HomeMy WebLinkAboutPermit Mechanical 1985-10-3
.. RESIDEWrIAL"
APPLICATIONIPER!1IT
225 North 5th Street
Springfie2d, Oregon 97477
Bui2ding Division
726-3753
,Iob Location:
c20~1
l'!03
~c,
,?it,
AS3eS80r:; Map II
Subdivision.:
A
/j'";:;z T= Lot H rO 7300
CUrter":
Gf11;;UAf ~;;h~./j~
;;).0 hi. f) -1', I /9 I
7~J~ /S6L/
~;/Ij- /35::J-.---
Describe rl'ork:
meii/;uz~~ .
~~~w~~
/J~3-g:-) Value J-(L)1c7
Address:
. City:
n
:1
II
II
Nm,'
Addition
Remode!
,'~obi 1.e Rom~
Date of Application
::ont"rac:;ors
General
PLwnbing
E:1.ectrical
}fechar:ic:zl.
{);./.J t1CJ k.J
Construction L~nder
Phone:
Zip:
Add.~ess
., '" "*,cce::;>t .ii
_I.
/1 foS ,39 [('
~
,/rdd
{);Z--
. .
---
Siqr.ed:
Date:
a
Ir3-g'~
I
Lise.;!
ExrJi1"es
Phon;:.
It is the respcmsibiUty of the permit hoZder to Bee that aU iMpections are made at the proper tim€~ tr.at ecch ~e8s is rea.::a;.:e
from the stroeet, and that the permit caPd is tocated at the froont of the property.
tEui!di~ Divi::ion approved Fl.a1: shcU remain on the BuiLding Sit$. at all. times.
?70CEDURE FOR INSPECTION RE'QUEST:CALL 726-3769 {recorder} state your City designated job n'Umber" job adi.rcss, type of inspec-;icn
:-equesr;cd ar.d when you 1.JiH be ready for ir.spcC!tion, Con.'traC!tors or OWner'S n.c:me end phone number. Requests received before 7:00.:::;
_'i1.7, be made the same dcy, requests made after' 7:00 am 1Ji1.7, be made the next :JOrking day.
JjtJ 9'</9
~'?_':"'_~~: "'~A_ ~'~,."i~~"c~':""""
]
]
SITE INSPg;:TION: To be made after
e:r:cavation, but prior to set up of
forms.
UllDERSLAB PLUMBING, ELECTRICliL .(
l.fECHA.,7ICAL: To be made before any
work is covered.
]
FOOTfllG ~ FOUNDATION: To be made
after trenches are excavated and
forms are erected, but prior to
pouring ccncret~.
UNDERG.T?OUND PLUMBING. SEWER. W.1TER.
DRAINAGE: To be rrrzd~ prior to fi'l-
.Lir.g trenches.
]
]
UNDERFWOR PLUf..'BING & MECHANICAL:
To be made prior to insta~Zation of
J7.oor insulation or decking.
POST AND BEAM: To be made prior to
instaLZaticn of fLoor ins~Zation or
Mcking .
ROUGH PLlJ!!BIHG. ELECTRICAfs & MECH-
ANICAL: lio ~rk is to DC covered
.untiL these inspections have beer.
made and approved..
FIR.EPLACE: Prior to pZccir.g facing
materials and before framing inspec-
tion.
FRA"~ING: Must be requested after
approval. of rough plwrbing, .electri-
cal & mechanical. An roofing
bracing ~ chimneys, et.:!. Tfl".J.st be
. completed. liD TJOrk is to be con-
..:. cealed until thia inspection has
.be~n made and approved.
]
]
]
]
Your City Deaigr.ated Job Number Ia:
D
IllSULATIONIV/iPOR BARRIER TNSPECTION:
To be made after aLL insuL.:::.ti::m w.d
required vapor> carriers are in place
but cefore any lath, GYpSW1l board or
wlZ covering is applied, and before
. any insuZatwn is concealed.
DEtfOLITIO!/ OR gOVE:; B:.JILDI,7GS
:=J Sani:ary seuer capped c:t ~opcrt":j lir..e
~ Septic tank fT.c:ped and fiZZe~ t.1ith GT(I'~fJl
::J Final - rl'hen abeve items are compZeted
ar~ when demolition is complete or s~~-
ture moved ani? premises cleaned up.
Mobile Hcmes
:::J Blocking and Set-up
:::J Plumbing connections sewer and water
:::J Electrical Ccm:n.ection - Blocking, set-up
and plumbing connections nr.J.st ce appr~~ed
before request~ng electrical inspec=io~
~ Accessol".; Bui1.ding
::J Final - After p~rc1:eB,
etc. are completed.
skirting, decks,
DRYWALL IllSPECTION: To be made
after al.l. drywa1.l 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.
o
[]
o
WOODSTOVE: After installation is
ccmpLeted.
CURB & APPROACH APRON: After' forms
are erected but prior to pouring
concrete.
o
All project conditions, such as the installation of street trees, cc~lction of the
required Zandsccpir.g, etc., must be satisfied before the BUILDING FINA.L ean be r2questzd.
] FIfJAL PLU/-!BIIIG
] FIlIAL 1.fE:~HA"IICAL
] FINAL E:LECTnCAL
]
o
FINAL BUILDINC: The Final Building Inspection must be requested after the Pinal Plu:r:bir.g
ElectricaL, and Mechar.ical InspectionD have been made and approved.
o
SIDEWALK & DRD'EWAY: For aU con-
crete paving ~thin street right-
of-wc.y, to be made after aU e:r:ca-
vating complete & foPm work & sub-
base material in p~e.
AALL UANHCU:S AND CLEANOVTS nUST. BE ACCESSIBl.E, ADJUST!fE,'IT TO BE J.:.1DE I.'I' NO ('~ST TO CITY I Page 1 of 2 1
O PENCE: When compl~te -- Provide
gates or movable sections through
P.V.E:.
o
SOLAR ACCESS
OcC"'..a:Qr!C:J C~
LeT TYPE
Interior'
Corner -
Panhandle
Cut-dc-sac
JOB
No.t5[){} L/ (
I
t Zor.c:
Ir.at Sq, Ft;;.
: ~f lot Caverag~
.if of Stories
Total Height
Topogroaphy
II'!'EM
SQ.FTG
Main
Cc::raCF!
Cal"t:'ort
Accessor'u
Is.D.c.
TOTAL. VALUE
(va...u~)
1.5 :r
Buil.ding Permit
State Surchapge
Total Cha.~ge3
IITEY
I Fi:::t1.a'es
IResidential (1 bath)
Sani tary Se'..Je1'
Water
I
Pl;.rmbir.g Perr.:i t
State Surcr.my:1e
Teta! Chc:l'aes
! lTZ,'.~
! Res. Sa. ft!;.
IN~/E=ter~ Circuits
I
I Temporary Service
Ele~tricaZ Permit
St::;te Surcharae
Total Char-ces
\ :~.2ce ETU' S
I E:::haust Hood
! Vent Fan
I Waodsto:Je
I
Permit Issuance
Me:::r.anic:J.Z Permit
State Surchc::rae
Tot'?l Charoes
ENCROACHMENT
1 SeC"'.lM-tu
I Storage
Dz':}osit
Main terta~e
Permit
Total Charaes
ieurb"";
I Sidewalk
\ .l;'cn::e
i Electrical Labet
i Mobile Hame
I ::"OTAL AJ.!OU::T DUE:-
tW.
FEE:
;,'1,).
NC. f
Value
CHARGE
F::::
:';i-i;".:;v~;
F";;o
CHARCE
I
I
I~ 0-0 I
. I,..,f) I
/6~0DI.
(e;::;, (00
REQ.-
.
L-codl<
-:'",peICor-3t:
Be::.roor.:.s:
I I Enerf'lu SO~1'~CS
I I ':"ieat
II
II
II
II
II
T:J=-,e
Lot Faces -
P.L.
If/Or'th
East
Scm tn
IWest
.'ietba.::k.s
I Ho"se Caraoc
FircDlacc
WOOd::;toL'e
Il.ccess.
Wate1' YI?r7't('>"
Hanpe
Fees
Building Value & Permit
This permit i3 g1'G.ntcd on the e:rpress coruiition that the sdid. construction
sha~~, in all respects, conform to the Ordinar.ce adopted by the City of
Springfield, incZuding the Zoning Crd~nance, regulating the ccnstru.::ticn
and Wle of buildings, cmd m:::.y be suapended or revoked at c:r.y time upon vic-
lation of any provisior.s of said Ordir.ances.
.
, .
Plan Check Fee:
Date Paid:
Recdpt #:
ISifl"ed:
Plumbing Permit
No perean ahalZ construct, instalZ, aZter 01' change any new cr e=istir.g
plumbing 01' drainage system in whole or in part, unless such person is t~~
legal possessor of a valid plumber's license, ~cept tr~t a pe~son ma~ do
plumbing work to property which is owned, leased or operated by the appli-
cant,
I
I .
Electrical
Perm it
Where State LCZLJ requires tr.at the electrical work be done by an Ele.::trical
Contractor, the elec~rical portion of ~his permit shall r~t be valid untii
the Zabel has b~en sigrted by the Electrical Contractor.
.
Mechanical
Permit
,
"
p tan Exanlt.ner
vaJ;e
I.
I
I
I
I
I HAVE CAREFULLY EXAMINED the completed application for permit, and de
hereby aertify that all ir:fo=mation hereon is true and correct, and I
further certify that any ar.d aU work pet-toM/ed shalt be do:1e in ae~oro-
dance ~th the Ordinances of the City of Springfield, and th~ UT~S of tha
State of Oregon p~rt~ining to the work described here~n, C~~ that NO OCCU-
PANCY wiLt be nnde of any stru'ctu.ra withou.t p~rmi$aion of the Buitding Di-
vision. I further certif~ t~t only contra~tors ar~ enpl~yees who are in
c~pLiance with ORS 701.05S will be used on this project
.
X ~<-I, /ot4~.-/~ ;V-3~XS'
sign"d 0 U
D.>te