HomeMy WebLinkAboutPermit Mechanical 1985-2-4
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Il'. RES1DWNTIAL"
APPLICATION/PERMIT
225 North 5th Street
Springfield, Oregon 97477
Building Division
726.;..3753
SPRINGFIELD
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# \; I ~O cftA' . T= Lot #
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Job Location:
Assessors Map
. Subdivision:
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Phone: ~ \ - \lo~q
Zip: q141R
I I Nm] (\ ..: ....... . Desc1"'~be 11'01'7<:
I I Adnitie" \.U \ \l.UJo~ ~
I I Remodel
,J I Nobile Home . 4. .It ()~ 00
Date of Application ~ - ~ VaZue ,1-;- ). .. ..
Contractors
General
Plumbing
Electrical
Mechar.icd
()J\f\V~ l'-h~eJ
Construction Lender
AdcL~ess
Rcce-:.pt if-
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Date: - c:J- LJ-8S
Lisc;#
Phone
EX1Jires
It is the responsibility of the permit .holder to see that au' inspec:tions are made at the proper time,. that each .:::ddress is readab~e
f1'Om the street, and that the permit card is located at the front of the property.
*BuiZding Divicion approved plan shall remain on the Bu-:.lding sits at all times.
PROCEDURE FOR INSPECTION REQUEST:CALL 726-3769 (recorder) state YOUI' City designated job nwnber, job ,adiress, type of inspection
requested and when you will be ready for inspection, Contractors or Owners name and phone number. Requests received before 7:00 ~
"->iZZ be made the same day, requests made after 7: 00 am wiU be made the next :x;rkingday. .
Your city Desigr~ted Job Nwnb.er Is: 82f:J \44
O. . MASONRY: Steel
beams, grouting
accordance with
zU'41i5.
UNDERFLOOR PLUMBING & MECHANICAL: WOODSTOVE: After instaUation ii?
To be made prior to installation of c:ompleted. \
flooY' insulation or decking. ....(.
POST AND BEAM: To be made prior to D CURB & APPROACH APRON: After fo~'s
installation of floor ins~lation or are erected but prior to pouring
. decking. eJoncrete.
ROUGH PLUMBING. ELECTRICAL & MECH- D SIDEWALK & DRIVEWAY: For aU con-
. ANICAL: No work is to be covered '. crete paving within stY'eet right-
,until these inspections have been of-way, to be made after all exca-
made and appY'oved. vating complete & fom work & sub-
FIREPLACE: Prior to placing facing base material in place.
materials and before framing inspec-
tion. .
Reauiped InsD~cticns
O SITE INSPECTION: To be made after
excavation, but prior to set up of
forms.
:.0 UNDERSLAB PLUMBING. ELECTRICAL &
. MECHANICAL: To be made before any
work is covered.
o
FOOTING & FOUNDATION: To be made
after trenches are excavated and
forms are erected, but prior to
pouring concrete.
o
UNDERGROUND PLUMBING/ SEWER. WATER,
DRAINAGE: To be made prior to fil-
Zir.g trenches.
0:
o
D
'0
D FRANING: Must be requested after
approval of Y'ough plwnbing, eZectri-
.cal & mechanical. AU roOfing
. bracing & chimneys, etc. ~~st be
::'.completed. No work is to be con-
.,.,~"cealed until this inspection has
..~ been made and approved.
,.'.---- .
D INSULATION/VAPOR BARRIER INSPECTION:
To be made after all insul~tion ar.d
. ' required vapor barriers are in place
, . but before any lath, gypsum board or
wall covering is applied, 'and before
.. any insulation is concealed.
'0
DRYWALL INSPECTION: To be made
after aU drywaU is in place,'
but prior to any taping. '
DEMOLITION OR i!OVED BUILDIilGS
=:J Sani tary se'.Jer C!apped d p~operty line
==:J SeptieJ tank p~~edand filled with gra~eZ
~ Pinal - I>'hen above items are comvleted
,:; ... 0+.. <-
and when ~emot~""on "s complete or stru~-
ture moved and premises C!leaned up.
. Mobi le Homes
~ Blocking and Set-up
=:J Plumbing connections s~er and Water
~ Electrical Connection - Blocking, set-up
---l and plumbing connections ~~st be appY'oved
. . before requesting eZectrical inspection
:==J Accessory Building
~ Final - After p?rches, skirting, decks,
~ etc. are completed.
D
All project conditions, such as the. installation of street trees, co,"?letion of the
required landscaping, etc., must be satisfied before the BUILDINC FINAL can be request3d,.
D FINAL PLUMBING
D FINAL MECHANICAL
o FINAL ELECTRICAL
o
I
o
PINAL BUILDING: The Final Building Inspection must be requested after the Pinal Plumbing
Electrical, and Mechanical Inspections have been made and approved.
location, bond~
or verticals in
U. B. C. Section ~
;
D
PENCE: h'hen complete Provide'
gates or movable ,sections through
P.U.E.
"',?dEi!, !-MIY'N;CUfS AND CLEANOUTS MUST BE ACCESSIBLE, ADJUST!1ENT TO BE !,!1DE .1T NO COST TO CITY Paf:e:: of 2
o
I JOB NO.P1:{)\4L\- SOLAR.. CESS
I Zone: Occupanclj .
Lot Sq. Pt:;. LOT TYPE
% of lot Coverag~ InteY'ioY'
# of Stories Corner
Total ,Height Panhandle
Topography Cul-de-sac
lITEM
I Main
I Garaoe
I CarvoY't
IAccesso~l/
I
I
I
S.D.C.
SQ. nG
. I
TOTAL VALUE
(va~ue)
1.5 x
Building Permit
State SUI'charge
Total Charges
ITEM I NO. I
FEE
PixtUI'es I
Residential (1 bath) I
Sanitary Sewer I
Water I
I
Plumbing Pemit
State SUI'cr~e
Total Charoes
ITEM
NO.
Res. Sa. fta. .
New/Extend Circuits
Temporary Service
Electrical Permit
State SUI'charqe
Total Charr:;es
ITEM I NO. FEE
Furnace ETU' S I
Exhaust Hood I
Vent Pan I I
Woodstove I \ I
I, I
Permit Issuance
Mechanical Permit
Stat~ Surcharoe
Total Charaes
-- ENCROACHMENT --
Se~~rity Devosit
Storage
Maintenanae
I Permit
-0,;.
Total Charaes
I Curb~t
I Sidewalk
I Fenae
I Electrical
Label
Mobile Home
TOTAL AMOUNT DUE: *
Page 2
REQ.-
l-CO G~
.;..
~.
,.
Type/Cor.st:
Bedrooms:
I EneY'Cr.ll SOUI'ces
Heat
I Water Yeater
I Range
I i FiY'ep lace
I I Woodstove
I j
Tuve
Lot Faces -
P.L.
North
East
South
_West
Setbacks
House Garage
Access.
Fees
x
Value
Building Value & Permit
This permit is granted on the express condition that the said construction
shall, in all respects, conform to the Ordinance adopted by the City of
Springfield, including the Zoning Ordinance, regulating the construction
and use of buildings, and may be suspended or revoked at any time upon vio-
lation of any provisions of said Ordinances.
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Plan Check Pee:
Date Paid:
Receipt #:
I Signed:
CHARGE
Plumbing Permit
No person shall construct, install, aZter or change any new or existing
plumbing or drainage syste~ in whole or in part, unless such person is the
legal possessor of a valid plumber's license, except that a person may do
plumbing work to property which is owned, leased or operated by the appli-
cant.
, *
FEE
CHARGE
E lee t r i c a I Per m i t---,
Where State Law requires tr~t the electrical work be done by an Electrical
Contractor, th~ electrical portion of this permit shall not be valid until
the Zabel has been signed by the Electrical Contractor. .
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CHARGE I
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1/$00
I .tAl
I/S:bO 1*
Mechanical Permit
Plan Examiner
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Date
Uate
I HAVE CAREFULLY EXAMINED the completed application for permit, and do
hereby certify that aU information hereon is true and correct, and I
further certify that any ar.d aZZ work performed shaZZ be done in accor-
dance with the Ordinances of the city of Springfield, and th~ L~~s of the
* State of Oregon pertaining to the work described herein, and that NO OCCU-
PANCY wiU be made of any structUI'e without permission of the Building Di-
vision. I further certify that only contractors and ~loyees who are in
compliance with ORS 701.055 will be used on this project
*