HomeMy WebLinkAboutPermit Building 1983-10-06..RESIDENTIAL..
APPLICATIAN/PERTLIT
225 North ith Streei:
Sprf.ngf{elC, Cregon 97177
Building Dvuision
7 26- 37 53
ConofFtcticn_!etde!-
SPFIINGFIELD
your City Desigra,ted Job llwtbet fs:
i.!] S UL A? I O II / I/ A.? C P B A R R I! R i II S P! C ? I O II :
To be nade aftet, aLL lnsulaticn ei
rcquired oqor buz,ie?s ee in place
but belbre o!! 1.ath, Wptun baarC or
tnLL couern)ng is dpplied, ,and. befor'e
oty iwula'"ion is concealed.
DRYTALL MSP!C!!O!I: lc be ndde
-.,
aiter aLL cz-1uall Ls tn place,
but prior co cny tapirg.
W-S1NPY: Steel Locatiotr, bond.iffigwrtin4 or oerticcls in
azeotdotce,,ttth U.ts, C, jection
2415.
After irctallation is
CURB & APPSC1IC|! ]?.cON: Aftet lormsa.eZ;A;Vfr;@ to pcumns
co?1c?ete.
SLDET ALK i )Rf'tTiA!: Foz, aLL can-e"et;ieufi-A;E; et?eet rt-ght-
of-,xA, to be naCe afler all, esca-
uating eanplete t iorn uotk & eub-
inse natertal tn plaee.
lt ia the resgonsibility oJ' ;he pex, tt. holder to eee that aL! iaspectiotls de nade at lhe proper tine, that ecch cidress is t,et;a:':ejron tlzz street, cnC tltct the p*trrtt ead ia L,cceted at the frcnt of the property.
')ui!dir4 )iliciot cVVrct;eci pbt shc,iL retnin on llu tsuaLdan? Jite'ac aLL- ilhes.'
P2OC1DL|PE. FAR Ii;)PEfICil R9CLEST.'CALL726-3769(tecorCet,) state yot).t, City Cesigr,ated job ntm,ber, job aC&ess, type of inspec2icn
reQuested a.-zi ul'ten gou,'tiLL ce ready 1-ot i*pection, Contrdctc?s c? A,rleis nane cnl plane nwtb*. P,equesxs yeceixed befcre 7:C0 ,=t'-iLL be racie the sane bg, requests ncrie cfte.r ?:00 an aLLL be naCe the nezt;,nrkini'daE.
8 szo\Z
T :i4c itt:a=aa?a\t.
escauAon: but
lo be tsce dfter
pricr tc set uV of
i-] -wor:vc I ?ctJ:tDAtrait: lo be tada
L) &er iffi;-t; xcasated. crri
fczms c.t,"- erecxed, but cr")ar ',o
pot?i7tg ccncteta.I
,l
7t PCST .lil} 3r;.:,f: Tc be rcze :lrlcr w, i ffiLGiloi 1--oor irsi;la=icr, cr
decking,
?,7t_'cE ?acB!:;G. :::::P!:;: t ;licl-
A;lI:S.i: .lo ':oti,- ")s :c ce a.ter4c
'ttzt'.L :h.ese '.nscectJars a:le beerc
J'orns.
uilDgR€i4g ?iL't|sr;lc, rLiaPiC;L l
,1,9C't.:.)liCAL: 7o be narie beiore cny
r,;ork ts eoueyeC.
!;t raq?c|:: D ? aL',:,t3 i:tc, si'/zP, )t.t! !:,
DP.L:IACE: io be rane Vr)or =c ;'iL-Lir4 trenchce.
ltltt?D?r^ao Df ttr@fta ) t,=fr,rrr?,-.f .
@cf
flaon insuitioa or decking.
,rtc0DSTc'/!:
e,rDT;tee.
naie .zrd. ?i?)!ea.
I | ,nc'-e4;G erd. befcne'X-ri"g '":n"aelc-
tioz.
FFA-!'!I)!C: itusi be reo-testeti af.-erqproua! cf ra,igh plurair4, eleccrt-cal I necianical. AL! rooi'Jrg
brac"-ng E ehinacgs, etc. ni.sc le
contoleted. llo ,scrk ia to be ccn-
. ceclad unciL ihis inscectiat iaa'beetz na,7e anC cppmved.
7 x,tot pLu:.fi!:tc
J1 | lIlAL :.{Eat!A:t!cAL o
aTtrta?.
gates
ilhen eonplete -- houiCe
ot nottabie sectians tl,tough
D tt n
ALL pro;ect ca.di=icns, such es the "inseallaticn of sireet irees, eo:plexion cy' the
nequired Lcnl.sccpirg, etc,, dwgt be satisfieC bei'ore the tsUfLDIitC !fiAL:an be req'uestei.
?I:IAL SAILDMG: The Final BuiLdtr4 Insoection rast be lequested. ajtar the ?ital ?r-w..bing
ileccriecl, ,zi Mechaniccl it:scecxtcns itante been macie and apgt,oued.
Job bcacicn:
A'seeeoro :4dJ I Tcz Lot #
Subdi:t;.sicn:
jntzet
Addro-ss:Phone:
a
Deecribe Nork:
0) E".op,s/e n &€/ li*
F/eneontT /iq lr rn/.r-"/" k,77
I C Of^S e- Ft r- f)rsr*nsq <- Dz-pn i E-
t-t ilqs
€-
7alueDat,e cJ' App
t
ACCicicn
Lia,tian /A - 6 -tr 3
lrl
/o,/0
Date:/rt- /" - €3
,lLTrzr,
Signed l"-
?.ccei
/o.a d
,L( ()
General
lL^(
i.!eclwr:iccL
Sanitaz"l saser capped :t ptopez,4i Lit':e
Septic tank piqeC and. iilled tith grr;zl
Pincl - it4ten cbcue 'itens ate conoT-e;-ed
a,-.d uhen Cencliticn is cotnplete br s*-;c-
ture nooed oti pre; ises cleaned up.
ilcnes
Pltnbing connec;icns -- sane! otC uater
Electyical Ccntecxr)on - Blockin4, se:-ua
anl. plunbing conriections nust be qprctei
before requeei'ing eleclrJeal t nsaec=lo;t
Aeeeseorl Buil.l,lng
?inal - After 9cz.ckes, skir*.ing, Ceci,s,
etc. @e caroleled.
tsLocktng otd Set-up
?e;e 1 oi 2I
---J
a4r- tt.ttoAr=c trtn aftttthrtfra \ilt<4 )? raareaa9duu...^.tirLc..a*u oe)Attvu-i..ve- JU.:o-tt-:-L!t LDJiS::':3:;!:0 3!,'!1.r! ''-:::A::5:72:I?y
7 ,,oorr, r^,
I
>... ,
JOB NO.{yrL soLAR A\rcEs s R EQ.--,
Plnbing Petr:it
State Sutclange
Petmit
!otaL
Penta.t fsstsee
!"lechanieal ?enr.t
-- EilcF.0ACHi.E:!? --
L-COc+
.Ddv-
{.
S.-gred
Plumbing Permit
I'lo pereon shall ccmsi;mtct, inslall, alter or ehan4e anu nea cr esisting
plunbing or drainage sAst€7t in'ahole ot in patt, utless such person is the
Legal possessor of a oalid plwnberts Lieense, eicept tbat a cetson ra7 do
plmbing aotk to p?ope?t! uhich is oumed, Leased or ooerated bg the appli.-cmt-
Electricql Permit
Were State Lan requires tlvt the electr.tcal uork be done by qn glecttical
Contrv.etor, the eleetrical portion of this permit ehall rat be oali.C untilthe Label las been signed by the Electz-Lcal Contractor,
Mechqnicol Permit
P Lan Er.dnLner
I HAW CA-REFALLy SXAyfi.lED tle conpleted aoplt,cation for :e-tmit, cttti dc
hereby certify thdt aLL itfc:nation hereon is true anC cc*eet, otC f
f,c,ther certiii that ory arl. aLL aork oerfoz.ned slall be done in accor,-
cianee ttth xhe Ordinszces of the City of Spr)ngfieLC, anC the Lcxs of the
State of Oregon pertaining to the Do?k Cescr"Jbed hetein, ad titac :'10 lCC!.!-
PAllC.:( 'nLlL b9 na^le of any sttuctura trtthout permission cf the 3uiiding Di-oision. I fttt'ther eertifg bh.at o:,tly contractors od, arplcyees uha arZ ineanpllance aath CRS 701.05s uiLL be used on this groject
nat:tseitoons
Lot Eaces -lnerart Sollees
Setbacks
ar [!ouse Catcae Access '.late? uaaa2?
North
lireoLace
South
! of €tortes
lotal let ght
Topogrqhg
LCT ?WT
_ fniertcr
_ Cor.ner
_ Pcnitaruile
Cul-de-sac
bt Sq. Ftg.
Z of lct Caterage
llest
Building Vcllue & Permit
?his penr)t is granted on the eq"ess cotldition tltat the sai<i construction
shaiZ, in cLL respects, confcrn io the Crciirance zioctei b,1 tke CitT of
Spr..ng,oielC, ineluding lhe Zoning Crd-nar.ee, regulc:).tg ;he ccr.st?.tct:cn
cttC ,tse of buildin4s, and n=y be susoend.ed oy reuckei at c/t! ti.ne upcn vic-
Latt-on of a.y prcltisions of satC Ord.irances,
!OT.4L VALL'E
i?EM
Check
IiZM FEE fl:a pat
S.D.C. 1.5 c
Euilding Pertrtt
?otal Chotgee
Sta.te
Resil.enti.a,L ( 1 bath)
Seuer
a! | =a?:io.
Neu/Extend. Cite"dts
Ianoctag Sentice
1o oo
qa
10.V0
ftrrcaF
F.tyr,zee PIU'S
Ealwnst HooC
Vent ?dt
'rlcodsta:se
Dzrosit
Storage
Maintgncrze
Curbcu!
Sil.a,talk
LLecarlcdL LabeL
?O?AL ;LtAUil? DUE: a lD q0
Mobile ilone
-&3
State Swchaae
Total Aarces
9en:e
LOG SHEET INSPECTIONS
JoB LocArroN | 7233 YtFGt*t.* SrXge -
roB NUMBER: tl3w8r2 DATE RECEIVED 7-2?-81
OWNER:
OWNERS ADDRESS:4L-rs
COURTESY (Renter Request) HOUSING
FIRE DAMAGE REFERRAL FROM OTHER AGENCY
DAIiIGEROUS BUILDING NUTSANCE COMPLAINT
OTHER
OCCUPANCY
-L
ZONING COMPLAINT
INSPECTION DATE:
OUTCOM.E:
TNSPECTOR ( S )fu 7n- ---.tu
a
1ST LETTER DATE:
NOTICE AND ORDER DATE:
COMPLIANCE GAINED:
DEAD LINE:
DATE:
DEAD LINE:
YES NO DATE:
REFERRAL TO LEGAL PROCESS:
CITY ATTORNEY NOTIFIED:
COMPLIANCE GAINED:
COMPLIANCE DEAD LINE:
YES NO
REFERRAL FOR PROSECUTION:
OUTCOME:
DATE FINALED:
CERTIFICATE OF SUBSTAI{TIAL COIvIPLIANCE TSSUED:
,SEE OTHER SIDE FOR ADDIT]ONAL)( NoTES )
crrY, srArE, zrPr€?' iroaab eHoNE:_
TYPE OF INSPECTION
COMPLIANCE GAINED: YES NO
FD-15
gza}S?'
FIRE DAI4AGE REPORT
OR
ELECTRiCAL HAZARD
DATE:
g-/2-fi
TO:
FROI4:
SUBJECT:
Building Department
Springfield Fire Department
Structural Damage to Building
Address or location of building /7?2< .)//i
Name of o\.,ner Q/;ry/ra,-)i-. 4t)e
vu--C(:
t-
Type of building
Estimated value of buiiding
Estimated loss to building
g, Store, I,Jarehous etc. )(Dwel I
$7o Ct
$ ., . aa.)
Date of fire *r i
Location of damage in building 4.t v(-
(Roof, Wall, Exterior, Interior, etc.)
Structural weakness as a result of the fire 4/"
(Burned rafters, Beams, .)oists, etc.
Additiona'l pertinent informat'ion
Electrical Hazard C,\#>t-.:"./ffi-L^----,/4
(l,li ri nq, 0utl ets , etc . )
cc
0 < Kr+t/
q Siqned 't4t
,
)