HomeMy WebLinkAboutPermit Mechanical 1982-9-10
.. RESID_~TIAL'.
APPLICATION/PERMIT
225 North 5th Street
Springfield~ Oregon 97477
Building Division
726-3753
h.' )n'/ ~.~ \. ~<\+-:' "., ..... "
\......:) T= Lo t #
rYh x~ l~h ," RLJ 0., -e.-f\
tI- 9\ ~ 'X hr')() j t\), ^ ~ 1Y Pr.one:
~ . -0;;0', '0
- - f~ -
i'
I, . '" I. I,.
Job Location: J..j 9 \~ ~
Assessors Map #
Subdivision:
OI.mer:
Address:
City:
NP.!J
Addi Hon
. '" .j,
Zip:
716-~/7
971-) '7
Describe rrork:
l;JcmJl S
Remodel
ifobi le Home
9~J() -l\Q
Date of Application
Contractors
General
PZwnbing
Electrical
Mechar:ic::.L
Value
t.BrD{)()
. .t.!!,
. Ficce:p
(&)9~ 71..~
Address
.' .
.
.
; LJad 8~ffur,;f
)OctJO
Ib [)
i
1/0/0
----
/0;60
Sigr.ed:
Date:
~eX2
.
Lisc.#
E:::pires
Phon()
Construction l.ender '___
It is the responsibiLity of ths permit hoZder to see that aU inspections are made at the proper timE:, that each .::dd2-ess is readab~e
from the street, and that the permit card is 'Located at the front of the property.
-SuiZding Divicion approved FZan shaZZ remain on thE Building Site at aZZ times.
PROCEDURE FOR INSPECTION RSQUEST:cAlL 726-3769 (rccorder) state yOUI' City desig1Ulted job nur.:ber, job addrcss, type of inspecticn
requestcd a;~ when you ~lZ be ready foj; inspection, Contractors 01' OI.me~s name and phone number. Requests received cp!cre 7:00 ~
:..'iZZ be made the same day, requests made. aftSI' 7: 00 am wiZZ be made the n=t :.;orking day. \ 050
'. Y~ City Desigr.ated Job Number Ia: 1<;;) ;J/.86~
Reaui~p.d Tnsop.cticns
O SITE INSPECTION: To be made after
, excavation, but prior to set up of
forms.
O . UNDERSLAB PLUMBING. ELECTRICAL 11
. MECHANICAL: To be made before any
work is covered.
o
FOOTING & FOUNDATION: To be made
after trenches are eXcavated and
forms are erected, but prior to
pouring concreto.
UNDERGROUND PLUMBING. S'E:WER. W,1T'E:R,
DRAINAGE: To be made prior to fi l-
Ur.IJ trenches.
D. UNDERFLOOR PLUMBING & MECHANICAL:
. 'To be made prior to instaZlation of
j100r insuLation or decking.
[J
o
POST AND BEAM: To be mad() prior to
instaZZation of j100r ins~lation 01'
decking.
ROUGH PLUMBING. ELECTRICAL & ,IfECH-
ANICAL: No work is to be covered
unti Z these insoections luzve beer.
'made and approved.
PIPEPLACF:: Prior to pk.cir.IJ facing
materiaZs and before framing inspec-
tion.
D FRAJ.1INC: Must be 'requested after
approvaZ of rough pZwr.bing, electri-
caZ & mechanical. AlZ roofing
bracing & chimneys, etc. ~~st be
. completed. No ,,;ark is to be con-
..,cealed until this inspection has
" been made and approved.
D
D
D INSUl,ATION/VAPOR BARRIeR INSP'E:CTION:
To be made after aU insul.:::twn a:"~
'... required vapor ca:rriers are in pLace
. . but before any Lath, gypsum board 01'
waU covering is appZied, and before
any insuLation is conceaZed.
DRYWALL INSpeCTION: Tc be made
after aU d.z>ywaZZ is in place,
but prior to any taping.
O MASONRY: Steel Zocation, bond
beama, grouting 01' verticaZs in
accordance with U.B~C. Section
2415.
R7f WOODSTOVF:: After installation is
~ c:cmpleted.
o
D
CURB & APPROACH APRON: After forms
are erected but prior to pouring
..;u;nare te.
DE110LITION OR :~:OVF:D BUILDIilGS
=:J Sani tary s€'.Jer capped :zt p~opcrt-:i Ur.e
~ Septic tank p~ed and fiZled with gra~aZ
~ FinaZ - ~~en above ite~s are cc~Zeted
~ and when .:!.emolitior. is complete or struc-
. ture moved and prer:n3es ::leaned up.
Nobile Hcmes
~ Blocking and Set-up
:J Plumbing connections -- szwer and water
~ Electrical Connection - BZocking, set-up
--1 and plwnbing conr.ections nr..st I;;e approved
b ... t' 1.' 1. .'
e,ore reques .ng e_ec.~cav ~nspec_~o~
:=J Accessol"d Sui lc:.ng
~ Pinal - Aft;:r porches, skirting, decks,
~ etc. are campletcd.
D
All project conditions, such as the instaZZation of street trees, co.~Zation of the
required landscapir.g, etc., must be satisfied before the BUIWING FINAL can be raquestsd.
o PINAL PLUMBING
o PINAL MErJHANICAL
o PINAL El.ECTRIC/..l,
,0
o
D
SIDEWALK & DRIt'EWAY: For aU con-
crete paving within street right-
of-way, to be made after aZZ exca-
vating compZete & jorm work & sub~
base material in place.
FINAL SUIl,DING: The FinaZ Building Inspection must be requested cIteI' the PinaZ PZumbing
ElectricaL, and Mechanical Inspections kave been made and approved.
, .
~A['[' MANHOLES .4ND Cl,EANOUTS MUST BE ACCESSIBl,E, .4DJUST!fF:NT TO BE' ,\t1DE: I1T NO CaST TO CITY
I P::zs:e 1 of 2
D
FENCE: When compZ.::te -- Provide-
gates or movabZe sections through
P.U.E. '
o
,.-
I JOB NO.~ }.L/?:J( SOLAR eESS
I Zone: OccuDanc~ Group:
Lot Sq. Ftg. LOT TYPE
JD,DO I
I II=), b 0 I
I -~ bO I
I l,-S, A () , ·
~ of' lot C::;verag~
# of Stories
Total Height
Topography
I
ITEM
SQ.FTG
x
Main
I Ca:raoe
I Car::lort
I
I Accessor7./
I
I
I S.D.C.
TOTAL VALUE
(vc~ue)
1.5 :r:
Building Permit
State Surch.:zrge
Total Cha..~ge8
I ITEM NO. I
I FiXtures I
IResidential (1 bath)
I Sanitary Sewer
FEE
Water
Pl:mrbing Pem t
State SUI'cr.m>ge '
Total- Charcres
lITEM
NO.
FEE
Res. Sa. fto.
New/E:r:tend Circuits
I Temporary Service
I:
EZectrical Permit
State SUI'~harqe
Total Charqes
ITEM I NO. . FEE
F'urnace ETU' S I
I E:::haust Hood I I
I VEl'lt Fan I I I
I . II I A.l:) 11i
I Woodstove
I I I
PePmit Issuance
Mechanical Permit
State Surcluzrcre
Total CharGes
I -- ENCROACHMENT --
Is. .
I ecr~t7./ DeDo3~t
I Storage
I Maintenance
I Pa.."'mi t
Total Cluzrcres
I Curbcut
I Sidewalk
I Fence
I Electrical Label
i
I MobiZe Home
I
I
I
Interior
Corner
Panhandle
Cul-de-sac
Value
CHARGE
I
I
I
I
I
CHARGE
I
I
I
I
I
I
CHARGE
A:1:), /j D
I
I
I
I
\ n kJ:), GO
'. ~
TOTAL AMOUNT DUE:-
I
I
I
I
r
I
Page 2
REQ.-
.
L-COG~
Type/Cor.at:
Bedrooms:
I I Eneral! SOUI'ces
.
I I Heat
I I
I I
I I
I I
I I
Lot Faces -
Tlroe
I
I
I
P.L.
/North
,lEast
ISouth
IWest
Setbacks
I House Garage
I
I
I
I
Water Heater
Range
, Fireplace
woodstove
I Access.
I
I
I
Fees
Building Value & Permit
This pernr;t 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 const~,cticn
and use of buildings, and may be suspended or revoked at any time upon vic-
lation of any pr:Jvisions of said Ordir.ances.
, -
I
I
I
Plan Check Pee:
Date Paid:
IReceipt #:
/Signed:
-
Plumbing Permit
No person shall construct, install, aZter or change any ~~w cr e=isting
pZumbing or drainage syste~ in whole 01' in part, unless such person is the
legal possessor of a valid plumber's license, except tr~t a peroson may do
plumbing work to property which is owned, leased or operated by the appli-
cant.
I
I
I
, .
I
Electrical Permi t
I
I
r'
I
, .
I
I
I
I
Where State Law requires tr~t the electrical work be done by an Electrical
Contractor, the electrical portion of this permit shan not be valid until
the "lahel has been signed by the Electrical Contractor. .
Mechanical Permit
Plan E:r:c:mi ner
uar;e
I HAVE CAREFUl.LY EXAMINE:D t,;e completed application for permit, and do
hsreby certify that an info:'l7lation hereon is true and correct, and I
T.aother certify that any ar.tl. aZZ work performed shaZZ be done in accor-
dance ~th the Ordinances of the City of Springfield, and thz La:.JS of the
- State of Oreg:Jn psrtaining to the work described herein, and that NO OCCU-
PAtlCY wiZZ be made of any structure without permission of the Building Di-
vision. I further certify that only contra~tors ar.tl. empl~yees who are in
compliance with ORS 701.055 will be used on this projsct
/~r. ?r./~.-
Signed
.
, .
.$?_i_'~_
., vi'
J - /0- ,pI~
Date