HomeMy WebLinkAboutPermit Demolition 1984-8-7
I)It
.. RESIDENTIAL"
AFPLI=A'::IC:l!PERMIT
225 Jorth 5th Street
S?r":r~fieLd, Oregon 97477
BuiZding Division
725-3753
Job :.,c=:i,., A) \ Lo LA ('cf( tv fI ( 1
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PZumbing
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e;::;i:t'::s
Phone
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l~ u -eA. rupcmDibiZi:::!I of tits p.nl'f'i.: isDld.u- eo eftS :hat" aH 1.MpcCtic'1.8 are r.tads. at: :h.. propu ~imc~ t}'.a.t .ach =ddrQSfI i,a 1'......:.,..:
ll-cnt eM .sereee, end that tho pcnrn:e card i.. l..:x:::zted .:It ths [rent of the Property.
.;ui~i~4 Jiui~io~ C?Froved FL:n sr~ZZ rena~" on thG ~Zdin? $it~ at aLZ' tim.s.
?-'!O~'UP.~ rOR ;,"'S~E~!~!1 RECU!',~:CALL 726-3769 (recorder) state you.r City destfT".atitd job ~ber. job ~CBS. type or in:;p(la~icn
rsquencd a:"".d :J.~en ~ou :JiLl. De ready tor ir.spcc~..cn.. Ccrteractcrs or G\..'J1B:'s 1lClB c;n.d phor.e nu~cr. Requ8stS receivsd b.fcl'fJ 7:00 c::
c";Ll b. "",de tlu: ","'. "'='.... requ.e:. ",cde o:'ta' '7'00 "'" <Jill b. ...d. the =. :.x>rkin; d<r,;. . Lf .
. ':tour City. Ce.igr.ated Job ,'Iwnb<r Io: 8 0 N oU
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.~C.~'):14-:;,),G: 70 Dfl mlzri.a befol'~ C'ty
wr~ ::s .:ovc!'cd.
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F'CtY:r:;c ~ F'OU:!D.1TI~.'I: To b. ma6z
af:.zr :rep!cit"3 err a.=C"t:Vat./d cr.d
f~:$ ere erectJa, but pri.."r eo
pourir.g C~l'ICrl!e.;.
Y;:!1!:fC.~:r..'D ?:'~'H3:::~, S::;':;.f!. :/.l-:!.~.
D.f!A~:f....t;~: to "II ~e pr-:;or :0 ti.i.-
z.tr.g :rer..c;....ils.
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lr.lCE.f!.~:'CC:~ !'~u..-~r::G ~ .'~CE)'.7[t;....:,:
1"0 "e IfUC.g pri...;1' :0 in3t.:::iZ-2t-::o" of
fZ,tJc1' ~r.6Ui.c:t::c" or dtrcicir.g.
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?fJST ..~N!) 3~^,',,: To bs ~l; pr-:"'l' to
UL8:aL~:t.cn of [7.001' in.:u.:La:ior. 01'
d.cki"!;.
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.:t",-v;;,. ?~~~~!:!C_ E',.!"~!'!."':: i .'.f?C.'1-
,1,"/I':.J[,: .10 JO!';: ia :;0 ~c cOI:e!''!G
w:::'iL :r.cu -::r..s~ee:icr.s ;.-:v" =eer.
mcti. :..d :::?::M'"JC~.
F:?!?!.A'::::: _~;ol':.o ?k--:.r4 .'c:i,,..lJ
mcurt:..l:':a ar.d bcf01'1I lr~r.g in.pec..
tier..
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~':'P..~~!."lr:: .'.!u3:!le 1'.C"o<l~3:<ld a;"':~l'
Ci'prcv~!. of r~g'h pl.~';'i,...g, ~!~c:1"i..
caL 4 r.:ec;'471i.:::l.. AZ:' :"Oofi1t1
bl"2~r..g & cirimnl:ya, ,t,:. r.r:.z.t ~.
CClffDZ~:cd. ::0 ""1'< ~. ~o DS C'CJ'I-
. CIIC"'!.u.l unt-:':Z ~J:i:; iMrec:-icn. ;'.Q8
"bc~ ~ aN! cf'p.,..,vftd.
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O INSULA'!!ONIVIlPDR SARRI2R n..S?-=C':'!ON:
To be r.n.:is atti!1' an ir.8Ul...:;t~n a:"'.a
. required tlapor ca:r'!"'isrs ars in p lacs
1:ue C8]Or8 any lath, gyp8'Ur.l beard or
u::ztz. covering i.s applied, and hefoN
any ir.3'..lZaticn ~s conceaLed.
O D.1:fY'.IALl nISP-=C':':!().'1: To be made
alter all. CrjwZ1. is in place,
but prior to any tapir.g.
O ,\{ASONPY: Stael.
bea:r:3, grouti.ng
ac~or-A~e :.1i:h
241~.
O '.IOODS'!'OY!: After i118tal.Zaticn is
cc:rrpl.iJ:.d. ..,
locae-.:on~ oona
or tlBl'T:icc:Ls in
V.B.C. Secti.cn
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CUR!] ~ APPRCACP. AP.f:!']": Aft.:, forma
are arectad aut; pl'io1' to P::Ul"";ng
.:on...-retB.
srD~.lALi( d 'RI!T'.lI.?: Far aU con-
creta paving W'"':chin stroeet rigit-:-
of-I.JC.Y~ to be ma:iB aJ..tdl' aL!. oUca-
vati.:r.g ccmplBta j f'o~ wrk ,f zuD-
bass material ~n ?1.a:B.
I i)E,'-:OLI':IO.~1 OR :.:a~:; 3::ILDIZiGS
~ S~i:.zr.;/ tur..Jc ::Q;Jec :t ~op.:rt";t'. lir..
=:J SQPtic tank p-..r.:;.a ar.d fitl~ uith ;r:r..:ai
,
~-:nwn 6.."'"VQ ita::':S arB c~l.Qted
~hen der.lCz:.~icr. is cor:rplste or st:-...;~
/ ture ",,,,ued c:nC pr=i3'. cZ.=s:! 0;>. .
I NobiZs i{c~es
:J al.ocici.r.g and S.et-:lP
:J Pluno.bi~ COnMct::.:ms Sc.J6r and wa:"l'
---, EZectrica!. Ccnr..ct:-::cn - 8wcking.. SQt-u;:
----1 and. pLun-.bing c:1'tr.ac:-ions nr..:se '=11 c:ppl'~1.:~i
before requss,;~r.g 8l.lIcm::al i,."PQc-=ia:-:
=:J AC:;Bssor~; 3ui.!..:~ng
:J Fi71.3.l - t.ft~.;~~r.B3,
et::. are c~1.8=.d.
s1d.rt";r.g, dscYJI,
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_~C'S: rnwn ca;-;rpl.ts -- Provid"
g;;;;; 01' :notJabLe ssctians thrcugi:
P.U.E.
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~Zt pro;ec~ cor.di:ians, 3UC~ as :hB ~ns:;~~Zc:-::~n of s:raet :regs. :~~!c:i"n 0;"' ~~
recro<lired Zana.:;cc:pir..;, .::tc.. :roust :,e sac-::st.::c::i :,o:j"ore :;.~ 3L'I!::r::c :r.~'AL ::an ';8 l'z'tLlsBc.:d.
:=:J Fr,~'A':; P!:J:..'!J!.':C
=:J :!.7~{. :.':::.:u.:l!O,l.
=:J ;::'!.':AL !~::.C;I:~;;
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~~!:IA;' 3!}I~:)!"'/G: 11:e FinaL S1.lil.di.r..g !r.s?ec:i.on ~t bs reque3taa -;f:.uo ~hJ F~n.:::.L P!ur.:bin;
!'!.,ecr:ri..zaI., and. Nscnar.ic::i. Ir.spec:i:m3 ;:aua ceIln mea., a,...d appl'olJ~:i~
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'A'::': :.!A.W!':~!! I.,VO Cr.rANCll':S .'fU~ ge .~C:!SS:Er.S, .J.C.ii':Sr:~:,": :0 9r ,~~1Cr ~!:' .",.0 ::S!' :, Cr:! '?=;II! of 2 I
Jcb Uumber: ffl()~ I O~
Zona:
Ocauvanc~ G~
LOT TYPE '
: Lot Sq. Ftg.
;' ~ DJ" tot C.:Jverag;;
J ,ij of Stories
,
i Total Height
~ ~"opogT'aphy
1 ITEN SQ. FTC
I
iNain
I GcPaae
Carvcrt
Accessol'LI
TOTAL VALUE
I (va,uc)
IS.D.C. 1.5"
BuiLdir.g Permit
State Surcharge
Total Cha:>ges
i ITEM I NO. I FEE
I Fixtures
I,~esidentia~ (1 bath)
I Sanitary Sewer .1
I Water I
I I
PZwnbing Pam t
State Surcr.azoge
Total Charaes
i I~'EN ilO. I
[Res. Sa. fta.
I NaJlExtend Cil'cui ts
,
!Temporary Service
I
Ele:JtricaZ Perrriit
State Sur~harqe
Total Charces
II7SN
I ?urn=ee
I E"haus t
'(ie. .
!!TU'S
Hood
i Vent Pan.
I floodsto:Je
'1
I
I
I
Permit 13suanca
Me::hanic:ll Pe1'Tftit
State SUrchar>a€
Total Charap.G
ENCROACHt.:E.\'T --
Se~~ritu Daoosit
Storage
IUaintenaru:e
I Permit
Tetal CharGes
I Curbcut
i Sidew.~k
I Pen::'!e
I Electriaa l Labl1 Z
I Mobile H::>me
~(YU
I
I TOTAL Al.fOUNT DUE: ~
FEE
FEE
Interior
Cornel'
Panhand~e
Cul-de-sac
x
Value
CHARGE
CHARGE,
I
I
I
CHARCE
I I
111<.. CO I
,- I
I~.CJCJ I
Refe~er.ce ~umbe~s:
L-COC .~:
I
I
T"De I
I
I
I
I
.--:----1
THpe/Cor.st:
..-\ BI1~~:rooms:
~Ene~du Sources
Heat
I Lot Faces -
I
I P.L.
North
East
South
/lest
..- Fees
Setbacks
I House Caraae
I
I
I
I
J
I
Access.
rvate~ Yp.ater>
Range
Fir>ep lace
Woods tove
I
I
I
'*
I
I
I'
Building Value & Permit
This permit'id granted on the express condition that ,the said construction
, shall~ in all respocts~ conform to t~e Ordinance adopted by the City of
Springfield~ including the Zoning CrdinanceJ regulating the construction
and use of buildings~ and may be suspended or revoked at c:.ny time wpon vio-
lation of any provisions of said Ordir~es.
!Plan Check Fee:
Ivate Paid:
IReodpt #:
ISiil"ed:
Plumbing Permit
No person shall construct~ install~ atter or change any new or existing
plumbing ot',drainage system in "whole or in part~ unless such person is the
legal possessor of a valid plumber's licen8e~ except tr~t a person may dO
plumbing work to property which is owned~ leased or operated by the appZi-
"~t. .
,
Electrical Permit
Where State LaLJ requires tr.at the electrical work be done by an Electncal
Contractor.. the electriaal portion of this permit shaH roOt be valid until.
the 'Label. has been signed by the ELectrical f:ontractor.
,
, Mechanical
Permit
,
PLan Exczrm,ner
uar;;e
I HAVE CAREFULLY EXAl'o1INED the completed appLication for permit.. and do
hereby certify that all information hereon is true and correct.. and I
further certify that any ar.d a'Ll work perfor:ned shall be done in accor-
dance with the Ordinances of the City of Springficld~ and th~ La:us of the.
* State of Oregon p:zrtaining to the work cescr>ibcd herein~ end that NO OCCU-
PANCY will be mde of any structwre without pt3rmission of the ~ilding Di-
vision. I further' certify that only contractors ar~ enployees who'are in
compliance with CRS 701.055 will be used on this project
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