HomeMy WebLinkAboutPermit Mechanical 1982-1-20
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.. RESIDENTIAL..
COMBINATION APPLICATION/PEP.MIT
,225 North 5th Street
,SpringfieLd., Oregon 97477
BuiZding Division
- 726-3753
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Job Loeation:
ASl1eSDOrS Map #
Subdivision:
- SPRINGFlELD-
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I OlJner: ~\ ~ QJi H~Oo
Address: II &; ~ 01 (~ Phone:
City: --- Zip:
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Addition
DeaeI"i.be Work:
.
Remodel.
.~!obi1.e Horne
Date of App1.ieation
- :;.ont:ractors.....
G61l81'al. C) A
Pl.umbing
EZectrieal.
Nechar.ia::l.
Construetion l.enr:lezo
Val.ue \~,OO
Add:Joess J
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Siqr.ed: ~ (I'() )
Date: J...r!JI'>. ~ Q.,
Lisc.#
E::::;,irtts
Phone
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It is the responsibiLity of tits permit ho1.dezo to see that al.l. inspeetions are mads at tits propsr timE;. tr.at each .zddress is r"~":~"!a
from the street, and that the permit emod is z.,cated at ths front of the prapsrty.
, AEu.i?d.ing DilJi::ior. ""t't'. ~.:ed fl.an sha1.1. ....._~.. on ths BuiLding SUa at al.l. timE;S.
PROCSDUllE POR IN')l:'':'w.ION REQUEST: Ca1.Z. 7:!6-~783 UoccozodJrz>) state your City designated job nwrber, job adtbocss, type of iMpecticn
requested ar.d wr.en you. OJiH be ready for inspeet'.:on, Contraetars or OlJn9rs name and phons numbczo. Requssts reeeived before 7: 00 a::z
. wi1.Z. be made thE; same dt::y. requests mads aftt:l' 7:00 am wil.l. be made the nut ,,;orking day.
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SITE INSPEC':ION: To ba I1Gd.tI aft8%'
=ation. but prior tc set up of
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UNDERSl.AB PWHBING. E:l.ECTRICAL &
MECHANICAL: To be mads before any
work is '::arJcred.
FOOTING! POUNDATION: To be made
after trenches are ucauated and
forms are erscted, but prior to
pouring ecncrst...
U.'lD::RGROUND PLUMB-;!,Z SEWER. r./,1TER,
DRAINAGE: To be prior to f'il-
li.,...g trenches.
lJllDE;rfPWOR PWft!BING ~ ...reC'!1ANICAL:
To be made prior to inatal.lation' of
f1.oor insuLation or decking.
POST AND BEAM: To be made prior to
instal.l..:ztion of floor insulation or
decking.
ROUG!1 PWUBING. IT,ECTR!CAJ, & MECH-
ANICAL: No :;ork is to oc cOI:ered
ur.ti l thcse inspections hal1e berm
mads and approlJs::. '
FI.".EPl.ACE: Prior to p l.aci.,...g faeing
materials and before J-l_..;ng inspee-
tior..
FRAJ.!I!TG: MuDt be requeated after
""t't'.~Jal. of rough pl.wr~ing. al.ectri-
ool. & meehani.::al.. Al.Z roofi7IIJ
braeing & chi.mru:ys, et.::. nr.lst be
aompl.etcd. .'10 IJOrk is to be con-
ceal.ed U1Itil. thiD ins'Oection has
been made and _t'~.~lJed.
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YCU7' City Dstri.gnat.J. .rob Numbtll' I8:
D INSUl.ATIONIVAPOR BARRIER IlTS?ECTION:
To bs 1IfI2d. aft8%' al.l. insuz.ation and
zoequ.ired TJaPor blZZ"f"i.aos ars in p l.aca
but bafors any lath, gypBWII boazoC. or
r.xzlt c:overi7IIJ is applied, and before
any i7lt1U1.ation i.s eoncf14l.ed.
D DRYWALL I!ISPECTION: To be mads
aftsr a1.1. drywa1.1. is in pl.aca,
but prior to any taping.
O MASONRY: Stael. 1.oaation, bond
beaml1. grou. ting or lJertiaa 7.s in
aacordance with U.B.C. Section
2415.
0, WOODSTO'IF:: Aftsr instal.lation is
acmpletsd.
D CURB & APPROACH AP!~ON: After forms
are erected but prior to pouring
.:on.."'l'eta.
D SIDEWAl.K & DRIVEWAY: Por al.l. con-
crete paving OJithin street roight-
of-way. to be mads aft8%' al.l. e=a-
vating corrp1.ete & form work & :;ub-
bass material. in p1.a::e.
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ITllCE: Wher. compl.ote -- Provide
gates or !/larJabl.e sections through
P.U.E.
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DEftfOwTIO!1 OR MOl';!) 3iJIL::,'lGS
:J Sam-::zry S8lJe!' ar::;pee. :::t ~Pcrt"i 1.ir.e
:J Septi..:: tank p-.mrpBd ar.d fi1.Zed :1ith ~JeZ
I
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--, Final. - .mum ,:.o..:'ve items are a"..mpl.eted _
--1 ar.d when ieme!itior. ia cOrl!?1.e,"e or struc-
ture moved ar.d pr;:mi.3os ~ Leans:: up.
Mobil.e Hemes
~ Blocking and Set-~p
~ Plumbing eonnecti~ns .- st:tJer c:1ld water
--, El.ectrical. Ccnnection - Bl.ocE,..g, set-up
--' and pl.umbing aonr.ecticns m-.lst ::s fl?Proved
before requesting el.ectrical ~r.spectio~
=:J AcaeSGol"d Buiz.ding
--, final. - Af't;;;r .?oref:es, sk-:.rt-:.ng, decks,
---l etc. are eomp~at;;a.
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.- A1.1. p'oject conditions, such as the instal.Lation of streettreea, I:C:':'!pZ-"rion of ;iw
required Zandscapi"..g, etc., must be satisfied before tr.s BUILD[;':G fr:JAl. :an ::e nquestad.
o PINAl. PWMBING
o PINAL MECHANICAL
D ?INAL Er.ECTRICAL
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PINAL BUIl.DINC: The Pinal. BuiLding Inspection muSt bl3 l'equestea after ~i:e Final. ?!umbing
El.ectrical., and Uechar:iool. Inspeetiono have been made and _~~.'~Jed.
~ALL MAflHOl.ES AND CLEAll0UTS MUST BE ACCESSIE[,E, ADJUST!reNT TO BE M.~DE AT NO COS'; TO CITY P:;;2 1 of 2
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IJOb Number:
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I Zone:
I
lLot Sq. Ftg.
,
: % of lot Coverage
! iF of Stories
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! Total Height
i Topography
lITEM
I Main
I Gc:zoaae
I CCIr'OOl't
I Acaessoru
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, SQ.FTG
TOTAL VAWE
S.D.C.
( vat..ueJ
1.5 ::r:
BuiZding Perrrrit
State Sta'eha::t'ge
Total Charges
ITEM
Firtuzoes
Residential (1 bath)
Sanitary Sewer
Water
Plumbing Permi t
State Sta'er.arge
Total Charaes
ITEM
Res. Sa. fta.
NelJlE::r:tend Cireui ts
Terrrporcrzoy Service
Eleatrical Perrrrit
State Sta'aharge
Total. Charqes
I'!EM
F'urn:zce ETU' S
E::r:haust Hood
Vent rem
Woodstove
Permit Issuance
Meehanic:zl. Permit
State Sta'eharQe
Total CharaeD
, -- ENCROACHl.fENT --
Iseu~rity Deposit
I Storage
I Mainte=e
I' Permit
I
Total. Charoes
Curbeut
sidewa.l.k
l1"e=e
I!Electrical. Label
I Mobile Home
I
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TOTAL AMOUNT DUE: ~
Oceupancy Graul:):
LOTTJPE
Interior
Corner
Panhandle
CuZ-de-sac
x
Value
10) (X)
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NO. FEE
CHARGE
NO. FEE
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CHARGE I
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NO.
FEE
CHARGE
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Page 2
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L-COC #:
Reference Numbers:
T"pe/Cor.st:
!:},
Bedrooms:
I Enerqy SOUI'ces
H.eat
Water H.eater
Range
Fireplace
Wood3tove
Tupe
I Lot Faces -
I Setbacks
I P. L. House Carage
INorth
East
South
West
Aeeess.
Fees
Building Value & Permit
This permit is granted on the express condition that the said eonstruction
shall. in all respects. eonform to the Ordinance adopted by the City of
Springfield. ineZuding the Zoning Ordinanae. regulating the construction
and use of buiZdings. and may be suspended or revoked at any t"'.:me upon vio-
lation of any provisions 'of said Ordinances.
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Iplan Check Fee:
I Date Paid:
IReeeipt #:
I Signed:
Plumbing Permit
No person shalt. construct, install, aUer or change any new or e::r:isting
plumbing or drainage system in'wr~le or in part. unl.ess such person is the
l.egal. possessor of a valid plumber's lieense. e::r:cept that a person may do
pl.umbing work to property wmch is O1JJnBd. leased or operated by the appli-
'cant.
Electrical Permi t
Where State LabJ zoequires tr.at the el.ectrical. work be done by an El.eetrical
Contractor. the el.ectrical. pozotion of this permit shall not be val.id until
the "label has been signed by the El.ectrical. Contractor.
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Mechanical Permit
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I HAVE CAREFULLY EXAMINED the compl.eted application for permit. and do
hereby certify that al.l information, hereon is true and corzoect. and I
fUI'ther eertify that emy ar.d alt. work performed shall be done in accor-
dance lJJith the Ordinanees of the City of SpringfieZd. and the La:JS of the
~ State of Oregon pertaining to the work described herein. and that NO OCCU-
PANCY lJJill be rrnde of any structure lJJithout permission of the BuiZding Di-
vision. I fta'ther certify that only contractors and empl.oyees who are in
caTopl.iance with ORS 701.055 wil.Z be used on this projeet
/1M"~ ~
Signed
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1/ ;. oLg;
Date I
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