HomeMy WebLinkAboutPermit Building 1983-10-28..RESIDIT\TIAL..
zzs North sth streeaPPLrcATr,N/PERMrr
Sprtngfteld, )regon 97477
BuiLding DLoiston
7 26-37 53
SPFI'NGFIELD
D J
Job bcaticnt 22 5'2 f'--^ s voAasessote |lq ll Icz bt #e7a
Subdiuision:
€ r'-_ /-CJAsnet:
'* etune:Q, fg -Addro-ss:2iD
Date of eppli*ti^@
Descz-"be h'otk:tl lIq,)
L
6 OA, oo
lvo Po u"--l-r';x',
val-ue (e
Espires PhoneLiac. tA<idtessconttacto?a TjY t3 _(
CaetaL
llectrtcaL
Pltnbin4
f,lecltaricaL
Sani1ey se:.tet cqped * pro?er4i Lire.
Septie totk V"tryed aan filled vtth grr;zL
Pinal - it|ren &cue'iiens are cc:wlete<i
ali uien Cer.tclltion ie conplete'or st:tc-
ture mouo-d at prerLses cleaneC up,
!,!obile
tsLockin4 o'd, Szt-up
PLmbinX conneeiions -- sane! od. ualet
ccrekes, sbJz.ting, Cec.i,s,
1^!^S
Electrical Ccnnec'tion - Blockinq, sei-u,
and pltnrbitq connections m;st be apprcu-aC
before requesting eleclr|cal insoec=io:z
Accessotl- BuilCing
Final - Aftet
ete. @e cato
Iout Citg Designated Job Nuitber fs:2
IfiSULA?IOII/VAPOR BARRIIR IIISPICTIOI| :
Io be rnade afier aLL insukticn cti
tequired uqot bawie?s @e in pla,ce
tut befcre ory |a,th, Wpsn bao4. on
ULL couering is oplied, otd. before
oty iwulatian is eoncealed.
It ie lhe resgonsibility of the penrit hoLd,et to see that aLL inspectiotls ae nade at 2he ptopet line, that each cddress is rea;az'>e
frotn the street, cnC tlct the penmt cad, ia l^zcated. at the iruat of the gope"ty.aiuildi.H b)uicio- appro"'ed pTbt s;ril r*.a-in on thz tsuadnng Sirc Zt aLL- tLhes.-
?1)C1DAPE-FOR IIISPS*ICN RTQWST.'CALL726-3769 (yeeordet) state !o11" Citg lesigtnted job mtber, job oC&ess, type of inspec'-icn
requested cd, ui".et gou rtLL be reody for i*pection, Cont?actc?s c? Aters nene cttd. p?one rnnb*. Fequests recei';e<i befcre 7:00 ,=t:tLL be ranie the sane dc-g,
"equests
gtaie aft* ?:00 an urLLL be nnCe the nezt..nt'kitti- dq1.
Coasiercttcn_Led"!_
AilD,RSLAB ?'L'!,!BT\IC, ZLAEFICil, A
WCH!.;IICAL: 7o be natie beiore any
arrk is couered.
FC)?IllG , l)UllDA?ICll: To be naCe
Mffi;;d*carated and
fo;rms are etected, but prior *"o
pu*ir,g ccnc"eta.
UIID'RGPAU]D P'\,MP IIIG, SYTEP,'I,1TEP.
DRA|IIAGE: To be r*ie g+or to ;'iL-TLnq enehee.
UIIDERF'OOR PLUTB E]G I, IIEC1AIIICAL :@o1floor inauktio-n or decking,
?0ST .AND BBA\4: ?o be nad.e prior to:--instali,atian of floor insu1.a.iiolr ot
deckitq.
but prtor to cng taping.
W.E9!!.PYt Steel Location, botti
beons, gzvuting or oerticcls in
accot d.otce Lti'.h A. B. C. Secti.on
.4fter installetion ia
l- SITE IilSPSC:ICN: To be naCe afler'L_f @G pticr cc set up of
-
fcrms.
I
I uOjDsrovl:
eryDt€A.
Tc be nade
in place,
rmCe od =oorcved.| | ?I?EPLACZ: tu)or b plccirg fcqt gI | ffiG and before \r*rtry inrp"Z-
tion.
?P.,tl'!IllC: ltust be reqaested aflet
qprouaT- of raqh plunbing, electri-cal I nechanieal. ALI. wofi>tg
brac-ng E ch*meys, etc. tust beanpleted. llo ,,tcrk "ia to be eon-
cecled until this inspec;ica ias
aftDD 9lDDOnAad 1tfiir.After forms
@.e-A;;;rAA-Eut ?Ao? tu pcurins
eotl,e?ete.
SLDEHALK & )RIlTlA!: For aLL cot-
elete@ffi; street fi-ght-
of-t"cy, to be maCe aftet aLL ,esea-
uating canglete ,1 ;'om u:otk & ;ub-
inse r,uterial in plaee.
these it'tsoectia.s h.zuo- beel
'been taCe anC cpprcued.
FTIIAL PLA:,|BI\IO
@rut ;.rEcHAnrcAL
gW*t ,LEC?ercAL
ALL pz,o.iect condi:toaa, such as the insxallation of street ttaes, conleion of tie
required i.andscqtrq, ctc,, rast be satisiied beiore *.e BUILDI\IG ?I:IAL.en be reqttested-
A ?rllAL tsarlDrnc: Th,e Einal Suild.inq rnsoection rrust be reqtested zi'ter the Final ?Lwlbing
Y/ Eleecrieal, otC llecharical insoeet;.cns hqrc been nade ard-cpproueC.
.ALL |rAttEcLES AND 1LEANCU?S itus? BE A11ESSISLE, .lDjUsT:'!J:,lt ?o BE :'!ADE !.! llo :rST Tc CI?y
T
tr
?0NCE: I{hen conolate -- fuouiie
@ or nouable- sectinns throngh |-lP,U.E. I I
2
JOB NO.
bt Sq. Ft-7.
i cf Lct Cotercga
: of StorJes
lctal !z,i.gh:
iopogrqh,y
?L;nbing Pet,it (17 h/
State Surelanae
!otaL
Pettr:,t Isstt*tca
!,lechottccl Pennli
--,;lc,".cAc:7:.!E:!? --
total Acl.ses
soLAR -:CESS REQ.-
f ,ai aw?
_ Intertct
_ Corfle?
_ Panhctaite
CUL-<ie-sac
Plumbing Perrnit
L -CO G+
#
Signed
No person si@ll coTtsirl.tet, install., alter or chan4e anlJ leu ct etisting
plwnbing on dtainage sgstal in thole or in patt, unLess such person is t|".e
Legal posseasor of a oalid glttnbet's License, eccept that a oe:soa nay do
pltnbing uork to p?ope?t! uhieh is oumed, Leased on operated bg the appli-
ccnt.
Electricol Permit
lllere State Ian reqtires tl,at the electrical uork be icne by st glectnical
Ca.tt:actor, the eleelrtcal portion of this petnit sha,Ll rat be oali.C until
the Label has been aigned by the Electr;-cal Cont?acto".
Mechqnicol Permit
PLc:n Ecar[ner
f EAW CA-REIALLy ZXAJ4I:|ED ile conoleted aoplicaticn lor 7etmiz, arui dc
hereby cettify thet aLL il,lc-=ration hez,eon is true anC ccz,reet, and I
fittket cer+-ii'y thai dLA cri aLL aork perforneC sla!,l be done ia acccr,-
dance :,rith the 2rdincnees of tice City of SpringfielC, anC. the La;s of the
State of )regcn pertat)ninc ,o the w"k Cesq-Jbed herein, cnd :iu.c llo CCC!.I-
P.4:lC:/ 'till be ru.de of dr.! ai"1.tct"t!e tsithcut oenis;icn cf the 3uiid,Jng Ai-uision. ! i'1t"rhe" cert.Jfl tket otly cont"actors c,C eryLcgees xko are in
catpliatne dath CRS 707.055 uiLL be use(i on this projecx
L
t0 -
:cauiav.c:r 3eitoona:
Lot Faces -lnerou Soutces Tuee
leat)r Cctaae A-eca,ss.Vcte" iaaiarlio?th e
?ireoicce
Soith ',laod,s;oDe
I
Building Vqlue & Permit
This genrr|t ,)s atanted on the eqtess eondltion tl1c.t the said consiruction
shalL, tn all rescects, cor.fcrn ,o the CrCinance cdoc;e,i. 2,1 ihe Citg of
Spr'.ngj'-elC, '-nc|u<iing >he 3or,.ing Crdin6nas, regale-.:-ng ;ke ecrstrtecicn
std, use cf butiiings, oti rzy be ;usoend.eC or rer;ckei zt cny tine upon uic-
Lation or- zty ctcuistons oj ea.JC CrCirances.
:-'3.V
L I/AL'JE Aoa " 60
Check Fee:
?
wtA-:e L
s.D,c. 1.5 s
9uild.-rq Per,rtt
lotal Chagea
Stdte
-ao
4
37.4
ltba;tes /@."o /@,oa
Residedtt-a.L ( 1 bdth)
Sanitarl Se.ter
'icte!
,Qp., a o*e
1€,4b
'-! :a-'
3es. So. fla
Ia,t/Eztend, Cireuits
lqfiocrq Seotice
:iC
fr*r.eee 3!tJtS
E=|ta/et ilooC
VetlZ
Tcodsto:te
Seqt:i
Stcr:te
.',!cintencr:e
Sile,taLk
73TAL A,},!AUIT DU!:'{qz.
, !4oAt!e ilane
2& K)
.EiT-
lctcl Amaes
State Suycheee
?en:e