HomeMy WebLinkAboutPermit Miscellaneous 1982-11-22
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.. RESllfNTlAL"
APP~ICATION/PERMIT
225 North 5th Street
Springfield, Oregon 97477
Building Division
726-3753
Job [,oo=.io",921 110 rflt,>"1 r/1 ~ ,4'/0 ,
A...s.o"" .I'ap.j I 1 ~ 6 3 - ;). (. - f.- 2-0'f3:J.' Taz [,ot #
S"bdiv-:sicn:j tIt II)q ALl\. 2 'It;{.,. 11dJif/lJY7 7{. /3t!a/J f/fJnl
SPRINGFIELD ,
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Ph""e, 7'1(;, -';;''-1/)1
Zip: 97 '177
n DescI"';be flark:
\ \n ;:iticn "TeNt OowtJ. AND ~AY 01{ 8lf:LD
I'Jl ~(q Pl~I:..(', l1>-.~\l, I!),,-k li"I\TL","t(?~ I\~D
Remade! ~'i.\"t Fj(l..~ 13I:l}l. \ N 11",,~q y",,~ l:)~~ ~I':\i'[)
~2 '~:~:::!:::iC~Q l PI'1 ;'0 C~ U:lV~ \ \?v~:e ~t ~~~ ~
~'ont:rcc:;ors
Addres3
~'7 \.'."'~Cl',d(
General
Plwnbing
t'rUh \\6l\ln!t.. Wl&~v
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Rcoeioo.' (j)c;cx.Jd-
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~lf
Siqr.~d:
Date:
,
Lise.;!
E:::::>ircs
latMJlI.1.
Phon,
(OIbCJ-~I~~
~(\)'7l/~
l Electrical
I Ntlchar.:ic::Z
CO"8t~~c~ian ~~nder
..",.,.. .........
It is :hB respmcibiti:y of" th8 fe~t hol.der to 868 that alZ inapeecions are ~ada at :he proper timc, t.t..at ~ch ddrflss is reaiab:.
from tits street, and thar; the pcrr:n:t c:z:ttd is t..xa::ed at the [1"Cn.t of the property.
..3ui!.di.....g in:}i::io:,: c:p~l'Ot;ed ;:l.cn sr..d~ remain on tho 5~i.Zdi11f1 S~t~ c;t an times.
?:?OCEDURE POR INSPECTION REOUE"ST:CALL 726-3769 (recorder) state your City desigr.::ted job nw;;ber" job adi.rcss" type of ir.3=,ea::icn
l'aquestcd a~d w~en you wi~~ be ~eady for ir~pcction, Contractors 01' ~~e~s r~~e cr~ ~hone ~~cr. Requests recei~.d bafer.' 7:00 ~
:.,..Ul. os ~de the scr.:e dcy, requests mc.ae aft~ 7:()O a':! lJin ba r.r:r.de the nc:::t :.JOI'k.ing day.
~d~~lo~
t?Eu:ruiro"d rnsr:',,~tic"'~
O <:"......~ .../52-,......."'/' T' ,
...1.1...':'. .:...._'.J.: 0012 maae
ezcav~ti~n, ~u; prier to Be;
forms.
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Your City.Desigr~tcd Job Number I~:
afteI'
up of
U .J.ii5ULATIONIVAPOR EARRI2il D1SFE:C'!'ICtl:
To be made after azz. in.s-.J.l.~ti:Jn a:-.d
rea~iI'ed vewOl" barr-iers are in DZace
but cefore ~y lath, gypsum bcdrd or
wall cover--:'ng is cppUed, c:r.d belore
any inaulation is concealed.
UNDE.~S[,AE ?L{J,'.fEI.'IG_ ELEC':'RIC,\!. ~
,'..'ECP';';lIC~i,: To ba tr.c.d~ oe[ore any
work is ~o"Jcred..
o
FOOTINC ~ FOU,','OATIO.'l: To be made 0 DR'!WALL INSP=CTIO:V: Te oe r.'Ju!.e
after :~enches are e:c~~ated and :;;er ~ll. ~d~alL is .in place,
forms are 8rec:ac, but prier to cu.t pnor to c;ny tap1-rtg.
pourir.g c.:nc~e;.;:. l
U.\'O!RG.:::OfJ.','O p::.r./!.[2[;''-;C. SE:I2R. :J.1TER. 'YASO~RY: S:~el locatio~, b07't~
~. . oeaJ:1.., grou....ng or uert't.ca ls ...n
DRAINAGE: :"0 be rr.a::e pr-~er' :0 j.../,- accordance '..)"'~th U.B.C. Section
Ur.g crer.cr.8z. 241&.
UNDERF'LOOR !'Lu.'.f9nlG .; NE:':.9A;vICAL: 0 ':iOODS'!'O'IE.: Aftar instaUation ~8
To ee maCa prier :0 -::n~H;c:l.z..:zt-:'on of cc.-:rpZ.e:€d.
{'loor insui.::::;ion or decking.
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P'JST AND 3EAU: To ao tr.cdc pl'iOl' :0
instal.l...:tion of iZoor in.n.l.ation or'
deoki""
CURS & APPROACH AP.~N: Afte~ forms
::::2"e cl'ec-ced but prior to po"..,I.ring
~n.::reta.
SIDEWALX& DRITlF;f';A?: For aU ccn-
cre-ce paving with~n street right-
of-wc.y" to be mc:.de after' al! e=cc-
uatina ccr.rol.ate & to~ !.:Ol'k & :uiJ~
base ;;',c,terial in pla~e.
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RO'JGH pu/.'~e!:lG. ?r.EC'i'.f?!CA[. ~ V~c.:l-
ANICAL: ::0 -';01';': "':'3 :0 .;C cOl:area.
until thcsa :"~~ec;~or.s ~-V~ ,;een
made ~~ ~p1',~~d.
FI_:::::?LACZ: Prior:o ?i.cc-:.r.g fc.C""~ng
mc:tBMaZ,s ar.d :'oj"o1'6 f1'a::rir.g insp6c-
t:ior..
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.>':'"E:N!:E:: ither. comp ZGte -- Provide
gatas or ,~vable' sections thl'CUgh
P.U.E.
F'F1.4.'~I;'It;: ,'.fu.st,;e '!'6c;ue:Jted alteI'
approv~i ~f r'ough ;Zur.~ir~. ~lect~-
caZ & :;;ecr.anica.'E.. Al.~ rooj:.r.g
bracing ~ cni.nncys, Bt~. .~~St ~e
. cOmr?Zetcd. . .'/0 ~l'~ is to. b.e con.-
. ceal.t:Jd ur.ttl. :;h-:'3 -:.n80eC:-:'on ;-~8
'been mad~ end ap?~~ed.
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D~NOLITION OR ;'.:OV::; 3!:I!.Dli.'CS
:=J Sanittll"',.J se".Je1' capped :::t ~~PLr-t:,. line
~ Sopti~ tank p:-.:::pcd ax f:.nad ;.,"ie:h ;r::.:;s!
--, Final - {{hen aXve .;.te.'7:s arc cc:~rot6<:ed
---l and ~hen =e~li:;ior: is c~?tete or s~~~~.
tur-e ~ved ar~ ?r~..~3es ~le~ned u~.
.vobi l.e Ec:;;es
:J
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Blocking and Sa:-~p
Plur.~ir~ connec;iGr.s -- s~er cr.d ~:er
---, Electrical Ccnr.Bc~ion ~ Slocking, se~.~~
--.J and pi-WIlbing connections r.r"':0'3t =B C?Pr-::::ed
os;o1'c requesting ~lea=r-icaL inspectio~
., 'o"e.'o " 3u-''''::,..c
--.J .... - ~.. ';1 ..I,.;.;.~ ~
] Fi~l - Aft~l' ;::1'Cr.BSJ
etc. are c~Fla=cd.
skir:-:.ng, dec;"...s"
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FI,'/A[. p!'{j,~!3I.'IG
All pI'ojac: cor.ditions, ~uc~ a8 :he ~ns:aLla:ion of street :raes, ~c~!a:~~~ ~f :~
required t..anCsccpir.g, etc., .7lUSt be sa.t~sf""(!d bo:fore the 3UI!.OI:;G FI....AL .:an be 1'3q"J.3S:..zC.
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FI:/A[' :.!E(;P.A.'IICAL
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PINAL BUILDINC: The F~ncl auitding !r:s?ection .'":Ust be requeatea ::::4;81' -cr.i1 Piro.a.l ?L:.J.:~biT'.q
ElectricaL, and Necr~icci Ins?ecciona have been ~ade ar~ apprcued.
FINAL 2!.Ec:'RIC";':'
.AL~ NANHCL2S AND CLE:,,'lOUTS NUS';' 3c AC:ESSIELE. ADJ!..'S';;':t::r TO 32 :.~1iiE :!T ;','0 ::S':' T::J (;I':J I :J..."a of 2
I JOB
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1:~a:
No,n~5lo~LAR_CESS
I [,ot Sq. Ft;.
~ Jf La: ~~erag~
! ,OJ of 5tor-:.es
lrocat Haigh:
I
Tcpogl'C?hy
1'""/
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,~k:in
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1~~C2
I SQ,FTC
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1.-lC~eS3~r'J
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l'OT,H:. ~'ALur
IS,D.e,
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11X:':"U.o;)
?uiZding Pem:--;:
State SUZ'c:h:I::"ge
~o~L ~r.a."'ge3
, 1:,,'1
I Fi,',:;-:;ures
iResidentia! (1 beth)
I Sanit.::l'"-/ Sewer
1:Jc.:t€..'"
I
PlWfl~ng Perd. t
State Su:rcr~e
Tetal Charaes
I :l'~N
I R.:?s. Sa. fta.
IN~/E%tend Circuits
Temporary Sez-uictl
Ele~t~cal Pe~t
St::.te Sur::harae
TotaL C'fltlr'ces
I ""':.~
I ?:lrn.::ce ETU'S
I E::haust Hood
I Vent Fan
I .
I iI::;odsto:;e
Perrdt Issuance
Me::r.anic:;l permit
State Su.rcht:r!Ie
'!'''~r.:Z crtn''1t:!g
I ,va, i
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i .va, 1
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-- :;:lC:~:;AC:::X'E:!7 --
10 '. n '.
lve~~~~~u ~2~C3~~
I Storaqe
I ,'~"':nte?tC7'~e
10 '.
.C:rm'!...
I
I C'tu".?C'.l:t
IS~l~
I ?noe
I ElolCtl'ica l.
] ,!,facile H::me
Total C"rtCr"'](]S
L6eZ
I :'OTAL ANOU.'lT DUE:"
CC::'J.::arlC:J C1'O"J.;':
LOT T'!PS
Ir:terior
Corner
Pathandle
C".Jl-de-sac
x
{'aLue
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C(OO I
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q.!J~ ,.
eliARC!: I
;;':"1;"
CHARGE
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CHARGE
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P:::~e 2
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L-COG~
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R EQ,-
r.:.;oeICor..st::
.3.zdr.,or.:s:
I wt F~ces -
I
I P.!..
IIlO!"~h
lEast
South
I~.st
I 1 ~nercru Sour~es
I I Seat
II
II
II
: I
T~-ce
Setbacks
Hou.se I Carace
Access.
:iate!':!P.G:::!'f'
Ran;a
Fi"l'eoi.ace
Wcoaato::e
Faes
Building Value & Permit
This permit ia gMnted on the e--pl'ess ~ondi.tion that the adid. C'onstt"...tc;:on
shatZ, in aZl respects, conform to the ardinar.ce ~dopted ay the City of
Sprir.q.f~eZd, indud~ng the Zoning Cl'd~nance, req'...tl.c.til~g tne ccr:str:lcticn
arn ~ae of buildings, and m:::y b~ $uspenaed or revokec at cr.y t~we ~;or. vie-
lation of ar..y ?r:Jvisior.s of sa:.a Ordir..ances.
I Plan Check Fee: .
IVete ?a~d:
I Reodpt #,
IS.;g"ed,
Plumbing Permit
lIo person ehalt constro..tCt. instal!, a!ter or change any new or e=i.s:ing
plumbing ::;1' drainage system in ~hoZe or in part. unless such person is tr~
legal possessor of ~ valid plumber's license. e=cept tr~t a pe~son ,T.ay do
plur.:bing ~ork to property which is OlJr'.ed. leased or operated by the appli-
cant.
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Electrical Permi t
Where State LaLJ requires tr.at the elect:rical work be done by an Eleatrical
Contractor, tM electrical portion of this ?ermit shall roOt be valid until
the Label has been. signed by the Electrical ~ontractor.
Mechanical
Permit
Pi-an Z::;c;:nl1er
uao;a
I HAVE CAREFULLY EXA!.[INED ;.ie compl.atad =?plicatio71 [or permit. c:nd do
hereby certify that all. in;o~ation hereon is true and cor~cct, and I
f...tr~her certifY that any ar~ all ~ork perfo~ed shall b9 done in ac=or-
dance :.rith the Ordin::nces of the City of Sprin.giicU:1, and th.: U:..;S al th.3
Stat>! of Oreg.:m p~rt.::.ining to the wor.ic d.esC!""~bcd her-ein., cr.c. :ha: NO OCC!1-
PJ.!lCY UJiLZ be rrn:ie of any atruct"ura witr..out permission of the Euildir:g Di-
vision. I further- ~ertif~ tr~t o~ly C'ontra~tora ar~ ~l~yees who are in
co~pZiance with CRS 701.055 will be used en this projsct
.Y"~YfAU-
Date
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