HomeMy WebLinkAboutPermit Building 1991-1-2
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.Job Location: .3S5n r-IA. ""'DILtL_f?_~(17g tE., ROA.D
A....oor. Hap' /7-02,.-/"f T~ Lot' ioo'(1=bR.IlOt{>
.. RESJDilNTIAL"
'COMBINATION,~CATION/PERMIT
225 North 5th Streit
SpringfieZ4., ,Oregon 97477
Bui~ing Division
726-3753
. Rcce~pt ,I
- SPRJ~GF1ELD-
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AddN'.:;Z$ere, !-(ARtJI7..s1:- ~,.:(..'
ctty: .=,PFO;
" Phone:' 74t." -~ 1~5"'
, Zip: "C:t7 4-?' '7 "
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Dat. of Application
t:ontraotOJ'8
Adcboes It
Use.'
t:roil'08
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Plumbing
Elsctroical
Uschar.ia::l.
Suoervlslno'E1ectrician
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It~ is ~hs r.sponaibitity of ths permit holdm-.to 8118 that aH inDpscti01l8 are mad. at ths propel' time, t1-.at QaOh .:.ddr"so is rea:!a!l!..
from tM .tre.t. aM that ,tM pcmit CDJ'd i. locat.d at the fl'07lt of tM prop...ty.
: .Bu.i.t.ding Dilli.::ior: apprcn...d Flan shaU. remain on tha Building Sit., at aU tUnss. . ': \
PI1OC'SDU1IE PaR INSPECTION REOUEST: calt726"31~9"'coorder).tat" yOUl' City d.signated job PIlSI'b.r, job addHs., typo of i...p.oticn
J"OqUeet,d ar.d w.....n IlOU uiu. b. r<<tdfllor inspflction. ContNatore or Q.m4rre rlCm..and phoM PUDnbcr..' R.quuts NC.i.Vfld b.fO'H 1:00 a:a
....:tt bs 1I>Jd. tM _0 tky, rsqunt. made aftCt' 7:00 '"" witt b. nuda tM nc:t' "",rki.. day.
, ',', ',' "" lour City D,si.gnatad,.Tcb Numba Is: 9.f)jj. R n
Reauir~ r"l'rn"'l!ti""" ~ _ ',... . ."" 0" '. ~.~ ... __
'0: SrrE INSP~10h: 'J'o 011 /II2a4r aft.r I\A INSULATION/VAPOR_BARRIER {."lSPECTION: 'DEJ.IX-IT10!1 OR .v.Dt'!!J 3U1r.:::'05
ozcau.2n.:m. but 'prior to .et up of ~ To be rrwJ.e,aft.r aU insulation and ,
. 0 fOrIM. 0 rcq1dNd"vapor I:arri.rs ar. in place :J 5ani~ Beu'" ::c:ppei ::t p:ooPc:'t-i tir..
'0 UNDEl/SLAB PWHBINC, ELECTBICAL & ' but b.for. any lath, gypsum boaiod"or : , - "
'HECHArIICAL: To b. 11k:U1. before any wU .ooudri~ i~ applisd~' and b.loN'. --, S.ptl:: t47tIc p".lffPcd a:-..: fil.t..d :.:it" ;rtrJd
work is .,overed.' anY.1.Mulat'tOn 1.. conceaZed. --l .
J. ' Final - ,flhll1labove ito:::re ar. c:cr.rpl.ttld '
'. ar.d when demol.ition i, Cc:r.r.;lut, 01' .true..
turs mou8d and prcni3.s. ::l4an..: up.
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rvr FOO'I'rNC & FOUNDATION: ' To b. 1I>Jd."
~ after tNnoh08 are ucavatlld and
tonne a:n .l'tIotsd. but pl"'i.or to
powring ccnorllt..
~ U,VDEl/C'IfI,q~D PL~MlJI~
I/'.l.-1l1UlIIIAGE" .l'o b. nral4 jII'ror to TC,-
'fi:r.g "rsiteltss. .
I'\A" UNDE'~F~tll;C!/ANICA'i>
~ To be naiJ. p~to "''"U;1001l of
floor insutatio~ or decking. . ".
RA" POST AND BEAH: To b. mad. prior to.
~ tnataLl.:zhcn of f7.<JOl' insulation 07'
tUoki... '
)a RIll"'R~ i':r.=R!~ ~e-'
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'. un '&. thOB. ,nspsoei0118 hav. been
mc:uJ. and appJ"Ou..-:!. 0 . 0 0
O FIEEPc.ACE: ,~r 'to pl.acir.g' facing
mat.ria.., and befor. frcmi... inspec-
tion. ..'.,.'... " .
I\/t FRAJ!ING: Ilu:Jt b. rsqu..ted af~.r "
j,6J ....y... _I of I'OUgh plU/l'bing, deem-
caL & m.ohani.:al. AI! ,""ofing
braaing . & ohimn&ys. . st.,. must b. .
aompl..ttul. No work is to be con-' .
oeaLed "until this i..paotion has '
,b."" IIIIZlU aM approved.
rc;;r DRYIIALL II/SPECTION: To b. 1I>Jd.
. ~ aftsr all dryL,uU is in plaCQ~
but prior to any taping.
O HASONR1: St.el location, bcnd
'0 . bBQ1M~ grouting 01" v.Brticals i~
aac:ordancs L1ith U.B.C. Ssction
2415. '
O ,WOODSTOVE;, Aft... installation i.'" ~ ':, :=J BZ()(Jki.. aM S.t-~p
, ccmpt.ted., " , p',_L' t ' _~
.' .' . .' '. . :- . ~o . r.WrJi,/T.ng connse 1.Qns -- 'CUllr ~ wa:8r
O CCIRB & APPROACH AP.~N: Afte~ forms.,. ~ ~ Elcotrict:t Connection - Block!.r.g~ s.t..up
, are erllotsd but prior to .pouring ...:..J and plumbing connsoticn. n:-.lat .:. tl?proulld
, .::on.,:TstS. .' .~.\ 0 ':.' 'bsfol'c rsqussting IIts",:l'ical. ;.r.spso:ion
O. SIDEflALK & DRlVEJIAl: For aU cDn-: --,
erst. paving within' street right- --J Ac~.saO~'.Bui:di~
. Of-wc.Yi to bo ma:J.s'\afts.,.' aU 6%oa-
. ...uating ccmpZit.. form. wOrk, & :::ub...
. baae. material. in -yZa:!s;
o HobiL. Hems,
--, Fi~1. ... J1ft~r 4,?Ol"fJ1:118, .lert-!rt(1, cLIcks,
.-.J stc. ars oanp:..tcd.
O ,!'ENeE:" SIher. ccmp!.8te -- 'Prouid.
gatss OJ' movable sections ~Jutou.gh
'P.U.E.
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AU projsot Cmiditio71S, such as .ths inatallat-::On of s:rset tree.. ccmpl.JtWrl of ;;,.
~ FINAL .1'~ING' 0 or6quiHd, Zant!~ccpir.g,. (ltc. J 'must bs satisfiod be/ofts tl-.s Bt'IIJJ1.";C FI.~'AL .Mn :s r8qu.B~"d.
r'5l'l FINAL IlECHANICAL AX ' ,"INAL BUILDINC: Th. Final Building Insp.aticn muat ba requ.st.d af~.r :ha Final i'l.umln:~
~ 0 . ~ El.ctricaZ~. and Mechanical 1nspectio1UJ havo bean mad. and'approv,d. 0 1:-:' ~ :~~. 0 ',,-
~ FINAL'ELECTRlCAL ',", , ' , " . "',
~~e C8., ~~I/?r't.;()F'. ',. ",'" -' ','.. " . '
'g[\WlTc,' ~.'ALL'I.fANHOLES AND CLEANOUTS"IUST BE ACCESSIBLE, ADJUSTlIENT'TO'BE_H.1DE 'AT NO COST TO Cr!l I p",. 1 of:
IJcb Numbcl': q () 14~ Reff:l'er.ae Numbers:
I Zone: I f'1 \G " ~cuvana" Gz4aS 'R~-o'\ 1'1\ \
ILot Sq. Ftg., , ..LZ.,.,~80 LOT TYPl". . : Lot,Faaes-
~ ~f lot G""srag. '2./&. /rntericr p, L,
I of Sto....s c:9. COl'n8l' Nortn
Toto~.H.,;.ght !:J'l " Panhandle East
I TOpOq;.q,~ Cul-a.-saa i~::h
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IITEII
I",ain
IGarlU1tl
ICaroort
I ACCeS801"U
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:, Stats SwrCl-.arg6
Toto~ Charges
~:~ So, fto, 2.~7e)O'1
NAJ/Eztsnd Cireui ts . I
I Temporary SQ1'1)io~ I I
I l/r
", El~ct';;'~;'"it
",', S~ SUr~lr:Iros '
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, , 'Toto~ Charc:..
1 SIi-F'TG
~27'ib
5z.f,
mAL VALUE
Is.D.c.
I pea",,}
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Buildil1(J PlJl'mit
Stats SUrcharge
Toto~ Charg.. '
IITEII
I Firtures
I R.si<Lmtia~ (1 bath),
Sani. tarw Sewro
Water
'P1.wnbing plJl'mi t
IITEN
I f'ur7t.:ie~ E'l'U'S .
"I Ezhaust .Hood
I Vent Fan
I JloodSt01J6
I
psrnrit Ia8~a
Msclumi.c:z1. Pemt .
Stato Surcha~e
IWO. I
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..- Fees -..
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9//2 D~
74-41 ~I
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90~.,i!tO
I.N#< k
x
'4lJ~
/4~
Value
4~()~""
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16/,{D ·
FEE
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/92. 5'DI
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,',,1/92..:GID ,,'.,""
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CIlARGE
FEE
CHARGE' I
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I NO,' FEE C/JARCE
Z- 1-;"-
1 "'f/!>o
1 3tH>
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I /1J.&70
I /9. So I
I / ."1-8
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. "Total C1r:zrallo
I -- ENCROACHMENT -- '
I SeC".lritll Deoosit
I Storag6
I H7~t~~~
Pennit
~._Chaf'gas
I Cul'1>cu~
I sidew lk
Penee
El6ot~al Labat
"Mobile Han.
Si01c ~~
,I TOTAL AMOUNT DUE:"
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&lI13h PV* ~&-/fA.L/k
~~~4,'/I,' ~~" -
L-COC H:
Type/Con.t: ~ Bedrooms: -5
'5eu 714- I I Ener"" Sou""e. TilDe
Setbacks I' H.ot erA-T tI~
. House I Carage I Access. I Watp.l" Neater ,:;/~
I I Ro"l/' ~T
I I FireDlac.
I I I{o__e
II
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7'
Building Value &
Permit
This psrmit io granted on tho e:rprs88 oondition that tM said construotion'
shalt.# in all respeots.. conform to the Ordinance adopted by ths City of
SpringfiB'Ld.. inctuding the Zoning crdf.nancB.. regulating the construati.cn
and uoe of buildings.. and may be suspended or revoked at any t".:.ms upon vio-
. 14tion of any prouisions of said Ordinances.
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"', 'I Plan ch.ok Fee: ';2. 79 ,~CJ
Dote Paid: / z. - 2./ -'7'1?
I R.odpt H:
I Signed:
Plumbing Permit
No person ohaU oonstruct.. install.. att61" or changs any Mw or meting
p~wnbing or drainage system in 'whoLe 01" in part.. unl.SBB such pSl'S071 is tM
I legal. possessor of a val.id pl.umbsr's license.. 6%cspt that a person 11tJy do
plumbing IJOrk to property which is 0L1ned.. leased 01' OpBratGd by tM appl.i.-
. 'cant. 't!.,'
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Electrical Permi t
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Where State La1J requires that the slsotrical LJOrk be done by an El.sotrioal
Contraotor" ths eleotrical. portion of this ptilnnit shatt not be IJalid until
the lab.~ Ira. been aigned by the El.otrica~ Contractor. '
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Mechanical Permit
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I I HAVE CAREFULLY EXAMINED the completed applioation for permit, and dD
I hereby certify that all. informaticn hereon is trus and corroot" and I
jlIrth81' c8l'tify tlrat any and aH ""rk p.rfom/ed .IraH b. dDn. in acoor-
I danc. .nth the Ordinanc.. of tlra City of Sp"'l1(Jficld. and the La:.I. of tho
'-+ State of Oreg.:m pertaining to the IJOrk desoribod herei.n" and that NO OCCU-
PANCr will. be moo of any structura bJithout permission of the Building Di-
vision. I further certify that tmly contraotors and enpl.oyees who ars: in
compliance with ORS 701.055 will be used on this projeot
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