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$o"3 Sui td.ir.g
:J -' "" .
rLn.:::.. - I';. t;:r ;~rcr.Bs,
at::. are c~la:..;;d.
dl<':.1't"':.11g,
dac;:s,
o
A~l projece cor.ditions, JUC~ as the ins:::alla:::ion of street =:rdeSJ :~~!a:::i~n of :he
required Zan.dsccpir:.g, etc., .'J1Ust be satisfied bt:./ore tr.s 3UILDI::C F!::AL zan I;e 1'3Cjoolas:::oid.
[Xl. FINAL Pr..W1SI:lG
CAJ. FI:/AL !.fE::lfA:1ICAl.
fA] PINAL 2LEc:'RICAL
/~
<R>
PINAL BUILDINC: The Finel Building !~s~ection .~s~ b4 reque3ced c:=er :::r.e ::.r~l P~~bir~
!lectri.::aZ, and Mecr~~icc~ Inspectiena aava been ~ade ar~ cpprcved.
.tAU. NA;'lHC~ES AND CLEANOUTS .'!UST 3E AC~ESSI3r,E, AEJUSr,'!:;::T TO 3E :.!.1iiE' ..1T ;'.'0 ::5':' T'J CI":'! I ':>"".iJ of.1
i JOB No,QroD 3'fYSOLARttESS REQ,- ~
!:cr.e: ~ 'Q~~.l:;anc:J Cl'C".c:;:~-3 ~)?J~/ T.;'~e/Cor.st:
ILot Sq. Fe;. 1?~ LOT T'!?S . r Lot Faoes - .~v~'r
I. fl' ~ -X I" I Jetba~l<.s
,..." ~o" w:.:nJerag~ I':te1'1.or I o. I" I ~ I'
I -1. - . . oJ. ..O;4se ~araae ;;,cce3S.
.;~ of Stories -:z Corner Worth ~_" I.' /" ..'
I Toto! Height ~""'7'~ PanhandZe IEost II~~. I
I . -_ ISouth ~"'I
!Topograpny e:;-..........,. C..Z-de-sao [West r '2'9ZcS"1
I
j !'!'!:.J
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~.$t'" I
I ;;ate~' . !4'~' I
~/~)~~ ~' :jS"......
PZ""';';~ Pen::it /22."5"<=:::l
'1.~1
1/27. ~~ I,
"" I ;;~ csd
I
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S9~
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y. Yt:> ,
6.-1
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/6. .S-~I
I ."-,
I 17./t:; , .
f.'
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,; ,'"
L'k:~n
1~~CJ
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! :..zr:-Cl't
I,
1.-ic::eS3,jr"J
I
17'11,6g 3'30
52'.13 16~'
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Sc;.FTG
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IS.D,C.
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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:'
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..':'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 $:":--:'08 -:2 Corner Worth l~,'.f-'"
I :'otc::Z Hai.ght :?21f117'~ Panhandle lEast
I /~ South
!1'o?OgMpny .r-- /~ Cut-de-saa
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I.'k:~n 17'17.6g 3t;30
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State S:J.1'cn:rrge
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PI:.mrb-;ng Perr.i'; t
Stata Surcr.arge
Tcta! C'I'.c!"ces
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This pel'r.l'i.t ia granted on :he e=Fress ~ondi:i,:m that the said. ,zonstl"'.l.c;ion 1
shatL, in alL respects, confc~ to the Jrd~nar.ce adopted by the :i;~ ~f I
Spl'i"'.g.o:'~eZd, inc!uding :he .:oning Qrdir'.ance, "t'eg-.J.Zc.til:g :r.e ccr.sc:":l,zti..:r. I
ar.d :.lsa oj bu.ildings, and m=y ~e .]u;;pended or revok.ed at c:r.-: ti."':1il :.;cr: vie-'
Za:icn of any ?l'~visior.s of said Ord~r.ances.' ,I
VA~"'E F'#f~;:1-e JV# 4f-~~~'-""/ ~.-- /A/1
.:;-:~'~. ~# ~/CW ~e ..$/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~~
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Sign3a
Date