HomeMy WebLinkAboutPermit Building 1991-2-21
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COMEINATIONA11lrCATION/PERMIT
225 North 5th Street
Springfield, Oregon 97477
Building Division
726-3753
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.lob Loc.:ztian: /~~ A~""'~~c:::::. .-<~...
V' "-;C:Z-':"_'-'-~---'1:"T\t \
A..mora Ibp' I fJ D '3 d Q~ ~ T~ Lot I 0'6 Q UU
SlJxliviaion:
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Addzo...: /~t:!)~ ('?"'-.o//h./&YC ~ ~.' l?hon.:r~ ~~~ ~:>"
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City: ~l?P?D ~./'1>. Zip:
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DBacribs Work:
.n "Addhicn
I~I R~ol
.-:~'pp 17/4i~ ;;>-.~ ~Y.oS?
. .CY~77#C-:> ~t#-7 ~~~.
n ."1obi Is Hom;
Dat. of APpticaticn~?-9d1 'vatu.':2 8c::>c:>. -.;;:.
Contractors AaarBB3 L~sc.' E~trDB
C.".Mt"-::A-.lJL eie-/'JB~::.lf'A;-~fj'>?~.f~ ~~/.:a}. f-r~r;j75"~..
Ptumbing .
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Phone
t9~a!>.?Y
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Electrical
,'.fsckar.ic.:: t
Sunervisina'E~ectrician
It is ~M ""pDnoibiUty of ths pemt holder to se. that all. inop.ctiona are mads at ehs p~ time, t1:at each .:ddrGlJD is r.a.:4~!'
f""'" tho .tJ'..t. I21Id that .th. panrrit 0GJ'd i. !..>Gated at th. fl'01lt of tlul prop.J'ty.
.Sui!.di..'1g Diui:::ior: appr01:ed plan shatt rsmain on tJwJ Building SiCa at aU timGs.
PR()($DU,~E POR INSPECTrON RE"QUEST: catt126C37~9 "'""o,.,w.) .tat. YOW' city d..ignat.d job ......b.J'. Job aMN.., type of in.p.ctien
raquG8C4I'd ar.d w.....n !fa" ,^U b. ready fo'l' inspection, ContJoaotors OJ" a.m.r. name and pM'"' number. R4I'quceCs NC.i.Ued b.fcl'1I 1:00 a":'I
.>in be ntJd. the .am. d&.y. l'Squ..ta mad. aft... 7:00 em ",,;n b. ntJd. tlul """t ""'J'king d&.y.
R.~{\~-Jt T~;~~~M:~~
. 0: err! INSl'EC':'ION: To b. ma.&I. aft.,.
"CtW.:rtion, but pric.,. to lh,t up of
. fo,.... .
UNDERSLAB PWH1JING. ELECTRICAL &
HECHAlIICAL: To b" mad. bsfor6 any
work is .;lotlar<<l.
o
o
rooTINC f POUNDATICN: . To b. ntJd.
aftar tNnchaB arB azcauat.d and
forma a.r. .r.ctlld, but prior to
pouring ccnar.C,:.
U.YD'i:RCROU~D PWNrJINC, Sf:llEH. ~.lTE,~,
D,QAI/JAGE: To bB trr:Ulfil prior to fil...
~ ir.g tranch.s.
o
D
UIIDE.~PWOR PWI.$ING ~ /.IEC!lAIIICAL:
To bs mad. p~r to inata'Latton of
fLoor insulation or dBCking.
D POST AND BEAM: To b. ntJd. P"':"J' to
instaLl.::hcn of floor insulation or
decking.
O '1PJ.'<iR PUr.,'RI!!G. f[.eCTIJ.!CA' A MECN-
ANICAL: No :JOl'1c is to bc cOl1erea
ur.cit thOB. inspec:ionB have been
t7kJIis and"appl"Ouad. .
O PI.~EPUCE: . Prior to ptaoir.g facing
mc:tanals and b.~for.. framing inspec-
t1.Or.. : " .
1\71 PRAI!INC: Hurlt b. r.qu..ted af~.J'
~ approNt of rough ptwr.bing. ot.ctri-
cat & macho.ni.:Gt. At! roofing
bracing ~ Oh~Y8, et.:. nr"urt b6
compLetod. No work is to be con-.
cflcled'untit thiD inspe"ticn has
. been mad4 am! approved.
lOW' City D"iiI=ted Job Numb... Ie:
. ...... .~-....
O INSULATION/VAPOR BARRIER L'l:'~~:.'(...'~lUl':
To be made aftsr all. inBul..:1ti"n a."'Id
requi.red T1CZpOJ" I;arzoiers aJ"e in p lac.
but before any lath, gypsum board or
wU covering i. appli.d, and before
any. inoulatwn is ccmc6aZed.
O DRYWALL IllSPECTION: To be rrt1de
after all dryuIZZ is in place,
but prioJ' to GTlY taping.
O HASONRY: St.d to.."t1tion, boiuI
. b~ama, grou~ing or verticals in
aacordancs ~th U.B.C. Section
2415.
O WOODSTO'If:: After installation is
ccmpl.et€d.. .
O CURB & APPROACH AP.~N: After forms
. are tJreatsd but prior to pouring
~~retfl.
O SIDEflALK & DRIVEJlAI: For aU con-
crete paving within stretJt ~ght-
of.-wc.y, to bo mads aftllr aU uca..
voting ccrrrpZste I form L.1Ol"k & sub-
base material in place.
O . fENCE: l'her. compwte n Provid.
gates 01" movable sections through
P.U.I:.
o
9/..:::'~"7
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I DEJ.fOZ-ITIO!l OR .'=Ol'!" 3iJIr.:::ICS
:J Sani~ SfZU"Z' cC?PtlC ::t p:.oP~:ot"i Ur.e
~ S"pt~ tank p-.omp.:d tr."'...! ~;t:lJd :.lith ;ra:Jdt
] final.. .Int.n aDoVII iti!.~8 are c:;r.rpleted .
ar.d whlln demcUtior. i, cor.J?lllt. 01" struc-
tur8 moved ar.a prcrri.3.. ci.lIans:! up.
I Nobi Le Hemes
:J B!..>Gking I21Id s.t-"P
:J Plumbing connections ... 8~er ~ wa:Sl"
:J Eleotriccl Ccnn8otion - BLockir4, set-up
and pLumbing conr.scticns n:"":3t .:. a??J"OVIlO
before requssting sl"J:l'icaL ir.spoc:ion
. :J AOCSOGOP:i Bui:df.~
] F~L - I1ft::l" .?Ol"Cf:8S, sk:rti"f!, decks,
etC. are aarrp:.~tta.
o
AU projeot conditions, such as tM inetallatioll 0; B:N.t tr.eB, ccmpl.Jti"n at :it#
roqui,.,d Landscapi,..g, Gto., must bs sa.tisfiod bofors tJ-.. BUILDI.-:C FI.7AL .:an ;e zolqu.sud.
~PI/lAL PW/(fJINC'
D. PINAL ~IIANICAL
o PINAL'EU;CT.~ICAL
o
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FINAL BUILDINC,. The FinaL Building Inspdotion must bo rllqUflotll:J a.ftezo :~. Final ?lumbing
EZBctrical, and MechanicaL Inspectiono haUD been mad. and approu.d. .
.AU IIANHCLES AND CU;ANClITS IruST BE ACCESSIBLE, AD./USTIIE,NT To BE H.4DE 'AT NO COST TO CI~Y I P;,. of:
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1.1 ob Numb~~:
I Zone:
ILot Sq. Ftg.
,~ ~f lot C~"erage
H of Stcri..
Total H.ight
jTOpography
I
lITEM
I Main
I Caraae
I Caroo~t
IAcce~80rll
I
I
OCcupancy c.
LOT TYPE
Interior
COl'7Jer
Panhandl.
Cul-de-sao
S~.FTG
TOTAC VAWE
Is.D.c.
eva'uc}
1.5., . .
Building P8l'mit
State SuPcharge
Total Charg..
lITEM
I Fixturos
IR..idential (1 bath)
I Sanitary Sewer
I Watp.;.
NO.
FEE
.... ,
~]) Ji<ref' II1!fN'(S)
Plwnbing P.rrr.i t
State Surc1-.a.rgs
Totat Charaos
iITEftl
I Res. Sa. ftfT.
I NOLJ/Extsnd Circui ts
I Temporary Servioe
I
NO.
FEE
I"
Elo~tl'ical Permit
State SurcharGe
Total Char(;68
IITON
I Furnace l!TU'S
I E::haus t Hood
.. ,
NO.
Vent Fan
W.7odstove
Permit I3suanoa
Me~hanic:J.l Permi t
Stato Surcharae
Total CharaeD
-- t'NCROACHMENT --
I SOC""Iritlf D2PDsit
I Stcl'ogo
I/taintenanoo
I pcrmit
Total ChaMtlS
I Curbcut
ISidew.,lk
I Fen~(J
I Electrical Label
'.Mobi lo Home
I
I
I TOTAC AMOUNT DUE:'
..- Faes
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'.2500~':
N/A I.
,
::s ~ ,",0 I
Inl
Af) 4.31,,- _
7[/, .
I
x
Value
CHARGE
/~f~O
.1~
15.75
CHARGE .
FEE
CIIARCE
5'~ I ~
Refcl'er.ae Numbers:
C-coc H:
I [,at Face. -
I
I P.C.
North
East
South
I/{est
Type/Cor.st: .. Bedrooms:
. Ener!{1I Source8
Heat
Access. Watel' Yp.ntp.r
Rangs
Fil'eDlace
Wood3tove
Tune
Setbacks
House Garage
I,
Building'Value &
Permit
This permit is granted on the uprsss condition that the said construotion.
shatl, in all respects, oonform to the Ordinance adopted by the City of
Springfield, including the Zoning Ordinance, regulating tho oonstruction
and UDB of buildings, and M:1.y bs suspended or revoked at cny time upon vio-
lation of any pr.7visions of said Ordinances.
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Ipl.an Check Fee:?_~, ~ i:?
Date Pai.d: 2-7-4/
. IR.odpt H: L?"2.// ~
. ISigned: /' i,... . :-.'_~
,r/.., _h_ ,_. ._
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p'lumbing Permit
No person shall. construct, install.. atter or change any ~ or existing
pt~ing or drainago systen in 'lJhols"or in part.. unless such person is the
legat possessor of a valid plwnber'8 '1,.icense.. pcept that a person may do
ptumbing work to property which is owned.. leas-ed or operated by tho appti-
'cant.
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Electrical Permit
Where State Law requires that the alectrical work be done by an Electrical
Controotor.. the electmal portion of this permit shall not be valid until
the label has baen Digned by ths Electrical Contractor. .
Mechanical Permit
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P~Ie<'nmx-
U(n~/1,5/7 J
I HAVE CAREFUCCY eXAMINED the campl.ted application for p.rmit, and do
hereby certify that all information hereon is true and correct.. and I
furthe'l' csrtify that any ar.d all work performed shall be done in accor-,
OOnoo IJith the Ordinances of the City of SpM.ngfiotd.. and the La:Js of thG
-4 State of Oregon pertaining to the work d08cribod herein, and that NO OCCU-
PANCY will be mde of any structura without po-mission of ths Building Di-
vision. I further certify that o~Zy contracto'l'S and ~loyee8 who arB in
compliancs with ORS 701.055 will be used on this project
C(k.Q ~~
Signed
o:tob. '21, I"OL
Oat.