HomeMy WebLinkAboutPermit Mechanical 1982-2-3
;...
.. RESIDENTIAL..
COMBINATION APPLICATION/PEP.MIT _ SPRINGFlELD-
225 North 5th Street . .
: Springfield, Oregon 97477
~ BuiZding Division
~' 726-3753
Reae-:.pt .~
C;-7 L! '7~
~
7tJrP5' bf;'1Jd1 /V~
1# . 11 - 0 2..... 05 -- ?-> fi Tez Lot # 0 Lf fJ-D l--
Job Location:
Assesoors Map
Subdivision:
(Mzer: nkt4~ ~~.
Address: 70(P~ ~ldvf.
City: .A.A.~./,/)~ 0
-- jYjJLJV
I 1_1'1"""
I Ad.di ticn
I Remodel.
I Mobile Flame
We S,
..
d-3- ~~
Date of Appl.icaticn
Contractors
General.
Plumbing
F:Z.ectrical.
.'.techar.ical. (( ) /~/h
Construction Len.dsr
Phone: 726-/b~
Zip: 971/77
Describe WOl'k:
Val.ue
Addresa
M, P ;$;00
t;% I. toO
v~
IS: 60
Sigr.ed:
Date:
~
2~~,- 5(S
Liaa.#
E::;:;il'es
Phone
I
It is :he responoibiZity of the permit hol.der to see that al.l. inspections a"l'e r.'.ade at :he proper time. that each .;.ddress is readab~"
from the street, and that the permit card is z"cated at the front of the property.
-Eui7.ding Diui::ion app"l'oved Flan shal.l. remain on tha Buil.ding Site at al.l. times.
Pl'10crDUFlE FOR INSPECTION REQUEST: Can '1:!6-37~(;roecO"l'der) state your City designated job nurr.ber. job ati.drcss, type of i7'l3pecticn
requested ar.d when you ;.)il.l. be ready for inspection, _Contrcw:tar~B-1lQ1lELJmlLph.alllL.llUl1llzar---....~eaussts received before 7: 00 a-:l
..'in be rm.de ths same dq. requests made aft:zs '1:00 qJTl will. be rm.de the nut :,;orking day.
. rOW" City Dellignated Job Numbco Is: . IfJ () 0 7 SZ'
/
Pf-'J",:",.,n r.,.~t>~H.l":"f!ft
SITE INSPEC':ION: To be /IIfZIU after
e;:cauanon, but prior to Bet up of
:0
..0
- .
;0
J "'''''''0.
&IYLllllt"LAB PLUMBING. ELECTRICAL &
MECHANICAL: To be made before any
work is .::overed..
FOOTING ~ FOUNDATION: To be rm.de
after t"l'enches are e:z:cavated and
forms a"l'e el'ected, but pl"ior to
pouring cC7lO7'et.;.
W1DERGROUND PLUMBING; SEWER. W.iTER,
D.'?AINAGE: To be nr:z.:ie priOl' to fil.-
Ur.g trenches.
(:0'
:0
UNDEP.FWOR PLUNBING -1 MECHANICAL:
To be made prior to instal.Zation of
f7,oor insuZation or decking.
POST AND 8EAM: To be rrratk prior to
instal.l.aticn of f7,oor insl.OZation or
dsaking .
ROUGH PLUMBING. E:r.ECTR!CAr. & MECH-
ANICAL: No :,)()rk is to De aOL'ered
ur.til. these inspections have been
made and: ~t'~ ..,Je::.. .
F'I."'.EPLACE: Prior to p Zc.ci.r..g facing
material.s and. before framing inspec-
tiar:.
.0
~D
;0
.
;0
FRANING: Must be requeDted after
approva.l. of rough pl.wr.bing. el.ectri-
!:al. & mechani::a.l.. Al.! roofing
bracing !J chimneys, et.::. l7l'...st be
= l.etcd. !Io I.lOrk is to be aon-
Cleared until this insoection has
been made and ~~~.vJed.
O INSULATION/VAPOR BARRIER INSPECTION:
To b. rm.de afte"l' al.l. insul.ation ar.d
zoaquiZ'ed. ul%pO"l' barf"iezos a"l'e in p Zace
but 1:;efors any Zath. gyp8U11l board or
~ZZ covering is appUed. and before.
any insuZation is conc8l%l.ed..
O DRYWALL flISPECTION: To be made
after al.l. drywal.l. is in pLace,
but prior to any taping.
O MASONRr: Steel. Zocation, bond
. beam3, g"l'OU:ing or uerticau in
accordance with U. B. C. Section
2415.
fliI. ~ WOODSTOVE: Aftw instal.Zation is
~mpl.eted.
D CURB & AFP.r?OACH APRON: Afts:' forms
a"l'e erected but prior to pouring
'::011o..--retii.
O SIDEWALK & DRrIEWAY: For al.l. Clon-
orete parri.ng within street right-
of-way. to be mads after al.! e:z:ca-
uating ocmpl.ete & forM rJO"l'k & sub-
base material. in pla::e.
o
o
E'ENCE: Wher. compZote -- Provide
gates or movabLe sections through
P.U.E.
DEMOLITION OR .\fOt'::D 3UIL::::;IGS
t
:J Sam.-;az.y setJe1' cC;;ped ::t ~P~:i l.ir.e
:J Septi:: tank p-.<mped ar.i f-:. Z7.ed :Jith ;z'C:JeZ ;
--, Final. - Jlhen above it2~s erre acr.rpl.eted ,
--.J ar.d when d.emo~itior. is oor.r;;l.8"" or strua- :
turs moved ar.a pr;;:nis.;s s:.eane:: up. .
Mobile Homes
:==J 8l.ocking and Set-~p
:J PZwnbing connections -- 8aJer c:7Zd water
---, Electrical. Ccnnection - 8l.~ck-:.r~, set-up
---.l and. pLumbing Clonr.Bctwns rr7"...st ::8 IZ?provea
beforc requesting el.e~~ricaZ -:.r.spection
:J AcceSsol"d BuiUi71f'
--, Final - Aft<:l'.?01'c.hes, sk-:.rt-:.71f', decks,
--.J etc. a"l'e comp~at~a.
D
AZZ project aonditio1'ls, such as the instaZZation of st"l'eet trees. clZ!!'L.;tio>t oj" ;iw
required 7..andscapi1"..g, eta., 17!Ust be satisfied before 1;1'08 aUIWI::C FI:JAL san ::13 raquest.2d.
. 0 E'INAL PLUMBING
. 0 FINAL MECHANICAL
o PI,VAL eLECTRICAL
o
o
:?IN.4L BUILDINC: The FinaL Buil.ding Inspection 17!Ust be l'equeated after the Pinal. ?!wr.bing
electrical. and Uechanical. InspectionD have been made and. approued.
"AU MANHOLES AND CLEANOUTS MUST BE ACCESSIELE, ADJUST!fENT TO 8E MADE -I1T NO COST TO CI'!'! I F:;~e
\..
of 2
i
,
J
.-.
..u_::.... ,_,':,.. ___..._
.-.-'-"-'- .' --
j
I Job ,Vwnber:
,
I Zone:
.
Ocau:oancy Group:
LOTTYFE
iLot Sq. Ftg.
i
% .:;f l.ot C.:;verage
# of Stories
Total Height
Topography
lITEM
I
I Main
I
/;Garaae
I Ci:rr"oort
IACCeSSOI'lJ
I SQ.FTG
S.D.C.
TOTAL VALUE
(VaLue)
1.5 x
Building ~',,","...:'t
State Sw:ochaIoge
Total. Cha..~ge8
lITEM
I Fi.rtures
I Residential (1 bath)
Sanita;r>y SelUer
NO.
FEE
Water
I
Plumbing Permi t
State Surcr.m>ge
Total Charaes
ITEM
NO.
FEE
.Res. Sa. fta.
NGIJ/Extend Circ::ui ts
I Temporary Service
Ele:Jrncal. permit
State Sur:J1!azoqg
Total. CharQe8
ITEM
NO. FEE
F'u.rnt:ce HTU' S
E::;hazlst Hood
Vent Fan
Woodstove
'J
Permit Issua:naa
Me~hanica.l. Permit
State Surcharoe
Total. Charaes
-- ENCROACHMENT --
IselT.trity Daposit
I Storage
I Maintena.nce
Permit
Total. Charaes
I CuI'hout
I sidewal.k
I Fe=e
I El.ectrical. Label.
Mobi l.e Home
TOTAL AMOUNT DUE:"
Interior
Corner
Panhandl.e
Cul.-de-sac
x
Val.ue
CHARGE
CHARGE'
Page 2
.
L-COC #:
Reference Nwnbers:
Tif"{Je/Cor.st:
Bedrooms:
Enara!! Souzoces
!:f'eat
Water !:feater
Range
I Firep l.ace
Woodstove
Type
[,at Faces -
I
I
I P.L.
!North
lEast
ISouth
jWest
Setbacks
House Garage
Access.
Faes
Building Value & Permit
This permit is granted on the express condition that the said construction'
shal.l., in al.l. respects, conform to the Ordinance adopted by the City of
Springfiel.d, incZuding the Zoning Ordinance, regul.ating the construction
and use of buildings, and may be suspended or revoked at any ~.JTle upon vio-
Zation of any provisions of said Ordinances.
I
f ,.
I ,.
PZan Check Fee:
Date Paid:
Receipt #:
Signed:
Plumbing Permit
No person shaH construct, instaZZ, aUer or change any new or e:risting
pZumbing or drainage system in whole or in part, unless such person is the
"Legal possessor of a valid plumber's Ucense, except that a person may do
plumbing work to property which is oumsd, leased or operated by the appU-
. cant.
,.
Electrical Permit
Where State LaJJJ requires tr.at the electrical. work be done by an EZectrical
Contractor, the el.ectrical portion of this permit shaZZ not be vaUd until
the Zabel has been signed by the Electrical. Contractor. .
,.
CHARGE Mechanical
Permit
I
5: tJO
1{).Oc)
/ L'). 0 f)
I (19 (J
>YS,'/b/J ,. /7
/lU~ ,51-3-8'2-
PZan L;..........H~ner vate
f
$s, (PO
( ,.
I HAVE CAREFULLY EXAMINED the compl.eted application for permit, and do
hereby certify that an information hereon is true and correct, and I
further certify that any ar.d an work performed shan be done in accor-
dance with the Ordinances of the City of Springfield, and the La:.Js of the
State of Oreg.:;n pertaining to the work described herein, and that NO OCCU-
PANCY win be made of any structure without permission of the Building Di-
vision. I further aertify that ~l.y aontractors and enpZayees who are in
compliance with ORS 701.055 wi 7.. 7.. be used on this project
#~./
Signed/'
~~.-'!
.. /
~- 3'~8 :z-
Date