HomeMy WebLinkAboutPermit Mechanical 1985-6-7
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APPLICATION/PERMIT
225 North 5th Street
SpringfieZd, Oregon 97477
BuiZding Division
726-3753
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-<JvlOjeJl Zip: q '7((77
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Value # tPcD
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Job Location:
~ 43 (' FtiA/.f
Assessors Map #
Subdivision:
OI..mer:
Address:
City :
I ~P.LJ'
I Addi tion
I Remodel
I Mobile Home
Date of Application
Contractors
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b -7-'8';>
General
Plumbing
Electrical
Mechar:ical
SPRINGFIELD
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T= Lot #
Describe fvork:
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Address
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Construction Lender
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Signed: j.JCY/.j~ ~
Date: ~ -7-<0<'
Lisc.#
Expires
Phone
I
8 17..31&<(
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It is the responsibility of the permit hoLder to see that alZ inspections are made at the proper time~ that each ~ess is readaDZe
from the street, and that the permit card is located at the front of the property.
*Bui!ding Division approved plan shalZ remain on the Building Sit$ at all times.
PROCEDURE FOR INSPECTION REQPEST:CALL 726-3769 {recorder} state your City designated job nwnber, job adC.ress~ type of inspection
requested and when you wiZZ be ready for inspcction~ Contractors or OI..mers name and phone number. Requests received before 7:00 ~
r..'iZZ be made the same day~ requests made after 7:00 am wiZZ be made the next :.JOrking day.
Reauiped TnsDp.cticns
D SITE INSPECTION: To be made after
excavation~ but prior to set up of
forms.
D UNDERSLAB PLUMBING. ELECTRICAL &
: MECHANICAL: To be made before any
work is covered.
o
FOOTING & FOUND,iTION: To be made
after trenches are excavated and
forms are erected~ but prior to
pouring concrete.
UNDERGROUND PLUMBING~ SEWER. WATER,
DRAINAGE: To be made prior to fil-
Zir.g trenches.
D. UNDERFLOOR PLUMBING & MECHANICAL:
. To be made prior to instaUation of
[Zoor insuLation or decking.
D POST AND BEAM: To be made prior to
instaZZation of [Zoor insuLation or
decking .
D ROUGH PLUMBING. ELECTRICAL & MECH-
ANICAL: No work is to be covered
. ur.ti Z these inspections have beer.
made and approved. .
D FIREPLACE: Prior to pZacir.g facing
materiaZs and before framing inspec-
tion.
o
O FRAJ.1ING: Must be requested after
approvaZ of rough pZumbing, eZectri-
caZ & mechanicaZ. AZZ roofing
bracing & chimncys~ etc. nr~st be
... compZeted. No work is to be con-
. ...,,-.ceaZed untiZ this inspection has
~ been made and approved.
...--
Your City Desigr.a.ted Job Number Is:
I INSULATION/VAPOR BARRIER INSPECTION:
---l To be made after alZ insulation Qr4
. required vapor barriers are in pLace
,," .' but before any Lath, gypswn board or
waU covering is appZied~ and before
'any insuZation is conceaZed.
O DRYWALL INSPECTION: To be made
after aZZ drywaZZ is in pZace,
but prior to any taping.
O. MASONRY: SteeZ Zocation, bond
beams~ grouting or verticaZs in
accordance with U.B.C. Section
2415.
D
WOODSTOVE: After instaZZation is
compZeted.
25015 ~
I DEMOLITION OR :~;OVED BUILDINGS
:==J Sanitary s~~er sapped at p~opcr~~ Zine
~ Septi~ tank pumped and fiZZed with graveZ
I FinaZ - f>'hen above items are compZeted
---l and when demoZition is compZete or stru~-
ture moved and premises ~leaned up.
NobiZe Homes
~ Blocking and Set-up
~ Plumbing connections s~er and water I
~ EZectricaZ Connection - BZocking~ set-up !
--.J and pZumbing connections nr..:.st be approved I
. before requesting eZectricaZ inspection
=:J Ac~esso1";:i BuiZding
I Final - Aftar porches, skirting~ decks,
---l etc. are completed.
o
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AZZ project conditions, such as the instaZZation of street trees, c~~Zetion of the
required Zandscaping, etc., must be satisfied before the BUILDING FINAL can be requested.
D FINAL PLUMBING
o FINAL MECHANICAL
o FINAL ELECTRICAL
o
o
FINAL BUILDING: The FinaZ Building Inspection must be requested after the PinaZ Plumbing
Electrical, and Mechar:icaZ Inspections have been made and approved.
o
CURB & APPROACH APRON: After forms
are ere~ted but prior to pouring
conorete.
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*ALL MANHOLES AND CLEANOUT.S MUST BE ACCESSIBLE, ADJUSTHENT TO B~ /.t1DE AT NO COST TO CITY I Page 1 of 2
D
SIDEWALK & DRIVEWAY: For aU con-
crete paving within street right-
pf-way, to be made after aU exca-
vating compZete & form work & sub-
base materiaZ in pZa~e.
o
PENCE: When compZete Provide.
gates or movable sections through
P.U.E.
o
JO B NO. <;; )Otfc;(P
I Zone :
Lot Sq. Ftg.
% of lot Coverag~
# of Stories
Total Height
. Topography
lITEM
I Main
I Ga:raae
I Carport
I Accessorl/
I
I
Is.D.c. 1.5 x
SQ.FTG
TOTAL VAWE
(va~ue)
Building Permit
State Su:t'charge
Total Cha...~ge8
lITEM
I Fi:rtures
IResidential (1 bath)
Sani tary Sewer
, Water
Plumbing Pemt
State Su:t'cr.arge
Total Charaes
ITEM
Res. So. fto.
I New/Extend Circuits
I Temporary Service
I
Eleatrical Permit
State Su:t'aharqe
Total Charqes
ITEM
. NO. .
Furnace PTU' S
I E:chaust Hood
I Vent Fan
I Woodstove
I
Permit Issuance
Me::hanical Permit
State Su:t'charae
Total Charoes
-- ENCROACHMENT --
Ise~uritl/ Deposit
I Storage
I MaintenaruJe
I Permit
Total Charqes
I eurDcut
Sidewalk
Fen::e
Electrical Label
I Mobi le Home
I
I
TOTAL AMOUNT DUE:"
SOLA_CESS
Occupancy Group:
LOTTYFE
NO.
FEE
NO.' FEE
FEE
Interior
Corner
Panhandle
Cul-de-sac
x
Value
CHARGE
I
CHARGE
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CliARGE
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/<{.60
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r-c:.ge 6
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REQ.-
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Type/Const:
L .:..CO G~
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P.L.
North
East
South
West
Setbacks
House Carage
Access.
Bedrooms:
, , EnerCi.ll Sources
I Heat
I Water Heater
I Range
I Fireplace
I Woodstove
1
TilDe
Lot Faces -
-- Fees
Building Value & Permit
This permit is granted on the express condition that the said construction
shall, in aZl respects, conform to the Ordi~nce adopted by the City of
Springfield, incZuding the Zoning Ordinance, regulating the ccnstructicn
and use of buildings, and may be suspended or revoked at cny time upon vic-
lation of any provisions of said Ordinances.
,
Plan Check Fee:
Date Paid:
Recdpt #:
I Signed:
Plumbing Permit
No person shall construct, install, aUeI' or change any new or e:::isting
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
plumbing work to property which is owned, leased or operated by the appli-
cant.
~
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Electrical Permit
Where State La:uJ requires tr.at 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
Permit
Plan Examiner
uate
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.d all work performed shall be done in accor-
dance with the Ordinances of the city of Springfield, and th~ La-.JS of the
State of Oregon pertaining to the work described herein, and that NO OCCU-
PANCY will be made of any structure without permission of the BuiZding Di-
vision. I further certify that only contractors ar.d e~loyees who are in
compliance with ORS 701.055 will be used on this project
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~ Date
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ICBO & UL
APPROVED
.STANDARDS
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STOVE TESTING LiftNTERNATIONAL, INC.
1200 W. Eighth St. P.o. Box 3804
Vancouver, WA 98660 Vancouver, WA 98662
(206) 695-6666
'"
ICBONO. TL.II9
April 22, 1985
Ml'. Roy Compton
3840 West 11th
Eugene,
01'egon 97402
Dear Ml'. Compton:
, "
This letter is to advise you and yoUP company that we have complete
testing of yoU:!' Bantam Freestanding fireplace stove.
"
The unit was tested in accordance with the specifications and pro,!edures
" outlined in the Underwriters Laboratories, Inc. Star.daI'ds for SoUd Fuel Type.
Room Heaters, UL 1482.. and Standards for FireplMt; Stove<J.. ur., 737. The
purp08e of the i~.:ts is to deter'mine a Bafe distance to combu~tible materials..
to ascertain that no part shall attain a temperature sufficient to cause
damage by distor'ation 01' separation.. and that the creation of propel' draJ"ts shall
prevent the spillage of products of oombustion from the fireplace appliance'
openings.
The Bantam Freestanding fully qualifies under standards to be .'
instaUed 31 irwhes from eit.her s'ide of the chimney connector to a combustible
wall 01' other supfMe, and 2& inches trom the chimney connector to a real'
- combustible baclavaU 01' other material. A hearth extension of Sl8-inch minimwn
thickness asbestos millboard, 01' its equivalent.. must extend 8 inches beyond
both s'ides.. 8 ino,hes beyond the back.. and 16 inches in front of .the
combustion ~oor as a protection to jioor coverings from heat and any combustion
materials. '
Please advise customers to operate the'stove carefully.. have the
installation completely:checked by an authorized fire marshall 01' inspector
and stress the need to follow YOUI' operating instl'U.Ctions carefully.
-.~...'"
Stove Tes,ting Lab Inter-national.. Inc., ~in performing its fwwtion in
accordance with its objectives, does not assume or undertake to discharge any
responsibility of the manufacturer 01' any other pdry. Stove Testing Lab
International, Inc. shall not be responsible to anyone f02' the use of 02'
reliance upon such findings by anyone. Stove Testing Lab International, Inc.
ahall not incur any obliga~ion 01' in connection with the use.. interpretation
ofk 01' reliance upon suah test results.
........,
Your labels will be available shortly.
TJumk you again..
..-
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C"::0...'J I' ( / J
~1i;;:~~.~:'~o;;;a ,..~.-<..<. ~~1
,- -;,J 'Stove Testing Lab International.. Inc.
Stove Testing - Our Only Business
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v.' OREGON
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06-07-00
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WORK AUTHORIZATION FORM
Department of Veterans' Affairs
.....
Date: May 17, 1985
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Account Number F9IO.9.1
Contractor:
Good Dea 1'. 'Meta 1 Products, Inc.
5322 Main Street
Springfield, Ore.
Telephone No. ~1
AddreSj:
You are authorized to complete the following repairs/services to the property located at-
743 Crest Lane Springfield, Or. 97477 Only those repairs listed
on .this form or on the attached list are authorized. Any other deficiencies noted must be reported to the Department of
Veterans' Affairs (OVA) branch office named on this form. The materials used will be new and of a quality found in noargal
building construction. The repairs listed below are to be completed by May 24, 19 ,
and the cost will not exceed Si x Hundred and No/100---------------- Dollars $ 600.00 Upon
completion of listed repairs/services, fill in the cost on the Contractor's Statement below. Date and sign the Statement and
return this form to the following OVA branch office:
2073 Olvmoic Street. Suite 200
Address
Snrinqfield. Oreqon
City
97477
Zip Code
X-
o Cut grass and weeds on entire lot. Remove cuttings fr6hi site.
o Remove all garbage/trash from site/dwelling. Leave areas broom clean.
o Vacuum carpets and mop vinyl floors.
o Clean all plumbing fixtures, cabinets, drawers. counter tops, appliances, window sills.
o Steam-clean carpets.
o Replace all broken windows.
o Other repairs/services.
. Broom clean and hose out garage.
Remove debris and clean fireplace/woodstove.'
Have all utilities turned on. Bill to Department of Veterans Affairs.
Other:
Install Qood Qualitv used wood stove. new pipe, and pad. Per bid of
Mav 17. 1985.
AUTHORIZED BY
CONTRACTOR'S STATEMENT
Loan Servicing Officer
DA TE AUTHORIZED May 17. 1985
I state that I am the contractor for the services on the above-described property, that the services are complete, and that no
liens for labor or materials have been' filed in connection with the services. Cost of repairs/services $
Contractor Signature
Date Completed
DEPARTMENT STATEMENT
-
I certify the work contracted for on the above-described property and state that the repairs/services have been completed in
a professional and satisfactory manner.
Department Representative/Title
Date
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550-M (7-83)
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