HomeMy WebLinkAboutPermit Building 1983-10-10..RESIDENTIAL..
APPLI CAT ION /PERI4IT
225 North |th Street
Springfield' Cregon 97477
Building Diuiston
726-37 53
SPFIINGFIELD
.i
?*a -r-VYe 5PF2.Job Locaticn:
\xry.ck)\>!d, Lot, O5t Uf )Assesso"e :4@ #
Subdioisian:
DAt//.D /Ar4lS*.mer:
f46 5-78e Phone: 7+V7 ?bz-Addte-ss:
cite: 5 PplrY;rrErO r7477
Descrtbe i,tork: Eg,m.i, f/'r-e_
)<mo7<- rt residetcL
lo-to -g,g val,/ + ooo . o o
w1
Date of App
kiiiticn
RemoCeL
General b
i4eclunziccL
DEI.IOLITIA!: CR :,:CV!i tsL,JILDi:iCS
Sotitot"l seuer cqpeC ct Wopatt! Lire
Septic totk p-,irpeC ann fnlled uith gratzi
linal - i4en cbcue itens ate ecnoT-eted
ard ',tircn ier.tcliticn is =orrle;e br st-tc-
ture naued oa prantaes cleanei up,
icx':es
tslocking otd 1et-up
Plmbing eonzeczlcns -- sanet e,l. ualet
EZectylccl Ccnnecto:an - Blockirq, sei-ui
and olwbing coanectians m;st be qprct:ai
before request')ng e|ectr,)cal irsaee=iot
Aceeseorl BuiEtng
:crekes, skir+.tra, dec?s,itral - Aftet
-+^
it ie .!he responsibility of tle penri! itolder to see ihat aLL inspections de nade at lhe
fron the street, cnC that the petmit cod ie Located at the fzv+rt of the oropetty.iSui!<iirq Dt;ticior- ccptou-eri iian sitci.L yeaain on ti i"-:ia":"h-:i;e "at
"1t't+hl","
P!?OC1DAPE FAR INSPEXICTT RT1.OEST;CALL 726-3769 (tecordet) state !ou! City desigtnted. job
tequested ar<i ahen gou ,,rtLL be readg fon inspeetion, Corlt"acta?s c" A;nets nane crd. phone':iLL be na.<ie the sane Ccy, "eque6ts naie aftet ?:00 aa ttLL be naCe the nczt."nrking- daE,
you! City'Desigra.ted. Jab lhnber fs:
l-1 317! lltiPEC?IJit: To be naCe after
i i d;A;ror.;G pr)cr =c se= up of
ICms.
Co4s3?tcticfl_Lende!-
llrln?ae- nD )rttttu-rta j"JadoTalr )
WC|.;||CAL: ?o be made beiore cnywrk t s eouez:ed.
FAOTINC 1 !AU:|DATIC\|: 7o be r,vCe
diet '"rffi; cr,;Asecz.tated ard
1'czms ote erected, but prior to
pourirg ecnctet€.
utlDiic?1ultD ?at.tM?i:tc. sErEP,'t.1T83,
DRAIIAGE: To be ra.ie pt+or to fil-T@F6nctee.
lDllPolf ^aa Df ,ttmfra ) tttfr r lrTa. f .
?c be noae pr"Jcr tc tnszaLlatian of
Fr\ln r Df ttta"\ta
?7rl I f rEauA rtf .^ t
uTllAr il?adcf^.t.1t]du --tw-. /u^L
p?ope" tine, that ecch cddtess is ren;ab'-e
nzotber, ;ob ol,&ess, type of inspec-.icn
ntrtbcr, P.equesxs reeei"'ed befcre 7:C0 an
3Z ?
I
I
floor insuk;ion or decking.
fi pcsr .a.ND 3E;.i4: ?o be r.aie orzcr to
,-) trlsuaGdc; iloor insui.tzioti cr
deckin4.
R?LtcE ?!:ltBI:!G, !t:::P!:A: , ;.8C1-
AtlICLL: t'lo 'sotk is to ce ecu-eyed.
di'.T-these,tnsceetiors'ecue beer
naie cnd. a?grruea.
t'.?PfJf=. )ra'aa +a -7F^;-- f-^4'--
^cY;Al; arui beicre -ircr:ng inup"Z-
tion.
FFA-!'Ii|G: i,tust be reo.uested efler
apprcua| of rcugh pluibir4, electtl-cal C necizanieel. AL7- roofiz,4
btac:-n4 ! ehinmcgs, ete. rust be
eonolered. ito 'sct'< ")s to be con-
- c"oled until this insceceicn has'been na,l.e anC appro,-eZ.
INSALAIIOII/IIAPCR BARRIER iIISPICTIAN :
To be naCe zftez. aLL insulattcn ei
rcquired vqot berie?s @e in place
but before ory l-a.th, Wpslun bcard oz,
tnLL couering is coolied, cnd. before
otg ittsulaticn is concealed.
DRYIALL f!lSP9C?i0!l: lc be nade
-..
after aLL CrluaLL is in place,
but prior to crty tapirg.
IUSO!!!: Steel Locatton, bond
beans, g:routitq or uerciccls in
aceordswe ,,/L'-h a.8.C. Section
24 1 5,.
After installation isi,ICCDSTC'/I:
*_1 ^L ^;
CUP.3 4 IPPRCACH !.P1CN:n;-;;a;a-;ut ?6 After formsto pcur-ing
eonc?ete.
SIDEHALK & 3RIrTl.4!: For all con-cl,et;Vffi-ffim s h,eet right-
of-uny, to be naie after aL7. e*ca-
uating comolete .l iont tnz,k & sub-
fo.se natez"|al in place.
ALL pro;ect conditions, ;uck as the .-.nstci,Lctica cf st?eet cTees, cc::tler:.on cl tie
reqttired ianl.sccpirq, atc., tnust be satisiied. befcre the SuiLDItiC iljlAL :en be z.equestei,
--t
I
r
?IilAL tsUILDMG: The Fincl
Eleccrieal, od. llechznlcci
Buitdin4 Insoection rast be teouested zi'let the l.lnal PlmbitrS
inspecticns ique been nacie and ccorouei,
'ALL i'lAtlECLES AttD cLEANOars !,tUS? BE . CCES;I7L|, ADiits?:liill io 9! :t4Di :,.t lto C?sT rc cry
coni?ectors Addzess L1,sc.
Plunoina
(
acat1nad t79notl. at9
:ll
l
T
T
-'LNC\: ,(hen COiTlDL€Xe -- rVODLCejG or nooable'sections through |_lP.u.E. I I
u
JOB NO
bt Sq. Ftj.
7 cf !.ct Ccueteqe
I of StorJes
n^+-7 aa'-Lt
lopogryhy
SOLART :ESS REQ.-
ict :y?!
f-+ ^n-' ^i
-
cornn
_ ?cnhcd.le
Ctl-tie-sac
a--- t
L-CO G+
#
s 1-o?ted- :
Plumbing Permit
llo pereon slwll cotl,si;zttet, i.nstal!, al,ter or chan4e cnA nea cr eeisting
plunbing cr dtainage sAstan in ulwle or in part, uzless such person is the
Legal possessot of a ,talid pltuaber's License, escept thai a ce:son nay do
plw;bing uork to prope"tJ uhich is otmed, Leased or ooerated by the appli-
cant.
Electricsl Permit
l{here State Lan requires tltat the electrtcal uork be dcne by qn lleetr.tcal
Conhdeto", the eleetrical portion of thia pernit siu,Ll not be ualiC until
the Label las been sigaeci by the Electrical Conttactot,
Mechonicol Permit
PZtnbirq PerTii-t
!otal
Penrtt
!,lechaniccl Pernrit
L
D/ffi;rn.*An E
I HAW CARE?ALLY lKWfilED tle conpleted applicaticn for tetmi!, crui Ca
hereby cettify tlnt aLL itfotmation hez,eon ls tnte anl. ccwect, anC f
furtker eertiir- that any ard aLL uork per,fotned alu.Ll be done in accct,-
dance :'rith the Ardin*tces of the Ctty of Sprn)ngfie1-d, anC. the Lc;s of the
State of Cregon perraining to bhe aork Cescribed'netean, cnd tiu.t :10 CCCU-
P,41CI 'nill be naie of any atl,1tctut,z rsithout permisaict cf tne 3uriding Di-
uision. I futther ce"tifi th.at ottlg cofit?dclors otd enplcgees ;1".c ore in
canpll.ance Dath CRS 707.055 aiLL be used on this project
3ectoons
Lot Faees -.neT1u >auraes
ar House Carade Accass ilater !ea!",/,Iiorth
liv,eoLace
South
l/est
-- Fae.s --::z:4 I '/aLue
,rbi.n
Gzcce
frao.r lllftt?tur).cI'
5.D.C. r.5:
Building Vqlue & Permit
This gernrrt is granted on the ecp"ess eonditian thlt the satd ccnstmtctions'nali, ln:.1L:estects, conicrm:o the CrCindnce zdoc=e,i cy iV,e Ci:1 ofSor'-tgjtelJ, inel.ud',-ng :he 1on:ng Crdtncn:e, :,eg,tl::-),tg =ie =crs:rtccicncnti use cf bu:-L,i.ings, atzi nay be susoend.ed oz. teuckec at cril tiee ulcn uic-
Latian of ,tr,.y ptcuistcns of saiC Crditances.
9.,:7 S.'-- .^*'+
lotal Chatges
State
wt'H-'L
Resid.attta.L (1 bcth)
Sanitart Seuer
,cte!
:i0.,-tr, _-ai
les. So. f+a,
ileu/Estend, Ciredts
lamcroy Sertice
l,r,,Itir,.\r-f)n \)
^i, t=^cfa,
Fvrr3ap 97r1t3
Ezh.a.tst HooC
Vent ?at
VcoCstc:se
L*'rs, .\r*OO.iL \ti
*=*
)
I 'l )
-. Z;iCP,CAC:i;,:E:!? --
lqqr:q Dercsit
Stor:te
!4cintencnee
Pe -rit,
Csttbcut
SiCa,taLk
13!AL i,],!0U!1? DUi:'
'Yobi !e ilcr,te
|t'ct>:
.acacsS 3t:)
!?!y ;'to.
:!!it I
?.C,1)
u -00
/O-/U<
(
FIRE DAMAGE REPORT
OR
ELECTRICAL HAZARD
DATE:9-26-Y 7
TO:
FROI4:
SUBJECT:
Building DePartment
Springfield Fire DePartment
Structural Damage to Bui'l di ng
s 8t{Address or location of build'ing ?V LS
Name of ot'/ner
Type of bu i 1 d'i ng e
(Dwe i ng , Store, llarehouse, etc.)
Estimated val ue of bui'ldi ng
Estimated I oss to bu'i1d'ing
)
?-)t- r 3Date of fire
Location of damage in buiiding
(Roof, Wall, Exterior, Interior, etc.)
Structural weakness as a result of the f i" 6u, ''td( 6<o '
(Burned raf ters, Beams, ,-1oists, e tc.)
Addi ti onal perti nent 'i nforma t'ion
El ectri ca'l Hazard
cc
Siqned
)(l,li ri ng , 0ut1 ets , etc .
a
F
a a
LOG SHEET INSPECTIONS
JOB LOCATION, Q\(., SO\)\\\ AB=
JOB NUITIBER:$t DATE RECETVED' q \21
owNER, De:-{ c\ SNcx\r U
OWNERS ADDRESS: AI\\C.C\P q\r\ G}CTft\\E
CITY, STATE,zrPz SCr\\A PHONE:U
TYPE OF INSPECTTON
COURTESY (Renter Request) HOUSING OCCUPANCY
FIRE DAMAGE REFERRAL FROM OTHER AGENCY
DANGEROUS BUILDING NUISANCE COMPLAINT ZONING COMPLAINT
OTHER
Y
INSPECTION DATE'\D-S-BB
OUTCOME
INSPECTOR(S):
].ST LETTER DATE:
COMPLIANCE GATNED:
NOTICE AND ORDER DATE:
COIVIPLIANCE GAINED:
DEAD LINE:
YES NO DATE:
DEAD LINE:
7iu,NO DATE:
REFERRAL TO LEGAL PROCESS:
CITY ATTORNEY NOTIFIED:
COMPLIANCE GAfNED:
COMPLIANCE DEAD LINE:
YES NO
REFERRAL FOR PROSECUTION:
OUTCOME:
DATE FTNALED:
CERTIFICATE OF SUBSTANTIAL COMPLIANCE ISSUED:
(SEE OTHER SIDE FOR ADDITIONAL)( i.lorEs )
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