HomeMy WebLinkAboutPermit Building 1990-6-5
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I 7"253
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.. RESIDIt'IAl"
, APPLICAT I ,/PERMIT .. ,
225 North 5th Street
SpringfieZd, Oregon 97477
BuiZding Division
726-3753 '
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Job
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Location:
"'2c?~O (AO,K'./7- ?;/'-,
F}--o-:S-27-/6
Tc:t: Lot H 6 l/2.~.
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rAdarm: 20.2 >2..~)?~ F,~ .Phone: 6Bb ~~
tCitlJ' ~-:~-r/k>.&/ L/~ 'Zip: ~7'7~e:__._.
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'n .1dditicrI
,,'n
Remodel
tr71.>t .'!ob-!.ie ROr.tc
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nato of AppHcaticnh- .5'~ ;:70
.
'ontractors ~ Addrpss
~enernl ~5,c277- /.{jj-"5:n~;;;'-/V
~lumbing #/i'PS/c)L;.?q' '
'1,lechanicnl
1"El,eccri.!'al /A>?~ ~~ =7' _. {\:'
Suoe,J;".ifi;;r.1g"'E1ectr;ician ."'-;< 0 rcl\-k<:u -hJ'\')l-..:..--
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, t7f;i>/4c / qee:z:;>. -p. Data: ,-;4'--s"- <?P ,
Value 'J#~ l~ _-- ~ -=-?o
,Lii;c. 11 . Hldrs lloard'R"2.
[t in 'tho r(uJponoibility of tho poromit holder to 000 that an irllJpectiottB are, r:rada at the proper tim~#
from the fJtroet, and 'that the pemt card is 'Locatod at the fI'(mt of the propeI'ty. " ..... .. ~
-4Eui!ding IXvi:::io~ appI'oL'cd plan shell remain on tha Building Sit::: at all times. .\,.\ . t
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FROCSDURE FOR INSPECTION RE;OUEST.:CALL 726-3769 (I'ccordcitJ state your City designated job number,
requested a:",:d when you wil.l be I"cady for inspection, Contractors or Q.mers ncme and phone monbcr.
:.."ilZ. bcmadc thi: came dcy, requests mcic after 7:00 cxn will bc.made the rlat :.JOI'king day. .
ASGesCOrC Map H
Subdivision:
ctmer:
i>'\W
qpml'iYO"A T'.:l!1,,~(!Hc'1.q
SITE INSPECTION: To bo made after
c.:ccavati.:m, but prior to set up of
forms.
. UNDERSLAB PLUMBING. ELECTRICAL 11
: MECHANICAL: To be made bofore any
work.is covcI'ed.
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FOOTING & FOUNDATION: To bo "",de
after trenches are excavated and
forma arc erected, but prior to
pouring ecncret<. ?-,-\"1.1,. I
,\/ U.'ID~NG!IOU!!D PLUM8INC,~q~ ~,
/'- DRAINAGE: To be rrr:zde prior to fiZ-
.lir.g trenchec.
. UNDE,qPWOR PLUl-aJING 11 MECHANICAL:
. To bo made prior to inatal.lation of
1100r innu~tion or decking.
POST AND BEAM: To be made proioI' to
instaZ~ticn of floor insulation or
decking.
ROlJGll PLlP.!RIllG. E~ECTRICAr. ,Il MECR-
. ANICAL: No :JOrk is to bc cOI.:ered
.ur.tiZ .these. inspectior:s have beer:
made antI' approve::. .
FIREPLACE: Prior to plc.cirJ] facing
materiaZ~ and before framing inspec-
tior..
FRAJaNC: Must be requeated aftor
approval. of rough plwrbing, alcctr>i.-
,cal ~ mcchanU!al. Alt. roofing
.'. bracirl{J t chimneys, eta. 17r.lst .be
;'complotad. . !lo)LX)rk 'in to be con-
..., cealed until thic incpcction has
'.- bcc.~ madi: and approved..
,FIliAL PWI/,/JI/IG
FIliAL 1.fE!:RAlIICAL ,
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FINAL FlLECTRICI.L
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Deccribc rl'o1'1(:
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Exo'ires
Pronp
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that each ~BSfJ is roadab!e
Your CittJ DeGigr.ated Job Number Is:
job 'address, type of in3poc~icn .
Requests receivsd befora 7:00 c:t
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D INSULATION/VAPOR BARRIER INSPECTION, DE/.fOLITIO/l OR gOVED BUILDIilGS
To be made after all. insuZatian a~.d . I
. ,.' " requ-:.rod vapor barriers arc in place .:- ~'S~i~aroy se'..)l~r' ~appe~ at 'p:.opert':/ lir.o ;
.: . but beforo .any .lath, ![Ypswnboard or._ _ ......1 I " .' '.~, 'l'~ . I
uxztt .co:VeM.~g 1.~ apphed, and before. ---, Septia "tank p"..ciiPcd cind filled i.1ith gm'Jel
. any 1.nsuZat1.On 1.S concealed. !" _....:.....J ,.. . . . ':r '.11 ..N .
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D DRYWALL'IIISPECTION: Te bo "",do : =, Finai'~ f>'h"" obo";'. it"",. are ecmpioted
after aU Crywll. is in placo, ~ ~ and ",hart demolition is complote or BtMl':~
but .prior to any taping.' . ture molJed.and p1'emisoo cleaned up. ::'
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O MASONRY: Steel location, boiui
beama, grouting or verticals in
accordanco with U.B.C. Section
'2415.
O WOODSTOVE: After installation io
ccmploted.
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. I Mobi lo Hemec
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s (. :zJ Bi;cking and Set-up
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s? ZI PiUmbing conneetian8
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CURB & APPROACH APRON: After> forms \71 Elcc.trical Connecti.cn .. Blocking,' sot-up
are erected but pr>i.o.r to pouroing ~').. LJ and pZumbing c011r.ection8 m".lst be approved
caMaroto. before requesting elec~M.cal ins?oc~io~
sewor and L1Gtor t
SIDErIALK & DRIver/At! For all con- : '
crete paving ",ithin street right- :=J Acaesco~':i... Building . .~.~. .i
of-way, to' be made after' all e:cca-' '., ~" ':'.".
. va~~g c~~e:~ ~ for: wrk .. cub- _ ~ ;'i~l ... .Aft;;,.... po't'Che;, s1d.rt~ng~ dec'ks,
ba"e matenal l.n pZa~e.... S): dJ etc. tn'o carrpZtlt~d..'.
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D PENCE: Whet: compl~te ...... Provide.
gates or movable sections th1'OUgh'
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All proj.ec't c(]t1ditions, cue!: as the i'.nstalZatu,n of street trees, co.-:rplotion of the ~
roequiroed Zandscc:pir.g, etc., must be satisfied bcfore.'the. BUILDINC. FINAL can.be l'tlquestad.: I
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FINAL BUILDING: The Final Building Inspection must bo .1'equeDtDd after .tho Final 'Plunib'ina ':
E! t. ! -~ M ha' i It' h b' d'''~ d ....... ...'" ,
DC r1.ca, arK.;. ec r.1.ca >>spec ~onD ~a. eon:.ma erana.approve. "~"':"'l~"-""''''-''''-I,~..j..':
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.,.,,[.(, MMUlcr.F.S AND CLF.ANOUT[: //fI.'lT nF: ,."r:CF.S!;JD~F:, A!J.Tl/Rr!1E,'/r TO RF: /.fADE AT NO CDST TO CT"!'Y '/parr. 1 01 2
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I JOB NO. eiDOla::>-.
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Lot Sq. Ftg.
s ~f lot C.:1IJ"""g'
# of Stol'iee
TotaZ Height
Topography
Oc::~"RG:_:'~l :..~;Q;-
.,..'; (m'TY!'E.,~ fi',IU',;, -,":_' I Lot Faces -
" '. ' ,II., , ,," ,I' Setbaaks
, '.Interwr"H I .
_f. .s:.;.'I!l~,'...\.' . 'P.L.' House Icarage
:_:,qor~~e~,:h"';';;~, '," North T .
PanhandZe East'" " ' , I
~. South I
. Cul-de-saa'
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Zona:
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TOTAL VAWE
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S.D.C. 1,5 x /'/..,~
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Building permit
Stat6 surahr.irge
Total Cha.......g68 .
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lITEM
Fu~es
I Resid~tU;Z (1 bath)
I Sanita1'Y S~we1'
I Wat~r
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Plumbing perrr.i, t
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State Surcr.a.Pgs
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Total. Charges
lITEM
I Ra8.~";~.'"; '~ta.
I Naw/Extend Circuits
14%_"..~~ ....,,,f SS1'1Jics
NO.
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lITEM
Pu1'~CS ETU' s'
I &haust Hood
, Vent Fan
I WOodStOtJ6
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psrmi,t Issuanca "'I~,.I\"'l" t.,
Ms(;hanical. Permit .'. '
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Stato lp.a'charae
Total. Charaeo
:. I -- ENCROACHMENT --
I SeC"~ritll' D~1X)3it ; .",:t:-
Sto1'age
Maintenance
pormit
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Totat C'haJ"t10S
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,. ..._...I..M" ;a...'2C;;~/?z~~
" " I sid""",Zk
Fenoe
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Elect1'ical Lab6l
MobUe Hane ~EroP'"
-'S7'}d-~ f":;8t:...&/Y'C'cP
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I TOTAL AMOUNT DUE:'
-- FeGs
Value I
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-500. c-l
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I~ I); 5'0 1-. '). "l
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.-. ~-. . BedJ'oooms:
..~ Ens'f'q.u'So:-l'f'ces .
I I Heat' v,
Access. I I Wate~ .'JlU1t1T'
I I Range
I I FireD lace
I I wood; tave
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Type/Cor.at:
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Buildin:g Value, &
Permit
This permit i:; granted on the expre:;3 condition that the Dciid.connt't'Uction ,
shaH, in all. 1'eDpcato, confprm to the Ol'dinance adopted by the City of I
$pPingfield, inc!.uding the: Zoning erdinanae" regulating the aCl1stl"Kcticn
and use of buildings, and'm~y be suspended or 'f'Gvokea at'cny ~ime upon vie.'
~tion of any p:oVioions'of said OTdinanacs.
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Ivate Paid:
IReadpt II:
ISigr.ad:
CHARGE
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Plumbing Permit
. No perDOn DhalL construat, inot.al1., alter or change any r.eW 01' e::isting
plUmbing or drainage system in whole 01' in part, unless such person is the
legal possessor of a valid plwnber's l.icenas.. except tr.at a pS:'fJon may do
plumbing work to propsrty which is owned, Zea:uzd 01' opc1'ated by the appl.i-
cant. ,
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FEE
CHARGE '
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. .' E~~riaaZ ~e""i;;:.:.:;.c.;. .: l,?,i::L~. -?-'~'
, State Sura~;'e" ..' 'L/.J ')c?: :."
," I T~tall c~~~s\.r;-~"l y\\{~' j~;J?~\ 1.*1 I.'
I NO. I FEE GHARGE
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Electrical
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Permi t
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;".'Where State La1J 1'equires that the cleatl'ical work be done by an Elc(;trical
Contraaror/'the electrical portion of thia permit oha'Ll, 1;:.ot be v~Ud until
the tabel has been signed by the Electrical ~ontl'aator.
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Mechanical
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1', ' "I HAVE CAREFULLY EXAMINED the completed application for pel'l11it~ and do
, he1'eby certify that all., info:omation hereon is true and cor'f'cct~ and I
further certify that any ar.d a'Ll, work porformed aha'Ll, bo don,o 'in aaCO'f'-
dano. ~th th. ONinanaGO of thG City of Spl'"in(Jf1.o1.d. and th.o Lcr..J8 of thQ
. Stat. of Or.g~n p~~tatn~ng to thd work cdBa~bad ho~.~n.'cnd that'NO occu-
PANCY win bo nr:zae of any 8t1'UC~Ul'a withoiJ.t p3rmi33ion of the Building Di-
I vision. I furthe" a6!'Hfy that onZy aontroato"a ar.d ErnP~ye.s ,,1:0 are in
I" ccrnpz.-::ance with ORS 701.055 wiU be used on this p1'oject .
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.. RESIDEIIAl"
APPLICATIO f:RMIT
225 North 5th Street
Springfield, Oregon 97477
Building Division
726:"3753
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,b Location: --::? ?'.i:?c, ({'7 vA' "q.
,ceccoro Nap H 17<:::):5-2"/-/6
lbdivision:
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Ta:.: Lot /I 6 l/2.~-
:!,er: F L - /15//0#./
:d:recc: 202':> 2- ~ ii'~ ~ ~ .Phone: 6"9&-9..--:s:-:<""
~tt): *~~//4?~ c-/TY . zip: "?'7",/ij'g',
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"I Remodel
2?l .'-fobi.le nor.t:J
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Describe rl'ortk:
/-~75 &c1-"rr ~;:;17Q7'47~~,
ji:.:sh ~ 5 5c=: ':""=
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Value 'J#""'~ /'9tj-,."'-=-' ~
, ,Lise. II llldrs Ilonrd
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Data of Applicationh- .s.,. 7~'
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~tractors Addre~~
~ner"l ~5,c:d7' .U#"'lY,,-<O/'f-,-v
~umbing #jRp's ;OL~~ .' ,
cchanicnl f"
~eccr:i.!;al /~~ :::::rr c7 'I Q -l.J.h c:....
~pe1;"~i;r,'~"""Eiectr~cinn if10.l~At) ,j/P",-)
t is ~he responsibility of tho permit hoLder to DOO that al! inopoctionD are.made at ths propsr timc# t~at Qcch,address is rtc41ab!e
I'"Otl1 the atrect, and that the pcl'l'7Jit card io locatod at the fl'Ont of the propel'ty.
fJui!ding cr;vi=ior: appl'oL'ed plan ohcll l~emain on the Bu':.lding Site at all timas.
'J..OCSDu.r~E FOn INSPECTION R~QUF.'ST;CALL 726-3769 (.1'ccordel'") state your City ae~ianated job 71tDT'.bel'" job 'address, typtJ of i"3ptJc~ic"
?qucsted a!':d when you wiLl. be ready fol' i71SPCCt-:.07I" Contractol'S 01' Q.mers name and phone number. Requests received btlfcl'e 7: 00 C':I
~ll be made thc came dcy, l'equosts txdc aftCl' 7:00 a'IJ Lril.l ba . made the 71CZt :JOrkin.j day.
?mli~rn T~nQ~ptir.n~
] SITE INSPEC'"nION: To be made aftoY'
c.rcavation, but prior to De~ up of
forms.
P . UNDERS[.AB PLU/.mING. ELECTRICAL &
, : 'MECHANICAL: To be made before any
LJOrk iG aovc1'cd.
p
FOOTING & FOUNDATION: To bo "",do
after tl'enches are crcavated and
forma arc erected, but p1'iol' to
pouring ecncret~.
i(I UNDSRGROUND PLUMBING. S'Sf{F:R. r{'1TE~
~ ORAl NAGS: To be lOOd.e prior to fi l-
.1.iY'.g trenchec.
J: UND/?9FLOOR PW/.!EING & U/?C!1ANICAL:
To bo made. prior to inota~Latio" of
11001" insulation or decking.
] POST AND BEAM: To be made priOI' to
inata~Laticn of floor in3utation or
dccki"(j .
] ROUCH PLtP.!RIflC. E~ECTnICA[' A MEClI-
;'NICAL: No work is to be covered
',ur.ti~ .these. inspectiono have beer.
made and'appl'Oved.
J FIREPLACE: PM.oI' to plccir.(J facing
ma:teria~s. and before framing inspec-
tior..
] FRAMINC: Must be requested aftel'
approval of rough plwrbing, clectri-
.cal & mcchan~al. At.:t roofing
braci"!1 t'ch~cys, eta. rrr.lst be
; completed. !lo~ work is to be can-
,'~ cealed tmtil t1tic in3pecti07l has .
'.. bc~~ made and approved..
kJ FIlIAL PLU/mIlIG
] FIliAL m:!:lIMIICAL ,
] FINAL ELECT,UCI.L
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Data: ..: '2;"-")- <?P
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Your CUI) DecifP'.ated Job Numb.,. Ic: ~~.:::?672.
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D INSULATION/VAPOR BAUHiJ::U lNtiJ:'l:..'(;'1'J.vN:
To be made after all. insulation Qro.d
'. I'cqui.red vapor barl'iers are in p lacs
. but before any lath, gypsum board 01'
LXltl covering is applied, and befoJ"o .
. any inoulation i3 concealed.
D DnyrfALL INSPECTION: Tc be "",do
aftcl' all. drY1"Gtl iD in place" :
but ,pl"ior to any tapi.rl(J. :,
0, IIJ1S0Nny: Stool location, bond
beamo, groUting or V01'ti.cals in
accordance with U.B.C. Section
'2415.
O r/OODSTOVE: Aftel' installation is
ccnrplctcd. .
D
cunE & APPROAClI AP,'ION, Afte,. fo,,",.
arc created but priOI" to pouring
conarete.
SIDlIT{ALK "DRIVF.flI.Y.. Fol' alt con-
crete paving within stJ"cet 1'"ight-
of-t.x:y, to' be made aftiJ1' all Il%ca-
vating complete , fo~ work , cub-
. bass.trritsroiril"in plaae. _. .
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D !"ENCE: Whet: compl~tc -- Provide.
gates 01' movable soctions th1'OUgh'
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All. pl'ojech conditions, such as the 1:nstallation of ';~N18t tr'sca. co::Tpletion of tit" . ~
J"Cquired landsccpir.!J, ctc.# must be satisfitld bcfo1"iJ"~ths~BUILD~~C.FINAL can.bB rsqtloBtad.:.!
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FINAL BUILDINC: The Final Building Inspeotion must '50 J"oquootDd aftDI' ,tho Final Plumbirz3 ;
Elcctl'ical, and Mechar:ical Inspections..ha1?o ,bsen;mads.and .appl'oved. .'~:: ~i.. ;:...~~,_....~~:,;:~._::~t."Ji:..;
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fAr.!. ,'.M:mGT.F..': ANn CT.F:I1N()U'rt: I/fL'7T nF. ACCF.D!;lnu:. _~~!.r~::!...~F.'flT TO_ .rJF.' 1.f,4DF. AT 110 C~ST TO cT:,,~I.r.:lr$'j\~;" .-.
DF:MOLITION OR MOVED BUILDINGS
. :=J'Sm1i~ smJw' capped at ''':.opc~to~ lir:e
=:I Sep~ tank'p...,;pi:d.~ fH,~~d in.th gro-Jei
. :.: . ~ .. .:~ ; .:, . : . . .. . '.,: ~..:. .... . '. ... :: ". ,:.: :~'. '. : ,
] Final. - When a00V6ito::ns are completcd ,
and ",hOl1 dematitior. is complete 01' stJ"U.:'-
'. turs moved.and p1't:mis6s cleaned up. .::.
I: ' ,'.': ,'..0,',
"""1.", ... ......-l-:
"lobile Hcmes
~ Bl.~c~ng ~s.t-~p. '
~ ~l~ing :071~octions.-~ s~a1" and 1JQtor
,
\7l Electrical Connection - Btocking,' BDt-up
CJ and plumbing cannactions m'.lst bs appl'ovtld
bsf01'c raqussting elBc~roical. i"spoo~io~
. ::J AC';..COl"J. Buiza::rl(J ::: '" "',
.....,.... .
.... .,,-.
\/1 Fin.:Jt. - Aftol' pOJ"CheB, ~kil't~no, d~dks;
6J etc.'are conrplstcd.,'.. ,'.
.'
, ..'
D
..........
. .... .... ~'
;
..."....,...,
...... "...j.',...,.
",
.'
., ..,-~"...
.... ::. ~~:J
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....-.......,
;:".
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I JOB NO.
izona:
Lot Sq. FC{;.
S ,f tot C,.,erag.
# of Stonee
Totat Height;
Topography
Oc::~:: C:W,~":. .:.~;Q:-, Type/Cor.3t:
I,: ;LOT'TJPE;'~lmf'~,;:. ILotFac6S- ~'l. ,".:'
. ....,._I.r~l..~~,. .
,"':' " .,. ",'11,";"'. Setbacks ~-~
'- ;:"~;:'~r:-!i'\'i::>~';: k~;;~.~~':- !I~:~~~J.2E~~,~ ACCOS3.
l'~.e , I~~~~~' :'..
cut-de-eao'
Weot I
_ .. I Bedro"",o:
~ I EnRl"f1IJ; 50;,(1"0113
I I iieat
I I Watcr" Ynat11"
I I Range
II Fircmlacc
: Woodotove
1
1
.)
~:
,','..
I'.,'
.,
I
lITEM
SQ. FTC
.'
Main
CrJ'non
'.:.'
CarOOl"t
I Accosool'U
: 1f'~T/~S .
, I ':. TOTAL VALUE
I r~~ucJ
. S.D.C. 1.5:t: /ey .;-c.--'
,
,
, .
Bui1.ding Permit
State SUro/ui:roge
Tota. Cha.-gs. .
I ITEM NO.
I FW;~6D .
IRsoi.de~ti.at (1 bath)
FEE
I,'
; :~
Sanitary Sewer
Watp.l"
I
ffJ.;PP.'Ua:Y'./ ;.?
, ,1V , .
PZ:JJnbing psrn;i t
- StatB SurCl-.a1'gB
..': h
. '.~ 'i" ... . ,
Total Cha't't'108
;\,,..f
. ~ !';: '\, .
I
"
!"
I:.
NO.
FEE
lITEM
I Ran. So: f'ta.
I NlitJ/E%tBnd Circuito
14"~"<l"H -,-'Y SsrviC6 I
le<L"'C"T .~,; .~:<
r:1.eotrical Pol'mit"-'!....
'r" .
Stats Surchar(1S
'..\. ',. "11' .;,rZ'\I'1
Total Charqss
"{, ~ ; " '\ .-
IITSM
I ~~C6 ETU'S .
I Exhaust Hood.
I I Vont Fan
I WOodstovs
NO.
FEE
'. .\ ~ I~ i J :
x
Value
r
.....
-500. <>-
I~ I); 5"0
/ '5'>;,,>
).?S"
,
/5-" 75 .
CHARCE I
"1'
, :,....p
,;2.C>,
'/5, ...""
/5'--"
-:::;6' ~ pz:9
/. "/'t?
"3'/:-.<=;,0 .'
I"
I
CHARCE
.',:, .,:'
.'
\., ,'~
, /"'):-,.
:: /'7-:: 6t>
"??l.~1
'J/.! <)t? I.
i~/ "'/1/ I" ."
CHAnCE I
I
I
,;",
"I"
'""
~".\,,, :1' l'~' ..~, -: .. !.
":1,';"
> ~ ''; ,'. ' ;\. i
Hschanical Permit ,',' '''.
. Psrrrn.t I3suanca ",,~:,t':;., ,! rl;:., ,i"': ". ;"'i',
''', .!
.'
..,',
..:.....;',..;..'.;"::\1
Stato Surcharcrc
I
I,
I,
I
Total Charoeo
,-- ENCROACHMENT --
I saC"~~tll D~'OO3it ..
I Storage
I Maintena~s
Iparmit
I
Totat ChaJ"f1oS
I /I)::.;;./.c!'.....:>:~. ,
._-~.". ;a.'7c,~/?7"c-H7
I Sid_tk "
I Fencs
/ Eleotrical Label
iMObUs Homs 'C:;;:::rbP':'
~.'. I ?7'p~.- !";;??&N~t:E
~JfC#-.4'~C r:r
'F::4 ,
'..'1,':.
.: \:,' ~ .'.. ,,,.,. l
'1.
.." ,
....j
I'
? 'N. ~I
I
I
""~2si
/5-: 7)'1
. 5:' 2, ')~
t:.:;~ /. ,,??e> I .
. .(.
",> ......
L-COC'': .
I" ' .c::c....-
T;ma'
-- Fees
. ,,' '-~" -'
Building Value, & Permit
This pGrm1.t i~ arantcd on the expra~D condition that tho adid,conatruction
shall, in all recpectG" con[,of'17l to the Ordinar.cG a.dopted by thl1 City of
Sprin(Jfield~ inc!ud'i.ng tIle; Zonin!J Crdinanca" re!Jula.tiltrJ the CCttGtI"'J..::ticn
and uoe of buiLdings" alia may be m"{;pendcd or reuoked at a.ny time upon uic-
~tion of any praviGiono'of caid OrdinanceD.
..'
.
Plall Chack rfW:
Date Paid:
Recdpt II:
ISignad:
"7. 7-S:
J
I
Plumbing Permit
. No percon {;llall conatruct" inotaU" alter or change a.ny neW or e:isting
plwnbing or drainage DYBt~~ in ~hole or in ~tt" unleaD s"ch person io the
legal possessor of a uaUd plWTIber' G Ucenso" except that a pO:ODon rr.ay do
plwnbing work to propoltty which ia owned" leaGed or operated by the appli-
cant.
:'.. "
Electrical
Permi t
. Where. State Law requires tr.at tho eloctrical work be done by an Electrical
ContractOr,,' the eLectrical portion of thiG permit shaU not ba ualiC until I
the labeL has been cigned by the ELectricaL ~ontractor.
:'
.:1:'
"
Mechanical
Permit
I
I.
I
"
. 4/?~q/~,--;J
P'(,--: 1xam1.neJ( ~,.
h-.5-90
'/Jate
'I HAVE CAREFULLY EXAMINED the completed application for pennit" and do
hereby certify that aU ir.fo:omation hereon is true and correct" an:1 I
further certify that any ar.d aU !Jork pOl'for:ned shaU be done in accol'-
danc_ r.ri.th the O~in.21lCQD of t'JQ City of SprinClfi,tJtd. and tll{; La'..J8 of tho
. Stat. of Oregon p~~taining to tho 1J01'k cOBoribod ho~.~n. end that NO OCCU-
PANCY will. be mdo of any struatu.r2 withoOl.t p3rmisaion of the Building Di-
vision. I further certify that only contractors ar.d s,ilpl"YGC5 who are in
ca~ptiancs with ORS 701.055 witt bs used on this proj.ot
7~. 7.~y
lji!/ll:!J /
j
.{,- 5~ '1 Co'
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