HomeMy WebLinkAboutPermit Building 1984-9-18
".
.. RESIDENTIAL"
SPRINCFlELD
~
AFPLI:A:' IC.'I/PERMIT
225 North 5th Street
. ..' l' 0 97 '77
S?1"'.r.tJJ ~e.a, regon ~
BuiLd~ng Division
726-3753
.lob !Dc.:io.: ~"'f'~.(~:;6. C:>AA'a,,<~ /~E
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Zip: '17 '-/7 K
Describe ""ork:
Aid....es3
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"cae;o:' t -=3 ~-7 7
fi1f. ({ /; t/t<l !/hI
Siqr.sd:
Oats:
4-4--
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!~ U tlul reaponDibiU:!I of' eJw p.r'11fi.~ hDtd.u to tic. ~hat an i7U1pCCtia'f'LS ar. made at :h. ;rope.r ~im~, t.".a:t &:::en =ddrIlSB its ,.....:..,:.:
front eM ,Hrece, end that tit. ptu"n'l'i.: ca:rd i. ~ted ..:t ths front of chs property.
.~u.i!.1.i:-4 JilJi:io:-: C?;:roT:ed ;Lc:n ar.c:Zl rft1a~n 01'1 the BtriZdinf/ S:.t:; at all times.
?_'?oc~,u.~~ !'lJfl ;,"'sp:;(.':'!~,oJ .=?!:::'U!S?':CALL 726-3769 (rcc01'de:oJ stata ycu:r City :iesitp"~tiZd job 1tU1:".ber, job ~css, tY~6I of wpd::-:icn
l"~encd CI.""'.a :.t::en .you :ALL as ready [Of' ir.3pcct'-:.cn, Con'trac~rs Of' O:.,'ne:'s 1U:':'tS ~ phar:s rw.':'lbcr. Requ~s:s recei:nui cererfl 7:0a ~
:...,:a b. tfC(i. the aar.6I t!.c-J, requu:s .~e c.fta 7:00 c:'7J tJiU ba r.r:uie t.1:s ru=t :.t3rkin.; day.
'.
rOW" City. Ceaigr..ated Job Numba' !o:
<gyo&:UJ
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o
tr.10~:~Sr..U ?~l.:ftJI.'lG. E!:.EC":'.f?IC.l!. ~
XECH,J_:J4~:;~~: 'I'o DB r.ruU beforfl any
Io.lOr.ic ::s ':oIJc:oed.
~
~!,YC ~ :CU:.'D.1TI:.'I: To';. ~ds
aj':tlf' ::osncitas C.1'e i!:C'CVQt'old cr.d
f~3 c:re erec:~d, but pri,."r :c
pourir.g c::ncre:'.
[Kf
!r.:~nc:~.,:.r.!D ?~l:~C:::$. SZ'".r::R, :I.l:",:..~,
D.f?A~:!.:..t;~: ro i;e r.r:..;e p~a:' :0 ~-'i~-
Z:Z;r.g :zot?:cr.as.
~
Ul1CE.f?~:'CC,f? P!.u,'.~r::C ..~C!!.Vl[C.:..::.:
'1"0 ;;e ~ Pl""L.;ZO :0 iI13:.:L~t':.on of
J1.oor iro8UW:tiC71 or cUcici"J}o
MST AN!) 3r:,'.(: To bs r.".t:ZCc pr-;"f' eo
ina:al':":::-::.cn. of j1O<Jr i,...n.La::i01'l or
d.ecki"..
~r
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":1"'.'1;;; ?':.~~~,:....c _~".z~:~.:.:. ~ :.~C.l-
,l,.YlC.J.[,,: ."/0. "JO:'': -~, :0 ~c COI.'e:,'!€: .
~:hCS4 i"~~ec:i:r:s ~~u. ~ecr.
I~Ct::#J =r.a :;;Fl'7Je::..
F~::?!')'...""E: .~or ~ ?l.e::-;~.:] .'c:-Jo.g
mc~erwL4 a,..d b~lol'iI lr=::ri.ng inepec-
tier..
~
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FP.A"~!."r:: N1J.3: be re(;9..l.~3:~d a;"~~l'
Ci'Pr'ClJ':!. of 1':1U~h pl.trJJir..g, ~!41CtM_
cat 4 ~ecr.ani.::;zL. At~ :-oo:"i~
br:zC'i:,..g 4 Citinrn~Y3, 6t.:. r.r..rer; b.
conroL.:cd. ;'/0 """1'<' ie :0 De een.
. CtIC!.Jd untiL ::J:i3 inst'ec:ien ;...a8
. bc~ ~~ and i:;1?l"':n.:ed.
"
o F[::ot.:. P!.:J.\'S!::c
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i(J l!:I~L r:.z:::.~t:~L
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rV1 INSiJLA'J'IQ,V/VAPO.f? 3A.rmIER n/s?=c':'!O.'l_:
t3.J To be r.-zuis a.fter aU ir.suk:r;:i"n a:"'.a
. rcqt4.ired uapor 1:a::ror-i.ers are in p lacs
Cut: cstors any la;:h, gypf1Ur.l board. Ol"
u:U covering is apptied, and before
any i".3"..l.Lar;:ion ~s conceated.
h71D!1Y""/ALL INSP!C':'IO.'l: To as mada
~ aitCiI' all. Q-,:'!.laLL i.a in place,
but prior to c.ny taping.
O l.fASONt?Y: Stael. l.ccation, bo1u!
beam3, grouting or uerticals in
accordance ~::it !J.B.C. Section
241!.
O ;n)ODS'!'OV::: After inst:al.Zation is
cc.1TpZ,.at:.d. .,.
o
Cl.'P9 ~ APP.qCACP. AP.C!f)N: Aft.:- forms
are erected but pf""'L,or to PCU1"";ng
~-rete.
SID=..IALK & ,nI'.T"I.:: Fur all CC'J1-
creta paving ~ehin. street righ:-
of-I.."C'J, eo be mads a;":o1r aLl azca-
uatir~ eomplata & jO~ work & zub-
bass :11::tertal. in pZa.:::s.
CS::OLi':'IO.'! OR :,.'O~;'.3~'Zr.[)IiiCS
::::J Sa:ni:.zroJ 1Ie"..JtI:o ~?cd ::t ~OPn-t:"i ti~s
:=J Stzpti.: tc::nJc p"..4.,?~:i ar.d li.lZ~d uith ;;r:i-~J:
--, Final. - ~num: c.;...""t1Q i~~s ors c=-~l.ste:i
--1 ar.d when ::er.lCl.i.:ior. is Ccr.rpl4tS or s~..;:.:~
ture "".oIJea anC prcm.:Ju ::laa1Uld =-9.
1(]
o
_~::E: When compl.ta ...- Providfl
gat;; or :7ICf)ablQ s6cti..cns through
P.U.E.
I Nobi.!.s Hc.-r:es
:=J al.ocidrzg and. S~t-:.lp
:=J P1..umbin:; cOMec::~ 8aJtI1" and wat"r
--, Electric::!. Ccnr.ect:icn - Slocki"4, sat'-te
-.J and p~ing C:~1:aet;icna nr..;st =_ C?pr::t.'J'::
beJ10rc Nlqusa::.,..g e!.ac:ri::::l i"..$pec:icr.:
:=J Ac.::ssso~. 3ui!..::.ng
--, Firul - ,1ftcr ;::rei-.tls,
--1 eta. al'S c:r:p~8:.d.
a1d.rt-;,..g, ds.::;,..JI,
o
o
ALl. cro:;ec-: cor:di.-:i..:111S. ..uc.':. as :he ~.-ns:.:UC::-;~11 of s:rllec :rUSt ;o::::-:?!o;::"J1 0;" ::n.
Nq"..tired ~an.d3c=?ir~,::tc., :r.ust; :,e sae-:"sliad ~i:fore :r.ll 3l.'Ir.:I::C :'!.~').r.. ::":11'1 =e r3C;.lesr;:.:d.
@
.':'!.'lAr. a:;r:'::J!:lC: 11:0 rinal 3uiLdi,...g !r:3.,ec~io11 .~t be requs3tad. ~/~ar :ho1 F';n.:Jl .?!tlr.:bin;
;!Ciccr-i."a.l, and .\!ecna."':.i.ca.l Ir.spec:i..::ma :...:wa eBBn maca and c.pprolui.
'A':': :.!A.W!':~!E AND Cl.~ANClJ':'S .'{US: 3& .~C=!SS:~!.E, .4.~.tcsr:!E::: :0 3S :.~'tCS :~:' ::0 ::s: 7':J Cr:'! f ':J.....~ of 2 i
Occur;anCIJ Grou& ~
9. 7f:R ~
- '2~Cfo
?
12..~
J.... e\:lSL
iJcb Number': <61.(0 Co 10
; Zona: \<~
i Lot Sq. Feg.
':: :Jf Lot C.:roeragc;
1# of Sto,.;.es
:TotaL Height
: ~"opography
lITE,'.'
I
I. Main
Gc:raae
! CaM>Ort
I Accessorl/
I
I
';Q~~ I
~\(O I
TOTAL VALUE
S.D.C.
(lJct.UCJ
1.5",
Buildir.g Permit
State SuPchm-ge
Total Charoges
I ITEM ' NO.. FEE
I Firtures
I Hesidential () bath)
I Sar.it::z~ Sewer
I Watel'"
I
Plumbing Pemi t
State Surcr.arge
Total Chc:raes
I~'EU
NO. I
I
I
1
1
Res. Sa. fta.
NGIJ/Exttmd Circuits
I T""'I'ol'a1']J Seroice
I
I
i
I
I
I
Ele~trical Permit
State SW':iha:rQe
Total Charges
1.t':EM aD.
I F'urn::ce ETU' S
I E::haus t Hood
I Vent Fan
I W:Jodsto"Je 'I
1
Permi t I:;suance
Me~hanicJl Permit
State SU:rchal'OC
Tota 1 Charrum
, -- ENCROACHf.!E.VT --
Ise~~ritl/ DzPOsit
Storage
'.faintenan.::e
I Permit
Total C'1wMCS
I Cu1'bcuo
I sidewlk
?c.,'
~'5'
I Pen::o
I Electl'ical Label
MOM lo H:;me
\'Ltl..\..'\C'v_ ?.~Q.
I TOTAL AMOUNT DUE,'
WT TYPE
L'Interior
Corner
Pan1uvuile
Cu'l-de-sac
x
Value
'1~.q,\'1.~ I,
I\\.~ I'
V2....L9:> 1
\.\.~I
\ 'L~.'-\O I,
FEE
I
1
1
1
1
1
~'5.00 I
\.~D 1
~(",.'tC> I,
I
1
I
I
I
I
I
I,
CHARGE
CHARGE
I~.C=
I \ 'lO
~\ . '20
FEE C!!ARCE
I
I
I
1
1 \ <?, !:O
I . "1'-\
I \0. .'2.'i
"l . 'SCa
~.fC
I
i
I I
I ~.a>O I
'2,G;> ~. '10 I
Refcrer.c6 numbers: L-COC #:
TiiPeICOr.8t:'\\~ Bcdl'Oom" (n
, Ene1'au SOUl'"C!es
I Heat l-:l'r.=C:\ 1..;-..'1,:\.
AC!cess. f/ater Yp.ate'l" ~~
I 1 Range ElF Lt.
i 11 Firevlace
I : WOod3tove "-- - ..-.----,
I Lot Faces -
Tuoe
I
I P.L.
INorth
lEast
Sou.th
If'lest
Setbacks
Hou.se Cara(]6
S'
?,6.s
c::t
,:\R
Fees
Building Value & Permit
This pSI'TTT"~t is granted on the express condition that the said construction.
shall, in all respccts, conform to the Ordinance adopted by the City of
Springfield, incZuding the Zoning Ordinance, regulating the construaticn
and uce of buildings, and may be suspended or revoked at c:ny time upon vio-
lation of any provisions of said Ordir.ances.
~~~)
;;/ Iplan Check Fee: Q+i -. ::S()
/' Date Paid, a Ji ~ ~ \":::). ~
IReadpt #: t, 4!.<:;" 17
I Signed, .to J -
Plumbing Permit
No person Dhall construct, instaLZ, atter or ahange any r.ew or> e::isting
plwnbing or drainage syste:n in :.vhole or in part, unless such person is the
legal possessor of a valid plwnber's license, except tr.at a peroson may do
plwnbing work to property which is or.med, leased or operated by the appli-
cant.
Electrical Permit
Where State La1JJ requires that the electrical wrk be done by an Ele~trical
Controactot', the electrical portion of this permit shall root be valid until
the Zabel has been signed by the Electrical ~ontractot'.
Mechanical Permit
,
\l~ }\~ \~}"F\."
1'tan. E':r:annner
q-\{')-"f.,~
ua.e
I,
I HA VE CAREFULLY EXAMINED the completed application for pel'mit, and do
hereby certify that all information hereon is true and COl'"l'cct, and I
f'~rthet' certify that any ar.d all lJOrk pel'for:ned ahall be done in ac~ot'-
dance :vith the Ordinances of the City of Springfield, and the La:.Js of the
StatB of Oregon pZl'"taining to the tJO.1'k described herein, end that NQ occu-
PANCY will be rrrlde of any GtrouctW'2 without p3r>mis8io:1 of tho Building Di-
vision. I fUl'"thel'" certify that o~ly contractors ar~ enpZoyees who are in
compliance with DRS 701.055 will be used on this project
&Il/I~
Signed
.f -t r~ '\ <(
Vat.