HomeMy WebLinkAboutPermit Building 1986-03-19&\dqleA
.. RESIDt-{TlAL"] . APPLICATION/PERTIIT
225 North ith Street
Spri.ngfield' Oregon 97477
&iLding Ditsisi-o.n
726-37 53
)d
SPFINGFIEI.E'
Reee;-#
Date
zb lacaticn:
.eceesors Map #tO
5ubdioision:
Asner:
Addtess:
a Tca Iat #
Phone:_(
4 A(c-
a
TI Neu 77
Addi t"rodll<
RentoCel
Date of App Lieaticn AAa,t t-\,I 4. lQ9.lo value
General
DescrLbe Wotk:
6<-\ 1'{ P '"tlov;le vov*e
a.',-& levLt i!. 4\so
g \aee Yra€\a\ gl'aA er"'A
Ar.dl^.'r t,^{ . P,
5l*pro)e lre€ /
c)O
Plunbing
1
Meclta:ieal
Constmtcttot Letd.et
It i, ttL reapoaribility of tts permit ,roaa. b aee tlut aLL inspections oe nade at ttp pro?er time' tf.dt ecch aidnees 'i,s psa)nhi2
fran tlu atreet, @1d, thdt tfu Pqftit catl ie l,eateil at th9 ftottt of tlte goperty.*gui4ing Dloiciot: qVru^ed pLot sltcll retnain an the Auii.d.ing Site at aLL ti.mes.
PROCSDUpE FOR IfiSPECIION RIIUEST:CALL 726-3769 (recordet) state gour City designated job rumber, job aF'1ness, laee- 9f inspeelicn
eadyfolitlspection,cant!dctorsoialnersncme-odp7anenu'lbel.P.equestsreceixedbefcre7:00mt>ill be nade the eone dcg, ?equests mcde after ?:00 @n utLLL be nwde tle ne.rt:,nrking day.
Iottt Cifu Desigr,a,ted Job Number Is:.86 o/6{
Roati noi TaqonT:i.anc
1.,1V roorntl & FIUNDATT2N: lo be rmce
bJ @;; wen;tes are ercauated and
SfiE INSPECrf)N: Io be nwde aftet
arcaoation, but pt"iot tc se! up of
fomns.
ANDERSLAB PLUMBING, ELECTRICAL &
WCHt-lliCAL: To be made beioz,e any
Gfr-FTooet ed.
forns ate erected, but prior topuring ec.ncrete.
TNSULATTON/VAPOR BARRTER IIISPECTTON.:
Io be naCe after aLL insulaticn ed.
requi.red oapor borLe?s @e in pla.ce
but before otg lath, Wpslon bcatC ot
rnLL coueting is qplied, and before
ay insulation is concealed.
DRYWALL fNSPECAf1N: Tc be nade
@ZT@uffi-is in place,
but prior to any ta?tng.
\4AS1NRI: Steel Location, bond
beans, groutirry or oerti,cals in
aceordotce LlLth U,B.C, Section
24L 5.
DEI,iOLITIO!1
Sanitatnl seset eapped at property lir.e
Septic totk V.r,Ved ad. filled ttth gra;;el
Final - l{hen abcoe itens are ecrnpleted
and uhen dqtolition is eorplete ot st?ul-
hpe moued and. premises cleaneC up.
I UNDSRGPOUIID PLUMBING, SEWP., II.A?ER,
DRLlllArlE: To be rruCe prior to fil-
@ienehee.
ANDERFLOOR PLA,EfiIG & MECIIANICAL:
@Lationoffloot inaul,ation or decking.
POST AI,ID BEAM: To be made prLor to
ffiffiiof floon iwu|ation or
&ckittg.
ROUGH PLUDIIIG. ELECARTCAL & MECH:
ANICAL: No uork ia to be couered
-
w:til these inspections hanse been
ndd.e o'd. approts.ed..
PrLon to placirg faeing
and before frarLng inepee-
After installation isl,l0ODST1'/E:
eonpGifi.
CURB & APPROACH APPON,
d'e e"ectAiut pAA : After folrnsto pottrittg
conz?ete.
SfDEWALK & DRflN,lAl: Eor" all cqn-
c"eten$@Aiffi street right-
of-teA, to be made after al,L esea-
oati.ng canplete & forn uork & sttb-
fuse natertal in place.f,tDtuf A al.
mcterials
II
l
I
tion.
?RAMNG: ltust be req-uested aftet,
approtsal of rough plwrbing, electri-
aL & neclwnical. Alt roofing
bracittg & chinmegs, etc. rrust be
: cottpleted. llo ucrk is to be con-,cealed until thts i,nspection lae
: beer rrud,e anC apptooed.
FTilAL PLUMBINC
FTNAL WCHENICAL
FINAL ELECTRICAL
_---
ALL projeet conditions, sucy'. as the i.nstallation of street trees, co:pletion of tie
requircd Tandscqir4, ctc., rmtst be satisfied before the BUILDINC ffNAL cah be requested.
FINAL BUILDINC: The Final Building Inspeetion mtet be requested aftet the Final Plunbitzg
\J Electrical, od. Mecltax.ieal fnspeetions lqtse been nade atd appnoted.
Mobile Hcnes
Bloeking otd Set-up
Plwnbing eonnections -- aare? otd. uatet
Electtical Ccmnection - Bloeking, eet-ua
and plunbing eonnecti.ons rrust be apprctsed
before requesting eleelrical inspectiot
Accessory- BuilCing
pcrches, ski,tting, decla,
leted.
Fi,nal - After
etc. are comp
Page 1 of 2*ALL IiANHCLES AND CLEANOIJTS IIUST BE ACCESSIBLE, ADJUSTITEII! TO BE MADE I1.T NO COST IO U?Y
/4*
cy
l7 ltnest l{hen conolete -- tuouiCelJ i"t7." .o"
notsable sectians through trI
Z
L-co dJOB NO.soLAR AqgEss REQ.-
Int Sq. Ftg.
7 of Lct Cooetage
# of StorLes
Total Height
topogrcphy
Plunbing Pertrtt
State Sutel"ange
Iotal
?otal
i Mobile Hone
Gt o.
LCT ?WE
_ Intericr
Cor.ner
Panhand.Le
CuL-de-sac
!.
Plumbing Permit
N9 person shaZl consttact, install,, alter or clnrqe cnA nea cr esisting
plutnb_ing ot dyainage sAsten in uhole or in pott, inlesL such pez,son is tke
LegaL .possessor of a ualid plunbet,,s LieensZ, escept th,at a pLrso, nay dopltnbing aotk to p?oper'tA uhich is otmed, Leased or operated by the "ppti-cant.
Signed:
Electricol Permit
Wet,e State Lan nequires tlnt the electz,ical uork be done bg an Eleetr\ealcontractor, the eleetrical portion of this permit shall not be ualid untilthe Label ha.s been signed by the Electtical Contracto?.
Petmi-u
I HAW CAREFULLY EXAl,lrilED the eotnpleted appLication for petmit, and do
herebg certify that aLL itfotmation het,eon is true and correet, attC I
futtker certify that ang ard aLL uork perforned sLnLL be done in aeeor-
dance tith the Ordinances of the City of Springfteld, and the La:,;s of theState of )regcn pertaining to the aoz,k Ceseribed herein, cnd tlat NO OCCU-
PANCI uiLL be rmde of any struetute uithott permission of the Bui,tding DL-oision. f furthen eertifE that otly cont"acto?s otd anplcyees uho are in
eonpliance uith )RS 701.055 uiLL be used on this project
r,/q*e
Beitooms:
Sounees
lleat
Access
t
Df House
Faces -
This pentr-t is gnanted on the erptess cond.ition that the said eonstruetions_lnll, in_a-ll -reepects, conform to the Ordinance adopted 6iy the City ofSprtngfield, incT-uding the Zoning Cydinance, regulcting th-e ccnsttw'ctiZn
and.use of buildirqs, otd may be suspended ot, rleuokeC -ot
"ry time upon uic-Lation of any prcoisions of said 1rdir.ances.
lor /{fnaa/ae ibrq€ atl fr/tc CaZA
Value
?OTAL VALUE
Date Paid:
ITEiI fft,x
oe
e
FEE UrufiGL
S. D. C. 1..5 x
./o
BuiUing PerwLt
Iotal Clwges
State
Building Volue & Permit
Fistt*es
Resid.ential (1 bath)
Sanitaty Seuer
llctet
?ac*tgt*a, Ab >l/t ,r /fr oo
/,f*.(e
ito FEE
16o't
CiiAR,CE
&es. Sq. fto.
Neu,/Estend Circuits
Ianrocrey Seruiee
b€<e-ef27n" ,*8 /f*
/.(*.60
FEE
-- ENCROACHMENT --
a
Mechqnicol Permit
bhatst HooC
Hcodstoise
Vent E@t
Pentrtt Issuotee
Mechanical Permit
Seeurttu Deposit
Stotaoe
Maintenance
Permit
Cvtbeut
SidewaLk
lzQ B .zo
2fe
TOTAL AIyIOAilT DUE:,d a.so Signed Date
Eleetrical la.bel $t
l
225 North
Sprtngfield, 2regon 97422
Building Diuision
7 26-37 53
- trob l-ocaticn:
_ Aeaeaoots tbp ll
Subdivision:
O,tttet:
Addpess:
General
. RESID_ {TlA[.." APPLICAru1il/PERttyith Sfu,eet
#
siPHII{GFTELD
"3'
06$)
u\'
Ta Lat #
Fhorc
Date:
26-3769 (tecordet) state yout City designated job no;berinspection, Contraetots ot Oumers nane otd ptone number
o
I-t i. the rcapontibility of tle penrit hoAa.fln tlto atreet, aid tlat the peimit cal, is*auibi.g Noieion ap?ru^ed ptbt shall renain
-b 1.1 tlnt-all inopectiotts oe nade at tle prcpe- tine, tlat uch -),;-sss .[,s ysatahigLeated at the frcnt of tle orooerat.ott the BuiUirrg site Zt aLL' ttmea.-
PROCMUPE= FOR. INSPEfrI1N Rq?EST:CALL 7requested and, uhen gou tiLL be ready forttil,L be nade the eane dcy, reqteets'n'ade
,, iob a,liness, tApe
Pequests teceixed
of i,nspeclicz
befcre 7:00 *:taftet7:00 on dLL be nade the nest wrking dag
*uotk ia eaered.
tu9?ING & EQUNDATT)N: ?o be naCealxer trencitea a?e e-scauated and.
forme ate etected, but ptioz, topouring ccncrete.
rcquired oqor ban ie?a @e in place
but,-before ory lath, Wpsltt baarC orLaLL cooerlng is applied, otd. beforeay ittsulation is concealed.
DRWALL fNSPEtrf1N: Ic be nadeaftet aLL &guall ie in pl.a.ce,but pr'ior to cng tapinS.
MAS1IIRI: Steel Location, bond
beans, gtouting or Detticals in
accotdorce Lrith U.B.C. Section
24L5.
SfiE INSPECTION:
ezcauation, but
fotns.
FTilAL PLUAAINC
PTNAL MECIIANICAL
PTIIAL ELECTRICAL
' ?o be nade aftez,
pz"iot tc set up of ?o
Iou? City Desigr,ated Job lhnbet fs:
After installation ie
cctftP
aND\RGROUI1 ?LUME |NG2_!!W832_!ATE3,
.LLrq t?enehee.
WDE_RFL))-R pLUlEnG & MECqANICAL:'Io be nade pniot to installation of:. f,l,oop ineuT,ation or deeking.
P=OS? ANP B_EAM: To be mad,e pr.ior toinstallatian of floot iraulatiott ot
.decking,
ROUGH PLA!BI!\G. ELECARTCAL & MECH-ANrCAL: NoM
,utiL these inspeeticne ha1)e beeli
rud.e and approoeC.
PIPEPLACE: bLon to plcciro facinama-tertale and. before i"*ri"S ir"pnl_t'ion.
I pruttrnC:_ ttust be req,uested afterI appro-tsal of rough plirbing, eieetri_a,L & neelanieal. - ALL rob|.i.ztg' .branns E- ehinmeys, etc. must- be
J @nPletecl. Ilo wrk ie to be eon_
,---oe,aled, until thie inspectton lne,,b"? rud.e anC opp*r"ld.
l
CURB & APPRCACH ApNN: Aftet fornsee etecteC but pt-ior to pour.ing
cofic?ete.
SfDEilALK & DRfYWAY: For aLL con-
cr^ete paoirq uithin st?eet r"ight-pf-teA, to be nale aftet aLL ezca-oating earplete & forn uotk & sub-
fo.se naterial in place.
PEN2E: Vlen conplete -- prooiCe
gates on nouable sectr:ona tl*ough
P.U.E.
ALL proiect eonditiow, such aa the i.nstallation of stteet ttees, conpletion of thetequined Landsccping, etc.' naat be eatisfied ufite-Lne-aui'iotic prNAL ean be tequeeted.
?rilAL BarLDrNc: The Final Building rnepection mtst be tequeoted, aften the Final ptunbingElectz-tcal,, ord. Mechanical tnspeciioi-iqrrl O"r,
"La"- ii "Oo"ira.
lg
Il
0R i.10wi
Sanilaty saser capped at ptopertg line
Septic totk pzryed and filled urith gra;sel
Pi,nal - ltrlten abate itans ue eanpleted
and uhen der.nolttion is earyLete by sttuc-tuz,e noued otd. prznriaes clazneC up.
Hcmes
Bloeking old, Set-tp
Plunbing connections -- sa))e? otd, ualet
Electnical Ccmneetion - Blocking, set-uo
and.- plwnbing eonnections nust bb- apprcxZdbefore tequeeting eleelz.ical inspebtiotz
Acceesory Buildittg
Pinal - Aftet pctches, skittittg, decl<s,etc. @e cotnpT,eted.
Page 1 of 2
I
ci zip: 7"r
/)g.4 )/*ff'"k-'rq.Additicn
Value,/-Date of
oa
*ALL MANHCLES AND CLEAIIOA?S MUS? BE ACCESSTBLE, ADJaS?!{ENT ro BE M4DE A? ilo cosl To clty
/k
tr
T
tr
T
T
Z
L-co cSOLAR-^CCES S REQ..JOB N
Iat Faces -
Setbacks
HouseP.L Cotaae Access.
No?th
East
South
Lot Sq. Ftg.
7 of Lot Cooerage,
# of StorLes
Total Height
?opogrcphy
INT TWE
_ Interiot
_ Cormer
_ Pcnhand.Le
CUL-de-sac
VaLueFTGx
t
I'b.in
-@qse
?O?AL VALUE
S.D.C. 7.5 c
_t_
TLL CHARGE
Fi-ztt"z,es
Resilential (1 bath)
Seuet
NO.EFN CiiARGE
t:l eu,/ Ect end. Ci ncui t s
Semsice
LezXr
FCD
blwlst Hood.
Vent Fot
Hcodstoise ,€.oo
.6o
t-C6o
Mechonicql Permit
Permit fssuanee
Mechanical perml.t
-- ENCROACHMENT
Secarttu Deoosit
Stotage
tldin
Pemit
Clttbcu'.
Sil.a,talk
Eleqtrical Label
Mobile IIane
Bedroons
lleat
Lace
tote
Building Volue & Permit
This -penn-t _is granted on the e,p"ess cond.ition ttnt the said. consttuctiot
""Y!:-!r\'1t1,ne2pe3.ts, gonform to the ?rdinance adopted liy the Ci,ty ofD:pynsileL^di 'r..nc-!udrng the zoning cvdinanee, regulating th-e ccnstz,u-cttZn@td use of builditws, ozd nay b.e suspend.ed or r-euokeClt "ry lii) upon r;"lation of @tA pncoisions of Laid o"il.ii.i"-
;
Building Petmit
State
?otal Clwxgee
Plunbing perwit
State
?otal
Date Paid:
Reeeipt #
Sigzed:
-
PlatzEranineta
-
Plumbing permit
No person shall consttuct, inetal'/,, alter or ehange,any neu c, eristingplwnbing ot drainaoe sastan in ahoie or in patt, LrLesL
"u"t- p"n"r, is theL19aL.posses"o, oy"a uLU.a pt"r*nr1" li"n'r"i., e.s-cept that a pe?son nag d,oo*u.r"n aork to proper.ty ihi.r, is ormed, ieisea oln op,"iit)a. ti"in" appli._
Electricol Permif
Whete State La teouiyes th.at the electrteaT. uork be d.one by an Eleedcalcont"actor" the eleetz,tcal portion-i| tni"'p"r-;t shall rot be oalir. wttilthe Label lws been sigzed 4 tne et.La"iiit' cont"actor.
uate
TotaL
f HAW CAREFULLY ElryyBD- t-!e eontpleted appltcation for pernit, and. d.ohereby cettifg that aLL infornation hereon'ie trae ahd. eztrect, and. rfu,tket'.cet'tify tha.t any ard aLL usotk perforn"a it-lt-ti-a"i" r." aceo?_dance rrith the 1rdinancLs of the ctty 'of 'sp"iir;Ji,
""a*tii Lans of the*
2?t-n_ot_o:?so, pPrtaining to the wit<aesZritLa n"iL;.i,-*,a-ilut No occr!-PANcy ?,rill be nud.e of any- strwctuz,e without permisaion'o| tn Build.ing DL-tisio-n- r further _cb1tt f1t that only contraeions aa enpicye.s uho ate incazpliance uith oRS zol.oss uiLL be used. on this i"iil.i -"---
TOTAL AMOATIT DIIE:'/f 6c Signed
c)
Date
Carpcrt
Aecessot u
Fen=e
&lw\,,e\
25 Not th stlt streeaPPLrcATr2N/PERI'Er
iprtngfield, 1regon 97477
tuilding Diutsion
7 26-37 53
bJ
,e!#
SPFINGFIEI-D
Ipcaticn:
:ssors Map #,o
Tioision:
7e?:
dress:
a a Ic,s lot #
Phone:
.1 /fu .a(u
n
7?
Addi /ao&<e fr,rr€
Date of Apgli.ation .44.,,i ttr, 1 4 , lQ Value A t, nOO *
GeneraL
DeserLbe Nork:
5<-\ r^p -lloV'le In-ov'te
a'n-& l*vlt il. 4\s,,
g \ cre € ran€\cr\ g\^zA erwA
at L\i hq (^P,
RernoCel
Plwnbi.ng
' Electrtcal (\ t^)',t c f
i ueclto:ical
I Qo-rytnction_lAey
It is ttt reeponribility of tlc petnrLt t@lna. to aee tlut aLL inspeetions oe nade at tle pro?er tine, tLdt 24sft -'litqes 'i.s 72a)ahi2
frun tle atte€t, @1d, that ths petfltLt cad ia Located at the ftont of the Wope"ty.*suidi.W DLuisint: dyVraed plot sltcll remain on tlte Building Site at aLL times.
PROCIDUPE FOR INSPEC!!91!_EW!;CALL726-3769 (recotder) state you? City designated job ntzrber, iob aFfness, type of ir'spec=icn
eadyforir-speetion'Contraetorsoia,ners-,,o,e-c.nd.pianenunba,.R'equestsleeeiuedbefcre?:00an
,tiLL be nnde the aotte dcy" "equests mcde after 7:00 an trill be nole t?te nect:,wkirg day.
Iout, City Desigr,ated Job Nwtber Is:
Reauired fr.speetions
860/6 q
SI?E I;iS?ia?IOI: Io be nade after
*carratlcn, but pt-icr tc set up of
forns.
ulpERSL4B Pl,!!E rrye, E LEclFr cAr. &
l,ECHLllICAL: To be tnade be1-ore any
tlotk is eooered.
IIISULATION/VAPOP BARRTER II|SPECTIOII :
Io be nade after aLL insuleticn a"d
required tcpot, borie?s @e in place
but before ory Lath, Wpswn boarC ot'
tnLL eoueting is appli.ed, antd before
oty insul,ation is concealed.
DRYWALL INSPEETTON: Tc be mAde
-.,
after aLL C.tyuaLL is in place,
but prior to any taping.
Sani:uy seser cappted ct propet4i Line
Septic tank y.rped and filled tith gra;sel
Final - kthen abcoe itens ote ecnpleted
and uhen Caiclltion i,s conplete or sttue-
ture maued utl. pz,etnses cleaneC up.
A rcormG t FOUNDATTzN: lo be rmCe
DJ ffi x"e""Gs ae .rcaated and
forns ote erected, but prior to
Wurirq cclleret€,
7 ulpEncpou:rD pLu.ElllLSWiL r/i!!B'J-
.Lir4 trenehee.
I4ASONRY: Steel
beons, gtoutittg
aceordorce tlth
2415.
Location, bond
ot terti-cals in
tl.B.C. Section
UIIDERELOOR PLUI,EING & MECIIANTCAL :
oy
floor insulation or decking.
POST AllD BEAM: ?o be made prLot, toffiidldla-{of flooy, insulation or
deckittE.
R)UGH PLAEIIIG. ELECIRTCAL & MECH:_
ANICAL: i'lo uotk is to be co--ez,ed
.ffiil thes" inspections hdtse been
nod.e oui approued.
ELPEPLACE: PrLor to plceirg faeingmaxefials and before froning i.nspee-
tion.
-
FRAr!!!c: l'tust be requested aften
) approual of rough plwnbing, electri-
cal & meciqanical, AL! rooftng
btacLrlq ru chinmeys, etc. rrust be
; eompleteC. llo ucrk is to be con-
..'-.ced.Led until this inspecf,ion lns:been rncuie anC approoed.
f FiltAL pLUuBrNc
f rner MECHANTIAL
] FINAL ELEtrBIzAL
_l
After installation is Blocking otd Set-up
Plwbing eonnections -- sa)et otd. uaier
Electrtcal Ccmnection - Bloeking, se!-uc
and plunbing connections rrust be qprct;ed
before requesting eleelrical inspeeliott
Aecessorg Bui.tCing
ilooDSTOttE:
ccnpLeted.
CURB & APPROACH APPON:
d.e e"ec;AWV;G Aftet fornsto pourLng
concrete.
SfDEWALK & DRfVil,lAI: Eor aLL eon-;;A;narrfr-Arffi stre et t'i.ght-
of-teA, to be ma.Ce after aLL etea-
oating canplete & fona uork & sttb-
base naterLal in pl.ace.Pinal - Aftet,
etc. al,e comp
pcrekes, skirting, decks,
Leted.
ALL g'ojeet conditions, such as tte installat':.on of street trees, conpleticn of the
required l,atdscqing, etc., wuat be satisfied before the BUILDING FIIIAL can be requested.
?INAL BUfLDLNG: The Fi.nal Building InsDeetion mtst be requested after the Final Plunbing
Electrical, otC l,leclutieal Inspections itqte been made arui approued.
Page 1 of 2*ALL I4ANHCLES AND CLEANOUTS TIUST BE ACCESSIBLE, ADJUST!{EII! TO BE I,IADE /.T IIO CSST TO CI?Y
v
R ,rorurn ro,n
T
T
T
tr
tr
la ygitcs: llhen eonolete -- ProzsiCe
L) s"r* on mooable sectians through n
-
-p.u.t. tl
T
SOLAR ^ CESS REQ.-r--cod
Lot Faces - I
Setbacks
House Caraqe AccessDT
/='RanNotthql'East 2f4 cts,South {a'4,q'Hest ?,
Ipt Sq. FtE.
7 cf Lct Caserage
# of StorLes
Total Height
Topography
ValueITET,l
LCT TWE
_ Intet'icr
Corrle{
Panhandle
CuL-de-sac
I'lain
Coace
Aeeessot u
farlrga, t /?.oe
?OTAL VALUE
en^1E-
/o.e PLan.{o
/o.to
-
FEE
Fistt:zes
Resi.dential (1 bath)
Sarzitaru Seuer
llctey
?ec**gr*a h,>ft ?r /f, oo
/56a
, J',=.-a
Res. So. fte
Iaracyeu Seroiee
b *(P tla>l3/r/f*
' 6;0
DfrA
art / =a:rTi;1 leP
Ftsneee P?UIS
blwnst Hood.
Vent Fan
Ilcodsto;se
Mecho nicol Permit
Perwit Issuanee
Mech,anical Permit
State
-- ENCROACHME:]T --
Secarttll Deoosi!
Storape
Maintenanee
Pcrmit
Euilding Pertrri,t
State
?otal Cla"ges
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Building Vqlue & Permit
This pennr,t is granted on the erptess eond.ition tlwt the said constnetionslnll, in all nespects, conforn to the 7rdirnnce edopted. j2iy the City of
SprLngfield, including the Soning Ctdinance, regulating the ccnsttueticn
and.use of buildtngs, and may be suspend.ed or reuokeC Lt ory time upon uic-lation of any prcuisions of said 7rdir,ances.
t/-r ls?r1Va9l4a /lo/?€ a/y fris Cda,A
-- Fees --
Reeeipt #:
Signed:
f HAW CAREFULLy tXil4INED the cornpleted aopLieation for permit, cnd da
hereby certify that aLL info:mation het,eon is true anC eorreet, amC f
further centifg that any ard aLL uotk perforned shall be done in aceor,-
dance ,rith the Oydinances of the City of Sptingfield, an-d. the La";s af the* State of Oregcn pertainina to the uotk Ceseribcd henein, cnd that NO OCCU-
Pr'.NCI uiLL be rmCe of any st?ucture uithout permission of the Building DL-oision. I further certifr- th,at only contractors ciid. enplcyees who are in
canpLianee uith CRS 701.055 ui.LL be used on this ptoject
Plumbing Permit
llo person slw.ll constntct, insiall, alter or clunge anA neu cr eristingplwnbing or dtainage sAsten in i,thole or in part, unless such person is the
Legal possessot, of a ualid olumberts Lieense, eueept th.at a pbrson nay doplunbiig uork to pyopez.t! uhich is otmed, Leased. or operated q tn" ippli-
cant.
Electricql Permit
Were State Las requires tlnt the eLectrical uotk be done bg an Eleofu,teal
Cont?aetor, the electrical portion of this pemnit shall not be ualiC untilthe Label l,ns been sigtred bg the Elech,ical Contracto?.
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Date
JOB NO.
7r>x
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