HomeMy WebLinkAboutPermit Miscellaneous 1983-3-21
.. RE.ENTlAL"
APPLICATION/PERMIT
225 North 5th Street
SpringfieZd, Oregon 97477
BuiZding Division
726-3753
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Job r.ce~tion..
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S'.ohdi;:.ri.sicn:
SPRINGFIELD
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Describe II'ork:
~.
.&L )JJ~J~~~
. . B\OlO
. . Value \. ('JF5?-, .~
Ac!di ticTl
RemodeZ
.'fob~ 7.2 :tema
Da.te of Application
Conr.:l'ccr.:ors
Addres3
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Rcae:':1'; ,;J.
Sigr.ed,~(nA
Date: ~-rl \ -?:'?1
Lise. .'1
Exoires
Phone
Generat
PLumbing
j Electrical. _
I !.Iechar.id C::';H'""'lC':rl...~ \ 'IP n. \L U \) 'rr.\ \) : \J. '\.m
1 CO"st1""..lctian Lc:ntisl'
I;. is :he responDibil.ity of the permit hoZdsr to see that aZ.~ incpections are :7:ade at :he propel' ::im~.. t."'.at ..::=ch .:dd.rsss is l'ea.:iab:'.
Jrom tits street.. and that the permit card is 'l.xated at the front of the property.
--!!ui!di:o-.g lr~:Ji=io~ app1'Ot:ed Fl.an sr.cLZ remain on tha E-.Ait.din? $itoz at all ~:.m.es.
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P."?OCSDu;r!~ POR INSPECTION REC.UEST:CALL 726-3769 {rccorrier} state your City desigr.::ted job nw;;ber., job address, tYpEl of ir.3?8c:icn
raquestcd a~~ wken you will be ~eady for inspection, Contractors or ~~ers r~e cr~ ph~ne number. Requests recei~ed cefore 7:00 ~
:.>ill oe l1'.a.de the same day., requests mc:de afta 7:00 a:rt tJiZZ b~ made -=he next :.>orkin; day.
S- SI3 Lo'S
geaui~pd r~3np~tic~s
O SIT! I.'lSPEC':~QN: To be nxzas
ezcavati~n, but prior to se;
forms.
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al ter
up of
UND~aSLA3 ?LV!-l5I.VG, ELEC':'.'9IC,tL
.~!ECHAaiC:":': To be rr.ada before
work is ~o",)cred.
o
..t'COTI?IG ~ FOU,'IDAT:C,'1: To be r.ru:.e
aft<2r :rencr.es are e.xca'.Jated and
farms a....e erec:.uf., but: prior to
pouri.ng ccna:-et:-.;..
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U.VDtRGRCU.'![J ?:'UM'~HG. S!'.RP. ;';.1T:::i'.
DRAINAGE: :0 be nxz.:e prior :0 fa-
lir.g :rer.c;..8~.
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UNDE.~P!.OCR !'!iJ.~SI:lG ~ NECHA.VICAL:
To oe ~~e prier to ~n3tal~t~an of
~oor insuLation or decking.
POST AND 3EAU: To be rr.c.dc Pl"";Ol'
inst"al.l.:o:-:icn of [tooro i",.st.:Za-:ian
decking.
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POUCH ?!.U!!!!!:!C. ?T.Z:::,:".f)!C).[,1 :.fF:CH-
~: ::0 :;01'1-: :;3 :a :;C cO,:erec:
ur.t"il ;hcs~ ~r~~ectiar.s ~-Vq beer.
made ~~ ,=pp~,u~d.
FI.=:_~?LAC2: Proioro to p~ir..g fc.r::i.ng
mct.ariaLs ar~ belore' frc:rir..g ins?ec-
tior..
FRA...~r:1C: MU3t:;e recueGted c.ftero
appl'ov..:l of roOt.:gh -;lWciJing. .eLectr-;-
cal ~ ;::ear.ani.:al.. All. ':'001'-:'7''::;
b1'C~;ng & ~hi.nncys, Bt~. ,~~sc be
. corrwl.e:cd. .'/0 ;.;ork is to be con-
~ cec:Zl1d ur.:::iL this i.r:8vec~on has
. been made c.ru:!. apPl'~n:ed.
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Your City. Desigr.ated Job Number 111:
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INSVLATION/VIlPO.f? EARRIER IHSPE:C'!'ICU:
To be tmde after a L 7. insu Latwn a:"'..d
rooquired vapor ba::rriers are in place
but celore any lath, gyp8W1l beard 01"
wZZ covering is r=ppZied. ar.d oefore
any insuLation is concealed.
DE.'-fDLITIOH OR ;~:QV;; 3UILDIilCS
:J Sani -:.arfl se'Jer ::apped =t v:.O?'::!"~' Zi~e
~ Septi:: tank ~~~ed ~~ fiLLe~ w~th ;r=Je~
:J PinaL - ~~en abcve ite~s ~e cc~Zet"~c
ar:d wh6:1 ier.:elitior. is com;;le-:.e 01' st:'"..:~-
ttc'e r::01Jed ar..:: ?r~3eS ::Le.::r.e:i up.
.vobi le Hc:::e::
=:J BLockir'9 and Set-up
=:J PlW7'.bi~' connec::ions s~er c:r..d. /Jeter
---, EZectric~l. Ccnr.ectian . Blocking, 88t-U?
--.J and pLwr,'bing aonr.ections n-..;.st be C?pr:n;.ui
be;orc request~ng al.ec~ricaL ins?ec;io~
-, - ....
~ Accesso.~ ~u~~=:r~
:J Final - Aft.::!" ;~~cr.es, skirring, dec/~J
etc. are c~pl~;~d.
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Fr,'fA!. PLU,'(8I:lG
All projec:: cor.:di:ions., auc~ as the ins=alla~icn of street :r~es. :c~ta:~~n at tnc
requi~ed Zaruisccpir.g, ctc.., .':'TUst be satisfied. b':.J-'o~e tr.8 BUILDI....!; ?I::AL :.::n be ~ec;:~:zs::Jd.
D. FINAL ;~fE~p.A:lrCAL
O. FI.'1AL Z!.EC':'RIC:':'
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PINAL BUILDING: The Final BuiZding Ir.s?ection ."mJ.st O'i3 ~eqt.eatec '::fte~ tr:e p~.,..:::.l. nuonbin.a'
ZlectricaZ, and Hech~ic.::Z Ir.specciona haVQ been made ar~ c.pprcved..
J
~ny
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DRYWALL INSPECTION: To be r.-.ade
a.fter all &~I.Ja.Zl is in place.,
but prior to any taping.
"AL~ MANHOLES AND CLEANOUTS ,'lUST 32 AC::ESSIB!.E. .4CJlJST:'.'::::T:0 3E :..'.....CE !!T ;'.'0 ::S': T:J ':I':: I :)"".01 of 2
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NASO.'/RY: Steel
oeam3, grouting
CU1cordance t.r;th
241&.
ilOODS'!'O"IE: Aftar instaZZation is
.....rplet~d.
locatior., bond
or verticals in
V.B.C. Section
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CURB & A."'P.r?CACH .4?r:rJN: Aft€:" foms
are erect.ed but pl"";ar to pouring
-:umcrete.
SI[)~ALi( ~ DRn'Ef~'A'!: Far all. con-
cret.e pavir4 /Ji~hin street right-
of-ux:.y., to be made after all. e::cc-
vating ~cmpZet8 & foP::'! :.;ark & :;ub-
base ;r.c:.teZO";al in pla.ce.
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I'ENCE: Wher. aompz.~te -- Provide
ga.tes or movabZe aecticns thrcu.gr.
P.U.E.
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I JOB NO.
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i:;:;-r.a:
jLot Sq. Ftg.
I: ~f ::t ~.jVerago;
. i! of ::'~or-:..es
!:,otaz Haight
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I'l'cpogre:phy
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SQ. FTC
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! Car::~l":
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!.-tcceS301"'J
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TOT.';'[.. VALUS
( l)c.~u.<.:)
1.5 =
Euil-ding Perrr:"~t
State SW'ch:zrge
To:al cr.a..-ge3
I r:,,'{
I:VD. i
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FL-tu.res
ResU:ientia1. f1 bath)
I Sc::n.i. t.:r.!'"j Sewer
I "'c:=a....
I
PZ:m:bir.g Perd. t
Stats SUZ'cr.a:rqe
TotaL Ch.c.rrl:es
11I'Dl .'iO. I
I Has. Sa. fta.
jNc:tJ/Ertend Circu:i ts
I Tempcrc:ry Service
Ele::trica t Per.-:ri t
St=te Sur::ha:roa
TQtal C'M.!'ces
I n:::{
I ,'C. I
..:':.a'r..::zce ETU'S
E:::hau.st Hood
I Vent Fan
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I i/:)oas-:o:;e
Permit 13S'Ua1tCa
l1e::;..anic::l 'Permi t
State Surcha'!1c
'!'o=r.l C"".!Zr!J/UJ
E:IC:~,CACHg:::!,!,
'0' .
l~e~~~~tu D2~OS~t
I Stol"(loe
I NainteTtC:r.:!e
I Permi t
I
i C<"U"';C"..lt
I Side'.,)Ql.~
I ?'''''e
I E!..aatr;caZ
,
! ""obila H~e
_'!.2~a} C'narJcs
[.c1;el
IfOTAL ANOU.'IT DUe;:"
P::ga 2
SOLAR AC(cE)SS REQ.-
Cct:'J.::cnc:J C1'O'J.~:
LeT 'rIPE:
Interior
Corner
Panhandle
C-", l-ae-saa
x
Value
CHARGE
.:':"t'
C.:'i.J.RGE
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f~.oU
L1?O.
IS. Lou I,
CHARCE
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. L-COC;;'
3edr-,or.:s:
T.=ir>e/Cor.st":
I Lot Faces ~ I I 2narau SouI"~es T<.Jr;'e
I Setbacks I I .i'eat
I P.::-. aoU.se I Cc:race J Access. i I ilater _:Jt:!a~;'!"!'
If/or<;n: I I i Range
lEast I I I Fi'!'eD~ace
ISou "h I I I I Wooa:Jto"Je
''''est I I 1 ,
Fees I
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Building Value & Permit
This permit ia gl'antsd on the e:::press ~onditi.:m that the sa"id. const!"'.tccion
shall, in aZl respects, aonfor.m to the Ordinance adopted by the City of
Spr"~r.gf:eZd, inc!:..ding ;ae Zonir.g C'rdinar.ce, '!'eg-.tlc.til:g the acr.st:>".tct.;cr.
arA ~se of buildings, end m=y ce ~uG?ended or"revoked at cr.~ time ~;or. vio-
lation of 'ZT'.Y" ;rI'ovi3ions of-said Ordir.ances.
P!.an Check Fee:
Catc Pa-id:
Recc;ipt #:
IS,;g,:ed:
Plumbing Permit
No pereon aha!.!. aonstrnat, instaZZ" a~ter or change any r.ew CI" e:::isr;ing
plumbing or drainage syste~ in ~hole or in part" unless such person is the
legal posse3sor of a valid plumber's license, e:cept trAt a pe~son may do
plumbing ~ork to proper~~ which is owned, leased or operated by the appli-
cant. /'
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Electrical
Perm it
Where State Lc:w requires trAt the electr>"~caZ work be done by an Fleatrical
Controactor, the eLectrical portior. of this permit shall not bs vaZid until
th8 label has been signed by the Electrical ~ontrac'tor.
Mechanical Permit
Pi.an '::::cm1.r!er
/..-'at:e
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(~ /[;0 Iv] o.gnza ~<a
I HAVE CAREFU~LY !XAI,fIilED t.:',2 con-:pL.ated C??lication for permit, =nd de
hereby certif'y that aU inf'o;:or:;ation hereon. :.s true ar.d ccr'!'cct, ar.d I
r..l.r~her cer'tij"y that any ar.d all work perlomzed ahaz.z be done in CICCOI'.
dance :.lith the Ordinances of the City of Springfield" and th~ La'..;a of th(J
State of Orec,::m o,zrt.::in.ina to the work desc:r-:.bcd herein, c:r.d tha= NO OCCU-
PJ..'1CY Wizz b~ rmd.e of any" structure without parmisaion of the Building !r~-
vision. I further ~ertijy tr~t o~ly aontra~tors ar.d ~Z~yees Wr~ erg in
ca~pZiance with CRS 701.055 will be used on this projzct
.~o?/h?
Data .