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Permit Miscellaneous 1996-4-5
RESIDENTIAL PEllMIT APPLICATION 111~pectioll9: 726-3769 OUice: '/26-3759 LOCATION OF PROPOS8D WORK: ASS8SS0RS NAP: LOT: OWN8R: AIJIJRE:SS: CITY: 3593 Hivcl' EUl!cUC (""..v<;,/~ , JOaMBE:R 900 'fC;7~ 225 Fifth Str~ei: Springfield, Oregon 971.,./ qo ~ BLOCK: Futurc U HOlllcS l'oinlc Dri\'c STATE: SUBDIVISiON: myel' Glcn .. _~W 485-3~ ~' PIIONE:: Orcl!on 97408 7.IP: DE:SCRIBE: WORK: SWI M roo L - v..\~\( _L-:- L Il.!er,~_ ~R e. ~~""\ ~:,\l.rz.1.u...~~J Ii'Yl\-lS::'1 s CaNST. ADDR8SS CON'l'RI\CTOH II 3593 Hircr I'oinlc Ur.. EUI!cnc. OIl 974U8 36,199 P~L l-A-'WI(~~E '~5"q-&::f6\lfk,~ - - ~_.. ~--5Jf4-7~ I ,..,P. 'I, .....I~ €-~lc::e. ~Nt. iL~~n~~tjJ)' ~'fM~ IIE:W HENOIJEL COHTllJICTOR'S NN18 G81181lJ1L: l;u(urc Bllolllcs \~Ill~,~'\..\\~~ ~"":~f~:'.I:.. EI,ECTRICAL: Bob Fishcr Elcct. QUl\D ARE:l\: " OF OLDGS: OCCY GROUP: U OF S'I'onl~S: Wl\TE:R 1IE:l\TE:n: l\IJDITIOII IJE:NOLI SJI OTIIER 8XPIHE:S 5-18-96 PIIOHE: 435-3176 18U Kine,hun Arc.. Eneene. Oil 974U4 -OFFiCE USE- Ll\llD USE:: U OF UNITS: CONSTR. '!'YF~: 1I~l\'!' sounc~: nAHG~: 3~Z---:-15ll ~~ : 11 tJl102 96275 1-25.96 639-7973 FLOOD PLJ\lN: ZONING COD~: U OF BIJntIS: S~CONDAHY IIEl\'!': SQUl\RE: FOOTl\GE: Te> '....I'."!.": :111 111."1'"r::1 Ion. you nltl:.\ C"lll 1?'5-,l"/r.!l. Thl3 1.'1 ;l t!.l bout re("onllnq. ^ll .Il1:oop('c!.Jon:"l l'p.fjllf!:"Ited beloH! -':00 n.m. wl11 ba mad" thl'! !I:UIl~ ~lOll:lng day. II1.:"p~ctlon~ f(''1'I~!lled "rler 1:00 :t.IlI. wiLL h~ llIade Lilt) [olLowinQ wolk d..y. I I TCrllPOllllY Elccldc o Slto 'nspectlon - Tu btl IIHHJO nller cXl:nvnllon, ulll 1'1101 to SOUlIlU fOlllls. D Ulld~1 slnb Pllllllhl.lyl Electllclll' Mechnlllcul - Pdol to covel. D poollllO - Alter tlenches ore excavnleu. o M[lSOlllY - Slee! 1<.lCfllIull, uUlld lHH\II1S, Y'UtI1l1.1Y. o FOUl1dnllol1 - (\,II.,?r frJIlllS tHe erecleu but pllor to concreto plncor!!']'ll. D UndCIYIOlllHI PlllllthlllY - Pllol to 1I11111~1 hench. o UlldOllloot PllllllhlltUI Mcclllllllcnl _ Pllor 10 1'lsulnll0I1 or decldny. o Posl nnd Bell"''' - Pilar 10 lIoor Inslllallul1 or decldny. o r-loor 11ISlllullull - PIII)r 10 dc<.:ldllY. o S{mIlOlY Sewer - Pllor 10 fllllllg 'ronch. CI Slolln Sewer - Prior 10 filling hern.:lI: o Wlllol LillO - PtlUl lu II111ny 'rench. o "OllUIl PllllllhillU - Pdol 10 COVOI. REQUIRED INSPECTIONS I l"ough MochnlllcClI - pflor to cover. D nough Electrlc"1 - Pllof to cover. D Elocldcnl Selvlco - Mtlst be Approved to oblalll pOlflloncnl Qlechlcnl powor. CI pltuploco.- PliO! tu fOGlnU II1nlcrlol~ <lllu.trrllJllllY Illsp. .._ ~"""'llIg - 1'1101 \0 cover. CI Wnll/CoIII11U Illsulutloll covet. [~ Ulywnll ~ P"OI 10 laplny. o Wood Stovo - Allor 111$13110.110.'" ,0 IlIsel' - AfllJf Ihr!l>!nce approv,,' and IIIslallatlol1 01 unit. o ClIIhcut & ^pplonch - Aftet fOIJllS ale cree leu uut prlot to plncernuIll of cOllclole. o SlrJewnllt 8. Dllvewoy - After excavlItloll Is cornpielo, 101"'9 ano suu.baso rnnlerlnl In place. o rQIlCO - Wllcn completed. o Sltl1et TI009 - When nil requl,eu Irees 8r8 pl3l1ted. o rlll"l PIUIlllJlllY - When nil plulIllJlny w9rlt Is cOl1lplel.e. I.~ r-IIl,,1 Eleclrlcnl - When nil cleclrlcal worlt Is cOlllplolo. D r-Irwl Mcchulllcul - When nil rneclwnlcol worlt Is cornplole. o r-Illul lJulldlllU - Who" 011 lequlrou Inspections hove lJOCIl npprovou Anu uulldlllY 1:3 cOlllplotod. , j'y<GlhQr ?,-:-nL p~$. I'llorl~". ~1f~ MOBILE I-IOME INSPECrrONS D UlockhltJ Plld Sot.up - When 011 blocltlllU Is complele. o PlulllhluU COllnectlons - Wllon homu hns been cOllllocled to wate.- ;llld sewer. o Eleclllcnl C0l1ll0CtlUIl - When blocldll~l, sel.up, and plumulny Inspoctlolls have lJe~1l npplovod nlld the hOll1o Is cunllocted to tho service panel. o r-hlnl - Aller 1111 ,""uhed Inspocllolls nil) approved nno 1)Q/olw9, slt"lIllY, cJeclt~, fll1r1 venllllU hove been lnslnll~d. Lol InQo" Lol sq, IIg, Lol TY". Inlerlor Sell>aol,s r-I-l-I---' ~ ItSE GAil Ace 1'1 ----- Lot COVOI a~~e Corner Topography ',' - IS 'litE PFlOPOSED WORI< IN THE HISlOl1lCAI. DISlRlcr. OR ON TIlE IIIS'1OI1ICAL nEGISTER7 " yes, Ihls .ppllcatlon lIIu91 be signed nlld approved by Iho Historical COOlulllfllor prior 10 pOllnlt ISGuanr.e. ranhandle ..L-. _, __ W 1'01.' holghl Cul.(Je.sac E ~---'---'_~'-_--J , BUILDING PEHMIT ITEly1 SO, FT, X .'f./SO. FT. VALUE Mnln . _.._-,-_._--_._~.._. ----~----_.- Gn,nun ----.--.. _.-._---~- CrllpOfI S'y..l\~ \lCJD\ .. ~-- __ YjODO TotOlt V;lluo 81111dlny Perrnll r-oe _M_Eo ~.37 __LL<-~g 1 ~.'2.']+7,1-I Slnle SUlcharue,..) u lolnl Foe (A) SYSTEMS DEVELOPMENT CHAnGE (SDC) (8) PLUMlJlNG PEIlMIT IIEM r-EE Flxture!l /les'denll.' Balh(s) He 10 Snl1ltnry Sewer FL Fr. Water Slorm Sewer FT. Mobllo HonlO rltJlllulny Perrllll Slala Surchorge Tol:'ll Chargq (C) MECHANICAL PERMIT rlllllnco Exhnusl Hood Vrllll rnn r.J1 Wood SloVt~/IIlSCII'nIUprf1CO UIlII UryrH Vent Mcclwlllcnl r'crrlllt Issuanco 51:)10 SUluharnc 1'olnl refflll1 (Il) MISCELLANEOUS PEnMITS Mobile I.lomc Stato Issuance Slale SUlChnrue Sldowall, II Curbcul II Oel11ollllol1 Slnle Surchnrgo 'Iolnl Mlscollnneous POrl,,1I9 (E) 'IOT^L AMOUln OUE (oxeludlng oloolrlool) I^,. 8. C. D. [Inti E Combined) /.L2 8? APpnOVED: ____.....,..., BUILDING VALUE, PLAN CHECI< AND UUILDING PEnMIT ThIn pCIIllllls w:ml0.d 01\ Ihe (!XI.llOS~~ conlllllonllli11 1110 S,1I(1 cOlIslruGlIoll SIH11I.ln all1espccl9, Confl)ll11 10 1110 Oldlr13l1ce "doplod hy lilt: City of Splln(lflcld, Including Ihe lJoveklpIIll'H11 J:;Odf~. 1Doul"lIllq Illr.) COI)sllucllon .lIlt! use 01 Ulllldlll[lr,. n.nd rnny be r,u~pellded or luvoltod nl any limo upon violation of OilY plovl~lonG or s.dd otdlllnnCQ9, Plnn Checlt reo: __.__ Dato raid: ....-............,...-.-.-.-..-.-..-. nccelpl NUll1uel :_.... ....____..-.__._._____. Ilocelved By: -.......----..--.-----..-.-. ._. Plnn" Reviewed 'LiY' ..,---:------- Dnlo Systoms Development eh.HUe Is duo 'Oll :III ulHJovolopod propelllos within \hn CIty 11111115 which :]10 baIng Il11plOvod. ADDITIONAL COMMENTS ----.---.. .._---_._--_.-.~.-......_-_. _~c.E -<1~W~~-hl!.,~-L- -~&Q4-~l:fz~-'------,-,_.-_-_- - ---_....._-_._._._-_.__._-_...._-~-- ----,.....,.-.--- By slgllalufC, I otalo :Hl(1 I"J\l'OO. IIwll huve r.:Holully ox ami nod tho cOITlploled nppl/c:\lIoll nnd do hOlob.,. corllfy Ih:\1 nit Inlo"I1<'\lIoll hUleOlllt~ Iltlf] n!H1 COHee!. And Ifullhcr ccrlHy thnt OilY and nil wollt p(lIfuIIllcd tlhnll bu dOllo In oecold.mea with tilt) O,dlnnllc(!u of tllo Clly of SpIlIlU"'.ll(!. OIH.llhe It\vJS of tl10 Stalo of 0100011 p011nlnlnn 10 Ilia wOllt dlJscrlbcd hOloln, rifle! 111{\1 NO OGCUr^I-JGY will 1)0 IIH1<lo 01 llllY structure without PCHllllssloll of lhe 8ullrJIIl{l Snfoly Dlvlslun. IIUlthur cerllfy 1IH11 only contractors and ell1ployees who are In cOl11pllanco with ons 701,055 will bo used on this ploJect. I further oyroo 1(1 enoulo IlInt nil roqulred Inl1pocllonn nro ,oquo9lod 01 lhe plopor 111110. thnl oneh nddrOS9 Is londnblo frolfltho ~llcet. thut the pOIlll1I CAld 15 loented (lttho Iron' of the ploperty. nnd tho opprovod sot of plans will rCIIlDl1l 011 the site nl nil IIl1los dudny construcllon. :~~~~'~~ . /1'" u-(\ '-'ALlLJATlOI-l: RECEIPT NUM8EFl :26:J /'8.3 DAlr; "AIO -...-...--f!/!.rb.1i2.-...., AMOUNT I1ECEIVED __..~?,g 7 _ nECElvEO BY -----=_____::.f~