HomeMy WebLinkAboutPermit Mechanical 1984-10-23
r., "
. . '\'
,
.. RESIDENTIAL..
AFPLICAT ION/PERMIT
225 North 5th Street
Sprir4fieZd, Oregon 97477
BuiZding Division
726-3753
Job !.oc:::i.:Jn:
ASaeS801"3 .Yap /I
St<bdi.;r;sicn:
c-..me1" :
~ ._kJdt-A/
A), L. if pr.04/ 1 'f r;, - if !.- i.:2.-
~ Zip: C(7t.f7 ?
~6S3:
C:. t'~ :
, I
IXI
I I
I I
'lt7"~
JJ' .
A~:. t1.cn
Remo.:eZ
.~!ob-:'le ,~~3
'. .
SPRINGFlE1.C
-~
tts
. ~
.~cce:::Jt
&A?~~
"
Your City. Desigr.ated Job IVumbszo Ia:
O INSUl.,J.TION!VIlPO.<? BA.'?RIER INSP::CTION:
To be "..a:ie after aZZ insul..::ti.:Jn cr'.a
. . 1"equ~1"ed vapOl' ca::!'!"iers are in p Zace
but: cefore any Zath. gyp= board 01'
wZZ covering is appZi.ed. and befol'e
any i7lS'"~Zation is conceaLed.
.
D DRY''/ALr.. INSP::CTI()~l: Tc be made
after aLL az..:/waZZ is in pZace.
but pl'ior to any taping.
o
,\fASONt?y: SteeL location~ bo?u:i
beams. grouting 01' verticals in
accordance with [J.B.C. Section
2415.
r./OODSTOVE:: After instaLlation is
ccmpLeted. 1
'-19$7) ,(72,'(;
\102_ ~~3~
r _ , ',_ __ _
, J _ A ~ 1'. -, uD,escribOork: , ,J-
/HM ~ ~ x...V~
T= Lot tJ () \\35<
DecCa of .tl'PZicati9.~
/o,a-3-1?cj
VaLue $
AddreS3
t{Fo
:.:on:l'~C':or8
Cenemt
Plwnbing
EZectr.cc:Z
:
,
T
,
,
Si.gr.ed:
Date: j()-~3-
~
,'.fe::hm:ic=l
Constl"'..tcti~ l.t:ndqr
. . ........
,
Lise. #
E=ircs
Phone
i.
1/
I: is :he 1"esponai.bi1.i.:y of the pe~: itDZd.u- to see :hat at? inapectiol'l8 are r..ade at :he proper tim~. that ,,"coh ::ddress is re"":,"':"~.1
;"rotn tM street. end that the pernrit card is ~ated at the front of the property.
-3ui!.di!".g :r:vi:io:-: C?;rol:ed plan sr.c.ZZ rer.ta.'n on th.; Bu~Zding Sit:; at aZZ times. ,
P.?O~!JUP.~ FOR I.'lSPEC'!'I~!l R~~tzST,' ALL726-3769~d.u-) state your City desit]7".ated job nur.:ber. job ad6ocss. type of in:;pea~icn
1"3<iUell~ed a:-.a :.I.~en you :Ji.LZ be re . - ~"_~?""~tractcrs 01' Ol..'n8:'s name .:nd phone number. Requ&sts receil.'ed CefC1"6 7:00 C':'I
:."az be ncae th4: same dc-:/~ reques:s :nc:ae eftc." 7: 00 a:n will. ba made the nat :JOrking da-:i. ,
tYo/ 0 7 7 l
~emJi~~d Tr.s~p~ticn3
O . s:r;~ l:'l~PEC':' !J.'/: ~o be ncee
e:z:cava~:an. aut pl"l.Cr 1:: set
l":7rms.
o
o
o
o
D
o
o
D
after
u? of
lmD::RSr.AS p:'l':.f3r.'lC. El.~C':'!'?IC,1!. ~
.'.!ECH.J.:Il::.U,: ';'0 De macie bejore any
uoric is .:ovcred.
FOO1'r."lC ~ FOU:!D.1TIC.'I: To be made
aj'ter trenches are e::cc:vat.zd er.d
fcr:ns ere erected. out pri"r eo
pourir.g CC71cret...
!J:!!)r?fG.=?O~.'D ?:'L?CI;iG. S~7.t!. ';/.1Z'~:~,
D.~.:.-.'//..CG: To be ma.:e l'r:.or :;0 .-'i~-
lir.g trenches.
[JUCE.,?CO!'CC,q !,W,'.f3r.:C ~ !,fEC!fANrr::.!-:
To be mae.e pr-i.::r ~ in.n::l.Zat~on ot
f1.<Jor ir.suZ<:eion or deckir:g.
-
P'JST AND 3~A"": To be ",.aCe pl"';::;r to
instaLz.:~ic71 of j7.00r il'l8lOlation or
dsckint;.
.~,,~'r;;: ?':.~~f3r...'G. :!S~~!'~~:. ~ ,'.fEC.'1-
A,vr,:.l.!.: .'10 ~!'i: is ::0 be co~'e!'eci. '
~:~L ehcs~ ~r~~ec:i~s ~~q ~e~
made =r.d =??M:J~':::.
FI?E:?!.AC::: mor:o pZc::."..g fe::inq
m.c:~eriai..J ar.d bq'ore ;rr::r.ring inepec-
tier..
.COp.A...~r."';: ,'.fu3: be reC'..Iaa:.zd al';cr
G?l'rcv~~ of rough pl~~ir.g. eLec:ri-
caL & mecr.ani.:3L. AZ~ roof~~
b . I. .. L
l'~~r~ ~ cn~~ys. et:. r.r..lS~ ~e
conmLe:cd. ;'/0 ~r< ~s to oe con-
"1 _J t.Z..}: ..- _. .
. cec::..GU un ':, ." .t..G \.nSt'6CwwC11 r.as
. b6~ ma.:.z and al'PMved.
':'
CURB & APPROACH APRON: Afte:- forms
are ere:te:i. but prior to pouring..
~~rete.
o
SIDS"..!ALi< d DRn'G''/f.Y: For all con-
crete paving within street right-
of-wc.Yi to be ma:i.e after aZZ exca-
vating :cmpZete & fo= work & SuD-
Dase m.c::erial in pZa:e.
DEf.:OLITIO!! OR .~:Ov:::; 3UILDliiC;S
:J Sani tar''' S8'..1er ~a??ed ::t ~opJ:rt':I l.ir:e
:J Septi: tank p'.i17~d aro.d f~ned with ,;r:i-~e.
--, PinaZ - _>'hen c1Jcve i.te~s ere c~:'mZeted
---l cu:d :.Ihen :!er.teEri.cn is compLete or st:ou.:-
ture moved and pr~ses cleaned up.
D
:'!:NeE:: Wher: compL.;te -- Provide
gates or movabLe sections tr~ough
P.U.E.
. NobiLe Hc:r.es
~ Blocking and Se~-~p
=:J PZumbi~ connect~ns, -- s~er and water
---, EZectricc:Z Connection - BZocking. set-up
---1 and pZumbing connections /T("~st :e appl'~1.'.zc:
before requestir~ eLectrical ~r:spectio~
=:J Acaessory 8ui~~ng .
--, Fi"..::Z - ,1ft~r F:Jrcr.8S.
---l etc.: are c~I.~Ze=~d.
e1drt~r.g, deay.8.
o
-
-
o
-
ALL project cor.diti::;ns. JUC~ as the ~ns~aLZc:tion 0; street trees, ~~~lc"ian of tne
required Zandsccpir.g. etc., must be satisfied oefore ei:e aurr::r::c :'I.'!AL ~an !Ie 1'3quest:;d.
:=J FI.~'A:' pW.'..'BnIC
:=:J n:I/..(. :.!E:,'iA.'IIC.ll.
:=J :I:IAL :::'::C':RIC:'l.
.=:]
o
-r'IAl. a'Tr r not.. p' L" .,J' r . b . '. .h co' ''''7 ..
..- rJ wD.NC: <"e -:.na .oU1.....:.,,~ .ns?ect1.on .~t e requeate.:1 =,-~er ~ e . :.na~ C'~ur.:()T.~
::Lear;roicaL. and Neanar.ic::L Ir.spear;i:Jns ;laVa ceen made and c:pprolJzd.
'A:.r. :.!/..,'lP.C!.~S AND Cl.EANOUTS .'fUST 3E .4CC::SSI3l.S, .4j)J~'S;.'~::,!, ':0 3~ g.1r:~ !!:' .':0 C'':ST T'J cr:'Y I ?=-;<J ! oj 2 /
I JOB NO. ficfo,77/
SOLAltccES S
I
,.,.........,.
.......-.t,;.
....,.,~J.=C7'.~J -;r~=,:
?=q e 2
-
L-COG'*
REQ.-
I :.ot t-::.ces -
I
I ? L. I Hous~
1tI0r~~
lEas;:;
IsO'.- tit
IWest
.7'.'~e/f'O--s. .
_::.::' l......,. '".
3~d.rOOr.-:3:
:.ot Sq. F':.;.
I: ~f ~t C.7lJerag~
it f - .
.. 0 .::.t.n-.es
l1'ot:al :fright
Topo~hy
r ""'" ....v:::o
-'-'. .---
I
I
I
I
I
I
I
I
I
I
j
I
~ I$:~O
!':'!.'./
I
I
I
I
I
I
x
5'.F:'C
.~k:::71
I 'A::'.:::ce
I.;.:r::cl"':;
1.~cccss':J:":J
.,
I
I
I
:'~!.~~ VALr.:~
IS.D..C.
1.5 =
I ~.C: ~;<CJ
BuiZd~r.g Per:r.it
State Surcharge
Total. cr.a.-ges
I rm-If
-~.:.
I E'L-tures
I Resii;mt~Z (1 bath)
I Semi.t..::roJ Se"..Jel"
I i.cte!" ..
I
I NO.
-~
f""
I
I
I
I
Pl:.unbing Perd. t
State Surc1o.a.-;e
TctaZ CIuz-:-oes
ITE:.j
:iO. I
---
. --
!'les. Sq. f~a.
NaJ/E--t;end Cil"C'J.i ts
I
I
I' I
Tempcl"crry Service
I
Ele~tr-ical Permit
State SUI'c;..arae
Total O.L:J"ces
Ir!.'.! I :IC. :'C'"~
.--
f'o.Jn"..:ce ?!''l' S I
I E=haust Hood. ,
I
Vent F=n I
iI:x,asto;Je I
I
Permit [:;=3
Me~;..anic:::l Penrie
State Surchc:r~1(:
Tatd J::J:Cl".;'eg
.1 -- ~t'lCRCA.C.:J,~!E:!'1' --
I S'ecr.u-;t-J DI1=03it
StOl"-::.qe
&~!:il1e€1".:.::r~tZ
I Pc..~ t
I
,
I C!.Lr:'C'J. t
I Side:.Jalk
f :e"~e
1-.. ..'1
.: I,.ec ...z-..ca:. L.':':J€ '"
I. ... .
! .\foCi ~e n:;me
To":r.l ~.cr':1es
:-'2' Al. A.!!OU.'lT cUG:-
r .
.l':tel"1.Cl"
Conter
Panio.cndlCl
Cul-de-sac
"aluCl
I
I
I
I
I
I
C,=:ARCE
I
I
I
I
,
I
I
C.::';_~Gc
,
I
I
I
I
I
I
j
I
I
I
I
I
I
,
/ s: (/""() ,
I
I
I
1(,:,0 I
/ $"". {, 0 I -
l
I,
I
j
I
f
I
I
I
C.r!;JJ?QE
r-I ~~er~~ S~~r~es
l'
I I
i I
II
I I
I I
Tr.r:a
~ . .
.;8:.:t2CKS
:iea~
I Access.
I
I
I.
I
I ::a.rc.ae
I
I
I
:Jatar' .'!t:!~';:ar'
Ranqa
:-:.re'O;,c.ce
;./ooa.:; :;ot:e
Flum
. .
, I
Building Value & Permit
This perrrr.:: i3 grc:nted on the e:t"pl"ess condition that the said. construction
shall, in all respects, conj'crm 1;0 the Ordinance :::.dopted by the C~:y of
SDring;ieZdl ~nc!ud~na ;ne 20nina Crd~~ae, reauZc.=i~a :ne ccnst~A~:icn
ar.d use of buiZdings, "and m:y be"suspended or r~vcked ~t cr.y time ~;or. vie.
Zat~~ of any propisior,s'of ~~jd OrdirAnces.
t
..
-
Plan Check Fee:
Cate Paid.-
-
Rec~ipt #:
S~~ed:
Plumbing Permit
I
I
I
No person shall construct, instal~, a~ter or change any r~w cr e-mistir.g
plumbing or'arainage system in ~hole or in part, unless such person is the
legal possessor ofa valid plumber's Ucense, e:z:cept that a person may do
pZumbing work to proper1:':I which is owned, Zeased Ol" operated by the appt.i-.
ca:nt. />
. ./
,
"
..
Electrical
Permi t
I
I
I
I,
I
I..
Where State LazJ requires_,trAt the electrical work be done by em Elet:trical
Contractor, the electrical portion of this permit shall. roOt be valid until.
the label. has b;;en signed by the E1.ecf;zH;caZ :;'ontractor.
Mechanical
Permit
".
...
,
P"Lan E:ar.n.ner
uar;a
[ HAve: CAREFUl.LY EXA.'aNED the compZClted applicatio7'l for pe!"llTit, <::7ui do
hereby certify tluzt aZZ i~fo~ation hereon is true and correct, COld I
tJ.1"ther certify that emy ar.d aZZ /Mork perfor:rred shaZZ be done in act:or-
da~~e ~th the Ordinances of tr~ City of Springfic~d. and ~hz L~~s of t~a
- State of Oreg::;n pzrt=~ning to the work described herein, ~.d that ~O accu-
PI..'lCl ~lZ be :ra.:!.e of c.nu struct-J.1"a without osrrrr.:s.3ion ~f the 3uirdina Di-
rrision. [fUrther t:erti'f:i th.a.t only contrac~ors ar.d e.,,:?l.;yees 1.;10..0 =e in
compliance ~th CRS 701.055 will be used 071 thi.s projzct
.
Data
J
/d"d23-?Y