HomeMy WebLinkAboutPermit Mechanical 1985-7-2
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APPLICATION/PERMIT
225 North 5th Street
Springfield, Oregon 97~77
Building Division
726-3753
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Job Location:
Assessors Map #
Subdivision:
Ot.mer:
Address:
City:
IIKI
I I
I I
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Np-w
Addition
Remodel
Nobile Homa
'Date of Application
Contractors
General C=CQ.I.) uEBL....
PZumbing
Electrical
Mechar.ic.::.Z
Construction Lender
Phone:
/c;).{; ~~02&
cW~
DiL-
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Signed:
Date:
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Zip:
Address
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Lisc.#
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Expires
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Phone
It is, the responsibility of the permit hoLder to see that alZ inspections are made at the proper'time, that each ~ess is readabZa
fI'O/1/ the street, and that the permi t card is located at the front of the property.
"BuiZding Diviaior.. approved plan shall l'emain on thE Building Sits at all times.
PROCEDURE FOR INSPECTION RE'QUEST,:CALL 726-3769 (recorder) state your City designated job nW1:ber, job add:Pess, type of inspecticn
requested and when you will be ready for inspection, Contractors 01' Ot.mers name and phone number. Requests received befere 7:00 ~
",'ill be made the same dc.y, requests mc.de after 7: 00 am will ba made the next :,)Qrking day.
0, ,UNDERFLOOR PLUMBING & MECHANICAL: \71
To be made prior to installation of ~
. fioor insu Zc. tion or decking. . ,"
o
Reauired InsDP-ctiens
D SITE INSPECTION: To be made after
excavation, but prier te set up of
, forms.
D
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 cencrete.
D' - ,UNDERGROUND PLUMBING, SEWER, WATER,
! DRAINAGE: To be made prior to fil-
,Zir.g trenches.
o
POST AND BEAM: To be made pPior to
installatien of floor insulation 01'
, decking.
D ROUGH PLUMBING. ELECTRICAL & MECH-
ANICAL: No work is to be covered
:ur.til these inspections have been
, made and approved. '
D FIREPLACE: Prior to plc.cir.g facing
materials and before framing inspec-
tion.
D FRAMING: Must be requested after
approval of rough plwrhing, electri-
.cal & mechanical. AU roofing
" bracing & chimneys, etc. rrr..lst be
',:,Completed. No work is to be con-
,"'" ,,-:cec.Zed unti l this inspection ha's
, ',~been made and approved.
yOur city' Desigr~ted Job Number Is:
O INSULATION/VAPOR BARRIER INSPECTION:
To be made ,after all insulation ~~
.., ,- required vapor barriers are in place
of : but before any lath, gypsum beard or
, wall covering is applied, and before
any insulation is concealed.
'0 DRYWALL INSPECTION: Te be made
after aU drywall is in place,
but prior to c.ny taping.
O MASONRY: Steel
beams, grouting
accordance with
2415.
WOODSTOVE: After installation is
completed.
location, bond
01' verticc.ls in
U.B.C. Section
CURB & APPROACH APRON: After forms
are erected but prior to pouring
co=rete.
D
SIDEWALK & DRIVEWAY: FoI'. all con-
crete paving within street right-
pf-way, to be made after all exca-
vating complete & form work & sub-
base material in place.
f'SO 6! t
DENOLITION OR MOVED BUILDINGS
==:J Sanitary s~~er capped at p~oper~d line
:==J Septic tank p~ed .and filled .with gra~el
I Final - fihen above items are completed
~ and when demelition is complete or stru~-
ture moved and premises cleaned up.
, Mobi le Hemes
~ Blocking and Set-up
~ Plumbing connections scwer and water
~ Electrical Connection - Blocking, set-up
---l and plumbing connections rrr~st be approved
, before requesting electrical inspection
:==J Accessory Bui lding
I Final - After porches, skirting, decks,
~ etc. are completed.
o
All project conditions, such as the installation of street trees, co~letion of the
required landscaping, etc., must be satisfied before the BUILDING ~INAL can be requested.
D FINAL PLUMBING
D FINAL MECHANICAL
o FINAL ELECTRICAL
o
o
FINAL BUILDING: The Final Building Inspection must be requested after the Final Plumbing
Electrical, and Mechanical Inspections have been made and approved. .
o
PENCE: ...'hen complete -- Provide,
gates or movable sections through
P.U.E.
,
"ALL MANHOLES AND CLEANOUTS MUST BE ACCESSIBLE, ADJUSTNENT TO BE n~DE t1T NO COST TO CITY Page 1 of 2
o
I JO~ NO. g'SO.Qlo.
I Zone: '
Lot Sq. Ftg.
% of lot Coverag~
!I- of St.ories
Total Height
Topography
r:::.ge G
~
I
I
I
I
I
I
I
Occupanc~ Group:
lITEM
I Main
I Garaae
I Carport
I Accessor1./
I
I
SQ. FTG
TOTAL VALUE
S.D.C.
( va z.ueJ
1.5 x
Building Permit
State Surcharge ,
Total Charges
lITEM,
I Futures
I Residential (1 bath)
I Sani tary Sewer
Water
Plwnbing Permit
State Surc;..arge
Total CharQes
ITEM
I Res. SQ. ftQ.
I Naw/Extend Circuits
Temporary Service
Electrical Permit
State Suraha.:t'qe
Total Cha:t>qes
ITEM
Furnace ETU' S
I Exhaust Hood
Vent Fan
Woodstove
Permit Issuance
Meahanical Permit
State Surcha.:t'qe
Total r;harQ9S
-- ENCROACHMENT --
Ise~~rit~ Deposit
I Storage
I Maintena~e
Permit
Total CharQes
I Curb~t
Sidewalk
Fence
I Electrical Label
I Mobile Hom~
TOTAL AMOUNT DUE: *
SOL A R P .. -vE S S R E Q.-
NO.
NO.
NO.
LOT TYPE
Interior
Corner
Panhandle
Cul-de-sac
x
Value
FEE
CHARGE
__J *
FEE
CHARGE
FEE
CHARGE
IS. 001
i&V I
Is'. ~V I *
I
I
f
I
I I
1-5100 ~ *
L':"cod~'
Type/Const:
Bedrooms:
I I Ener@ Sources
I I Heat
I Water Heater
I Range
Fireplace
Woods tOile
TUDe
I Lot Faces -
I Setbacks
I P. L. House Garage, Access.
INorth
East
South
IWest
-- 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, regulating the construction
and use of buildings, and may be suspended or revoked at any time upon vio-
lation of any provisions of said Ordir~nces.
*
*
Plan Check Fee:
Date Paid:
IReceipt #:
I Signed:
Plumbing Permit
No person shall construct, install, alter or change any r~w or existing
plwnbing or drainage syste~ in whole or in part, unless such person is the
legal possessor of a valid plwnber's license, except that a person may do
plwnbing work to property which is owned, leased or operated by the appli-
cant.
Electrical Permi t
Where State Law requires th~t the electrical work be done by an Eleatrical
Contractor, the electrical portion of this permit shall not be valid until
the label has been signed by the Electrical Contractor.
*
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I
Mechanical Permit
I
r
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Plan Examiner
Uate
I HAVE CAREFULLY EXAI.1INED the completed application for permit, and do
hereby certify that all information hereon is true and correct, and I
further certify that any ar.d all work perfor.ned shall 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 will be made of any structure without permission of the Building Di-
vision. I further certify that only contraators and employees who are in
compliance with ORS 701.05S will be used on this project
~ a~ ~cJJ
7- ;;2~-' r-S'
Signed
Date