HomeMy WebLinkAboutPermit Building 1983-9-20
.. RESII'NTlAL"
AFPLICATIONIPERI1IT
225 North 5th Street
S?rinqfieZd, Oregon 97477
Building Division
726-575J
Job !.aca:icn: tlJ"5 ,f}UEA'UlEW 8Ll,
ASC8S00r: :'!<r,> N \ ~ ()~ ~I...\ \ ~
SldJdi:J':"sicn:
",:ner: ('L;QuOE 6.EX!LJ9ttf
Addres3: t.t6'.3 K1tJER tJIErJ .t1u
Ci:y: .sf1rINC,r"JcLD IJ<<',
n,,~.,
I L...--l'Adc!i tic"
n Ramocsl
n .'!o;-r.le .~o,~"
SPRINGFlELC
~,.Iib, HEL-D'
Ta=:!.at N ~?('{)
Pharoe: 7'i7-9~;l.,~
Zi?: Cf747 7
c../?((,fOIC.T
Describe ;1101"":
'r /;..0 h.3
Data of Applica:icrI
:;on=t'~c:or8
Va.lue
-.# "f5. (XX)
Add....es3
PO,tJh .1-1I>? <FIIM<k
General ,,(J/d./-I.,.//A) ./1tUL,tJC~ IAJtI,
Plumbing 'M>P,f
Electrical AM,;"
,VIil~har.ic.:L jJ/J).1,;
Const~~c:i~ LCnd4t'
.~, AlO,..)€
.
1,/7f4
( ~ r,-
.=?cae:':it .;:
Sigr.ed:~~
Date: '1/),olf.-.., '-'
Lise. ..
E~ires
.~t,/~'I
Phone:.
.;?();;l81
?all,--30S'2
!~ is :1:6 resp01lDibiZity of' eM permit holder ec 86e that aLZ. iMpections are "...ads at the propezt :im~~ that ~h. .:.ddreS8 is rg......=....:..:..
lrcm tM street, ~nd that: ths permit ca:rod is i..xated at the l1'011t of the property.
~3ui~i~4 ~vi~io~ appr~'ed F~ s~~zz r~:n on t~ Eu~Zdin~ $it~ at aZZ times.
?"~OC~!JU"9E Fon n:SPEC'!'lall RE'ClIE'ST:CALL 726-3769 (rccoT'derJ state ;Jour City desigr..:zted job 1t'..a;:bel',
l"!U?Uestcd a:-.a :.J.':en .You ;,Ji.l.z. be ready for ir.spccdon, Con'trac~rs or Ct..'ner"S nt::me end ~hor.e nUl:'Ibcr.
;.'az. be rrc:a"e the same dc~, requests mc:de efta' 7:00 a:n :JiZZ Ot; made the nc:t :xmhn; day.
9~WloDj
-:;"'U~'7:t''''~_ r".J'{!",~":":!:~"'!t
O SITE' INSPEC':'ID.'I: To be ITrlde
e::cav,:;'Ci.:m:, .;ut: pPicr :0 set
f::rr::s.
O U!IDr:~SL.A3 ?!.l'.',!3I.'IG, ~!.:2C':'.'?IC,:L ~
;"-!EC,:;"..J:liCA,,: 7'0 be maCe be/ortJ eny
lJOrJc is ,;oTJcred.
I~T!;'iC ~ ."'OU:/D,1TIO.'I: To be .':'rIde
l!:::::J after :l'encnes ,~g .e::cCTJatoi!d ar-.d
ferms are e1'ec~~d, but P::*";01' :0
pcunr.g ccn':l'et..
af:er
up of
CJ
U.~'D~G:~OU.~'O ,?!..~','oCI:I(;, SE"..;::R., :J.lZ'E.~.
DRAl.VAGE: 1'0 oe r.r:z;ie ?1""';or :0 ,;"ii:-
l.i.r-.g :l'er.chas.
o
UUCE....?Fr.cCR ?':-,"},'.Sr.:C 1 XEC!1ANICAL:
To be maCe prier :;0 ir.3~ai.Zaticl1 of
f7.0or ir..suk:::icn 01' deci<ing.
?'JST .J,ND 3EAN: To be r.".ac.c p'l""'~r to
~nstal.:aticn of {tOOl' ";ns:.:Za:;ion or
dscki"'i'
[]
r:-:::1.-:lrofJCF. ?!.:j~~!:,1C .=-r 2,::",,"::1 T("~ ~ ;. .'.[EC.g-
L!:J .4NI~~r.:. ;'10 '~o:"i-: !;'a-~';;o :,~ c.:n:~!'ea
:0:::-:' (,. ;nCS<i -:'r.s='BC:!..?r.S ,....:::...€ ::€er.
TX.ie 'Zr'.d .::::pro:rJe.::.
F:.::E.?r.~C~: ~~Ol':O
me::€T"".:.ai:a ar.d before
~ior..
~P.A"~!:'1r;: MU3: bs req-.le:;tad at:cl'
~ ~?rcv~Z of rough pZ~~ing~ ~lec:~-
caZ 3 meciur:~:JZ. At!. :'Ooling
bro:re-:.r.g 3 ~itimno;ys, at.:. .~...tsc b6
corrrota~cd. .'/0 ".1.:)1'< "':8 ;0 oe ccn-
. eBC'lad unc~ Z :J:";.!J insr;ecticn ;'.as
'b6en mad. and c?proved.
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?z.a::..;r.g
lr::r.ring
fc.~r.g
il1spec-
Your Ci.ty" Desigr.ated Job Nwrib6l' 13:
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INSiJLATIO,VIV/tPOR BARRI::::? !NSP=CT10N:
To be rr:ade after aU il1suktwn /X"'.a
r(!qu-:.red vapor Ca:!T";ers are in p lacs
Cut celers o:r.y lath, gypS"'..u:J board or
10XIlZ cover-i-r.g is cppli.ed, and before
any ir.:J'uZaticn ~8 conceaLed.
job ~~C8S, t~pe
Requ~8:s recei~ed
of ir.;;pec-;icn
beJ..crg 7.. Of) <:=:':
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DRYr.lALL I.'lS?~CT!O!/: To be r:o.ade
aftel' a z.z. dry!Ja lZ is in place,
but proio!' to any ~ping.
DE!.:OLIT.rD.M (lP '.'r-v::; 3f.:ILDII'iCS
=:l Semi:ar~ Se'.Jsr capped =: ~oP&r'f:"~' Una
~ Septic tank ~~~~d ~~ fiLL~d uith ~~eZ
f Pil1aZ - ~{her. cScve ite:~s are c~"~roZetc.:::."
~ ar~ ~hen d~l~:ior. is camp~ete or S~7~';-
t:.c-e r.:alJeC an.:: prrnses :::Zear.ed up.
/.!obi l.e iic.;;es
o
NASONl?Y: SteeL z.ocationJ bond
~eam3, aroutina or vel'~ica!s in
accor'a.c;"ce :.n:::h Y. a. C. Section
2415.
WOODSTOn: After instaLlation is
ccmplat~d. ...
:::J
:::J
~
BLocking and S2t-~p
PLumbing connec=~ns
Sc.Jilr c:r..:: wa-;olr
o
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CURB & AZ'F'RCACP. APRON: Afte:o forms
CII'e ereated out prior to pou:1'"i.ng
.:on::rete.
SIDEWALf( ,j DRnT',.lA.'!: For aU con-
crete paving within strect right-
oj'-!JX:.Y, :0 be made att2r aU ezca-
vatir.g ocnrp1.et2 .~ fam !.X)!'k & $u.D-
base ::o:ateriaZ ~11 i'la:.:e.
Electrical Ccnr.ec:~on - Blockir4J set-u?
and pZumbing ccm:ectiol18 f1t"...st ::e ~prct:ed
beforc l'equest~ng el.ectricaL ir.s?ec:io~
:=J Ac:.:esso1"",1' EuiZding
--, Fir..::l - t1ftCl' J~~cr.es,
~ etc. are C!~~e~~d.
ski-r:ir.gJ
de:.:."-.s,
o
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PENCE: W'her. co~pZ.te -- Provida
gates or movable sections through
P.U.E.
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D FI."lA[. PLW.'BI:,'C
~ PI:I;.L NE~HA,'IICA['
: ..........~/AL EI.SC':'RIC/..L
All. pl'o.;ect oor:d~:;i,:ms, :;...c.t:. as the ~..ns::al.Zation of street =l'ees, ~c::.;?la,:;::',,'1 of tile
l'equired Zand.:;;ccpir..g, .;tc. J must ::e satisfiad oelore :he 3f.1II.:JI;:C Fro'!).!. ':.:1n :,e !'2'tJ.est:.1d.
~:"'A[' ~.'JIrD!NC:. \ T1:~ F~na: Eu.il.ding In3;:;ectiol1 ":'!lSt be !'equeatad :=..;-21' t.he ?~naZ ?Z..:~bir.;
~) ~~2c~~caLJ ana .wcnar.~a~~ Insp€ctior.3 ;~a been mada and cppl'ovad.
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.A:'': ,'.fA:IECr.SS AND aSANOU'I'S .'!UE7: BE ACCESSI3l.E, .4E.n/S?.'.'E:.'T :'0 BE .'.~1CS :~T .~'O ~ ~.)~ ';''J ~I ?-:';2
of 2
I JOB NO.
IZ"".,V I
Lot Sq. Ft;j, ~'N)
:':; ~f ~t; C:Jl)erc.g~
.~ of Stories
l:otaZ Height
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I Topo.,-aphy
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\Q.'
1!':'E.\f
1.../::;.n
I S',F':'G
'.~~
1,fJ.=-t':!ce
1 ::ar:'cr~
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1 ..lc~csso:""J
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TOTA.G VALUE
Is.D.c.
l:,.c......C)
1.5 ;::
Euildir.g Per:r:i,t
Stata Surcharge
Totat cr.a."""gBa
IITE.\f
:'i-.-nores
Residomtial (z bath)
I Sc:ni ta:rJ Sewer>
;'"c:te.r
P!:.onbing Perr.:i t
State Surcr..a:rge
Teta? C'hc:!'aBs
SOLAR.CESS REQ.~=~\.\\ .
OCC"J.~anr:-J C~:J: rti\-\ --. T~:;le/Cor:st:"""(l_
LeT '''''~ I Cot Faces - \,"V'\Q"",~ - 11
./"" I Setbacks I i
LU ;nteric!" I? [,. II ~o;:..e I cr::::.ce I Access. I, ,I
Corne:- llIo!':;h '-, -, .., ~
Panhandle lEes", '1 ~1 I I I
IS"" tn lor-.. <:u ~ I I I
CUt-de-sac '
IWest I....q;, I I I
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x
I "alue I
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\.\4 ,~
\, '14>
,",\'5,..,c, I.
NO.
FEE
CF.A?CE
~ ITE.\J ,.'10'1 FEE CHl-3.GE
.T?es. Sa. f~o.
N;;w/E--tend Cirr:.;.ies \ I\D~ \n. c:>O
Temporary Service I I I
I I I
!1.4''7~:ca Z Perm. t
St.::.te Surcharae
Total O.c.rces
IIT::.~
1 Pl.a"1-.ace ?TTJ'S
I E=haust Hood
I Vent P=n
I '
I i/::}odsto7le
Permi t Iasuanca
.'.Jec;..al'lic~ t Perr.r:. t
State Suraht::1"aE:
'7',.,'tr.Z CNn-';JIUl
I
IseC'..t.r';tu
I Stor=ge
-- alCRCAC.=J.',fE.'!T --
Dz-:;o3i t
Main.teru::r~:)
Fermi t:
Tota t cr.cr~c8
I CurbC".t:
! Side.Ja!<
I :e~e
! E7.ec:t'icaZ rebel.
l '1'
: :l1oM...e i!:Jr.le
11'DTAL ANOU.'lT DUE:"
\().oo
!-\D
\() 40
/.,a./
:;Or:'';'
C!A?!:!
5 (0 . \ c..
L-COG~
3<ao-oor.:s: ----
:ner~u Sour~es ~~. T~=-e
Hea; -
ilC1;2r' YP~":e!r'
Range
;:-:.peoi.c.ce
/looa:; ;01.;e
Fees
Building'Value & Permit
This per>mit i3 granted on the express condition that the said. ~onstruc:ion
shatl, in all, respects, conjcrm to the Ordinance ~opted by the C~ty of
SpM.ngf'ietd, ~na!uding :n.e Zoning Crd-:.nar.ce, 1"I1qulc:;ir:g the ccr.s"C'r'Accicn
and use of buiZdings, and m=y be suopended Or' revoked at c.r.y ti~e upon vic-
lation of cr.y provisions of said Ordir~ces,
,
IPUtn Check Fee::f>r!l::).CfJ
I Va:e Paid: q . 1/l.- 'i?' 3
IRecs;.pt #: Ir 1'1.ab
IS;.g,:ed: r 1.
f
Plumbing Permit
No person ~hall construct, instal!, a!t:er or change Gny r~ or e--istir.g
plWT!bing or dzoainage syste:n in whole or in part, unless Quch Ferson is tr.e
legal possessor of a valid plumber's license, except tr~ a Fe~son may do
pl.ur.:bing work to proper17~ which is OLMed, l.i?a8ed 0'1' op6rated ~y the appli-
cant,
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Electrica I Permi t
Where State La:,) requires tr.at the el.ectl'ical. work be dene by an !1eatrical.
Contractor, the elsctrical portion of this permit shalL r.ot be valid until
the Zabel. has been signed by the El.ectrical. ~ontractor.
Mechanical Permit
~
-
~:tc-t~S\.~ ~\r
Q/}{)-~~
ua;e
I BAVE' CAREFULLY EXA.'-!I;'IF:D t.1ua completed appli.cation fat' pe!"'J"J1i:;J end do
hereby certi.fy that all i~fo~atio" hereon is true and ccrrcatJ and [
f..uother aertify that any c:r.d aLl wot'k perfor:-ned shalL be done in ac~o:t"-
I dance :vith the Ordin::mces of' tr,g City of Spl'ingficZd, and ~h~ Lc..:s of tha
4 State of Oregon pzr~ining to the work des~;bcd herein, and ;r.at NO OCCU-
I P.~!ICl ~lZ be :rn::e of any atruc17..cra UJithout perr.r;s3ion "I the 3ui!ding {)i-
vision. I further certif:J' that ~ly contrcwtors ar.d e::!pl.;yeea r-'jo..o Q"9 i:-:
j cxr.:pl.i.a7tC6 tJi:h QRS 701. OS~ wiLl be used on this pr'oj:sc:
j
(~~j ~_ir.
Signsd
or
Date