HomeMy WebLinkAboutPermit Building 1987-12-16.. RES')ENTIAL..
APPLICATION/PERMIT
225 North ith Street
Spr"Lngfield, )regon 97477
BuiL&Lng Ditsision
7 26-37 53
SPFIINGFTELD
Job tpcaticn:
Aosessore Map #Tar Lot # 4
S'ubdiuision:
1tmer:
Addtess:Phone
Desq-ibe Hork:
F lrcr-=Rr pftie.
Date of Value
TI
t-t
f
Additian
RenoCel
Page 1 of 2
#2*
of inspec=icn
befcre 7:00 m
frr;rv/ / /1""
/ KffG
E2
2/
/70
tr'l 1
Date
of the pendt hodet to see tlut aLL inspections ate nade at the ptope? tine, that each address is v2atrq'nlp
2
GeneraL
Conetmction Lendet
It is tha tespontibi
frotn*Bui the atree
<74d fileDtid7^rt.
ea;ao;non,Tt
lding Nui t, and that the perttrit
cion appro,*ed plan sha
catd is Located at
LL renain on tle Bui
the front of the
Lding Site at aL
prope?tA
L times.
P.RO1EDUP\ FoR. IySPEffr?N I!-1yEST;CALL 726-3769 (veeorder) state Aour City designated job nwnber, job aCiress, typete1uested a-nd ahen you uiLL be ready fo,t'inspection, Conttactots o-r Asnets flarne Zrra pUi" nunbet.' -p.equests rebeLxZd,,viLL be tade the sane dcy' requests nade after ?:00 on uyLLL be nnde tke neot wtki{ day.
YoLtaCitU Deeigr.ated EZA?,A
?o be nw.de after
pz.tor tc set up of
Job Nutnber fs:
?o be made after aLL insu
required oapor bawie?s @e i.n place
but before ory Lath, WpsurTt bcarC or
tnLL couering is appli.ed, atd befoneag insulation is concealed.
DRYWALL INSPECTI)N: Ic be nadeafter aLL dtyuall is in plaee,
but prior to any taping.
\IAS1NRI: Steel Loeation, bond
beons, grouling on oerticals in
accordotce ttth U.B.C. Seetion
2415,
v00DST)r,/E:
@ttpT;tA.
After installation is
CaRB & APPROACH APR2N: After fonnsue eteeteC but prior to pout"ing
corL2r,ete.
STDEIALK & DRf'"rEWAI: tot aLL eoa-
crete pao@Affi stz,eet right-
of-teA, to be made after aLL etca-
oating eqnplete & forn Ltotk & eub-
base naterLal in place.
w DEtl1Lrrrcll 0R
Scnitaty seuet, capped at properfii Lir:e
Septic tank pu-,ped and. fi.lled utth grauel
Final - ltthen abcue itens are cctnoleted
and uhen Cenolition is carplete'or s*uc-tttte maoed and. prerrLses cleaneC up.
Hcmes
Blocking and Set-up
Plunbing connections -- sa)e? otC uater
Elecbtical Ccnnection - Blocking, set-uD
and plwnbing conneetione rnist be apprct;ed
before requesting electrieal inspeetio;t
Accessory Buildnng
ANDERSLAB PLUMBTNG, ELECTRICAL &
WCH4-1|ICAL: ?o be made before anguotk is eouet,ed.
UNDERGPOUIID PLUMDTNG, SEWR. WATER,
DRAIIIAGE: To be maCe prlot, to fil-T@-l-renchee.
forns.
AilDEP,FLOOR PLUI.IBING & I|ECI]ANICAL:
FNIAL PLUMBII\G
FINAL I4ECHAIIICAL
FINAL ELECTRICAL
Ioben@o7
floot ineu1,ation or decking.
POS? A.ND pEAl4: To be nade prior toGsifrTatl6n o7 flooz, insulZtion or
decking.
ROUGH PLU'IBIIIG. ELEC?RTCAL & I,IECH-
ANfCAL: No aork is to be co-*ez,edGllTthese inspections hnoe been
nade and approoed..
EIPEP\AC|: Pz.iot to plaeirq faeingnc-terLals and before fronin4 inspeb-tion.
PRAllIllG: l4ust be requested aftet,approual of rough plunbing, electri-cal & neclnnical. ALI roofing
btacing & chinmeys, etc. mtst be
. eornpleted. tlo ucrk ie to be eon-
. cealed until this inspeetion lns'been mad.e anC apptooed.
tr
E
Firnl - After
etc. are comp.
pcrehes,
Leted.
skirting, decks,
IENCE: l|hen conplate -- ProuiCe
gates or notsable sections through
P.A.E.
ALL p_t'oiect conditions, such as the i.nstallation of street trees, coltpletion of therequired Landscaptng, ctc., rmtst be satisfied befot e the B\IfLDING FINAL can be r,equested.
FfNAL BUTLDIN?: The Final Building- fnspection rnust be requested after the Final PtwnbingElectrical, and Mechanieal fnspections iqoe been nade ard'approoed.
E
E
*ALL \4ANHCLES AND CLEANOUTS MUST BE ACCESSTBLE, ADJASuTENI rO BE t44DE n? NO CCS? ?O Cry
bol '
city: e epiuo -rL., ,=
appu.otion / Z-t/6'8 7
Lisc. #Contracto?s Address
Pltnbi.ns 't,/ I tt( gl t .,n, a, i.
l
I
!:)):IIN} & F)UNDATICN: ?o be naCe;f;;Wes ""e ezeaated attd
forms ote erected, but ptiot, to
pout"ittg ccneret€.
JOB NO SOLAR ACCESS REQ.-L-co *
Lot Faces -
lleat
DT,House Cdraqe Access
North
East II Fireplace
South l Woodstoxe
Hest l
bt Sq. Ftg.
I of Lot Cotsenaga
! of Stortes
Total Eeight
?opography
fntericr
Cor.ner
Panhanl.le
CuL-de-sac
Zone:BeCroons:
IOT TWE "'--/
D-^^
Building Volue & Permit
This permLt is granted on the ecpress eondition tlnt the said-eonstntction
sLnLL, in all respects, eonfonn to the 0rd|nance edopted fuly the City of
Springfield, including the Zoning Crdinance, r,egulating the ccnsttucttcn
and use of buildings, and may be susperd.ed or reuokeC at cny tine upon oic-
Lation of dttlJ ptcuisions of said Oydirnnces.
TOTAL VALUE
ITEM F?G X Value
*S.D.C. 1.5 t
zz 3,*
Building Pe"nrLt
?otal Clnrges
State
Reeeipt #:
Date Pai.d:
Check Fee:-a7
Signed:
Plumbing Perrnit
No pereon slu.Ll conshuct, instal!., alter or elnnge any nev cr ecisting
plwttbing or drainage sgetan in ulole or in patt, unlees such person is the
Legal posseesor of a oalid plwnbet's L'Lcenee, escept tlwt a pe"son nay do
plwnbing uork to prope?ty uhich is oaned, Leased or'operated by the appli-qnt.
FEE
a?
S
N0.
7
Sani Seuer
CEARGE
Pi.atutes
Resil,sntial (l batiz)
Plunbing Perqrit
Electricol Permit
l,lhet,e State La,t reqtires th,at the electrical uopk be done by an Eleeh,ical
Contraetor, the eleetrLcal portion of this permit shall not be oali.C until
the Label lns been signed bg the Elecb,ical Contraeto!.
vl
3a *
Nau/Eotend. Circuits
Semtice
aState
!otal
ITEM FEE CIIARCE Mechqnicol Permit
kl@nst Hood
llcodstooe
Vent F@l
PermLt fssuotce
Mec?nnicel Permit
-- EIICROACHMENT --
Securtty Deposit
Stonage
Mai.ntenance
Pendt
Cvtbcut
Sida,talk
?enee
Electri.cal la.bel
Mobile llorne
TO?AL AMOUTI? DUE: */ "9
.2/
f HAW CAREFULLY EXAILfNED the eontpleted appli.cation for pennit, and do
hereby eertify that aLL information hereon is true ard. cotrect, artC f
further certifg that any ard aLL uork perfotmed shall be done in aecor-
dance tti.th the Ordinances of the City of SpringfieLd, attd the Lat;s of the* State of 1z,egon pertaining to the wrk Cescribed herein, and tlat N0 )cCU-
PANCy tritl be nade of any st"uctur,e uithout pernission of the Building DL-
oision. I further certify that otly eont"actops and enplcyees uho ote in
eonpliance t'tith 1RS 70L.055 uiLL be used on this proiect
TotaL
/z -.le-Yl
DateSigned
>
NC.
ht?naae. P'v71'g /n-aS lbzr
4
rpi
"f
25 Additional Dennis Shew
If ya, *ho will invotigatc
D ont. on bacl
DO NOT WRITE IN THIS SPACE
CONTROL EXP.NO. NO.
District oflncident
4 tsUSINESSOWNER (lst, FiEt, MI)
5 O\ryNERNAME(lis!.f iBt.MI)
Tt+u
6 PIREREPORTEDBY(Ist,Fimt,Ml)
S rvritl.U)ctn'r
ALARM
Tclephone Diet
Municipal Alam Syaten
Privata AIm S5nteo
8 ilOFTIRESERVICEPERSONNEL
RESPONDED
STATE OF OREGON FIRE REPORT
STATE FIRE MARSHAL
9ll (Tie Line)
Voice Signal Mui Alam
D NoeU^n-'d E NotCbsifiedAbow
. AEDEPT.
ALARMNO.
fl Hand-lEid hore/hydrant, etandpipe
! Mater Streu Devte
! Not0lasifiedAbove
<-t-J
/o
9 TYPEOFSITUATIONF'OUND
X,tr
Structure Fire
Outside Struct. w/value
r0 MmHoD or
EXTIn.GUISHMENT
u-,. ( (r
M MOBILE
PROPERTY
12 ROOM/AREAOFFIREORICIN
/,e
Verbal
Vehicle Fin
Broh,Gru,Iavq
Trsh. Rubbish
fl Sef-nttiosuish€d
! Uate-slit aiae
E Poiable Ertinpisher
N
! OtirerlLis0
I Autoutic Ert. Syrtzm
Pre-@nnet h@/tanL only
hoe/hy&ant. 6t&dpipe
30 to {9 fet
f] rotozoret
+-o
70 fer lwel
f] ouj*t" u rtigut D NotClasined
! Undetemined
oo-,>
@Jlht< -l
TtJ T6z4t
Ed'6>t.F
o
1z
qFnd
FHtt trl
tsE,
*Fii>l-F
.)
z
r
r5rl
ItJ4
t.r
U)i
tIt
41
!t
cn
arl
o€
I{
a1
tta
zr"
E EQUIPMENT
INVOLVED
IN IGNITION
I3 IGNITION FACTOR
14 FORMOFHEATOFIGNITION
El ectri c i
15 LEVELOFPIREORIGIN l0 to l9 fct
Grade lwel to 9 fet ! mtozgret
l6 VALUE
LOSS
l7
18 BUILDING (ln YemJ+ .tD
19 TYPE
Skl&
20
EXTENT Otr'DAMAGE CONFINED TO:
I The objet of oriAin
2 Panof @m or .M of origin
3 Rom of origin
{ Fire-rated omp. of origit
5 Flor of origir
6 Structure of origin
? Ertcnded b€yond lmcte of oriSiDtrposq re-
I NodaDsgeof thetype (N/A)
21 REMARKS (optional):
22 Foltow Up Invatigation Reqwtcd Y
Nuber of Injuie
Fire Scryie
2{ Member Making Report
Smoke
;E
3E
1D5E6fI
?D
efI
Flame1E203Elfl5E6rl78
DAY
2Pol'1
MO
I 1'71<11
YEAR DAY OF
WEEK fl sun
! Mon
ET"6D w"d
I Thrt
Ern
f] satur ALARM TIME
/ tS t 3 ?
ARRIVALTIME
t 1 {13 fl
TIMEBACK IN
SERVICE) t7 t Ot'7
CENSUS TRACTztP
7 o z7I tso cLAss3
q/22,1 $tor/'n
NAME (t-d.
e,leer€s tt4,I
DOB (optional)
74{ Pl5'3
TELEPHONE
ADDRESS DOB (optional)TELEPHONE
77&g /77 "rlenztr /u,
ADDRESS DOB (optional)
74L l(32TELEPHONE
337ADDR.ESS 5-D o/ 3 '4
DOB (optioml)726- oeL,/TELEPHONE
! neeivca ! Giva ;NNre
ot
, OF ENCINES RESPONDED # OF ABRIAL APPARATUS RESPONDED # OTHER VEHICLES RESPONDED
(do not include PA'r, ?_
Etinguish
Inv6tl8ation
tr
D
Remved Hurd
Stand By
Salvage
Not Clarsified
TYPE OF ACTION TAKEN
MOBILE PROPERTY (Complete irne M)
YEAR MAKE MODEL SERIAL #LICENSE #
EQUIPMENT INVOLVED IN IGNITION (Complete Lire E)
S-t-o,s<- ( Frr".re)
YEAR MAKE MODEL SERIAL #VOLTAGE
-z 2 <_,
MATERIAL IGNITED WAS MADE OF
Pl asti c Pl acemat
.00 .00
Contertsot;o Vehiclc md Conuntr
.00
Other
.00 3r TOTAL
.00G
.00/o,4>r('0 scro .oo .00 .00 ./ 9 <zJ'z>.00
l3 to 24 sbrEs
25 to ,19 rtoriE
50 ahn6 or more
3 t 4 BtorieBI ? to 12 stories
to
l0OC'-4999 8q ft r0,00O- 19,999 eq ff,
5000-9999 fl
50,000-99,999 sq ft 5OO,0O0 sq ft
Uoprctet. Menry Eru & Wood Int.
Prctdt€d Wmd Frebe
Unproteed Wood Frre
Not Clsified Abovc
unprctect. stel BldSHavy Timber
Int.
DETECTOR PERF'ORMANCE
Dtr
D
tr
tr
D
tr
D
D
2
I
5
6
7
8
9
Iu rcm of origin-opcr.
Not in rum of origin-oper.
In m of origin-not oper-fire te sull
Not in E of origin-Dot opcr. frE te lbdl
In mm of origin-not oper. poser di@nEt
Not in E of origin-not oper. po*er dimn.
In mo of origin- not opcr. d6d bett€ry
Not in mm of origin -not opet. dad battcry
,{to una"t"-io"o
I
No d€tetor ptwDt
SPRINXLER PERFORMANCE
I I Equipmentoperated
z ! nquip. aloutd ba,eoper.-did not
D Equip. preunt fire te sruu to op€r.
! Not "l"r"ifi"d "bor"
Sprinllen Contrclkd Fire: YES D NO E
I
0
8
DF
# ofHeda Opened
Undetamined or not rcportad
No equipmnt pwnt (N/A)
ooNuber of Fatrlitier
Fire S€ryice
V "' ?- >z-?Z
rilb Deputy re Marsha Date
1
T1
ITEM FIRS'I.IGNITED:
Buildinr3 G, o{.a
BUILDING SIZE (Gmd Flr Only)
\o/ . /)1 F, .9lou.,'
o
fio'a 6PACE
F-\P,
lt
H <f ^ %or-..- llouse: 1/1it S ,/ 7 iC,-l8 a
rdEDEPr. (f slf- -j_i-{-)-
aaaptr1 p6. r) I '-r I ct't'*' I
,la,,,.
STATE OF OREGON FIRE REPORT
STATB FIRE MARSHAL
2 ADDRESS
NAME (Iat, FEt, MI)
,U
'L
/'
I BUSINESS OWNER NAME (Is:,, FiEt, MI)
5 OWNERNAME(Ld,FiEt,MI)
ogz
a:,ill
F.'
ItJ tr,1t It
nYil;rt
C)o1?
-d
FFI
i5 rt
Er t,JA
dFE>
F
E
(l
?
r<
15,l
t5
l.
aJ
E
E'
15tJ)
a-lF
o.lcFttj4'
Ftt,rDo2F
Dtr
tr
tr
tr
D
C
EI
D
D
Du
trtr
D^f,
*{
ilrrrrf
6 FIREJrz,lh BY (L6t, FiEt, MI)
Telephone Diet
Muicipsl AlaE SystcE
Privata Abm SysteE
ALARM
Redio
Vcrbal
NoAlam Rc'd
ll
or'
E , OT FIRE SERVICE PER.SONNEL
RESroNDED / O
e /,trIrigF SITUATION FOUND
t€l*::::,i:-,",".
IO ME-THOD OF
EXTINGUISHMENT
Du
! Vehicle Fire
Bruh, Grue,lrava
Truh, Rubbirh
Other (Liat)
Ert. SystsE
E Pre-@Dn6t heltink only
f] Pre-onnect hosftydnnt. stsndpip€
5t46EbG
E zto tzatoria
911 (Tie Line)
Voice Sigml Muni Alam
Not Clasified Above
70 fEt
E
Self-Ertinguiehed
E MaLe-Ebiftaid!
D PortableErtineuiEher
2 stone
E gtolatoria
Flam Smoke
Hand-laitl he/hydruq Etsrdpipe
Mstct St@ Device
D NorcLsiliedAbove
! Undetrrmined
:e
M MOBILE
PROPERTY
12 ROOI\{/AREAOFFIREORIGIN
North wall of house
E EQUIPMENT
INVOLVED
IN IGNITION
I3 IGNITION FACTOR
Exp osure from 347 S. 43rd
11 TORMOTHEAT
fc.d ranl eclr
OF ICNITION
15 LEVELOFFIREORIGIN
Pa.r
l3 to 24 8bri6
E zstolgato;a
level
fl Not Cisssified
1 sl. r
l0 t! l9 fel
20tt29 fel
30 to 49 fet
50 t! 70 fEt
l6 VALUE
LOSS
STORIES 50 ston6 or Eore
I Btory
Yem)
19 CONSTRUCTIONTYPE
EXTENT OF DAMACE CONFINED TO:
I Theobjatoforigir
2 Partofmmorrooforigia
3 Rmm of origio
I Firc-nted omp. of origin
5 Fl,oor of origi!
6 Struturc of origiD
7 Ert4nded bcyond rtutln of origil
t Ye c.s..J rc.
9 Nodamfeof thetypc(N/A)
I
3
I
5
6
7
x
2I REMARKS (optiona.l):o
22 FolbwUplnvatis&Dn€qutrd VX-- X
-
If ya, who rill invatfuetc
23 Number of lnjuia
Fire Senie
DAY OF
WEEX C s".
! uon
! rl"'
! rri
fl s"t,.
fl w"d
YEAR Tue
I
ALARM TIME
/15 ts ,7ztz
DAv ARRIVALTIME
),{, l,'/
TIME BACK IN
SERVICE)t) totT
CENSUS TRACT ISO CLASSztP
)77
DOB (optionall
J -€-ly'7 q7-?arzTI]LEPHONE
ADDRESS DOB (optional)TELEPHONE
DOB toptronal)
z- g- 3./7/ > - 7S.Sz
TELEPHONEADDRESSfl?<)_st s
9a '//' > bJADDRESS DOB (optional)
7a-a D L6 t
TELEPHONE
I nai,ea I Givcn tl& *ln
or
, OF ENGINES RESPONDED2-lI OT AERIAL APPARATUS RESPONDED * OTHER VEHICLES RESPONDED
(do rot include PA'e) Z _
Remved Haard
Stand By
Salvage
Not Clesified
TYPE OF ACTION TAKEN
E Ertinguieh
e lf"
MOBILE PROPERTY (Compier€ lhe M)
YEAN MAKE MODEL SERIAL i LICENSE #
EQUIPMENT INVOL\IED IN IGNITION (Complep Line E)
YEAR MAKE MODEL SERIAL
'
VOLTAGE
ITEM FIRST IGNITED:
Paint
Contcntr
.00o Vehicl€ 0d CoDtents
.00 O' .@
0ther . TOTAL/o bvo .00
.00,rOO * O- .oo *Q-.m *so-.,,
.00
BUILDINC SIZE (Gmd Flr Ouly)l00O-{999 !4 ft r0,00O-19,999 !q ft 50,000-99,999 !q ft 5O0,0OO sq ft
Hevy Tinber
Prctect. Stel
unpmtet. stEl Bldg
Prctet.ErL & W@d Int.
Unprctet. Menry Ert. & Wmd Int.
Prcttcted Wood Frme
FracUnprctected
Not
DETECTOR PERIORMANCEtrtr
tr
D
trtr
D
D
tr
I
3
1
6
6
7
8
I
In mm of origrn-oper.
Not in mD of origin -opcr.
ID m of ortin-not opcr-hn to eull
Not in m of origir-mt opcr. IiE te lorll
ln mm of origin-not oFr, power di&trncct
Not in m of origin-mt oper, po*er dion.
Ia roo of origin- not oper. d8d battery
Not in mo of origin-mt oFr. dEd battcry
No detator pre*nt Undetemin€d
SPRINKLER PERFORMANCE
t E F4uipmentoperated
z E Equip. should haveoper.-did not
s D Equlp. prent fire t@ lBatt to oFt'
9 f| Notcheifredabovc
O fl Undetcmlnd or not rePoird
8![ Noequipmntpwnt (N/A)
SprinllcnContrclledFirc: YBS E XO E
I ofHeds Oponod
Number of b a
"n r?- ?2- s7,r* &ov
DataTitlc
c
24 Mcmber Malias
by
o Other
M,
E mlor-l
3
t8
I
3
1
5
6
?
MATERIAL FIR.ST IGNITIiD WAST4ADE OF
Paint
.00
[8l?
.00
Job Locaticn:
Assessots Map #?c,s lot #o
Svbdhtision:
Asnet:
Phone:Addtess:
I
Desct Lbe Hotl<:
Rr ppipF trc.
l-t
fValueDate of App Lication
Additian
RemoCel
" RESID-rlTlAL"
APPLICATION/PERT,IIT
225 North Sth Street
Spr"Lngfield, )regon 97477
Building Dtuiston
7 26-37 53
{z
SPTII]{GFTEI-E)
kr-FrvEP/ /" /4 ?.2/l/,
.z K ffcl 2o
GeneraL
Conatmotion Lend.et -s_,
SI?E INSPECTION:
ezcauation, but
lo be nade afterprior tc set up of
WcEDqP+FoR,rllsPE :CALL726-3769 (record.et,) state yout, city d.esignated. job nwiiber, job aCiress, typenequested ar'd when uou fiLLL be ready fot inspection, ci*L.toi" oi aners-rrcrrr""ara plror. rutnbct.' nA;;t" rece;.i:bariLL be nade the sdtze dcy, ,"q,rn"i""^li" ij,t* ztoo-*, tyill be r";;ih:;';L:;;"i:.;rg'Lr.
Date:2
to aee that aLL inspeetiotts ee nade at the puopet ttne, tl,at each cd,#ess .[s vsaiqhiglocated at the
Lding Sitefroat of theat aL
p?ope"tv.on tle Bui
of inspec;icn
befcre 7:00 an
Iottt City Desigr,ated Job Nunber fs:a ?
TNSULA?IOII/VAPOR BARRTER II\SPECTION,Iobem@ !.:owD
fotms.
ANDERSLAB PLUI,{BTNG. ELECTRICAL &wcyttlij@ny
r,to;rk ie eooered.
PC-Q?ING & FQUNDATICN: lo be rmCealte" t"enches a?e ercaoated and.
forms ote etected, but prior to
pou?inS ccncrete.
UNDERGPOUIID PLI]MEING. S1VE , WATER,
D.,q,,A,I\1AGE: Io be naCe prtor to fil-lir4 trenchee.
UNDERFLOOR PLUI.IBTilG & IIECHANI CAL :
To be mad.e prior to installatioi of
floor insuktion ot decking.
POST AND BEAI4: ?o be nade orior toilEdlilic-n oi ftoor ir*uhtion or
decking.
ROUGH PLURIIIC. ELECTRTCAL & I,IECH-ANICAL: ltouffiw:til these irapeetions lwue been
nad.e and approoeC.
FIPEPL.ACT: Prior to placirg faeingmdter.Lals and befot,e f"."i"S Zn"pnZ-tion-
FRA].|I\|C:_ l,lust be requested aftet,approual of rough phlnbing, eleetz,i_cal & neclwnical. AL! r,oofing
bracing & chinmeys, etc. nast- be
. eonpZeted. llo ucrk is to be cdb
" cecled until this inspectLon ftas'bee.n made anC approoed.
requ':.red oapot burie?s @e in pla.eebat before ory ldth, gypsLun boatC or
uaLL cot:ering i,s applied, and. beforeoty insulation is concealed.
lQ DRIWALL INSPE}TI)N: rc
I fl after aLL &guall is in
-
but prior to any taping.
Scnilatn1 seuer capsped at propetei Lit:e
Septic totk p;.oqed atd. filled trtth gta;sei
Final - l{hen abcoe ttens aye canoleted
and uhen Cq.tclition is catplete'ot sttuc-ture notled od. prenrtses cleaneC up.
be made
plaee,
I
tr
WOODSTOIIE:
@ttpGT;a.
MASONRI: Steel Location, bond
beans, gtoutirq ot uerticals in
accordotee tith U.B.c. Section
241 5.Hcmes
Blocking o'd Set-up
Pltnbittg connections -- aaie? otd, oatet
Electtieal Conection - Bloeking, set-up
and plwnbing conneetions m;st be ap?rctbd
before requesting eleclrical inspecliott
Aceessory Bui.LCing
Pinal - After pcrches, aki,*ing', d,ecl<s,etc. ue conpleted.
After installation is
CURB & APPRCACH APPON: After fonnsee erecteC but ptior to pourtng
conc?ete.
SIDE\LALX & DRf,"WAl: Eot aLL eon-
crete patsing uithin stteet fight-
of-uny, to be made after aLL erea-
oating canplete & forn wtk & sub-
base rm.teytal in place.
h4ten conplete -- Ptooide
or nottable sections through
P.A.8
FTilAL PLUUAIilC
PINAL I,'ECHANICAL
FINAL ELECTRICAL
ALL proieet conditions, such as the i.wtallat:.on of street trees, co:rpletion of tietequired Landsccpir-g, atc., mtst be satisfied befote the BUILDIN1 FfiAL can be tequested..
?INAL BUfLDING: The Einal Building fnepection mrct be tequested after the Pinal PlunbinSElectrical, od Meclunical fnspeetai,ona hqoe been naie atd'appnooed.
*ALL I4A\IHCLES AND CLEANOUTS UUST BE ACCESSIBLE, ADJUSTIIEIE TO BE tl4DE t? ilO cCS? rO Cny Page1of2,
TI
D
m
17 ttlce'
L) sates
T
JOB NO.SOLAR ACCESS REQ.-L-COG*
t Beiroons
Lot Sq. Ftg.
Z of Lot Caterage
I of Stortes
Iotal Height,
Iopogrqhy
LOT ?WE
_ Intericr
_ Cormet
_ Panltand.Le
CUL-de-sae
Aceess,
th
Df House
Lot Faces -
-- Fees --
Building Volue & Permit
This pentrvt is granted on the erp"ess condition tlnt the said eonstntction
slall', in al.L rLspects, eonform'to the ordinance adopted 6iy the City o-f
Spningfield, ineluding the \oning Cvdinance, r'egulcting the ccnstructicn
and use of buildings, utd may be suspended or reuokeC at cny tine upon uic-
lation of anA prcttisione of said Ordir,anees.
SQ. FlCITEM x
Sigred:
S.D.C. L.5 c
-a 7
zz 35
TOTAL VALUE
e
Building Pemtit
?otal Clangea
State Date Paid:
Check tee:
Plumbing Perrnit
No pereon shall constract, install., alter ov ehdn4e anA ned ct existing
plunbing or drainage systan in ulale or in patt, unless such pez'son is the
legal possdasbr of a oalid plwnbetts License, eceept tlnt a Pe?son na'g Qopltmbing uotk'to p?ope"tA uhLeh is ouned' Leased or'opetated by the dpPli.-
@nt.
FEE
-I
e?
*
CHARGE
Fi.ttu"es
Resid.ential (t bath)
Seuer
Plunbing Penit
State
Electricol Permit
We"e State La requires that the eleettical uotk be ilone by an Eleetrieal
Contracto", the electrtcal pottion of this pernit slall not be oali.C until
the Label lns been signed by the Eleettical Contracto".
NO.
?otal ,39
Nas/Erterd Cincuits
Seruice
a
NC.FEE LIIMAL
,
llcodstooe
Mechqnicol Permit
bhanet ilooC
Vent Fot
Mechaniezl Permi,t
gea*'itg Deposit
Stotage
Maintenance
Permit
C'urbcut
Sid,a,talk
Fenee
ELect?LcdL LabeL
Mobile Hone
TOTAL AM2UIIT DUE: */"9 . zl4
f EAW CABEFULLY EYA),IINED the cotnpleted application for perrnit, and do
hereby certify thwt aLL infotmation hereon is true and cotrect, crtC f
fittket certify that any ar.d aLL aork performed slnll be done in aecor-
dance tLth the 1rdinances of the City of Springfield' and the Laas of the* State of lregon pertaining to the uoz'k Ceseribed herein' and tlat N0 )CCU-
PANCY Lril,L bb nad.e of any stzactw'e uittout permission of the Building N-
oision. I further certify that only contraetors md enplcyees uho are in
eonpliance uith cRS 701.055 uiLL be used on thie project
-a>
/z -. le -Yl
DateSigned
Receipt #
PermLt fssudtce
/2
STRUCTURAL INSPECTION REPORT
S,2 ,-/- l +v ,arc tz/rr/a,
PH0NE ? r/' -3 g,\L
JOB ADDRESS
OHNER
ADDRESS zg (-
lgt
TENANT OR OCCUPANT
TYPE OF INSPECTION: HOUSING OCCUPANCY COMPLAiNT FIRE DAMAGE
{.\ln,</t}#> ; ,\fu E sffi',
I
0
to
0
Ii'ISPECTOR
a
/
Job Number INSPECTOR b *.t*!LoJ*..-DATE l;r i r.-?aiivffi
BUILDING DIVTSION 346 MAIN STREET 726.3753
wE HAVE INSPECTED THE ELECTRTcAL wRtNG eNo eoLtpuENT TNSTALLED By you AT THE pREMtsEs NAMED HERETN AND suBMIT
THIS REPORT FOR YOUR RECORDS.
TO oryulER oR
TENANT
LOCATION OF,JOB tYl Lt:
E WR|NG APPROVED FOR COVER E A pERMrT tS REQUTRED
E APFROVED FOR SERVICE E HEAT CABLE APPROVED FOR COVER
E]WRING TNCOMPLETE E UNDERGROUND A,PPROVED IOR COVER
fl wlRll{G covERED WITHOUT TNSPECTION E CONDUT] SYSTEM APPROVED FOR COVER
E] DTIE TO THESE PREMISES BEING TOCKED AN IhISPECTION COI.ITD NOT BE MADE
E DUE TO NO ONE HOME AN tNSpECtON COULD NOT BE MADE
EI\,VIRJNG APPROVED FOR COVERTNG ErcEpT THE FOLTOWI{G
A K Brlggr Compony, lnc., Eugenc, Oregon a9t24.ffi
Job Number i 'SPECIOR DATE I*.
CITY OF S RINGFIELD
BUILDING DIVISION 346 MAIN STREET 726.3753
WE HAVE INSPECIED THE ELECTRICAL WRING AND EQUIPMENT INSTALLED BY YOU AT THE PREMISES NAMED HEREIN AND SUBMIT
THIS REPORT FOR YOUR RECORDS.
TO OVV}IER OR
tocA-iloN oF -l *l -l i. .,-,
El WTRTNG.APPROVED FOR COVER I A pERMtT tS REQUTRED
E APPiROVED FOR SERVICE I HEAT CA,BL,E APPRoVED FOR COVER
E WIRTNG tNCOMptrErE E UNDERGROU,ND APPROVED FOR COVER
E WRII{G COVERED \,VlTtlOUT INSPECTION tr CONDUTT SYSTEM APPROVED FOR coVER
[] DU:E TO THESE PREAAISES BEING LOCIGD AN INSPECTION COUILD N(}I BE MADE
fl DUE TO NO ONE HOME AN tNSprctON COULD NOT BE MADE
E WRING APPROVED FOR COVERTNG ErrcEpT THE FOTLOW|NG
Go,,* CL^^I*
A