HomeMy WebLinkAboutPermit Building 1982-2-23
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.. R~NT~AL"
COMBINATION APPLICA:IION/PEP,MIT
225 North 5th Street
Springfield, Oregon 97477
BuiZding Division
?26-J75J
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11~ D;':;S- ~ y Tcz Lot # OIl/tO \~
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Addro.., \A~~t~
City: ~
.Job Locman:
ASDSSDors Map #
SJdxii'lJ'isWn:
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- SPR~GRao-
Pharu,: -
Zip:
ChL\11
Dumb. Work:
Addi ticn
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Remodd
.'!obi lilt ,9oma
Date ol AppLicaticn
::ontractors
Siqr.sd: ?-J. I "Il\ ,
Dac.: J~~Y~~2..>
U - 1
E=:it.rDS PhDru:
'DD'~'t<:\\.~' LllDl~'1-
VaLue
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AdJ:boestJ
).\(~ W" - (', , C"\ f\ '''''( ~f\tC' (\ rt1'I. -
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Plumbing
ElectricaL
N9~har:ic::L
Construction L87ULno
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Li.sc.1I
It ill :hs rflBFonttibi.tity of thll permit holdlao to s.. that aU inBpllCt:ions are r:1tUU at :Jut poap.r :i.mc, t1-.at ~h .:::/dress i.s rea.:a.;!.
j'ram tM stl"..t. and that tM p......t cazod i. lcca1;sd a1; tho front of tho prop...ty.
i1!Jui.!.di.~ D!t1i.::i.o~ ap;:rot;sd FUm shaLl. 1"aIlZ'in on thi Building SittJ at aLl MSS.
Prwc;:DURE POR mS?ECTIOR /lE9UEST: CaLL (:ZOCCOl'd6r) .tat. your City designatsd job _.b.... job oddzocss. type of '''''p.etien
requllrCBd ar.d w.-o4l'1'l you :.n.tl. b. reDdy for inspect".:c,s, Con... -'~......... or Q.mers ncme and phDn.8 numba. .'t:!equssts received !::.j"crs 7 :00 ~
.'iLL be ncd8 to. sam. d&:y, l'8qll8.ts ncd8 aft"'" 7:00 a:n ""LL bs ncd8 cM nc:1: "",.king day.
l)tc'U1'~'::1 T'1m'!,,~nt,
- 0 SIT~ INSFEC':'JOIV: To b. rrrad. aft.,.
coatl'~r:t...--n, ~t prier tc ..t up of
fon:rs.
.0 UNDERSLAB PWNBIRG. ELECTRICAL &
MECHANICAL: To ba 11Jt1d4 batora any
t.)OrJc i.a .::aucred.
o
o
FOOTIRG t FOUNDATION: To b. """'"
aftgr tNncJts" ar. e:cavaUd and
forms an encud. but: prior to
pouring CCM1"'"~.
U.\'D!:RC.q()U."!D PLUMEINC. SEfIEH. w'1T!'R,
DRAINAGE: To be rrr::i4 prior to fii.-
Lt.r.g trenches.
o
UllDE.'t:!FtOOR PLUl-SINC ~ MEC!JANICAL:
To be rntIlie !:)rWr tD t7t3:aLl.anon of
[toOl' insu~t:ian or dacking.
POST AND BEAM: To bll mad.e prior to
instaLk...""ttCn of floor in:n.oZation or
dscki.~.
Bf21.'CJi pr,m!f!I.WJ,1, ~~crt!!c..t!:1 .\fECH-
ARIeAL: No :.JOrk is to be C01-'area
ur.:i.Z. thcs. inspec:im-.a hav. b.871
madII and approv..:.
f'I!'.EPl.Aq: P'rior to plac:ir.g fc:.cing
met.riaLs and bllfer. frarrri.ng inspsc-
:io7':.
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~~JJ!INC: Mu3t b. rtJqUII:Jted af~ar
approv.:L of 'MUgh ptwr.bing, aL6Cm-
cal d :r.acharti..:aL. AL~ rooling
:......_w,,~ ~ chimneys, sto::. nr..lst b.
c:omtl Ls:cd. .'10 wrk is tIJ b. con-
clICisd until this insrJecticn has
b.... ncd8 and appl"Ovsd.
r_ City D.si.gnated Job Numb8%" Is:
O Il/SUtATIONIVAPDR EARRIER r."lSPEC'!'ION:
To b. madIJ aftlilZ' aU iMvl..::o:'ti"n cma
requ".:r.d l1apC!" b~ ar. ira pLace
/:lit b.fe,.. any Zatll, gypsum boal"d 0,.
r..tZll acvtlr'i,ng i. appli..d, and batON
any insuLa'ticn i.. concflal.sd.
O DRYflALL IllSPECT~ON: Ta bB ma.c:UI
after al.l. ~Ll. i. in plac.,
/:lit pl"iol" to any taping.
O NASaRRr: St..l lo:>aticn, bond
baama, grouting or 7szo:icaLs in
~~.~w~_..~ ~th U.B.C. S.ction
241S.
O :/OODSTOVE:: Aft.,. instaLlation i.s
CCmpl.Bt~.
O CUR8 & APPROACH AP.~N: Afte:o .forms
aN fJrectsd but pr-..or to pourt.ng
.:on.."'TfJu.
O SIDEWALK J DRr/EWAY: Far aLl ccn-
crete pauing lJi:hin street r-4/ht-
of-way, to be rrr::dJI aftill' aLZ. e%Ca-
IJati,n,g ccmp Uit. d fOl"':':f t.m-k & ::ub-
base nt:tmaL in ?l.a::e.
O ~"!:NCE: .:IJurr: oompl..o:te -- Provide
ga;;; or :7fCvabl. s6Cricns through
P,U,E.
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~'1
, DEJ.!OLZTIO.1J OR .l.fOt7J 3UIL: ::;CS
::J Sam.:arv SaJC" =r:;pCli :t ~FC!"t"i lir.e
:J S.pti;: tank p-...;mpcd a.""'~ f-:.'l.'ZMi :.lith J%"Cr.)GL
:J Fwl -.I!1um above i.:c.~s are C""...r.rplatsd
. J -'.' .
ar.d lJltlm .::.r.fC:.1...:.or. 1..1 cor.:?l.-:~ or struc-
ture mov8d ar.d ?r=3.s .::i.Qane up.
I Mobi. L. Hcmes
:J Blocking and Sst-:.J.?
:J Plumbing connoct-::::::ns -- sc:.J.r au:!. :.:a:er
--, Electrical Ccrtnltction - Blackir..;, set-up
--I and pLumbing .;onr.sct'ians ~..l3t :_ a;pro1-'.d.
before rsquesting aZ4.::ri...::ai. -::r.sp.c-:io:1
~ A.c.:o8saOl";t' Bui:i.~ng
:J Fin.:1L - I.fto;r .?:71"ef:8s.
Bte. are cO'!'t?:.s:.a.
I
skirt;i~. cUJcka.
o
ALl projtJat C'01ldi.:icns, such as t1w inataLZat-.:cn of S-:Ner: trees. c~!.;':i.m 0; ;118
l'tJquirBd 1.andsccpi.,..g, etc., mu.at be sa:1.sf'iod belora :r.B BlJIUI.":C Fr:!AL ';:%71 =8 l"$qutlst~d.
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o FIRAL PUJNBINa
o FIUAL ,VECIlANICAL
o nVAL ELECTRICAL
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?IN.4L BUILDINC: 71:8 FinaL BuiLding InspBc'tUm r.tUBt bo requ8.atlld af":ill' :i-.4I .l;"inaL P!ur.:bi.ng
Ellict:r"icaL, and .1!tJcha:r.icaL InsPBctwno hauo been mada and apprDvIJd.
I F--.
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"ALL MANHCLES AND C!.EAt/OUTS MUst BE AC=ESSI3LE, AOJU~fEtl'!' TO 3E :.t.1DE AT 80 COS:- TO .;:'!'!
of .2
,
-'
8~[)\~1___
OCeu:panclI Grauo:
IJcb !lumber:
,
I Zona:
[Lot Sq. Ft{;.
::: :;[ lot C.:weragc:
iN of Storiee
,
! Total Height
i Topography
i
!!TEN
I
iMain
I Cc:raall
I Cal'DOI't
I ACCBSSOM.I
SQ.FTG
TOTAL VALUE
Is.D.c.
Iva4-UGJ
1.5:r
Buit.ding Permit
State Surcharge
Total Cha."ge8
I!TEN
I Fi:rtuJoes
I Residmtial (2 bath)
I Sanitary SezJSl"
I Wat...
I
NO. FEE
Plumbing PBI'Ir.i t
Stats Surer.arge
Total Cha:Joaes
lITEM
I.r?es. Sa. f'ta.
I NIthJ/E'rf;tmd Cirelli te
I Temporary Service
I NO. I FEE
EZsat.ricaZ Permit
Stat6 SuraharCle
Total. CMrces
lITEM
I. PUrn::l:ce E1'U' S
I E=haust Hood
I Vent Fan
1 Woodstove
NO. n:E
Perrm. t I3sua:nca
Msahanic:z.Z Permit
State Surcharae
'i'a-tf'l1. CMY'DP.D
I -- ENCROACHMENT --
Ise~~tu Deposit
I Storage
I /,kIintsnt%PU!e
I Permit
I Total Chal"aes
I eurbcut
I Sidew lk
F~B
Electrical Label
I Mobi La Home
I TOTAL AMOUrlT DUE:'
LOT TYPE
Interior
Corner
Pcmhandle
Cut-de-saa
x
Value
fY.CO
.5Lo
14.5li> .
CHARGE
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CHARGE
CllARCE
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IY.5101
Page 2
Referer:ce r:umbers:
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L-COC #:
T.:.fos/Cor.at:
Bedrooms:
I Enerau Sources
I l'feat
Water' .r.fP'(Jtp.'1"
II Range
Fil'ef)Zace
I I wood.itove
II
I Lot Facee -
I Setback.
I P. L. House Garaqe
INorth
lEast
South
IWest
T"oe I
I
I
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Access.
..- Faes
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Building Value &
Permit
This permi t io granted on the express condi tion that the said construotion.
shaH, in aU respects, conform to the Ordinance adopted by the City of
Springfield, incZuding the Zoning Ordinance, regulating the ccnatructicn
and UDe of buildings, and may be 8usptmded or rsvoked at any ti.me upon vio-
lation of any provisions of said Ordiruznces.
.
Plan Ch8ak Fee:
[)ate Pa-'.d:
Receipt II:
Signed:
Plumbing Permit
No person shall construct, instalZ, at.ter or ahange any 7UW or msting
p1.umbing or dztainags system in whoZe or in part, unless such person is tits
Zegal possessor of a valid pZumber's license, 8%Cept that a person may do
pl"",bing work to property which i. oomed., leoaed or operated by the appli-
cant.
.
Electrical Permi t
Wh8re State LaJ.J requires tr.at .the electrical, work be done by an E1.eetrical
Contractor, the elecmcal portion of this permit shaU ".ot be vaZid until
the Zabel has been signed by the Electrical Contractor.
.
Mechanical Permit
I.
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PLan &rcrm..ner
va.e
I SA VE CAREFULLY EXAMINED the camp leted app Ziaation for pe""': t, and de
hsreby eertify that all info:omation hersDn is true and c01Tcat, and I
f'..aotr.er certify that any ar.d all work performed shall be done in aa~or-
dance :dth the Ordinances of the City of Springfield, and the L<r.Js of thG
~ State of Dreg"n per~-ining to ths IJOrk describod herein, end that NO OCCU-
PANCY will be nr:zde of any structure without parmission of the Building Di-
vision. I further certify that only contractors and empZoyees who are in
compLiance with ORS 701.055 wiZl be used on this project
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