HomeMy WebLinkAboutPermit Building 1984-8-9
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.. RESIDENTIAL"
APPLI::A'I'IC:l/PERMIT
225 30rth 5th Street
Sp~r~fie!d, Oregon 97477
BuiLding Division
726-3753
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Dat~ of ~?plica~icn
,'L7-'is4
Zip:
7;lfo-(;sl(P
97 V 77
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Value <1/0,,&;:;0
Date:
~n:r:e:or8 '_ A~~es3 L~3C.J ~ircs
C.mera! \iJIl+t;A"~~'....ql<{""lC:-<L<j'6:. led) 0 L/<J~~Z <lh/ryS
Plumbing , h'8-(~i, /S.v. J1t 1-; 0 lC-
!'ltlcel""ical - ~ ,..
.'.f.,ehar:ice[
Carutl""..Ic~:m l.~"r
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Phone
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!: .,;. ~h. respcmoibiZi:!I of ths penm:: iJcld.u- eo Ilee =ha: aU inapectio'18 are r.rade at :h. proper :im., t,1o.at =en :ddrBBB ill r......:..,:..:
;ron. tM atreet. cn:/ thee the peJ"l'l'l'i: card is t.xated .=t the frent of the property. .
.~lJ,i.!di.~..g J'ilJi.~i.o:': C':J=ro1.:l1d ~_n ~LO._.,;~~ Buitdina ~:.t~ at aLl' timss. .
?..~oa'Vp.! Fon ;,':SP!C':':~lI R~~S!.:CALL 726-3769 (1' order) state your City ':6sig'7"..:Jted Job 1'fUr.".be1'~ Job adi.....C83~ till's of 'Z.~p4'c:-'Z.cn
1"3qut!sr;cd ct"'".a :J.,:en fiO" :JiLL ~""'::J ........ ~.~-.. - - ~ ~ Can'tractars or O!.."nS:'S 1tC."'IlS au:i phar:s 1U1..~cr. Requss~s rsceit:sd c4'ja1" 7 :OC ~
:.'iU N rrr:cie t~ aarr:4' Cc:" rSCjUlIs:s ::1G:a'; ai~tQ" ?:~q c::n rJi:~ b,Z mads tr.s ru:::t :..l::'rkin; da-:i. ".
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~e~~i...~d r~!~~~~~~'1
O Sl7~ I."1$prC::J:.': To be rrruis
e::.:'av.:t::.:m~ .;ut pM.cr e.: as:
13rms.
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af:n-
u? of
tr.l()~RSr.A!J ?:'l':.(9I,'1(;. EL2C":.'?IC.:!. ~
"~C,':',J:I;.";,U.: io De r.Ws beforll
wr.ic ::8 .:ouc:oed.
crzy
1---::::1-- ~~;G i .rou:.'D,1Tr~,;I: To b. !':aU
e::J aj":o1r :r8'l'lCn:as c:.l"S .z:C'Ct)at~d ar.d
f~s c:re erecr;~d~ but pr";"r :0
pourir.g c::ncre:';.
[J
!r.7~~G:?~rr.!D ?:'f.;:>C::"~,
DRA.f.'1;.t;Z: to bll r.n.;-B
Ur.g :rer.cr..s.
O Um:E.~.r~CC.q !'!.u.'.!3r::r; :~CEA,,'rC;':'.:
to be maCd p~l' ;.0 Ln3r.:::i.~t~on oj"
J1.oor -::,..8U,-<:tion or dizckil"..g.
. -
[J. . Msr .~,'l!J 3~':':.f: To bill' r.'J:ZCe pr-.:.a.,. to
w:aL':':::~n oll!oor iMt,;la:ion or
d4ck,,,,o
I~r.o;;" ?r:.!,;~~!.'''c. ~~~~f)!,~~!.. ~ .'.fF:c'!!-~
L.!:::J m':.J.!.: :10 :.10:,,0: ~" :-0 :,C COI.'IIr''!1:
w::::: L :;';C$.l ~r.3oec:iC7':s ;''':Vq ~eer.
mcCII :::r.d =??n-Je:i.
o F7.~E?!.':C~: .0:-;01':0 ~k:--:,.4' .'C~l"..c
2lf~_,"",i' ar.d before l"'=r"} ....epec-
; rp...t"!I..,r;: Nu~:!l. ret;"~~3::~d af'':~r
: C?prcu.:!. of r:7U€ia plt4r.'~i.r.IJ, oiI'!~c:ri-
CllZL 4 r.:ec;'4ni.:~l. Al: roofi1l:J
bl"!%c-;".g ~ chimn=!:Is~ ,t.:. f.T'..l'C !:Ie
corrroZoiI':ed. ::0 '.XIr=< ~. :0 os eC7S-
. cBc:l~ until ':1:ia iMC'ec:-icn ;..a.
. b~~ ntJd.: ant! C:P?r'Jved.
S~::R, :/.1:"'c:':),
?~()r :0 ~-'i,"-
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rcur 'City. lJeaigr.a.ted Jab Nwnbs.r !::J:
NSiJU,TTO.vIV/tPOR 9ARRI~R I.'.'S?=C7'!ON:
To be r:n.:ia after an ir.sul.::r;i.:m oT.a
required vapOr" l:a:!'!'"i.el"s a:r'1I in place
Cut cefore any Za;h~ gypBUr.l baard or
Iot7tZ covering is a:ppZi.ed~ and before
any iro3"..t.Za:icn ~s conceaLed.
r-J~nlSP!:C'J'I().'l: Xc es made
~ aj't2r al.~ Cr-,f'..lCILL i.s i.n plaCB~
but prior to c:ny tapi7VJ.
O MASONl?'!: Stael.
~ea:n:J~ grouting
aceozoA-CJtCe 1Ji:h
241S.
O ;;oODS'!'O~: After" instaLlation ia
o:;:rrp~at..a. ...
Wca~.:on~ bc7ui
Of" lJef"ticc ls in
U.B.C. Ssctian
o
CURE ~ AFPRCACP. AF.~N: AftQ:" lor.rls
are erecr;4d Out prior eo pouring
:cn--ret;z.
SID~..IAr.i( & 'RI'.'E:'..IA!: Fer all ccn.-
c:rete paving /J"'':thin serBct right-
o {-I.:<:.:I ~ to be ma:is af=~r a l! Uca-
vatir.g c~L8ta & ..-o~ ~rk & ~uD-
bass ma'teriat in pLa:s.
~ q (J '5 ,5 2.
I DE":O['i';'IO.~' OR .~:Qvr; 3::ILDIiiGS
=:J S~i~;/ SI1"")ll:" ct:;'?ec ::t ~op.rt":i Ii-roB
~ S(lpti~ tank y...,,?::i ar.d f";ZZad uith ;n~B: I
~ Pt.7u:t - :num ~-Vfl i'te:::s are c:;.~l.Qtcd
. ..1 ...... .""'-
ar~ when _emct~~~r. ~s compL;zte or s~.~~.
tw-B r.".DueC. c:n.i prcri3Bs cLs.:med up.
I Noai.la Hc.-r.es
=:J 310cking and S~t-~p
=:J Plumbi~ conn,.c=~ Bt:tJ8r and wa:.olr
---, Etectriccl Ccnr.ection - Btocking, aat-U?
-1 arrd pZwnbing eanr.ect.:ons nr...:.st :e appr~t;~:f.
befol'c Nlqu4s::'l".g l1l.sc:ricaL ir.s?l1c:io~
~ ACCBSSO~' 3uiz.=-::ng
:J Fi,1UL - 11ftcr ;~~r.IIS~ skirt-::l".g~ de:;;'JJ~
B~. are c~i,8-=.d.
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ALL ~l"~;ec: cor.di:~ns~ ~uc~ cs :he ~ns:aL!c:~~n of streBc =re~s, ~~~la:~n of :~
Nq"..t.ired rcm.d.:;cC?i."'..;,=tc. ~ :'lust :,e sati,s;'::ad :;CfOl"B :r.g 3UJr.=I::C FI:,'AL '::'cn :'11 r3(jUsse.:d.
::=J F1::",:, p!.\J.'.$r::G
=:J ?r:I:'!. :-.'S:.!J.A:I!C)'['
-~ E:Z:::,U:~L
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:'!:Ncr: fr'r.sn cc:npL.te __ P'rovidB
gates or mcvab~;z secticns thrcu.gh
P.(j.E.
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~"'AO a"T~.,r'IC" ~. -o'nal
:.;' <J .... ....... '. l r;. t ~ .
:. ~ec CM.ca l ~ an::: ,\fecnar:,"_c=,1.
-=:]
Suitdi"'4 :r.s~ec:";"" ~e bQ reaullor~ ~:':3r :h3 Final r!~bi1l:J
Ir.s?ec=::~n::J ;~O CBQn ,~d3 Cl"A cpprov~d.
'A':': :'!;'::P.C!.~$ I.ND Cl.!ANO!J:'S ,'{US':' 5E .~C:!SS:;r.~, .4.~.n's"J':~.~'': :0 3r ,'.~1CS ..~:' ::0 :::sr ':''J Ct':'! I ?='i3 ! of 2 I
I t
i Jcb Number: <;; I.f o:ri 32.-
! Zon.e: Q L . OcaupanCl/ Group: '\ -~
tLot Sq, Ftg, ~'1~<
; ~ of Lot C,verag~ ?. 3~
!.~ of Stories \
: TotaL Height ~,~
. ;'opography 0- \ ct~
lITEM
I
it.bin.
I
i Co.'Goe
I Carport
I ACCBS801'l/
Sq,FTG
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TOTAL VALUE
{val.UC}
S,D,C, 1,5 x
BuiZding Permit
State Surcha:rge
Total. Cha:::'gss
I ITEN .110, .
I .
I Fu:tW'es
I ResidentiaL (1 bath)
I Sanitary Sewer
I Wate1'
I
PlW7lbing Perrr.i t
State SWOCr.ll:l'g6
Total Chal'oes
I:lEN
NO. I FEE
I
\ I\~~
I
I
Res. So. fto.
lJeIJ/Exteru1 Circuits
Temporary Service
Ele~tr>ical Permit
I I
State SU1"~harqe
Total Chal'C6S
I I':'EM il(]. FEE
I
i .~ce ETU'S
,
I E;:haust HooJ.
I Vent Fen ~C'f>.VI. \ ~OO
I'" \'L'~RW ~~ 'I
W:>OdSt07J6
~\.\.'\,~\")~ ~~<<-
Penrri t Issuanca
Me::hanic:J.l Pernrit
State Surcharac
Totnl Charnp.n
I -- E,'/lCROACHJ.fE.^lT --
I SeC".ln tll Daoosi t
I Storage
l/faintertan.:!B
I permi t
Total ChaNcs
I Curbcu:
I sidew!k
I Pen~e
ELectrical Lobe! 1t 0 7l/ 'i('
Nobile Hame
I TOTAL AMOUNT DUE:"
FEE
WT TYPE
~nterior
Corner
panJuvui!e
Cui-de-sac
x
Value
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1....\ \.c.o I.
I CHARGE
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CHARGE
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Cl!ARCE
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Co1.~
Reference ~umbers:
t L-COC ,:
\J Bedrooms:
Enernu Souroes
I I Heat \.)(:')'\.
Access. I I f"atep Ypntp.p
I I Range
I I Fi T'ev lace
I r- WOod3tOt-~__.___
I
._-- --'1
Type;Cor:.st:
- \. 'C)V"\ ~
Setbacks
House Ca:raqe
I Lot Faces
I
I P,L.
Nopth
I~:~h fl."\'
West
_ f:iPe
\-'\}("\ \I \:){-\ \
..- Fees -..
Building Value & Permit
This ps1'm'i.t io gl'G.nted on the e:tppess condition that the said construction.
shall, in all respccts, conform to the Ordinance adopted by the City of
SpringfieZd, incZuding the Zoning Ordinance, regutating the construction
and use of buildings, and may be suspended or revoked. at c:ny time upon vio-
lation of any provisions of said Ordir~es.
,.
IPlan Check Fee: .ff;lo.O u
I Date Paid: 7-r::n -x <(
IR~cdpt #: 13 ~,Sz ~S-
I S<g>:ed: J!.f!...,
Plumbing Permit
No person shaZZ construct.. install, aUeT or change any ~ 01' existing
ptwnbing or drainage syste:n in ..,hole or in part.. ur.tsss such person is tr.s
legal possessor of a vaZid plumber's license, except that a person may do
plwnbing work to property which is OtJn.ed, leased or operated by the appli-
cant.
.
Electrical Permit
Where State La1JJ requires tr.at the electrical lJOrk be done by an Electrical
Contractor, the electrical portion of this permit shall r~t be valid. until
the label has been signed by the Electrical Contractor.
.
Mechanical
Permit
I.
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~\.'>\\J ~ )E.\...)\
l'l,(rn Exarmner
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I HAVE CAREFULLY EXAMINED ths completed application for permit, and do
hereby certify that all information hereon is true and COl'2"cct, and I
f'..l.rther certify that any ar.d aU work pe1'foP.1led shall be do:1e in ac::or-
dance 1Vith the Ordinances of the City of Springfield, and the: La:.Js of tha
State of Oregon pertaining to the work described herein, and that NO OCCU-
PANCY will. be mae of any structU1'a LJithout parmis3io:1 of the Building Di-
vision. I further certify that o:1ly contra~tors ar~ employees who are in
aompliance lJith ORS 701.055 will. be used on this project
[~LD~
Sign8d '
o Irt!
Date I