HomeMy WebLinkAboutPermit Mechanical 1983-10-17
.. RESlDfNTlALoo
APPLICATION/PERMIT
225 North 5th Street
SpringfieZd, Oregon 97477
BuiZding Division
726-J75J
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SPRINGFIELD
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Job !.oc..:tion:
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,10 - 17- ~',~ Varus Ii (;so.
AS:J8SGOrS .'.!ap II
Subditl-:':sion:
C'...m:el':
ctJ-dA JJ...f ~ 12A./h / ~
t)o.ll ~uru~
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riddreS3:
C!ty:
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.'-!obita Ror.:3
Dat. of Appl!caticn
Con~l'ac:or8
GensraL
Plumbir4
ElsctricaL
Na:::har.1.c:::l.
CO"Bt~..lCti.:m Lender
CTU/'JUA;
Phor.e: ? 2~- 0 9/$
Zip: 91'177
DBscribe rl'Ol'k:
Address
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Siqr.ed:
Dato:
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IO-/,?-R?'
Lise..,
E:::":Jil'CS
PhonfZ
It; is ~hG l'Bsponoibil.ity of thJJ permit holder CO 868 that; alZ {,7Wpections are mads at: :ha propsp t;im~, th.at ~ch :=dd:JoGS8 is l'Bt"!~"':":4
jfoorrr th. street. and that; tho pcrmi.t ca:ztd is t..xated at the front of tho property.
.Eui!..di~.g o.;t)i::io~ C?pzoovsd Flan sr.c.ZZ !"er.'lain on thG Bu~Zd{.n.fl $:.t:; at all times.
.i'.10CgDfJRE rOR ;,'lSPEC1'IOll R!'C'UEST:CAlL 726-3769 (recorder) state your City Jesigr'.:%ted job nur.:ber~ job adi:ocss~ typs of in::psc-:icn
l":Z'il'estcd CX'".d when you :.n:n be ready jor' ir.spcction" Con'tractcr's Or' Q....ns:os nc;:1S end phone n.ur.:bcr. Requ~s:s rflceil:ed beJ"cr'tJ 7:00 .=:':
:..'iZl bo made th& samB ~:j, requests mcde after 7:DO a:n ~lZ b.z r.rzde the n.c:t ;.)Orkin.; day.
-1t!r.lJi':,p1... r"I~P'1t:i"r.n.:~
O SITE INSPEC':'ION: To be rrr:z.da
excavat:i"n" .;ut: p1"icr' to ss:
f"1'ms.
o
after
up of
U!lDF;~SLAB P!.lJ.~'3I:;G, ELEC':RIC;1L ~
,'&XHA,'/ICAL: 70 be mads be ~ortl
work is ~oucred. .
o
FOOTING ~ FOU:ID.1TIO.": TO:'9 .m.C.e
after :;rencnes c.I'9 s:::cauated and
ferms are erected" but p!"ior to
pouril'".g cancre:o..
UNDi!:RGROU.~'D ?!.UM2ING, SSflER, ;';.J'!'E,':?,
DRAI,1/AGE: To be rna.ie pMor to tii--
U".g trenc;.~c.
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UI'/DE.'?F!.CO.q PUJ,'.!3~:G ~ NECYANICA!,:
To be maCe prier :;0 i1'!3't'ai.Zat-::on 01'
f7,0or ::nsu~ticn or deckir.g.
POST AND 3EAN: To be made pr-:.or to
instaLLation of j"loor ::nsula:ior. or
dsokins '
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FiOUCH ?r.{C~r::'G. E".2!:':'.'f?!CM.!. I, ".fEC!{-
~: :'10 '.JO::'Y. i3 :;0 be COt:e!'ea
ur.~iL thcs~ ~~~~ea:ior.B ~ve ~eer.
mads ar.d ;:;:'?!'?"Je.:.
Fn:!EP!.ACS: ?:>--:.or to pZc::-:.r..g facing
ma~eriai.a a:r.d ;'sfors frcr.ril'".lJ in.spec-
tier..
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PP.AHING: A1us: be req".ul::totd af';.r
approval of r~gh ?tWr".bing~ aZectri-
cat & mscnani.:al. All !'Ooy"ing
bra~~ng d chimn~ys, eta. ,~~St b6
comolatcd. .'.'0 wri,;: is :0 012 con-
-ceaied untiZ thiD inspecticn h~s
. bfien made and app!'Ol.:ed.
lour City.Cesigr~ted Job Numb~ Is:
o
INSULATIONIVAP08 BARRIER INSPECTION:
To be rr.ade after aH insu~twn W.tl
required tlapor' carT'"';srs CO"B in p Zaae
but before any lath, gypsum boare or
I..l:Il.Z covering is cppli.sd, and before
any inaulaticn fs ~onceaZed.
g3 '? /Vr--
.Oc::.:OLITIO,lf OR .~:DV!; 3!JILDliiGS
:J Sani:ary Sfr.Jer ::appsd =: ~opo;r~' Zi.v:e
~ Sep:ia tank ;r~i:d ar.d f::ZZed t..-:..t:h ;rz';B~
--, Pinel - :,rher:. a..Xve i:e::"l8 are c~-:rpZat€d
~ ar~ ~hen ie~litior. is complete or s~~~~.
t:.uoe moved ar.d pr;::mi:uls clsaMd up.
.1 A'obita HC."r.es \
=:J Blocking and Sat-~p
=:J Plumbing aonnec=::ons sews!' and we:.!'
---, Electriccl Ccnr.ec~ion - Blockir4~ sot-U?
--1 and "Zwr.binc c.:mnections nr..:st co Q~r::;v.c
befo~c requesting eZectricaL ir.spec~io~
=:J Access-or;,' 3ui Ziing
] Final - Aft~r.;~rcr.es, 3kirt~r~1
stc. are c~p~s:~d.
d8C.;".s~
any
Dl?~.JALL I:'lS?::~IO:'l: To os made
after alZ. drywal.Z. is in place,
but pl"ior to any :::apir.g.
O MASONRY: Steel. Zocation~ boiu!.
beama" Srouti~4 or verticaLs in
QC(:ord.an.ce !on:-th Y. B. C. Ssction
~241'
'OODsrOYS: After installation is
cc:rrpZa:ed..--..
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CURS & APP,tlCACE A.F.'?!)N: Afttr." forms
are <trsated out prior to POUl"';ng
.::o~rets.
SIDEWALK & !JRI1'F'.v'A:!: For aLl con-
crete paving wi:;hin street right-
of-wcy., to be maie after aU uca.
vati,.~ complete 3 fo~ work & ~ub-
ooss mater"'.:a~ ::n p~e.
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0'. p....'Ar p'U~n:tr.'IG
I ~"i1.... ..u_.
;:: ~I'''L 'n:',..t1.'''r-'~
~FI:''';'! ,'.f..._..J'\".I..ML.
AU pro.fec:; cor.di:i.:Jns, JUc.l.;. as ~he -:..ns:all.ation 01' stl'set "Crees, ~c::,:?Zc:::,::m of :iw
required Zandscc:pir'.g, etc. ~ must ;;8 satisfied before :;r.e 3UIL[)I,':C FI.'.'AL -;an be r~C(J.8st~d.
o FINAL ELEC":'.9ICriL
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2IUAL BUILDINC: The F'inaZ BuiLding Ins?s:nion ::':Ust be !'Bquea:sd attar :ha Fin::::.l n~bin.;
Elecr;ri~al~ and .'1echar.ic:::.i.. Ir.spec:;i~rw have been made and c:.ppro1J;zd.
,
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:ENCS: Wher: compL.;te -- ?roovidBi
gates or ;:lovabi.,e' sections through
P.U.!. !
-A':Z NANHCrc:S AND CLEANOUTS ,'!US':' 3e ACCESS:3LE. ADJi./S::.'!E:/'!' :0 3E :.~1C!' :;T .','0 ::=5r ':'0 CITY I ~"''''e ol 2
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P=ga 2
I JOB NO\ 1;12/t./f) SOLA.CESS REQ-
I ZC7':a:
ILot Sq. F~.
II: ,r ~. C.:1'J<raqt
.# of StO!"'~6S \
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1.5 =
3uildir.q Femt
St.:::.ta Sv......ch.zrge
Toed Ci-.a.."'ge3
11I'E.\I
1_C'i...-:l.:res
ResidentiaL (1 bath)
Sanit.::r,! Se-..Jer
;"ct,,!"
P!:.&r.lbi,..g p,~t
Stats Surer.a..'"q8
T~tGZ cr.c::+aes
I :,E.'ol
I.~cs. Sa. '"':.0.
I NoUJ/E--twnd Cir!:"J.i tS
I Temporary S~;iCB
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EZectrical Permit
St:::"t:e Su:r::oha:rce
Tot.2Z O.c:r::oes
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ru.rr.... ETU'S
I E=ha:4.s t Hood
I V6?'lt F::n
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I i/:x;ds tC"Je
Pe~;t 13su.=nca
.'fecr-=rric::t P2rr:r:.t
Sta"':.e Surc~e
T~"';,:l. r:J..tTr~I!!J
=:iCRCAC'::XE.'!'!
I Sec",J.1"~t"J Os:'c::it
Stcr!:qe
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Pe.~t
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I !?TAL ANOU:IT CUE,'
CC~J.::::ar.c:J ~n.l:::'.'
LeT ':'!?~
Ir::eroicl'
Corne:"
P::rJ..cn.d L~
C':4L-d~-sac
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FEE
C;-:ARC!
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T:i:JeICor.st:
3€Croor.:s:
I ~n.eralJ SO',J.l'~es
I - Hea,
I 1 Yater 1Jp'"'1~p.",
I I I ~~~:lcce
I I '.Jooa~:ot:e
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Ti.J::e
I !.ot Faces -
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INoI'th
lEast:
Sot.:th
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Setblcks
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..ouse ,~araae
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! Access,
-- F2es
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Building Value & Permit
This pel"m"~t 1..'1 gI'anted on the express condition that the said.oortstl'Uction
shaLZ, in alZ respects, ~or.jC~ to the Ordinance ~o~eed by the C~ty of
. Spr1.1VJ/,ield, :.,..c!w:;Ertg :he Zon:.nq Crd:.ncr.ce, r'qguu:~:.q] :r.e CCr:3tI"AO~-~Cn
and use of buiZdings, and m=y ~c aucpended Or' revakec at C!-y time u;cr. vic-
lation of any pr,vi3ions of ~aid ~rdir~ces.
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Iplan Check Fee:
Cate Paid:
IReceipt H:
'S,:g"Bd'
Plumbing Permit
No person ahaZL construct, inste!!, a!ter or change ar.y r~w cr e--istir.g
plumbi1VJ or drainage SY8t~ in ~hole or. in part, unless such person is tr~
Zegal possessor of a valid plumber's Licenso, except tr.c:t a ps:+son ma~ do
plumbing work to proper~~ which is owned, leassd or operated ~y ths appZi-
~t. /
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Electrica I
Permit
Where Stats Law requiroes tr.at tho eZectM.caL work be dene ~y an Ela~trical
Contractor, the eLectrical portion of this pe:omit shall roOt be valid until
the labeL has been signed by the Electrical ~ontractar.
Mechanical Permit
~
Pl.an t;:::cnn.ner
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I HAVE' CAREFULLY EXA.'o!L'IED the ~ompt2ted appl::caticm tor permi.t, and do
hereby certi.fy that aLL i~jo~ation hereon is true and correct. and I
f'.L.....ther cer~ity that any ar..d atl. u"ol'k perlo'mfed shall be &'7:6 i."t aC~::ll'.
dance :.nth the Ordin....--nces of' the City of Springficl.d, and ;h.z La:,;s o[ tr.a
State of Oreg.:m p.slr~ining to the work d.6sC!""'~bcd herein, ar.d :;..at .vo :XC!J-
Pl'.!lCl :Jill. be "'ade of emu struct-.u'<:! without oermis3ion .:;l ehs 3uil.dina rr;-
vision. I further esrtifJ tr~t o~ly contraotors ar.d e~L~Y6e8 wr~ ar; in
compliance with ORS ?Ol,OSE wilL be used on this Pl'ojsct
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Data
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