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Home My WebLink AboutPermit Building 1981-04-29CITY OF SPRINGTIETD COIAEINAIION APPTICATION I PERTAIT INTORMAIION tINE 72G3753 Job De:criptio n INSPECTION IINE 726-3769 Sq. Ftg. Other -New--Add -Alter-ReP.. . -tence--Demo-Chongel Use Permit lnfo: Dercribe Work ii.e.,8uildBui Sq. ftg. Acces:. ERGY SOURCES: Heol Woter Heoler Ro Yolue Sq. Frg. Moin Pho neAddre:s ,.<51{(Jt-, &,X9--.l '41--tc q1 e\CIDXrX . {Xy I [D3-(/ dLv\\5lI)-. I CA.-aa) "e,U Addrers Phone (nome)(oddress)(lics. no.)(expires)(phone no.)DESIGN TEAM Primory Structurol i<o I Mechonicol CONTRACTORS ,,1 (nome)(oddress)(lics. no.)(expires)(phone no.) Plumbing PTUMEING MECHANICAL C!.IARGE Residence of furnoce/burner to Eoch EtECI'RlCAt NO.rE=NO FEE CHARGE NO.FEE CHARGE fixture lt ---BTU'S Electrico I Mechonicol Relocored building (new fix. odditionol) New circuils, olterotions or exlensicni Applionce vent seporote S.F. Residence (l both)SERVICES Stotionory evop. cco ler Duolex (l bolh) eoch Temporory Conslruciion Vent fon wiih sinqie Cuct Aciditionol both Amp:. Vent system oport from heoting or A.C. Vy'dter 3erYi(a Mechonicol exhoust hood ond duct Sewer I I Wood stove/heoter Stor.m Sewer FEEDERS Heot Pump Am pr. Air hondler to r 0,000 ctA{ Air hondler over 10,000 crM ISSUANCE Of PER}TIT TOTAI CHARGES TOTAI. CHARGES WHERE STATE tAW REOUIRES rhot lhe Elactricol work be dona by the Elerlritol Conlroctor, tha clectricql portion of this permir sholl not be vqlid unril olobcl hos been signed by on Elactricol Controclor cnd otrorhed to the olectricol pcnel. TOTAT CHARGES IHAVE CAREFULLY EXAMINED lhe compleied opPlicotion for permit, ond do hereby certify thot oll informoiion hereon is ,ruc ond correct, ond I furthercertify thot ony ond oll work pcrformed sholl be done in qccordqne with the Ordinonces of rhe City of Springfield ond the Lows of the Stote of Oregon Pertoining lo the work dercribed herin. ond thot NO OCCUPANCY will be mode of ony struciure withou, the permission of the Building Division. I furtherertify lhot my reEietolion with thc Builder's Boord is in full fore ond effect os required by ORS 701.055, thot if exempt the bssis for exemption is notedheron, ond thot only 5ub@ntrqctors ond empioyeer who ore in complionce with ORS 701,055 will be used on ihis proiect. Bosis for Builder's Boq NA.f,{E (pleose print) FOR OFFICE USE ONTY SIGNATURE Fire Zone-Bedrooms Occy Lood 5q. Ftg. Access Ftg. Other-x -Volue TOTAT YATUATION Group n ils Sq. Ftg. Moin Flood Ploin Storie Zone --Type/Const, x Volue x -VolueBUITDING PERMIT Chorger ond 5urchorges PIon Ck. Comm/lnd Blcl Per Fee Plqn Ck. Res Per fee30,e'" Syslems Development Chorqe (1.516) PI,UMBING PERMIT Chorges ond Surchorges Fence Demo Totol Comb. Permit .r\.oo Mi/r)ETECTRICAI PERMII Chorger ond Surchorger Sidewolk MECHANICAT PERMIT Chorger ond Surchorges Curb Cut TOTAT oo5I a/a p."i^^ coMBINATTON AppLtcAltON/pEli-IirlT (CAp) l. Appliconf. to furnish A. Job Address B. Legol Description I. exomple-tox lot I00, Lone County Mop Reference l7 03 43 2. exompie-Lot I. Block 3, 2nd Addition to Springfield Estotes C. Nome, etc. of owner ond construction lender D. Energy Sources PERMIT VALIDATION l. exomple-heot/electricol ceiling/o 2. exo mFlE-wo ter IEGi/EGEI?-ico I 7' r forced oir gos or solor E.Squore foologe or voluotion, etc. 'I . exomple-1250 sq. foot house,500 sq 2. eromElE-if n-& proieo, checkiEi-ii odd, etc. foot goroge oddition, check F. Building permit informotion: I. exomple-construc, single fomily house with on ottoched goroge 2, exomple-remodel existing goroge into fomily room 3. exom er-convert single fomily residence into nt (chonge of use)resto u ro G. Volue of work os defined in Section 303 (o) of the Struclurol Speciolty Code H. DESIGN TEAM AND CONTRACTORS To ovoid design or construction deloys, Building Division Stoff must be oble io contoct oppropriote persons regording design informotion or iob sile corrections, etc, ll. Abbrevioled Plumbing, Mechonicol & Electricol Schetlules A. Except where blonk spoces occur in the description pcrlion of the Mechonicol and Electricol Schedules, the oppliconl need fill-in only the No. Boxes odiocent to the oppropriote item(s) to be instolled B. Full Plumbing, Mechonicol, ond Electricol Schedules ore ovoiloble ot the Building Division l. To conserve spoce on the permii form the schedules .: hove been obbrevioted 2. lf rhe item(s) to be instolled ore not covered on the obbrevi- . oted schedules you should consull the full schedules C. BUILDING DIVISION STAFF WILL FILL OUT ALL FEES,AND CHARGES ON THE SCHEDULES lll. Applicont to sign ond dote Whenever possible. the iniiiol opplicolion will be used os o worksheet only. Where possible, Building Division Stoff will prepore o typewritten copy ond relurn it to the opplicont ot the time the octuol permit is issued for his signolure. lV. Fees ond Chorges Plon check fees ore due ond poyoble ot the time of the opplicotion, ond no plons will be processed until these fees ore poid. All other fees ond chorges ore due ond poyoble when the permit is issued. V. FOR OFFICE USE ONLY Permit Clerk PROJECT CONDITIONS TO 8E SATISFIED BEFORE OCCUPANCY: Additionol Proiect lnformotion: dotenomesignoture PLANS REVIEWED BY: CITY Of sPRINGTIETD COAAEINATION APPTTCAIION / PERTAIT INFORMAIION tINE ,2e3753IN5PECTION I.INE 726-3769 De rcription 50U RCES: Heot Woter Heolet Voluc Sq. Frg. Other -New--Add -Alter-RaP.-.- -Fence--Demo-Chonga/ Urc Sq. Ftg. Moin Sq. Ftg. Accsr. Owner Address Phone Fqmi le Re:idence With A Permit lnfo: Describe Work (i.e., Build Addrerr Phona DESIGN TEAM (noma)(oddresr)no.)nc no.) Mechonicol CONTRACTORS .A (nome)(oddresr)(lics. no.)(expi re:)(phone no.) Plumbing Electricol Mcchonicol ETECTRICAT MECHANICALPTUMBING I FEE CHARGE NO.FEE CHARGENO. I F?' I C!'IARGE NO Eoch rinqle fixture Reridenca of -sq: ft furnoce/burnar io -_BTU'S Ralocored building (naw fix. odditionol) New circuits, olterorioni or extension! Applionce vent 5eporotc S.F. Residenge (l bqth)SERVTCES Stotionory evop. cooler Duolex (l both) eoch Temporory Conrlruclion Vent fon with sinqie ducl Aciditionol both Ampr- Vent rysrem oporf from heoting or A.C. Woler rervice Mechonicol exhqu:t hcod ond duct Wood :love/ heoterSewer TEEDERS Heot PumpStor.m Sewcr Ampr. Air hondler to I0,000 CF^.| Air hondler over 10,000 cFM ISSUANCE OF PERIAIT IOTAT CHARGES TOTAT CHARGES WHERE STATE tAW nEOUIRES rhot the Etactricol work b! donc by thc Elcetricol Contrscror, tha obctricol pcrlion of thir pcrmit rhsll not bo votid until o lcbct har bccn dgnsd by on Elactricol Controclcr ond ottachcd to th. GLctticol Pon.a. TOIAT CHARGE5 I HAVE CAREFUIIY EXAr'{INED the compleied oFplicotion for permit, ond do hereby certify thot oll informotion hereon is lruc ond correct, ond I further certify thot ony ond oll work pcrformed sholl be donc in oc@rdonco with the Ordinonces of lhe Ciry of Springfield ond lhe Lows of the Stotc of Oregon pertoining to the work dctcribeci harin, ond thot NO OCCUPANCY will bc mode of ony lttucrure without lha permirsion of fhe Building Division. I further crtify ihot my reE\nofion with thc Euilder's Eoord is in full fore ond e+fcct oi required by ORS 70I.055, thot if exempt rhe bosis for exemption is noted heron, ond thot only iubcontroctoru ond empioyecr who ote in omplionca wirh ORS 701,055 will be urad on thit ptoicct, Bosir for Builder'r NAA1E (pleors print) FOn OrflCE USE ONIY ATURE FloodPloin-----.-Jlorie5-occyGroup-Sq.Ftg.olhcr-r-Yo|ue TOTAT YATUATION. Zone -So- Ftg. Moin Ftg. Accart Const. -Unils tire Zona-Bedrooms occy Lood x --Volue x Voluo Systems Development Choroc (1.59'.) BUII.DING PERMIT Chorge: ond Surchorger PIon Ck. Comm/lnd Plon Ctr. Res Per PI.UMBING PERMIT Chorges ond Surchorger Tolol Comb. PermitDemo 5oo N^i^)EIECIRICAI. PERMIT Chorger ond Surchorger Sidewoll MECHANICAT PERMIT Chorger ond Surchorger Curb Cut TOTAT 5,oo Fe nce A/C Povino .coMBrNAT|ON AppLtcATtONipERMlT (CAp) l. Applicoru. to furnish A. Job Address B. [egol DescriptionI. exomple-tox lot 100, Lone County Mop Referencr2. exompie-Lot I. Block 3, 2nd Addition to Springfiel C. Nome, etc. of owner ond construction lender D. Energy Sources PERMIT VALIDATION . OF SPRI NGFI ELD CitY Holl Springfield, Oregon Deportment of Public Works OFFICIAT RECEIPT CITY I. exomole-heotz'electricol ceilino,/or 2. dA;;E - w o r e r IEre:r, GlEfi?-i co I z' o ( ( No. B 56399-forced oir os r50 or E. Squore footoge or voluotion, etc.I. exomple-.l.250 sq. foot house, 500 sq. foot goroge 2. eT6mF'lE-iT-new proiecr, check-new-ii oddiri*on, cie odd, etc. F. Building permit informorion: l. exomple-construct single fomily house with on ottr goroge 2. exomple-remodel existing goro96 into fomily roon 3. ex#;pfe-convert single fomily residence into' restouront (chonge of use) G. Volue of work os defined in Section 303 (o) of the Structurol Speciolty Code H. DESIGN TEAM AND CONTRACTORS To ovoid design or construction deloys, Building Divisi Stoff must be oble ,o contoct oppropriote p€rsons r€gr design informotion or iob site correclions, etc. ll. Abbrevioted Plumbing, Mechonicol & Electricol Schedules A. Except where blcnk spoces occur in the description po of the Mechonicol ond Electricol Schedules, the opplic< need fill-in only the No. Boxes odiocent to the opprop: item(s) to be insrolled B. Full Plumbing, Mechonical, ond Electricol Schedules ore ovoiloble ot the Building Division l. To conserve spoce on the permil form the schedule: hove been obbrevioted 2. lf lhe item(s) to be instolled ore not covered on the. oled schedules you should consult rhe full scheduler C. BUILDING DIVISION STAFF WILL FILL OUT ALL FEES AN CHARGES ON THE SCHEDULES lll. Applicont to sign ond dote Whenever possible, the iniiiol opplicotion will be used os, worksheet only. Where possible, Building Division Sroff wi prepore o typewritten copy ond return it lo lhe opplicont < the time the octuol permit is issued for his signoture. lV. Fees ond Chorges PTANS REVIEWED BY: Plon check fees ore due ond poyoble ot the time of the opplicotion, ond no plons will be processed until these fees ore poid. All other fees ond chorges ore due ond poyoble when the permit is issued. V. FOR OFFICE UsE ONIY Dote l9 R 'd From Address Received For Amounl Received %.oo (, lv SIGNATURE sHEltox.Yutr6uLL aRrilTans EUCEit. oa trao! 36tll a Permit Clerk ( ( !e (t ( (' ( (l il (l |- PROJECT CONDITTONS TO BE SATISFIED BEFORE OCCUPANCY: Additionol Proiect lnformotion nome signoture dole IY ( { ( ((l ( '.i n) Fr/€ FIRE DAI4A.GE REPORT OR ELECTRICAL HAZqRD 9.-22c7 DATE:'-J7-97 T0: Building Deoartnent FR0l.1: Springfield Fire Department SUBJECT: Structural Damage to Bui'l di ng 34/ Address or'location of building <3F ,U. l-+h S+ Name of ot/ner Type of bu i 1d'i ng (Dw [-o, Store, l^/arehouse, etc.) Estimated value of bu'iiding Estimated loss to building s -fo, o ocr o 0 Date of fire O.3 -J7-37 Ae ottu lD6,rffi2x)/Or7A //2/\ Location of damage in buiid'ing (Rcof, lrJal I , Exterior, Interior, etc. Structural weakness as a result of the fire a\\"f A"\Ir=tf \ A.dd'it'ional erti nent i nforma tion a Electrical Hazard rned rafters, Beams, ,-rc'ists, etc. 0utl ets, e('rli ri nq , Siqn ) Epf,,(,r*Lfftt fierv f f ttlttJZ e- f,<,r uVL,fur, { 7 Nrs f 5774 )c rfrt/tq i f &q), o t,*r& Olfr+rfrilar A f.r€; tbw e uf/LrF. tuYurt o^DP"p/t/ tOtDl0,A 5ffurZo Y s7&4J,r(ef z?trT )zl't'tme I o J/le I pfrF fr*f@s i I FIRE DA}4A.GE REPORT OR ELECTRICAL HAZARD g._-92C7 DATE:-J7-97 T0: Building Department FR0l.1: Spningfield Fire Department SUBJECT: Structural Damage to Build'ing sq/ Address or location of bu'ilding 33R //L +'^ S+ Name of or./ner Lo* R , Ro..,crkr, Type of building 5-"\l^" -@toie, waretrouse, etc. ) Estimated value of building $ -fo, oocl Date of fire OJ - J7-37 Location of damage'in building J-- (Rcof, trJal l, Exterior, Interior, etc. ) Strucr.ural weakness as a result of the fireS \.o*\\;-- -urned raf ters , sea,r,s, .,ci iti, etc. ) Add'iti onal perti nent i nforma tion "E L) Electrical Hazard , 0utlets, e('rti ri no Siqn Estimated loss to building S LIO,OO () - A,; u\\i^. ) .. RESIDENTIAL.. 22 5 NOrth ith STTEEAPPLICATTON /PERMIT Springfield, }negon 9Z4ZZ Building Diuision 726-37 53 Conslructton_Len<lgt SPHINGFIELD It ie the fln tle ,*Bui4ing tesponoibility of the Pe?ftit hozda to eee that-alt-inopectiow oe nd,e at the plope? time, that each ad,hess is reacqhleat?eet. and tltat the Detnit cod ia Located 2t.!h:. fzont'of trte'wope"ta.Dits i c ic, appno "^ e d p thi "it i ";;;"- ;' ti; a"t Lii"b' si iL "- Lt-' JLL' "r^. " . PP)CSDUPE FoR TNSPEC?r1N .4!.Q1ES?''CALL 726-3769 (veeord.et') state yout, citg cesi.gna-ted. job nzmbet,, job acitess, type of inspeelicnrequested and uhen 'ou uiTL be t'eadg fot'drtspection, c;;".r;;;'ot, asners-ttcttt"Lrd ptor" ntmbet,. Request, receiued. befcte ?:00 c,t'*itl be nade the "&n d"y, ";A;;;;^i;; olt* z,oo'n ili-t"-r.al",h"";L:;;"i:r**'o*. SilE TNSPECTTON e.xcaoation, but forms. tark is cooered. ;l Po!friNG & EouNdATrcN: ro be naCedlXer t"enches a?e escfuated and. .: ?o be made afterprior tc set up of of ot, decking. Iour City Desigtuted Job Numbet fs: Location, bond oyoerticals in U,B.C. Section INSULA?TON/VAPOR BARRTER il\SPECTTON:robennd@ requined oapor bavie?s a?e in pl,acebut before oty Lath, Wpsuln boayC ortnLL eouering is applied, attd beforeay irculation is concealed.li DRYIALL TNSPEC?fON: Ic be nadeafter al,L &yuaLl is in p\aee, but prior to ang taping. |'{AS)NRI: Steel beons, groutirtg accot d.ozce vLth 241 5. 0R !.:)wt BU Sanitaty seuen eapped at g,operfi1 Lire Septic tork V,r,ped attd, filled uith gra;sel w forns are enected, but ptior topou?ing 7 linal - tfiten abcoe .it.ens are ecnpleted and uhen Cqnclition is canplete br stzue-tuye moued od. prewLses cleaneC up. To t) Aftez, installation is Hcmes Blocking otd. Set-up Plwnbing eonnections -- aaie? od. uatet Electrical Catnection - Blocki,ng, eet-up ard. plunbing connections nust bb q,prci"d befor e tequestittg eL eelrlcal inspeciion Accessory BuiWittg w w E E WOODSTOVE: ccnrpleted. P9ST 4il B_EAM: To be made priot tol,nstaLLatian of floon insulation ordecking, . ... . -t | ,r: - R7UGH Pfu.dlilG. ELEITRI,AL e MEIH- AN rc AL : uo aowtoto=Ei-d6i ei6Z-ffiZTthese inspeetiotts haue been mad.e and approueC. FIREPL.aaC.!: PtLor to placirg fccingnatet"tals and befote f"*n"S ir"pnl_ t1,On. FRA|NG: futust be requested aftet app-ro-ual lf rough pltarbing, eiectti_cat & mecttanical. ALL roofingbraeing &- ehinmeys, etc. mtst" be . eompLeted.. No uotk is to be con_- cealed unti.L this inspeetion lwstbeen nade anC apptooed. fLooz, -.-d"l FTUAL PLUAAilICv PTilAL MECHANICAL \,ir6 PINAL ELECIRICAL CURB & APPROACH ApR)N: After fornsee ereeteC but priot, to pouring conz?ete. STDEWALK & DRfIE'ttAY: For aLL con-crete pauirq trtthin street right-of-te7, to be nade after aLL ezea-oating catrplete & fortn uork & sub- fo.se nwter.ial in place.pcrehes, ekirting, deeks, Leted. PEICE: hrhen eornplete -- fuouidegates or mooable seetions through P.A.E. ALL project conditione, such ae the inetallation of atreet tz,ees, conpLetion of tierequi?ed landsccpirq' etc., nast be satisfied. befoz,e tne auiipii'c rINiL ean be t,equested.. ?INAL BUTLDIN?: The Final Building rnepection mtet be requested after the pi,nal plumbitgElectrieal, otd. Meclnrieal rnspectliona iirl U"" ioaZ- irA'iO*i"a. - l lital - Afteretc. ue conp. *ALL \4ANHCLES AND CLEANOUTS l,lUS? BE ACCESSI7'- .--.,--._.t6,^ E' r,,^, ,6 iln ^nen no cr?y Job Locaticn: Aesessoz,e Map #Ic,s Int #?2a? Subdiuision: Astzer: Addtess:a Phone )z2ci Onn ,Zn.*+a /az2,z4 €; ,fzV+a 1eE:..-77' eF f,uVy iZ @mZe.y aS/m -'a) <F- Desq-ibe l{oyk 4'Val.uey- s2Date of App L Lication -{- Additian Date: # Ir I oalv GeneraL Ptoe 1 of 2 ,( x n ,eTOZaD n l r tr l rl @ n ()(" z soLAR Ac^Ess REQ.- Zone: dJOB NO.L-CO Bedtoons: Lot Faces -Enerctu Sout ces Tltoe Setbaeks Ileat P. L.House Caraqe Aecess.Wate'n lleate? North Range East Fiz,epLace South Woodstote Lot Sq. Etg. I of Lot Couerage # of StorLes ?otal HeLght Iopogrqhy LOT TWE fntez,iot Cotner Panhand.Le CUL-de-sac West -- Fees -- ITE14 FYG x Value Building Volue & Permit This pernit is granted on the ecpress cotdition tlut the said-consttuction s?nLL-, in all respeets, confonn to the Otdirwnce adopted fiiy the City of Sprirqfield, including the Zoning Crdinance, r'egulating the ccnstracticn otl. use of buildings, ozd may be suspend.ed or retsokeC at cny tine upon oic- Lation of d1a prcoisions of said 1t'dinances. ?OTAL VALUE S.D.C. 1.5 o Building Permit PLan Check State 22 Date Paid: )?o.72 Reeeipt #: ?otal Clnrges Signed: N0.FEE CHARGE Plumbing Permit No pereon shall construet, instalL, alter or ehange anA neu cr eaisting plwnbing or drainage systal in utole or in patt, unless such petson is the legal pbssessor of a oalid plwtber's l'icense' eceept tlnt a pelson nay do plwnbing uork to prope?t! uhich is otned' Leased or opetated by the appli- cant. Eistutes f,?a? Resid.ential (1 bath) Sazi Setset Plunbing Perrrit e* State "5 Total 2> Electricol Permit Wet,e State Lau reqtires tlut the eleetrical uork be done by an Eleetrieal Contractor,, the eleetz"ical porti,on of this permit sha.Ll not be ualiC until the Label lns been signed by the Electrieal Conttacto?. ?otal Permi'"<Z q A N as,/Ect end. C it' cui t s Setoiee -- ENCROACHMEN? .- I?!M FEE CI]ARCE 4 * Mechqnicql Permit bhanet Hoo,L llcodstote Vent Fot PermLt fssudtce Mecltanical Permit 4 GO Secaz,ity Deposit Storage Maintenance Perwit Ctpbeu! Sidanalk .venee Electrical Label Mobile llotne Total ,cs-8> Da€e f HAW CAREEttLLy EXAUfNED the contpleted application for permit, and do hereby eertify that aLL infonnation hereon is true and correct, anl f furtket, eertify that ang ard aLL uork perforned slnll be done in aceor- danee tith the 2vdinances of the City of SprLngfield, artd, the Laas of the* State of 1regon pez,taining to the uovk Cescribed herein, cnd that N0 )cca- PANcy uill bb rade of any- structtt?e uithout pernission of the Building N- oision. f further certify that only contracto"s and etrplcyees aho ue in eonpliance uith ORS 701.055 uiLL be used on thie y'oiect 7?OTAL A].IOUNT DIIE: A 4 7ru.3s Date a ') b -t1 .. RESIDhNTIAL.. APPLICATION/PERT,IIT 225 Notth Sth Street SprLngfieLd, Or.egon 97477 Building Diuision / zo-o / D6 Reeet ! SPFINGFIELD at-"f6n H''e4 A'*SDeset4be llork: VaLue 5lv LAdditicn RenoCel !.!obi Date of Applieati ksoZ ft=c-7-72< - +g Date Genera L Plwnbino -47Job Locaticn: Aesessors uap * /)*O'3*F2/L" Z aCo?o.x Lot # S\bdioision: A,mer: Address Phone c;w, 1-' \. -zy-T- L Cons Lendet It -ia .the responsibi-Lila of -tte permit holdet' to aee that alt inspeetions ee nad.e at the pvopet tine , that s4sl2 :,1,1oss6 is ren4ablei.y -t1e st?eet, and tltat the -pafiit -ca?d ie Located at the flont of tle propertg.*BuiUing Diuicioz approxed plar slrcll remain on th.e aullaing- sfte -ot alt' tiines." P.PocsDUPErFoR.rySPEc?r1N,E!=1yEST;CALL726-3769(reeorder) state aoun City desigrated job nwnbet,, job aCitess, type of inspee=icn :ffi,i1.!_1:d_Y!::'e1ou -uiLL beieady for inspeetion, contraet"n" oi a,tters"nc,ne LA ihr;. nunbit,.' enq""ii "elet"lZa bZ1cre'z:00 mL'LLL be nade the sane dcy, requests nade aftet 7:00 aq urLLL be nade the nert torki$ d,ag. Iour Cifu Desig:nated Job Nutnber Is:.q)o 2 - uxDERGpauItD pLLtMDrNc. sswEp. w.trER.'. I DRAIIIAGE: To be naCe prLoz, to fil-Lirq trenchee. 7 wo*rtloR pLUr.ErtG & t4EcHANrcAL:tof floor insulction or decking. a posr nno aeau: To be nade prior to| Ziial7if,c-i of ftoor insui)tion or decking. .--I ROUGl PLUEIIIG. ELECTRICAL & I,IECH-'lnwCnt:@ - urtil these inspectiors Tntte been mad,e and. approoed.. I FIPEP\ACE: Prtot, to plceir4 fccing -J materlaLs and. befoz,e ftoning inspee_tion. 7 fAtslttwC: ttust be requested aftetI approoal of rough pluttbing, electri_eal & mecLnnieal. AL! toofirq bractng & ehinmegs, ete. rrust be . cornpleted. tlo uc"k is to be eon-. cealed until this inspection las'been made anC apptoued. SITE fNSPECTI)N: ?o be nade after e*caoation, but priar tc set up of forme. AilDERSLAB PLUMBING, ELECTRICAL &WC|{IICAL: To be nade befot,e any r,lOtk is cotset'ed. PO1TIN} & E)UNDATICN: Io be naCe--dfte? tyenches are ezcatsated and. forns ote erected, but prior to pourLng ccnc?ete. INSULATION/VAPOR BARRTER IIISPECTION : To be made aftet aLL insulaticn atd. requined uapor burie?s @e in pl,ace but before ory Lath, Wpsun boarC ot'tnLL couering is appli.ed, crd. beforeoty insulation is conceaLed. OR :,!OW) BUTLDI;JCS Scrilaty seser c*pped ct propertg Li*e Septic totk pzit::ped and fi.Lled trith gta;;ei Mobile Hcmes Blocking otd Set-up Plunbing eonnections -- aa)ret otd. uatet Electriccl Ccmnection - Blocking, set-up and pltnbing cottnecti.ons rn;st be 6pp"cu*ed before tequeeting eleetrical inspectiol AcceBsory BuilCing Pi.nal - Aftet, pcnckes, skirting, d,ecl<s,etc. ee cornpleled. DRWALL I\:ISPZCIf)N: ?c be madeafua-;n@nat-is in place, but prior to any taping. MAS1NRU Steel Loeation, bond beons, gz,outing or oerticals in accoydotce uLth U.B.C. Section 241s. HOODSTOTIE: ccmpTeteA. After installation is CURB & APPR1ACH APPQN: After fonns @,e e""ctAnut *A b pour-t-ng conz?ete. SIDEWALK & DR|IEHAY: Fo? aLL con- crete patsirq uithin stteet right- ef-t"YA, to be naCe aftet, aLL e*ca- oating eanplete & forn tntk & sttb- base natertal in place. fIa l FTilAL PLUI4BIIIG FINAL MECHANICAL' \c?INAL ELECTRICAL IENCE: hthen conplete -- Protside gates or noua.ble sections through P,A.E. ALL pnoiect conditions' such as the i.nstallation of atteet trees, cono|.etion of tierequined Landsccpitg, etc., rmtst be satisfied befoTe the BUILDfNG FLNAL can be requested. PINAL BUILDING: The Final Buildittg_ fnepection mtst be requested alter the Fital PlunbingElectrical, anC Meclwnical fnspections laoe been nad.e and'approoed. Pa;e1oe2l*A.T'L I4A.NHCLES AND CLTANOUTS MUST BC ACCI-CSIBLI, AD,rl,sYV.' TO BI |'.1DT /.? !]O CJS? ?O CNY ,i : n Final - l{hen abcoe itens are eanpleted and uhen Cenclition is cornplete o" st?uc-tute moueC and prer,rises cleaneC up.r l tr T JOB NO soLAR ACCESS REQ.-L-co d t: \/Beiroons Iilot Sq. Ftg. i7 cf Lct Ccuerage # of Storn-es iiotal Peisht i Topogrcphy LCT ?WE _ Intericr _ Cor.ner _ Panhand.Le CuL-de-sac -- Fees -- * Building Volue & Permit This penntt is granted on the erp?ess condition tlwt the said.consttwctionslull, in aLL respects, conform to the Crdirance adopteC 5lg the City of Springfield, including the Zoning CYdinance, regulctirtg the ccnstructicn and use of buildings, cnd mey be suspended or reookeC at a1y time upon oic- Lation of cttA prcoisions of said 1r,dinanees. t# Plumbing Perrnit No pet,son slnlL consh..uct, instalL, alter or ehange GnA nev cr e*isting platnbing or dlainage systen in uhole ot, in patt, unless sueh person is the Legal posseesor of a ualid plumbet,ts Lieense, eseept that a pe?son nag do plwtbing uork to p?ope?tA uhich is otmed, Leaeed or operated by the dppli.- cant. Electrico I Perm it Wev,e State Las nequiz,es th.at the eleetrical uork be done by an Electrieal Contraetov, the electrLcal portion of *.his permit slnll not be ualil until the Label has been signed by the Electrical Contyactot,. Euilding Permit State Sut,chege ?otal Clnrges Pi.sttu,es Residenti,aL (1 bath) Seuer Plznbtng Pent:tt ITE!,1 8es. Na,t,/Ettend Circuits Serwice Permit ?otaZ i?zi4 bh.anst HooC Vent Fan 'tlcodstooe PermLt fssuanee Meclnntccl Petmit -- ENCROACHMEIIT -- Securt Permit ClEbcu* Sida.talk Mobile Honte ( Mechonicql Permit 'E=-7^E: I tAW CAREFULLy SXAUINED t,te cotnpleted application for pernit, and do hereby certify that aLL information hereon is true and eotrect, anC f futthet, eettify that any ard. aLL uork perforned slnll be done in accot- dance ."rith the 1rdinanees of the City of Springfield, artd the Las of the State of Oregcn pertainino to the aork Ceseribed het,ein, cnd that N0 OCCA- P.!.NCy uill be nnd.e of any st"uctute uithout permiseion of the Building DL-tision. f further certif'g that only eont?acto"s ad anplcyees uho ate in eonpliance uith 1RS 701.055 uiLL be used on this projeet Access eat th P.L House Lot Faees - Iril.t x VaLue tlain Gt*ace Caroort Aceessoru TO?AL VALUE Fee: CEARGE Signed: NO FEE ila trtt X /5 "o /,f .*o"^6o 4a CIlARCEFCF :OTAL Alttjt-tltT DU!: I Signed Date S.D.C. 1.5 c .. RESIDTNTIAL.. APPLICATION/PERIIIT 225 North ith Street SpringfieLd, 0r,egon 97477 BuiLding Ditsision 7 26-s7 ss SPFTINGFIELD Recei { Signed: t-t Desczibe h'onk: Nea Additicn RemoCeL $zz,rr.* Z4:a3,- a* 5,7 n6 5-z>C2 Val-ue {bb[t'lm Date: Date of Genet aL ,A1 sve- 67k 57Job Incaticn: Aeseesoye uap # / ) ^a> 74lfa /!c,s rat # /Z ?oO Phone: aA,mer: Addtess: city: 1 14echan:iecL Constmtet'ion Lendet E-<t<7. It ie the tespotrsibility of the petmit holder to eee that all inspeetions ee nade at the p?o?e" time, that ecch ad.dress 'i,s vpnsnb'-6 ftlan tle atreet, anC tlwt the permtt card ia Ltcated at the ftwnt of tle propez,tu.*BuiZding Nuiciot appto,*ed plot sltclL pemain on the Building Sitc'at aLL'times." PR)cmUPi'E F1R INSPE1TI1N R9qWSTTCALL726-3769 (recorde ) state Aou" City designated job ntrnber,, job aCitess, type of inspee=icn requested and ahen i;ou uiLL be ready for inspection, Contractc?s c? A)ne?s nanne cnd pTone nunber. Pequests receited befcre ?:00 c:i ,,viLL be made the sane dcy, ?equests nade after ?:00 aq urLLL be nade the ncst aorking day. you" City Deeigr,ated Job Nutnber fs '€7ozPomtt' na,4 T-or-a+i a*o PjO?ING & F)U\|DA?ICN: ?o be rnaCe;f;;;-A"ncAs ""e escaoated atd. forns are etected, but prior to pouritlg ccnerete. J UtotacnoutD pLuMryllq-EilrEr2_ w.4rEB,'J Lirq trenches. ANDERSLAB PLUIIBING. ELECTRICAL & MECH{IIICAL: ?o be made before anyuotk is cotsered. AilDERFLOAR PLUI,ETN G & MECIIANTCAL :Io be nade prior to installation of floor insul,ation or decking. POST AND BEAM: To be nade priot to installatian of floor insulation or decking SI?E IIISPECTION: Io be rrude after eccauation, but pz.iot, tc se+- up of forns. IlrE!!4!! o!1!4!on %B\IE* t!!E!!!!19!r : ?o be made after aLL insulaticn qrd required oapoz, burie?s @e in pl.ace but before oty l.a.th, Wpsum boarC or tnLL cooering is applied, and before oty insuT,ation is concealed. DRYWALL INSPECTIjN: Ic be nade fite"-AT@fis in p|.aee, but pz,ior to ang taping. MASONRL Steel Location, bond beons, grouting or oerticals in accordotee tLth U,B.C. Section 2475. W)ODST1VE: After installation is arnpleted. QIFLLaPPBII H APPQN: After fornsd,e e;;;tA-Ei;@ to poumns conctete. SIDEWALK & DRTIEIIAI: For aLL eon- cz,ete pat;ing uithin street right- of-teA, to be nade after aLL etea- oating canplete & forn wrk & sub- base nnterLal in plzce. Sanilary eeaer ccpped at proparfil Lire Septie tank y"oqed ann fi,l,led tith gra;tei Pinal - hlten abctse itens are ecnpleted and uhen d.qtclition is eornplete o! strue- ture mooed anC g,enrises cleaneC up. Ilcmes Bloeking od Set-up Plunbing eonnecti.ona -- aeDe? otd uater Electrical Ccnnection - Blocking, set-uo and plunbing connections ttr;st be appra;ed before requesting eleclrLcal inspeetiott Aecessory- Bui.LCing Final - After pct:ekes, skirting, decks, etc. @e conpleted. t\ a lI A l :No these inspections lntte been nade and approued.. l) rntprncti wLon to plaeirq faeingi I ffi;ial; and before franirfi ir"pn".- tion. --1 frutlnc: ttust be nequested aftez,.) appvo,r"L of rough plwr,bing, eiectri- a,L & nechanical. ALL roofitq. braeing & ehinmeye, etc. rrust be . anpleted. Ilo ucrk is to be eon-. . cealed until this inspection hae'been made anC apptoted. ALL projeet conditions, such as the installation of atreet trees, eo:aletion of the required Landsccpir.g, ete., rmtst be satisfied before the BUfLDfNC FfNAL canbe requested. TINAL BUILDINC: The Einal Bui.Ldittg Inspeetion mtat be requested aftet the Final Plunbing Electrical, otd Neclnnical fnspeetiona ltate been nade atd apptoveC. FTilAL PLUI4BIIIG FINAL I,ISCHANICAL FTNAL ELECTR.T',4T qA *ALL I|AIIHCLES AND CLEANOUTS MUST BE ACCESSIBLE, ADJASTIIEII! TO BE I,IA.DE /.? T]O CCST ?O CPY Ptge 1 of 2 Subdittision: V lEncE, h4ten eonplete -- ProuiCe | *"r.tr mouable sections through I tr Zone JoB No. 3 ?8<jOLAR AC'^ESS REQ.- Gro.l L-CO Bedtoons Lot Faces -Enerau Sources Tupe Setbacks Ileatpr.House Ca?aqe Aceess Water lleater Not,th Range East FirepLace South lloocictote % cf Lct Caserage_ # of Stordes Total Height LC? ?WE _ fntericr _ Cotner _ Panhandle CuL-de-sae Lot Sq. Etg Topography West -- Fees -- Building Volue & Permit This pertntt is granted on the erpress eondition tllat the said-eonsttuetion slwll, in al.L respeets, conform to the OrdLnance adopte,C fuig the City of Springfield, includi,ng the Zoning Cvdinance, regulatirtg the ecnstyucticn otd. use of buildings, urd may be suspended or reuokeC at cny time upon oic- la.tion of 6nA pncoisions of said 1rdir,ances. VaLue Date Paid: Sigtred: I;U x Fee ITEM N0.ILL CHARGE s.D.c. 1..5 t ITEM Main TOTAL VALUE BuilCing Pentrtt ?otal Changes State Fiztures Resid.ential (1 bath) Sanitary Seuer Wate"6 1io Res. So. fta. larpcroy Seruice 4a1qyr.t 2zz Electricol Permit Where State Lau requit,es tl"a.t the eleetyical uoy,k be done by an Electrleal Cont?acto!, the electrical portion of thia permit slull not be ualiC w*il the Label |ns been signed by the Electrical Coflttacto?. \- Uil /-a .1 Da: / (:b 46 IT914 FEE au n DaF F\ttnace P?U I S bha.tet HooC 'rlcodstotse Pltnbing PenrLt Neu/Ectend. Citcuits lotal Vent Eo1 Pentnt fssucnee Mechanicel Permtt -- ENCROACHMEN? -. Sec,*i Permit Clttbcut Sideaalk !ence Label Mobile Hatte Receipt # Plumbing Perrnit No pet,eon slwll construct, instal'!., altey' oz, eTnnge an! ned cr existing plwnbirq or drainage syste"n in uhole oz, in pa.rt, unless sueh person is the Legal possessor of a ualid pltonbents License, escept that a pelson nay do pluttbing uoz,k to p?ope?ty uhich is otmed, Leased or operated by the appli- emtt. Mecharnicql Permit 5^=>-E f HAW CAREEULLy EXAI,IfNED the eornpleted application for pernit, and da hereby cet,tify that aLL information het,eon is true and. ebweet, anC f furtket: certify that any arL aLL aork perforned sha.Ll be done in aeoor- da.nce trith the 1ydinanees of the City of Springfield, and the Las of the State of )r,egcn pertainina to the uork Cescribed herein, cnd. tlnt NO OCCI- PlilCy diLL be nade of any st"uctuye uithout permission of the Building Dt-uision. I further cez.tifE that only contractors ad azplcyees uho arb in eanpliance uith 1RS 701,055 uill be used on this project c IOTAL AI'IOUIIT D\JE:'/S'" i- .S,e z.yT * g-czc7 Y.Av{ O FIRE DAMA.GE REPOP.T OR ELECTRICAL HAZqRD t*3 DATE: D-?-J7- g7 T0: Building Department FR0l.1: Spri ngf i el d Fi re Departnent SUBJECT: Structural Damage to Building s4 l Address or locat'ion of building ?3F ,U. 1-+^ S+ Name of or./ner Type of building [9, Store, l^Jarehouse, etc. ) S -fO, O octEstimated value Estimated I oss Date of fire of building to buiid'ing o 0 03-J7 -37 Location of damage jn buiiding c (Rcof' l"JalI' Exterior' Interior' etc') ctural weakness as a result of the fire A\\ "f rned raf ters , Bearns , "lc i s ts , etc . ) Addi ti onal ertinent'informatjon a Electrical Hazard (Lli ri nq , 0utl ets , :.9.\ L=\g S iqn e I 7 (