HomeMy WebLinkAboutPermit Mechanical 1981-11-4
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-- RE~NTIAL --
CO~BINATION/~ICATION PERMIT
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RECEIn .#
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CITY OF SPRIllGFIELD
2~S t':O.r:ml 5TH $':'.'?EET
SPRl:!GFIELDJ ClREC-ON 97477
auitdi~~ Divis~
726-J753
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Job Location:
NAL\ ~ Ui \. t10 f\ Y'\0d f\
Subdiu-:' sion:
.4.as9Bsors Map JI
;7-03- ,3b-li
To::: Lot # IJ C;-SlJ7)
Zip
,~""od. L
Describe Work
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Addi tion
CO~traCto"8 Nam,
Address
Uscii
Expr..:res
Phon. #
GmI'''l'at.
Plumbirog
!t.ecmcat.
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(\j 11.')1\!J ~
Uechaniact.
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Ccnstru..-ticn LarrdI1l'
REQUIRED INSPECTIONS
It is the responsibiljty of the permit holder to See that al1 inspections are made at the proper time. that each address La
readable frem the street. and tha': the permit card is located at the front of the proper-ey.
1\ All manholes and cJ.eanouts are to be adjustS<! a't no eost to the City ~ .......
O SITE IlISPECTICN: To be made after 0 FIREPLACE: Prior to placing fac~ ~:w".:n-v...:.5: After install.ation ~
excavation. but prior to set uy of materials and before fr~g insP~~I~1 is completed.
fo'l"r"..s. don.
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Y!fDEP.SLAB PLUMBIN~,,- tu:CT~IC.'\L &
MECMAN!CAL: To be made before any
work is covered.
D
FRAMING: Mus't be requested arter 0
approval of rough plumbing. electri-
cal & mechanical. All roofing,
bracing & chimneys, etc. must be
completed. No work is to be con- 0
cealed un'til this inspection has
bun made and approved.
CURB & APPROACH AP~ON: Arter forms
are eree'ted but prior 'to pouring
concrete.
o
FOOTING t rOutlDATION: To be made
atter trenches are e::cava1:ed and
forms ar~ ereeted, but prier to
pouring concrete.
UNDERGROUHD PLUMBING. SEWER. WATER.
DRAINAGE: To be made prior. to fil-
ling trenches.
D
INSULATION/VAPOR BARRIER INSPECTION:
To be made after all insulation and
required vapor barriers are in place
but before any lath. gypsum board or
wall. covering is applied. and befanU
any insulation is concealed.
SIDEWALK 6. DRIVEWAY: For all con-
crete paving within s'tree~ right-
of-way I t~ be cade a~er all exca-
vating eomplete 6. form wor!c & sub-
base mB'teri.1.l in place.
o
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tnIDERF'wOOR ptm1BING & MECHANICAL:
To be made prior to ins'tallation of
floor Lnsul.uian or decking.
OTHER INSPECTIONS: may be req,uired
in accordance wi'th Building Code,
to be indicated in rla~~ or by no-
tice from Building Inspector.
D
POST Eo BEAM:
installation
or <:lecking.
To be made prior to
of floor insUlation
D
DRYWALL INSPECTION: To be nnde
after all drywall is in p~ce,
but: prior to any taping. .
o
RoUCH PLUMB!NG. ELECTRICAL & MECH-
ANCI~L: Ho work is to be covered
un~il these inspec~ior~ have been
. made and approved.
D
MASONRY: Steel. loc3tion. bond
beams, grouting cr verticals in
accordance with U.B.C. Section
2Q15.
o
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D
All project conditions, such as the installation of street trees, cooplction of the
required landscaping, etc., mus~ be satisfied before the BUILDING FINAL can be requested.
FINAL BUILDING: The Final Building Inspection muSt be requested after the Final Plumbing
tlcc~ical. and Mechanical Inspections have ~een made ~d approved.
FINAL PLUMBING
F!NAL EL~CT~ICAL
No occupancy of the premises C3n be made until the Final Building Inspection has been
mad~ and approved, and a CERTIFICATE OF OCCUPANCY HAS e~~ ISSUED BY THE BUILDI~G DIVI-
SION ~~D POSTED ON THE PR-~ISES.
D FINAL MECHANICAL
PROCEDURE FOR INSPECTION REqUEST: Call 726-3769 (rec~rder)sta~e your City designated job
number, job address. type of inspection requested and when you will be ready for ins~ee-
tion. Contraeto~s or Owners name and phone n~~ers. Requests received before 7:00 a.m.
will.be ~4dQ the S~e duy. requests made after 7:00 a.m. will be made the next working
day. YOUR CITY DESIGNATED JOB NUM9ER IS: R((Yl?< ':!..,
?a.gc 1 of 2
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JOB NmlEER
ZONE
RIOlD:)
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P.:tge 2
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OCCUPANCY C-ROUP
REFF.RENCE Nl'!-!BERS
TYPE!Cn~ST~UCTION
L-cnr; i!
BEDROO!'S
l.ot Square .'C'tg.
~ allot Cover"d
# of Stories
7atal. Reigh~
':opograp:'.y
Lot Ty?_
Intenor I L,,~
Cor-ner P. ['0
par.handZ!!1 Nor><I;h
Othgr Ea8 c
I South
IWesc
Setbaoks
Fa-::es:
1 House
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FEES
:-r-:
r I ~'
I EI:eroqy So:.~'~es
I 'l7t: , I .~-:'!:"i:' ~C=B
I ;~'!:tezo Heatezo ;';oc::. S;~:.Je
I ..:.:ar.ge ~o _~.
I ?ool.
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BUILDING VAWE/FERUIT
..cr. J:'tn. ":f7'fo"
SQ. F-:g. !:-ara...:Jfl
Sq. Ftg. Ca.r';O'l'~
Sq. Ff:q. A:!eec8a~
SQ. F";a.
Val.!l6
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Th-{,s permit is grantsd on ths e.zpruB c::Nii..;~:.on t1u:t
thQ said aanstruction shall. in at! NS';Ba=~, c:onfo~
:0 ths O:'di."'fa7'.c:es adopted by the C{.~ 0;. Spl--:'71f1fiQld,
including tr.s Zoning O!"dimmcs, 1'e~.J.lat{.ng :to.Q aon-
Btr'.ta'tion and uss of lr..J.iZdings, ~.-ray .;S r.J.8pBr.ded
or 1'frJoksd a: any tims upon trio lati.;n of an:: ;revi-
sions of said Ozodinancss.
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TOTAL CH,(}1GES
I'..J..,~
I I
i i
I I
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- I I
Plan ChtIck Fes
!)at_ Paid
Ra."'pt # I
r
P.rm, t C1ta:nes
St.-:tlf Surt!~1t
IS!lst~ DetJ~1.ar:mtt"t Charas
bos r YaL:.I:6
l'LUMBING I'ERKI'!'
NO,
ff:E
CHARGE
.:"i.:turtlS
No pf11'B01I shan construct.. {.nst::ZZ, aHQr or chang.
any nmJ or ezistirrg plur.dring or !-_.....,,# 81JB':lIM in
whole or in part.. unZ-sSB such psrso~ is ':n.t1 :ltg::l
ptJSS!lBBOr of a valid plumbsr's Zic:"r.atl, ueg?t :;hat
a person may do plumbing ~'O!'k. to pl'C,;"r-::-, l.)i:-:.ch is
"""",d, l.ea..d or cpSl'4ted by the af'?Eccnt.
:later SllMJics
S!mitar'!, SIl'J6Z'
SUBTGT,(L
Stat_ SuJoch=g.
TGTAL CHARGts
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tNO.
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FEE
tLECTRICAL PE:RMIT
CHARGE I
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KECHANIC.U I'ERKI'!'
CRill/GE
fI1rsrs Stat. LaJ..' rtlquires that ths t1;ec"t:-iCc.Z r..Jark b"
dons by an Electrical C,,"tractor, ti:a t1Zect:o-.:caz, par-
tiOPI of this pRmit shal.l not bs vaZid unt-::Z thll la-
bot has b"fm 3igrnzd by the El.octric.::Z Contr~:ar.
Th& E1..oemcaZ Saf.ty LaL1 does not rlJqu~l'B ~ parson
to obtain a Zicsns. as an ~ ltlctrici.cn ar..dl 01' .ltlC-
mea! CQ"'ltr-.Ictor to maktl an. t1Zeotr1.aal -!ns;.:ll::rion
on proptlrty which is OLJ1UJd by himseZf' or a ~z;:o.b.:" of
his inrnediata family IIJhich is not f.r::ntied ;':1' sate,
lease or rant.
Sa. Foot~B
!JIN OJ' E.rtS1l8icrn/Cizoeuit
Ter.mo!'ar".J C~st:ouc:ion
SU!!TGTAL
St12t9 Suraha:.rt1.
TGTAL CHARr.tS
1'-/0.
ITE:
~""""""I?R _ 9'ft/'.~
Eznaust Rood
VB1'lt Fan
WfXJd Stov./Hoatsr
SUBTOTAL
Stata sw-eha't'(1C
TOTAL CHA!/Gts
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'"",""L..{J
.1 if?!
I '" 1",../ ~
I t!/CROACHl.fElrt
ISs~t:y Deposit
ISI;:Jrag.
I Mainc1la.'tCe
Ip""';t
I TGT.1L A!<OU!rr DlJt
,
I C'..IrO.<::."Ut
I Sid_1.k
Ft]nag
I=lectrieal labsl.
"'OTAL AUOU!lT out
.
P1.an E:I::ami..'Bl" Dats
I HAVE: c.1I/EF1JUY t,WIINED the ccmp1.eted cpp1.icaticn for p_mt, ami. da
hsraby certify that aU in.i."'....._~:...n hers01l is true a1td _-'h ..._~, and I .
jlQother .srtity that CUly and .1.1. u:>rk p<J1'formed shaH b_ daM in acoo,...
dana. wnh the OrdinCUlCes Qf the City of Spri"flfie/.d. ami. the Lc:.>. of tho
State of Or<:gcn psrtai"ing to tho u:>,.k ds_oribed her",". ami. that HO OC-
CUPANCYlJi1./. b. made Qf cny _.,...wtur. lJithout p_mieeicn Qf the Bui/.di"fl
Division. r ftcthBr certify that only eontraotozos and smploYfJSS who are
in compliance fJ'i.:h ORS 701.0SfI t.1iH bs used on ~h1.3 project.
Bu~~ cp~.7; ~haH 1'-<" 0"
times.
11/'-1 /\j I
I I ~va,.
the Building Site at aLl
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