HomeMy WebLinkAboutPermit Mechanical 1984-9-5
.. RESIO*IALoo
APPLICATION/PERMIT
225 North 5th Str>eet
Spr>ingfield" Or>egon 97477
Building Division-
726-3753
SPRINGFIELD
Job Location:
Ascescors Map
---- -
66< S~
# \ 00A?-J:jf5~
Subdivision:
Ta:r: Lot #
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r))ri\f!
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~er: ~ ~tq.
Address: ~;;L0-;;- ~~ cfl
city:xI~ f
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I{I "P.LJ
I~I Addi tion
I 'I Remodel.
I I Uobil.e Home
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..
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Date of Application
Contractors~ \
General. I ~)
Ii P7.wnbing \, ...../
:j E7.ectrica7. ~
Mechar.ic.:z7.
Construction iender
Phone: 7 </0 - g-.;] Lj cz
Zip: q7t(?!
Describe liorl<:
-
Val.ue :If
Address
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Rece:pt Ii
{3 Cd L/ c;5
Signed:
Date:
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Expires
PI-lOne
It is the responsibility of the permit holder to see that azz. inspections are made at the proper time, that each :;ddress is readaD'i.e
from the street. and that the permit card is 1..ocated at the front of the property,
4Building Divicior. approved p7.an shaZZ remain on the Buil.ding Sits at al.Z times,
PROCEDURE FOR INSPECTION RE'QPEST:CAll 726-3769 {recorder} state your City designated job nwnber. job address. type of inspec-;icn
requested and when you wil.l. be ready for ir~pcction. Contractors or OWners name and phone number, Requests received before 7:00 am
r.'i7.Z be made the same day, requests made after 7:00 am wiU be made the n=t :.JOrking day.
fiL/003/
Reaui~ed TnsDecticna
; D. SITE INSPECTION: To be made after
I' excavation, but prior to set up of
forms.
1
; 0 ' UNDERSLAB PLUMBING. ELECTRICAL &
. MECHANICAL: To be made before any
! . work is covered.
:0
J
1
I
1'0- UNDERGROUND PLUMBING, SEWER, W.1TER,
DRAINAGE: To be made prior to fiZ--
I Z.ir~ trenches.
I .
i 0 UNDERFLOOR PLUMBING & MECHANICAL:
1 . To be made prior to instaUation of
floor insu~tion or decking.
O POST AND BEAM: To be made prior to
\ instal.l.aticn of floor insul.ation.or
. deckirl{;.
FOOTING & FOUNDATION: To be made
after trenches are excavated and
forms are erected. but prior to
pouring concrete;.
D ROUGH PLUMBING. ELECTRICAL & MECH-
.ANICAL: No work is to be covered
. ..until. these inspections have beer.
I made and approved. .'
,0 FIREPLACE: Prior to p~cir~ facing
: material.s and before framing inspec-
l tion.
'0 FRAJ,1INC: Must be requested after
approval. of rough pl.wr.bing. el.ectri-
. ,cal. & mechanical.. An roofing
. ," bracing & chimneys, etc. nr.lst be
.~'compl.eted. No work is to be con-
,.~, "":cea7.ed until. this inspection has
. :~ be~n made and approved.
,~.......;.- .
. .
Your City Designated Job Nwnber Is:
I INSULATION/VAPOR BARRIER INSPECTION:
---l To be made after al.l. insul.ation GrA
. required vapor ba:rriers are in p l.ace
,: . but before any l.ath, gypswn board or
LXlZZ covering is applied, and before
any insul.ation is conceal.ed.
DRYWALL INSPECTION: Te be made
after aU drytJal.l. is in pl.ace,
but prior to any taping.
O MASONRY: Steel. location. bond
beams. grouting or verticaZs in
accordance with U.B.C. Section
2415.
I'VI WOODSTOVE: After instal.l.ation is
.\ ccmpl.eted.
D CURB & APPROACH APRON: After forms
are erected but prior to pouring
concrete.
o
D
SIDEWALK & DRIt'EWAY: For aZZ con-
crete paving within street right-
of-way, to be made after an exca-
vating compZete & form work & sub-
base material. in pl.ace.
DEf.10LITION OR ;~;oVED BUILDIilGS
~ Sanitary se'..Jer capped :zt p~ope;!'ty Ene
~ Septic tank p~~ed and fiZZed with gra~el
I Final. - r{hen above items are corrroZeted
---l and when demol.ition is compl.ete or stru~-
ture moved and premises cl.eaned up.
. Mobil.e Hemes
~ Bl.ocking and Set-up
~ Pl.umbing connections sewer arA wa-;er
---, EZectrical. Connection - Bl.ocking. set-up
--.J and pl.wnbing connections nr...st be approved
before requesting el.ectricaZ inspec-;ion
~ Accesso1":i Bui l.ding
I Final. - Aftar p::>rches, skirting, decks.
~ etc. are compl.eted.
D
AZZ project conditions. such as the instal.lation of street trees, c~~letion of the
required l.andscaping. etc.. must be satisfied before the BUILDING FINAL can be requested.
:0 FIliAL PLUMBING
I
. ~INAL MECHANICAL
:0 FINAL ELECTRICAL
i
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.,
I,
,
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FINAL BUILDING: The Final. Buil.ding Inspection must be requested after the Final Plwnbing
El.ectrical.. and Mechanical. Inspections have been made and approved.
D
PENCE: When compl.e;te -- Provide.
gates or movabl.e sections through
P.U.E. .
~ALL MANHOLES AND CLEANOUTS MUST BE ACCESSIBLE. ADJUST!fENT TO BE /.L1DE I1T NO COST TO CITY I P:zr;e ' of 2
o
r::.ye ~
Tijve/Cor..st:
.
L -co G~
JOB
I Zone:
Lot Sq. Ftg.
% of Zot Coverag~
#-of-Stories
TotaZ Height
Topography
NO.d' L-/O 63/
SOLAR A~SS
Occuvancl/ CrJ!ll!l
WT TYPE
REQ.-
Bedrooms:
Interior
Setbacks
House Carage Access.
I Enerq!l Sources'
I Heat
I Water Heater
_I Range
I Firev Zace
I Woodstove
I
T.t/ve
Lot Faces -
P.L.
. _ Corner _____~ North
PanhandZe East
South
West
CuZ-de-sac
-- Fees
ITEM
SQ. FTC
x
VaZue
Building Value & Permit
Main
Garaae
This permit is granted on the express condition that the said construction
shaLL, in aZL respects, conform to the Ordinance adopted by the City of
SpringfieLd, incZuding the Zoning Ordinance, reguLating the construction
and use of buiLdings, and may be suspended or revoked at any time upon vio-
Zation of any provisions of said Ordinances.
CllI'Port
AccessorII
I
I
TOTAL VALUE
S.D.C. .
(va~ue)
1.5 x
L
Building Permit
TotaL Cha.,....ges
*
PZan Check Fee:
Date Paid:
Receipt #:
Signed:
State Surocharge
ITEM
Fixt'ur'es
NO.
FEE
CHARCE
Plumbing Permit
Water
No person shaLL construct, instaLZ, aZter 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
pLumbing work to property which is owned, Leased or operated by the appLi-
cant.
ResidentiaL (1 bath)
Sanitary Sewer
PLumbing Perrr.i t
!
State Surocr.arge
TotaL Charaes
I *
ITEM
NO.
FEE
CHARGE
Electrical Permit
Res. Sa. fta.
I New/Extend Circuits
Temporary Seroice
Where State Law requires tr~t the eLectricaL work be done by an ELectricaL
Contractor, the eLectricaL portion of this permit shaLL r~t be vaLid untiL
the ZabeL has been signed by the ELectricaL Contractor.
ELe~tricaL Permit
State Suro~ha:rge
TotaL Charqes
ITEM I NO.' FEE
I
*
CHARGE
Mechanical Permit
Furnace ETU' S
E;r;haust Hood
Vent Fan
Woodstove
/.5: VV
Permit Issuance
Me~hanicaL Permit
-- ENCROACHMENT --
/00
1/~6C)
,
I
i
*
State Sur'charoe
Total Charnes
Security Deposit
I Storage
I Maint~e
PLan Ewaminer
ua~e
TotaL Charqes
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 aH work performed shaH be done in accor-
J dance :.Jith the Ordinances of the city of SpringfieLd, and the La'..lS of the
* State of Oregon pertaining to the work described herein, and that NO OCCU-
PANCY :.JiH be rmde of any Structuro2 without permission of the Building Di-
vision. I further certify that onLy contractors ar.d e~Loyees who are in
compLiance with ORS 7~1.055 wiLL be used on this project
permit
Curbcut
I SideJJa.Lk
I Fen:Je
Electrical LabeL
I Mobile Home
I-
TOTAL AMOUNT DUE: *
/.[;/ fo c)
,
1'*
.;2/1
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9~S:-rJi
Signed
Date
I