HomeMy WebLinkAboutPermit Building 1983-4-22
.. REATlAL':
APPUCATION/PERMIT
225 ~orth 5th Street
Springfield, Oregon 97477
Building Division
726-3753
Job wootion:, is DlJ,~ J/ll~J {j~
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~ Phone: ,47. (,,~'i.'lt.
Zip: q7l/77
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Lj. C).:;l..- \<; '3. Vo!ue
Add..neS3:
City:
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~ar:e ot .-tppticatiCl1
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SPRINGFIELD
;
DesoP':"be rl'ork:
.
,'?oo,;o'.' ,y, (0 {)"l '77
7YJ~ W~ U"!
ry~ 50,00
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'(10
~ 10' ()O
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Sigr.ed:
Date.'
Genera Z
Plumbing
!l.ectrica1.
"'!flOhar.i.C':l.
Addres3 l.ise. F!
~ 0~ J ~; ,,,,.ll.u\nLj - ,::)()</q _4...J,,--><0rf/)~ ~p
~i Q~ lpGA.>'> ('L.A.J () 0,., .0"',-'-"/ ,.!.I9' U~I../.JJ
"Bi 0 0 Q H . J"U. J C;; Anfw k? 1/ ' J.: ..,'r Jj,
Con3t~~c~ion Lcn~der
E=:;ircs
Phon~
7.2h-rJ79J.,
[: is tho responaibil.i.:y of ths permit hoZdsr to ae6 that aLZ inDpections are ,-::006 at :he proper :i..71C~ ;,l..at ~h .=.d.6oS83 is readab:J
from ehe street. and that the pc.rr.rit c.:2rd is z..xated at the front of the proper'ty.
"3ui!.di~.g Divi=io~ ap~r(n;ed pl.an sr..=l.t remain on tn;; Su-:lding Si.ts at aU times.
,?"?OCSDURS POR I,'/SP~CTIOl/ REOUEST:CALL 726-3769 (recorder) state yOUI' City desigr-:lted job number" job ad&ess} type of ir..:rpec:icn
l'aquestcd a:-..:i !J.l:en you /J'Uz. be :,eady for inspection} Contractors or Ct.."71er-s r.c:me cr.d phone number. Requcs;;s recsiv~d csfcr8 7:00 c::':
~-ill as ~de tnG same dc;h requests mda afta' 7:00 am IJ'iU b:z made the nat :.JOrkin.; day.
f?sU'..li.,....d rns~"'ctic1!oq .
O SI'J'~ I:;~?EC'::QN: :0 be maae Glt2I'
e.xcavatt..:m, ~u;; pM.Cl' to set up of
forms.
Ol U,'lD~-:)s[.;,a ~:n:_u,'.srlG, 2LE',':'':'HIC-lt ~
,~!ECH).,'/IC~i.: . To be rr.ade be.~',,:"'2 any
work is .:ovcred..
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FCOTD'C ~ FO!R.'DAT:C.'/: '1'0 be ,~e
after :rencnes are e=c~Jated ar~
fa~s (:l'6 erected., but prier to
pour-:.r.g ccnc:'st.,;.
[]
U."DZRC:~OU:!D p::.u.'.mn.'G. SE'.I2R. :or.1TE.':/,
DRAn'AG2: To oe rr:a.:ie p1"";or ~o fi~-
lir.g r:rer.ci:e~,
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UNDERF'WOR !'~U.'..'Br:.'G ~ ,'1::C.f:!A.VICAl-:
To be made oriel' to in3ta~~;;ion of
{'l001' inBu~::ion or deci<.ing.
POST At/D 3EAU: To be rrak prior :0
irt3::a:Lk:ticn of noor ir.st.:l.a:-ion or
dseki~.
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ROIJCY. ?!.U~~E!:.'G. _~-r;ZC7.r?!C~!"j .'.fECH-
~: ~o ~or~ ~3 ;Q oC co~epeG
ur.~~i ;r.csa :r~~ec;ior.s ~-V~ ~eer.
made a:r4 ~PP?'~~.
FI.=:::PLACE:: Prior to ptacir.g fc.c-:.ng
.'7JCt.I'ial.s a.nd b~jor8 frc:rir.g inspec-
tion.
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:.rt4.'!I.'IIJ: ,"!u:;t.;e '!'(u;u.eated af:Bl'
approv.;l. of rough pl.ur..iri.ng, al.ectri-
caL & :r:ecr.ani.::aZ, AZ.~ :-ooj:r.g
braeir.g & chi,TonCYS, at..::. ,~..lSC be
. comol.etcd. .'10 '.(Qr~ is :0 ?;'" aon-
. cea'!.tld until ;hts ir.soec-:;icn r.aa
'b€en ,~e end approved.
Your City. Deaigr.atcd Job lYumber 1a:
O. INSULATrONlvAPO.9. BARRI::.:? INSP::CTICU:
To be mads. af~er alL insuL.:;tian <rod
. _ required uapor barr-'~ers are in place
but bejore any lath" gypsum board 01'
IXtU covering is cppZied, a:r.d beT~ore
any ir.3ul.a::ion is concealed.
o
D.rf'!'rlALL INSPECTION: To be rr.ade
~fter an ardl.Jal.l is in place"
but prior to any taping.
,\1ASONR':!: Stae! location, bond
Deam3, grou ting 01' u61'tica ls in
accoreancs with v.a.c. Section
241S.
;KJODSTO"IG: Aftal' installation. ~s
cc::rpl~t~d.
5?,~ / (" d-./
DEUOLITIOH OR nov::; 3UILDIi;'CS
~ San.itary se'.Jer ::apped :::t ~op.-rt:J. line
:J Septi~ tank p'..."?~d c:n.d f~Llad :Jith ;r::::;iZ.
:J Pinal - {o'her.. ahcve ite:::s are cc.':iOZetc:d
ar.c ~hen dencl~tior. is C~Z~:B or st~~~-
tu.Me ~cved ar~ ?r_..~3es :;:leaned up.
Nobile Hc~es
~ Blockir~ and Sat-~p
~ Plumbing connec:iQr.,s -- S~Sl' ard Wc:er
~ Elcctr-:.ccl CC71r.ect'i:on - Blocking, se:-up
~ and p~wnbing connections m'...st be CZ?proZ:id
before I'equest~ng e!ec:rical inspsc;io~
:=J Acces$o."li EuiZi.:.ng
~ Final - Aft~r ;~rcr.ss.
~ etc. are ccmplB:.d.
sk~r:ing,
docb,
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CURE & A.PP.9.CACH _4P.~N: Afts:- fol'r:ts
are 2rsctsd but prior to pC"..tring
.::on.::l'ete.
SIDEWALi<. & DRE"EWAY: For all ccn-
crete paving wi chin strect right-
of-Lx:.Y, to be made after' an e:;ca~
vatina comvZete & fo~ ~rk & =ub-
base ,:rn:te~;a! in place.
o
All projae: eOP.d~tions, Jue~ GS tr~ ins:-alZ.ac~cn of street :rJes. ~~~!a:ion of :~
required l.an.ds.::cpir.g, etc., ,'nUst be sat:isf~cd bo:;or6 tr.a aUI!.DI.','C FI.':AL ::an .:e rSqtJ.ss:old.
D. FI,'fAL PLUXaI:lG
D. Fr:IAL ,'.!E~?A.:IICAL
O. FI.'lAL 2!.EC':'RIC~:'
,0
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PINAL BUILDI.VG: The Final Buil.ding !r.sy'2ction ,":'tUBt b<3 requested =/:er :i:a. FinaL P!:.J.m!n:'na
Electrica!, an.i Nechar.~ecl Ir.spect:i.ona have been :"'ade ar.d Gpprcved.
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:!NCS: ~er. c~~L~te -- Provide.
gates 01' movabZa sec::icns thl'OUgr.
P.U.E.
*AU" NA:'lHC~cS AND C:'E:ANOUTS ;'fUST 3E .4C~ESSI3r.E. .4C.n.'S7,'~:i'!' TO 3S .~~1DE ..!T NO ::;S';' TO CrT! I ::I....~e oj ~
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I JOB NO, ~ slG~ 1 SOlAR6ss
I
i Zcr.e: CCC".J.=:anc:; Gl'O'J.:;:
I Lot Sq. Fe;,
~ ~f tot Cavel'ag~
i! of Stories
TotaL Haight
I
I Topography
I
I ITS.'!
I.\h:,'"
1~~c2
i
I Car:;'~l't
! .4c~ess"l'~J
I
I
LOT TYPE
Ir.teriol'
Corne:"
Panhandle
C'.J.L-de-saa
SQ.FTG
x
Value
TOTAL :'ALl/E'
IS,D,C,
I
(VC1.;.J.C)
],5 ::
Building Permit
State Su.rcnarge
Total (;r.a..-ges
IITSM
I FL-tures
I ResidentiaL (J bath)
I NO,
I
C'!i':'
CP.A?GS
Scni. t.:J.l"J Sewe!'
water
~ML <I-l..........1L
IS,QO
IS: ,00
,&,o I
)~,(;O I
Plumbing Perd. t
Stats Surcr.arge
T::tal Chc.rces
If EN
,VO'I
I
:;';;'1;'
CHMrGE
'F?es. So. 'ta.
I N~/E--tertd Cil'M ts
I Terr.pol'c:ry Service
I h1~~rL.J
/0,0 b I
IfU, n I
.<{ 0 I
)0, (,lol-
I
I
,
I
I
I
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I
I
j.
I
I
I
I
I-
I
I
I
I
f
I
I
1(",10 I
EZe=trical ?e~t
State Sur::hazoce
Total C'h.arC8S
I"'"
~"::::C'1l 2TU'5
I E=haus t Hood
I Vent Pan.
I '
I iloodsto:;e
/..C.
F~::
CHARCE
Permit I:;suan.ca
Me::,..a:n.ic::.l Permit
State Surchc.....,.!u:
To-=r.l C]tLn"?<?n
Z,'lC;:::CACH....'E:!':'
Sec-.u."';t;u
D2'::10si t
StOl'aqe
,'k::.r.tena7'.~a
Parmit
Tetal C"rtal'''Jes
I CUr:'CO..l:
I Side:,;aZ'k.
I :en::e
i EZ.ectr:.cal
,
! .'-(obi la H~e
LabeZ ' '2.0
C.o"v-M/llJl~~~{),tJ 0
I TOTA[
ANOU.'lT DUE:"
P::.qa 2
&
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4\
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TiJ~e I
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REQ,-
L-COG~
T..(oe/Cor.sr; :
3eCr?oms:
I [.at :a.ces -
I
I P.~.
!fIO!'~h:
lEast
ISO'_th
l::v.est
I I 2nsrGlJ SOU1'':es
I:
i
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I
I
SetcacKs
Hou.ss Caraae
Heat
I A.ccess.
;.,rater' ~t?a~O?1'
Range
Fireolace
fv'ooa:1tove
F~es
Building Value & Permit
This permit i!3 granted on the e:::pl'ess condition that the sdid. constl'"..te;ion
shaU, in alZ respects, conlorm to the Ordinance ::.dop~ed. o'u the Cf.;~ of"
Spl'ir.af'~eZd, :.nc!~i.na the :::'on:.na Crd:.nC1!CB, :'eauk:til~a tr.e ccr.st:>:/c::.cr.
and u;~ of buiZdings,~and m::.y be~~u!3~ended or revoked ~t cr.y ::.~e upon vio-
lation of ~y pr~visior.s of said Ordir~ces.
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I Pl.an Check Fee:
IDate Paid:
IReooipt #:
IS,p:ed:
Plumbing Permit
No person ahall construct, instal!, aZter Or' change cny r~W or e=isting
plumbing or drainage 8Y8te~ in ~hole Or' in part, unless such per80n is tr~
legal possessor of 3 valid plumcer1s license, e=cept tr~t a pe~son may do
plumbing ~ork to proper~, ~hich is owr~d, Zaased or operated by the appli-
oont,
/
Electrical
Permit
Where State Lc:zJ requires tr.at the eLectrical work be cone by an ElectricaL
Contpactor, the electrical por~ion of this permit shall r~t ba vaLid untiL
the labeL has been aifi71ed by the ElectricaL Contractor,
Mechanical Permit
ptan ~~ne1' ~tl=J
I HAVE CAREFULLY E:XAl.fINED ;,1,.,.8 completed application for permit, c:nd dc
hereby certify that all info~tion hereon is true arA correct, ar~ I
fUl'-;J:er cert:.r1i that any er.d all :.:ork ;t.Zrfol'.'1led shall be do~e in ac~or-
dance :J'~th the Ol'dinances of the City of Spl'ingfiiJld, and th:: Lcr..;a of tha
State of Orec~n o~r~inina ;0 the work des~~bcd herein, cr~ ;ha~ NO OCCU-
Pl.ffCY wiLL oa mc2e of anY~Jtl'UctUl'a ~ithou: p2r.misaion of the auiZdir.g Di-
vision. I further ~ertir~ tr~t o~ZY contra=tors ar.d ~l~yees wr~ arB in
c~~pLiance :J';th CRS 701.0~~ will be used en this projsct
JLh,,~ ,
Signzd
p:::.../n
t./_ ::2 ;;l - l?':?
Date
~/)/aU I3~A
;}d-S- AI. s- ~ .
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