HomeMy WebLinkAboutPermit Mechanical 1986-5-5
.. RESI.NTlAL"
APPLICATION/PERMIT
22~ North 5th Street
Spnngf1-eld, Oregon 97477
I
BU1-ld1-ng D1-v1-s1-on
726-3753
.1,.
SPRINGFIELD
~
I
.Iob Locat'l.on
I
ABG€SBOl'S Map
. ":? I} :3 Lj CA.M.-.o /Le.-€
# / 'if 0 C).....O & / ~
()D t,1) 0
I
I _
I!~~d
Adm-eBs ls7 :!J LjU "kA-oILC.(! f)/l,
j
111t/1- /r-S-IJ
I Subd-z.,v1.-81,.On
1-
O!.mer
C,ty
I n Nm~
In I
In
! n 'Io~'le Home
I
1 _!!ate ofIAppl'Lcat1.-cn
I ",on-tractors
I
! ~Genel'al, I
; Plumbt.ng I
II
,
"
,
,
: Const1"Uct"Lon
Add!. t-z.cn
I
Remodel
.~ -c..::;
01,
Tax Lot #
Phrme
'1L/IJ-c21 cjj
~~JJ
:/
A
Rcce7..pt if
/1
/""l,
"3, ., '7
Z'p
U /YI[l ~/C?../
a;~~/~
-'6Io
Value
Address
,
1
;~
~~/OL .
S1..gred
Date
{!0
O-t)-f'h
Lt.3C #
EXrn,T'6S
Phone
(rb~ /~idjtdlLf'
tender /I
(/
It 'L8 ths re8pon$~b'Ll'l-ty of the pe~t hotder to Bee that all t.nspectt.ons are nade at the proper tum~, trat each ~es8 tS l'eadao:e
I from the street, and that the perrrnt CaI'd 1,8 located at the fPOnt of the property
~Bu'l.!d'L~1 ~V'L='l.O~ appl'oLed plan shall l'emat.n on the Bu~ld'Lnq S1..t~ at all t~mes
pnOCr:'Du'?E FOR INSPECTIOn REQUEST CALL 726-3769 (recor>der) state your C~ty des~gnated Job nurber~ Job ac6>ess~ type of ~n3pec:;~cn
~cqucstea a~d when yOU w~ZZ be ready for ~nspcct~on~ Contr>actors or Owners name ~na phore number Dequests rece~ved befcre ? 00 ~
-,-'1-ZZ De made the smne dcy~ requests mG.de after? 00 am W1,.ZZ be made the next ..Jorhng da:1
Vw03(O
Slectr>"/..caZ
!,fechar1.a.2l
Pemn.Y'pd Tn.c:n<",...t7.rm.C:
SITE IftjSP:;C':'IO~' To be made after
excavatwn, but pl"Lor> to set up of
forms
UNDP?SLAB PLUMBING. ELECTRICAL &
MECf/1NICAL To be made before any
work 1-S covered
:0
I
:0
I
in
L:J
FOOTfNG !. FOUNDATION To be made
afte~ trenenes are excavated and
fOITnJ are erected, but pr1-or to
pou~ng ccncret~
,
',=:J
U"WSRGDOU^'D PLUMBING. SEWED, W'lTER.
DT?AIf/AGE To be made pr~or to f"L z-
I t1-r~ trenches
, i
,0, VNDERFLOOR PLWf8ING & MECtJANICAL
To be made pr"Lor to "/..n3taZZat~on of
i 1100'1' ~n8utat"LOn or deck"Lng
,0 POST lAND BEAM To be made pr"Lor to
"LnstaZlat"Lon of floor "Lns~lat"Lor. or
deck"l.rtg
,
ROUCH PLUVBIl'C. Er,ECTRTCAL & MECH-
ANICAL No ...york "LS to be cover>ed
urt"Ll these "Lnspect"Lors have been
made and approvec
O FIDF:PLACE Prwr to plc.c"Lr.g fG.c1..ng
matenals and before frmn1..ng "Lnspec-
t"l.or
iO
,
0'1 PRAJlING Must be requested after
approval of rough pZ~~"Lng, electr1.._
cat & mechamcaZ AU roof"/...ng
braC"/...ng & chtmncys, etc nr~st be
completed ~lo work "L8 to be con-
-., - ceG.led unhl th1..8 "Lnspeat"Lon has
\ been made and approved
,
Your C1 ty Des1..gr.ated Job NwnDer Is
o
INSULATION/VAPOR BARRIER InSDECTION
To be made after all 1..nsuZ.:;.twn a"'.d
requ~red vapor bar>r1..ers are 1..n place
but before any lath, gypsum boara or>
wall eover"Lng "L8 appl1..ed, and Defore
any 1..nsulat1..on 1..S concealed
I DEl IOLITION Oi?
OV::J BUILDI GS
o
DRYWALL INSPECTION To be made
after all drywall "L8 1..n place,
but pr1..OY' to any tap1..ng
~ San1.. ::ar>iJ se'..Jer ~a:pped ~t px:..ope:r"C"':j h""e
:==J Sept"LQ tank v~-ped a~ f"/...lled LJ1..th gra~el
:J F"Lnal - ['hen aDCve "/...te"'1S are ecwpleted
and when denol~t"Lor "L8 complete or 8trk~-
ture moved anc prem1..ses ~leaned up
, !Job'/- le Hcnes
=:J Block1..ng and Set-~p
=:J ~lumb"Lng conneC~1..ons s~er and water
---, Electr1..cal Conrect~on - Block1..na, set-uD
~ and pZumb'/-ng ccnnect"Lons ~~st b~ approtec
before pequest~ng eZectT'1..cal 1..nspect1..o~
:=J Ac~essoY";:1 Bu1..ld~ng
I F1..nal - AftD"l' p:Jrcres, 8hrt'!..ng~ decks,
~ etc are c~ple~~d
o
All proJect cond"/...t1..ona, such as the ~nstallat~on of street tpees~ co~let~on of tne
requu'ed landscap1..'Y'.g, etc , must be sat1..sf1..ed befor'e the BUILDING FI'JAL can be r>equested
o FINAL PLUf"BItlG
~ FINAL MECHANICAL
c:J FINAL ELECTRICAL
:=J
o
O MASONRY Steel
beam3, grout1..ng
accordance W1,.th
Z415
~ WOODSTOVE After 1..nstaZZat1..on 1..8
n ocrrrpZeted
locatwn, bond
or ver-c1..cals 1..n
V B C Sectwn
o
CURB & APPROACP ApDON
are ere~ted but pr1..oY'
conere te
After forms
to pouY'1..ng
FINAL BUILDING The F1..nal
EZectr1..cal, and Mechar"/...caZ
BU"Lld"/...ng Inspect"Lon must be reauested after
Inspect...ona hava been made arui approved
'\l
/A
the F1..naZ PZumb1..ng
"ALL MANHOLES AND CLEANOUTS HUST BE ACCESSIBLE; ADJUST~fENT TO BE tfA..DE fiT NO C(JST TO CI'.!'Y
Ipacelof2
o
SIDEWALK & DRIFEWAY Por aZZ con-
crete paV1..ng w1..th1..n street r1..ght-
of-way, to be made after all exca-
vat1..ng complete & fo~ work & oub-
base matenal "I.n place
D
PENCE
gates
P U E
~'her c07lpZ~te -- Prov1..de
or' movable sect"/..ons through
D
,
I JOB NO ~3 t,o SOLAR AC
,
1 Zone
I Lot Sq Ftg
% of lot Coverag~
:f- of StOPLes
Total ue1-ght
Topography
I
lITEM
! \fa'Ln
I GcPaae
I SQ FTC
I
I
I
I
I
CarVOl't
A~Ce880T'U
Is D C
TOTAL VALUE
(vaLue)
1 5 x
But.ld1.ng PePlmt
State SW'cha:r>ge
TotaZ Charges
lITEM
I Pw=tu.1'es
I
I ResuizntwZ (1 bath)
I
I San:/,tary Sewer
I
I 'later
I
,
I
I
I
I
I
I NO ;
I I
I
Pl.anb'Lng PeYr''Lt
State SUI'cr..arge
Total Charaes
I ITEd
,
I qe.<; .'ja fto
I V~/Extena C1.r'CU1.ts
I Temoora:ry Sepvl,.ce -I
I
'10
EZectr''LcaZ Pe~t
5t.::;te Surcharqe
Total Charqes
I ~]'::M
I
I :'urr.ace ETU' S
I Exhaust Hood
,
I Vent Fan
I
I woodstoJe
I NO
Per'Tln-t Issuance
Mechnn'l.-caZ Perrm t
State SurcharGe
Total Charrum
-- ENCROACHMEfJ!T --
I
I Secrvlntl{ D2DO:3't.t
Storage
,'.fa1,.ntenance
I PCPm1..t
I Total Chal'qes
I cw>beut
I
1 Suiewa Zk
I "'e~e
! EZectl'wal Label
,
I Vobt.le Home
! TOTAL AMOUNT DUE ...
., S R EQ-
Ocaupanc/.f Group
LOT TYPE
IY'tel't.or
Corner
Panhandle
CuI-de-saa
x
Value
FEE
CHAPGE
P;;E
GHARGE
FEE
I
I
I
I
I
I
I
/S ,0'0 I
tPn I
Is 1001',
l
I
I
CHARCE
I
/S {/D
~"",!::/l.. G
L-COG"'"
T~pe/Corst Bedrooms
I Lot Faces - I Eneray SO..1I'ce8 T../'oe I
I Setbacks I 'Jeat I
I P L I House I Caraqe I Access Water f.!r'!(1tp.}> -- I
INorth II Range I
lEast I I I F-treTJlace
ISouth I I I: WooaDtot-e I
IWest I I I
Fees j
Building Value & Perm i t
/
Th~s pe~t ~G granted on the express cond~t~on that the sa~a constructton
shall~ ~n all respects, confo'l'm to the Ord~narce adopted by the C~ty of
Spr~ngf'~eld, ~nclud':-ng the 20mng Crd-:..nance, regulattna the ccnst'l'Uct~cn
and use of bu~ld~ngs~ and m~y be suspended or revoked at ary ttme upon v~c-
lat~on of any prov~s~ons of satd Ordtr~nces
"
1 Plan Check Fee
I Date Pa,d
I Ree,npt #
IS'T'ed
,
Plumbing Permit
No person shall const'l'Uct, ~nstalZ, alter or change any ~ew cr extsttng
plumb~ng or dra~nage syst~ tn ~hole or tn part, urless such person tS the
legal possessor of a val~d plumber's ltcense, except tr~t a pe~son mad do~
plW"'b~ng work to property whwh tS ow'ned~ leased or operated by the appli-,
aant
~~
, '
j
[
I
I
I
I
, '
Electrical Permit
Where State Law requtres tr4t the eleatrtcal worK be done by an Electrtcal
Contractor, the electrtcal portton of thts peI'mtt shall rot be vaZ~d un~~Z
the label has been Dtgned by the Electrtcal Contractor
Mechanical
Permit
(
'.
,
Plan Examiner
vate
.... I HAVE CAREFULLY EXAMINED the compZeted apphcatton for perrott, and do
hereby certtfy that all ~~format~on hereon ~s true and correct, and I
fdPtrer cert~fy that any arn all work pepfo~ed shall be do~e tr accor-
dance ~th the Ord~n~nces of the Ctty of Spr~ngf~eld, and th~ Lu~8 of the
* State of Oregon pcrtatntng to the work cescrtbcd here~n, end that NO OCCU-
P}NCY Wtll be made of any structure w~tho~t pe'l'mtS3~0~ of the Bu~Zd~ng Dt-
vts~on I further certtfd that o~ly contra~tors and e~loyees wro are ~n
c~pl~ance wtth ORS 701 05S wtll be used on th~s proJect
'-
~8d K6j ~1 ~~tAJ(
:)'~ 2- - Rio
Date
,