HomeMy WebLinkAboutPermit Mechanical 1985-3-4
.---'-u RESIO.TIAL..
APPLICATION/PERMIT
225 North 5th Street
Springfield3 Oregon' 97477
Building, Division
726-3753
SPRINGFIELD
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L/{)~ ~ f!LI~~~ - Phone:' 7~~ - 4/ cr=s (j
.1W-'1p.Jl/ 6/{J Zip' 97<'/7JY
_ Descr:be ffork:
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- Address
Job Location:
Assessors Map #
Subdivision:
Ot,mer:
Address:
Ci ty :
New
Addi tion
Remodel
~-fobiZe Home
Date of Application
Contractors
General
Plumbing
Electrical
Mechanical
.~'
Const~ction Lender
Rece{.pt #
04/~3-c)
fel
Signed:
Date:
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3/<// rfj~
Lisc.#
Phone
Exvires
It is the responsibility-of the permit houzeI' to'see that all inspections are made at the proper time, that each ~ess is reaaab:e
from the street. and that the permit caxod is located at the front of the property.
*Bui!ding Diviaion approved plan shell remain on the Building Site at all times.
PROCEDURE FOR INSPECTION REQUEST:CALL 726-3769 (recorder) state your City designated job nwnber. job adi:toess. type of inspection
requested and when you will be ready for inspection. Contractors or OWners ncme end phone number. Requests received befere 7:00 ~
"->ill be made th!i; same day. requests made afte:ro 7:00 am will be made the next :x;rking day.
Reauired Insvections
O SITE INSPECTION: To be made after
excavation, but prior to set up of
, forms.
D
UNDERSLAB PLUMBING. ELECTRICAL &
,l1ECHANICAL: To be made before any
work is covered..
o
FOOTING & FOUNDATION: To be made
after trenches are excavated and
forms aJ"e erected. but prior to
pouring concrete.
UNDERGROUND PLUMBING, SEWER. W.1TER,
DRAINAGE: To be made prior to fil-
Zing trenches.
o
0: UNDERFWOR PLUMBING & MECHANICAL: '
. To be made prior to installation of
floor insulation or decking.
O POST AND BEAM: To be made prior to
installation of floor insulation or
decking .
ROUGH PLUMBING. ELECTRICAL & MECH-
,ANICAL: No work is to be covered
,until these inspections have beer.
made and approved.
FIREPLACE: Prior to placir.g facing
materials and before framing inspec-
tion.
D
D
D FRAJ1ING: Must be requested after
approval of rough plwnbing. electri-
cal & mechanical. AU roofing
bracing & chimneys. etc. m"~st be
: completed. No work is to be CDn-
,,~-cealed until this inspection has
:been made and approved.
Your city- Desigr~ted Job Numb!i;r Is:
'0 INSULATION/VAPOR BARRIER INSPECTION:
To be made after all insul~tion ard
"_ required vapor ba:r'riers aJ"e in place
but before any lath. gypswn bOaJ"d or
wall covering is applied. and before
-any insulation is concealed.
DRYWALL INSPECTION: To be made
after aU drywall is in place.
but. prior to any taping.
O MASONRY: Steel Location. bond
' beams. grouting or verticals in
accordance with U.B.C. Section
, 2415.
,\ /I "WOODSTOVE: After installation is
~ completed.
~
o
CURB & APPROACH APRON: Aftel' forms
a:r'e erected but prior to pouring
concrete.
x ~~O ~ 0 ~
, DEMOLITION OR ;',;oVED BUILDIiIGS
~ Sanitary s~~er capped at p~operty lir.e
~ Septic tank pumped and filled with gra~eZ
I Pinal - f,'lien above items aJ"e cc,wleted'
---l and when demolition is compLete ~r struc-
turemoved and premises cleaned up.
Mobi le Hemes
~ Blocking and Set-up
~ Plumbing connections s~er ard water
~ Electrical Connection - Blockina. set-uv
~ and plumbing connections nr~st b~ approved
, before requesting eZectrical inspection
=:J Accessory -Sui lding
~ Pinal - Aft<Jr porches. skirting. decks.
---l etc. are completed.
D
All project conditions. such as the installation of street trees, cO"pletion of the
required landscaping, etc.. must be satisfied before the BUILDING FINAL can be requested.
o FINAL PLUMBING
o FINAL MECHANICAL
o FINAL ELECTRICAL
[J
o
FINAL BUILDING: The, Final Building Inspection must be requested after the Final PZumbing
Electrical. and Mechar.ical Inspections have been made and approved.
D
SIDEWALK & DRIl'EWAY: - For aU con-
crete paving within street right-
pf-way. to be made after all exca-
vating complete & form 1JOrk & sub-
base material in place.
~AL[' MANHOLES AND CLEANOUTS MUST BE ACCESSIBLE. ADJUSTtfENT TO BE ~f.1DE AT NO COST TO CITY I P~:'e 1 of 2.
D
FENCE: ,,'hen complete -- Provide
gates or movable sections through
P.U.E. '
o
I.
JOB No.3s'U36"5
SOLAR.' CESS
Occupancy :
LOT TYPE
Zone:
Lot Sq. Ft{;.
% of lot Coverag~
!I- of Stories
TotaZ Height
Topography
Interior
Corner
PanhandZe
CuZ-de-sac
I
lITEM I SQ.FTG X Value J
Main j
Garaae J
I Carvort I
Accessorl-/ I
TOTAL VALUE i *
S.D.C. 1.5 x (vaZ,ue)
I
BuiZding Permit I
State SUX'charge I
TotaZ Charges *
lITEM NO. FEE CHARGE I
I Futzaoes I
IResidential (1 bath) I I I
Sani tary Seuler I I I
Water I I I
I I I
Plumbing Permit I I
State SUX'cr.a:r>ge I I
Total Charoes I I *
I ITEM I NO. ' FEE CHARGE
Res. So. fto.'
I Naw/Extend Circuits
I Temporary Service
I
I
I
I
I
I
CHARGE I
I
I
I
/ S{Tr; I
I
I
I
(;;;0
;----.
IS-Ioo
Eleatrical Permit
State SUX'aharqe
TotaZ Charqes
ITEM
NO.
FEE
Furnace ETU' S
Exhaust Hood
I Vent Fan
j - -
I Woodstove
I
1/ I
I I
Pemt Issuance
MeehanicaZ Permit
State SUX'charoe
Total Charaes
-- ENCROACHMENT --
Se~writy Deposit
I Storage
I Maintena1U!e
I
I
I
t
I
I
I
I
I
I
I
JJ"'" 00
Permit
Total Charqes
I Curbcut
\ Sidewalk
, fi'en:Je
I Electrical Label
I Mobi Ze Home
I
I
TOTAL AMOUNT DUE: *
Page 2
REQ.-
.
Type/Cor.st:
Bedrooms:
l-CO G'"i
I Lot Faces -
I Setbacks
I P.L. House Garage Access.
INorth
East
ISouth
IWest
I Enerql-/ Sources
I Heat
I I Water Heater
I I Range
I I FirepZace
I Wood3tove
j
TLfoe
I
I
I
I
I
Fees
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. reguZating the construction
and use of buildings, and may be suspended or revoked at any time upon vio-
lation of any provisions of said Ordinances.
Plan Check Fee:
Date Paid:
Receipt #:
Signed:
Plumbing Permit
No person shall construct. install. aZter or change any r~w 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.
Electrical Permit
Where State Law requires tr.at the electrical work be done by an Eleotrical
Contractor. the electrical portion of this permit shall not be valid untiZ
the Zabel has been signed by the Electrical Contractor.
*
Mechanical Permit
*
Plan Examiner
uate
I HAVE CAREFULLY EXAMINED the completed appZication for permit, and do
hereby certify that all 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 L~~s of the
* State of Oregon 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 certify that onZy contractors ar.d e~loyees who are in
compliance with ORS 701.055 will be used on this project
o~ &;vJz
-$'-4-g~
Date
Sign",d
*