HomeMy WebLinkAboutPermit Building 1991-3-8
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.. RESlbENTlAL ,.
COMBINATION .APPLICATION/PEP.MIT
225 North 5th Street
Spri11{Jfie7.d, Oregpn 97477
BuiZding Division
726-3753
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_-'ob we.ticn: lQ~O \ rwlQut~.___~ _
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SkbdiviDion:~JnI;f/l "dil If} i1f-3
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Addr...: IIC/ q n T_Q \rrl J ~ t- ,Phons: In Kf\ 4/ f '?I
City: FJ Jc1 {J n Q (U/I. j 0 Zip: q tJ1{)/l
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n Additicn. eL' ... . ....
n Ramo;!,t ,'., J . . '. .
n ."fobild "om~,,: ',". '.'
Oats of APPticationrY: ,1.A,Cfj'
)/1 JI U
c.;ontractol"s,r)
C,nel'al A 'J J
Plumbing
Electrical
,',I{1char.ic::.1
SUDervisino~E~ectrician
Descl'ib. M'ork:
Vatuo 'tPt-:.jj"J...,.
Add:r1l83
.-,
Rcce~pt II
~
lQ440ct (q410
. Si.qr.ed:
Date:
~IDJ
.'..1." ~..vj I
Li,sc.N
Expil"es
Phone
It is ~hs r8oponoibit.ity of ths permit holdflZ" to Uti that aU inoptlctions are mad, at tlUJ freper tir.Jf~. that l:C.ch .::ddrBSD is rll'ada!:l~"
from ths str,.c, and that ,thIJ p01"mit card is l.?cated at th. frent of the property.
.suit.di."1fI Di.lJicior: api'l'OVed Flan shqU .remain on tM Building SitlZ at aU timu. .
PR=DU.~e FOR INSpeCTION R!:.oueST: Cat! n6c:t7~9 c...ccor<1sr! stats your city assignatsd job _.bor. jab 04drcss, typo of i""pocticn
raqucstBd ar.d ",,Io.sn you u.:u bs readv for inspcrction, Contractol"s "I" a.m..rs nQI'Ie and phoJUI numba. .f?e<l'"sts recei;,,'fld bs/cre 7:00 a':'l
&,.'..:z.L btl mads the same dJ:YI ....qu:.st~ ~ ~ftQ' 7:00 ~ ~ll b. nnds ths nat' :Jerkin.; day. a ()
. ".1ourCitv, Dosignatsd Job Numb... Is: f I / Cf)
R~auir~d T"~~~~ti1~~
. 0: SIT~ INSI'EC':'ION: To b. tmt.U aftBl"
BZCalJolti.:ln, but pric;r tc ..: up of
. forms.
'0 ' UNDERSLAB PLUMBING., eLECTRICAl. &
. MECHMIICAG: To bB mad. beford any
work i8 '::ol1or.d.
.~
FOOTING I FOUNDATICII, . To b, rmd.
after trenches arB ucatJatsd and
forms artl erected, but prior to
pouring ccncrB~..
o
U.\'DERCROU!!D PLUM!1ING. SEWER. W.1TE,Q,'
DRAIflACE:: To btl nr:J.::1. pricr to fiL-
l. i.r.g tI"Bnch.s.
o
ur1DF:.~FWOR PWmJING ~ f.lF.CHANICAG~
To bo mad. prior .to i.nataLLati.on of
{loor in8ulatio~ or detJ_king.
O POST AND BeAU: To bs nouU: prior to
in.::l'taLl..:tion of fleor insu14tion or
dooking .
O liQPQIf PLu.'~Bl.'lG, ELECTll!CA!. .t MECY-
ANICAG,' No Wl'k. ~s to otJ COl.'erea
ur.tiL thtJss inspections haUd besn
mads and approve.:'. . .
O FIRep~ACe: . Prior .to pT.=ir.g facing ,
~teria1.s,~ b~f~l'd,framing inspec-
~t.Cr., :. '
f':7( PRAf~INC: Mu3t bs rdqueotfUi aftel"
~ approllal of rough plwr.bi.ng, dectM.-
cat & mechani..:aL. At! roofing
braaing ~ ohimncys, st". must bs .
complsted. 110 wrk is to b. con-.
ceaLed 'until. thiD inspsction has
b,sn mads and appl'Oudd.
o FI/lAG PGUKBING'
D. FINAG Me~HANICAG
o FIIIAG' EI.ECTRICAL
o
~
O INSULATION/VAPOR BARRIER INSPECTION:
To btl mads after aLL insutati.m <.rid
raqui.l'8d uapor barri.rs Gr. in p14cs
but 1:sfors any lath, gypsum board or
wtL colJering is appl.isd, and btlforlJ'
ally. inou14tion i.s concealed.
f':7( DRIWALL II/SpeCTION: To bs rmds
~ afts:I' at! drywt! is in plac.,
but prior to any ta.ping.
O MASONny: Stdel location, bo1cd
, bflQ11lO. groutittg 01" lJ.srti.cals i~
acCOJ"dancd with U.B.C. Sdction
2415.
D - WOODSTO'lE:. After installation is
ccmpLet€d., .
O CURB & APPROACH AP.~N: Afte~ .forms
. are oraated but pM..-Cr to pout"'l.ttg
~n.:l'Bt..
D SIDewALK & DHIVewAY: For aLt eon-
crots pavi.ng L1i.thin 8 tl'ef'lt right-
of-wey. to be mads aftdr alL e:rea..
vating cc:mptsts"l fom-work & cub-
, . base material. 1:n i'.ta::tI.
o
:'ENCE:' ~'hsr: compl.te -- ProVidd
gatB8 or moVablB sBctions through
p.u.e.
DrJ.Vi.ITIO:J OR ,v.ot7' 3UIr.::.1CS
l
o
:J' Sani.~ 8aJll!' ~crpBi ::t P:.OP~:ot-i Zir:4
=:J Septi.:J tank p:..,rqu:d ar..;. fiLi..ad :.ri~h ;ra;uL
:J Final - .t'hBn cixve it:.~ are c:;r.rpl8ted .
ar~ when demc~itior: i4 CDm?ltlti or struc-
turs molJfld ar.d i'1'cm.3.S :;"eanll~ up.
I HobiLs Nemes
I
\
=:J Btocking and S.t-,p
=:J Plwrrbing conn.cti:ms .- scusr C31d lJater
--, EI(:ctricc:.l. Ccnnf1ction - 81ockir-3, set-up
~ and pLumbing conr..ctions ~":'3t ;. tI??l"OJ:fld
btlforc rdqu4sting eLtI.::riaat. :.r.syscti.o:t
=:J AaCBBGOl"'.1' Bui:di.~
:J F~t - I.ft.r .?Ol'Cf:fla, sk-f.rt-f."{!. decks,
Il'tc. are ccmp:.~t~a.
o
AU proj6ct conditions. Buch as .tluJ installation of 8~.,t trSf1a, cC.':'7pl.:Jtwn of :it#
rsquiJ"fld Land~ct:pi.r.g, Gta., muDt b. satisfiod bofore ths BI!IWI::C FI,"!AL .Jan ;8 J"3qufl8~.:ld.
lINA!. BUILDINe: The Final. Buil.ding Inspsotion must bD I"equeottld aft.r tite Final nwr.bi~
Etllctricat, and IIdchanicat Inopeoti.ono ltaVO bBen mad. and appl'OlJad. .
'ALL IUlNHCI.ES AND CI.EANCIITS "UST Be AccesSIBLe. AD.lUSTIIENT TO Bf H/lDE AT NO COS;: TO CIT1 I F;is ! of :
'll
.1
IJOb Nwnbcr: Gf 10/30
Izonc: . U )JL..
ILot Sq. Ftg.
I' ~ of lot Covero.g.
N of Storiee
.Total Height
,
!Topography
I
IITDI
Inri"
Occuoancy Craun:
.
1\..\ \
1
L-COC #:
Refcrer.C6 Numbers:
Panhandle
Cut-de-sac
F:ast
South
IWeet
Twne/Cor.et: V ~ Bedroome:
II Enernu Sources
I Heat
ACCBss. I I Watsr .flp.ntp.r
I I Range
I I Fire. lace
1 I Wood3tove
~ I
T1!1'JO
lDI' TYPE
Intez-ior
Corns,.
I Lot Facee -
Setbaeks
P.L. House Garage
North
I
8::)lo '1j..IO 4131.lti I
se.FTG
GaIooatl
CaJ'"DOr't
I ACCBS80MJ
I
I
Is.D.C.
TOTAL VALUE
(oo'ue)
I.S z ' .
Building pBJOmi,t
Statll Sul'charge
Total Charge.
lITEM
IFutures
I Reaidantial (1 bath!
I Sani ta.~ Sew,.
Watel'
plwnbing pem t
Stats Surc1-.arge
Total Char-aos
..- Fees -."
Va tUB
Building Value &
Permit
x
This permit io granted on the "prsss condition that tM said constl"Uotion'
8hal.l.~ in aU' respeots, conform to the Ordinance adopted by the City of
Springfield~ including the Zoning Ordinance, regulating the oonstl'"Ucticn
and uoe of buildings, and m:lY be Buspendsd 01' revoked at any tUns upon vio-
lation of any provisions of said Ordinances.
1:] dl.ltQ
I 17 I. al,
,,~<.rJ.!:'f) i
cY,5:'1.1
,03.031-
I Plan Check Fee:
IVat. Paid:
IReoeipt #:
I Signed:
<~.K.-~
I
I
II
,
,
NO.
FEE
CHARGE
Plumbing
Permit
No perBon ohaU construct" inatan" alter or changs any n~ a1" existing
plumbing or drainage system in'whoZe or in part" unlsss such person is the
legal possessor of a valid plumber's HOBnoB, ezeept that a person may do
plumbing work to property f1Jhich is cn.med, ZB0.8ed or operatBd by the appti-
'.~t. \
-
Electrical Permi t
,
,
"
L 'lQ.~gnn _.
I - ". -- ENcRCi'Aciiii'E.YT --
I SSa'.J.M. tll Dzoosi t
ISto1"C1Qs
I M1.intena~e
I pcmnt
CUJ'tbcut
I sideLUlk
1.~en:Js
I ElBctM.Ca l Labs Z.
I'HoAi,le Home
~ ,0\1\1\ ~~
I'.. \)
I TOTAL AMOUNT DUE:' --({Pip
I ITDI
I Res. So. ftn,
I NIZlJ/E:ctend Circui te
I Tempol'ax-y SSJ"1JiOB
I
Ele::t"cal Permit
State SW'a~B
Total Chal'(;BB
lITEM
I ."UMt':lCl! ETU' 5
I E%~8 ~ Hood
I Vent Fan
IlIoodstovB
plJl'mit I3suanca
He::hanic:: Z. Pe1'rt'li t
Stato Surcha1'OS
Total Charace
NO. FEE
CHARGE'
Where State LarJ requires that the electrical fJOZ'k be done by an ElBctncal
Contractor', tM electrical portion of this permit shall not be valid until
the label has bS6n signed by the Electrical Contractor. .
I
I.
-
NO. FEE
CHARCE
Mech:anical Permit
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I-
I.
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I
I -
.I
4~/YV-
Ix/f/ ~/.,. /
I HAVE CAREFULLY EXAMINED tho oompleted applioation for pomt, and do
hfJreby certify that all infort1rJtion hereon is tzoue and oorreot, and I
further certify that any and aU work perfo1":nsd shaU be done in OCOOl'-
dan<:e r.Jith the Ordinanoee of tho City of Springfi./d, and tha LmJe of tha
State of Dreg"n p~rtaining to the wrk described herein, and that NO OCCU-
PANCY 1I1il1. be ttrJde of any struotura L1ithout pannission of the Building Di-
vision. I further oertify that only contractors and e:npt"yees who are in
oanplianoe L1ith ORS 701.055 L1ilt be used on this projeot
'.
t-'J:-J .~5 ,/J
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+- €35 Ei.h - I~igned
.2Ihf/9 I
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