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HomeMy WebLinkAboutPermit Building 1986-5-13 00 RESI.NTlAL': APPLICATION/PERMIT 225 North 5th Street Spri~~fieZd, Oregon 97477 BuiZding Division 726-3753 Job Loo~tion: 78:S M'AllY/~w "-.h.y Asoescoro .'!apl I 3... :;'6',..:J 17033 Q'/2 Ta= Lot # I":? x--(1) SUbdiV-::sicn: R \\1e\e..I.lIt.I~~ " <;:.:ner: f?rz..eF~e..v 1:> l2...o-=:'. Md."eso: '6t':.(_' E 4.0 T!' Cit':I: E.~5JJ~ D~ 1L1 n n n SPAINGFlE1:D . "I \.J c.. . Phone: G<1 (.,-0;4-'3 \ Zip: Cfl4-0 'Z. .'la''' s IAJ<:;.{.;e FAMlty'or"~~I~t;,Jc:::.e:. Addi ticn Remodel. .'f()b~!2 ;:?oma rate of Apptiaaticn :::ontl'Cctor8 5-(P -Y(I) V1l~~ .4-/? Addres3 Genera L PLwnbing eZ.ectzoical. Nachar.ic:; L ~, "P-,. T tV c::.... ~~40~ C-%t;.JJE:. A/ASI!.f tll(.JA,uBIJla..6JJ Eaf"f"tJf;.. -nior?..n:ir-J c-"?~ E- "2,0')?:!f :IlI_lA.~.e~e. M ~(",:,iU(..1A ~'x? 5 ~ 2.J ~D-'2. ob ?,..O- 7~C 41 ~ 4-~ It- i.s thB responaibility of ths permit haldsr to see ehat aL! incpections are .-:;ade at the proper :i:n(;1 t.~at ~ch -=ddress is rea..::a..;:~ from ehe street, and that the permit card is z....."'Cated at the front of the property. .8ui~ir4 ir;ui~io~ appro~ed p~ s~~Zz. remain on t~2 au~lding S~t~ at ~~~ times. PROCEDURE POR I,'/SP~CTIOIl REaUE"ST:CALL 726-3769 (rccorc.er) state YOUI' City desigr.::;,ted J'ol;; n.umber, raqucstcd a~d when you wiZZ be ~eady [or ir~pcction, Contracters or ~~e~s r~e cr~ pho~e n~cr. :,'il~ De made thE: same dc.y, requests mGde afta' 7:1)0 a"il !JiLL b:z rrnce the next :JOrkirz.;.d.a;;. Construction L~nder -~p.nu1:r"rl. :'"~.~r.'..,,..t.{r.,'''~ [g] o SITEI:JS?SC':ION: To be made aftotr excavation, bu: prier to set up of forms. "r ~I!MIP.il~rl<< UNDERSLAB ?!,L',VEINC. FLECTHIC.IL ,~ t.!ECii).,'lICAi.: To be made betol'~ any work is '::O'.Jcl'ed. ~ FeOTING .:: FOU/,tDAT:C:l: To be ::ru:.6 after trenches are e=c~Jated a~4 fal"mtJ are erected, but prier to pourir.g ccncret..;;. rEJ, U.\IDSRG.~OU:,t!) p~W.fBn:G. S!':ICR. ;.r.1TER, DRAINAGE: To oe ma.::e p1"'~oro :0 li z.- Zir..g trenches. c~r UNDERFLOOR pr,u.'.f9r-:lG -1 N'ECHA.vICAL: To be mcCa prier eo in3~aLZation of f7,ooro insula;:;ion or c.ecki.ng. PQST AND BEAU: To be rr:c.dc pr-:"or to instalLa~ien of 11001' ins~latior. or deoki"" ' [Xl [g] ~()'.1r;:;.' ?!:'W~!3!:'lG, E~ECTF~IC~[.1 .'.fECH- AHICAL: SO ~ork ~~ ~o DC ao~erea ur.ti~ :r.CS4 :r~=ec=ior.s have beer. made ar4 ~?r~ved. 'FI.':::!?LriCE: Prior to pi..c.c-:..r.g :c.c-:..ng mc.'CeriaZs ar.d bd'ore frar.tir.g inspec- tior., . [& [!J FFlA':~I.'/t;: :.fust::e ':'eq'.lested c:.f':er approv~L of rough ?~Uffhing, eLectr-:"- ca~ ~ mec;'.ani.:aL. ..l.Z~ ~of:.r..g bracing d chi:r.m::us, et.z. .'n".lst be . cOlTTPle:cd. .'10 -.;Ork is to be con- - cea:ltJd :m:::iL thia insD8c::ien r.as . b6~n madJ end apPl'OL'ed. Your City. Desigr~tcd Job IVumb~ [a: r::A' INSULATION/VAPOR BARRIEFl I.'1SP::C'7'ICN: LC:I To be :nads after al~ inS"'.ll.::;:ti.?n 1Z"'.d raq'..l.ired vapor bal'l"'iers c::re in place but bejore any lath, gypsum beard or wtz covering is applied, ar.d before any insulation. is c01l.ceaLed. [l] D.q~"'AL& INSP~CTION: To be r..ade af-:er aLL drdlJal~ is in place, bu t prior to c:ny taping. ..1 <t. \. .. o t.fASONRY: Steel. LocationJ bond beams, grou ting or vertiCG la in accordance ~;ch U.B.C. Section 2415. ':<I"()ODS'!'OVE: After inata~Zation i8 cc:npL.ati:d. . .'?coei,=' f~ (iJ/O Lf (}:5 ~ Lf-OL Sigr.ed: Date: ~ 5 -f1-X(p o [tJ CURB':: .4PPRCACH. _4P.o/]N: Aj"te:' for::'Js c::re cre::ted b!.l:t ;;>1""';01" to PC".11'"';"'.g ,zo11:Jrete. SID~r';AL;( & [JRT.Tfv'A?: For all. con- crete paving within street right- oi-wcy, to be /T'.cde after aZ! e:::::::.- vatina aonroZete & for""! !..JOl'k & ::ub- base ;;'.c:'teM:al in pla::e, Lise. if E=>'ircs P1:OYl6 /,}3('.'14'1 f -:z.4,~1nSS- t:JJ(,-t{,Z8 q S'lP'J l3 I 7?' ~ D ~::NCE: ~en co:;rplote -- ?rotJide gates or .~vab~e sections through P.U.E. U -~D -.Be;, ~ - ')0 -8" }-:,I -1f1 a. . 10 . 8'1 job aec}css, type Requests recBi~ed of in3pec::icn befcr. 7:00 c::': D eft:; 03/ Lj / DEUOLITIOH OR ;~:OVE; EUILDliiQS ~ Sani :ary seJer ~~?ed ::t ~O?o;:rt!i tina :==J Se?ti~ tank ?~~~d ~~ f:ll.c with ;r~~e3 :J Final - ~~en abctJe ite~s ~e c~~Z~ted ar.d when =e~Zitior. i3 c~?Ze:e or st~~~- ~Me ~oved ar~ pr~:"3es ::le~ned up. .Vobi ~e Ec"':':es :::J Blockir~ a1"~ Sat-~p :::J PlUr:'~ing connec=icns S&W8r ar~ water :::J Electrical Ccnr.ect~on - B~ockir4, set-u; and pi.umbing conr.ections cr...:st =e c:pp!"ot:.u: be;orc :request~ng ~!ec:ri::a~ ins?ec::io~ =:J Ac::es$o"3 Sui td.ir.g :J -' "" . rLn.:::.. - I';. t;:r ;~rcr.Bs, at::. are c~la:..;;d. dl<':.1't"':.11g, dac;:s, o A~l projece cor.ditions, JUC~ as the ins:::alla:::ion of street =:rdeSJ :~~!a:::i~n of :he required Zan.dsccpir:.g, etc., .'J1Ust be satisfied bt:./ore tr.s 3UILDI::C F!::AL zan I;e 1'3Cjoolas:::oid. [Xl. FINAL Pr..W1SI:lG CAJ. FI:/AL !.fE::lfA:1ICAl. fA] PINAL 2LEc:'RICAL /~ <R> PINAL BUILDINC: The Finel Building !~s~ection .~s~ b4 reque3ced c:=er :::r.e ::.r~l P~~bir~ !lectri.::aZ, and Mecr~~icc~ Inspectiena aava been ~ade ar~ cpprcved. .tAU. NA;'lHC~ES AND CLEANOUTS .'!UST 3E AC~ESSI3r,E, AEJUSr,'!:;::T TO 3E :.!.1iiE' ..1T ;'.'0 ::5':' T'J CI":'! I ':>"".iJ of.1 i JOB No,QroD 3'fYSOLARttESS REQ,- ~ !:cr.e: ~ 'Q~~.l:;anc:J Cl'C".c:;:~-3 ~)?J~/ T.;'~e/Cor.st: ILot Sq. Fe;. 1?~ LOT T'!?S . r Lot Faoes - .~v~'r I. fl' ~ -X I" I Jetba~l<.s ,..." ~o" w:.:nJerag~ I':te1'1.or I o. I" I ~ I' I -1. - . . oJ. ..O;4se ~araae ;;,cce3S. .;~ of Stories -:z Corner Worth ~_" I.' /" ..' I Toto! Height ~""'7'~ PanhandZe IEost II~~. I I . -_ ISouth ~"'I !Topograpny e:;-..........,. C..Z-de-sao [West r '2'9ZcS"1 I j !'!'!:.J I v1 ~.$t'" I I ;;ate~' . !4'~' I ~/~)~~ ~' :jS"...... PZ""';';~ Pen::it /22."5"<=:::l '1.~1 1/27. ~~ I, "" I ;;~ csd I >~$I I ~~i' ~ S9~ ,,~c:.o I y. Yt:> , 6.-1 I I I /6. .S-~I I ."-, I 17./t:; , . f.' r ,; ,'" L'k:~n 1~~CJ I ! :..zr:-Cl't I, 1.-ic::eS3,jr"J I 17'11,6g 3'30 52'.13 16~' I I I I i I Sc;.FTG I I IS.D,C. I 7'QTA!. "lALU! I !JC:'UC) 1.5 " EuiLdir.g Per:r:-;; State Si.LI'cn:aoge Total [;1-.a.-ge3 I ITEM 1_. : 't--:ures I NO. I F!~ .t?esidential . bath) Sa:itJ.'!"-! Sewer State Surcr~e Tctal Chc!'ces 11:'DI 1.'10. I,qes. So, fto. 1711$' , I N3lJ/E-~Jnd Cir'C'.J.i ts Temper-cry Se~ic6 II I Electr-ica l Pe~~ t: State Surcha:rae Total C'rra:rces 1_--'1 :.ace ~TU'S I E=naus t: Hood. I Vent F::n. I ilaodsto-.;e /' I ..w I 12 ~- Perr.n.t Issuanca Med''cnic:: l ?ermi t StatlJ Surchcrae '!'"tc.t C1>.c:r-'.1~3 -- ~'lC.~CAC!;'.\:E;'lT -- I" . n '. l...eC"'..lr~t1J ~2:i03!.... I Stora.qe I Maintencr..ca. Pcrmt Total C'r1a1"?CS I CUr';C".l: ! Sids:Jal~ I :cn.:e l,n",c::1"icaZ , I.Vobi la Heme /'9 I ~I f [cbeZ ocr cf.oJ~ x 'bl;;~/OI I ~Z?~.~S'i 1 I I I, "12~.~. I /M$..,t> I. I =1jJo/.-1 fl.~1 ~47.~1. CP.ARGE ~2.S(!) 2t>. .6 I S; .~ 1"3.~1 _ /h.15 .z'C> !f(~ rteYlefIY Pi!!!?E I Ak..;~r'M",r I '2/.~<S'1 IroTAL ANOU.'IT DUE:' ~lI6t!)1. ~3 ,.- , P:::ga 2 '-N I L-COG~ ~ , 3edr')OTi.s: I EnarolJ Sour~as I Seat 4fl:.EC:T I Wate" "ea'," #' J I Range ... I I X Fireoiace I I Wood:; ::o:.:e II T:,/'::e ~..4- . -- Paes Building Value & Perm i t This permit to granted on the e=Fress ~ondition that the s~id.construc;ion shall, in aZl respects, conform to the Ordinance ~dopted by the Citd of SpT'ir.gf":.dd, :.ncluding ;n.e Zoning Crd:nan.ae, reguk:.ti'~g the ccr.st":':.{c:::.:r. ar.d u~e of buildings, cmd m.:;:u be oiu:Ji:Jenaed OT' T'evokec at 0::; t::,:-re :oor: vic- la:ion of :my pr:Jvisions. or said Grd.~r.anccs, ... VA~"E rPfo;;16 IV#, q~~ -=-_/..-Y' ~. ~# ~/CW _ ~...;o, 'Ny&r ~ q~/?;'t:::>. /h?/~/>?~/' e>~~/.~S- IS 5~ "?~~. I I , I I P[cn Chsok Fee: { '1_:5'. b S- Cate Pa~d: <"-[0 -\lh I Reoc~pt #: i3 C/O II? ::3 c" 7 ISig:-:ed: (le...--- Permit Plumbing No pereon ehall construct, insta~!.J atter 01' change Q1Y r.elJ cr e:::isting pLumiJing or d:rcinage syste:n in :Jhole OT' in -part, unLess such person is the Legal posse3S0r of a vaZid pLumber's license.. e=cept tr~t a pe~son ~a~ do plur.:bing :Jerk to propert':j which is OlJned.. leased or operated by the cppl.i- cant. / Electrical Permit Where State U::LJ requires tr.at the electrical work be done by an Eleatl"icaL Contractor, the electrical portion of thi3 permit shaLl r~t be valid until the labeL has been signed by the ELectrical Contractor. Mechanical Permit ~4-'7 -~E:=c;n1.:>:er .... . ~-n&~ ,..a;;:a I HAVE CAREFUl.LY EXA.~INcD ths compLeted C?plication for permit, c:nd do hereby certify that aU i:r:fo:"mat-:.on hereon is true and corrocct, and. I f:J.r~her' certily that any ar.d all !.iOrk perlor:ned shall be do:-Z6 in ac~or- dance :vith the Ordinances of the City of SpringfieLd, and tit~ [..a-..;a of t1-:3 .. State of Oreg.:m psrt..:zining to the work descr-;bad hel"sin, c:r.d tna= NO OCC'J- PANe? will. be M:1..:ie of any atruct;a'a witr.out pemisaio:"'. of the EuiZding D"~- vision, I f"u:rthe1" :Jertif"d cr.:::: o:-zly ccn~tol'S ar.d e::rpl.;yees 1..1;'.0 arg in c~pliance with DRS 701.0~$ wiZZ be used en this p1"Oj2ct ~~n~~" Sign2d 5- {~-n~ Date .. RESltNTlAL" APPLICATION/PERMIT 225 North 5th Street "Spri~~fieZd, Oregon 97477 BuiZding Division 726-3753 Job Loo~tion: 78:S M,AllYI~w ,,--lAY Ascesom ,'lapf I ~ 3:.~. ~ 17033 q /2 Ta= Lot # I":? x--orJ SUbdiV-::sicn: R \\1e\e..b4It.I~~ r) .- C\.:ner: f? rz..eF~ e>.v 'b l2...o-=:'. Add.-SS3: '6t':.(_' E 4.0 T!' Ci~: E.~5JJ~. D~ [LL~, n Add.{.ticl'l n Ramada! n ,'!a;.:.!.:! .qoma SPAINGFlE1:D . .i ,. "I \.J c.. . Pr""'e: G<1(.,-0;4-'3\ Zip: c( l 4-0 'Z. s IAJ<:;.{.;e FA~ty'ork~~,~t;,Jc:::.e:. Cate of AppLi:!aticn :,;ont:racrors 5-(P -Y(I) v:i l~~ ,4-/? Addres3 ~. "P-, T tV c::.... ~~40~ 'E-U4t;.JJE:. A/~fX" tIlOA,UBUa..6JJ_ ~E,J~ 1'l-Ior?.rnr-J c-O)~ p_ '2,0') ()! ."u~EI)';:. M ~~iut:.1A ~'x '2. i3 ~ ....- - Cenel"aL PLwnbing i eLeat1'"'ic~t I .'Ieohar.ioo! I Con8t~cti~ ~~nder ~1 ~D-'2. ob -::>,..0- 7~C 4r ~ 4-~ I . "oooio:' /:j (;; b C/O .'3 . ~ f) ~ UOL Siar.2d: ce-- 5-/? -Q" h Dato: Lise.!! ~ircs p,r....oYlC II -~D -J1{;... ~-JQ-8" ,-:'1 -en. 4 . 10 . 8'1 t/;{,.q 4~ I "2.4,~1nSS- t:IJG-"Z8 q~91l'> 17 p., It. i.s th. respcn:ribili.:y ot CluJ pel'tlTit holder :0 S86 that aLZ. incpectians are r.:ade at tlls propel" :i::I~~ t~a.t ~h ::ddress is l"e~:. from tho stroser:, and that: the pC1"l'11'it card is z....."Cated at the fl'Cnt of the proper"ty. -!Jui!.di.:".g J-o:vi={,o~ cpprcn.:ed r:z.c.n s;...=U remain on tha Eu.:,Zdi,1tfl Sits at a.U times. ?!'!OCE!)U,~~ .t"OI? I,'IS?Et:TIOll .:?!aLEST:CAlL 726-3769 (recorder) state yaW" City desigr..:1.ted J'ob n.ur.:bel'~ raqucstcd a~~ u~en you wi,~ ~e ~eady fol' ir~ca~~on# Contractors or ~~e~s r~e ~~ ~hor.e n~cr. :..,al. De made thE; same dcy# requests mcas afta 7: 00 a"l1 /JiLl ba r.r:zde the nc.:t :.;orkin.; .day. t?SC"'.liN,d "'I'!ST.,.ct-::C7!~ ~ r:~"'t' r.,s~",-""",,,. "'0 . r X ..J.~_~. ..:....;-.,11.. . ae maas al...~ e:cavat~cn, ~u: p~or t~ sa: up of forms. "r ~"MP"'~r~ o [l] UNiJ~PSL;"3 ?LUg3I.'lC. ?L2:-:'.9Ir:.l! ~ ,~.'ECH;,.';r::.i.: To be made oe:o:'fiI any work is ~OZJcred. FOOT::1G ~ FO!},'.'!JAT:C:l: To be ~ aftfilr :rencn.es are e::ccr.;ated ar~ farms c:re srected, but prior to pourir.g c::ncret.. C0 U.\'DSRt;.~.')'1:,r!) ?~W.f2T:":G. DRAI.'?AG2: :'0 oe ~e Ur.g treT:Cne3. i\7l- UN!JE.t?F!Da.':? P!JF...'EI:IG ~ I'-!E:~H.4.VIC:'L: l6J ro (;e mc:cs prier to in3~aLi.a;:;-:.on of j7.oor insulation or decking. S't'..I2.9. ;.t,1TE:..3., pM-or :::0 fa- m 'MST MID 3EAU: To.;e tr.e.dc p~or to instaLl..:t:icn oJ.... floor i,..3t.:l..aticr. 0'1' deokins. CR1 o [!] RO'JGH ?!..tr.~ErlC. E!.EC':'F?!C}'!:- 1 VEe.!!- AflIe).!.: .','0 ".JorK. -:',3 :0 oe cOI:ered ur.:iL :r.cse ir~oec:ior.s ~-V9 beer. made O"~ '=Ppr~:Jq=. 'F'I.9::?~r.!: Prior' to pl.c.::ir.g facing mc.tart.ai.s ar~ bG!'".:Jre lrar.tir..g inapec- tior.. F_U'~I.'Ir;: .\!u3t::e req"..lested af:er approv~l of rough ~l~~ing, aLect!";- cal J ml1c;..an1..:aZ. Al! '!"tJoj~r.g bracing .1 chimn~ys, et.::. m'.lat ,:,e .cample:cd. ~o ~'1'k is to ~e con- . cila.ltld .m:il thi3 insDec=icn r.as .bG~n made and ap?ro~ed. Your City.De8igr~tcd Job j~b~ 13: r ,..A illSULATIIJ,vIVAPOR c.4.RRIE.;Y D!S"'?::C':'!CU: l...B To be made a;"ter aU inS"'.J.L::t~71 a:-.d required vapor barrie~s aro in pZace Cut bej'ore any Zath, gypsum beard ::1' wl.z. covering is c:ppZied, O".d ce[or6 ~yi~u~twn isc~c~l~. DFf:f?;/AL~ ZNSPE:C'!'!C,V: To be .~e af":er all. ardwaH is in place, but: prior to any taping. O MASO.VF!:!: Steel. location, bond oeama ~ grou. ti7tf! or vertica Ls in accordance ~;ch V.B.C. Section 2415. D '.JOODS'!'OVE: Attar instaZZ.at:ion is ac:l"rplatcd. [l] ~ ~ CURB & APPROACH _4.P.~N: Alte:' forms ae ere~ted bu.t prior to pauring ,::on.='1'ets. SID!TJALi<. & DRr.-'EWA?: For aZl. ccn- creca paving wichin stl'ect right- of-wc.y~ to be made after at! e::::ca- vatina comutete & fo~ ~rk j ~ub~ base ,;'.::teM:al in ?Zace. job ~C8S# type of i,.~?ec:icn RequGscs recei~ad befere 7:00 ~ e0 03/ L( / D'C.'.tOGITIO:.' OR ;'.:.?VE"; 3UII.DI;:CS ~ Sanitarj seJer :~?ed =t ~~p.r~i tir.s --, Septi: tG.7lk ;r...~~c!. ~.d f'':''l.1.~d :.rith ;r:::;flZ ---I' I ---, Final - flhen abct:G ";-:o~s a:-e ce.~Z.lr;~d ---1 ar.d ~hen =e~l':":ior. is c~Za:e or 8:~~~- tU2'e r.:oved ar.d pr......;3as :Zs::r.ad :.J.p. N:Joil<J He,":':2S :::J Blocking ar~ Sat-~p :::J Pl.wnhing connec=':"~ns -- s:::.Jsr a:r.:! lJa-;ar :::J EZcctr-;ccl. Ccnr.ec::-::C!'1 - BLockir4, sst-!l:; and pZumbing com:ections r:t"~st =~ G?;n.::'l.:~i beforc request~ng fiI!ec:rical in8?Sc~io~ -" '... -.J I1.c:e830,.;,' 3u....,:::.r.g i FirL:J.l - /1fto:r ;:Jrcr.ss. sb:o:-:.ng, dec;'..3, ~ etc. are ccmplJ;.d. o , 11 I D ?El".'CS: WhaT: compz.~te -- ?rovide gates 0'1' movable 36ctions th1'OUgh P.U.E. D CKJ. FnlAG PGUXBI.'IG [lJ, FIilAL YF:oEA,lICAL All project cor.di:ions, 3UC~ as ehe ~ns:aLlation of s:reet :rd6S, :~~!a:~~ ~f :~ requil"ed landsccpir.g, etc., must be satisfied before ths aUII.DI.','(; FI:::..L :ocn ':41 rSc;'.J3s:.zd. [Xl FINAL ELEC':RICri:' ,:=1 \K> ..':'INAL BUILDI.VG: The Finel au.ildir.g !r.s:;lection .':'T".urt otJ reoue3ted =.f:al" :ha ::.r.al ?l~bir..; Electrical, and Necr.a.",:icc.l Inspecc:..cr..:; ;'.ava been :r:ads ar.d .::ppro'Q~:i. "AL~ NA.'lHCLES AND CLEA":CU';'S .'/UST BE .4CCESSI3!.E. ACJr.:S;::Z::,!,:O 3E .\~.10E' I!Z' :','0 -::s: :, ~r:'! I ?=-;a ! of 2 I I JOB No,QroD 3rt/SOLA_CESS REQ,~=~ I:~a: k:!A_-: '~r-~J.:;ana".J CT'O'.l:J:"K-3 JI ~;.,/ ':~'OeICor.s'C: ILot Sq. Ft;. ~<~ WT ~'!?S Lot Feces - W'~7 ( -'~.....4::> V Setba~ks IS :;1 to: CJl}6~....q; . ~ Ir!terior P. [,. I Ho:,.;.sa I Ca:t'aae J Access. '" of $:":--:'08 -:2 Corner Worth l~,'.f-'" I :'otc::Z Hai.ght :?21f117'~ Panhandle lEast I /~ South !1'o?OgMpny .r-- /~ Cut-de-saa jWe8t r -- Pees I!~E~ S~.:TC X I.'k:~n 17'17.6g 3t;30 523.13 10 !." I I i I ,VO,; . -- CiiARGS; iI..id""tiol ~beth) I VI ~<. S~ I ~$!'4' :z~..6 1 I ;;e~.~ " . i-<5z:s~ I IS:." I C,vnM- ~~' ~.,..,. 1'22.~~ 4'.~1 /27. ~~ I ' I I :::??.~ I~-:::ca I I :..tr:'.:r: I l"'tc.='2ss~r:J S.D.C. I I~S.~ FL-=-.;.res Scr.i :.:r.r>'! Sewer ?Q?'..g ;rALl.'E' 1.5= IVC:'U.'::J EuiZding p~: State S:J.1'cn:rrge :'o~ l :1".a.-ges PI:.mrb-;ng Perr.i'; t Stata Surcr.arge Tcta! C'I'.c!"ces 11:<.'1 1"O'j I' ,~es. So. r~,.l2!1$Ft Nw/Erte1'lli Cil"C"J.its I I II I !'e:r.pcrcry Serv1.ce Kte~tr"~ca t !'e~ t: Stc.te Surcha:r-::e I :;'Z.~f I p....a-r..::~11 ?'!'U'S I E.:htn.:st Hood I Vent Fan ;Jooas:o-.;e CHARCE I ~. 4IC> I r.Yt>/ 6.-1 I I I I /" .)'.01 I' ."1 I I:?/t; J ' I I ~~~f_~-~ I Tot"'! C'''~ces 1;- i .-- ( 2~- Pe~t I3:;u.a;ncZ Me=r.anic::t ?ermi t StatOl Sur::haoac '!",,~,,:,l C1-cr'1~!J I Seco.l.r"; ttl '2~3i t StOl'!UlQ !-hintenc:r...:!2 I Pcrr:ri.: -- ~:ICRCACD:r:!'!' -- Tctal C'flCr'U!S I Curbco.l.: ISi:i~tk I ?f!1'/.:8 I E'Zolc:r-i.c::z.l , l.'fobila H~e /4' ~jl lab4Zl Oqi{-o B I Value I hlC1~/OI I ~z7~.271 I I I I . , '" 12~. 3'1, IIM3.9t> I . I ~~y.-I fl.Eit:1 ~47.%1. CH)3GE '; f\7"'-' I ~..sol' I 7./~1 15'9.~1, 11.~ I /tG. 15 I .20 i~#J5lftFwL!E'W' PEE i A-,./~rM~:r 'ZI.~$" I:OTA~ '!'''-'OU,'/T DUE:' t!I/6tP/.63 ---- I I ~:CS-"I . ~;'-N, 3''''''","8: I I 2ner~J Sour~e3 I I HeatEl:. EC:T I I ;!atl1'1':JP.Q<;;rt'l #' I I Ranq-li '" I I J( Fi. reD icee I I Wc;oa;;to:.:e II ~..4- L-COG~ ;? T'J'C~ I This pel'r.l'i.t ia granted on :he e=Fress ~ondi:i,:m that the said. ,zonstl"'.l.c;ion 1 shatL, in alL respects, confc~ to the Jrd~nar.ce adopted by the :i;~ ~f I Spl'i"'.g.o:'~eZd, inc!uding :he .:oning Qrdir'.ance, "t'eg-.J.Zc.til:g :r.e ccr.sc:":l,zti..:r. I ar.d :.lsa oj bu.ildings, and m=y ~e .]u;;pended or revok.ed at c:r.-: ti."':1il :.;cr: vie-' Za:icn of any ?l'~visior.s of said Ord~r.ances.' ,I VA~"'E F'#f~;:1-e JV# 4f-~~~'-""/ ~.-- /A/1 .:;-:~'~. ~# ~/CW ~e ..$/1 .>;> 'My5 ~. ITA/?- ~. ...nv~???67;' e>r ;;:/. ~S- IS 5~ ,,?~rN'. IPlan Cheok Fee: I'1S, bE) I Cete ?e~d: ,,\ - {o -it h IReoc~pt #: G (,;oJ/).3" 7 !S,;g,:ed: (Ie./' Permit Building Value & Permit Plumbing No person shatZ construct, instal!, aZter Of' change any p~ cr e=~s:ip~ plumiJi1'l'J :)1' drainage syste:n in whol6 or in part, w:Less such ;:erson is the ZegaL posse3sor of::z. vaLid plumber's licanss, e:cept er~t a pe~son ma? do plumbing ~ork to proper~~ which is owr.ed~ Zeas6d or opera~Qd by the appli- cant. . . ;. Electrical Permi t Where State LaJJJ requires tr.at th4Z elect1-;aal work b6 done by an Ela~tM.cal Contractor~ the electrical por:ior. of this ?e~it shaLL r~t be vaLid untiZ ehs 'Zabel ~s been signed by the ElectricaZ ~ontrac:or. Mechanical Permit "I ......._~ --,., ;;> . / 'J ~~ ,..'a:;a r HAVE CAREFULLY !XA."lI:I~D :hs complatad =pplicatio71 for permit, c:nd do hereby certify tha~ all i~fo~ti.on he~eo71 is tru~ and co~ec:, ar~ r f.uo'tr.e:r cer~ilFi that any em an !.."Ork. ~er!onted ahaZl. os do:-ze in ac~or- dance ~th r:ha Ord.:..n:znces of tha City of Springfield, and :h~ !c:.;a ol :h3 .. Stata of Orf]g~YI ps:.rt.:zining to the lJOr,l{ descr';bcd here-!.n., cr.a tha; ,vo OCC!J- PAflel wiZZ boa rrr::J.:ie oj' any atruct:.U'e I.Jithou; parmis3ion of thB Euildi,..g rr;- vision. r further ~ertitFi t;'.at o:tZy C!cnf:1ta:;t:;J'('S ar.d e:itpbyees !o:;..o are in co:::pl.iance lJith CBS- 701.0S! will bs uaea en this pl'Oj3C!t ~~~ r~~ I~ '=)-I~ - 0(., Sign3a Date