HomeMy WebLinkAboutPermit Building 1989-6-5 (2)
.. RESIDEpT L"
SPRINGFIELD
APPLICATI T
225 North 5th Street
Springfield, Oregon 97477
Building Division
726-3753
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Job Location:
SubdiviBion:
CUrIel':
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_City: Sp\='\d.
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n Additicn
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Date of Applicaticll
1ont.racr.ors
General
5-\0.-89
Acldrps~
Val". 03,000"'::':.
Lise. II 'Illdes Ilounl
S -z.. "l"l/o
Plumb ing
-Hechanical
-El.~cl:ric"l
G,,:>v,-, ko\..Jo\-O
i:)",,- Le-.u \ S.
\-!,::)Y'-' e...., ~ Sov,
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Ta Lot H()(R03
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PI;",,": 14b-3b~L
zip: 9,4ft
DeDcl-iba rl'ol'l~:
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Signed:
Data:
/tIjJ-
i /J "S ~(.f.(o,
j
Re'!.
EXPires
3-b-"IO
Pbonn
'''1-1,- 36 t.L.-
C.e,5- \9:' \
141,-'11,'"7,
_supervi_~ing c.lectr.icLIrI
H \'6 :he rooponoibdity of the permit holder to soo that aLL inopcctions aro r.tada at tho proper timc, tJ;at eaoh =ddrU8 is raa=a,;:o.?
from the utreut, an.:/ that the pCl'lrnt oard iB txatud at the front of tho propel'ty.
.t!Jui!di!1lJ Divido.': IlPPt'or..'cd FZa'l s}u:.lZ pemain on tile [Ju~ZcU"g Sit:: at an times.
'p.70CEDUP.E FOn INSPECTION REpUEST:CALL 726-3769 (l'Ccol'd~r) Dtatu yOtH' City designated job nwr.bol'" job address, typo 01 in3poc~iC"1
requested a.-:d W.':<Jfl you win be ready for inspection.. COlltract01'8 or G\Jnera ncmo and phone number. Requests l'ecoived bslol's 7:00 C':1
;.'i.L~ bo made t}IC /Jamo clay, requests made after 7:00 ern LJin b:! made tho nc.:rt :.J01'king daY'1) 4n<
Your City Daaig"at.d Job Number Ia: ("')q () r)S
.JlNJlli.,.,.rI, Tn~:r.lf'(.t':r.rr"1
O SITE INSN:r::,"JQN: To be nude alter
c.:rcavation.. ,;ut pr'icl' tc set up of
forms,
O UNDtRSLAB PLL','.ffl!Nr;, ELECTRIC,t! &
NECHA,VICAL: To be foods befol'.? any
work is ~overed.
I"'J/FOOTINC J FOU.VD;ITICII; To be ""c.
L::::J alter tr'om:h;::J aru e.:rcavatcd and
forme arc erected, but prim' to
pouring cencz'ct,;.
JAF!bSRCROU,~ID P,~U"!!!INC.' S.r;:I/F:R. lI.iTER,
.LJ DHAINAGf.': ~'O be loo.:1e pJ'ioJ' to fi l-
lir.l) trlIne}ulc.
~NDERF'LOOR PLU/..'lJr,'/c ,~ MEC!lANICAL:
..LJ T~ ba made priol' to i,z:;tallation of
j100r in8ulction or decking.
~sr AND BEI.,.,: To be made prior to
-=:::::J i~stallaticll of flool' in:Jl;lation 01'
dccki11{;.
---,~r;1I !'r,W!Rl1!!!.J.-El:f:r:r..{r!C/l!.. .~ MF-ClI;:..
~ AN/CAt.: No wor'k. i:.r '0 be <:or..'cz'cd
ur.til t}tc:Je ill:Jpc(.'~io1::J h.1VC beer.
madc a,td approve:!.
~ FIREP~ACE: Prior to plccir.l) facing
.-J mc.tor'ial8 and befol';! fr'wning inDpec~
tior..
~RA}!INr.: Mud; bc r'cqucDted after
...LJ ~pprov.J:l of l'ouiJh pZwr.billfJ, alectri-
cal & mech.:.mi.::al. Al! roofi7llJ
bracina t chimncyo, et~. ~~st be
;comptetcd, no ~rk 1.0 to be aon-
. coaled untiZ t;}1'~a in:rpcction has
. been ma.d~ ane appl'or..'cd.
r-JANsur,/1TTON/VA/.l()R HARRIER INSPECTION..'
~ To be made after atl in8uZati~n a~
. rcqu:'l'ed vapor barriers are in plaoe
but boforo any 'Lath, gypswn board or
wall ~~verina is applied~ and bofo~B
any inaulatio'l itJ conceated.
~rIlM,r, INSprCTION: Te ba ""da
l:::::J ~ftcr' all dr'ywall io in place"
but prior to any tapina.
o
location" bond
or uel'ticalo in
U. 8. C. Section
'D<WOLITION OR i.IOVED BDILOIIIGS
~ Sani~QJ1Y BBUel' oappod ~t P:.OPC1"tli Zir:o
=:J S.pti~ tank pwnp.d. and jHlDd uith ora",l
] Final - rlhon abol1e items are completed
ar:d uhen demolition is o~npZote or DtMI~~
turo moued and p1"cmi8eB ol8aned up.
J./obi Zo 1/emBo
=:J B~ooking and Set-~p
=:J PlumbinJ connect~onB .- Bowor and Wa~Br
---, Eleotrioal Connootion - 8tocking, oo:-u?
.-J and pltunbing connoct1.ons trr..lBt to appro.:ed
bolorc l'oquesting Bloo~rical inepoc:io~
=:J AO.:Jos80ru I1ui lding
] Fin::zl - AftlJf' porcJ:es~ skirting,
etc. aro OOT/pleted.
decks,
MASONRY: Staet
beron:J, groll :1-lIg
acaordarwo wi t}l
2415.
o
1I00DSTO'lF.:
ccmplutcd.
Aftcl' inotaUation io
o
:AU PZ'oJ'cct c!ondition:r, :mc!: ao the i.lIstaZlat~on of o:roet erDos, co:-:rpZation of tne' ,
required lam!:Jcc:pil:g, etc., must be eatisfied before the BUILDING FINA4 can !Jo rzquoDt:rd,
~INAL BUIWTNC.. 1'},,, I'inal Bui/ding Inapeation nn,.t bo roqueatod a,rtor tl.a ;inal Plwnbin3
<() ~lcctr'i~at, mil.! J./aaJulr:icaZ Inspcctiono hauo bOQ" mado and appl'o1J2d.
~IIIAL PLUI-:B/I!C
0FIIIAL I-IE~IIA,'IlCM,
~AL EUCTBJCI.L
~D .( APPROACl1 APRON.' Aftc,,;, forma
b::::J ;.~ are::tcd but proiol' to pouring
.::on"1'ote.
r/(~~;f/Af'K ,( DRIt'f.'f.JI.Y: F'or 'aU ~on-
~ Cl'ete PCWiTI!J uithin stl'oct riaht-
of-LJeY, to be made after aU e:rca-
vating conplete & fOrr:! wrk & cub~
baDc l1Xltoria~ in pln~e.
o
[RJ ~+-ks
;ENCR: f"fJIOr. complGtc -- Provide
!Juto~ at' movabZc oaotione thl'ough
P.U.E..
'M.L NANflCLES AND CLI-.'AIICU'!'S 1111,','1' 81: ACCESSIBLF., ADJUST!fE.'NT TO BE.' 'HOE AT NO COST TO CITY I PO,l. of ~
!o
I JOU NoJ:101?5 S"CCESS .REQ.-
Zona: Occu nc Craun:
Lot Sq. Ft.. ~<=\.\ 1...\
~ or lot C.:JVeragc ~(z..
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L-COCt
.f of StorieD
TotaL Hoight
Topography
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I TU:II
k~l
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195? I
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MaLn
Gr.J'tfl';(!
I Carncrt
I Accr,3!10rlJ
Is. D.C.
TOTAr; VAWe
(vaLue)
1. S '" '
Bu.ilding Permit
.sea tll Surcharge
Totc.l CharglllJ
l^,o.me
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IITEII
"...turou ~ \C)~
/RooidentiaL 11_bath)
I Sanit,1ry SmJor
I Water'
10 . _ _
~\(""~."":'\~
PLumbing Porrr.i t
Stats Surc1-.arge
TotaL 1:1!!7.i:no.
I In''''
I Rp.!I. S". rtn.
I NarJ/ExtBnd Ci.rcuits
I Temporary ServicB
I
I NO. ;
I I
" I
I I
El6~trioal Permit
Stato Surcharae
TotaZ Charcoo
I IT~/of
I Furn.lcn !!TV'S
Exhauo t Hood
Vent Fan
I Woodntovo
P8rmit I8suanoe
I
I Curbcu~?B
!Sid01JaLk \.Cnl"fua\().:. ..\~'\..."
To ea 1. Cha1"!1CJs
I fcn:!n
ELectrical Labor/(D~~~
/ofobih H"",o I t.f1 1=3 P:> ~
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1'2.0.00 I
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I 7\ o~ I "-- . C.
1\ \ ~j:~8 I ' - ~ ~ ~ O\"J>-..l" '-\-
I~~A./I~ I Electrica I Perm it
/!l.'2 ., ""'"'~ I
I\~.C>~ I
I I
I~~.'SCJI
I '2. . (03 I
I S:=). ~ I.
I
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Interior .: .
/'cornsr.......:
PanhandLo
CuL-de-iJ~C
x
n'E
I CI/ARCe
(o.('()
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( (") .C"C\
I
I p.r;.
INorth
Ir.ant
Isou th
Ilient
T;'PiJ/Cor.nt:
V\
Sathnckn I I
lIlOUGp. ~~ It:cC(!,'l!!. : :
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I~'-\ II
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n~droor.:~: ~
ElI~rnlJ SoaJ'r=cn
!leat l::\or-:;::--
Watm' !/r.otfl'f.::\J? (' \"
Rallgt? (..:..\. I) C-=\'
Fircnlnr:.? \" "\\ ~
Wood;; to(;,q \. '\ \ l'\...
Ti/('(1
Farm
Building Value
&
Permit
TIJia I'r.,.",it in (franted 011 t11/1 nxpr(Jon aOMit-ion Lila/. tilt; /I,lid COI1f:t./"UcU,
(lilaH, in all. l"t1l1l'cct::, confor,", to the O/yil:ll,lI;f.'t1 :trlopr.,'.! h!! dlt'! City of
Sprill(7finld. il1C!ud~"a the ~Ollin!7 Cf'd~Il""r:I:. 1'r.:ll1l(:Li.'l~J tll,J cCIl::tr:l.:tLClI
mId Iloa of lJlIildittgfi. and m:;!! luJ flIwpclldod 01' rC1Jokcc (,:L (;':y t~",~ /./j'0/; U
lotioll of ally l'r.:Jvi.1i01:n of naid 'Ordi/:.t2l1c(!r..
I Plnn Check Fer.: "I) /I .6L'\
I Cotc Pa,d: ;:So N. (:;'1
/,lec:ipt.II;/7 f,::,clflfi
I SiP"'l'i2:J,:[).tJ ~)
Plumbing Permit
No parcon ohnll COllntJ'uct, inotaL!., altar OJ' eha/lac t:11!l neW Cl' c=i.atiIlQ
plumbina or drainage (Iynia.:lI ill ;.Jhola aT' i'l part, w:Lc"r, [wail pCJ'r.OIl is tl:
leaal ponocsnOl' of a lJaUd plwnbar't; liccn:;c, cxcapt U:Gt a 1'1':;-0:;011 ma~1 do
pLwnbill!l work to IJJ'opr!l'f;y .IJhich ill owncd, Lca:::r.d or OpCl'atcc! bU tJ:~ c;.ppLi
cant.
',:
-
W]Ul1'O 5tata (,alJ rcquil'f!n that tho clr.ctrical Iol(,)I'K be dona by 01/ Elc:::tricQ,
Contractor, the electrical Fortion of :)lt3 rCI'rn~.t :;JIL1LL root be uaLic! IIfILi.;
tho laba l Jmo bean Oia1T~d by the ELee trica L ;'011 trGO tor.
Mechanical
Perm&t
.\ ~.'1'~
Ptnn-t;xamLIlr.,'
)
, " \. },'-.~ ~
(t,;'1~\ -IT\
I 1/A VE CAREFULGr EXAMINED tho completed application for p"rmi t, and do
Jloreby certify that aLl i..--:formatiol1 hOl'ooll iG truR and corrcce, and I
furtlu;ro certify that any ar.d an work perfol':1led aJlIll! bQ d0:111 in cecor.
I danc6 with the OI'dill;mcea of thG City of Spri110ficLd, an..1. eh: La-.Ja of tho
.4 State of 01"00"11 !,srtaillill!1 to tho work describcd hGr6~'I, elld tJVlt NO oce!}.
PANel will be tTU.1e of ally otructlO'.g witho:.lt p3rmi,a;Ji.o.'1 of tho Suildi,l1(1 Oi.
lIi,aion. I furthnr certify that o:1ly contl'actOl'3 a;~d c71pl.:Jyot>o who are in
ccr.rptianca with ens 701.05t witt be u8ed on this proJ'sct
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