HomeMy WebLinkAboutPermit Mechanical 1987-5-21
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APPLICATION/PERMIT
225 North 5th Street
Springfield" Oregon 97477
Building Division
726-3753
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Job Location:
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/fJ{J3:2333
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V'1s;J K!JW~ tf' Phone:
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I Date of Appl.ication
I Contractors
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I' Genera l.
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i: Pl.wnbing
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Ii El.ectrical.
iI Mechar.ic.:z7..
:1 Constr-uation Lender
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! It is the responsibility of the permit ho7..der to see that aU inspections are made at the pI'oper tims, that ;;aah .:;;dthoess is rea:iaoZe
fl'Ol1l the street, and that the permi t card is "located at the front of the property.
*Bui7..ding Diviaion approved pLan shel.l. remain on the Buil.ding Site at al.l. times.
PROCEDURE FOR INSPECTION REQUEST:CALL 726-3769 (recorder) state your City designated job number, job address, type of inspec-:;ien
requested ar.d when you wil.l. be ready for inspection, Contractors or Owners ncme and phone number. Requests received before 7:00 ~
u.'ill be made the same day, requests made afte:!' 7:00 am wil.l. be made the next =rking day.
ASGessors Map #
Subdivision:
Owner:
Address:
City:
I New
I, Addition
I Remodel.
I Nobil.e Home
T= Lot #
JI/6-t;L/tJ?
Zip:
Describe [{Ork:! .'
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Val.ue
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I Reauired InsDActions
10
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SITE INSPECTION: To be made after
excavation, but prior to set up of
forms.
UNDERSLAB PLUMBING. ELECTRICAL &
: /1ECHANICAL: To be made before any
work is covered.
POOTING & FOUNDATION: To be made
after trenches are excavated and
forms are erected, but prior to
pouring concrete.
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UNDERGROUND PLUMBING. SEWER. WATER,
DRAINAGE: To be mad~ prior- to fil-
. Zir.g trenches.
UNDERFLOOR PLUMBING & MECHANICAL:
To be made prior to installation of
f200r insuLation or decking.
POST AND BEAM:' To be made prior to
instal.l.ation of fl.oor insu~tion or
decking.
ROUGH PLUMBING. ELECTRICAL & MECH-
ANICAL: No work is to be covered
.ur.til. these inspections have beer.
made and approved.
FIREPLACE: Prior to pl.acir.g facing
material.s and before framing inspec-
tion.
[]:~. FRA!1ING: Must be requeGted after
approval. of rough plumbing, el.ectri-
cal & mechanical.. AU roofing'
bracing & chimneys, etc. ~~st be
; completed. No work is to be con-
'., ~cealed until this inspection has
~been made and approved.
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Address
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Your City Desigr.ated Job Number Is:
D INSULATION/VAPOR BARRIER INSPECTION:
To be made after al.l insul.atian CIr4
, required vapor barriers are in place
. but before any ~th, gypsum board or
LXl7..7.. covering is applied, and before
any insulation is concealed,
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DRYWALL INSPECTION: To be made
after a7..7.. drywa7..7.. is in place,
but prior to any taping.
0, MASONRY: Steel location, bond
beams, grouting or verticals in
accordance with U.B.C. Section
~., 2415. ~)..
WO.ODSTOVE: After insta7..7..ation is
completed. ,
D
CURB & APPROACH APRON: After forms'.
are ereated but prior to pouring
concrete.
SIDEWALK & DRIVEr.IAY: For a7..7.. con-
crete paving within street right-
of-LXly~ to be made after all exca-
vating complete & fomz work & sub-
base material. in place.
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Rece:pt # A b % ct2 9'8
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TENCE: x~en complete -- Provide
gates or movable sections through
P.U.E.
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Signed:
C?
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Date:
Lisc.!!
Expires
Phone
610.323
'DEMOLITION OR ,'.,OVE!; BUILDIi!CS
=:=J Sanitary se'.Jer capped at p~opcrty Zine
~ Septic tank p~ed and fill.ed with gra~el
I Final - r\~en above items are completed
~ and when demolition is complete or struc-
ture moved and premises cleaned up.
Mobil.e Hemes
~ Blocking and Set-up
~ PZumbing connections s~er and water
-=J Electrical. Connection - Blocking, set-up ,
,~ and pl.umbing connections ~~st be approved
'" before requesting el.ectrical. inspection
~ Accessory Building
I Final. - Aft"r parches, skirting, decks,
~ etc. are completed.
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All project conditions, Guch as the installation of street trees, co~letion of the
required l.andscapir.g~ etc., must be satisfied before the BUILDING FINAL can be requested.
D FINAL PLUMBING
D FINAL I.fECHANICAL
=:J FINAL ELECTRICAL
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FINAL BUILDING: The Final Building Inspection must be requested after the Final Pl.umbing
Electrical., and Mechanical. Inspections have been made and approved.
*ALL MANHOLES AND CLEANOUTS MUST BE ACCESSIBLE, ADJUST!fENT TO BE l,t1DE I1T NO COST TO CITY I Page 2 of 2
I JOB
I Zone:
NO.<2??D5'Z3- SOLAR A ..
-:: S S R EQ.-
OccuDanc~ Groue:
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LOT TYPE
Lot Sq. Ftg.
% af lot Coverage
I # of Stories
Total Height
I Topography
Interior
Corner
Panha'ndle
Cul-de-sac
ITEM I SQ.FTG , X Value I
IMain I -- \" I
I Gc:raGe I I I
I Carport I I I
I Accessorl1 I I
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I TOTAL VALUE I
IvaWc) I
S.D.C. 1.5x *
Building Permit
State SurchaI'ge
Total Char>ges
I ITEM NO.
I Futures
IResidential (1 bath)
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I Sanitary Sewer
I Water
FEE
CHARGE
Plumbing Permi t
State Surcr.arge
Total Charaes
I ITEf.1
I Res. Sa. fta.
IN~/Extend Circuits
!TemporaI'Y Service
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I NO.' FEE
CHARGE
Electrical Permit
Sta.te Surcharqe
Total Charqes
lITEM I NO. FEE
! Furnace ETU'S I
I E:::haust Hood I
I I I
I Vent Fan
I . 1/ I
i Woodstove
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Permit Issuance
Mechanical Perrrrit
State Surcharqe
Total Charaes
-- ENCROACHMENT -:-
ISe~~rit11 Deposit
Storage
, Maintenance
Permi t
Total Charaes
Curbcut
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/S,?[)I*
Sidewalk
Pen::e
, Electrical Label
Mobile Home
TOTAL AMOUNT DUE:'
I Lot Faces -
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I P.L.
North
East
South
IWest
Fees
L - CO G~
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Type/Cor.st:
Bedrooms:
Eneral1 Sources
Heat
Water Heater
Range
Fireplace
Woodstove
TJjDe
Setbacks
House I Carage
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Access. II
III
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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 provision.s of said Ordinances. '
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Plan Check Fee:
Date Paid:
Receipt #:
Signed:
Plumbing Permit
No person shall construct, install, alter or change any new or existing
plumbing or drainage system in\whole or in part, unless such person is the
legal possessor of a valid plumber's license, except that a person may do
plumbin.g work to property which is owned, leased or operated by the appli-
cant.
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Electrical
Perm it
Where State Law requires tr4t the electrical work be ,done by an Electrical
Contractor, the electrical portion of this permit shall not be valid,until
the Zabel has been signed by the Electrical Contractor.
Mechanical Perm,if
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Plan Exam'mer
Vate
I HAVE CAREFULLY EXAMINED the completed application for permit, and do
hereby certify that all information hereon is true and correct, and I
further certify that any ar.:i 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 OregQnpertaining 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 contractors ~.d e~ployees who are in
compliance with ORS 701.055 will be used on this project
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