HomeMy WebLinkAboutPermit Mechanical 1982-5-3
.. RESID'NTIAL"
COMBINATION APPLICATION/PEP.MIT _ SPRINGFIELD _ ~
- 225 North 5th Street . .
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~ SpringfieLd~ Oregon 97477
- BuiLding Division
-' 726-3753
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./ ~ Job Loca.tir:m:
SI/1.. t>IIIS Y S:C _5 fJl<f /4oitE6(J).J _'-.7..Y17
\'1-D').- 33"" 3~ Tc:z: Lot 1# !7;zl,
Asaesao1'3 Map !i
Subdivision:
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I I O:.mel': ~.s ePJI K u H 11 Ie J J<..
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,~ Add:I'ess: S' /2.. l)A J S Y Sr.
:VCity: 5 f~J /J ~t- J iEI-D
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Phone: "7 '11,,- 311./.3
Zip: 97"177
Describe ~101'1<:
Additicn
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RemodeL.
.~fobiLe Homa
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Date of AppLication
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': Conr:l'actors
f ~ .. Genera L
; PLumbing
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\: EZectrical
/ [)Je=har.ic.::Z W 5
. Constl'Uction Lendel'
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Add..~es3
750. ~
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Signed:
Date:
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E=:7:Iires
Phone
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It is the responGibiZity of the permit hoZder to see that an inspections are made at the proper time, that eech .::ddresfl is rec.::a~~e
fl'om the stl'eet, and that the perrrrit card is z..,cated at the front of the propert";.
= 'Bui!ding [)ivi::ior: appro-r-'ed p7..an shaZZ remain on tha Bui7Aing Site at all times.
PROCEDURE FOR INSPECTION REQUEST: Call (?'ecorderJ state your City designated job number, job address, type of inspecticn
- requested ar.d when you ;.n;ZI be l'eady fol' inspection, Contractcl'S "1' Owners nane .::nd phone number. Requests received befcre '1:00 w.l
:..'iZZ be rr.ade the same day, requests made aft;::r 7:00 am wiH b8 made the n::zt ;.;orking day.
Pqaui~~d T~so~~tinnR
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: [J: SITE INSPEC':ION: To be made aftezo
, ezcavati:m, but prior to set: up of
fol'ms., '
- '[J ' UNDERSLAB PLUMBING. ELECTRICAL &
MECHANICAL: To be made before any
work is .::overed.
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W1DE!~FLOOR PLu.I~nlG 8 MECHANICAL: ~'WOODSTO'IE.:
To be made prior to inatalZation of ' ccmpletea.
floor insuLetion or decking.
FOOTING ~ FOUNDATICN: To be rrr.zde
,after trenches are ezcavated and
fcl'ms are erected, but prior to
pouring ccncreto.
UNDERGROU!!D PLUMBING. SEWE.'? W.1TER,
DRAINAGE: To be made prior to fa-
Zir.g trenches.
POST AND BEAM: To be made prior to
instalZaticn of floor inslOZatior. 01'
decking .
ROUCH PW:,1BnlC. F;r.ECTR!CAL & MECH-
ANICAL: No ~rk is to oe covered
ur.tiZ these inspections have beer.
made and approve::. .
FI."?EPLACE: Prior to pZecir.g feeing
u~teriaZs and before framing inspec-
l';ior:.
PRANING: Must be reouested after
approval of rough plWr.bing, electri-
cal & mechani.::aZ. AI! roofir..g
b,racing ~ chimneys, et.::. l7l'..st be
cmrroleted. :10 work is to be con-
cecZed until~thia inspection has
been made and approved.
Your City Desigr.ated Job Numbsr Is:
D INSULATION/VAPOR EARRIER INS?E:C'I'!ON:
To be made after all insulation ~4
required vapOl' barriers are in p Lece
but before any Zath, gypS"'.u7I board. or
wZ"Z covering is appi.ied, and before
any insulation is conceaZed.
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DRYWALL INSPECT!ON: Tc be made
after aZI drywaZI is in pZace,
but prior to any taping.
~2.0tfOq
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DENOz'ITIO!l OR .I10!7J 3UIL":JCS
::=J Sanitary SelJaI' crzpper:: ::t p::.op&I't":i Zir.e
~ Septi= tank p~ed ar~ fil~ed ~th graveL:
--, FinaZ - .Ilhen above it;Ol::'!S are ccrrrpLeted ,
---l and when demo~itior. is co~Le~e or struc-:
tUZ'e moved arA pr~~sos =Zeansd up. ,
MobiZe Homes
~ Blocking and Sat-~p
Y- Plumbing connections -- s:~er and weter
---, Electricel Ccnnection - Blockir~, set-up
~ and pZ~bing aonr.ecticns ~..3t;e G?proved-
before l'equesting eZe~;ricai. ir.spection
=:J ACCeS30l".:i Bui7.di~
--, FinaZ - Aft;;l' .?orc.r.es, skO::rt-:.na, de=ks,
---l et~. are aamp~at~a.
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AIZ project conditions, auch as the instaZZation of street trees, cc~!~:ivn of :ne
required Landscaping, ~tc., must be satisfied before the BUILDI~C FI~AL ~an =13 raquestad.
o FINAL PLUMBING
o FINAL ME'::HANICAL
D, FINAL ELECTiuCAL
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O ~MSONRY: steel location, bond
, beam3, grouting or verticals in
accol'dance with U.B.C. Section
2415.
After instalZation is
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CURB & APP!?OACH APRON: After- forms
are erected but prior to pouring
.::on...--rete.
:?IN.4L BUILDINC: The, FinaL BuiLding Inspection must blJ l'equeate:: altar the fin.::zZ ?!ur.:binq
ElectricaZ, and t!echar.ical Inspectiona i'lQvlJ been made and approved.
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SIDEWALK d DRn'E'..IAY: For aZZ con-
crete paving within street right-
of-way, to be ma:ie after aZZ e:cca-
vatina convlete & fo~ work & sub-
base mater1:a.Z in pl.a=e. '
~ALL UMlHCLES AND CLEAl/OUTS IIUST 8E ACCESSIBLE, ADJUSTHEN'!: TO SE M1DE AT NO cas,;, TO CIT'! I F.;;e 1 of 2
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fENCE: ~'her. compZ;;te -- Provide
gates 01' movable secticns through
P.U.E.
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(520t.fOg
OCellpanc!, Gre
LOT TYPE
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;Job Number:
~ Zone:
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; Lot Sq. Ftg.
:~ ~f lot C~verage
Iii of Stories
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ITotal Height
: :topogl'aphy
lITEM
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!Main
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I GaI'ac;e
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i Ctn'port
I Accessorl/
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SQ.FTG
TOTAL VALUE
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IS.D.C.
(va'ueJ
1.5 x
EuiZdir.g Permit
State Surcharge
Total Charoges
ITEM
Futures
NO.
Residential (1 bath)
Srmitary Sewer
Water
Plumbing Perrr:i t
State Surcr.axoge
Total Charaes
lITEM
FEE
, NO.' FEE
Res. Sa. fta.
NelJ/Extend Circ:uits
Temporary Service
Electrical Permit
State Surcharqe
Total Char~es
ITEM
NO.
Furnace ETU'S
j E::;haust, Hood
I Vent Fan
Woodstove
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Permit Issuanca
Mechanical Permit
State Surchczrae
Total Charaer;
ENCROACHMENT --
Se~~ritl/ D3Posit
Storage
I Maintenan.::e
Permit
Total Charqes
I C'urbcut
I Sidewa.lk
Fen~e
Electrical Label
I Mobile Home
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TOTAL AMOUNT DUE: ~
FEE
Interior
Corner
Panhandle
Cui-de-sac
x
Value
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CHARGE I
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CHARGE I
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Reference Numbers:
L-COG #:
Type/Const:
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Type
I Lot Faces -
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I P.L.
!North
East
South
Iriest
Access.
Bedrooms:
EnerGl/ Sources
Heat
Water Heater
Range
Fireplace
~/oodstove
Setbacks
House Garage
,,- Fees
Building Value & Permit
This permit is granted on the express condition that the said construction
shail, in all 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 01' revoked at any time upon vio-
lation of any provisions of said Ordinances.
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Plan Check Fee:
Date Paid:
Receipt #:
I Signed:
Plumbing Permit
No person shall construct, instalZ, alter 01' change any neW 01' existing
plumbing 01' drainage system in'whole 01' 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 01' operated by the appli-
'cant. '
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Electrical Permi t
Where State LOlJ requires tr.at the electrical work be done by an Electrical
Contractor, the electrical portion of this permit shall r~t be valid until
the label has been signed by the Electrical Contractor.
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CHARCE Mecha nical
Permit
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Plan. Exam1.ner a e
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I HAVE CAREFULLY EXAJ!INED the completed 'application for permit, and do
hereby certify that all inforomation hereon is true and correct, and I
further certify that any arA all work performed shaZl be done in aaaor-
dance with the Ordinances of the City of Springfield, and the La;,JS of the
* State of Oregon psrta.ining to the wopk described herein, and that NO OCCU-
PANCY will be nnde of any structure without psrmission of the Building Di-
vision. I further certify that only contractors ar~ 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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