HomeMy WebLinkAboutPermit Building 1985-3-4
.. RESIO.TIAL..
APPLICATION /PER/lIT
225 North 5th Street
SpringfieZd, Oregon 97477
BuiZding Division
726-3753
Job Looation: ,f t'So !vi/~rlT tv A k
ASOBsaozos Nap fI
Subdivision:
Q.ms~: II V SSE J..L 1-.. .A AI t:lJ: R r" N
Address: lj"o ~ /vI r.; I.rr LvA /(
City: iP/111,dJ. 1=-16/...0
~.,
n Addition :.
n Remodel
r---l !~bile Boma
.51./J. - -= l:.
Date of Applieaticn
I.:ontractors
:~/';/A ~.
, '-'-'
~'"
T"" Lot #
Pr,"",e: 7 '{ (... - 7 7 t;:t-
Zip: q 71{ 77
Describe II'ark:
II
Value ~&o
Addres3
~
., .
',,,-, ....... ......,...~,.:."-~-.~~~~~
'.'P"
Siqr.ed:
Date:
Li:)c. Ii Eroil';]B
Phone
Genel'at 11~
Ptumbing
Electrical.
r.lechar.ic:!. Z
Constl"Llcti07t Lender
It is ~hs responaibility of the permit holder to sse that al1.. inapections are made at the proper tim~. that ~c:ch .:ddr-SBS is recclz&:o?
f1"Om tns streBt. and that the permit card is l.ocated at the [?'Ont of the property.
.Bui!ding Dividor: approved plan sha1.1. remain on the Building Sit;; at an times.
.PROCSDU~E FOR INSPECTION R!:C?UEST:CALL 726-3769 (recorder) state yOUI' City designated job nur.:ber" job adi:t>css" type of ir..3pec:icn
rooqucstcd a~.d when you wiLl. be ready for inspection" Contractors or Owners ncme c:nd phone number. Reques':s recoivad beforo 7:00 t::
:...-iZ'L be rrr:de thG same day" requests made aftao 7:()O am wiLl. be mada the ncrt :.JOrking day.
.ql!('fPi.,...n,; Tl1~'Q"'r~1:r.'J.q
!VI SITE INSPEC':'ION: To be made after
~ excavation" but prior to set up of
forms.
O UNDERSLAB PLUMBING. ELECTRIC,lL &
1-!F:CHA.'lICAL: To be made before any
LJOrk is .:!ovcred.
~
FOOTING &. FO!JND.1TION: To be n-aae
after trenches are excavated and
forms are erected" but prior to
pouring cancrct~.
D
UNDSRGROUND P['UMBING, SEWER, W.1TER,
DRAINAGE: To be TTn:te prior to fi7.-
lir.g trenches.
o
UNDE.~FUJOR PLU/,$ING & MECHANICAL:
To be made prior to in3ta7.7.ation of
floor insulation or decking.
POST AND BEAM: To be rr.adc pmr to
instal. Zation of floor insulation or
decki,,!! .
ROUGH PLm!BIlIG. Er.ECTRTCA!. & MECH-
ANICAL: No IJOrk is to bc cOL'ered
untiL thcse inspections have beer.
made and approved.
FIRE:PLACE: Prior to placir.g facing
materials and before framing inspec-
tior..
!'::A FRAHINC: Must be requeDted after
~ approval of rough plwr.bing" electrri-
cal & mechani.:!al. All roOfing
. bracing & chimneys" et~. m'..lst be
. completed. No work is to be con-
.... cealed until thiD inspection has
. b6~n nude and approved.
D
D
o
Your City Decigr.t1.ted Job Nwnb€I' Is:
O INSULATION/VAPOR BARRIER INSPECTION:
To be made after all in8ul~tian ~4
'. required vapor carricrs are in p laoe
but cefore any lath" gypsum board or
wll covering is applied~ and before
any irwuZation i8 concealed.
fVJ DRYWALL INSPECTION: To be made
~ after all d:rywaZl is in place"
but prior to any taping.
O MASONRY: Steel. l.ocation" boiu!
beam:;" grou ting or vertica'Ls in
acoordance with U.B.C. Seotion
2415.
o
WOODSTOVE: After installation is
ccmpleted.
~5"O2/'}1
'.
o
CURB & APPROACH APRON: AfteZ' forms
are crected bu t prior to pouring
~n.::rete.
O SIDEWALK .{ DRIt'EWAY: For all con-
crete paving ~thin street right-
of-way" to be made after all exca-
vating carrplete II tom IXJrk & cub-
base material in place.
O !'ENCE: Wher. oompt.te -- Provide
gates or movable sections through
P.U.E.
o
I DEl-fOLITION OR :':OVE~ BUILDIj;CS
~ Sanitary S6".J6I' capped ::t ~op~rt":i lir.B
=:J Septi~ tank p'.c:'?cd and ft. l Zed LJi..th J1"Cf'~B ~
:J Final - rfl1en c:b...--ve ite:ns are ca:rroletli:d
and when der.lOZitior. is cc.r.rplets 01' stru.::-
ture moved and pr~3es cleaned up.
I Mobile Hames
::J Btooking and Sat-,p
::J Plumbing connections -- s~er and wa~Gl'
::J Electrical Connection - Blocking" set-uF
and plumbing connections rrr~st ce approl)o,:
before requesting olec:rical inspec~io~
::J Accesso1"i Building
:J Final - Aftcr p~rc1:es" skirUng" decks"
etc. are completed.
o
FIliAL PLUMBIIIG
All project conditions" such as the ins,:allation of street trees, c~~lation of ths
required Zandscapir.g" etc." must be satisfied before the BUILDINC FIlIAL can be rsquest::d.
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FIliAL MECHM/ICAL
Q9
FIliAL BUILDING: 11:e Final Building Inspection must be reque3ted after the Firuzl Plumbi"3
Electrical, and Mechar..ical InspectionD kava been made and approov.d.
FINAL ELECTRICAL
-ALL UANHCLES AND CLEANOUTS HUST BE ACCESSIBLE~ ADJUST,'fE.'lT TO BE :'~1DE 1:7' 1.'0 C'~ST TO CI'!'f I Page 1 of 2 1
.;\0. ~;u;1
I Zona: R-L
Lot Sq. Ftg.
S of lot C.7lJarag<
!I of Stories
TotaZ Haight
Topography
rTE:M
Main
I Ga:raae
I Cart)O~t
IAcc6BBoru
I
I
r-.:.yu "
SOLAR ACeSS REQ.-
Oc""oa"". Grou", I! ~
LOT TYPE: ' I Lot Faaes .
I Setbacks
P.L. IHouS6 Caraae
IfJOI'th
East
ISouth
IWest
T.;'pe/Cor..st: ..
I I EneralJ SO:.l.rces
I I Heat
I Access. I I Water YfU1t,..,.
I I Ha"".
I I Fireplace
I I Wood:; tOl-oS
II
T:J"Cll!
SQ.FTG X
48 IfI~
Is.D.c.
(vat.UC)
1.5 :z:
TOTAL VALUE:
Building Permit
State Suraharga
Tot<> Z Cha.'"fIas
IITE:M
Fizturs8
I RasidllntiaZ (1 bath)
Isanit.ary Sewer
I Water
I
PZumbing Perrr:i t
State Su:rcr.a:rge
Total Charaes
lITEM
I ReB. So. ftc.
I N3W/Ertend Cireuits
Temporary Servics
Ele::trical Permit
State Su:ro~haroae
Total Chm'oces
lITEM
I P1a"n.2ee !!TU' S
E=haus t Hood
Vent Fan
I WOodstoiJ('J
Permit I3BU<ZnCa
Mechanical Permit
State Surcharae
NO. I FE:E:
I
I
I I
i I
i I
i NO'1
I I
I I
I I
INC.
I
I
I
I
Totn.l Cha't'muJ
I - E:NCROACHMF:NT --
I SBa-mtIJ D:mosit
I Storaga
I Maintenanae
Parmi t
Total CharoaCB
I I CUrbcu-:;
I Sidsl.JaZk
I Pcn::e
I Electmal Label
,
I i Nobi Ie Hams
, i
!
I TOTAL AMOUNT DUE::'
Interior
Corner
Pl21lhandZa
cut-de-saa
Value
+u.&<>
+~~ I
- /.
,
32.- I
I~ I
, 3~~ ,.
CHARGE:
FEE
G'{{ARGZ
I
I
I
I
I
FEE
C/JARCE
L-COG~
Bedrooms:
FaBS
Building Value & Permit
This permit io granted on the express condition that ths sdid const1"'Ucticm
shall, in all respects, conform to the OrodinancD adoFted by tho City of
Springfietd, inc!uding the Zoning Crdinanco, roegulating the ccnstroction
and use of buitdings, and m:zy be Buopended or revoked at cr.y tUna upon vio-
lation of any pravisions of said Ordinances.
\...0 l.........~\'....\~;z.,......-\_,~,..
Iplan Check Fee:
Date Paid: .
IReodpt 6:
ISig>:ed:
Plumbing Permit
No person shalt construct, instal!, aUsr or chango any nmJ or e-.-isting
p2umbing or drainage systen in whole or in part, Ur.lSS8 such person is tho
legal possessor of a valid plumber '8 liccn80, e:r:cept that a pe:osDn may do
pl:.v.:bing IJOrk to property which is O1Jned, leased or operated by the appli-
"""t.
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I
I
I
I .
Electrical Permi t
Where State La!,) requires that the electrical work bB done by an Electrical
Contractor, the eleatrical portion of this permit shaLL roOt be valid until
the Label has been sifJT/.ed by the EZ,ectftical ~ontractor.
I
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I
I
Mechanical Permit
.
~~L ~___
Ua4l"h, ,;
I HAVE: CARE:FULLY E:XAMINED the aamplated applioation for permit, and do
hereby certify that aLl ir.fo:m:ztion hereon is tMle and correct, and I
f'..lrther certify that any ar.d all. rJOrk performed shall bs do~e in accor-
dance with the Ordinances of the City of Springfield, and the; La:..Js of tho
~ State of Oreg~n p=rtaining to tho work described heroin, end that NO OCCU-
PANCY LJill be mde of any structur2 L1ithout permission of the Building Di-
vision. I further cerotif':/ that o~ly contra:::tors ar.d e:rrployees ",1:0 aJ"8 in
cor:rpu'ance Lrith ORS 701.055 IJill be used on this project
I
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I / .!!>JI);plhtA',~
f.I SifJT/.sd 1-
J-4 -~5
Data
,I
I
I...:
.. RESID.T1AL"
APPLICATION/PERMIT
225 North 5th Street
SpringfieZd, Oregon 97477
BuiZding Division
726-3753
if' C' k
Job Looation: _" ,l Ivil~ tiT tv A
ASa8SGOl"S Map /I
Subdivision:
Q.mer: II V S <;E J..L 1-.. A H f)~.t? ~>", N
Addr...: 1;"1J ~ /vI i. /-IT ivA /(
City: iP/1INB F-I,;J.,D
QNm"
n Addition
n Remodel
r---l :~bile Bama
C''v'!:~cS
'3/.;/9, ,.
Data of Application
'''ontl'actOl'B
Genera~ ('ja:J~
P~wnbing
Electrical.
uechar:ic.::.l.
Construction Lender
~'!.r1. T'1.::n.protir.".<t
lV1 SITE INSPECTION: To be rrrlde after
~ excavation" but prior to set up of
forms.
D UNDERSLAB PLUMBING. ELECTRIc'lL &
. MECHANICAL: To be made beforoe any
work is covered.
~
FOOTING & FOUNDATION: To be made
after trenches are excavated and
forms are erected" but prior to
pouring ccncret~.
o
UND~RG.q(JUND Pr.UMBING. SEWER. W.1TER"
DRAINAGE: To be ma.:ie priOl' to fi l-
lir.g trenches.
o
UNDE.~FWOR PW'!8ING & MECHANICAL:
To be made prior to in3taLLation of
ttoor insulation or decking.
O POST AND BEAM: To be made prior to
instalLation of floor insu'Lation or
decki,," .
O ROUCH PLUHBIllG. ELECTRICAL & MECH-
ANICAL: No work is to be cot:ered
ur.tiL these inspections have beer.
made and approve,:!.
O FIRF:PLACE: Prier to pZacir.g facing
materiaLs and before fmming inspec-
tion..
~ FRANING: Must be requsated after
~ approva.l. of rough pl.wr.bing, electri-
cal If mechanica'L. A'Ll. roofing
. bracing t chimneys, etc. nr'.J.st be
. comp'Letod. No IJOrk is to be con-
.-' ooa'Led until this inspection has
. b6~n made and approved.
~~
Taz Lot #1
s~
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CITY OF SPRINGFIELD
. CltyH8I1
'Ingnold, O'egon
Department of Public Work.
OFFICIAL RECEIPT
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'~/4 19
I '
) Rec'dFrom ~a-8s_I/.
No.8
<<<'
L ~tlr'
V~~
)
Address tt:t9A
)
64318
)
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Received For:
I -) ~/T
Phone: 71 ~
I "'j
Zip: 11 TfJ.,.M-
! ~
, .,. ~i? ~ "2-
&-1'-
32~ ')
I z,_
, )
3..;{ 2.
)
,)
)
Describe fl'ork:
8'
Va'Lue ~
Addres3 I
I
I
I
I
~ '3 21h
."7
Amount Received
-:j
,[L
.......
..)
I
It is ths resp071oibi'Lity of the permit holder to see that aU il...._. _
fl"Om the stroot.. and that the permit card is located at the front of the property.
ItBuiUing lXvi::io~ approved plan DhaZ'L remain 071 th2 Bu-:.1.ding Sits at aU times.
PROCEDURE FOR INSPECTIOll RE:OUEST:CAll 726-3769 (recorder) state your City designated job 71tD1Zber,
l'oqu.ested a~.d uhen you wilL be ready for ir.spccdon, Contractors or OlJne1"S name end phone number.
:.~Z'L be made the Bame day, requests made afta' 7:00 trn 1Jil'L ba made the next :.JOrking day.
..)
......
Your City Desigr.atcd Job Number Is:
O INSULATION/VAPOR BARRIER INSPECTION:
To be made after a'LL insul.atum w..d
'. required vapor barriers are in place
but before any 'Lath, gypswn board or
wU covenn!] is appUed, and before
any inauZation io concea'Led.
.../
L'
.,...,...~.." ~nA"" .....
1M.'t'''''.a,..
l8J
DRYWALL INSPECTION: To be made
after a'LL drywU is in place,
but prior to any taping.
O MASONRY: Stee'L 'Location, bo7uI
beam3, grou ting 01' vertica'Ls in
accordance IJith U.B.C. Section
2415.
O WOODSTOVE.: After insta'LZation is
ccmpleted.
D
CURB & APPROACH APRON: AfteT' forms
are created but prior to pouring
.:wncre te.
o
SIDEWALK & DRII'EWAY: Fer all oon-
crete paving LJithin street right-
of-l.JC.y, to be mad6 after aU B%ca-
vating ccmp'Lete & form lJOrk & sub-
base materia'L in pZa::e.
O PENCE: When complete -- Provide
gates or movable sections through
P.U.E.
o
job adCress, typo of in3pec;icn
Requests receiv9d befcro 7: 00 ~
sr; ~ 2./':) I
- DEUOLITIO!! OR gOVE:; BUILDlilGS
~ Sani tary 86'.JBr aapped ::t p:.op&rt:J. 'Lir.s
~ Septi:: tank ~~ed and fi'L'Led IJith gra~aZ
::J Pinal - r{hen abeva items are cc:rro'Letcd
and when demolition. is complete 01' 8tru~-
tu.re moved am! prcr.risoB c'Laaned up.
Nobile Hemes
=:J B~ooking and Set-~p
=:J P'Lumbing connections -- Gaoler and. water
---, E'Lectrical Connection - Btocking, set-up
~ and plumbing connections nr~st ~e approved
boforc request~ng e'Lectrica'L inspoction.
~ AcceBGo""d Bui'Lding
::J Fina'L - Aft&r p:Jrcr.es.. s1d.rting, decks,
etc. aro compl.eted.
o
!
i
I
I
~
All. project conditions, Guch as the instal.'Lation of street traeB, a~~'Lati~n of the
required landscapir.g.. etc., must be satisfied before tho BUILDING FINAL oan be rsquest3d.
o FINAL PLUlI.BIlIG
[J FINAL ME[;HA.'lICAL
D FINAL ELECTRICAL
[]
Q9
FIlIAL BUILDING: The Final Bui'Lding Inspection must be reque3ted after tho Final PlW1lbina
E'Lectriaal, and Mechar.ioal Inspectio713 have been made and approved.
.AU f-fANHOLES AND CLEANOUTS HUST BE ACCESSIBLE.. ADJUST/rENT TO BE NADE ~:!' NO C'~ST TO CITY I Page! of 2 J '
.. RESI~T1AL"
APPLICATION/PER/tIT
225 North 5th Street
SpringfieZd, Oregon 97477
BuiZding Division
726-3753
.lob Locetion: 5"" 5r Iy,/~ rlT tl/ A k ~,.,.
A.....or. Nap * \, t\. ~cVl L./ 'J.
Subdi.vision:
Q,m.r: IIdsEJ..L ).... A A1/)~.? r~N
Addr..s: /;"1: 5S"')v1 r.; HI Lv A f-
Ci ty: )' fJ/? 1I':'1f!. F I'; i--D
f\d
n
n
n
~.l
Addi ticn
6.'..t.1'4E.
Remodel
,'1obi.le Hom3
Data of Application
I.;ontractors
~/";'/A~-
GeneraL t!)"'~
PLwnbing
Electncal
l1echar.i.c.::.1
Construction l.ender
..........-
Tao: Lot ~
PI''''''e: 7 If f.-'- 7 7 r,;t-
Zip: q 7 If 77
De8Cr"~be fl'ork:
~
Value ~&o
Add..-es3
6' 't'
~ ..cce:o .
la L../ -7:? / X
fJ
.. ... .......~'.:.....>.....-..
Siqr:ed:
Date:
dJfIY/)?)~
~/~/~ ,-
I
Lise. #
Exoil'C8
Phone
It is the responsibility of tho permit holder to 888 that aU iMpections are ~ade at the p:t'oper timE~ t}-.at ccch .=ddresB is 1"0"''':'';':,
fl"Ot'fl ths Btreet~ and that the permit card is located at the front of the property.
~!Jui!di!1g Divi::ic'!': approT,'ed plan shaLl. remain on the Bui1.ding Sit:; at all. times.
PROCEDURE FOR INSPECTION Rs:,OUEST:CALL 726-3769 (recorder) state your City designated job ntu.':ber~ job adire8s~ type of ir.:zpec:icn
requested a~d when you win be ready jo'l" ir:spcct"";on~ Contractors or Owne:'s ru:me end phone number. Requests reCeilNiJd before 7:00 ~
...~ll be made the same dcy~ 1"6quests made after 7:00 am lJilt b.z made the next :JOrking day.
R~nvi~~1 T~R~P~tir.~~
~ SITS INSPEC':'ION: To be made after
~ e:ccavation~ but prior to se't up of
forms.
O . U/lDERSLAB PLUf.fBING. ELECTRICAL &
NECHAtJICAL: To be made before any
IJOrk is <:ovcred.
~
FOOTING ~ FOUNDATION: To be rrnde
after trenches are excavated and
forms are erected~ but prior to
pouring cencret~.
UNDZRGHOUND P[.UMBING. SEWE:R. W,1TE.'lo
DRAInAGE: To be rrrLie prior to fil-
Zir.g trenches.
o
o
UI/DEl/FWOl/ PWI,,'BING & NECHANICAL:
To be made prior to instaLlation of
floor insulation or decking.
POST AND BEAM: To b6 Trade prior to
instaLlation of floor inst.:lation or
,u,ckinr; .
O ROUGH PLlP.'!RIllG. ET..ECTRTCAE. & MECH-
ANICAL: No work is to be covered
untiL theBe inspections have beer;
made and approved.
O FI.t:?EPLACE: Prior to pl.c.cir.g faaing
materiaLs and before framing inspec-
tior:.
~ FRAJ![NC: Must be requested after
~ approval. of rough pLwrbing~ eLectri-
caL & mechanicaL. All. roOfing
.' bracing ~ chimncys~ etc. nr..tst bQ
. completed. No work is to be con-
... cealed until thio inspection has
. b6.::n made and approved.
o
Your City Deaigr.ated Job Number Is:
O INSULATION/VAPOR BARRIER INSPECTION:
To be made after all. insul.::tian (L"'.d
'. required vapor barriers are in place
but before any lath~ gypswn beard or
uzU covering is appZied~ and beforB
any irwu Zation is concea Led.
fV1 DRYWALL INSPECTION: To be made
~ after aU d:ryT.xzU is in pZace~
but prior to any taping.
O MASONRY: Stee l location ~ bona
beam3~ grou.'ting or verticaLs in
accordance LJith U. B. C. Section
2415.
D WOODSTOVE: After instal.Zation is
ccmpl.et~d.
O CURB & APPROACH APRON: Afts:' forms
are crected but prior to pouring
.:on::rete.
, D SIDEWALK & DRIVEWAY: For all con-
crete paving tJithin street right-
of-LJC.Y~ to be made after aLl e:cca-
vating ccmpZete & form work & sub-
base trr:teriaL in pla::e.
O PENCE: Wher: compl,;te -- Proviae
gates or movable sections through
P.U.E.
o
~~O2/)1
DENOLITIO!! OR gOt'!'; BUILDIi,'CS
=:J Sani'tary se:Jer ~apped =.t p:"op~rt':i lir:e
~ Septi:J tank li.&7.:d a:ui filZed tJith Jl"a-~a:
I Final - ri?um abaVB ite.":'ls are co:rrDletcd
~ ar.d when d~Litior. is complBte or st:-u:-
ture moved and pr;:m1.S68 cLeaned up.
Nobile Hemes
~ Blocking and Sat-~p
~ Plumbing connections sewer and Wa~Br
---, Electrical Connection - Blocking~ set-up
---1 and pLumbing connections 11r..s t /;e appr::ll.;e.:
before requeBt~ng elec:rical inBpec~io~
:=J Accessory BuiZd~ng
:J Final - After p~rcr.es~ skirti.ng~ decks~
etc. are comple:cd.
o
ALL project conditions~ Guch as the installation of s:reet tl'aes~ ca~leti~n of the
requiroed Zandscc.pi1".g~ etc. ~ must be satisfied bejore tr.o BUILDIt:C FIlIAL can be l'SquBSt3d.
o FIlIAL PWMBIIIG
=:J FIII'L 11E~HA.'IrCAL
o FINAL ELECTHIC'L
,~
Q9
FINAL BUIl.DING: The Final Building Inspection must bo l'squeated after the Pinal Plumbi"3
ELect1'icaL~ and Mechar.ical Inspecti.ons have besn made and approlJ.:!d.
-ALL UANHOLES AND CLEANOUTS HUST BE ACCESSIB['E~ ADJUST,'fEUT TO 8E :.~1DE I:'I' 1.'0 C''JST TO CITY I PaFe ! of 2
r
I
I JOB NO. ~~I
Izonc: R-I-
Lot Sq. Ftg.
S of !.at CJlJerago
N of Stories
Total. Height
Topography
ITEM
l!>hin
I~M8
I Cart;)Ort
I ACOeSBOl"U
S~. FTC
4~
Is.D.c.
TOTAL VALUE
TIJCLucJ
1.5 :z:
Bui1.ding Permit
State Surcharge
Total Cha.--gc.
lITEM
Firtur68
Re.idential 11 bath)
I sanitary SiNer
lwa:tmo
Plumbing Pern:i t
State Surc}o.a:rge
Total Chtn-aes
lITEM
I Res. Sa. 'ta.
I N3LJ/Ertcnd Cireui t.
Temporary Service
EZsatrica! Perrrrit
State Suraharae
Total Chazoces
ITEM
I Purn.:%ee ETU' S
I E:::haust Hood
I Vent Fan
IIIOodstO"J8
,
Permit I3suanca
Msahanica.l Permit
State .c:urcha:rac
, 'rn"tal f'7harot:rlUf
- ENCROACHMENT --
Sea-.aoitu D:roosit
Storage
M1i"t~e
Permi t
Total Charocs
Curbcu~
sidewlk
I Fenae
I Electrical Label
I
I MoM l. HOnI.
I TOTAL AMOUNT DUE:'
r:::.ge ~
SOLARJaCESS REQ.-
Oecuoanc..: ~ =\
LOT TYPE ' I Lot Face' -
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I P.L.
1N0rth
lEast
ISouth
IWe.t
. L-COG~
T':.;pe/Co,...at: ~-N Btla.rooms:
II EnerolJ Scr.a'Ce8
Setbaeks I Heat
Houss CCU'Qae Access. I WatB~ Nf!at~7'
I I Range
I I Firsp'lace
I I Wood. tove
1'1
T':I'08
I NO.
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Ii/D. .
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NO.
I"~
FEE
FEE
FEE
Interior
Corner
Panhandle
cut-ds-sac
x
Value
~&()
+{;,~
- ,
3::'-
I~
34~ ,
CHARGE
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CHARGE
C/lARCE
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-- Faes
Building Value & Permit
This penrrit is granted on the e:r:press condition that too sdid eonstJ"'Uction
shall~ in all. respects, conform to the Ordinance adopted by thB City of
Sproingfield, including the Zoning Ordinance, regulating the construction
and uce of buildings, and m~y be sucpended or revoked at cr.y time upon vio-
lation of any provisions of said Ordinances.
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Plan Check Fee:
Date Paid:
Receipt #:
I Signed:
Plumbing Permit
No person ohaZt construct, instal!, alter or change any new or e--isting
p1.wnbing or drainage syste:n in whole or in paI"t,l w:less such person is the
legal possessor of a valid plumber's license, except that a person may do
plumbing IJUl'k to property "hich i. =d, leased or operated by the appli-
cant.
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Electrical Permit
Wherte State LaJ.J requires tr.at the electrical tJ01"k be done by an Electrical
Contractor, the electrical. portion of this permit shall roOt be valid until
the Label has been signed by the ElectzoicaZ ~ontractor.
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Mechanical Permit
ni~L /:1;--
ua~~,4 ~
r HAY!: CAREFULLY F:XAMrNED ths completed application for ponnit, and ,u,
hereby certify that an ir:for-mation hereon is tl"Ue and correct, and I
further certify that any ar.d all wrk perfo'mled shall b8 00':18 in acco!"-
dance :Jith the Ordinance. of ths City of Springfic1.d, and tm: Lo:.Ie of tho
4 State of Oreg~n pertaining to the work described herein, and that NO OCCU-
PANCY uri l'L be rode of any struotura tuitho:.lt permission of the Bu.ilding Di-
vision. I further certify that o:1ly contraeto,.s ar.d B:1Tp'L::JYOBS who are in
compliance with ORS 701.055 will be used on this project
/~Mf!~~
Sign3d ' .
J-4 -'?f5
Oat.