HomeMy WebLinkAboutPermit Mechanical 1990-7-16
I~
.. RESIDalTlAL"
APPLICAT./PERMIT
225 North 5th Street
Springfield, Oregon 97477
Building Division
726-3753, '
Job Wcotion: \ \ ~ Pi \ Y"t"'\\r\9. 0 ')
As.es.ors Map N ., ~()~ (j 1-.r \:\ . Ta:t:Lot N I d 100
Subdivision:
.
:::3:1} ~~1~~nJJtfy-fkpr2s:
CitY:,-~Yi f\~iQ ~cl)J,0.A~()VZJp:
[LMJ
n Addition
n Remodel'
n !lobile 110m3
Describe ll'ork:
~~0s\~ ~(bD
, ~\JYC~
I)-! /4(Y . Valus f\ f(U
Date of Applicaticn
Conrractors
General
...: Plumbing W:l\ O~ q...., A.~~.
~ I Hechanicai ~DY\Q. y~ ,dSSC(l~
I E~~ctri!;al
I SI1JJe'C....m.t~;;,..,g glectr:i<<.;ian
U6b
Sigr.ed:
Data:
A~
~1,1(/J,0ri
Arlrlress
Lise. W
Bidrs Iloard J{e".
llhnni'
D INSULATION/VAPOR BARRIER I1ISP;:C'fION:
To be made after all inBulati~n and
'. rcquired vapor barriers are in placa.
but before any lath. gypsum booN! or
~ll covering is applied. and before
any insulation io concealed.
D DnYWAT~L INSPECT!ON: To be mado
alte,. all dl'YLJaLL i8 in place..
but p1'ior to any taping.
O ~SONRY: Steel location, bond
beama, grouting or verticals in
aocordance with U.B.C. Seotion
2415.
D WOODSTOVE.. After instaUation is
ccmpleted.
D CURB & APPROACI/ AP!10N: After foms
aro oreated but prior to pouring
.:wnarete"
o
SIDEf/Af.X & 'ORII'EWI1Y.. For all con-
crete paving within streot right-
of-IlJCY~ to be made afteI' all e%ca-
'vating completo & fo~ work & Dub.
base rrnterial in plaae.
0~ p u'\ ()1f\. to~
rx:J,S '-' ") ~. Wet
().fll\~
o~i)
EXDi,{,(~H
fhQ/~q(;)
~ ./1 ( .'10
Jj45-,srofo
,,=*S-~~
It is the responsibility of the permit hoLder to seo that all inopectionB are made at the propsr tim~, t~at Qcoh ~OBD is roadabZu
from the stroot, and that the pormit oard is located at the front of the property.
.Bui!di~ ~vi=ion appro~ed plan shell remain on thB Buildin9 Sit$ at all times.
PflOCSDUP.E FOR INSPECTION R~OUEST~CAlL 726-3769 (recordel') state your City deoignated job numbar, job acM.rcos, typo of in3poc~ic'l
requested ar.d when you uiH be ready for inspeotion, Contl'aotorB or O:.mers name and phone number. Requests reCOillQd bsforo 7..00 a-:1
lo.'Ul be made the same day, requests made after 7:00 am will b:: made the next warkina d4y.
. ,,' y;"r City Deaigr.atcd Job Numb.r Ie: Qm'74R
~rfc.tI TnPt'(>pt1:mVl
D SIT;: INSPEC':'ION:, To, be 11Klde after
excavation, but prior to set 'up of
fonns.
O UNDERSr.A8 PLV1ofBING. ELECTRICAL &
. /ofECH,!.vICAL: To be made beforB any
work is ~ovcrad.
o
FOOTING ~ FOUNDATION: To b. mads
after tpCllchco are excavated and
fonnG.are erected, but prior to
pouring ccncret~.
UNDSRGROU,YD PLUMBING. SEWER. W.1TER,
DRAINAGE.. To be made priOlO to fil-
lir.g trenclree.
O UNDERFWOR PLUMBING & MECIIANICAL:
. To be mada prior to inotallatton of
floor insutation or decking.
o
O POST AND BEAM: To be made prior to
instaz,zation of floor insz.:lation or
decking.
IU-8lWGl1 PrJff!BI{{Q. ET.ECTR!C/I[. .c~Ec1l2 )'
LI ANICAl"........~~rk is to be cov~rm-
,until thes8 inspections have beer.
made and approved.
D FIREPLACE: Prior to placir.g facing
materials and before framing :inspec-
tior:.
D
FRAMINr:: Muat be requested afte,.
approvaL of rough plwr.bing, alectri-
cat & mechanical. All. roofing
bracing & chimneys, etc. must be
. completed. No wrk is to be con-
, coatefl until thiD inspeotion has
. bG~n made and approved.
D !"ENCE: When compl~te -- Provide'
..gates 0)" movable scctiano through
P.U.E. '
o
- ,'-
DF:MOLITION OR !-lOVSD BUILDINCS
=.J Sanitary seuel' ~appBd ::rt p:.opcrt!i l.ir.e
~ Septi:J tan~ p-.onp;;d and filll:~ with Jra:Jol
--, Final - (/him above items arc ccmpleted
---1 ar.d wllan demolition is completo or Dtru.::-
tUre moved 'and premises cleaned up.
. /tJobi Ie Hcmes
:=J Bloaking and Sat-,p
:=J Plumbing connections -- S&WO)" and wa~er
---, Klectrical Conneotion - Blocking, Bot-up
.-J and plumbing conneotions trr.lst 1;0 approJ.'sd
before requesting olec~rical inspeo~ion
~ AOCOSGo1"J Build~ng
---, Final - Aft~r p~rches, skirting, decks,
....J eta. aro oompleted.
D
AlL project oonditions, ouch aO tIle i,nstallat~on of atreot trt:es, c~lation of tit.
required landscapir:g, ctc.~ must be satisfied before tJ:t: BUILDINe FINAL can bo rsquost:rd.
.,-
o FIliAL PLUMBIIIG
~AL M;:CIIANICAL
~INflL EU:CTRI~I.L
o
FINAL BUILDING: Tho Final BUildinu Inspeotion must bo J"oqueDted altar tho Final Plumbin.3
Electrical, and Mechanical InspectionD have been mads and approved.
10
. . . .....
AAl.D UANIICl,ES AND CU:ANOUT:: JIlJ!'iT, ng ACCF.!JEI8LF., ADJUST/lf."NT TO 8f: u,~m.: AT NO COST TO Cl'!'Y PatJ!! of.~
I JOB NO.
I ;~onf!:~
qOO?4~::Ln:uR G~E S S
Lot Sq. Ftg.
s ~f lot Coverago
.II of Stones
Total. Height
Topography
I
lITEM
I Main
SQ.FTG
x
CcPnoe
'l,!rryrp.t;
AcCeSfJOl"ll
TOTAL VALUE
Is.o.c.
(vatuC)
1.5 :r
Building Pe1'1'f'lit
Sta te Sw-chorge
Total Charges
ITEM
Futures
NO. I FEE
1
Reeidential (1 bath)
Sani ta~ Sewer
Water
~rt.{~. Q..l[(:.nb"flC1
Plumbing Penr.i t I
State Surc}o.arge
Total. ChaMCB
111';')1
I Res. Sa.
NO.
PO'S
fta.
Haw/EXtend Circuits
TempOl"artJ Service
Ele::trical Pennit
State SUl'::harae
Total
Chlzl'gos
I NO. I
FEE
lITEM
Furn:zce !!TV'S
I E:rhaus t Hood
I Vant Fan
I WOodSt07J6
I fV\1'.lI\ Va Vh11~a'j
PBJ"J7fit Issuanca
Mechanical Permi t
Stato SUrcharoe
Tntal CharaaD
-- ENCROACRMENT --
I SecuM.tl/ Daoosit
I Storage
I Main tenan~e
I Permit
I Total ChalV108
I Curbcut
,I Sidewalk
I Fcn::e
I Eledtrical Label
I Nobile Home
I
I
1'l'rI'T'Ar 1IUJ1I1A1'l' nllr;'..
WT TYPE
Interior
Corner
Panhandle
CUl-do-sac
Value
CHARGE
Ib.OO
. '751
(C'). 75 I.
CHARGE
CIIARGE
/6.00
'}':"
~ -
/'S.I'J.."=3
J. .-
5.1.50
. -.,- -
REQ,-
L-COG~
TuoeICor.et: .
I I EnerQ}I Sources
I I Heat
AccesS. I I Water' .c/p.atnl'
II Range
Firoplacc
I I W00d3 toco
II
Bedl'ooms:
TII'(lc
Lot Faces -
P.L.
North
East
isouth
IWeet
Fees
Setbacks
House Caroge
Building Value & Permit
This permit io gronted on the express condition that the sdid construction
shall;, in all respects;, conform to the Ordinance adopted by the City of
Springfield, including the Zoning Crdinanco, regulating the ccnotructicn
and uoe of buildings, and m::zy b,e suopended or revoked at c.ny time upon vio-
lation of any provisions of said Ordinances.
.
Plan Check Fee:
Date Paid:
Receipt II:
Signed:
Plumbing Permit
No person ohall construct, instal!, alter or chang~ any ne~ or e:isting
plumbing o~ drainage syste~ in whole or in part, unless such peroon io the
legal possessor of a valid plumber's liconso, excopt that a po:"son may do
plumbing work to property lJhich is OIJJnod, leased or operated by the appLi-
cant.
Electrical Permit
Where Stats La1J requires tJ..at the electrical lJOrk be done by an Electrical
Contractor, the electrical portion of this permit shall not be valid until
the label has been oigned by the Electrical Contractor.
.
Mechanical
Permit
I.
I
PLan Examiner
vo'e
I HAVE CAREFULLY EXAMINED ths completed application for permit, and do
hereby certify that all info~tion hereon is true and correct, and I
further certify that any ar.d aU lJOrk porforo:ned shatt bo do:1s in accor-
dance :.nth the Ordinances of the City of Springfield, and the 'La'..iS of tho
A State of Oreg,:m pertaining to the IJOrk described herein, and that NO OCCU-
PANCY will be mde of any structU1'8 fJithout pannisaion of the Building Di-
vision. I further certify that only contl'actors ar.d e:nplDyoes lJho are in
compliance with ORS 701.055 ~ill be used on this project
/)~
7 r-/ (.. -? /)
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