HomeMy WebLinkAboutPermit Mechanical 1985-10-18
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.. RESltWNTIAL"
APPLICATION/PERMIT
225 North 5th Street
SpringfieZd, Oregon 97477
BuiZding Division
726-3753
Job Location: 1/ (J ><
Asaesaors Map # / 5? 6 d
-::f~ /lXJ.o J
0</ ~ / Tax Lot #
.11,
~
rJ(Cf(J()
Subdivision:
HAf0,u- if<; 1 :Yu:lr
.510f ~~~ Frdme:
Zip:
Q.mer:
Address:
City:
nN~,'
n Addition
n Remodel.
n ,'.fobile Home.j ~ c-
Date of APP"liCaticn.-1'()-:/g-.--: O.J.
1Lf1-/15~
a:;:::;
.~
Value '/ ( ()()
1AU:;~~
(,'ontractors
General
Plumbing
Electrical
Meohar.ieal K 0 Z V L.J()D D
Construction Lender . ___
Address
E"vr;,rErJE
.
'(MAl AVA
Receipt,~ i j ~ 5 ~ J{C(
vl"h U -,};C
Signed:
Date:
Oc/
10 ~(k' -ire;-
Lise. #
Expires
Phone
1LO ,5j ,;l d-
/0 -d-9-~
Your City" Desigr.ated Job Nwnb€1' Is:
U iNSULATION/VAPOR BARRI~R JNSPgCTION:
To be made after all insulcztum w.d
'. required vapor barriers are in place
. . but before any lath, gypswn board or
waU covering is applied, and before
any irwulation is concealed.
D DRYWALL INSPECTION: To be made
after aU drywaU is in place,
but prior to any taping. .
O MASONRY: Steel location~ bond
beam3~ grouting or verticals in
accordance with U. B. C. Section
2415.
rl WOODSTOVE: After installation is
~ ccmpleted.
D
CURB & APPROACH APRON: After forms
are erected but prior to pou:ring
aonarete.
SIDEWALK & DRIVEWAY: For aU con-
crete paving ~ithin street right-
of-LX:.YJ to be made after aU exca-
vating complete & for.m work & sub-
base material in place.
It is the responoibility of ths permit holder to Bee that aZt. irwpections are made at the proper tim&~ that each .:ddrOS8 is readah:e
froom the streetJ and that the permit card is located at the front of the propePt;y.
-'<Bui!ding Divi~ior:. approL.ed plan shazt remain on tha Bu-:,ldin.g Sit;; at aU times.
~ l{PROCSDURE FOR INSPECTION RE:OUEST:CALL 726-3769 (recorder) state your City designated job nwnberJ J.ob adC.rcssJ type of in3pec-;icn
, . requested ar.d when you /Jill be ready for ir.spcct";onJ Contractors or OWners nane end phone number. Requests received befere 7:00 c:::
;.,.~ll be made the same dc.YJ requests made after 7:00 am wizt be made the next :JOrking day.
Reauired Tnsvecticns
O SITE INSPECTION: To be nr:zde after
excavationJ but prior to Set up of
foPms.
O : UNDERSLAB PLUMBING. ELECTRICAL &
. MECHANICAL: To be made before any
work is covered.
o
roOTING & FOUNDATION: To be "",de
after trenches are excavated and
foPms are erectedJ but prior to
pouring cencret,;.
UND8RG.'10Ul-m PLUMEING. SEWER. W.1TER.
DRAINAGE: To be lTKlie prior to fi l-
.Ur..g trenches.
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UNDF:RFWOR PLUUBING & MECHANICAL:
To be made prior to installation of
11001' insulation or decking.
POST AND BEAM: To be madc prior to
installation of floor ins~lation or
deckirl{; .
ROUGH PLUMBIlIG. ET.,ECTRTCAr, ,lJ MECF/-
ANICAL: No work is to bc cOL'ered-
.. w:til these inspections have beer.
made and approved. .
FI.~EPLACE: Prior to pZacir..g facing
materials and before framing inspec-
tior:.
O FRAMING: Must be requeoted after
app1'oval of 1'ough plwrhingJ electl'i-
.cal & mechanical. AU roOfing
b1'ac:ing & chinmcysJ et~. rrr.lst be
;.completcd. No wol'k is to be COt1-
. ;.cealed until thiD inspection has
. be.~n made and approved.
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D
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D FENCE: When compl,;te -- Provide-
gates or movable sections through
P,U,F:, .
D
fc;OCf92J
I DE'"'!OLITIOH OR ;~lOVEE BUILDIi/GS
:J Sani~~ S8'..1er capped a.t p~op<=rt':i line
~ Sept-:,~ tank fi~~ed and fiZZe~ with gra~el
I Pinal - f{hen ab..."'Ve items are cempleted
~ ar.d when demolition is complete or stru~-
ture moved and pr2mises cleaned up.
I Nobile Hemes
:::J Bloc1:ing and Set-up
:::J Plumbing connections s<=wer and water
:::J Electrical Conr:ection - Blocking, set-up
and plumbing connections TTr...st 1;e approved
before requesting eZec=rical inspec=io~
:::J AccessoJ9':j' Building
I Final - After porcr..esJ skirtingJ decksJ
~ etc. are completed.
o
All project conditionsJ suc~ as the installation of street t1'eeSJ ca~latiDn of the
required Zandsccpir..g~ ctc.J must be satisfied before the BUILDING FIt/AI. can be request.:zd.
D FIlIAL PLUMBIlIG
o FIliAL UECHAIIICAL
o FINAL ELECTRICAL
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FINAL BUILDING: The Pinal Building Inspection must be l'equested alter the Pinal Plumbing
ElectriaalJ and Nechar.icaZ Inspectiorw have been made and appl'ov.1d.
/tALL MANHOLES AND CLEANOUTS flUST BE ACCESSIBLE, ADJUST!rEt/~ TO BE N.1DE AT NO CaST TO CITY Pa~e! of 2
JOB NO, ?:5C(t(D
Zone:
SOLAR AeSS
Occuoancl/ Grou'O:
LOT TYPE
Lot Sq. Ft{;.
Z of lot Caverag~
#- of Stones
Total Height
Topography
I
11Tm
I Main
lCc:r>ace
I CaroOl't
SQ,FTC
ACCeBSOl'U
IS.D,C,
TOTA& VAWE
/ve:t..uc)
1,5 :r
BuiZding Pernrit
State Surcharge
Tota l Cha.~ges
lITEM I NO. I FEE
Fixtures . I
I Residential (J bath) I I
I Sani tary Sewer I I
WateI' I. I
r I
Plumbing Permi t
State Surcr.arge
Total CharGes
lITEM 1,/10'1 FEE
I Res. Sa. fta.
I New/Extend Circuits I I
I Temporary Servioe I:' I
I' I
Electrioal Permit
State Surcharqe
Total Charc:es
ITEM
I Furnace BTU'S
I E:::haust Hood
I Vent Pan
I .
IWoodstove
I
I NO, 1
I'
I' I
I I
I I
I I
Permit Issuance
Me::ha:nical Permit
State Surcharae
'lhtal ChaT'flRS
-- ENCROACHMENT --
Sec-m tz; DePOsi t
Storage
Maintenance
I Pernrit
I Total CharGes
I CUrbcut
! Sidewa lk
./
I Feme
I Electrical Label
I Mobi la Home
I TOTAL AMOUNT OUE:-
Interior
Corner
Panhandle
Cut-de-sac
x
Value
CHARGE
CHARGE
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FEE
CliARCE
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1/5,001
I < 1;,'0 I
I (5', c::,o I-
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Ie: en I
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REQ,-
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Access. I
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TUDe
L-COG~
Type/Canst:
Bedrooms:
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I P,&,
INorth
lEast
ISouth
iWest
Lot Faces -
Setbacks
House Carage
En2I'n}J SOU1'C!es
Heat
Water Yt>.atp.I'
Range
Firevlace
WOoi3tove
Fees
Building Value & Permit
This permit iG granted on the express condition that the said. construction
shall, in all respc.ets, conform to the Ordinance adopted by the City of
Springfield, incZuding the Zoning Crdinan.ce, regulating the ecnstructicn
and use of buildings, and,m::zy be sucpendedoI' revoked at c:r.y time upon vic-
lation of any provisions' of said Ordinances.
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Plan. Check Fee:
Date Paid:
Rec~ipt #:
Signed:
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Plumbing Permit
No per60n. Ghall construct, instal!; alter 01' change any ~~ 01' e:isting
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 pe~son may do
plumbing work to property which is owned, leased 01' operated by the appli-
aant.
Electrical Permit
Where State Law requires tr~t the electrical work be done by an Ele~trical
Contractor, the electrical portion of this permit shall not be valid until
the label has been signed by the Electrical Contractor.
Mechanical Permit
PUIn Exarmner uate
I HAVE CAREFULLY EXAMINED t.ie completed application for permit, and do
hereby certify that aLl i'r:formation hereon is true and correct, and I
further certify that any ar.d all work perfor:7!ed shaLl be done in ac~or-
dance tJith the Ordinances of the City of Springfield, and the; Ltr..;s of the
State of Oregon p~I'taining to the work described herein, and that NO OCCU-
PANCY will be rtrlde of any structure r.rithout permission of the Building Di-
vision. I further certify that only contra~tol'S ardi e~Loyees who are in
c~pLiance with ORS 701.055 wilL be used on this project
V -t/~ _A/".~ ~ ..:h-.ff-
r Sign2d
Ny I ~ ~ rrc:
Date