e.
"ALL; NANHCLES AND CLEANOUT5 ,'!UST 3E ACCSSSI3l.S, .4Dc)'i.JST.'~:I'!' ':'0 3E :.~1rE :!T ::0 ~-':-ST TO CITY I ::J....-a of 2
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?PJ.fl.: Wher. compZ.te -- Provide
gates or movable sections tr~gr.
p.a.E.
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I JOB NO.~~~V'D?
I Z""a: "2..- ~
1.:0: Sq. F~.
!:: ~f ~: C~erc.::
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!.~ of StOf"'~e3
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l.o..aL. ...~q...
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I ::opoqrc; hy
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I SQ. F~G
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:."'::;T..g V A!'!./E
Is.D.c.
1.5 =
I :,-'c.~~CJ
EuiZ.d:ir..g Per::-:it
State Su.."'~h.:rrge
Total crA.-;e:3
I !;!.~ ::0.,
I.:L -:urea
I Resid.entia l (1 bath)
I Sanit.:ro! Seo..Jero
I :"cte:o
I
PLumbir.g Perr:;it
State Su:rcr.::rrqe
T-'taZ cr.c:-~e8
I:I'DJ
j .!?es. Sa. f~a.
I NaJ/E::tl.md Circ".4i ts
I '!'empcra:ry Service
I
E!e~tMcat Pe!"!7tit
S~t8 Sur:::;..arae
Total O.c:t'ces
I.r;::.'!
I FUr--"::C'e =1'.')'5
I !:=haus t Hood.
I Vent F:n
I iI:;ocstc:Je
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P8~;t 13su.:nca
Me:::r.anic:;Z Pe~t
State Surehcr!1e
'T'.,,-:c.-:l C'rc!''''NUJ
10 '_
l...eC""..o-1"'1.I
I 5to1'-=':;8
-- ;,"C:::'CAC.~','.!E:.''!' --
D2::03it
,\.!aintencr~q
Pc...~t
I Total O..c'l"aCS
i C:Lr :1<...,., :;
I S"~_'_"
t ~l.<
I F'c~e
,
I !t.ec';ric::l I..;:lUll
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i .<JOu..,,8 ...:;me
SOLAR _ESS REQ~=~; ~
c'c:'.J.=ar:c'.J :Jr-7U:;: ~- '" T;'peICor.st:
I Lot Faces - ~"'"
I Setcaaks
I .CJ. L. I House I '7araae
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lEes" I}~.O I
S(]l-^tn. I 8' (0((
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P1Znr.c:ndlC!
Cul-de-sac
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FEE
CHA?GE
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I-^~" ',~U'~ ..U,.. . (}Juu . $/0 4()
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I I ~nera~ Sour~es
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3.a.eroor.:s:
T:J':B
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Range
Fireplace
ilooaator;e
Fees
Building Value
&.
Permi t
This pernr~t iD granted on the express condition tr4t the s~id.construation
sh~!Z, in all -respects, ~or.;crm to the Ordinance =dopted by the :;~ty of
SVl"';r.cf'ield, f.nc!u.d-::na ;r.e Zonina Cl'df.nan.ae, recu:lc:;::'~a i;f:e acr.s'C!".-l=:t~;cn
~~ u;~ of buiZdings,~and m=y bc~suspended or revoked ~t cr.y time ~;cr. vic-
Zation of any ?r~vi3ions of said Ordi~~aes.
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IPla" Cheak Fee: \~-\."'-c>. \ \ 1IlY\.<:O I
I Date Paid: I
I Reaeipt #: I
ISig::ed: I
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Plumbing 'Permit
No percon cOOZZ construct, instal.!, a!ter or change c;r.y r.ew or e--istir.g
plumbing or drainage system in ~hole or in part, unless such ~erson is the
legal possessor of a valid plumber's Ziaense~ except tr~t a pe~son may do
plumbing work to propert-:f which is olJ7!ed, leased 01' operated by the appZi-
OO7lt.
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Electrical Permi t
Where State [,aL) requires tr.at the electr>ical LJOrk be dene by an Sle~tr>ical
Contractor, the electl"':.ca.l portion of ~hi3 pe~t shall roOt be valid until
the. label has b~en sign.ed by the Electrical ~ontra.ctor.
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Mechanical Permit
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Vt\\).\\)~\=l)Em
Plan E:::am..ner - -
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i/ao.
I HAVE CAREFULLY EXA..'1BIED t.lui ~ompleted appl-i.catwn .for ?erm-':'~, c:nd do
hereoy certi.fy that all t-:-:fo:-r.-.ation hereon is true ~n:i aarrcc::, and I
.P.~!'ther certify that any a.r..d aU u:ork perlomred shall 06 done in ac~or-
dance :.vith the Ordin:::mces of the City of Springfidd, and thz Lc..;s ot tf:l3
S~te of Oreg~n pzr~ining to the work des~:'bad herein, ar-d ~r~t YO ~CCU.
PlUC] :.JiZZ be :'{'ade of anti atruct"..i1'<'! without ;::le~sJio-:-: ::;f the Euildina !r~-
vision. I further certifY tr4t o:-:Zy ~ontraators a<~ ~l-~yee3 wr~ cr~ in
compliance with ORS ?Ol.05t will be used on this ~roj2ct
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