HomeMy WebLinkAboutPermit Mechanical 1984-10-23 (2)
.. RESI~HIAL"
APPLICATION/PERMIT
225 Nopth 5th Stpeet
SppingfieZd, Opegon 97477
BuiZding Division
726-3753
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SPRINGFlEI..C
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Job Location:
~o;1 7 ~, 'If/
\, D 33lcA''2...
T= Lot #(), C(XJ
A83eS801'S Map #
Subdivision:
O:.mer: Ln1;j.A U
Add:res.: ;;/ (J ::J.. rJlf'
City: .~ Vi iJ/J/J.
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Phone: 7~7-/.::,-t,</ ~
Zip: 9'7S/"77
tu~ ~be r,ork:
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Addi ticn
Remodel
!-!obiZe Hnm3
Date of Applicaticn
Contractor's
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General.
Plwnbing
E1.ectl'icaZ
Mechar:ical.
Construction Lender
VaIU~ 050. o-cJ
Address
. Rece;pt' h ~ 75:4'
rei /0/;;),3 )~~ GD/
Signed:
Date:
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Lisc.#
Expires
Phone
It is the responsibility of the pe~t hoLder to see that all inDpections are made at the proper tim€~ tr~t each ~e88 is l'eadao~e
fl'OT/J ths street, and that the permit cazod is located at the front of the property.
-BuiZding rr:vi~ion approved plan shalt remain on the Building Sits at all times.
PROCEDURE FOR fNSPECTION RE'QUEST:CALL 726-3769 (recorder) state your City designated job nw;;ber3 job adi:ress, type of in:Jpec-=icn
requested a~d when you will be ready for inspection, Contractors or OWners ncme and phone number. Requests received befcre 7:00 ~
:..'iZZ be made the sCDTIe day, requests made after 7:00 a7l UJiU be made the next :.JOrking day.
Rp.q~i"?n r"Rnp.~Tir."R
D SITE INSPECTION: To be Irrlde after
excavation3 bu.t prio?' tc set up of
forms.
D UNDERSLAB PLUMBING, ELECTRICAL &
MECHANICAL: To be made before any
work is covered.
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FOOTING ~ FOUNDATION: To be made
after trenches are excavated and
forms are ereated, but prior to
pouring concret~.
UNDERGROUND PLUMBING. SEWER. W.1TER.
DRAINAGE: To be made prior to fil-
'lir.g trenches.
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UNDERFWOR PLUMBING & MECHANICAL:
To be made prior to insta l lation of
floor insulation or decking.
POST AND BEAM: To be Ir.ade pf'ior to
installation of floor inst.;,1..ation 01"
decki.., .
ROUGH PUP..fBING. Er;ECTRICAL & MECH-
ANICAL: No work is to be covered
,ur.til these inspections have beer.
made and approved.
FI.9.EPLACE: Prior to placir.g facing
materials and before framing inspec-
tior:.
D FRAMING: Must be requested after
approval of rough plwrhing, electri-
.cal & mechanical. AU roofing
bracing & chimneys, etc. nr~st be
;'completed. No work is to be con-
,....:- cealed until thiD inspection has
~ be~n made and appl'OL'ed.
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Your City Desig-r.ated Job Nwnber I3:
O INSULATION/VAPOR BARRIER INSPECTION:
To be made after all insulati::m ar.d
. required vapor barr>iers are in place
. . but before any lath3 gypsum board 01"
uxzll covering is applied, and before
any insulation is concealed.
DRYWALL INSPECTION: To be made
after all drywall is in place,
but prior to any taping.
O MWSONRY~ Steel location, bond
beam3, grouting 01" verticals in
accordance with V.B.C. Section
. 2415,
MODSTOVE: After installation is
~ completed.
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CURB & APPROACH APRON: After forms
are tJrec:ted but prior to pouf'ing
oonarete.
SIDEWALK & DRIVEWAY: For all con-
crete paving within street right-
of-waY3 to be made after all exca-
vating complete & fo~ work & sub-
base material in pla::!e.
g</o 7 7C2
I DENOLITIO!-! OR ,',:OVED BUILDIllCS I
-;
~ Sanitar:f Sf?..Jer c:apped ~t p~op.o:rt-:1. Zir:e
~ Septi.':! tank fi~6d and fitLad uith gra~e~
:J Final - mten above items are cc"'rpleted
ar~ when demolition is compZete or stru~-
ture moved and p~amises cleaned up.
I Mobile Hcmes
~ Blocking and Set-up
~ Plumbing connections s~er and water
~ Electrical Connection - Blocking3 set-up
---1 and plumbing connections rrr...st be approved
before requesting electrical inspection
=:=J Ac::!essory Building
:J PinaL - After p:Jrcr.es.. skirting3 decks3
etc. are completed.
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All project conditions, such as the installation of street trees, co~letion of the
required landscc:pir.g.. etc.3 must be satisfied before the BUILDING FINAL can be requested.
iD FIlIAL PLUMBIllG
,
10 FINAL MECHANICAL
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10 FINAL ELECTRICAL
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FINAL BUILDING: The Final Building Inspection must be requested after the Pinal Plwnbina
Electrical3 and Mechar.ical InspectionD have been made and approved.
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PENCE: hTher. complete -- Provide
gates or movable sections through
P.U.E,
J/ALL MANHOLES AND CLEANOUTS HUST BE ACCESSIBLE, ADJUSTHElIT TO BE f.fJ1DE AT NO CIJST TO CITY I Page 1 of 2
D
I JOB NO.
I Zona:
X<.Jn77:J..SOLAR eESS
DccuDancl! G:t'OU;:::J:
Lot Sq. Ftg.
Z ~f Lot Caverag~
.'1 of Stones
Total Height
Topography
I
lITEM
I Main
I Garace
I Carport
I ACCe8801'U
SQ.FTG
Is,D,o,
TOTAL VALUE
(vct..uc)
1.5 x
Building Permit
State Surcharge
Tota 1- Cha....ges
lITEM
I Fixtures
I Residentia 1. (1 bath)
I Sanitary Sewer>
NO.
Water
PLumbing Permi t
state Surcr.arge
Tota 1, CharGes
ITEM 1110' i FEE
'Res. Sa. fta.
New/Extend Circuits I
Temporary Service I
I
Ele~trical PePTTtit
State SW'charQe
Tota 1- Cha.T'c;es
lITEM i NO'1 FEE
I Furnace BTU'S
I Exhaust Hood I
j Vent Fan I
I Woodstove II I
I I
Permit Issuance
Mechanic::.l Permit
State Surcharae
Tota l Cha7"U~S
I -- ENCROACHMEl'lT
ISe~drit~ Deposit
I Storage
I Maintename
I Permit
Total Cha1'aes
I Gurbcut
I SidewZk
j Fence
I Electrical
! Mobile Home
LabeZ
I TOTAL AMOUNT DUE: *
WT TYPE
Interior
COPneI'
Panhandle
Cu Z-de-sac
x
Value
FEE
CHARGE
CHARGE
CHARGE
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r-c.ge 4
REQ.-
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Bedrooms:
L'-CO G""
Type/Cor..st:
I Lot Faces -
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I P,L.
INorth
lEast
ISou th
IWest
I EneT'(fu Sources
Heat
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TU'Oe
Setbacks
I House r Caraqe
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I Access.
Water> HRntrn"
Range
Fireplace
Woodstove
Fees
Building Value & Permit
This permi t is groanted on the express condi tion that the said construction
shall, in all respects, conform to the Ordinance adopted by the City of
Springfield, including the Zoning Crd-:.nance, regulating the acnst1'Ucticn
and use of buildings, and may be suspended or revoked at any time upon vio-
lation of any provisions of said Ordir.ances.
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IPlan Check
Ivate Paid:
IRecdpt #:
ISigned:
Fee:
Plumbing Permit
No person shall construct, install, alter or change any neW ar existing
plumbing or drainage 8Y8te~ in ~hole or in part, unless such person is the
legal possessor of a valid plumber's license.. except that a person may do
plumbing ~ork to property which is ow~ed~ leased or operated by the appli-
oant,
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Electrical
Permit
Where State LCELJ requires tr.at the electrical work be done by an Electrical
Contractor.. the electrical portion of this permit shall r~t be valid until
the label has been signed by the Electrical Contractor.
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Mechanical Permit
PLan Exam'Lner
UQt;e
I HAVE CAREFULLY EXAMINED the completed application for permit.. and do
hereby certify that all information hereon is tpue and correct.. and I
fUl'the:r certify that any ar.d all work perfo'fflled shall be done in accor-
dance :.nth the Ordinances of the City of Springfield.. ,::Inti th~ La:..;s of the
State of Oregon pertaining to the work described herein... and that NO OCCU-
PANCY will be rrr:zde of any structure without permission of the Building Di-
vision. I further certify that o~ly contra~tors ar~ e~loyeeB who are in
compliance with ORS 701.055 will be used on this project
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