HomeMy WebLinkAboutPermit Miscellaneous 1982-8-3
.. RESI~NT~AL"
COMBINATION APPLICATION/PKP.MIT
225 North 5th Street
SpringfieZd. Oregon 97477
Building Division
726-J75J
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~n.JOC1'~ - Zip: 9)),/7'7-
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ASQssoor.s Map
Subdivisi.on:
CC:.mGr:
Addrss3:
City:
Q,~,
n Additicn
nRerno.:!.L
n ,'.!obila Yarra
Tc: [,ot #
DfUlaM.b. Work:
r~~
r;'-/~ - ~.0
Da/;a of AppLicatic>t
:,:ont:rac'tors
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Jn~l\1-
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GanaraL
PLumbing
E1.ectricaL
,',Jo:har.ic.:L
Construction l.1t1IIUno
vaLCP;r; ?[1/)()
~ p,~~" ;.~ Y1:rt.
Addrllss
/5. ()()
6'60
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)5.60
Si.qr.ad:
Date:
fBk -l"9 -x tf).
Lise.'
EroircB
Phone
l~t'_:
It is :hs rsspono1..lri.1.i.ty of tlw pGl'm'it hcldsr to 8.. :hat aLl. inapaatWns azoll r.Iads at :hs pro;;ar time, t1-.at ccch :ddr880 i.s r.a:!a.;~oil
from tM str..t, and that" tJuJ pG7T1fi.t card is l..:Jcated at t:JuJ front of tho praputy.
tSui?d.i.ng !Xvi.cior: approvsd Flan shalZ ztCft%'in on t;,. Building Sit:z at aLl t1.mss.
P~tmE POR IlISPECTrON REQUEST: Caz.t.11 CrccordJut} stat. your Ci.ty a.signatsd job 1'fUlr.bIl1', job ati.drcS8, typa of in.:tpacticn
reque.tstt a1".a w.io",," you 1Jf,~f bll ready fOl" inspect-.:m.~ Contractol"8 Ol" Q.mar" ncm6' cru:i. phana number. RSquB.CB r6'c6'io:Gd b6'fcre 7;00 a::'f
'. .'iH !HI ntzdII the """'. ~. l'8qlUBtB mcda aft=- 7:00 "" LliH ba ntzdII tho = ""rkin;; ~.
~iIf,,,ui ,,=...t., T...I"''''~'1IO
. 0: srrs INSPEC':'IO,Y; To b" fIadtI aftno
cccaua~ but pM.or to .1It up of
fo......
'0 1JNDF:FISLA8 FWHBING. ELEt:TRICAL &
. MECHA.'JICAl.: To b. matU o.tor. any
work is ..:ovarcd.
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FOOTING' ~ FOUNDATION: To ba ntzdII
attar trenches are ccauatlld and
forma arll ereot.d, but prier to
pouring CCM'l"et.:.
UND::RG.'f1OU,I,'D PtlJMSlNC\ SE:fIER. !'liTE:'?,
D.~IflAGE: To be rrrz:U prt.C'l" to fi,/,..
L i,.".g tl"fmCMS.
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UNDE!!FWOR PLW.'BING d .~fE~ANICAL:
To "e .mda pnor to in3taL.Z4t1.Ol'l of
{t.001' il'l8ULarion or tUcking.
POST' AND BEAN: To be rr.atU pri.oro to
inataLl..::t1.C1l of floor i1tBUZarior. or
dacki.1Vj.
.~Ilq1f PUr.~'lI"J.ti.. ~EC1'RTC,t!:, ~ ,\fEeH..
ARICAL: No :JOr1c is to oc COL'n-ea
w:'ti 1. thes. inspec:--:.c,..s have beer.
ntzdII and apJ'l'OV.c. '
FI!'.sFLACE: Frier to pZ=ir.g fccin(J
mctert.aLs and before j'rarrting il'lspsc--
tior..
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PRANfllC: Mu3t be rIICWlt1tsd aftU'
approvaL of rough plWr.bing, BLecm-
c:aL 4 :1'I.,chani.:uzL. AlZ roOfing
bracing ~ chimrtcys, 8t..:. nr..:st :'8
camp Leted. No wl"k is to b8 con-
c8cLlId until thio ins08Cticn has
b881'1 ~ cmd approv.Ki.
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O IllSULATION/V/jp('J~ BARRIER .msP~C'1'IOlV: - DEUO::.ITIO!l OR .'o1Ot7' 3UIr.::.1GS
To b. ~ aftD" aLL iNNL.::t"-::m ana:
~..Hd vapO'l" b~ aN in plac8
I:z<t bafera any Lath. fl1Ipl1U1ll board or
wz.z. cove-ing is appt.i..d. a:1'ftI bafore
any inauLation is ccm.c:sal4d.
Y_ City Dari.grrt:tad .lob NumbIZl' Ia:
O DR'!WALL IIISFECT~N: Te ba ntzdII
aft8%" aLL dryt.laLL is in place,
I:z<t prior to any taping.
O HASlJNRY: St8d L........~.,., bond
. b8Cml3, grou:i"'] or VlI"l"ticata in
(L.._...:.,...,. tJith U.B.C. Section
2415.
~ ;/(JOOSTOn, AftlZl' instaLLation ia
l,l5J ccmpL8ud.
O CUHB of Al'PF?()ACH AP.f?O": Attar forms
.::re er8ct4d but pl"":.or to pouring
..:on..."T6U.
O SIDE',{ALK d :JRrIKWAY: For aU can-
~t8 paving fJithin strest M.ght-
of-wc.y~ to be mads att.,. aLl. ezca..
va'ting cc::mpwt. d f'()"f"::t r.mok cf ~-
bas. nct8:r'iaL in ;;La.:::e.
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t'ENCE: ~Qn oompL.i:t4 -- Provi.t!.s
ga;;; or :TfOt1ab lQ' sections through
F,U.E,
)
:J Sani.~ SGJn' ~ar:pei =t ~&:"t:"i Zir."
::J S8pti.:: tan1c F"..;mpcd a:-..: fi.'L'Z.d :;ith ;rcr:;aL
:J FinaL.. JIMn c.D:;ve it:~a artl ccr.rpLQ'tBd .
ar~ when dGmC!ition is c~L.tQ or struc-
turtl mD1J8d ar.d prcri.3n ~Z.4CD1C up.
'MobiL4 Heme.
=:J Blocking and S8t-~?
=:J Plumbing conn4Ctians -- st:.J81" art! :..ta:8r
--, EZcotric~~ CC7'ln.ct~ - 8locki~4 ~ S8t-UP.
---.J and plUIftD1.11g .;om:.ct-:.al'lS ~":3t :8 f:l??zoovaa
boforc requssting 8L4.::ricci. ::r.sp8c-:io:-:
:J Ac~..sOZ'!,' Bui.:din:
:J Fin:.zL - Aft~r.?:;rc.1:GS, sk:::rti"f. dscks,
eeo. are ccmp~Jt~a.
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All. projeat cortdi-:i.ons. such as tM ins:a:LUrt'::ol'l of Str'88t =rUB, c~LJ=i..:m of ;iuz
rsquired l4w:isc:::pi.1-.g, etc. ~ nrust 08 satisfiad betore :Jo.s 3lJIUI.-:a FI.:'AL ~ =_ r3quast3d.
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o FINAL FLlIMBIRC
o fINAL llECHANICAL
.0 FI.VAL ELECTRICAL
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FIN.a BUILDINC: 'n:a FinaL Building !l'lBp8crion ~t bo l"equaot8::! af":lll" :i-.s FinaL ?!wr.bin;
nac't1"'ical, and .'!echar.i.caL Inspacticno kavo b881t mads and approvsd.
.ALL UANHOLES AND CLEAIlOlJTS UUST BE ACCESSIBl.E, ADJUsr.fENT :0 3E MADE '/:1 NO cas; TO ';I'!! I F::';1l of.c
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NO. FEE I
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'I) IJ/5.M)
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j.rOb Number: ~:2 / I J 7
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1 Zona:
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i[,ot Sq, Ft;g.
! ~, ;;[ Zat C3Veragc
! #' of Storiee
I
! TotaL Haight
;lopography
IITEII
"Main
ecra.ae
i
I Caroort
I Acces80l'11
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IS,D.C.
S~.FTG
TOTAL VALUE
fVCt.UCJ
1.5 :r
BuiLding Parrrrit
State suroharge
Total. Cha.~ea
I ITEM NO,
1,'Firturss
I ReaidentiaL (J bath)
Sanit::n-y SfllJ6ZO
Wat:.,.
I
Plumbing Parrrri t
State Surd".a.rge
Total CharaBs
iITEI!
Rlls. Sa. '1;a.
_NEJJiE:rJ;B1!d...ci.rauioZP
I Temporary SS1*'IJiCB
I
I
Els:::mcal. PtU'm'it
S'tats Suraharqs
Total. Chmo~BS
lITEM
IF'urn.::ce !!TU'S
I E:::haust Hood
I: Vent Fan
IWoodstoV8
Permit I38ua:nca
Me:::hanic::Z Permit
State SUrcharae
'1'rrto! Charop.lJ
-- ENCROACHIlENT --
IS6~~t~ DeDOsit
I. Storage
l}!,fain't~e
Permit
Tetal Charoc8
Cul'bC"..4.:-
SidewaLk
I Pen:.::e
I ElectricaL Labat
I.l>fobils Homs
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"TOTAL AMOUNT DUE:-
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Occmpancy Gl'OU_17:
LOT TYPE
Interior
Corner
PanhandLe
Cul-de-sac
x
Value
FEE
CRARGE
I NO. I
FEE
CHARGE
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CIIARCE
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c.1J /1 ~I 6()
Pago 2
--_....-....-,-
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Referer:ce Numbers:
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L-COG #,.
Type/Cor.at:
Bedrooms:
I I Enel'au Sources
I I ,ijeat
I I Watel'" _l!f!'.n1;/?l"
I I Range
I I Firep7Ace
I I Wo0d3tove
II
" Tu-oe
I [,ot Faoes -
I Setback11
I P.L. House Caraqe Access.
INorth
lEast
ISouth
jWest
..- Fees
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Building Value &
Permit
This pel'mit io granted on the express condition that the said construotion'
shatl, in all respeots, conform to the Ordinance adopted by the City of
Springfield, incZuding the ZOning Ordinance, regul.ating the construction
and use of buiUings, and may be suspB7'tlied or revoked at cny t"'.:.me upon vio-
lation of any provisions of said Ordinances.
IPlan Check Fee:
I Date Paid:
I Recdpt #:
I Signed:
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Plumbing
Permit
No person ehazt construct, install, alter or change any n8Zl1 or msting
p1.umbing or drainage syste:rr in 'whole or in part, unless such person is ths
legal. possessor of a valid pl.umber's license, e:J:Cept that a person may do
pLumbing wrk to property which is ownsd, Laaaed or operated by tho appLi-
'cant. .
Elect.Lis.e1 Permi t
I Where Stats La14 requirs8 tr.at the eleotrical work be dons by an El.llctrical
--Can-tmotoJ'r-tft9 f11D""bt-r".fl.aL_par.tian_af_this_permi,.t shaU r..ot bs va_lid until.
I tho LabeL hae bean signed by tho ElecmcaL Con~r. - ", . ,- ,
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Mechanical Permit
Pl.an E:r:aminer
va."
I HAVE CAREFULLY EXANINED the oompleted appL.ication for permit, and do
hereby certify that aU information hereon is trus and oorrcct, and I
".aoty..er certify that any ar.d azt lJOl'k pSl'formed shaH be done in acaol'-
dance :.>i.th the Ordinances of tho City of SpringfieLd, and th. L=e of tha
.. Stats of OregQn psrtaining to ths work described herein, c:nd that NO OCCU-
PANCY !.Jill be nude at any structure IJithout permission of the Building Di-
vision. I fwother oertify that o:tly contractors ar.d e:npz.:..,yees lJh9 are in
ct:mpl.iance lJith ORS 701.055 wiU be used on this project
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~ ;AI ~O(f'C"+
,,~.:&" "(1 ~
Signed V
:5
J~ ~
ill"CJ.'
Date '\I