HomeMy WebLinkAboutPermit Mechanical 1982-12-15
.. RESID~NTIAL..
APPLICATION/PERMIT
225 North 5th Street
Spr?~~~fieZd, Oregon 97477
Building Division
726-3753
J
Job Lac=.tion:
YL}1'1' ,. ('\4~~; 11
~1D23~~
(L.) ~r) 0 Q ~
T= wt # () ~ ~\\\~
'4
lli1A.oln. -^ C. 'V_o J:9 Jl ill~ )
'4411(YCi~ltJSl: Phone: 1Lf'1- ISR1
~~')_~~_f) ~,d., Zi;J: q'l41~
As:;esGor:: ;\fap il
Subdivision:
:;:.:ner:
.4.d.cJ.r.ess:
City:
,vc:'.J
Additicn
Remod.el
,1.100:.!e .=!ome
Descr-:be f-lor/(:
Wood,S6LJ~
Value
6D
I7DCJ.
Jl-15-g0
Addres3
Date of Application
Conr::rac"Cors
General
PZumbinq
::lectPicaZ
Nechar.ic::l
(\.tu )Y'\ 1 )("
Const~~cti~ L~nder
1
I
Rcce-:pt .1-
r.;,o / () %
L.. ~-
~.
41'0
J S c:o
.0;0
I S.l1>O
Sigr.ed:
Date:
~~
I (~-I ~-8"'2 oJ
Lisc.#
Ex;;ires
Phone
It.is the responaibility of the permit hoUier to see that all inapections are made at the proper t~~e, that e~ch =ddress is re~b:e
from the street, and that; the permit ca:rd is located at the front of the property.
.3ui~i~~ D:vicio~ appY'oved p~ sr~ll remain on the Building Sit:: at all times.
?:?OCEDU.oE pon INSPECTIOfl ,=?EQUE'STtCALL 726- 376 9)recorder) state YOUI' City designated job nun:ber,
request;cd a~-d when you will be ready for inspection, Contractors or Ow~ers r~e end phone number.
...>i ZZ be rr:ade the same dc.y, requests m~e afta' 7: 00 am wi ZZ be made the ni:Xt :.JOrkinq day.
FCOTriG ~ ?OUNDATICN: To be ,mee
after ~renches are e=c~Jated a~.d
ferms ere erec:ad~ ~ut prior to
pourir~ c~ncret~.
O MASONRY: Steel
U.'lD"E:RG,'?OU,~'D ?5U!f3I:'iG. S::;rc;." , W:1TER, '. <-
oeCIma ~ grou ... irr..g
D~AINAG2: .To be made pz-;or to fiZ- accordance with
hr~ ~rencl!es. . 2415.
UNDE.9FLOCR !'Lm.'!3E1G '1 XECHA:VICAL: ~'(]ODSTOVE:: AfteY' installation is
To be ~e 'pr~cr t;o ina~~lZation of I . ccrrrpleted.
floor :.nsu<-G:,,'z.on 01' deCK1.ng. . .
.i'c~di~~d !ns~pcticn~
O SIT:: I.7SPEC':'JON: To be made
excavction, but prier to set
forms.
aft2r
up of
D'I WlD2RSUB ?Li./.'EJING. 2D2CTRICAL 1
,\,'EC2A;iIC:.Z,: To oe maae befoY'e any
wori<. is covered.
o
o
0'
o
?OST AND 3EAM: . To be rr:ade ;:;r-ior to
instalktion of floor ir.8tokztion or
decking .
D
ROUGH ?!J~1BI;'/C. ~[ECTP!C.4.[' .~ ;I,fEC.!.J-
AHIC,J.!.: ;Vo :.;ork is t.:J be covered.
uY:'ti l ;;...cse :.r..scectior:s ;zat.'€ b€er:
made ~.d .=?pr?~~~.
FI.~E?LAC2: FTior to plccir..g fc.c-(,ng
mc"cPiaZs ar.d before framir~ inspec-
tion.
o
[]
P.9..41~I;'lG: ,'-!ust;;e reque:Jted after'
appY'ov~l of rough pl~~i~~, alectr-;-
cal & mechanical. All roof:r~
brccing 3 chi.r.n~ys, etc. ,r.~s" be
. comvle~cd. No ~rk is to be con-
,ceaied until this insoec:ion r~s
. been made and a?prol;ed.
YOUI' City. Desigr~ted Job Numb€!' Ia:
D
INSULATION/VAPOFl BARRIER INSPECTION:
To be made after aU insulatwn cr".d
reouired vavor barriers are in olace
but before 'Cmylath, gypsum bod:r>d or
waU covering is applied, ar.d before
any insulation is concealed.
JOO adcress, type of in3pec~icn
Requests received befcre 7:00 ~
~adAg 1-
. DCl.!OLITION OR ;,.,'OV-S'; BUILDIiiCS
:==J SanitarJ S~Jer ~ap?ed ~t P~OP~~~d line
~ Septic tank p~~ed and f:Zled with grc>eZ
~ Pinal - ~~en above ite~s are cc~leted
~ and when de~cZitio~ is compZete or st~~~-
ture moved ar~ Fr~,,'~3es cleaned up.
Mooi le Hcmes
=:J
=:J
Blocking ar.d Set-~p
Plumbing connections
s~er c:r.d. uJa-:er
o
DR'!WALL INSPECTION: Tc be made
after aU Gr;jwaU is in place,
but prior to any taping.
~ Electrical Connection - Blockir~, set-u~
~ and pllunbing connections nr~st =~ appY'Dved
before Y'equest:ng eZec~rical ins?ectio~
=.J .4c~esso.l. y 3ui z.:i~r.g
. ~ Pinal - Aft~r ?~r~~es,
---J etc. are ccmple~ea.
ski!'t:.ng~ decy..s,
location, bond
or verticals in
U. B. C. Section
D
CURB Ii .4.E'PROACH APPON: After forms
are eY'ected but pr-;or to pouz-~~~
conaY'ete.
o
AU pro.ject conditions, Guc.l: as the '~.nsr;allation of street ::rees, ~:J'77?Ze"ion of the
requiped landsccpi~g~ ctc_J must oe satisfied before the aUILDING Fr~AL ~an be requ3st3c.
0, FIl!AL PW:'~BI:iG
0, FDA! NEO:HAJICAL
0- PINAL ELECTRIC:'L
[]
o
PINAL BUILDING: The Find Buildi~~ Inspection ,""list be requested .::[::er the ?ir~l Plumbing
Elect~ical, and Mecr4~icci Inspecticn$ have been made ar~ cpprcv8~.
D
SIDEWALK 3 DRI:'F:',v'AY: For all con-
cY'ete paving within street right-
of-UJC.Y, to be made afteY' aU exca-
vatinq comvZete & fo~ ~rk d sub-
base ~aterial in ?lace.
"ALL MANHOLeS AND CLEANOUTS :'JUST BE AC~ESSI3[E, .4DJr...'ST:'!Z:IT TO 32 ;'.~/iDE /1' !IIO ::-ST TO CI?Y
o
'?ENC~: When.compl~te -- Provide
gat;es or ~ovable sections thY'ough
P.U.E.
D
?-=.;a
of 2
! JOB
!
I
i Zona:
NO. ~adBq~ SOLAR.CESS REQ,~=qe 2
-L-COG~
GC~..J.:;anc:.; Grou"':):
Lot Sq. Ft:;.
I ~ "f lot C"veraqc
; # of StOI"';es
1 Total Heicht
i "
Topogro;;hy
LOTT":!?E
Il".terior
Corner
Panha1".dle
Cul-de-sac
ITE,,'.f I SQ.PTG X Value
I,..fain
I 'k::!'-::zce
i
! Car>::crt
i
1.4ccessorA
TOTA& ;'AWE
Is.D.c. I vc:~uc)
1.5 = .'
I
Building Pe~~t
State Surcharge
Total C"'.a.~ge3
I I'i'::M I NO. , r::.c. CHARGE
PL--t:ures I'
Residential U bath) I
Sc=ni taY"j Sewer I
I wc:t er I
I
Plumbing Pern:it
State Surcr~qe
Tcta l C"rr.c:Y'ces
III'EN .va.
I Has. SA. fto.
Ncw/E:xtend Circui ts I
Temporary Service .' .1 'I
I I
C.=y.....=fCE
;:;;'E;'
Electrical Permit
State Surcharce
Total Ch~ces
I ITSM
I ?:.<mace 2TU; S .
I E=;haust Hood
I Vent Pan
I .
"rIoodsto:;e
I ;;e.
I
I I
I I
J I
I
F2E
C H MiCE:
IS-~ 0 I
I
I
/5.()() I
.&01
15-' &0 I
Pern:it Issuance
Mecr~nic:::l Permit
State Surolu::roe
Tota l Ch.a1'ryea
I 2NC.=?CACHME;'!T
1<" 't D ....
l~e~~I"'_ ~ e::os~"
Stor-:zqe
111a-:,n. t ertC:7"...::! e
Permi t
Total C'rtaraes
I Curbcut
! Sidewalk
I :e~e
I cl.zctrical
i ., l
l Moc~ e H"me
Label
I TOT,t[, ,t'.fOUNT DUE:'
! S. (flO
Tij~e/Cor.st; :
iJ.zdY'Qoms:
I Enerau SouY'ces
I Heat
I I
I i
: I
I I,
&ot Paces -
Tur::e
P. ~.
Setback.s
I House CaI'age
I
I
I
I
Firevlace
Wooci:;tove
I A':1cess.
~/ater .=feater'
Range
1N0r th
lEast'
South
IWest
F:zes
Building Value & Permit
This permit ia granted on the eX?Y'ess condition that the sdid.oonstruotion
shaZl, in aZl respects, aonfc~ to the Ordinance adopted by the City "f
Sprinaf~eZdJ incZuding the Zon~na Crd:nance, reauZ~tina the ccnst~lct~cn
and ~;~ of buildings, end m~y. ceu 3uspe~~ed or r~vokec ;t.er.y tiNe upon uic-
laticn.cf'xr.y provisions of said Ordir~nces.
,: :
; . .
.. I
PZan Check Fee:
Date Paid:
IR~czipt #:
I Signed:
Plumbing Permit
No person ahall cons~~ct, instalZ, aZter or qhange any newer existing
plumbing or drainage syste~ in ~hoZe or in part, unless such peY'son is the
legal possessor of a valid pZumoeY"s license, except tr~t a pe~son may do
plumbing work to pY'opeY'~~ which is ow~ed, Zeased or operated by the appli-
cant.
I
I ·
I
I
I
I
I
I
I
I ·
Electrical
Permit
Where State &aw requiY'es tr~t the electrical work be done by an Ele~trioal
Contractor, the electrical portion of this permit shall not be valid until
the Zabel has been signed by the ElectricaZ Contractor.
Meche nical
PermB
I
I
I
I ·
PZan Z:=C717,..ner
~'ar;e
I HAVE CAREFUL&Y E~~INED the compZeted appZication for permit, a1"~ do
hereby certify that all info~ation hereon is true ar.d correot, ar.d I
fu.rther certify that any c:r.d aU work ;;erfo!':'ned shall be do:-ze in ac~oY'-
dance ?Uith the Ordinances of the City of Springfield, and thz L~..;s of thC3
State of Oregon per~ininq to the work described herein, ar~ that NO OCCU-
PANCY wiZZ b2 ma;ie of any 3tY"~cture without p8rmission of the 3uilding Di-
vision. I further'certify t~~t only contractors and ~lcyees who are in
c~pZiance with OHS 701.05E wilZ be used en this prQjzct
~dLJ;J-diAX)Prx J
:J1..gnza
-t1~.. /s-i~