HomeMy WebLinkAboutPermit Mechanical 1984-5-15
.. RESI~T1AL"
APPLICATION/PERMIT
225 North 5th Street
SpringfieZd, Oregon 97477
BuiZding Division
726-3753
Rcae-:.pt #
/Orlg II
Job Location: .s- r k' T ~ '" /I '\
ABae8GO"" Map # .. \l D334 I 9
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Subdivi8ion: g r N k ~~ ,1.//1 L
Describe fl7ork:
FillE"' !lA-asS' to F",-,U~ :p1.",-e - /. /J()
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City:
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Nt:l'I"
Additicn
Remodel.
Hobi 1.8 Borne
Date of App1.icaticn_
Cont"actO"8 !}J4N HAJ.J. /tr
General.
Plwnbing
Electrical
Mechar:ica t
Construction Lende" __IIt'IS I/, ~ 11I1!ll! /Ir'
S?~ ;
Tax Lot #
("')111.
IS-OOf...(y)
Pr.ane: "7.3.' - 9L 90
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Zip:
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anit.v,
c5-1. /f--ALI-
~X'Oil'eS S/Lj';/,tJ.(/ Phone
V~/-OVv!l.
It is the responoibitity of ths penrtit holder to BBB that alt. inGpectiona are made at the proper tim€~ tr.at each .zdress is l'ea.dlW:e
fl"Om thB street, and that the permit aa2"d is located at the fT'011t of the property.
"Bui!ding Divi::wr: approved plan sh.aH remain on th2 lJu.ilding Sits at aU times.
PROCEDURE FOR INSPECTION RE:QUEST:CALL 726-3769 (recorder) state your City designated job n.to;;ber, job adC.:rcss, type of inspec-::icn.
roquested ar.d when you LJiU be ready for inspection, Contractors or Ol.meI'S ncme and phone number. Requests received befcre 7:00 a-:;
~~ZZ be ntlde the same day, requests mc.de after 7:00 am !JiZZ be roode the next :JOrking day.
%40 ~ '-Ifo
R~mJj~~~ TM~ngr~ir."~
D. SITE INSPECTION: To be mde after
excavation, but prior to set up of
forms.
O UNDERSLAB PLUMBING. ELECTRICAL &
: MECHANICAL: To be made before any
work is ~overed.
o
FOOTING & FOUNDATION: To be 11Xlde
after trenches are excavated and
forms are erected, but pzoior to
pouring ccnaret.;.
UNDERGROUND PLUMBING. SEWER. w'4TER,
DRAINAGE: To be 11Xlde prior to fi 1--
liT'.g tren.ches.
[]
D. UNDbERFLOOR PW~ffJING & MEC.;~~ICAL; f
To e made pr~or to in3ta~~tion 0
f!oor insuLation or decking.
O POST AND BEAM: To be made prior to
instaZ.Zction of fZ.oor insu.Lation. or
decki7lfi .
O ROUGH PLUUBIll(;, E:T,EC'l'RICAL & MECH-
ANICAL: No work is to be eOl)ered
,until these inspections have beer.
made and approved. .
D FIREPLACE: Prior to pZacir.g facing
materiaZs and before frcmting inspec-
tion.
r--1A1iM-fING: Must be requested after
lk:::f approva.l of rough pZwrhing, eZectri-
.cal & mechanical. AU roOfing
. bracing a chimneys, et~. nr~st be
.:completed. No work is to be CGn-
.,-".cealed until thio inspection has
~ b€~n made and approved.
Your City Desigr.ated Job Nwnber Is:
....-----
r:::;r1"NSULATIONIVAPOR BARRIER INSPECTION:
~ To be made after aU insulation CC".d
'. required vapor cCI1Tiers are in place.
. . but before any lath, gypsum bomod. or
wall covering is applied, and before
. ~y inaulation is concealed.
'RYWALL INSPECTION: Tc be made
after all. d.ryIJaZZ is in place,
but prior to any taping.
O MASONRY: Steel location, bona
beam:;, grou ting or vertica ls in
accordance tJith U.B.C. Section
. 2415
r--t~TOVE: After instaUation is
~ ;;;Z~t€d.
O CURB & APPROACH APRON: After forms
are erected but prior to pouzoing
con.::rete.
o
SIDEWALK & DRIVEWAY: For all. con-.
crete paving within street right-
of-liJaY, to be made after aU exca-
vating complete & form work & sub-
base nrzterial in pZa:Je.
DEUOLITION OR ;'.JOVED BUILDIilCS
=:J Semi tary se-.Jer capped a.t pz:..opert'd Zir:.e
::J Septio tank P;;:'Ped and filled t.>ith iP'a;;e, I
~ Pinal - h~en ~~e i~a~s ar~ ccmplet~d I
--.J and whEn ....enol-:.,,"I,on ~s c01Trpt.ete or s...rua- .
ture moved and pr;;mrises cleaned up.
I
Mobile Hemes
=:J Blocking a7Ui S8t-~p
=:J Plumbing connections -- scwer and lJa-::er
~ Electrical Connection - Blocking, set-up
~ and plumbing connections nr~st be approved
before requesting electrical inspec-::ion
~ Accessol""d Building
--, Final - Aftar p:Jrcr.es, skirting, decks,
--.J etc. are completed.
o
AZZ project conditions, such as the i-nstaUation of street trees, co.-:-rpletion of the
g;quired 1..andsccpir.g, etc., mu.st be satisfied before the BUILDING FINAL can be request:zd.
PINAL BUILDING: The Pinal Bui7.ding Inspection must be requested after the Pinal Plumbing
Electzoieal, and Mechar.ical Inspectiona hava been made and approv2d.
o FIliAL PLUII.BIIIG
o FIliAL 11E~HAIIICAL
o FINAL ELECTRICAL
o
o
!'ENCE: When. complete -- Provide-
gates or movable sections through
P.U.E. .
;tALL MANHOLES AND CLEANOUTS MUST BE ACCESSIBLE, ADJUST/lENT TO BE /.fADE AT NO COST TO CITY I Page 1 of 2
.0
I JOB NO.J'~D3V0
I Zona:
SOLARGr_.. ESS
OC(!u:oanc~ r.
LOT TYPE
Lot Sq, Ftg,
s ~f lot Coverago
!I of Stories
Tota! Height
Topography
lITEM
Main
I Ca:rac~
I Caroort
I Acce880ru
I SQ.FTG
TOTAG VAGUE
Is. D.C.
(uat.uc)
1.5 ;c
Building Pe:rrrrit
State 5za'charge
Total Cha.......ge3
I ITEM I NO.
I Fixtures
Residentia! (1 bath) I
Sanitary Sewer;",'~' .,.'. ~l
".' .'tiatep"
.,
I
Plumbing Perr.:i t
State Surcr.arge
Tota! Charaes
,lITEM 1/10" FEE
Res. Sa. fta.
N61.JIExtend Circuits , I
I.TempOl'a:ry Service I I
I I I
Ele~trical Permit
State SUI'~harae
Total Cha:rc;es
IITSM
I Furnace ETa'S
I Exhaust Hood
I Vent Fan
I WOodstove
1/10.
I
I
I I
1/1
I I
Permit Issuance
Me::hanic:z.l Permi t
State Surcharoe
Tntnl CJuno(7~!J
-- ENCROACHMENT --
I Seaul"itu Davo3it
I Storage
I Maintenance
J Permit
Total Cha1"QCS
I Curbcu;
ISideLJa!k
I Pen::e
Electrical Label
Nobile Home
I TOTAG AMOUla DUE:-
x
FEE
........., ,
PSE
. No perean ?ha~l\qon8truct~ inBtalt~.alter.o~<chanqe any neu or e=isting
, '".plwnbing, or.arainage system in whole or in 'pa1't~ unless such person is th8
, t I: . JegaZ pt?S8eS.8or of a vaZid ptwnber'8 Ziqer;8e, except that a,pe:>son may do
':1.., ll.....PZUiritiiJig.work to property which is O1Jned:,. teas'ed 'or"operated' by~the appU-
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Interior
Corner.
Panhandle
Cul-de-sac
Value
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.'1ln
2.Li.9101-
CHARGE I
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CHARGE
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CHARGE I
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/500
.tflO
/5. (00 l-
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~l-jO,5(o I-
REQ.-
I
L-COG~
Type/Cor.st:
Bedrooc:s:
I Enerau Sources
Heat
Watel' Hlmtp.l"
Range
Fil'eolace
Wood:; to:,'e
T<1'08
1 Lot Faaes -
I
I P.G.
NOl'th
Setbacks
House Carage
Access.
East
South
West
Fees
I
1.1
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" Building Vqlu,e ~ ~ermi! .
This permit is gronted on the ~re~s. co1idieion. that. the sa"id cons~l'Uction
shaZZ, in aZt l'espects, confol'm to the Ordinance adopted oy the City of
Springfield, including the Zoning ordinance, l'egulating the constructicn
and use of buiLdings, and may be ~uspended or revoked at cr.y time upon vic-
tation of cmy provisions of said Ord~!J'1?1Ce8; ~\ ~'\ ~~1 ._ "~^. .
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IPlan Check Fee:
';,' \'.:~....\' ~:\i\'; \, ....:\ ....)~.I~~~~..~ai.d:
'0' ..' lJecf;'LPt'lI:
. -~. ~:- .'1.\ ....\.. tlSigned:"'\' '>I'
'. .
Plumbing Permit
..~ . \r. \~, t~ .:
.. ~. .
'_.'to .'
~
Electrical Permit
Wher~ State J41J requires t;..at the electr>ical wol'k be done by an Etectr>ical
Controctor, the electrical pOl'tion of this permit shalt roOt be valid u.ntil
the Zabet has been signed by the EZectrical Contl'actor.
I-
Mechanical Permit
PLan Exann..ner vate
I HAVE CAREFULLY EXAMINED the completed application for permit, and do
hereby certify that aU ir:foromation hel'eon is true and COrl'cct, and I
further cel'tify that any ar.d all lJOl'k perfor:ned shall. be done in accol'-
dance r.rith the Or>dinances of the City of Springfield, and th~ Uz:.;S of tho
State of Ol'egon pSl'taining to the work described hel'ein, and that NO OCCY.
PANCY will be rode of any structure without penrrisaion of the Building Di-
vision. I further certify that o:1ly controctOl'S and e:rrpLoyees who arB in
compliance with ORS 701.055 will be used on this pl'oject
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