HomeMy WebLinkAboutPermit Building 1990-09-13..RESIDENTIAL..
APPLJCATION/.IRI|IT
225 North |th Street
Sprtngfield, )r'egon 97477
Builrltng Diuision
oon 20r2t .,(t-.) f .).)
SPrlINGFIELD
.rob Locaticn:
,1ssi:sscrl"; ,rllop #
Sul:,dit,ision
hmer
.lcL'/r,cl;:;.'
ci
7 Tca Lot ll OA
Cesigna
rutne and
[-] ,.,,
I ),,,,-r,r.- E W +il.l- (Ad ,lil, q rw,D e'Wf'L {_-fu{L
Deset"tlLc k'onl<:
, {/-!,4^rt il- (5Yn y osl h rY
v ,00
ldditicn
Date of App licatictt D Value
,()ll
licrrerltL
['I urntr i
l lcc hit rr.lc it
e(r L l'lr I
I rirc tol'S
t,l
Sul)r>i rr-'I lilectr-ic: iitu
It ia the t,esponsfbility o! the permit hower to see that aLL .tnspec-tions are nade at llp p?oper time, that ecch cddrees is readab':e
Jrom the st?e'et, anl that the permit c,ard is_ Located at.!h.e. ftot1t of .the-property.'tguiltli:uJ D.iuiciot ttppt'ou*ed plan sfu:Ll Penoin on the Building Sit:,rt aLL tines'
P!!OC|:DI\PE ['oR INSP\CTI1\V R1QL\EST:CA
tljqiestterl ar,d ut:err you tiLL be ready
LL 726-3769 (vccorclet') etatc yout' Cit11 ted job nunber,, iob aCcfuess, type of incpec:ior
fot, inspection, Contractors or Asners p.hone nwnbet,. P.equests receixed befcre 7:00 cn
'.'ill be nade the sotne dcy, ?equests mcde after ?:00 on uiLL be nnde the ncst '":orkirq
Iour City Desigr,oted Job Nwnbet' Is:
l
l
l
l
l
l
l
ll'1'!: IN:;l'[:t:':'1()N: 'l'o be made a!'tet'
et:aaua L'i cn,but p?iot, tc set up of a E!!!!!!9 av!!9!!-!tu!!! !.t!J!E! 99!!9 !:fi be iarte af tet' uLL insuleticn at"tl
roquired uapor bart'iera ore in place
bui belore any Lath, gApswn bcarC or
*tLL covering i.s applied, and befone
ay insulation is concealed.
forne.
u,v?84st,1i] Prt?EIrC. Elrc?ffi
i"ft)Ct!!.il1r-'AL: '!o be mtde befot'e any
iorT iJouered.
FCOTINC 1 FOUNDATICN: TO bC NACE
aJ'Ler trenc)rcs are ercaua ted aru1
J'csruns are erected, but Pt'ior to
ltout irtg ccncrete.
ultl)?RGltoU!!D :;s'blt:R
DRY\IALL INSPZCTION: Tc be made
;Fet' alT-Znin;rfis in ptace,
but prior to cny taPing.
MASONRY: Steel location, bond
liZdGlgrouting or uet'tiaals in
aecondance Dith U.B.c. Section
2415 ,
r,tooDS'l'ovti:-cctnpT;t€A,Aften installat'ion is!4U!!Ipp3__lL!1!E!!.9--&-AU!!49! L'
tl, be ,,utin 1ri{oi; io installrttton of
J'Loot, 'irtsulction or decking.
-l ror;r ANI) BEA!'\: To be made prior to
--)
-{,,stafit;;;of ftoot' insulation or
deaking.cottct,e te.
SIDET'IALK ,t DRII't"'t't'4Y: For aLL eon-
;-et; paDTr,g;ltt, i " street right-
of-tx:!J, to be made aften aLL etca-
oating cornplete & fora utork & sub-
base material in Place.
Dll,llIlArlli: 'l'tt
Ti'fi-irenches
!.t,lt!!ltl
AN l'CAL: No
,,,i.Tl'fi,""e
t' t,^lA t, P t.u!.tB { ilG
I lit,1l. t.fi.;(;llA,\ IL'AL
ot, bo
,s
to bc
inspect'i.ons haoe beer
CI]RB & APPRCAL'II AI'1ON:
an'e ereetel but pt"Lor
After formsto pouring
l
:l
_l
l-t
maie arul aporouei,
tl|!!L!!E: h'iot' to Plccir4 facing
ru':tet'io!.s anrl before fratning inspec-
ti ot:.
i!tLj!J!!:, ttust be nequestetl after
ip,p't,outl oJ' r.ough plu"mbing, electt'i-
cal & rneclutttieal. AL! r'oofing
l,yaainj 3 clri.nmeys, etc. mtst be
eompleted. !1o ucrk is to be con-
cecle<l unttl this inspectton has
b.:en nrt,lc tuul appt'oued.
IENCE: h4ten conP|ete -- I\'ouicle
gatea on mouable sectians tht'ouglt
P. U. E.
AIL pt,o;jeat aondit:.ions, :;uah os Lhe'i.nstal,L-atii.tn of at;reet tree_1, aonpletion-of bhe
r.qu'irerl:Lanlsccptr.:11, Ltu., ,mrst be satisfied befone th,e BUILDIN7 FINAL ean be nequested'
FtNAt, RUILDINC: '!he l]tnol Btdlding fnspectiott naat be requested alter the linal Plwnbing
Elt:ctrical, anC Mechanicll InspecLlons'ltqoc been nade atd appt'otteC'
l'! ilrlL Ilt.llt';'l']i I r;AL
Plione:
tl
Date:
rS
I
1
I
OR )\OVE' BU
Sanitary serse* capped at propentg lire
, rtJl I I ,l,rll f!a1,{' ,, iit l,', ,lt . i
Septic tank p:tnped ard fi.Lted uith gratel
Final - l{hen abcue ite:ns ave eanpleted
and uhen Cenolition is conplete ot' sttl.ic-
ture noued and pt'enises cleaneC up.
Le llomes
Blocking arul 5et-uP
Plunbing eonnecttons -- aa)er" and uater
Electrical Connection - Bloeking, set-uc
and plwnbing connections rrust be appt'cted
before requeattng eleclri-cal inspection
Aceesoor! BuilCing
Pinal - Aften pct"ches, skit'ting, decks'
etc. are canpleted.
Ptge 1 ol :lrAt,t, il,1t,tll0l,t::;.4N!) cl,t:ANou'r{: tltt!'l ttl"'tccl't:)sfRt,ri, AD,lltsTlllI'tt To lli l't.4DE 4'.l NO r0ST T0 ct'!Y
t
Lot Paces -
!l ea
P.1,.IIouse
Lh
t
Iot Sq. Ftg.
7 of Lct Corseragla-
! of Stortes
Iotal llei.ght
TopograPhY
LOT TYPE
_ Intet'icr
Corner
-
Ponhrrdln
' Cul-de-sac
-- Fees --
Val.ueXSQ, FTGITEIII
l,tain
TOTAT' VALUE
es.D.c. 1.5 t
l)ate Pairl:
Building Vqlue & Permit
This permiL is (tranLed on the eq)recs condiLion LtnL Lhc s'li'j 'r)'rrilri'/ 1'')'l
shall, in all respects'"'"o7tiZi"o- th.e. ordinance edop-teJ lt'y Lhe Cit'1t ,'1f
Zitlt"iftita, inc!-ir-d'-ng' til \o"L"g crdinalrc.e' r'equlctf.ttq .i:lrc acttt;t-ru:t:'';n '
;;e ;;" of Luild.ino,;,- an<7 mcy b.e. susp.ended or reuokec at ctilj t--Iif ui'()li ult:-
i)don o1 orry pt'ctiisions of said )rdinatzces'
DuildinlT Permtt
State
Total Clnrges
FF:E CIlARGE
I'i.rttn'es
Residential (1 bath)
SeuerSani
Plumbing Permit
No persott shalL constmrct, itrclaLl,- alter. ot change Gny neD.ct' r::tistir:'t
plwnbing or drainage "iitL' i" "noin o* in part' -unlesi such percon -'''; L)t'
l.eoa';, nosscssor of ";!"i;1"p;,-bn"'1" lt'"n"oL' etcept Lhat a .pc:':;on nd't tl'.)
i,7?iLuiZ"i,,Zi;';."'p;p;;;;*"L;;;:,"1" ounnd, LeZsnd o'r op*aLed bv Lha ";f it-
cant.
Plwnbing PeYnit
State
NO.
Nau/Ectend Circuits
Seruice
Electricol Permit
wet,e sl.atrz l,aut requires t1ot the alectrit:al uork be tlone by an liletLri':ttl
ContracLor, the eleetricol ponitu" of tlis -permit stull not be uaLid ntLtl
lni tiUnt -has
been signetl ly the ELecLri':aL cottLractor'
Total
FEE CIIARCEITSM
Ezhant llooC
Vent Fatt
lttoodsLote.
Mechqnicol Permit
Pernri.t fssuanee
l'lechaniaeL Permit
-- ENCROACIIMENT -.
itSecitt i
Permit
Cvt'bcu!
Sida'talk
Mobile llonte
SOLAR ACCESS REQ.-L-COG't
Bedt'cons
JOB NO.
;lono:
TotaL
Sou T;rrt
*
I HAVE CAREFULL| EXANINED tle compleLed application fo-r permtt' and 'la
herebu certifu ttot oit-L"fotmatibn heyeoi'ie true and corrcct' and I
'i7'n7tr"nr"Z;rili7i ti"t ony ,rd aLL uo.rk pe1,f-or:ned atnll be dote i:r ac<:ot'-
'iinl,n- *ttl, tttL" ord;.nai,c"ee of the Ctty of -Springfield, !rul Lh-a Lc;e of thc
State of \regon p"rt"iiiig to the uoik Ces'cribcd harein, cnd :]nt NO )CC:.]-
pAilCy uitl be nade of'"",i' utr"iiir) u[thout permis;i..on of the Suildinlt D.L-
i;ston. f furthe, c-ertiiil thaL o:zly contractora attd enplcyeea t^)t:o d're L;;
Liplio".n ,ltt" cns 701.'05s uiLL be- used on thie pt'oject
/Jt*4 ?- rt -fz'
t
Iteceipt ll
Signed:
Do.LePLan Eramt ner
,I'OTAL AMOI]NT DUE: A
Signzil
, -L-*7/
/64L;7
D,t l.r:
SLordqe
Mai-n*.onnnte
9att-e
Electrical tabel
GOOD PI,E BOYII BOOFING CTVPANY
728- 5982
4489 MAIN STREET
SPRINGFIELD, OREGON 9,74\18
PROPOSAT ond CONTRACI
Da tc .i:-i 0l- (
M!M'IE
@
BPEIINOFIE-EI AEEA
6*?dCk-
a-+f:-
lg .,
,h.27
PROPOSAL SUBMITTED TO
:'U.-i--:i, ::i -,:,UFs.-.i;3 -t ;Il
HOME PHONE
7)"ir- 5 ,_5r)
BUSINESS OR WORK PHONE
STREET
'l 7? t\].Ffh itf.J^'LJU.
JOB NAME ;.:: ..:
I -;:i i.ii.r,fv? lL; aljj"i.:{l :1ilr.:r.:q-f-- t n;.iTr,;.: :. ;,.--\.1 -'-,
-rlr.t- -
,r -..'r1."-ti r
CITY, STATE ZIP CODE-'t'rir -rr
JOB LOCATION
a r --:--:l r-ii .Vr'
I propose to lil,,.-'i,"1, CI,..:i,.lli;l ll .:-l :r- : lii':,1i, ,: Cl, '- -r
I ''- L lI
Ii-- j. -.1iJ- r:.T :ri, . I _ I -l :.L iY .,: n -f
"\
a-.-r=: r:.:1 ,, 1r:-11j'_r, ,'\ j- I : ,--ri --L:... iJL -.: r
- i:r'I
r, ? ,.
;j ,:_I --: i ---.. :-- :'J-_;
WE PROPOSE hereby to lurnish material and labor -complete in accordance with above specitications,lor lhe sum ol:f8$OTqa.US.I,ID EI :i?Y- Si.;l ,i: ';'
-; ,/i, )
P.lm.at to ba m.d. tt lottott: 5O
All melerial is gusranteed to be as specilied. All work to be completed in a workmanlike msnner
according to standard practices. Any alteration or deviation lrom above specifications involving
extra cosls will be executed only upon written orders, and will become an extra charge over and
above the estimale. All agreemgnts contingent upon strikes, accidenls or del8ys b€yond our
control.O*e€.{ocarq{i.qlemadcaedetho+{r€oe66ery*Bsraece. Our workers are lully covered
by Workmen's Comp6nsation lnsurance.
]-1 T ,,irarf
13 -<:i,44,Li
. CASH ON COMPLETION OR UPON RECEIPT OF BILLING.
Aulhorized
,/':i ...
Signature
NOTE: This propossl may be withdrawn by us if not accepled within _ days.
ACC EPTANCE O F P RO POSAL The above prices,specirications andcondi-
tions are satislactory end are hereby accepted. you are authorized lo do the work as specilied.
Payment will be made as outlined above.
Dale ol Acceptance:{':t-'{ tu
Signalure
Signalure
I
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