HomeMy WebLinkAboutPermit Building 1983-11-10 (3)
.
.. RESIDENTIAL..
APPLICATION/PERMIT
225 North 5th Street
Springfield, Oregon 97477
Building Division
726-3753
Job !.oc~:ian:~~5 J1J~
Asaeeoa.. ,~ap N \ ~ a~ ~Cc \ \
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Cioy: ~J2IA::C,Pit'3tA/
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SPRINGFlE1.C
Tc:: Lot N "'u ~()()
Phone:
Up: Q7V77
Dsscribe L'ol'k:
Add:i. ticn
~~~
Remodol
,'!oo-i.1.g .9om3
Ie /u /If~
Date of A?pticaticl"I
:':on:l'a.c::ors
Gen4ral 1f17/Mb-VoeA:::. (lLlIVST
Value
d\ [)()() Q3 j::.
Add..-es3
Pl.wnbing
1:lectri.cal 1//0[/ ~' eO, &_~, ('.p~,
,'.fe::har.1.c~l
Const,,"cn:m L=i.. , MN r; f1.o, I-fn/j c; /IU~ ,;WJ71-ftJ2./T Y
.
.=?cce::;t ,ii
/o)qy::;-
:::,
S-iqr.ed:
(I-'A1~
ii-//} "*-5
Date:
Li3C.#
E;a;il'es
Phon€)
I~ i4 ~M resFonoibiHey of ehs permit hoLdeu- to Bee that aZZ inDpections are r.tade at the propel' tim~~ that ~h .:ddress is l'ea.::a.~:s._
from eluJ strefil't. and that the pcrnri.t card is i..xated at ths fl'Ont of the pr<perty.
"Eui!dir.g ::H.uido~ approved plan s;..aZZ l'er.ta~n on the Bu.-:.tding $it:;. at aZ"; timss.
P.'?OC~D(Jp.e FOl? I,'lSPECTI()f/ R~OlJEST;CALL 726-3769 (recorder) state your City desigr.ated ".;ob nur.:bel'3 job adizoess3 type of in3pe::~icn
z-aquested ar.d w..:en: you ;JiLl. bs ready for' ir.8pCC~;0113 Contractors or Ct...ners name end phone number. Requests received l;eJ..:'ore 7:00.::
:..'iZl. be mads th~ sems cf.t::h rsquests mc:da afta' 7:00 a:n 1.)'{.7,t be mads the next :.JOrki~ day.
:)~''''t'''~''PA T'1~P'1'":~~r.r'~
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o
SITE INSP!C-:TJ.V: To b8 madB af:2l"
e:cavat~On3 ~ut prior :0 86: up of
l'":Jrms.
UNDfRS[.AB ?!.L'M3I,'lG, ELEC':'PIC,t!. j
;~CP..J.."/IC~L: To be made be!'ortl any
work is ~ovcred. .
L.:::j""'-:;"'OOT17IG ~ FOW1DATIC:l: TO:,Q .-:ud.a
after ;renches =rEI e=cavat.d ar.d
f~s are erect~d3 but pM.or to
pourir.g ccncret..
U.-:Dt:iG:~U.~'D ?:'~'M:JI;"lG. SD"ER. ;.r.1~!'~1
DP.ADJAC2: Po oe r.a:1.e prior ;0 J."i"i.-
l.i.r.g :rer.cr.ils.
[J
O U~If)E:~FWCR P!.u...~r::G ~ ;,.fECEANIC,;!.:
To be mads prf,cr ~ in3't.:%i.'-a:tion ()f
f7,<Jor -::r.suZat:ion or d8ckir.g.
r--J-?JST AND 3EAN: Ta be r:o.aU pr-:.ol' to
L=::::J instaLZat:icn of r'"2oor i"'.814La:i071 or
,u,cki,,!;,
r:::1......_=i',.,'!GP. ?:.[j~gj!:.'G, ~!.E~F!~C;'!. ~ .'.(EC!!-
L:::J ANICAL: No 'JO!"k ia ~o :,C aOL'e!"ea
ur.til :hCS4 ~ns~ea:ior.s ~~v~ ~eer.
mads tZr.d ==?p'?"Je.:.
D ,"I,',.~!. 'C~,' .""'. '"r '"
.:..-.... - ....,.- pl.t.:.::.r.g fcci.,...g
mc.t.an..ai.d ::.:.",.d before jh:r.rir.g inspec-
tior..
r:::t..... FPAHI.W'J: f.!U3: be req-..ul3ted af"';~r
~ c;pprov.=~ of rough plur..bing3 a~ea:ri-
cal & mecitani.cal. AI.! :'Oo;r'~r..;
bracr;ng & chinrn.cSJa, et..:. r.:-..:sc be
oomDLatad. ~o ~r~ is :0 be ccn-
"cuiled until :hia insoecticn ;..aa
. been made and c:.pproved.
lour City. Dsoigr.ated Job Nwnba Io:
ld",I7lSULATIONIVAPOR BAtiRIER INSP~CTION:
., To be tr.ade after all insuk:t~n tr".a
. required vapor caJTiers are in place
Cut before any l.ath3 gyp(JUJT/ board or
wz,z. covering is cppZi.ed3 and before
any in.G:lZat:ion fa cancea7.ed.
r-::l,..DRJ-,.{ALL I!lSP!CT!ON: Tc '06 made
L..::::J alter an Cr:p..;a7..Z.. is in place3
but prior to any ::aping.
o
MASO!lRY: Steel 1.ocation3 baiui.
beam3, grouting or ver;ica1.a in
accordance wi:h y, a. C. Section
241!.
fIOODSTOYE:: After installation is
acmplat.a..,
a~[Sll
DEf.:OLITIO.'! OR :.:OV!; 3UILVIiiGS
~ Sani-:a:r"d se:.Jer' ~crp?ed at f71'..ope;rt:J. li'!:8.
~ Sep:i::! tank p-..i1?i:d ar.d ff,Ued mt:h ~:';<1Z
I Fi:ncl - fthen c.bcve ite.o:-:s are c.;.'mil.etc;c
~ ar~ when d~7.~tior. is compLete or st~~~-
ture movlJd a:ru:. ;n'~aes ::leaned up.
. Nobi ~e Hcmes
=:J Blocking and Sat-~p
=:J Plumbing connections s~er end wc-:~~
--, Electrical Ccnr-ection - BLoch,...g 3 set-u?
-.-J and pl.umbing canr.:ections 11r..:.st ::e ~?r~~c..
before reque8t~~~ eZec:1";cal ir.spec~ia~
~ Acaessor-".' 3uir..i~11f!
--, Fu...::l - ~1ftcr F:J'l'cr.es 3
~ etc. ~e acmpletc;d.
skirt~~.g3 de::.:...s3
D
o
CURB d APP.f?CACF! AP_~N: Afte:o forms
xt'e erected but prior to pou.ring
.:::on.:'l'li!te.
SIDE'JALi( <~ DRI'.'F:'..IA!: For all ccn-
erete paving LJithin street right-
OJ'-WCih :0 be ma:ie after aZZ ezca-
vatir~ complete & fo~ work & zub-
base .':'Cterial in ?~fZ.
o
; .......y'.. FI,'lA[" P!.U:..'S!.'/G
AZ,l project aor.di:ions3 $UC~ as ~he ins~a~tation of street trees3 ~~~lct~~n ()f the
required l.andscc:pir';3 etc. 3 must; be satisfied bcfore tr.e 3UILDING :OI.,!,AL ~an be r2q"wl.est.::d.
i ........f- FI:I;.,!. ,'..re:.'!A,'/ICA!.
: ........f/ FINAL ELEC.t?ICAL
D
o
:'ENeE: Wher. co:rlP7..te -- Pl'07.ri48
gates or movab7.e' sections through
P,lj,E,
~........... .:crt/AL aUIl.DI,'1C: The Final SuiZ.ding Inspection .~t be l'eaueated'::T~t:er the Pina.l P!~bin.;
\::::::/ E7.eccriaaZ,3 and .vechar:.ic::.:.l Ir:spectio1W iuzve been made and approved.
::=]
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.Ar~ :.fA.:IP.CL~S A.ND CLEANOUTS ,'WST BE .4C::SSSr8l.E3 AD,ji./Sr::'2.'1T TO BE ,'.~tlCE .'~T ...:0 .:-:;ST TO t;I7Y I ?'::~e
of 2
SOLAR_CESS REQ,~~~~
Oc......l-cr....... r,.......,_.~ _"":ll, - -. -......e/e...........
.... .. ....... J. .........11[", " .~.... ...r......J.
ILot Sq, F,.o '\Q.,%L LOT :!F::" I Lot Faces - \...~ ~\r...
. ,f 1...... CJIUJrac. \"lOiI(".a-. ----:. I 3~tb'.1cks
, "nu...- ,r.:,,'1.cr I O' I" I r
. . :... ::ouse -.arc.ae
!: of ;;;l"ies \ COni"" War:h I'~'
! :atar Haigh: \ '6. ..,. P=handl. IEos: W I
TapafTl'G?hy 0 -" <if? Cul-de-sac IS",,:h 1\ r-t I
IWest I (JrA' '
I JOB NoR=\20~\
I Zona: Q.l'
II':'E.'.!
I."k:in
I~ccl!
i::=:cr:
I,
1...c~csao!':J
I S~, F:C
x
Valu.e
I
.3~'l. tb I
.I ..LJ
~\.~~,,"'\
TOT,.g VALUE
\l'Il
I
I
ISoD,C,
I:X:':':4(;)
I,
I
~'2...00 I
'2.. oe I
5l.\ .C'O I
1.5 =
Sui ldir:g Perm. t
Stata Su:t'~h.:rrge
Total. cr.a.....ge3
II;~.'.f
I N_-tuI'es
I Residential (1 bath)
I Sc:ni t.::zrt,! Se'..J6r
I NO. I FIT I CF-:AR.GE
'l ~.l"t'I I \D.OO
w'cte..'"
p[,:.qnb{.T'.g Perr.:i.t
\C).CO
40
\(') .40
State Surcha...""16
I
I :io'l '.- I
I \ I \5. CO I \ 15 . 00
Tempo-rary ServiclI I j
.$P\'\\\N' t'~ I~ \O.C$:)
::!ectl"ica! Pe=it 'Lib. 00
\. eo
I '2.(0. eo
Total Ciu::''!'oes
I IT::,'.J
I Res. Sa.
C.~~qGE
f"to.
.VaJ/E-.-tend Ci1'C".li tS
St.:te SurcharGe
Total C'r.arces
I Ir::.~
I F't.tn'..::I.C~a ?TV'S
I E.:haust Hoo.::.
I Vent F::n
iI~d8ta"Je
:/Q'I 0"'
I
\ 13.00
C!!;'.ii~E
,,:\.01:>
~.., _...... t...l...L 4..1:0
I P8!'m'U 13su.znca .
m\\t-)\t'I'I'\UITf\ '1\C.~ ~......-",~1
.'1e::r.anic;:.l Pe'l'm"';t
~.50
State Surcht:zo!!c
\D.=
I .~(:)
I \D }~()
'1'n'!:.-:l C1-ar'7R!J
I -- Z;lCRCACH,\r:::.rr --
1< '_ D .
l...eC".a"",...:I .r::03i..
Stor!Zq(l
Mcinten-"""~1l
Permi t
I Total cr.ar'~cs
I Curb"".
! Side>1alk
I
I
I
i
I
l.i..\ R.~~ ~.... -\ ~J 1'2..00
I' 00
'P"" CO,.,.,.. ~ - 'i\ ~'-.. \r.. ?!o.
I :'TAL A;'!CU,:-r DU:::' - \ ~ R 8ce
I :c'I'Ice
I ::1.ec-:ri.ccZ L.::bel.
lu ~o "
: .~ov...:.a l1,jr,le
.
L-COC"lo
3eCr~or.:s :
I Access,
I I :ner'T../ Sc-..a'':es
I I "eao
II
II
II
II
II
Tu:::a
ilc1;2!' P~'1"';~yt
Ranqe
?-:'I'ev~cce
;{ooa:;;ot:e
Fees
Building Value & Permit
This ;ernr:.t ia gl'(:nted on the express condition tr.at :he s.aid. constl"'dc:-ion
shalZ, in all respects, cor.;crm to the Ordinance ;:.dopted cy the C~ty of
SVZM;r~fieZd, ir~!udina ;he zoning Crdi~~ce, I'€~dlc;ir.a ;r.e ccr.st~~::cicn
ana u;e of buiZcings,Yarwe: m=y b~ su:;pended or I'~vokad at cr.y time ~;cr. uic-
lction of any ?r~Vi3ior.s oj said Ord.ir.ances.
-p..~ CX\ec:..'<. ~ \...:)O~ \:=>~~C ~~
~,~ e~ \.).~~\\c:..~~'Cf\)
IPlan Check Fee: f)J'_,.OO
Irao. Paid:
IRec.ipt #:
ISig>:ed, ,..~ , :";>,'~'-....---
Plumbing Permit
No person ai1c.lZ constt"'..4ct" ins;aZZ" a!ter or change c:.ny r.sw or e..-istir.g
plumOi~.g Or' drainage system in whole or in part, unless such ;er80n is tr~
lA3gal possessor of a valid pLwnoerls license" ucept ~r.at a pe.:oson rr.a:J do
pl~o~~g work to proper~~ which is owned, lecsed or operated ~y the appli-
cant,
,.
*
Electrical Perm it
Where Stete LaLJ requires tr.at the electI""':'ool work be dene :,y at: EZe::tl'ical
Contractor, the electr.:cal For'Hen of thia pe~t shall roOt 08 valid. untit
the label has bf:en aigned by :he Elect:r";cal t::ontractor.
Mechanical
Permit
I
I
I
I
I
I
I
I.
~
~l~~ \'\ \=t 'fr-.\. ) \
\ \-\0- ~~
Uc.:a
I I HAV3' CAREFULLY SXA.l.!I:'1ED th.e cOtm)leted a:;>;::;lZ::cation ;,,'01' :Je!'m";t, end de
hereoy certify that aLL i~fo~.a=ion hereon" is true a~ correct, and I
I f..aother cer:(fy that any ar.d a'Ll work perr~o'r.'ned shalZ be do7:B in: ac::or'-
'I dance :.Jith the Ordin-'?lC8S ot" the City of Springfi::Ld., and ;hz Lc:.;s of tr.o
.. State of Oreg:m p~r"C....~ning to the work cesC!""':'bad hel'8""':'n, c=r.d tr.at .vo occu-
I PA!ICY :Jill. be ll'ta.de of any Jtructure withou.t perrmis3icn :;f :ha 3uiZding rr;-
vision. I further certifJ t~~t on:ly contra~tor8 a/4 ~Z~yees wr~ are in
I ~lianc6 wi:h DES 101.05& wilL be used on this projsct
I
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5i~r.3d /
Data