HomeMy WebLinkAboutPermit Mechanical 1982-1-29
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.. RESIDENTIAL"
COMBINATION APPLICMION/PEP.MIT
225 North 5th Street
SpringfieZd, Oregon 97477
Building Division
726-3753
, Job Location:'.
.37;l~ ~__
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Aso.soora Map #
SUbdivision:
. Q.me:r:
A.t:!dzo.S3:
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City:
.~,
n Additi.cn
n RBlffDdsl
n MobilB Hanra
Phone:
Zip: CJ 7ifrJ 7
Ducribe Work:
~~
Data of Appli<ati.cn
f-;z.t;-RL.
r.;on.tracf;ors
G<mm:zl
"pz~
-, Et.ectr"icaz,
:.taolror.ia.:::l C; ".L.
Con.atructicn r.endn
~A.
cI ", AJ. ctP-
Vol"" arrv
Adt:irS88
41).ifq ~~ ~tf
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Rcce~~t .'1
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e S-79~ "
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Siqr.ed:
Date:
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L'/.So.N
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Ezvil'O:s
P1'.cmt
74t.-S~ 7
It is :11. Nsponaibi1.i.ty of tits pflJ'mit hcz.dco :0 a.. ~ all. inap.oti.cns ara r.:ads at :h8 propar timc~ tr.at ~h .z:idress is r.a.::c:.=!,
from tluo stNat, 01ld that tM p""":t card iJJ 1..ooated at tM fr<mt of tM prop...ty.
.Suit.ding lXTJi::icr: approt:ad plan shatz. rauin on tha Building Sit~ at aLl. timss.
P,r?OaDURE FOR INSPECTION REplJEST: Call 726-3783 (zoccozod6r) stat. yOUI' City dssignatad job nurr.btn'~ J'ob a&:iJocssj typs of in3pecticn
l"tJqUost<<t ar.d. ~}:m you ..x.tz. ba rflt.Zdv lor inBpClction, ContraatcrB or o.m.rs nama and phoM number. .~.q1.UjSt8 rec8i.;;ed cerez.. 7:00 ~
. :..'iU be nfI'.%d. the sam. d&:1::h "quata rnc:d. aft::l' 7:00 a:n. /Jizz. bll rTUds tluJ nc=t :.JOrkin:; day.
J" pn~'1~:-.d r"'r",.....,..,~MJ'
0: SIT!: IN$P'EC':'IO,V: To b. nadII aft.:-
_~ Imt p1"iC1" to aat up of
frma. .
UNDf:lISLAB PLIlHBING. ELECTF/ICAL &
NECHA:IICAL: To be rnati4 betore tDf1J
~rk is xnJ~.
,0
o
'0
o
o
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FOOTmG ~ FOUNOATICN: To b. nr:u!IJ
attsr trfmchsa are ucavatad and
forma a:NI n"8ctad, but prior to
pouring CCMret..
UND!:RGHOU.'!D P!.UMSING1 SE:JIER. W.1T~.
D.f?AINAG~: To ba ~ prtOJ" to til.-
li.ro.g t'rmchea.
o
o
r.mDERFtOOR P!.U/.$ING & UECEANICAL:
To bo ~ pnor ta inDtal.lan.orl of
f1.oor i"""lati.cn or ,u,cking.
POST AND BEAN: To bo If'r!lk pM.ar to
instal.l..:t1.cn. of f'1.oozo insulation or
,u,cking.
,!qpr:R ?lJP..!B1'!J'it _~'p.'C":"R!'CA~ .1 MEra-
ANrCAL: No :.;ork. is to DC aOL'O'ea
ur.:i Z. thess inspec:i07".B hav. blltm
I1t%d.a and app1'OTJcd. .
FI?.EPUCE: Pr-ior to pZacir.g faaing
matllrials and before frami.ng inspoc...
tier..
o
o
o
D
FRANnIe: Mu:Jt be r6ClUl:Jtsd af't8'l'
approva.l of rough ptWr.bing, aLscm-
<::aL & :r.echani..:aL. AZZ l'Oof'ing
bracing ~ c1timrr.cys, 6t~. l7l"..:st be
conrr:1Lstod. !Io writ is :0 be con-
ceaied lmtil tm.a ins~.cticn has
b.." .mdtz 01ld approv.d.
rOW" Ci~ D._...4.._.....J .lob NumbIlZ' Is:
O .INSlJUTION/VAPOR BARR~R rrSPEC':'ION:
To b. ~ aftill' aU insuLat,:.,n tmd
zocqu-'..Hd wpm- b~ are in place
Cut I:afor. ""'J lath. fI1IPsum boord or
wll eovllr'ing ia applied, and bll!OrG
any i.navla.tion i.a 007'IC1Itlt.<<:I.
O DRYIIALL mSPECT:!OR: To I:a "."u,
aftuo alL ~n ia in place,
Cut prier to =1J toping.
O MASONRY: StaeL to:aticm, bond
. b4lQ1tr.J, grouting or vtll1'ticaLa in
acccrdt:a1cs /Jith U.B.C. SlIction
2415.
F:JI' 'oIODDSTO'n:: Aft... instaUati.cn i.s
~ ccrrrplsUd.
o
CURB & APPROACH AF.~N: Afte:o forms
aN' erected but pr-.:or to pouri.7tfJ
.zon...ooreu.
O SIDFJlA[.X & DRI'lEfIAY: For aLL C07l-
ars'tll pauing I.oIithin strSDt l"'i.ght-
of-wc.y, t:o be mads aftin' aU uaa-
varing ccmpLste & tom work & zub-
bass T1Ct:maL in pl.a:lI.
O !'EI/CE:: """" ccmp1.&ta -- Pro1Iu:.
gat;; at' .7fOVable secticns through
P.lJ.E.
o
~7{~FJ 7trJ
1
DDfOw7IO!l OR .t!Ot"!" BUIr.: ~:iGS
~ Sam.:az.y aSlJC :!c:pped ::t ;.~or;~ U,..4
~ SflPn.: tank f".mrp~ ar..i ff.t:ad :.:i.th ;ra:;sL
:J FinaL - Jnum aD...". i:~ a:t's ccr.rpleted -
ar.d when :!emditwr. ia c~l.4-:a or struc-
ture r.-.oved ar.i. prc::i3.S :t.eam:i up.
. Mobi Ze acmtlB
~ Blocking and S~t-:lp
~ PZumbing connsct~ - s~sr ~ :Jatar
~ EZectrica.l Ccnl'tB'ctiml - 31.ock-:.r4, set-up
~ and pLumbing aonr.scticna .~..:3t ;6 ~'ed
before rGqtUB~ng el.4.:=rica'i. ir.sptlc-:io:-:
:J Accesaol"#' Sui :d::~
:J FinaL - Aft:;r .?:rt'ches, sJc::rt-:.nq. de!:ka,
etc. arll comp:.at.d.
o
fIlIAL PLIlHBING
ALL projlltrt aondi=ions. iNC.": as the ins:aLZat-.:on of stretlt '/:reS8, C'~!.;~ of ;its
l'fU{Uil'fld ZaMsca:piro.g, etc., muat b. sati.sfied bcf'of"fl tr.s Bl/IWI.:C F'r:.'Al. :::t7I ':B 1"3quss:ad.
FINAL ,'.fECHANICAL
o
FINAL BUILDINC: Tn. FinaL Building InBpscrion must ba l"equeated c:.f":<<r :r.e PinaL ?!:.ur.bi~
EZsctr'i.aaL, and fJechar.i.:aL Inapectu,na hava beQrl madQ and approv8d.
.='INAL ELECTRICA.l.
.AU NANHOLES AND CLEA/lOUTS uUST BE AC~SIBLE, ADJUST!fEN'!' ':'0 BE !.MDE ..11' NO COs;' TO ';T!'''! I =-.~e at 2
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IJob llumbor: R:2/)(; 7h
1 Zone:
I
[lot Sq. Ftg.
;: :;f Lot CJI)erogs
i # of Storie.
. ! Total Height
i Topography
.,
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Ocaupanct/ Group:
lITEU
I
iMain
lGc:I'aae
i _~_,,_
. SQ.FTG
I ACCeS80l'U
TOTAL VALUE
Is.D.c.
[
(vc'"u€:)
1.5 r
Building Perrrri.t
State Surcharge
Total Cha:oge.
lITEM
I .
I FirtureB
Residsntial (1 bath)
Sanitary SfN61' .1
I Wet"" I
I I
NO. FEE
Plumbing p""", t
State Surcr.arge
Total CharaS8
lITEM
Res. Sa. 'ta.
NaJ/Ertmui. Ciraui ts
lTemporary Service
NO'1
FEE
E7.e:.:tM.cal Permit.
State SWO:Jharqfl
Total C'harcss
I .tT::M
I Purn.:::ce ETU'S
I E:::haust Hood
Vent Fan
NO. FEE
WOOdstOlJ6
Permi t 13suanoa
MS:Jhanical Permit
State Surchc:rae
Tntal r.1ta'f't1lUl
-- ENCROACH/DT --
Se~~tu De~3it
Storage
I Uaint~e
Ipormi.t
I Tctal CharaoB
I Curb",,:
I Sidewalk
F~e
ElectPical Label
I Mobile Home
I
I
I TOTAL AMOUNT DUE: A
LOT TYPE
Interior
Corner
Panhandle
CuI-dB-.ac
x
Value
CHARGE
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CHARGE I
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C!1ARCE
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I ~ b-fJ
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IS. 40
Page 2
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Reference Nwnbers:
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L-COC #:
T:"TJe/Cor.st:
Bedrooms:
I , Enel'mI Sources
I I Heat
I i Wate~ ""Mt.~
I i Rang.
I I Fireplace
I : W00d3tove
T;,r06
I Lot Face. -
I Setbacks
P.L. Rouse Ca:raQe
Morth
East
ISouth
I;;e.t
Access.
.,- Faes
I
I
Building Value & Permit
This p6rmf.t ia granted on the exprBss condition that the said construction
shalZ~ in all respccts~ eonform to the Orodinar.ce adopted by the City of
SpM.ngfield~ incZuding the Zoning Drdinance~ regu1..atir.g the constructicn
and use of buiZdings~ and may be suspended or revoked at any time upon vio-
1..ati.on of any provisions of said ,Ordinances.
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Plan Check Fee:
Date Pa:-:.d;
Receipt II:
I Signed:
Plumbing Permit
No person ohalt construct~ instal.'l~ at.ter or change any nez., or eristing
pLWTlbing or dra:inagB system in .whols or in pa1't~ unLess such psrson is ths
legal. possessor of a vaLid plumber's license~ e:z:cept that a person may do
plwnbing ",,~k to p"operty wlri.ch i. owned, leased o~ op01'ated by the appli-
'cant.
Electrical Permi t
rlhsre State LcmJ requires that the eZeatricaZ work be done by an EZsctM.cal
Contmctor~ ths electrical portion of this permit shall roOt be valid untiZ
the label he. be"" .igned by the Electrical Conl:1'acto,.. .
Mechanical Permit
Pkm Examtner
uat:e
I I HAVE CAREFULLY EXAMINED the completed application fo~ pennit, and do
I hsreby cgptify that all information hereon is true and correct~ and I
, !,..u>tr.er certify that any ar.d all tJOzok perfornred shall be doM in accor-
I dance lolith tha Ordinancee of the City of Springfield, and tha L=. of the
," Statfi of Greg:m pertaining to the work described hgpein~ end that liD OCCU-
PANCY wi'll be rrrz.::e of any structura witNr.4t parmission of ths Building Di-
vision. I further certif':i that only con~tors a:r.d e:rrpl.:?yees whi? are in
ca7:pliance with ORS 701. ass lJiH be used on this project
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Date