HomeMy WebLinkAboutPermit Building 1984-9-5
.
.. RESIDENTIAL"
AFPLI~A': IO.V /PERUIT
225 North 5th Street
S?rir~fierd, Oregon 97477
BuiLding Diviaion
726-J75J
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C.maral.
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Zip:
D68Crib. M'ork:
~/1P(5)77/
Siqr.ed:
6). Ii.
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Phone
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I: u th. ,..spDnoi,biu':!I of the pcmn:: iu:Jld4Jr eo .Cd :hat: aH i1't.:1pections are r:tad4 at :M ;ropuo !;im~# t:.~.at t:C.Cn. :dd:re8. i. r......:..:..:
;"rom CM "CJ'ut. cn.:/ that ell. permi: card i. ~ted .:t thQ f1'Q7te of the property.
.2~i!4i:'"4 :>-:vi=i.c~ C?~:-or:6d plC:n sr,cz.z, rt7.1ain on eha 3tr.:Zdin; $:.C~ at all. tws.
p_"!O~,up.s Fon r.':s~~~!~l1 ?i'~:CALL 726-3769 (rccoraBrJ state yau:r Ci~ desigr-..:ztQd ,,';ob nt.D':".ber~ job ~css~ typo of w;ul::-:icn
,.:u;uencd CI.""'4i :J.":en FOU :.ri.LL :,e ready for ir~pcct'".:on, Con-erac~r8 or OI..'nS:'S rtO'76 .:nd phar:s nu.~cr. Requcs:s roceir:~d billeT's 7:00 ..:=:
:.'iLZ b. 11'I::a'. t~ aam. cit::-:J, reques:s .~e cfkr 1:00 en tJiU b~ r.ruie t.l:s n=t :xJr.JciJt; da-:i'
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O sr;~ [;"1~i'!C":'!':!: ~o be rrruie
a:::av,::t:..;rn, .:lut prtcr e: alii':
f:mo..
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tr.lD~RS:'A3 P~l':..I9I,'lC. ~['2C';'.T?IC,1!.
:~CH)_:l;.:.u.: io De r.x:Qs befoT'tl
uoric ::. ~olJc:'ed.
~
c:roy
~~!'.'lC ~ !'OU:!D,1'tICi. To b. trrlU
L:::..l at:",r :rifnc.'t8s ar6 a::ccvat-ld c:r.d
terms cre .rect~a~ but prt..:lr :.c
pcurir..g c:;ncre;.:.
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!J7:!:~CR~rr..'D .:I:'t.:~~;:;~. S!"..:-R. :t.l:'!.~,
D.~,E:/~t;2: fo GS .r.n;e pr-:.Ol' ;0 /i.~.
l.1;".g :rer:er..:s.
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U,'IC~.T:!r:.cc.q !'~lJ.'.~r;:G ~ ,'~c:!.J..,'/[t;:.!.:
'!'o be trUCe prt..;r :0 iI13t\::,-Z-.2e~on of
f7,.acl' ir.l1l'-ce:.cn or decicv.l].
MST ..1.,va 3r~,'.f: To b. r.-.aCc pr-:..or eo
w:aL':"::t.cTl of floor inst.:La:ior. or
cUcki",.
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O c~"~~F. ?':.~~~r.'!G. !'Z~f)!,~~~ ~ :.f2C.'1-
~NI~)!..: ,10 'JO:"O: ia :0 jc COL'B:"'!/:
ur.:~L :hC$4 ir~Dee:icr:s ~~V4 ~eer.
mcc.'. :r.d =??l"7J":'.
O F:.~:::?!.).~Z: _~or:O ?k::..:-:.,.~ f'c::.r"1
mc;Briaia ar-d bClorQ jr~ng inepee.
tiar..
~.t.~I.'!~: Nt,3: ~s l'f!Cf..l.~3:Jd al'~~r
i..:::J ~;,rcv.::~ of r~git pZ,l.or.iJir.g~ ~Lttceri-
caL & r.:ee;..ani..:~L. At! r"Oo:"-:.~
br::~r.g & eitinrn~!Ia~ .t:. ~st ~.
CCmDL~:cd. ;':0 -..=r< is ~o Oil CCPI-
. ccc'Z.d &olea :J:ia inat:"ee:-::cn ;...as
. bc~ ma.::. and c:~pl"3vBd.
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rOW" City. Cec-t.gr.ated Job NW1Ib~ !::J:
O I!lSUL.J.TIO.V/VAPO.9. SM?.r?I2R I.'!S?E:C':'ION:
To be r.v..is after all. ir.suk:ewn (20"4
. rcqu::.red vapor };a:!"rier" arB in p LaCB
eut cej"ortl any k:th~ gyptr.Jr./ board or
UIH covering is C?pl;.ed~ and before
any ir..T'..I.la:wn ~a ccn.:eaLed.
O DRY"'.IALL INSP::C'!'rO.'1: Tc C6 made
atter all dr:..r.x::Ll is in place,
but prior to any t4pirlg.
O ~SON?Y; StaeL
beam3~ grouting
aceordanc. !l1i:;h
241:.
loca:t'ion~ boitd
or vertic.:: La in
V.B.C. Sectian
cgc;O,oC)-'7S'
DE,'.:QGi':IO.',' OR .~.'QV!; 3~'ir.D!ilCS
:J Scni~:I SIl'..JfTt' =t:;1?ed ~t tr.:."Pfl't"i Un.
=:J S.pti.: tan.< p".."?~::i a:--d f:.n~d uieh ;r-:r..:2
=:J Ff.na.L - rfits,,: ~-Vll i~s=rs are c~~lQted
. ..I .... . "'"-
c:r.a ~hen _emcL~..~r. ~e compLQCe or 8~.~~'
turs r.-.ou-e.d <::7'1C prc:riaes :tllan.e:! u;1.
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WOODS'!'O'lE.: After instatZation i.s
ac;rrpl..e..d. .~
- Nobile Hc:r:es
~ az,ocici.ng and SJt-:.t.p
:J Pl.umbin.; e07l7lRc:i...-ns - St::Jtn' and lJat,Jr
---, EZectric=Z Ccnr..c~ion . BLocki~4~ Ba~-U?
--.J a:n::f pl.:.u:-.bing c~l":ac~.:o"8 ~t :0 ~pr~'l.'.i
before "'q1Ua=~r.g flZfW:l""i:aL i~.JI?flc:i.o:-:
:J Ae:essoJ3' 3u-::z..:~ng
-, Fi1"..'3.L - l.ft;:r ;~rer..(18~ s1d.rt:.r.g, dtlCy.3,
--.J etc. a:t'G c~Z8:.d.
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.tU pr~.;ee: car.di.:i..:,-,:s, .:uc.1.: as :he ~.,ns;.::ZLC::::'=11 of s:rast :re~s. :=::,:?!c:::"", ol :M
required ~and3c~ir..;~::tc.. :r.us: :,e sae::s;'iad :,.:jore <;i-.. 3L'Ir.=I::C Ft.'!..L zan ;:0 r:lt;usst-=d.
=:J Fr,':A:' P!.:J.\'S!::G
~ :'1:1:" :..'E:.?A.'l!CAl.
:=:J FD'AL !:.z::.~!:':'
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CUR!! ~ APPROACH AP.~N: Af"tQl' f~s
are ere:;"C4::i 01.1 t ;1rior eo pCUZO"';ng
.:on....""1'etll.
SID=-.IALi( & 'RITF;''/A?: Fer an ccn-
creta pa"Jing 1.1ichin BCrGet righ:-
of-L)C.:J~ to be mads a;.:dr aL!. Uca-
vatir.g ccmpLeta & f'o~ work & .;ua-
bass materiaL in pla:e.
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.~C'S: W1uzn co:rrpl..te -- ?rovU:Q
gates or :ncvabLQ sscticns thraugi:
P.U.E.
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~'".'A' a"T~.,r"G' ~e ......a!
__;. ~ .... "~_"'. lr,. t:" .
~..ec"C~caL~ ~ Nec~~:.c=~
Eu.il.di,..g !r:s;u!c:i.on .~t bll rflque::t.J.'i ~l:~r :,.,6 .:"i.n.:r.L nJv.':bin;
Ir.s?ec:i~n::J :~a eeen mada ar~ ~pp~ov.i.
.A'::; .'t':.W!':!!$ AND Cr.~)'NCl1':'S .'fUS: 3& .~C=!SS:~'Z. .~;Ji':S7:~:.'': :0 3~ ,~!.1CE :~:' .','0 ::57 :'':J ':r:! I :I.....~ of 2 {
Job !lumber: ~ l.\()'5o.~
Zone: \<' l OccuDaneu G~ M . \
Lot Sq. Ftg. LOT TYPE
~ ~f lot C:JlJel'agc
! II of Stories \
!TotalHeight \~'6'r
: ~"opography
! ITEf.!
I
iUain
SQ.FTG
I
I Gc2'ace
CaPOOl't
'2.'lL\
AcC'eSBOf'tI
TOTAL VALUE
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IS.D.C.
IVC/,uCJ
1.5 x
Buildir.g Permit
State surcharge
Tota l Cha:'gea
1 ITEM J NO. I FEE
I Fi.rtw>es
I Residential (J bath)
I Sani tary SeUJBl'
I Water
I
Plumbing perri t
State Su:rcr.azoge
Total. CharGes
.lnEJ./
I Res. Sa. fta.
I N~/E:ctend Cil'cui ts
I Tempol'ary Service
I
i
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I I
I
Ele::trical Permit
State Sur=hal"qe
Total Cha:rces
liTEM
I F'uPn::.ee !!TU'S
I E=haust Hood
Vent Fcm
I ile..
I
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Woodsto~e
Permit I:;suanca
Me:::hanic::I.l Permit
State SurcharGe
To'!:"l C""rn~~
I ENCROACH:.!ENT U
SeC".iPi tll D2DOSi t
I Storage
I Uaintenan.::e
I Permit
I Tetal CharGcs
I eurbcut
I sidewalk
I Pen::e
I Electl'ical Label
I MobiZe H:Jme
I
,
1
I TOTAr. AMOU,'IT DUE:"
i/O.
Interior
~Comel'
Panhandle
(:iLl-de-sac
x
Value I
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\ CrfY'j-
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\Cn.ex:>
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\ (,.,.Ct>t..\ ,-
CHARGE
D.~
FEE
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CHARGE
FSE
~ C!!ARCE
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Refcrer.ce numcers:
I.-CGe 1#:
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T;;De I
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.------1
Tiipe/Const: lA.- ~ B"""OOO8:
- '->.. ) IC.. "=' \ ~ I Enernu Sources "- T l.. "k
Setbacks Heat .
House Caraqe Aaae~ I Water ~~ntp.r
~ Range
\ -y::.". -w...;.: i. - I Fireplace
~ , I WOod3tove
I Lot Faces
I
I P.L.
jNorth
lEast
South
IWest
Fees
Building Value & Permit
This permit io granted on the expl'eS8 condition that the said construction'
shall, in all respects, confo~ to the Ordinance adopted by the City of
Springfield, incZuding the Zoning ordinance, regulating the construction
and use of buiZdings, and ma.y be suspended or revoked at any time upon vio-
Lation of any provisions of said Ordir~e8.
IPlan Check Fee: R_ ~
Ivate Pai.d: 8...../"/-&'7'
iReceipt #:r[tC,:3 ~o y
ISigned: ~..-:>_.
~ 11 .. I
,
Plumbing Permit
No person shaZl construct, install, alter or change any new cr existing
plwnbing or drainage system in whole or in part" unless such pel"son is the
legal possessol" of a valid plwnber's license, except that a person rr.ay do
plumbing work to property which is owned, leased 01' operated by the appli-
cant.
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Electrical Permit
Whel"e State La1.J l"equil"es that the electPical work be done by an Ele~tl"ical
Contrectol", the electrical pOl"tion of this permit shall not be valid until
the label has been signed by the Electrical ~ontl"actol".
4H"'\Q.~ 'Q€Q.\\\i: ~\ '~Cl...u~Et:) U.::r\:~\S
t"c.Q~rr
-
Mechanical
Permit
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(\ }~~r~ ~'\~ A-X--
P l.a11 Exarmnel" ..........
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vate
I HAVE CAREFULLY EXAMINED the completed application fol" pel"mit, and do
hereby cel"tify that aLl information hereon is tl'"Ue and. cOl"rcct, and I
f'..lrther certify that any ar.d aU work performed shall be done in ac::or-
dance :.nth the Ordinances of the City of Springfield, and thz La:.Js of the
State of Oregon pertaining to the lJOrk described here-::n, and that NO OCCU-
PANCY will be rmde of any stru.ctura without p3rmission of the Building Di-
vision. I further certify that o'rlly contractors ar.d employees who are in
ca~pl-::ance with ORS 701.055 will be used on this project
~~.
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71:>/8
60?h~
&7....~/<-'- -;t.u~~ N,!.L
^--;;;',L,_, l2.~p--,
Signad ~(O ..L( %;) - ,J';$;:Ti ~'<:7. -' c?'J
Date