HomeMy WebLinkAboutPermit Sidewalk 1982-1-27
.. RESIINT~~L"
COMBINATION APPLICATION!PEIlMIT ,-. SPRINGFlEUl
225 North 5th Street . . .
SpringfieZd. Oregon 97477
BuiZding Division
726-3753
Job Loc~ti.:m:
GUtsr: II W;t1h r'A fJrYZht 0 ,
AIidros.'":C!J?/?J (1 "r'rrJ, P Ii n fl PJio"o:
City: {JPf/IY/ fQl. fL Zip: tJ7L/77
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Data of Al'!'tiDatio>l
:.....7.(~)9 R.)' \ () j '--
P1.umIri.ng
!.'t..,mcat
:'Isolrar.io.:t
Construotio>l L...un-
Tcz Lot ,
D..ari.b. work:
VaLu#
Add:zoIlBB
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Date:
Liso. II
~i1'~s
Phone
It; is ~hs nspon8'ibi.tity of tM pnmit holdco to s.. that aLt insp8Ctions are J:ft%tU at ~hs p1'C?a" time~ t1-.at ~h .::dt:Uoess is readab!.a
fronr tM .""'et. and that oM psrorit card ie 1..oaatsd at oM front of tM p""pSJ'ty,
"9u.i.!.ding o-:.ui.::i.m: crpprm:fId plan shaZ'L ramn on tM Building Sit# at aLl. t1.mss.
PtlOCEDClRE POl1 INSPECTION RE"OllES'r: CaU 7:!8-3763 (.rOOt:ll'dlirJ stat. your City .usignatsd job nurr.b4l1', job at!drc88, typfJ of in3,?soticn
~.ted ar.d wJo.an you lJiz.z. b. r.my for i.7Ulp4Jot""'..mt~ Con.... ..._......... or CUurrs ncme and pJum. number. Re~Bts reotlived ellfere 7:00 a':'t
:.Ii.. be nr2ds the .ome dq. NQll8ete nr2ds aft<:r 7:00 om :.IiH be nr2ds tM n<zt :JOrki7l'ildq, . J _'
. r_ City Designated .ob _SJ' Ie: fC5 61 (X) lf2 8"
P"''''t':~ r7f"'"J:~~~;
. 0: SITE INSPE~rON: To b. TfGd. aftn'
----..D7I, Imt prior tc eet up of
f.-.
'0 tmTJF:RSt.AB PWNBINC_ ELEt:TF/ICAL ·
. HECHA:JICAL: To lJo maa. ootor. a:tqj
lolOzolc is ~Of)azocd6
D
FOOTING ~ FOUNDATIO.V: To be nr2ds
aftllr tNPtcJur8 are ccatX2ud and .
terms arc .-rcatiUl, but p'l"iozo to
"""",ng c:<:71Dt'8U,
D
D
ll....7)~G.rtOU!!D PWHSING, SEWR. .rJ'.1TE!l,
DRAINAGE: To b41 M'J.:UJ pM.ozo to 1"1.-
l.s.r.g tNPtck8s.
UNDERFtOOR PUR.SING & ,'.fEC!lANICAL:
To b. ntUU prior to l.n:J~Uat1.m'l of
f7.cor i7IBU/.ctio>l Ol' dscldng,
POST AND BEAN: To be ~ priozo to
inst:al.1..::ncn of f7.car insulation OJ'
dsc1d.ng.
lfq7!q1f PUr.-!8I!7q, E1:f~.!',"A!:~ i MECH-
ANICAl.: No:JOrlc u to De COl.'lUOea.
ur.t:it tl1os. insp..o:ioro.a have bssn
..uis and __~, .
FI!'EPLAOE: PrioJo to p/.caing faoi.rrg
1Q:%t8.rr:.aLa and bsf0J'8 frarrring inspcc-
:ior_
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~?RA1!..T!lG: Mu:lt b" ~at:sd af-e1l1"
~L of rough ptun;b,;ng. .teem-
od & :r.echani.:aL. AU 'rOofing
bracing !J ahimru;ys. st". m:L8t !Js
oomrJ tated. ;'10 wzok is to be acn-
cstit.d untit thiD i........._...: ..... has
b.... ..uis and approved.
D INSUUTION/VAPOR BARRI'ER ~EC'!'ION:
To b. mads afuz. aLl- iMul..::ti.:m a:ut
~...zwd lNZp02'" b.__ J..'_ are in placs
bvt bsfozoe any lath. gypBU11l board 02'"
lotIz.t aovC'ing i. appz.i.<<i, cmd befoN
any inLfllZ.ation i.. ~'Lsd.
D OR!TIALL lJi.-:Jrc.l.;...:..LJN: To be nmU
aftst" al.l. ~LL is in pLacs.
but priozo to any taping,
O NASONlIY: Steet L_~"'.... bond
. beam::r, grou:i.ng OJ' VS2"ti.acz1.s in
<Zl>OOl'daMe :.lith U,B,C, Se_
2415.
O :IOODSTO'.!K: Aftt1l' instaLlation is
ocnrpl.et&d.
D CURB d APPROACH AP~lI: Afttr:' forms
a:r.I aNct.a. but pZO".:.ozo to pouring
.::on.---reu.
O SIDEWALK & {JRr/E:flAl: FOJ' aLL emt-
aNt. pauing within straot r-ight-
of-rq, to be ma:LJ afUzo aU e=ca:-
lJtrting cc:mpwte d fom ~k & ~-
base nr:rtmaL in pZa.:e.
O !'ENe;:: """" """'Pute -- PI'ov-i4s
gat~B OJ' movabLe .ecti.cns through
P.U,E,
o
IDE}10:JTIO,V OR ..017:) 3iJIL::,1GS
:J Sani.-:ary 81JJJC' xppfti =t ~C!"t:"i Zir..
:J Sspti:: tank p-.4IfPltd a:-.i f-;t'Z.~ :..-ith poa::Je1.
::J FinaL....1lMn ~"'V. i.t:~ as ~tated
ar.d when :1.er.rc!i~:.on ia c~/.Q=a or struc-
t:Iaoo movad ar.a ;rCf'li.3.s ~l.8anc up.
'Nobi.le Hems.
:J Btock.i.ng and Sat-~
:J Plumbing e0717lQCtians -- s:::Jar ard :.;a~8r
--, E1.ce1:ri.cct Ccnnection - BL.?cer.g. sst-u.p
--l and pLumiri1tg conn4Icti..:;ns r.:-...at ~B ~.ed
befozoc zoeqtuIsting sl4,,::riaaL ~r.sp~c::~
=:J. A~saaot":i Bui:.di.-~
::J Firut - Aft.-r ?:7f'Ci:es. .~~~. dsaks.
ate. azofl ecmpZ4ud.
o
Atl ?''OJ.at eondit:iofUl, suer. CIS tit. iMta:U.a~.:on of st:Nat trou, cc::o:pl.;t'i.:m of :iza
l"6quired Umdset:pir.g, Gte.. must bo satisfiod befoN tJ-.tI aUILCI::G FI:"AL .:an =8 rsqutlB1::zd.
0 FD1Al. PLUNBING
0 FINAL MECHANICAL
0 fINAL ELECTRICAL
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?INAL BUIl.DINC: Tho FinaL Buil.dil11J !nspacNn must bo requeatQ:: af"';ar ;i-.s Final ?!.un:bi77
EtactricaL, and !1Bchar:ica.L lnap6ctiona haua been mads and approved.
.AU MANHOLES AND CLEM/OmS nllsr BE ACCESSIBCE~ ADJUSTJfENT ':'0 BE MllDE 'liT NO COSI' TO cr:y I F;;;e'
of 2
t
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.._I
~=-=--"'------~
Job !lumber:
662COCo <i\ I
Lot Sq, Ftg,
Z of lot C01)_<
#- of Stories
TotaZ Height
:.....t-'...;;j~""'t'hy
OCC:U:Pa71Cl/ Groui1:
WT TYPE
Interior
Corner
PanhandZe
CuL-ds-sac
Zone:
ITEM
SQ,FTG
Main
Ga:Joaae
CarrJort
Accessoru
TOTAL VALUE
15,D,c,
Iva"UQ)
1.5 :r:
Building Permit
State Suztoha:t'gs
TotaL C'hazogS8
1 ITEM I NO. I FEE
I Firturss
1 ResidentiaZ (1 bath)
I Sanitary S61NBl'
Watm>
PZlDIlbing P"""';t
Stats Surcr.a:ttge
Total CharaeB
lITEM
NO, FEE
RM. Sa. fta.
N6lJ;Ertomd Circui to
Temporary Serrn.cs
Ele~mcal. Permit
Stats Sta"charaQ
TotaZ CImoce.
IITSM
I FuM1:::ae !!'I'tl' S
I E:::haust Hood
I-vent Fan
I Woodstove
110, I FEE:
I
Permit IZBUanCa
Mechanical pettrrrit
State Surcharae
Tntrz I ChaY"ap.8
-- ENCROACHMENT --
I Secrolri tlJ Der>osi t
i Storage
I Uaintenmu:e
I Permit
I Total Chal'OCS
I Curbcu!;
I sidel.1aZk
Ip~e
Electrical. Label
Mobile Home
I TOTAL AMOUNT DUE:'
x
Value
CHARGE
CHARGE
CHARGE
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Page 2
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"-COG #:
Referer.ce NWTlbers:
TIiDe/Cor.st:
Bedrooms:
I Enerau Sources
I I .ijeat
I I Water .r/fmtp."fI
I I Range
I 1 Firep lace
I I Wo0<t3tove
II
r-<./pe
I Lot Facea -
I Setbacks
I P. L. House I Caraqe
INorth
IEaat I
ISouth I
IWeat I
Access.
-.- Fees
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Building Value &
Permit
This pe1'l'l'tit iG granted on the e:rpress condition that the said construction'
shall., in aU respects, aonform to the Ordinar.ce adopted by the Cit;y of
Springfield, incZuding the ZOning Crdinance~ regu1.ating the construction
and use of buildings, and may be suspended 01' revoked at any t":.me upon vio-
lation of any provisions of said Ordinances.
IPZan Check Fee:
IDat. Paid:
I Recdpt #:
I Signed:
Plumbing Permit
No person shalt const1'uct, instal!., alter or change any nBzJ or e--isting
pl.umbing or drainags system in"whole or in part, unl.ess such person is the
tsgal possessor of a val.id pl.wnber's Zicerl8s, 8%cept that a person my do
pZumbing lJOrk to property "lrich ia 0JJned. Zeased or operated by the appZi-
"cant.
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Electrical Permi t
rlhszte State LaLJ zoequirss tr.at the el.ecmcal. lJOztk be done by an E'Lscmcal.
Contraator, the eZectz.ical. pozotion of this r'"....~".;.:.. ....1..r:-1:--nt:rlt-b~$i.1,--
the lobeZ haa been eigned by the EZecmcaZ Contraotor. .
Mechanical Permit
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PLan r;_..~.._ val'S
I HAVE CAREFULLY EXAMINED ths compLeted application fozo permit, and do
hereby aertify that aZ.Z information hereon is true and COlTectJ and I
furthezt aertify that any and all work perfozomed shaLl. bs dons in acaor-
dance with the Ordinanaes of th6 City of SpringficU-, and the La:Ns of the
State of Oregon pe1'taining to the work described here:.n~ and that NO OCCU-
PANCY wilt be made of any struature without permission of the Buil.ding Di-
vision. I further certify that O':1l.y contractors and e:rrptOyees whq are in
compliance ~~th ORB 701.055 will be used on this projeat
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/ - 7.7-[1-?
Date