HomeMy WebLinkAboutPermit Building 1982-12-9
.. RESINTlAL':
APPLICATION/PERMIT
225 North 5th Street
Springfield, Oregon 97477
Building Division
726-3753
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Job Loc~tian: 956 k~j.A\J".)
ABaeseON Nap # / 7~ 0"3 ..::2 7:J ..)
Subdivision: K:.."J-1fJf4-y R".+
Qo_"'er:~+ A:J . ~-40...;;-fl.
Add:oes:;:
City:
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Add-=' ticn
Remodel
.'100-:' to'! !Jam:)
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Date of Applicaticn
,,'ont"l'acrors nIJj~J~ Iff;)
SPRINGFIELD
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Addres3
General
: Plumbing J(;,~r" /I), 5';-~,;rlt>
i Electrical 0 ,C4!./ - hft:/.:,<!!. '" 14//1">1
I N6char.ic=1 .
I Const1"'..lcti011 l.::naer
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Date: J.
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Your City" OeGigr~tcd Job Number I3:
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IN5ULAT!ON/VltPO.9. 2.4FiRIER INSpr;;C'!'IClI:
To be made after all insu.Z,:;;tum WA
raauired vapOr' carriers are in oZace
but l;ejore any lath, gypswn bcm.c or
wZZ covering is C?pZied, ar.d before
any in.suu:.tion is concealed.,
l~ is ~hB respono'ibitityof ths permit holder :0 aee ~hat al.z. incpec:t1.on.s are :;-:ade at :he propel' :Un':, that ~ch ::ddress is rea.::a.;Ze
from the street, and that the pcrr.tit axrd is 't.xated at th6 l:rcn.t of the ;;ropert;y.
43ui!di1"..g J:.lJi=:.or: appl'ot:ed pl.cn shc.l.Z remain on the &..:.Zdin.g S~t$ at aZZ times.
'p"'!OC~DURE .:oaR J!!E~7I'I(?'" .i?E~Uf.5:::CALL 726-3769 (recorder) state your City desigr.ated job n:.o;:ber, JOO cu:.c.rcss, type of ir.:>?ecticn
r~questcd a:o-.4 when you ~z.z. be :oeady lor> inspection, Contractors or (Jt.:ner-s r.cme cr..d f;...one numhcr. Reques~s received cefcr~ 7:00 c::z
:..'ilt be made tru; same dt:.y~ requests mc.de aft;;:t> 7:00 a-n /Jill. be made the rn::xt :.JOI'kinq.day.
~pq;Ji~p~ r~~~p~t{r.~~
O SITEI:1S?=r::':ON: To be trade
excavation, bu: prior to set
forms. '
o
after
up of
UNDERsr;..;a ?Ll.1:.rEI,VG. E'U:C7'.~ICAL ~
,~.'ECr.'A"JrC-1.~: To oe ",.ade oef'o1'+3
work is ':O"wlcred.
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FCOTT?IG ~ FOl./NDAT.-C:l:: To be rrruie
after ~renches are e=c~;)ated and
forms are erected, but proior eo
pouring cencre t~.
D
UND~G.o/)lj"!D ?~[jU!3!:\'G." Sr'.I2R. ;J.1TER,
DRAINAGE: To be rr:a.::.e, pr-;OI' ~o fiL-
Ur..g crer.cr..ez.
o
WlDE.f?FWOR ['UJ....'BI,'lG ~ _...,~CHA.VICAL..
To ce ma.tie oriel' ~o in3taLiacion of
noel' insu~::ion or decking.
POST A,'JD 3EAU: To be I "'.aCe pr-ior to
ins::alk:cicn at [loor il".8tola-:icn or
decki,,".
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RO'-'GH ?Llp,iBI.'JG. ?!.EC'TF!!CA!.. ~
So ~OI'k :3 :;j be co~erea
unci 1. ;~cs~ :n.J=ec:~ior.s hav~ .;eer.
mttde c:r.d '=Ppr:1:Je.:. I
Fr::~S?!.ACE..~ Prior to ;:l.c.c:il".g .~4ac-";ng
mc:t:eria Ls and before trar.riI".I} inspec-
tior..
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~
F.t?A.'~I.'IC: ,'.fu:Jt,:,e req-..woted alter
approv~L of rough pZ~~ing, eZectri-
cal. & mec;..ani.:a.Z. ALZ: roof-:.r..g
braC"~7'.g ~ c:himneys, at.:. ,r.~St be
. compZeted. .'10 'Wrk is', to b~ con-
. csai-ed ur.:il ;his ir:soec:icn r.as
. boen mad.e end approt.'sdi
any
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D.r?Y''';ALL INSP~CTIC,V: Tc be r.'.ade
after aLL dry~aLZ is in place,
but prior to any :aping.
'X'2-2~W
DEMOLITION OR ;~:Ov::: 3UILDTi/GS
~ Sani tal'"'j S8"';eI' ::::r;:ped :::t p~::lpcrt-:i tine
:==J Septi~ tank ~~~cc ~~ f~ZZa~ ~~th ET:::~e:
I PinaZ - r{hen 6':1.16 ~::e.~s a:!'e cc.~Zetec
---1 and ~hen i~Litior. is c~Z€te or s~~~~-
~-e ~oved ar~ pr~;sas ::Ze~ed up.
Mobile ::cmes
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,~SOYRY: St~e! Zocation, cond
oeams, grou~inq or uertic~l8 in
accordance ~;th U.E.C. Section
2415.
:::J BLocking and Sat-~p
:::J PZ~T~ir.g connecci~r.s s~er cr~ WC=2P
:::J ELectrical Ccnr.ec:ion - BLocki7'~, 8et-u~
and p~umoing connections ~~st t~ ap?~~~€c
before requesting e!ec:~cal inspec:io~
., 'c-e"''''''' .. 3,,~'~':~''':a
--l.... ~ """"';:1 ........_~"...
I Fina. 1. - k~tcr :-:1rci:es,
~ etc. are ;~plat~d.
s/c..!'t-:.Ylf,
d.ec~:.s.
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;"'OODS'!'07E: Aftar installation is
cc,-:rp Ze t~d'.
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ALL projec: condi;ions, ~uc:~ as the ins:alZa:icn ::If street =r~es. ~~~le:~~n of the
required 7...andscc:;r;r.g, etc., .7!Ust be sa::'Ef~ad be/ore the aUI!.DI::C :[.:',4L :::'an ::e rat.jU:as:.zd.
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~. fINAL PLU;,.f8I.'JG
D. FIilAL HEcHA:1ICAL
Qg. FI:IAr; E!.EC':RIC/.:"
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PI~AL aUILDIYG: The Final BuiLding Ir:s?6ction ,~t be requested ~fter the :~7'~l ?l~bir~
Electrical., and .'.!ec;.,a;':icc:i Inspectiono ;..avc been mace ar.c :::ppr~l)2d..
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CUPB & APPROACH AP.r::ON: Alte:- f'orms
ere 2recr;~d. Ol.J.t pt....:or to pc-..lring
.zoncrete.
SID!WALK & DRr'.'Efv'A?: For aZZ CC71-
crete paving wir;hin street right-
of-way, to be made atter aZ?.. e:::cc'-
lJatina ccxrrviete & for':;'! !.X>rk & :;ub-
base ,:;'.a.teM:aZ -in ?Lace.
~AU MANHCE2S AND CLEANOUTS .'lUST BE AC~ESEla:"E. A.DtnlS::-':!E.y TO 32 :.:'.-lDE :!T !:O ::-5': T'J cr:'"! I :l....~e or".2
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:!NCE: Wher. COmplot2 -- Provide
gates or movabZe 3ections through
P.U.E.
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Topography
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e::i!ding ?~;t
State Surcn:::!'ge
To~Z Cr.a.-ge3
11':::.'1
1:~~...u"e8
!aesidentiaL (1 bath)
1,'10. I
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i Sc:nitar-'j Se:.Jer
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IbPI7..o.wL ~I 1
Plwnb-ing Pem:"; t
Stata Surcr.a:roge
Tata! cr.c:t'ces
II:Dt
i .qes. Sa. f'ta.
1.v~/E:1:tend Circu.i ts
I Tempcrc:ry SaMes
Ele:::trica! Pe~t
St.::.te Surcharce
Total C'rl1I!'ces
,--_.,
:.aae :!TU'S
I E::haus t Hood
I Vent Pan
1 .
I ;;~dsto-.;e
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Pe!"mit I38Uan.Ca
Me::;..anic::l P~t
\ Stat,,- Surehc:rae
Tt?=c.l crcr~t!3
-- ~:IC:~CACE:.~:!T --
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I Storaae
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TotaL C"flC1''7CS
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1'0'7" r "!OU'~ DU'"
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SOLAR tlIESS
CCC".l::anc".J Grou=,:
LeT '1"!?E
Ir:tericr
Corner'
Pcnhandle
C"..Il-de-sac
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Value I
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CP.ARGS
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CHARCS
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lb(/}' ~
P::.qe 2
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L-COG~
REQ.-
T:roe/Cor.st:
3edr.,oms:
I I 2nerau Sour~es
I I Heat
I I '-'ate'!' _:Jt.?c~:n'
I i Ranqe
I I FireD lace
I I Waoci:J:o:;e
II
T;;~e
I r.ot Faces .
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I 0'
t1or1;h
lEast
Sm:.th
[West
Setbacks
I ,~'OU8e I Caraoe
I Aacess,
Pus
Building Value & Permit
This permit is gl'a7lted on the e--press aoruiitio71 that the s~iid. COrtstruc::-::071
shall, in all respects, aonfo~ to the Ordinar.ce adopted by tho :i.t~ ~f
Sprir.g.f-:.eLd, ";rtc~uri~rtg the Zoning Crd:nanc8, req'.lZc.til~g tita con3<:":":I.::-::.;n
arA use of buildir~s, and ~::.v C~ ~u$Der~ed or revokec at cr.~ time ~;or. ViCM
lation o/-:rr.y ?r~Vi3ior.s of ;aiC Ord.~r'.ances. ~ I
I Pla" Check Fe", -if.3 l. d.O
Da," Pa-:.d: I Z-Q-'6"L
IRec<';pt H:
ISig:-:ed:
Plumbing
C'J-....,J
Permit
No person shall construct, instan, aZter or chango (;TlY l".8lJ cr e=istir.g
plumbing 01' drainage syste:n in :.Jhole or in part, ur.less such Ferson is tr.o
legal possessor of a valid plumaer's ticense~ ccop' tr.at a pe:-sol't ma~ do
plumbing :.;ork to propert"d which is owned, laased or operated by tho appti-
oant.
Electrical Permi t
Where State l.cJ.J l'equires tr.at the electrical 1J01'k be done. by an Electrical
Contractol', .the electrical pOl'tior. of this permit shall not be valid untU
the label ha.s been signed by the ElectricaZ ~ontractor.
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Mechanical
Permit
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I HAVE CAREFULLY EXANINED t,t...e complatad cpp~icatiol't ,for permit, end do
hereby certify that atz i~fo~at~on hereon is true ar~ correa:, ar~ I
f.a'~her cer~ily that any ar.d all :.:ork per!"omred ahall oe do:16 in accor-
dance :.rith the O-rdin::mces of the City of Springfidd, and th~ La-..;a of tho
State or~ Orecon Dzzot.::inwc to the /JOl'.i<: descri.bcd here.:,n, .:::r.c the: NO OCC:J-
PJ./lCY wizz b~ rrr:zd.e of cnyVatruct:aoa witho...t ?errmiS3io~ of tho 3u.i!dir:g fJi.
vision. I further ~el'tif~ tr~t O:1ZY ccntractors ar~ ~loyees lJr~ are in
ca~pLiance with QRS ?Ol.0St wiLZ be used en this projzct
'L~f~
5igr.ad
/<<hl Jr. ~
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