HomeMy WebLinkAboutPermit Mechanical 1983-1-10
.. RESI~T1AL..
APPLICATION/PERMIT
225 North 5th Street
Springfield, Oregon 97477
Building Division
726-3753
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Job' Location:
ASDSSOOroS Nap #
Subdivision:
Q.mer:
Addr683:
City,
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G:ontractors
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Data of AppLication
.Ho-'63
Genara !
Plumbing
- o-r .i/-A1A_-
Electrical
ufTl \of)~
Phone:
Zip: Q7V77
Describe II'ork:
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VaLue
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Rcce"t ,I P, (" rJ 62.3 cJ
Address
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Date:
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Construction tl!1td6r
rt is the 1'6sponaibiLity of tM p.rmi.t hotdc to Be. t:hat aU inDpections are r.:ade at ~hs proper time, that ~ch =ddr688 is r(!~,Jn;"~6
J""rom ehs street, and that the permit card is located at the front of the property.
.8ui?di~ [){,ui::i.ar: approved FLan shalZ ;emain on tha Bu:~Lding Sit,; at: all times.
pr?OCEDURE FOR INSPECTION R~QUEsT:CALtLj26-3769flr.ccorder) state yOUX' City designated job number. J"ob address, typ' of i.n3pea~icn
requested ar~ W~8n you wiL~ be ready for inspQction, Contractors or OWne~s name cr~ phone number, Requ&Bts recsi~ed eefers 7:00 ~
:..'it.1.. be rrr::dB tM sams day, requests made afta'" 7:00 am Llit.1.. ;'.3 mads the n,crt :.)Orkin; day,
RRaui.,.p-d In.sop.~ticn9
0, SITE INSPEC":"ION' To be made arter
. e.xoavatton, .?ut prior to 8St up of
forms.
O UNDERSLAB PLU/.rBING. ELECTRICAL &
. MECHANICAL: To be mads before any
work is ~ovcred.
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FOOTING l FOUNDATION: To b8 r.nds
after trenches are uca-.;a tlld and
forms are er-ected, but prior to
pouring aC71Crst.,
UNDSRGROUND Pr.UMBING. SEWER. W:lTE,q,
D8AINAGE:: To be rTn1.s prior to fiZ-
~i".g tr-encr.ss.
10
0:
UNDERFLOOR PLU/.!BING & MEC!iANICAL:
To b8 mcui6 prior to in.:Jta~Zation of
fZ.oor- insulation or deaking.
POST AND BEA.M: To be made prior to
insta~Laticn of f1.oor inst.;Zatio7'l or
decking.
ROUCH PLlP.mT:!JG, Ef.ECTP.!CAI:. Ii ,'fECS-
ANICAL: No :.Jerk. is to oe cOL'ered
until thess insveatior.s have beer.
made and approv~d,
FI.T?EPLACE: Prior to pl.acr':r.g facing
mctsriaLs and before frcr.ring in spec-
tier.,
D FRAHING: l'.fust be req'..LBDted after
approvaL of rough pl..wr-bing, slectl'i-
caL & mechanical, AL!. roofi7UJ
braai7UJ & ahi..mncys, et~. r.r.J.st be
; completed, No work is to be con-
,....OSClBd untiL this inspeotion has
~ bs~ rn::zde and approved,
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Your City, Desigr.ated Job Nwru,Gr ID:
U iNSULATIONIVAPO.r? BARRIER INS'PE:CTI0N:
To bB mads after all in,sukzti::m 0::"4
'. raquired vapor caITiers are in place
, . but before any lath, gypsum board or
waZl.. aov6ring is appu'ed, and bejoY'G
any inDuLation: is conceal.ed,
DRYWALL INSPE:CTION: To be made
after aU drytJaLZ is in place,
but prior to any taping.
O MAsOYt'?Y: Steel location, bo1ui
beam.:J, grou. :ing or vertica Z.S in
acoordance !.Jith U, B. C. Section
2415.
1\11 WOODSTOVE.: After installation is
~ acmp~et~d.
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CURB & AFP.f?OACH AP_f!(JN: After forms
are er-ected but prior to pouri7UJ
.:xm....'Tete.
SIDEWALK & DRIVEWAY: For al1. con-
crete paving with~n street right-
of-rJX::y, to be made after aU exca-
vating compLete & fo~ work & ~ub-
base materiaL in p~e.
'2 3 ()/.;). f/
, DEUOGIT [ON 08 gOV!~ aUILDliiGS
:J Sani:ary sll'..Jsr capped .:::t p::,opDrr:t' Una
=:=J SQPti~ tank p~~~d and fil.Z..~ ~~h gra~el
=.J Pinal - r~'hen abeve ite.~B are ac.~lBtcd
~ '." ......
and when ~e~z.~y~r. ~8 comp,ete or 8~:"U=-
t"'..w6 moved. ant!. prcr.r':3es :: l..eGnsd up.
. NobiZs Hemss
~ BLocking and SBt-~p
~ Plumbing connections .- scws:" and wa:-er
---, Elcatrical Connection - BLooking, set-up
-.--J and plumbing connections r.r~st be approved
before 1'equssting eZect1'iaaL inspec:io:-:
=:J Accessol"'.i Buildf-ng
I Fin.a.~ - Aft;)r p:n"er.s3J skirtingJ dscks,
~ eta. arB ccmpla;;d.
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All pl"oject condi:wrtS, :Juc.Z: as the 'i.nstaLLation of strBet :rses. C'o..:?~otion of tits
zoequil'ed 'Landsccpir.g, etc., must be satisj'ied bef'or6 tr.a Bl/ILDII','G FI,VAL can be l'squss:,'Jd.
o FIlIAL PWIfBI/lG
o FIliAL f.lE~HANICAL
o FINAL ELECTRICAL
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FINAL BUILDING: The Final Bui1..ding Inspeotion ,"miSt bB l"eqtt8G:ed cr~ar tna Pinal.. Plurr.bi"..;
Electrical, and Mechar.ical InspectionJJ navo been mads ar.d approved.
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.r:-ellCS: Whsr:. co."nOl.te -- Provide
gates 01'" movabte' aecticns through
P.U.!, .
~ALL MANHOLES AND CLEANOUTS HUST BE ACCESSIBLE. ADJVST,"rENT TO BE ,~~1DE ..!T NO CaST TO CITY I p~~(/ oj':1
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I JOB NO. 't')OI d-'I
Zeme:
Lot Sq. Ft>.
s ,r lot Coverage
# of Stories
TotaZ HBight
T"'t'...t1~ _t'hy
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IrnM
I,~kzin
I CcPace
I Canert
I
~..l.caessoru
I SQ.FTG
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TOTAL VALUE
I S.D.C.
(UCI.UC)
1,5 r
Bui !dir:g Permi t
State SW'aha:rge
Total Cha.."'ges
IITEi\!
I ~r:'1--tul"es
I Residen.ial (1 bath)
I Sani taI"'-/ Sewer
1 Water
Plumbing PerT'::"~ t
sCats surer.arqe
Total Charaes
I :TEM
Res.. Sa. 'ta.
New/Extend Cirr::ui ts
Tempol'ary Service
E'L6~tM:C!al Permit
State Surcharae
Total Charees
lITEM
I F'urnace ETU' S
E:::ha:4.s t Hood
Vent Fan
I .
I W:.?OdstO"J6
Permit 13suanca
Mecr.anical penm t
State Sureharae
T"t;n l C'harrum
-- EllCROACal1EHT --
lse~~ri~ Dapo3it
I Storage
I Maintenar.ce
I Parmit
Total Chc:raes
I Curbcu:
I Si.dew lk
I Fence
I EZectroica Z !abe l
I Mobile Home
I TOTAL A.,\fOUNT DUE:.oI
SOLAR ~ESS
OccuoanclJ Gl'OU;':
LOT TYPE
Interior'
Co:roneI'
IND.
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I :ie.1 FEE
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Panhandle
Cul-de-saC!
x
Value
FEE
CHARGE
FEE
CHARGE:
C!lARCE
I 15". (!) 0
, (;0
)1;. (pO
If{, &0
Page 2
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L-COC-{>
REQ.-
T:.:oeICor..st:
Bedroor.:s:
I I Enarau Sources
I i Hea.
I I flatsr U4f1tpl"
I I Rang.
I! Fireplace
I I Wood.Jtove
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T~r;Je
I Lot Faces -
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I -P,L.
INol'tft
lEast
ISouth
IWest
Setbacks
I House I Caraqe
I :
I Access.
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Fees
Building Va'lue & Permit
This pel'm'"~t iD granted on the express aondition tr.at the sa"id. constr"..u~tior.
shall~ in all respects. conform to the Ordinar.ce ~pted oy the City of
Spr"'~ngfield, -irte!ud-ing :he 20n-ing CPd:nance, reg'~Lctir:g ;;he ccnst"::""..!cticn
and use of buildings~ and m~y be suspended or revoked at cr.y t-i~e upon vio-
lation of any pr~vi3ions of said Ord;;r4nces.
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I PZan Chp.ck F'(u'!:
IVate Paid, ..
/Rectipt #,
ISig>:ed,
Plumbing Permit
IVO person shall construct, install, aZter 01" change any 7'.6W C1" e:isting
plumbing or drainage systen in ~hole or in part, unless such person is trA
legal possessor of a valid plumber's License, except tr~t a pe:+son may do
plumbing work to pr-operty which is ow~ed. leased or operated by the appli-
"""t.
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Electrical Permit
Where State LaJv r-equires tr.at the electrical work be done by an ELe~trical
Contractol"~ the eLectl'ical portion of this permit shall roOt be j)alid until
the. label has been signed by the Electrical Contraator.
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Mechanical Permit
PLan Excnnner
l.Iac€
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I HAVE CAREFULLY EXAJfINED t,i,e completed application for ;?ermit. atd do
hereby certify that al l i~fo-:'r.'.a.tion hereon is true and correct. cmd I
fta'ther certify that any c:r..d all IJOrk pel'fo'r.1led shaLL be do~e in ac~or-
dance :d-th the Ordinances of -:ne City of SpringficZd. and thE La:.;s of thG
State of Ol'eg:;m p:zrt.::.ining to the ?XJr,l{ described herein, ~.d =hat .'10 OCCV-
?J.NCIIJ1iZZ be .'It:Zde of any StruCtur2 IJ1itho:.o.t permission of the Bui!ding Di-
vision. I further' certif:i th::z.t only eon tractors ar.a e.-:rp1..:;yees who are in
~liance with ORS 701.055 wiZZ be used on this pl'ojeat
.
~~y~
l-~D-~~
Date -