HomeMy WebLinkAboutPermit Demolition 1982-11-16
.. RESID'NTlAL':
APPLICATION/PERMIT
225 Yorth 5th Street
Spri~~field, Oregon 97477
Building Division
726-3753
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SPRINGFIELD
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.48.768001''; .I!a? ,;
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C>."er: ~ ~l ~ i \)~ :s:- W'r-n..J
Add..eS3:rOQq~t\(\ \i ~ ~r<me: qq R- / & '7)-,
City: fZ ~LLnl'.H ooC,i+j \ ~i?: cn448 I
n.r....J
n Add'it:icn
n RemodeL
n :~~{,!~ ~om~
rate of Applica:icn
Desc'I"ibe fl'Ol'k:
ckmoLLb'ofl./
VaZue
~/A-
~:::::3t).~. \ 0 ~ ~ r-. ~ ~~d~:S~
P!wnbing , (Uf . 0WlI 0 l .
~teatM.caL \ / .-
NllChar.ic.::.L
[: is the responaibitiey of ths permit holder to SGe that aU incpecnons are :i':ade
from tM streo t, and that the pcrmi. t caztd is l.ocated at the f1"07f.t of the property.
"3ui!di~.g ;:Xvi=io~ ~?:rot..ed pl.cn s;..clZ. remain on ern. BuiLding Sits at aU times.
??OCSDUPE POR [,'/SPECTIO" REQW'ST:CALL 726-3769 (recorder) seata yOUI' City desigr.ated job nw;;bel', job ad&ess, type of i1".3t:'ec:::icn
r(!qtl.cs"Ccd a;':d !J.':en you will. be ready for inspection" Contractors or Or...7ne;,8 r.cme end phone number. RequBsts received "c~fcre' 7:00 c:':i
:.'iH DS made the same dcy, requ.~sts made aft~ 7:00 ern wiU bOl m::r.de the next :.;orkin:; daYQ f\J'""'\A07
Your City. Desigr4tcd Job lVumb€l' 10: ~ ()/~~~
Co~st~~c~ion C~~'el'
~P~I~:"'P,rl 1""7':'Pf"":~:r.,:q
O SI?E I:1SP!C':':O!!: To oe mlce after
excav.::ti.:m, bu::: prior t~ set up of
forms.
O U:JD~pSL;.a ?!..U,v3I.'JG. 2~;::C7'.t?r(".1 r oJ
".!ECH..!.tiiC:"Z.: To be rrad,z befo~€ any
OOl'k is .:ovc:,ed.
o
FOOTI?;G ~ :OUI~IDAT:C.'l: To ce ::-ade
af:,zr :rencr.es are 2:clTJated ar.d
forms are erected, cut prior to
pouz-~r4 ccnc~e:~.
o
fl.VDrRG.o/PJ.'!' p!.,r.;,'.{2 lo....e.
DRAI.':AGE: 70 be r.:a;;e
z. ir.g trer.ci:ea.
S~.IF.~. ;,.'.1TE'R.
pMor :0 fi~-
o
U.'lDE.~P:':)OR P!iJ.\'S.t":lG 4 N::CHA.VICAL:
ro be maCe "Mer :0 -::n3tcUat::011 of
f7.ocr insuz.C:icn. or decking. .
P'JST .4,'1D 3EAU: To,;e rr.cde p1""';or =0
instcll.;::-i.c11 of' f7.oor inst,;Za:icn. or
deoki"fi,
o
o
RO'/G.:: ?!.J.r.~F!!'.rC. ~!..EC":'~!CA.!" ~ .'.PCH-
A:'IIC,E: :;0 ~'or;-' :.3 :0 be cor.:ereci
ur.:il ;r.esa :r~=ec~icr.s h=v~ ~eer.
ma.:ie ~.d ,=??'[':rJ~d.
FI.='::?!..~CZ: Prio'!':o plc::ir.IJ !~r.:inq
mc::::eZ"iaz.s G:"'.d bejors frar.rir.g il1spec-
~ior:.
o
D
FRA"~I.'Ir;: Mu.st ~e req-.J.e:Ji:ed cf'~e'!'
C?prov~l of rough ;l~hing. ~~ec:~;-
cal j mecr.ani.::c:Z. At! raoj-:.r.g
bracir.g ~ chi.'m1~1Js, at..:. ::-r...lse !Je
.comnle:cd. 50 .;;r< ia to b~ con-
. cec."ZtJd ur.:il. :his instlec:icn r.as
'been ,T.ade end a?proved.
J
Lisc.#
~.
c"~ '
...tcmed. _ J ~
Data: . . u.o,t)rJI
I
I
I
i
j
I
I
rea:iahZe I
Ex:;irzs
PhOllS
at =he proper time" tr~t ~~cn =ddress is
D INSULATION/VAPOR BARRIER I!iSP:;CTICN:
To be made after aU insul~ti:Jn 0:'4
. required vapor ba::rriers ar'e in pZace :::J Sani~::! se-.Jer ::apped :::t p1'~P&!':--::i Ur;e
but csfore any lath, gypsum board or -
wt.z .coveri~g i~ c:ppZ.ied, tZr'.d beJors '~ePti.:! tank p:""7~d c:::"r. /:.ZZed :.nth E'f':::::eZ
any ut3ulatum 't-s concealed. /' ~
D D.9.,!WALL INS,PE:CTION: Te be rro.aCe ~ PinaZ - mzen ~~e i~e::':s a!'~ ce:::ptei:.ec
:::fter all. az..::!wa!l is in place, crr:d ~hen ie'X~:.ti..or. .tS c"",?t..e=~ or st~...~-
but: prior "Co c:ny taping, I ture r.:oved ar.c: ?re::-:-...~es ::le,:zne::. u;.
O ,~SONRY: SteeZ Zocation, bond
bear.13, grou;ing or verticcZs in
aacordancg w-~eh fl.B.C. Section
241&.
D
ilOODS'!"JVE: Aftar instal.latian -:'s
ccmplee...d.
DEllOLITION OR ;'.;'QV::;; 3UILDZi,tCS
MobiZe HC.~2S
~ 3Zockir.g ~~ Set-~p
~ Pl~~ing cor.nee=icns s~er CT~ wc:er
--, ~lectZM~ccl Ccnnec:-:.on . Blockina" 8et-~~
--.J c:nd pZwnbing connections r.r...st .;~ ap,:n'~n;ec
be;orc request~ng eZec~~cal ins?ec=i.o~
~ .4c.::eS'1c"~i 3uiZ-d-::r.g
:J Fin.:;,l . Aft;:r ;~rcr:es,
eta. are c~Z~=i.'d.
3,l(-:..!'~:.ng,
dec/.3,
D
CURB & APP.9.0ACH AP.r:rJN: Afte=- forms
are ere.:!red but pl"";or to pC".J.ring
.;:on.::rete.
SID"E'.IALi<. & DRn'EWA"1: For all CGn-
crere paving wi~hil1 street right-
oi-wey, to be mcde af;er alZ e:::cc'-
vatina .::omoZe~e & fo~ ~rk & zue-
base ,;'.c:teroial. in p~e.
D
AlZ project cor:ditiollS, ouc~ as ehe instaLZarioll of street ;rees, ~~~ta~~QI1 of :-he
required landsccping, etc., must be satisfied bejars the aUI!DI~C Fr~AL ~cn be r~quss:~d.
D. FIliAL ?!.UXBD'G
[]. FINAl. NE=HA:IICAL
D. FI.'IAL Z!2C':'RIC/.:'
[]
o
PINAL aUILDI.VC: The Final BuiZding !r:s?ection .-:-rust O"J requested::/:er tr.e ~':'iYO..::.l Plumbing
Electrical, end Necr~~iccl Inspections have ~een made ar~ apprcv~~.
o
D
:!NCE: ;;her. ~~pl.ota -- Provide
gates or ;:wvabl.e aecticns through
P,lj,E,
>tAU, NANHCLcS AND CLEANOUTS NUST 3E ACCESSI3!.c, ACJUS';','f:::,"!' TO 3::: :.f/,UE: ..!T 1,'0 :::57" T'J CI':':! f ";1""-e of 2
D
I JOB NQ,32!1f!i57
I
i ZC7!e:
SOLAR"CESS
CCC"..I::'anc:J G1'O"..I=':
Lot Sq, Ftg,
~ ~f tot C~erag~
.if of StOl"";es
TotaL Heigh:
i
IT.,.", -,ny
i
I !'!'~:./
SQ.FTG
,~k:::in
'J..::!>~;J
1
! Car':"ort
I,
I ..ic~e8S~!'".J
?OTA[' ;'ALVE:
Is,o,c,
I
I :;c.:.UC)
1.5=
EuiZding ?el"m"~t
State Surcharge
Total C1'.a:oge3
11':::.'1 I NO, i -,-
'_0
I Fi--;ures
I Resid2>lti.a1 (1 bath! I I
I Sc:r.itar'j Sewer I
I "at€.... I
I I
P?'wn1r;ng Pem t
State Surcr~e
T~tat. Cha'l'ces
~ 11'E.'1
I Res. Sa. fta.
I NelJ/E:rtend Circui. t8
1,'0'1
I I
I I
I I
Temporary Service
Ele:::tricaL Pe~t
St;::.te Sur:::harce
Total C'na:rCBS
I :~aq :TV'S
I E=haust Hood
I Vent Pan
i .
I ;foodsto:;e
1':0' I
I
I
I
I
Permit I3suan.ca
Me:::r.anic:::.l Perrrrit
State Surchc:rac
'!'"tr.l CYrrI!'''NI!J
~.'lCRCACHXE:!':'
Se~~;~J D2::'031.:
Stor!lqe
I "1airttencT'~e
I Fr!rrrrit
TotaL C'n.al"1es
C'urOC"..lt
Side:Jal~
I ?e~e
I G'lolc:ricaZ
,
! .'%bi La Home
f.c1;el
I TOTAL A.....roU..1T DUE::"
LOT TYPE:
Ir.tert.or
Corner
Panhandle
CUt.-de-sac
x
Value
CHARGe
I
I.
I C.iit=lG2
I
I
I
I
I
I.
CHARGE I
I
I
I
I
I
I
I
I
I.
;":;'1;'
r'~:'
I
I
I.
I
I
I
I
I
I
I i
N()tc?I~
P::.ge 2
~
I
I
I
I
I
i
I
I
I
.
. L-COC;}
REQ,-
T;Jpe/Cor..s:::
3BCr?GmS:
I &of; Faces .
I
I P. E-ol Hou.se
I/Ol'';h
lEast
iSou.n
IWest
II
II
II
II
II
II
II
~r:erau Sou.l'~es
S.'eat
dat'!:!' _:J~n'!;/!7"
Range
?ireoiace
Wooa:;to:.:e
T:;:'8
5etbac,o:s
CCll'cqe A.~cess.
F:zes
Building Value & Permit
I
I
I
I
i.
I
I
I
I.
This pel'm"'~t is granted on the e:::p1'8SS r.:ondition that the sa'id. aon8::1"..(c:::.on
shati, i.n dZ !"8svects, conf'o~ ':;0 the Ordinar.ce :zc!o;;ted by ths. :::.t:; ~~
Spl'"";r.cf'~e~d. ....:nc~uc...:ng ;1:8 Zonir.a Cl'cir.c.Y'.ce, l'eG'..tLctir.a ti:1i CCr:3t":-:.tct-::cr.
arrd u;~ of buiZdir~8J end ~y ce~~uzper~ed or r~voked ~t cr.~ tiwe u.;or. uic-
La:icn of ~y ?r~Vi3ior.s of said CTdir~ces. .
P'l.an Check Fee:
Cate Paid:
Rec~ipt No'
I Signed,
Plumbing Permit
No person shaZZ construct, instaZ!, aZter or change any r~w cr e=isting
plumbing or drainage syste~ in ~hole or in part, unless such ;er80n is the
legal possessor of a valid plumber's license, e:cept tr~t a pe~son ma~ do
pl:.m:bing work to property which is owned, leased or operat~d by ths c.ppli-
<:ant,
,/
Electrical
Permit
Where State LaJ requires tr~t the electr";cal /JOrk be done by an El8ctrical
Contr'actOl', the electrical portion of this permit shall roOt be valU! untU
the label has been. signed !;y the Elecrncal. ~ontractol'.
Mechanical
Permit
? i.cn Z::::::::r:'/..l'!er
Llat.a
I HAVE CAREFULLY :;XAHINcD :.'uJ con:pL.atad :::ppz.::cation for perm":':, end do
hereby certify that alL ~~;o~t~on hereon ~s true ard correct, ar~ I
r..u'-<;r.er cer::.jEi that any c.r.d all. :.:ork ;~l'fo~ed sJt.aLZ oe do:7.e in. ::C=O:'-
dance 'J':'th the Ordinances of tiw City of Springfid.d, and :h: Lc-..;s ot t;..3
State of Oreq.:m p2rt.::.ininq to ~r.e work descr-:'bcd herein, and =;..c.: :;0 OCC!)-
P;'.:/CY lJ'ia ba .mde of czny .nrucz:ura witho",: parr.r:.33ion of the Euildir.g 0--:'-
vision. I further ~ertif~ t;.~: onLy ~cn:rc.ctors and ~l~ye6s ~;.~ are in
c~pliance with CRS 701.05E ,JilZ be used en this pl'~jzcz:
_L.
5igr.3d
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h tJ1)./ ~ Y::2..
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