HomeMy WebLinkAboutPermit Building 1991-1-14
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COMBINATION'AP~CATION/PERMIT
225 North 5th Street
Springfield. Oregon' 97477
Building Division
726-3753
Job f.oc~tion: /6...J~ K~LLe>G.-.Ez>-,___
A...~.oroll:lp I /7-/J~"'3C/-2"Z..-.__ Tcz Lot '~T~€. 9~
SUbdivision: 'RtAt::...E.L \ "2. 0;::. ~p ~.r/ r/~
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a.m.r: l7~H.K"":'~ .%.. Wl:'"A?Dr~.Nn
AMHSO:'2~.4~LE~.~...,~"j t./Jtpwno: ?~::j'~?' ~:'. ~.::
City: 0~~~
Oat. of Appti""tiGn
';ontractors
Cllnera l
Ptwnbing
El.ctl"icaZ
Uo::har.ic:: l
Suoervisino'Electrician
It. is ~he rll.pcmoibil.ity of the permit holder tQ .lIe that all inopections al"G madB at ~'Ie prct',r ti.m~J t1:at a:ch .:ddresl1 is r'a::a!l~.
from the atraet, imd that .the pormit card is l.:x:ated at the front of the propflrty.
.Bui!di~ DilJi:ior. approved FUm shall rsmain on the l!Uilding Sita at all timss.
pnocrDURe pan INspecrroN R~OUE:ST: CaH726"37~9 Cr';'~rdsr} stat. YClUr city a..ignat.d job _.b.r. job aMrc... Cyp. of inop.otion
roqu.:atsd ar.d w":en you lJi.Ll. be reody for inapClction, Contractors or Q.mers ncm. and phon. numbC2'.. R.qtUsts r.c.iulld b.fc'l'lI 7:00 Ge':'I
Io.'ilt be nwi. the sam. day, r"quIIsts made afta' 7:00 ~ will bll made the nczt :JOrking day.
Ul1DE,f?FWOR Pl.W-aJING .! f.JrrHANICAL:
To 'blJ mad. prior tc inatal.l.at'ion of
J100r insuLation or dscking.
POST AND BEAM: To b. made prior to 0 CllRS & APPROACH APRON: Aftsr forms
lnstaLlaticn of flcor inBloiZatlon or are erflated but prior to pouring
tUcking. .::o1l..."?6t..
~gpq1f Pt..U!!8I.'JC. ~r.EC1'R!CA~ j MECH- 0 SIDEWALK & DRIVEWAY: For all con-
ANICAC,: No :JOrk is to be cOI.'flred cretlJ paving L1ithin strsQt right-
w:ti.l ,th~'e ilplpec:ions haIJlI bllsn . of-/iJC.Y, to bo niads aftllr all e:r:ca..
naid. i:md.approlJ~. ....... -....... ,...... vating cmrplsts & fonn.wrk & sub-
FI.~EPt.ACe: ,Priort<> placir.g faciTI{J 00" mat.riat in ?14~"'"
matBriaL. and b~for.. frarrring in,pec-
tior.. .
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Additien
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. 0: SITe INSPEC':ION: .To ba trr::Zds after
ucauati"n, bu t prier tc .at up of
. forma.
'0 UNDF:RSt.AB PWHBING. ELECTRICAL &
. NECHMJICAL: To b6 mad. b6for6 any
work 'is ,:oTJered.
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FOOTING l FOUNDATION: ' To bfJ mIds
aftsr tranchos ar. ercalJat.d and
forms are ..,.ect.d, bu t. prior tc
pouring ccner.t..
U,YO~GROU,I!D PUINr1INC. SEllER. W.1TE.Q,'
OHAI11AGE: To be na:t. prior to fi. L-
L ir.g trsnchBs.
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,f'RA}!INC: Mu3t b. rsque:Jtsd aftllr
appro1h1l of. rough plwr.bing, ~LBCtM.-
cal & .-r.ochani.:aL. AL~ roofing
bracing & chimneys, st.:. nt:lst hs
completacl. No wrk is to b. con-'
cealsd "until thiD inspecticn has .
,b4:sn mad. and.appzoousd.
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D..crib. lIork:
L:.ff#~€$
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Value 7 J~ 7~?
6"y (" 7'
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, Sigr,od:
Oats:
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AddrS83
If7UZ'. City D..ignatod ,Job NumbtU' Io:
O INSULATION/VAPOR BARRIER f,'JSPECTION:
To b" mads attar all. in8uk:t~n a:td
raqu-:.nd vapO'l' barri.llra ar. in p Lac.
but bofere any lath~ gypsum board OJ"
wtL covering is applied, and bslor.
aTIY. inoulation is concflalsd.
O DRYWALL I/1SPECTION: To btl mads
aftar aU d1tywU is in proc.,
but prior Co ""y taping.
O HASONny: St..t toaation. Ix>>ul
. b~:J, grouting OJ" ullrtioal. in
aaeordance r.n: th u. B. C. SlJction
2415.
0, WOODSTOVE:. Aftsr installation is
ccmplstcd.. .
O ,!'ENCE:' Whe7: compl.te ..- PrOtJidl1
gates OJ' movabLe sections through
,p.D.e.
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Lise. II
Eroircs
Phone
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I DEHOi.ITIO:J OR ,~:O17' 3Un: :.IGS
=:J Sani ~ 88U,r =QPflC ::t p=:.opo:rt"i tir..
:J Septi:J tank p-..lmpl;d a:-.J' lit'f.lJd :nth 3N;1iJL
--, FinaL - .ll111111 aixlIJ. it:~s arB C"J:Jptllti1d .
-.-J ar.d uh"n .:fer.lC~itior. i4 cor.ol.t~ or struc-
two. mov.d ar.d prm:u6 =Zean..: up.
Mobils Hcmfls
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:=J Bf.ocking and S.C-,p
:=J Pl~ing connBctians .- SDUer and ~a=Br
---, EZQotricat Cann.ction - Block~r4, set-~p
-.J and plumbing ~r.Bcti.cns rr:-"::Jt :e at'provsa
before r'C[1U.ti.ng crt..::ricat -:.r.DplJc:ion.
:=J Aoceseo,..,,' Buit.di.~
] Fi~l - Aft~r ..?:J'l'C1:IlS, sk-:rt'i"!!, decks,
etc. arlJ canp:.at~d.
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AU projlJot conditionll, such afJ ,t.hs installatum of s~.t trUSt cc:=Tpl.Jt~n of :;.a
rsquiHd Landsccpu..g, cto.', must b. satisfiod bofore eJ-.. Bl!ILDII~.C Fr,'/AL .:an ~. "lquell~3d.
o FIliAL PLUMBINC'
D. PINAL MECHANICAL
o PINAL' er,Ecr.~ICAL
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:~INAL aUILOrNC: Ths FinaL Building InspBotion must ba r.quest~1d a!t.r ::h. .r;"inal PLumbing
Eleotrical, and Mechanical Inspectiono haua blJBPl made and approlJlId. .
'ALL IJANHOLeS AND ClEANOUTS IIUST BE ACCESSIBLe. AIJ.IUSTIIENj.io '~e/If'DE"AT NO COST TO CI~y I P;;.
of: !
,
1.lab /lumber: 90 /~ fi$o
I Zona:
ILot Sq. Ftg.
,:;: ,,' tot Coverage'~ '."{
# of Stories
Total Height
I Topography
I
lITEM
I Main
OCcuvaney G~
LOT TIP;'
Inte1'icI'
Corner
Panhandle
Cut-do-sac
Va lue
SI<.FTG
x
Garace
CarOOl't
AceeSSOl'l,
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TOTA~ VAWE
71,7~7: .
1/~76~81 '
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evat.ueJ
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Building permit
State SurChargB
Tota I Cha~ges
lITEM
I Fi:ttures
I Rssi.dsntial (1 bath)
I Sanitaru Sews"
CHARGE
NO.
FEE
Water
plumbing Pe,.,..;. t
State Surc~~8
Total Chal'aes
[TEll
NO'1
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CHARGE '
FEE
Res. Sa. rta.
N.w/EXt6nd Circuits
I Temporary SsrvictJ
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Eleatl'ical Permit
State SurCharQ6
Total Chal'a6S
lITEM
t F'w'nace ETU' S
I Exhaus t Hood
I Vont Fan
I Woodstove
NO.
FEE
CIIARCE
Permit I3Suanc.a
Me~hanica.l Pel"mi t
Stato Surcharae
Total. Charnea
-- t::NCROACHMENT --
I Sotrolrit.ll Deposit
I Storag6
I ftainte,uu1ao
I Pcrmi t
Total. Charqcs
I Curbcut:
I sid"",lk
I Pen:Je
, Electroica l Uibel
I'MObi le Home
1?"t?L n;R ,.4vU~X"ED ~_))
IIOIXI7,~'1o'1' :z /76,7"~
I TOTA~ AMOUNT DUE:' /2'5""3>, 7..1
Referor.ce numbers:
L-COC H:
I Lot Faces -
I Setbacks
.1 P. L. I House Garage
INorth
~t
ISouth
jWest
Type/Cor.st: Bedrooms:
~ I Ener(1fI Souraeo
I Heat
I Access. I Water" .'IlultnY'
I I Range
I I Fireplace
I I Wood' tove
II
TUrJe
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..- F2es
.. I .I?., '.' ~uildi'ng Vafu~ :.:~~" P~rnJit~
I ~ This p'snrTit' is gronted on the. ~pr.e~s' co;c.itf.on that'thG said construction'
I !,ha~l, ~n a~~'.r>espcc:tB, confo!,!! tq..th~ f?rd.inar:.ct;:ado~t!3d b!! ".the City '!.f
Spnngft..eld, t..nctwhng 'the Zont..ng Crd~nance, regulatt..ng. the~construct1.cn
and UDe of buildings, and may be suspended or revoked at cny time upon vio-
lation of any provisions of said az.dinances.
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IPlan Check Fee:
I Dat. Paid:
IReoeipt W:
ISigned:
. Plumbing Permit
No person shalL construct, install, aLter or change any n~ or existing
plumbing or ~inage system in'~hole or in part, unLess such peroon is thtl
. legal 'possesspr pI a valid plumber's license, except that a person may do
plumbing IJOrk to property which is owned, l6t18ed or operatsd by the appli-
'cant.
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Electrical Permit
Wher>e State Law r>equires that the electrical work be done by an Electrical
Contractor>, the electrical portion of this permit shall not be valid until
the label has been Digned by the Electrical Contractor. .
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Mechanical Permit
L:/4-9/
I HAVE CAREFULLY EXAMINED thil completed applieation for permit, and do
hBreby oertify that all information herBon is true and COl'rect, and I
further> certify that any ar.d all work performed ehall b6 don6 in aecor-
danc6 IJith tJla Ordinancee of the City of Springfiold, and the La:.Js of tha
.. State of Oregon pSl'taining to the worok dflBcribod heros.:.n, end that NO OCCU-
PANCY IJill be rmde of any struatur>a without pOlT1lis3ion of ths Building Di-
vision. I fupthero ceptify that o~ly contracto~s and ~ploye68 ~ho are in
eompliance with ORS 701.055 wilL be used on this projeet .
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t/#7/~ &,71T/T/e?/Y /-5- 17#4c.EP.
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