HomeMy WebLinkAboutPermit Mechanical 1986-3-12
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.. RESIO.TIAL 00
APPLICATION/PERMIT
225 North 5th Street
Springfield~ Oregon 97477
Building Division
726-3753
Job Location:
I L, '?:>1 CAlZtt ~ J:iY) 't..
I ') O~ 'd- '-] ~ d.. Ta:r: Lot #
1 jl, 00
Assessors Map #
Subdivision:
C( \ C nf1 (Z. 0 ~,=:b 'h V) ~O\)
)C:,3Cj C AQ~'C. y- lf1f) (
'~t? lC\f'\16 "tJo
OlJner:
Address:
City:
.1>( I NmJ
I I Addition
I I RemodeL
I I Mobile Home
Date of AppLication
Contractors
~-J~-~l0'
Phone: 'J L'I7 ~ O~ be),
Zip: C11l4l1
Describe 11'01'1<:
luc)ob~OUC
~h<S ~Lt
.ReceiPt #. I::> U-,;o)
A' ,:\;\
Olv~ flY
V 6/\
w
[) l(
Address
Signed:
Date:
Q
j
~ Jd),-'i$ fa
Lisc.#
Expires
Phone
GeneraL
Plwnbing
Electrical
Mechar.ical ~ Luoo~o~'t 5tor'Z-
ConstructiOl1 Lender
It is the respOl1sibility of the permit holder to see that all inspections are made at the proper timE:, that each .::ddress is readabZ.e
from the street, and that the permi t card is "located at the f1'Ol1t of the property.
"BuiZding Division approved plan shaU remain on tlw BuiZding Site at aU times.
PROCEDURE FOR INSPECTION REQUEST:CALL 726-3769 (reco'Pder) state your City designated job nwnbe'P, job address, type of in3pecticn
requested ar~ when you wilL be ready fo'P inspection, Cont'Pactors or Owners name and phone numbe'P; Requests received before 7:00 ~
1..;"iU be made the same dc:y, requests made after 7:00 am will be made the next wrking day.
Reoui'Ped InsDPctions
O SITE INSPECTION: To be made after
excavation, but prior to set up of
, forms.
-:t UNDERSLAB PLUMBING. ELECTRICAL &
---1 ' MECHANICAL: To be made befo'Pe 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 fiZ-
,Zir.g trenches.
O UNDERFLOOR PLUMBING & MECHANICAL:
.. ; To be made prior to instaUation of
, :,[toor insulation or decking.
o
POST AND BEAM: To be made prior to
instaLlation of floor insulation or
,decking.
ROUGH PLUMBIlIG. ELECTRICAL & MECH-
, ANICAL: No work is to be covered
,ur.tiL these in3pections have been
made and app'Poved.
FIREPLACE: Prior to pLc:cir.g facing
materiaLs and before framing inspoc-
tion.
D FFUU1ING: Must be requested after
approvaL of rough plwr;bing, eZectri-
,aaL & mechanical. An roofing
bracing & chimneys, etc. nr~st be
;;'completed. No work is to be con-
,..",,,.-ceaLed untiL this inspection has
~bee.~ made and approved.
D
D
....----
COCA. kJtDh . t ~ i Y) n C-"'7r'f '0
Your City Desigr.ated Job Number Is:
D INSULATION/VAPOR BARRIER INSPECTION:
To be made after all insuLation ar~
, required vapor barriers are in place
- . but before any lath, gypsum board 01'
~ll covering is applied, and before
'any in3ulation is conceaLed.
DRYWALL INSPECTION: To be made
after aU cJ:r.ywalZ is in place,
but prior to any taping.
O MASONRY: SteeL Location, bond
beams, grouting or verticaLs in
acco'PdaY!ce with U. B. C. Section
2415.
rv1 WOODSTOVE: After instaZZation is
~ compLeted. " , ,
o
D CURB & APPROACH APRON: After forms
are erected but prior to pouring
conare te.
'0' SIDEWALK & DRIVEWAY: For all con-
crete paving within street right-
, pf-way, to be made after an exca-
, vating complete & form work & sub-
base materiaL in plaae.
D
PENCE: K~en compLete Provide'
gates 01' movable sections through
P.U.E.
CObOl5DJ
DEMOLITION OR ;~:OVED BUILDIZICS
:J Sani tary se'.Jer capped at pz.:.opcrt'y Zine
~ Septia tank pumped and filled with gra~el
FinaL - 11~en above items are completed
and when demoLition is compLete or struo-
ture moved and premises oleaned up.
. Mobi le Homes
~ Blocking and Set-up
~ Plumbing connections -- s~er and water
~ Electrical Connection - Blocking, set-up
---l and pLumbing connections nr~st be approved
before requesting electricaL inspection
~ Acoessol"d Building
" FinaL - After parches, ski'Pting, decks,
~ etc. are compLeted.
D
AlL project conditions, such as the instalLation of street t'Pees, co~letion of the
required landscaping, etc., must be satisfied before the BUILDING ,FINAL can be requested.
D FINAL PLUMBING
IlJ FINAL MECHANICAL
o FINAL ELECTRICAL
o
.
o
FINAL BUILDING: The Final Building Inspection must be 'Pequested after the FinaL PZwnbing
ELectrical, and Mechanical Inspections have been made and approved.
o
*ALL MANHOLES AND CLEANOUTS MUST BE ACCESSIBLE, ADJUSTHENT TO BE MADE AT NO COST TO CITY I Page 1 of 2
Page 2
":Vj:,...'
I JOB NO. ~b} 5~
I Zone:
Lot Sq. Ft(;.
% af lat C.:J1)eragc:
II of Stories
Total Height
. Topography
I
l-codi'
qESS REQ.-
SOLAR
.
~~~pancy Group;
LOT TYPE
.~.
Bed:r>ooms:
I Enera}/ Sources
I Heat-
I Water Heater
I I Range
I I Fireo lace
I Woodstove
I
Type/Cor.st:
I Lot Faces -
I Setbacks
I P. L. House Carage
INorth
East
South
IWest
T,me
Interior
,Corner
Panhandle
Cul-de-sac
Access.
I
lITEM
I Main
Fees
SQ.FTG
x
Value
Building Value & Permit
This permi t is granted on the express condi tion that the said construction
shall, in all respects, conform to the Ordinance adopted b'y the City of
Springfield, incZuding 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. '
Ga:raae
I
;lcCeSSOI'll I
Iv^-'> l)~^(' I
I .. TOTAL
Carvort
/5,00
1/-5.00
I'
VALUE
(va~ue)'
1.5 x
S.D.C.
~
Building Pe:rmit
State Su:rchcaoge
Total Charogea
'ITEM I NO: , FEE -r CHARGE
Fixtures, I
Residential (1 bath) !
Sanitary Sewer I
Water I
I
Plumbing Perrr:i t I'
State Su:rcr:arge I
Total Charaes I
I ITEM FEE CHARGE
NO.
Res. Sa. fta.
I New/Extend Circuits
I Temporcaoy Service I
I I
Ele~tI'ical Permit I
.. ' I
State Su:rcha:!'ae
Total Charc;es I
ITEM I NO. FEE CHARGE
Furnace ETU' S I
I E:J:haust Hood I I
I Vent Fan I I
I Woodstove I 16,001 /6DD
I I I
IPlan Check Fee:
'Date Paid:
, Receipt #:
,Signed:
~
Plumbing Permit
No person shall construct, instaU, aZter or change any new or existing
plumbing or drainage syste~ in whole or in part, unless such person is the
legal poss'essor of a valid plumber's license, except that a pe1"son may do
,plumbing work to property which is owned, leased or operated by the appli-
cant.
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Electrical Per m i t
,Where ,State Law 'requires tr~t the electrical work be'done by ,an Electrical
Contractor, the electrical portion of this permit shall not be valid until
the label has been signed by the Electrical Contractor. '
Mechanical Permit
I
15.001
.bO
l?j .GO
Permit Issuance
Mechanical Perrmit
State Su:rcha:!'ae
Total Charaes
I -- ENCROACHMENT --
'I Secrdrity Deposit
I Stor~ge
I Maintenance
I Permit
I. ' Total Charges
*
Plan Examiner
I
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I
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I
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I !C;/:JjfiIiJA M M10
Uate
I
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30, ~()
I HAVE CAREFULLY EXAMINED the completed application for permit, and do
hereby certify that all infoI'mation hereon is true and correct, and I
further certify that any ar.d all work performed shall be done in accor-
dance with the Ordinances of the city of Springfield, and th~ L<<~s of the
~ State of Oregon p~rtaining to the work described herein, and that NO OCCU-'
PANCY will be made of any structu:re without permission of the Building Di-
vision. I further certify that only contractors m,d e~loyees' who are in
compliance with ORS 701.055 will be used on this project
cu:rbC!U t
Sidewalk
I Fence
Electrical Label
Mobile Home
,3-/d~~~'
Date
TOTAL AMOUNT DUE: *