HomeMy WebLinkAboutPermit Mechanical 1985-12-19
.. RESIDEaIAL"
APPLICATION/PERMIT
225 North 5th Street
Springfield, Oregon 97477
Building Division
726-3753
~ ';//1
' ~rlLlU
! '7 35 1~m/nj]{uJ [J;;,
dfliJd
Job Location:
/4;5 /1/,
/ I( 0'2., :3 (/) ,~
A83e8801'~ Map #
Subdivision:
OI.mel':
Address:
City:
n
n
n
n
Nm,J
Addi ticr!
Remade 1.
Hobi te Boma
/ l//f-rs-
Date of Application
Contl'actOI'B
General
Plwnbing
Electrical
Mechar:ic:::.l
/-J
':::J
Tczr Lot #
O(}d.IJO
P}ume:
126-5/}64
Zip:
.~
Value
Address
~ .eo atL/ /" />':, /a/drl
;/
Construction Lender
.cce;ctr~
nfh
fJ'VJ- ~
8 4:<s 7 t-,3
/.jM UCt:-
Siqr:ed:
Date:
<</
/2- - /tJ-~
Lise. #
Phone
Eroires
v
It is the l'esponcibility of the pe~t hoLder to Bee that all inspections are made at the proper tim€~ that ~ach ~ess is readQb:e
froom ths street, and that the permit caro is Located at the front of the property.
*BuiUing Divi::wr: approved plan shall remain on the Building sit~ at a'll times.
PROCEDURE POR .TNSPECTION RE'OVEST:CALL 726-3769 (recorder) state your City designated job nwr..ber, job adC:.NJSS, type of in3pec-;;icn
~equested and when you ~iLL be ready for ir~pcction, Contractors 01' Owners ncme and phone n~Cl'. Requests received before 7:00 ~
...'ill be made the same dc.y, l"equests made afta' 7:00 am will b:; made the nat :.xJl"king day.
>16/;:51
O MASONRY: Stee'l
UNDSRGROUND PLUMBING; SSr.:eR. W.1T~,~ beams, grouting
D.:AINAGE~ To be made pM-or to f-z,L- accordance with
.hr.g trenches. ~' 15.
mmERFLOOR PfJuttBING & MECHANICAL: WOODSTOVE: After instaLlation is
To be made prior to instaLLation of ccmp'leted.
11001' insulation or decking.
POST AND BEA1,f: To be made p1'ior to D CURB & APPROACH APRON: Afte:o forms
instalLation of jtoop insulation or a:1'e ereoted but prior to pouring
decking. COrlCl'ete.
Rpaui~pn._ T'1.~~Pf'"Hr.n~ .
D SITE INSPECTION: To be nrzde after
excavation, but prior to set up of
forms.
O . UNDERSLAB PLlJf.fBING. ELECTRICAL &
l..fECHANICAL: To be made before any
. work is covered.
o
FOOTING & FOUND,1TION: To be made
after trenches are excavated and
forms are ereated, but prior to
poUPing aoncret~.
o
o
o
o
ROUGH PLUMBING. Er.ECTRICAL & !/ECH-
ANICAL: No :Jerk is to be cOllered
w:til- these inspections have beer.
made and approve.::.
FI~EPLACE: PM.or to pLaair.g facing
material.s and before framing inspec-
tior:.
01 FFVU-fING: ~~Gt be requested after
approval- of rough p'l~bing, electri-
cal- & mechanical. All. roofing
bracing & chimneys, et~. nr~st be
completed. !lo LXJrk is to be con-
.-' cea'led until. thiD inspection has
"been made and approved.
o
10 FINAL PLUMBIlIG
!~. FIliAL ME~HA:IICAL
I; FINAL ELECTRICAL
"
i
I
CJ
o
.Your City Deaiqr.ated Job Number Is:
o
INSULATION/VAPOR BARRIER INSPECTION:
To be made after aU insuZ.::;ti::m ar.d
required vapor barriers are in place
but before any lath, gypswn board or
wZZ covering is applied, and before
any insuLation is concealed.
DEMOLITION OR :,JOVE:; aUILVIi/as
~ Sani ta:ry Be'.Jer ~apped at p~opo:;rt'::i line
~ Septio tank p""':'77ped and fiUa~ LJith gra",:e"i
:J Pinal - flTher. c.heve ite.-ns are co::ro'leted
and when demoZition is complete or stru~-
ture moved and premises cleaned up.
I Nobi le Hcmes
=:J Blocking and Set-:J.p
=:J Pl-wnbing connections sewer and water
~ Electrica'l Connection - B'locking, set~up
~ and pl-umbing connections nr~st ce approvec
before requesting e'lec=rical inspectio~
~ Accesso1"'d Bui7..ding
] Pina'l - Aftc:l' p:;Jrc1:es,
etc. are c::mp'le;c:d.
I
skirting, decks,
o
DRYWALL INSPECTION: To be made
after a'lL drywal-L is in place,
but prior to any taping.
D
All project conditions, GUC~ as the install-ation of s=reet tl'aes, co~Zetion of the
required landscaping, etc., must be satisfied before the BUILDING FINAL can be requested.
i
---j
FINAL BUILDING: The Final Building Inspection must be requeGted after the Fina'l Plumbing
El-ectl'ical-, and Mechanical- Inspectiona have been made and approved.
"'ALL MANHOLES AND CLEANOUTS MUST BE ACCESSIBLE, ADJUSTHEllT TO BE gADE IT '.'0 CaST TO CITY t P~,qe ! of 2
location, bmuI
or vertiaals in
U.B. C. Section
D
SIDEWALK & DRIVEWAY: For all con-
crete paving ~ithin street right-
of-wcy, to be made after a'll exca-
vating comp'lete & form work & zub-
base materia1. in pla~e.
D
PENCE: When complete -- Provide
gates 01' movable sections through
P.U.E.
o
I JOB. NO. f'.5I/S/
I Zona;
I Lot Sq. Ftg.
,
l~ of lot CQVerag~
\# of Stones
Total, Height
Topography
lITEM
SQ.FTG
Main
Garaae
Carvort
AcceSBoru
I
I
Is.D.c.
TOTAL VALUE
(vct..UC)
1.5 :r:
Buil.ding Pernrit
State Su:rcharge
Total Charge a
lITEM
I Fizt"zir'es
I Residential (1 bath)
I Sanita.ry Sewer>
Water
PZwnbing Permi t
State SW'cr.a.rge
Total, Chapaes
iITEM
I Res. Sa. fta.
I Ne?JIExtend Circv.i ts
!Temporary Service
I
EZe~trical P~rmit
State su:t'charae
Total ChaIoces
lITEM
I Furnace F!TU' S
I E:rhaus t Hood
I Vent Fan
I '
I Woodsto':Je
Permit Issuance
Me:::hanic::zl Permit
State Surchal'ae
Total Cha'P(um
-- ENCROACHMENT
Secr.J.r1-tll Depo:Jit
Storage
I Maintenance
I Permit
I Total Cha'Paas
!Curhcut
i Sidewalk
I Pence
I Electrical
Label.
\ Mobile Home
I TOTA~. AMOUNT DUE: ~
SOLA~CCESS
occupanc~~~~:
LeT TYPE
11i0. I FEE
I
I
I I
II
I NO.
I NO.'
Intericr
Corner
Panhandle
Cut-de-saa
x
Value
CHARGE
FEE
CHARGE:
FEE
CIIARCE I
I
I
I
I
I
I
IS. 00 I
I . (00 I
I / S. (of) I .
I,
I I.
I I
I I
I I
I I
I I
I I
I I
/G-f/D I.
REQ.-
.
'I':.;ve/Cor..st:
L-COG-lj,
Beeroor.:s:
I Lot Faces - II Ene't'ou Sources
I Setbacks fj'eat
I P.L. I House Cal'aae Access. Water' Yp.atpr'
IlJorth Ii Range
lEast I FirerZace
Soz.;.th I Wood:;tove
IWest I II
TlI~e
Fees
I
I
I
I
1
I
I
, .
,
\
I
I.
Building Value & Permit
This pe'l'f'rrit is granted on the express condition that the sdid construction
shall, in aZl respects, conform to the Ordinance adopted by the City of
Springfield, incZuding the Zoning Ordinance, regul~ting the ccnst~~cticn
and use of buildings, and m2Y be suspended or revoked at cr.y time upon vie-
lation of any provisions of said Ordir.ances.
!Plan Check Fee:
I Date Paid:
IRecoipt #:
ISig"ed:
Plumbing Permit
No pereon ahall construct, instal!, alter or change any new or e=isting
plumbing or drainage system in ~hoZe or in part, unless su~h person is the
legal possessor of a valid plumber's license, except tr4t a person may do
plumbing work to property which is owned, leased or operated by the appli-
cant.
I
I.
Electrical
Permit
Where State Law requires tr~t the ele~trical work be done by an Electrical
Contra~tor, the ele~trical portion of this permit shaLL r~t be valid until
the ~el has been signed by the Electrical Contractor.
I .
Mechanical
Pe r m it
PUm Exam.nel'
va.e
I HAVE CAREFULLY EXAMINED the completed appLication fol' pePmit, and do
hereby certify that aU i:-:formation hereon is tl'Ue and c01'1'e~t, and I
further certify that any ar.d all. work perfo:r.ned shall be do'1e in accor-
dance with the Ordinances of the City of SpringfieZd, and th~ Ur~s of the
State of OregQn pertaining to the work describcd herein, end that NO OCCU-
PANCY will be made of any structU1'2 without p2rmission of the Building Di-
vision. I fUl'the1' certif:.; tha.t o;'1ly contl'actOl'S and e.-rrpZ"yees who are in
co~pliance with ORS 701.055 will be used on this projact
v ~,~d4 _'
(sign2d P' '" ,
I;? - /9- $;.-
lktte