HomeMy WebLinkAboutPermit Building 1983-4-26
.. RESlrfNTlAL.:
APPLICATION/PERMIT
225 North 5th Street
Spr'irzgfieZd, Oregon 97477
BuiZding Division
726-3753
.. ~.
Job Loc.:tion:
,") I ,g '1 cn.C>AA -tl.t d~
· \ 'ls /'J!2.. o4i'? _ \
()\I00
AS.7esGOl",z .\!ap
Subdi:r;sicn:
Tc::: wt.ll
'Yn / "01 Ml --:; tLMa.....J
.c::: I It, 5? -:;; ~):Ju..;V
~f/) j, LJ
::-_'ne1":
Add.:"ess:
City:
[:h;;;
Phone: ?,;2 6 - r? '/23
Zii" 0 7 V ( 7
Describe il'ark:
..., Rcc"i,", !Af;,ir71K
l
W~d Afp..u.e;
~1o
I G GO
. fa D
/ $"', ~O
n
n
n
.w" (x.9 j t~ - ~O-) />7& UU W~
''.J~I(~y,~/, W~ YruJ7l,N..
V'2~-'?3 va!ueil61,\
Add"': ticn
Remodel
,'fob"': 22 Homa
Date at .4ppliaaticn
Con~racrors ~ l
Ceneral~kr.P
Plwr.biTUJ
~lectM.caz.
N6Char.ic.:l
Const~~ction ~~na'er
Addres3
AVPd P Wvdllifr1.. bda
/'hn~
.%f.
Siqr.ed:
:J6
"I-;;J..Cr,-~3
Date:
Lise.p.
AI'")/I~
; 1J
E:oi!':!s
Phon~
It. is the r6sp011ai.bili:y of ths permit hoZder to see :hat all incpeetions are .,,:,:OOg at ;he proper ti..T'I~" tr.at o:.cch c.ddrB88 is rea::ah:a
Jrom tho street, and that the permit card is z.:cated at the front of the propert:y.
"3ui!di:".g Divi::io!": ~~l"Ot:ed dan. sr,cLl. re.::ain. on. t;.~ Bu.-:.t.dinq ~i.tt:; :;t a.Ll. times.
P.70CSDVPS FOn INSPE;~Oll R!,Q~EST:CAlL.b??-176s1rrecorder) ~tate your City desigr.a.ted job nur;;bel', job adCrc88, type of i.r..3oec~icn
r~questcd a:'".d when you l.1ill. be :-eady for ir.spcct-:.on., Contractors or I"-mer's r.c;me c:r.d phone n:.Imbcr. Reque8~s receii.:ed c~fcr'l' 7:00 =::
...'iZl be made th€ same dc.y, requests mGde aft~"" 7:00 am will b2 I1Y.lde the nc:t :.JOrking day.
9qqui~~n T~~r-p~t.ir.~~
O SIT~ r:1SP2r:::ON: To be nr::.de
excav~tion., ~ut prior t~ set
forms.
o
after
up of
UNDtasr,;..a ?O':N3I.'lG. E'l2C'?F?I~A!. 1
;~.'ECHA;;IC;'&: To be made before
work is ,zovcrea.
D
~"OOTI?lG !1 FOr..NlDAT:CN: To be n:u!.e
after trenches are e::ccr,;c:.ted ar..d
forms are erected, but proiaI' to
pourir.g ccn.cret~.
CI
V.~'DZRG.'::.OU.~'D P:'lJr.f3niC. S3I2R. W,1TER,
DRAINAGE: To 013 ma.::e pM"r ::0 [il..-
lir.g r:rer.ches.
0'
U!I!)ERFLOOR PI.W!9I:IG ~ M'ECHANICAL:
To be maCe prier to ':.n.:n:at.L.at:':.01'I of
f!oo1' in.suLa~ion. or decking.
PaST AND 3EAU: To be r.-.c.dc pr-;01* t.o
instaUaticn 0/ 11001* ir.at.:Za:-icr. or
deckirofi.
o
o
ROUGH ?!.r..r.~pr!G,;:O!..EC":P~C.4[.1 ,'.r::CH-
AilIC~L: 10 ~rk ~~ to oe cove1*ed
ur.tiZ ;r.ca~ :~.3vec:ior.s have beer.
made cr..d =?pr?v~~.
Fr.:~EPL:"CE: Prior to plc.~-:.r.tJ fc(:";ng
mcterials ar.d before frcr:rir.g inspec-
tior..
FR..a..'~nJG: ,'.fU.3t be l"equeoted ef";er
app1'ov~l ~f r~u.gh ~t~~ing, zlect't"i-
cal & mec;..ani,zaZ. AL~ roof-:.r.g
bracing d chi.r.ncys, et~. ,r.~3r be
. corrroLe:cd. .'10 -..;ark is to be C07I-
"cec'led ur.tU this insvec-:-i.cn r.as
. been. made end approt..'ed.
o
D
Your City, Desigr.ated Job Numb€-!" I:J:
o
DISULATIONIVIlPOR BARRIER IHSFE:CTICN:
To be made after alL in.r~l.::;tum w.d
required vapo!' barrie!,B are in place
but before any lath, gypsum board or
wall covering is applied. ar.d oefore
any in3ulation is concealed.
'l'S /Ct 2, ?
DE:l!OLITIOH OR ;~:t)V!; 3CJILDlilCS
~ Sani ta.:/'y se'Jer ::apped =t r:.opc!'ty tir.a
~ Septi:: tank p~~€d and f~llad with ;raJeZ
--, Pinal - r/hen a.bcve ite:::s azoe cc.':::,Zeted
~ ar.d ~h~~ ~~'Li:ior. is complete or st~~::-
ture mcved ar~ ?r~ses ::le~ed U?
Nobile .~'cmes
~ Blockin? and Sat-~?
~ Plur..hiTl.:'i connectiQns sc;:Je!' c:r.d weter
I Elect1"";cc.Z Ccn.r.ect::01'I - Blocki'fL1, set-u.?
~ and pZw70inq connections ~~st be C?P!'oved
before !'equesting eZec;?icaZ ins?ec~io:-:
" ' ..
--.J Acces:;o..~, 3u-:.l..:.':.r.g
I Fin::.Z - ,1f"tcr =~rcr.8s.
~ etc. are ~cmFle;~d.
,,1<':.1*:':.n:;,
dec;'-.s,
cny
DF?YWAL[, INSF!CTTON: To be r..ade
after aLL C:rodl.XlU is in place,
au t prio!' to any taping.
O ,~SO:h?Y: SteeZ location, bend
beam3, qrou~i~~ or verticals in
~~ or~c.e ~;th u.a.c. Section
is.
iiOODSTOVE:: Aftitr installation. is
ccmpl.et:€d..
o
o
CURB d At.""P,'?CACH .4.P.~')N: .Aj'ter' fo'I'!'ns
are ere:.:!ted but pl"':"o1' to PC"Ul"";ng
.zo~rete.
SI!)~rIAL;( & DRT'.1f5IAY: For all con-
crete paving wi~hin street right-
of-wc.y, to be mc.de a,t'ter an excc-
vatina C'017VZ.e~e & form :..'Ork &. :JuD-
base ,;.c:eM:al in place.
D
All project cor.ditions, $UC~ C8 ~he {n.s:aLlarion of street :rees, :c.~Zaz~on of ;nc
r<equir<ed laruisccpir.g, etc., .':rust be sc.risjiad o",/ore tr.e 3UILDn/G FI:::"L ::cn be 1*2qu.gst,zd.
o.
FIliAL PCUgSr,'lG
O. FI:IAL ,'.fE~?A,'lICAL
D. FI.'IAL E!.EC?r::IC:':'
o
o
PINAL 3UILDI.'IG: T"ne F-:.naZ aui-Wing !r.s?ection ::7USt Ofl rrun.:e3tea -=...4;er tr.e P.....r.al ?lw::biT'03
~lectricaZ, r:=nd Neaha.",:icc:.l Ir.s?ection3 nave beer. made 'ar.d cPFroved.
o
o
:-:;NCE: ;{hen como Z.-;t e -- Provide
gaces 01' .~vable' sec:icns through
P.U.E.
.fAU MANHO[,eS AND CLEANOUTS <'lUST 32 .4C::ESSIBr.E. .J.DJUS?;'!;.~'T TO 3E :.~'1DE ,:1' !to -::57' T? ':I':'Y I ?::.;e of ~
o
I JOB NO. "6~I(n7,7
,
i :,;7'!e:
SOLAR.CESS
I)cC"J.:Janc:J Gl'O"J.~:
I Lot Sq. Ft;.
I ~ :)~ ::t ~~erClg.
.~ oJ ~...O!""'~6S
1,..... 1:r"
1...0..<:.. ..e1.cn'C.
I .
Topography
!'!':::.!
SQ.FTG
l,\Jain
I~x;j'
i
! C..:r::~l':
I,
I :tc::eS30r'"J
I
I
I
I S.D.C.
I
7'OTA~ ;'ALUE
11;C:'i.4CZJ
1,5 ;::
EuiZd:i71g Permit
State Surch:r:rge
To:aZ r:r.a::ogs,3
1 r:'::M
I Fi-.-tures
ResidentiaL (1 bath)
Sc:r.it.:1T"j Sewer
I ;';c:~e.."
Pl:m:bing pelr.:i t
State Surd".arge
Total Chcrces
11I'Df
l.q~8. Sa. fta.
I NGW/Ertend Circ:ui ts
I Temocraru Savice
I
Electr-ica1. Pe~t
Sl:.:;.te Su:t'crm'ce
Total. C"ttm'ces
i :?"'.~
?:.a>r":::c<z ?lV'S
E=~8t H.ood.
I Vent Fan
iloodstO::6
Permi t 13su.atc2
Mecr.a.nic:::1. Pemt
State Surc1u:::rac
T,,:r..! c;..cr?i?3
~.'lCRCAc~,:gr,'.''!'
! SeC",,(.r'::-J DZ'OC3it
I StoTClqe
I:~::"l't~..ce
I Pcrr.tit
I
Total. C"nc.l"'U1S
CUr';C"",I':
Side.xzl.<
I :c1t::e
12l-lc:ricaZ
,
! .\fobi la Hame
!6el
I ':rOT A!. A.~!OU:IT DUE:.ot .
I NO. I .--
, .VO.
::C.I
I
LeT T'fP::
Interior
COl'71er
Panhandle
Cdt-as-saa
x
Value -<
CHARGE
.:-:-t"
CHMiGE
.;'::':::>
CHARGE ,
I
I
I
/5,0 DI
I
I
I
,&01
15.&01.
J!f (,,01.
P::pe 2
.
L-COG~
REQ.-
T"dpeICor..sr;:
I Lot Faaes - _~. .
..,e ..caal<.s
I P.~. I House Caraae
jllor'th
lEast I
Souoh I
IWest
3lildz-?omS:
I I Enerau Sour~es
i I .'ieao
i I
I'
II
: I
T'.J'Cl8
Access.
Water Yp.a,::::n"
Raltf'e
Firevlace
flooa:;to:';B
F~es
I
I
I
I
I
I
I
I
I
I
I
,.
Building Value &. :Permit
This pe1'r.r~t ic granted 01'1 the e--press condition that the sa"id. constl""'..tc:ion
shaLL, in alL respects, conform to the Ordinance ~dopted by the Citd of
Spr'ir.af"~eLd, :.nc~:uiing the Zon:.na Ord:.nance, retr.lk;tir.a the ~Cr:3tr':(C:::.cr:
ar~ u;~ of buildings, and m~u C~~~uGDer~ed or r'~uoked ~t cr.d ti~e U~Qr: vio-
lation of' zny pr::Juisior..s of ~aid Ord~r..anaes. .
Iplan Check
Datc Paid:
I Rea<ipt #:
ISig:':ea:
Fee:
Plumbing Permit
lIo pereon chatz c01'Istruat, instal!, alter or aharo.ge cny r.ew or e=is::ing
plumbing or drainage syste~ in ~hole or in part, unless such person is the
legal ~ossessor of a valid plumber's license, e:aept tr~t a pe~son ma~ do
plumbing ~ork to properp~ which is owned, leased or operated by the appli-
"""t.
I
I.
Electrical
Permi t
Where State l.a:LJ requires t;..at the electrical work 06 done oy an Ele!:triaal
Cor:traator, the eZectrical portion of this permit shall not b~ valid until
the labeL has been signed by the ElectricaL ~ontracto2".
,
., .
Mechanical
Permit
Pi.an ~=c:m.r.er
,...ara
I HAVE CAREFULLY !XA.'>fINED t,;e compLeted =pplication for permit, end do
hereby certify that aU ir.fo:r.zation hereon is true ar.d cor!'cct, ar.d I
fn-:her certify that any ar.d all :.:ork perj'o~ed shall be do:1e in: ac!:or-
dance :.lich the Ordinances of the City of Springfidd, and the; Lu..;a at th,a
. State of OreoQn D$r~inina to the work described herein, cr~ tha~ YO OCCU-
PI.!lCY Wizz b~ nr:zde of czn.y~ structure witr.ot.4:: ?~rmi33ior. of the EuiZdir:g rr;-
vision. I further ~el'tifi:i that o~i.y contractors and rr.rpl"yees who are in
c~!iance with CRS 701.055 will be used en this pr~jgct
4If~LL~-
Signzd ,.-
Yh6'" /Pr'
Date