HomeMy WebLinkAboutPermit Building 1983-4-13
.. RES,tlNTlAL':
APPLICATION /PEFMIT
225 North 5th Street
Spri~~field, Oregon 97477
Building Division
726-3753 .
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J 7-03- '2. "?-/ij
.lob Lcc::tion:
AsaesGor: .\!ap il
SlAbdiV'"';sicn:
T= Lot .~ O/9e:>o
~_"er' lJ) 0 Q'rJ~f7 Jw.)1-),.,,~
A~d.-es"rO\C\I~ l~~ \~1 " Phone:
C<ty:, ~ Ii \ l 1UQ ') Zi?, q f}411 rr
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Desap-~be fl'Ol'k:
Addition
~.~on
RemodeZ
.'10bi t2 .qoma
Date of AppLicaticn
~::::~'O~_\l PP 1.\
Plumbina r
Electri~a~ v
Nechar.ic.:l
Con8t~~ction L~nder
C\)~P\h f\~
UNDrRsr,;.B ?[,U.'.f3D1G_ =DEt:?9IC,IL
NECH).,~,1jC:"L: To be lr.ade befoI't1
work is ..zovcrea.
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FOOT ING ~ FOUt/VA T :0:1: To be ::-ace
after trenches are excGrJated ar~
forms ~e ar6c:ed~ but; prier to
pouring ccnc~et;.
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U.~lDZRG.o/)r;.'!!) ?:'UM~D'G, SE:.rr:.9, W,lTER.
DRAINAG2: I'o oe ma.::.e pr~ol' !:o fi i.-
Ur.g r;rer.ches.
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UNDERFLOOR !,!.ij,'.$I:lG :'I MECHANICAL:
1'0 be maC.6 prier :0 inatcL.Lation of
11001' insuLa~ion or decking.
?'JST AND BEAU: To be made prior to
instaLlation of' floor instolation or
deakino;,
RO'/GH ?':,r.r.~B!,'!GA!.EC';'.l?!C,.l,!:,'~ .'.fFC.q-
AHIeA!..: ....0 ''':ol'k---r.. ..v Of; cOI.:ereG
ur.til ;r.esa ~r~~ectior.s have ~~er.
~~e ar~.~?r,ve~.
Ft"~::PLACE: mol' to pLaeir.g f'ccing~
mc:al'iaL.s ar.d betol's frar.rir.g inspee-
tior..
PR..4..'~I:'1t;: ,'.1u3t,;0 r'sc;ueoted af'"';sI'
appl'ov~l of r~gh ;LUff~ingJ ~Lectri-
eaL j mecr.an~az.. At! rooj:.r.g
bracing 5 ahi:Trl1CYSJ at.::. :~'..lsr; be
. cOmDLe:cd. :!o -..;ark is to blJ cen-
.. cec:led until this ir:soec:ian r.as
'been ,T.ada end approved.
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Value
Addr!<S3
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Sigr.ed:
Date:
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Phone
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DFNOLITIOH OR i.JOVE'; 3UILDI;"CS
~ Sani~d se~er capped =t ~op;r~i Liroe
~ Septi.:: tank p~~~d ~~ f~LL.d ~~th ;ra~8~
:J FinaL - [fher: aXve i-te:;:s are cc."::::,l.iJtec
and when ie~L~tior. is c~z.e=e or st~~~.
~e moved ar~ ?r~;ses .::Leaned up.
Mooi le HC.';'ies
:::J Blocking and Set-~p
:::J Plumbing cor:nec:i~n8 8&W9I' ar~ ~a~sr
:::J Elcct'l"';caZ Ccnr.ec'tion . BLocking, BB't-!~P
and pl.umbing connections ~~8t !;Q C??r':JV41C
be;ore request~ng ~!ec~rical ins?ectio~
.=J Acces3o.';,. 3uiZ.:i:.r"J
:J
finaL - Aft~r ;~rcr.BsJ
etc. are e~pl2=~d.
sk.~I'ting, aee;:s,
I;. is tho I'!lBpO?1oibiZity of thM permit hcZdsr to see that aU inapectiona are ,';'iade at the pl'oper tim", that iU:;ch ddress is l'eaiab:41
from the street, and thac the permit c:uod is L.xated at the [1'Cnt of the ;;roper'ty.
~Eui!di~~ ~vi~io~ approved pLzn sh=Lt remain on the Building Sit$ at aLL timES.
?'?OC!DU.r~E fOR INSP~CTION RE'OueST:CALL 726-3769 (recorder) state yOUl" City Jesigr.:zted job m.o;;ber, job aCCrcss, type of ir.:1pec:icn
raquested a~~ when you ~iZL be ~eady for ir~pcction, Contractors or ~~e~s r~~e ~r.d pr~r.e number. Requests receivad befcro 7:00 ~
....>iZL be "..ade the sarns dc.y, requests mcde aft;;.... 7:()O a:n r.n:z.z be nruie the nat :.;orkin.; dab. . . . 4
Your City Deciqr.atcd Job Nwnbu Io: ~~\S \
qptnli"'D~ ~~~~D~t~r.~~
O SITE ;,'l~PE~!ON: ~o be nr:de ajter
ercavat~on, :Jut p~ar tc set up at
fOmls.
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any
I Xl IliSULATION/VAPO.9. S.4RRI2R I."!SFEC':'IOtl:
To oe made after all ir.S"..ll,::t~1t tr.d
. racr.l-:.red vapor bCIl'T'ier8 are in oZaae
. Cut cefore any lath, gypsum DaCre 01'
t..l:1ll. covering is cpplied. c::r.d before
any insu lation is ceneea Led.
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All projecr; conditions, 3UC~ cs tr~ insr;aLZacion ot street :l'dOS, :~~Za:~~n of :~
required !..andsccpir.g, etc. J must be sar;is........ed oo:fore the BU;LrJI::C FI;':AL ::c.n be T'a(jU3St,zc.
0" FINAL PLU:'(!JI:IG
CJ. FINAL !1E~l!A:1ICAL
LKJ. FINAL ELEC':RIC;';
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PINAL BUILDLVG: T"r.e Fincl Building !nspo1ction ."'mJ.st os reaueotec cfter r;r.a ,,:;'ir.al Pb::-:bing
Slectr>icaZ, ou: Necr.ar:icc.l InspectionD have been mace and apprcllec".
fYl DR~"'ALl. INS.E:C!'ICN: Tc be ,':".aCe
~ af;sI' aLL cr1uclLis in place,
but prior <=0 any :aping.
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MASO.'lRY: Stee Z
beams, grcu tir..g
~corda:nc8 tJi:h
2415.
WOODSTOVE: AfteI' installation i.s
Location~ bond
01' llBrticcZs in
U.B.C. Section
.ALt, MANHOLES AND CLEANOUT5 NUST BE .J.CCESSIB[,E, ADJUST,'!S::T TO 32 .~:''''DE ,:1' NO ::JS'i' TQ CI':'! J :1.......01 of.:!
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ccmpL..et~d.
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CURB & A.t."PROACH _4P.~ON: After fOrr:1s
ae erected but p'l"';or to pouring
OOn:::rete.
SIDEWALL<. d DRn'Efo/AY: FoI' a!Z. ccn-
creca paving ~ithin street right-
Of-I;;CY, to be made atter alZ exec..
vat~r.a cr;r.t!)~ete & f"01"i.l '.JOrk & ~uh-
base .~.c:terial' in pl.a~e.
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:~NC!: ;,mer. comvloite -- ?rOtJiCB
gam cr .71otJahle- sec:icns thrcugr.
P.ll.E.
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SOLAR.CESS REQ.~"qe 2
CCC".4~anc:J Crou::: ,R-- ~
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i JOB No.zs3/..f"/l./
I :~e: .l?-(.
I [,ot Sq. Ft;.
! ~ :;1 toe C.jl)B'l"ag.
"~ of Stories
I. . 1 u . .
\..o..a.. ..e1.G'nt:
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I Topography
I I'!E.'.f
SQ. FTC
,'.k:in
~~CB
Car=.?rt
...c.?esso!"'J
!A;P/J/tPN
I ' '!'OTA& ;'ALUE
Is. D.C.
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( 1.1c:.'-,,"C)
J,5=
Euildin.g Permi t
State Surch~qe
To-:aZ Cr.a.....ge3
I I~,N 110'1
I :i--::ures .
!ResidentiaZ (1 bath)
'j Sar.-:.t.:I.T"j SewSI'
I ;Va~e!'
Plumbing Perr.:i t
Btata Surcr~e
Tetal Chcraes
II:'Df
LCT T'fPE
Ir:terior
Corner
Panhandle
Cut-de-saa
x
-- F2es
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o//.60 I,:
Value
FEE
CHARGE
.'?es. Sa. fta.
N3W/Ertend Cirocui ts
1 .vo. I . _~ CHfi.RGE
I I
I:z.,,!~ IS....
Temporary Service
Ele::trical Permit
St:::.te Sur::harce
Total C'flllI'ces
I iT,M
I ?:.a>r'::CI2 ETU'S
I E:::haus t Hood.
I Vent Fan
I iJoods:;:o;;e
I
i !IC'I
I
Permi 1; 13suc:nce
Med".anic::.t Permi t
Stat~ Surchi:::r!Je
To tr. 1.. C'hcr?t?!J
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ISec-.A.p';tu
-- C::ICRCACHN:;;'!T --
D2~osit
Stora.ge
,'.fa"':nt~e
I Pcrrrrit
Total C'rtal"'j(JS
CurbC"..I:;
Sidewl'k
I ?en~e
! ~Z~c~rical label
,
! ."'obi la Heme
I TOTAr. A.~!OUNT DUE:'-
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IS:- I
. ~t!) I
IS.'() I,
~~~ CHARGE
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." 57. ~c
I Lot Faces ~
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I P. [,'1 House
llIor~h
lEast
ISou th
IWest
.
'Ti:t'peICor..st: ,,~I\I
1 I Enerau Sour~es
I I Hear;
I A.ccess. I !
II
II
II
II
T;;r:e
L-COG~.
3~dr?oms: A'bD 2.
Setbacks
I CaI'aqe
I
;.(ater'~~Q~':?r'
Ranqe
Fireoiaae
Wooa:;;t;o:.:e
.,'
Building Value '&
Perrhi t
This pe1"l'l1it i:; granted on the e:press -::onditi.on that the sdid. constl'uc::ion
shall, in all respects, conform to the Ordinance ~dopted by the :it~ of
Sprir.gf~eZd, "':nc!uding the Zonin.g Crd-:.n.ance, l'egtilc.tiltg the ccr.sc:~,ct;"':cr.
~~ U$8 of buildings, and m~y be aU$penfed or revokec.at cr.y time ~;or. vio-
lation of zny pl'::IVi3ior:s of said Ordir..ances.
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IPlan Check Fee: /2.00
I Date Paid: 3 -..!)4-E-J?'
IRecsipt #: CoCJ(04j
ISigned:"1y' ".,j
Plumbing Permit
No, pereon shall construct, instal!, aUer 01' change any new czt e:::isdng
plumbing 01' dra~nage 8Y8te~ in ~hole or in part, unless such person is tr~
legal possessozt of a valid plumber's license, e=cept tr~t a pel'son ma~ do
plur.:bing :Jork to proper'C-i which is atmed, 'leased or opercted by the appli-
cant.
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Electrical Permi t
Whezte State Law requires tr.at the electl"";cal. tJoztk be done by an Electrical
Contractor, ths electrical portion of this permit shall not ba valid until.
the label has been signed by the Elec1:rical ~ontractor.
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Mechanical
Permit
,
~~w.~
'1-/3-83
L..'Cz!:c3
I HAVE CAREFULLY ~XA.'-fINED t.'-te corr:pleted c:pplication jor permit, and do
hereby certify that all infol'mation hereon is t:ru:a and correct, ar~ I
r.J.I'-=h.ezo cer"':ify that any ar.::1 all t.:ork perfo'!"med shall. be dO:1e i..: ac=or-
dance with the Ordinances of the City of SpringjicUi, and th~ r~~s of th~
State of Oreg:J1t pzrt.::ining to the work desCl'"'':'bcd herein, c::r.d ::ha; NO OCCU-
PI.HeY wilZ be made of c:rny st:ru:ctu.r03 without p:3r'f'niS3io~ of the Eu.ilding Ir':'-
vision. I further =ertify th4t o~ly contractors ar.d ~l~ye€s Wr~ are i.n
c~pliance with ORS 701.05E will be used en this projzct
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