HomeMy WebLinkAboutPermit Mechanical 1982-11-19
.. REs,DfNTIAL':
APPLICATION/PERMIT
225 North 5th Street
Spri~~fieZd, Oregon 97477
Building Division
726-3753
SPRINGFIELD . ..
.
.lob Loc=.tian:
10 ltJ ~. ~e.lll-\ 'R\ un.. .. .
\I()~?:/...\ \ \ .J T=&>tH 03?-D()
AS.7eSaON .\/ap it
StdJdf..:.r:.s{,cn:
~"ner:
~T" J.J::.h h1.o rl-tnV' t
~-
1L1lll-'1~4lo
lDccd St-oVe... ... ..
. Vex-NYlontCa.St,YfJ~
800 ?O
Add.:"eS3 :
City:
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'le1".1
Addi ticn
R~ode1.
.'!O~-:'!2 .=lama
\ \-,q-g2.,
rate of Applioo:icn
:.:on:;rcc:orS
General.
Plumbing
~lectricaZ.
"'!8~har.ic::L
nil",'" 0 r-
CO"st~~c~:~ ~~ncer
Pr.one:
Zip:
Descr-;be fl'ork:
Val.ue
Addres3
.
_~cce:.;r; ,iI.
t:;qq 12-
UJo6ds1-ove.
tf9()
IS~O
.l.DO
jj J?;.wDi
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,
Siqr.ed:
Date:
~
1\.-' ct-R"';:1 .
Lise.:!
~ires
P,luJnD
ft. i.s the reaponaibili;y of ths permit iwtder to see that aZz' inapections are .-:-:ade at the propel' tim~# that iJach ~e8s is readab:<iJ
from ehs stl'eet~ and that the pcrr.n:t Ca:N is l..xated at the front of the property.
.f3u.i!di'!"'.g Y.:.ri.:;io~ cp;:l'O'I.:ed pLan sr..dll'6'l7t ..' ~. Eu-::Zding ~it:z at aU times.
P."!OCEDUF!! paR n/~PEC'TIO" RE"OlJE"St:'CAlL 726-3769 (ree doer) state your City desigr.ated job nur.:bel'J J'ob acc.rCSSJ type of ir.3r7ec-;icn
r~questcd a~.d when you wiLl be ~~ for ins~c J Contractors or Qw~el'S r~e ar~ ~hone ~cr, Requests l'eCei~2d cefcl'e- 7:00 ~
:...iLZ. be tr.ade the same dc.YJ requesu mc.ae afta' 7:00 am wiU b2 nwie the nat :JOr'king daij.
O MASONRY: Ste.el
u.~rDrRG:::OU.'!D P:"UMZD'(. S~'.I2R. ::I.1T.:"R, baam3J [1l'OU:-:.ng
D.~An!AGE: .:0 be rx.Je priar' :0 r:,..- accordancli !Ji,::h
Zt-r.g -:rer.cr.as. , 2415.
UNDERFLCOR !'!.WSI:JG 1 XE:CHA,VIC:.t: ~;'YJO{)S'!'07E: Aft.ll' instalZat-::On is
To be mcdg prier ~o in3taLZa::-:.on of rX.-:rplar;ed.
[Zoor insuk:::ion 01' decking.
P'Jsr AND 3EAM: To;,e rr:ade :;.rior to
ir.sraU..::::::cn of f200r ir.st.;z.aticr. 01'"
deaki"ii .
~1ft"".''''':.'''9 :-",~~~...-:,,:,:"~-:,....
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SIT! I:/S?~C'::ON: To be rrr:zde after'
ezcavation, bu~ prier' tc set up of
forms.
WlD=,:?S[,AB ?!.:./.'BI,'1C. 2['2C":.~IC,1! ~
,~!ECH.J.;lIC:"[,: To l:oe mad.a oefor-€ any
work is '=O"..Jcr-ea.
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FCO'!'T:1G 1 ::C!..','lDA'I':C:/: '1:'0 ce ,~
af';~r ::rencnes are e=aa-Jcted and
fema are area=~d, but prier to
pourir4 c~nc~et~.
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ROW;H ?!..U.'fE!:!G, ::!.EC':',f?!C)'~ ~ '.fEC.1-
AuICA~: ~o ~a~~ ~a :~ ~c co~epea
untiL ;~cse ~~~=ec:ior.s ~-ve ~eer.
made =rJi ::?pp?:Je.=.
FI_="~?!..).C2: ?rticr;o pl.acir.g :"Gci.nq
mc..tel'iaZs and bBjore frr::r.rir.g i.n3pec-
tior..
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F'RA..'~I.'lG: ,'.fu3t be r'equeated af';er
approv..::L of r~h ,?lur..biru;, ~'Lectri.-
cal ~ :~ec;..an~aZ. ,.tL~ !"':1oj~r.a
.bracing & chi:rrru:ys, ~t.::. ."rr'.i.sr~ be
,comple::cd. ,~'o ~r,ic is to be ccn-
e ceaZlld ~r.ti ~ ~hi3 instlec:icn r.as
. b6en I'nad~ otd a?pl'O~'ed.
lour City, Desigr.ated Job Numbao I::J:
O INSULATION/VAPOR EA.FiRIER D1S?!C'!'ICU:
To be made after all ir.sulati.:m w.d
, retr.lired VaDor ba::rriers azte in olace
. Cut cefor6 any lath, gypsum bcaPc or
toXIn covering is cpplied, ar.d betore
~~ i.~~twn is c~cooled.
O VF/Y'..IALL INSP~CI'TON: Tc be r::ad.e
after all. drywall is in place,
but prior to any taping.
location, bo1u1
or uerticc.ls in
U.3.C. Section
o
CURB & A,t"'PFiOACH .4?r::DN: Afte;o lams
c:re erected but prior to pcuring
~rete.
R'a~.sd3
DF,~!OLITION OR ;~:Ov::; 3UILDIiiCS
~ Scm.i tar'J se'.Jer ~ap?ed =.t p::;::lpc:rty Zir.a
:J Septic tank p:,:,,,?ed and f'f,ZZ~~ ..nth fi1"a-;e~
:J Pinc;:l - [fhen abcve :."te:::s a:re com'Oleted
ar~ ~hen i~Zi:ior. is compi.ata 01' st~~~-
~e moved ar~ p~~;~es cle~ned up.
MODi le Hcmes
=:J EZockir.g and Set~~p
=:J Plumbing connec::icns s~er ar~ wa=er
---, Electrical Conr.ect~on - Blocking, set-up
--1 and pZumbing connections rr....st };e approved
before request~ng e!ea:riaal ins?ec';io~ '
-, 'U'
~ Acaes~c.~ 3U~~;r~
I Final - 11f't~r ;~rc;:es, $k~rt~ngJ dec;'-..s.
~ etc. are ocmple;ed.
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SIDeWALX 6 DRI~~~Y: For all CC7l-
crere paving wi~h~n street right-
of-way, to be made after an e::ca-
vatina comv'Lete & fo~ work & ~ub-
base ,:;".ateM:aZ in p~e.
AZl projec: conditions, ~uc~ as the ~ns::aZZa~ion of stl'eet =raes, ~~~!a:ion of the
required Zandsccpir.{JJ etc., must be sa::isl-:.ca before the 3UILDn:c F!::AL ~an be r2qugsc~d.
o. ~r;oIUAL ?!.UgBD'G
[J. FINAL .',!E~HA.,'lIC:"L
[] .?I,'IAL E!.EC':.r:IC;":'
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PINAL EUILDING: The Finel 3~iUJ.ing !'nsr;ectian .':';Usc 013 reaue:;:ed =:~ter ~;:e .:'ir.:::l ?Zu.'T.bin.;
Electrical, and Mecnar.iccZ Inspectiona hava been made ar4 ~pprove:i.
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!"ENCE: :/her. cOI'lrpl.;.te -- ?roviee
gares or .":Iovab le sectiens through
P.U.E.
"ALC N/.tlHCr,ES AND CLEANOUTS ,'IUST BE AC~2SSI3['EJ .4CJf..,'S:;'!~,':T ':0 32 .~~10S ..!T ;','0 -::5': T:J cr:'y I ?:::;e of:!
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I JOB
NO. ~~?
,
i ;;C7'!e:
I Lot Sq. F"'J.
I~ ~f tot Caveraq&
"j of Stor";es
j TotaL Heieh"
I "
I Topogra;;hy
I r~"'l
!.'.!oin.
I SQ.:'I'C
1~~C2
I
! Car:-cl":
I.
I :icaeS30l'".J
I
I
l'QT.,iL. :fALI.:S
(vc:..UC)
IS.D.C. 1,5 =
euiZding Perrrr~t
State Su:rch~ge
To'tal C1-.a.,....ge3
lI':::M
I Fi-.-tw"es
I Resid.ential (1 bath)
I Scni ta.1":f Sewer
I wate!'
I
Plumbing Pem t
State Surcr.arqe
Tetal CJt.arces
'III'D.t
I Res. Sa. fta.
Nw/E-.-tend Ci'l'C".l.i ts
Terr.porc::ry Service
I
EleatricaZ Permit
State Surdlarae
Total Ct!l1.!'ces
1_"'1
:":::CP- ETU 'S
I E=ftaust Hood
I Vent Pan
I iloodsto:;e
I
Pem t 13suc:nce
MearLt,nic:zl Permi t
Stati'! Surc1u:rae
'!'t'Jt,"!?~~P.!l
Z:/cRCACHg:::r::
Se~.l.~;tu Dzvosit
Storaqe
I Ma-:.ntenan:::e
I P<mrit
I
Total. C'rtat'Jos
I Curbco..lt
! Side:Ja Zk
I ?en.::e
I EZ.zc:1"':.caZ
,
! ,VoGile Heme
LaJ;e Z.
I TOTAL ANOU,'/T DUE:"
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SOLARtCESS
CCC'.J.=:anc:J Gro-,),:):
LOT TYPE
Ir.terwr
Corner
Panhandle
C'..lZ-de-sac
X VaZue
FEE
CIiAP.GE
C.i'A?GE
F2E
CHARGE I
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IS?" I
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ct, I S. too.]
P::.qa 2
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L-COC'l.-
REQ.-
T;'veICor.s'C:
3e6>.,orr:s:
I i,ot Fa.ces .
I
I P.:'.
I{lor~h
lEGS<
SO'.J.th
IWest
11 EnerGlJ Sour-:es
T:J'ce
Setba~,io(s
I House I Caraoe
Hea.r;
I Access.
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'Hater U(!!!n"::!'l'
Ran.qe
Firev~Gce
Wc;od.:;to:;e
Fees
Building Value & Permit
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This pe~t iG granted on the e=press 'Jondition that the sdid. const'r"...lC:::::on
shaH, in a.n respects, aonfom to the Drdinance adopted by the Cit"d of
Sp~~~4f:eLd, ::nc!uding ;r.e Zoning Crdir~nce, re~~Lctir.g the cer.s;~l~ti~r.
and :;,,,e of :'uildir.gs, end m=y be ,3w;;pe71.aed or I'tJvokec. at C'r.'d t-:,.';7e ~,;:;r.. vie.
la:ion of 2r.y provisions of saiC Qrdir~nces.
Ptan Check Fee:
Date Paid:
Reo<:ipt #:
S4F:ed:
Plumbing Permit
No ;erson shalt c~.s~~ct, instal!, aLter or change any .,.~ cr e=is:ing
plumbing or drainage syste~ in ~hole or in part, unless such ?erson is the
legal posse3sor of a vaZid pZumber's license, e:cept tr~t a pe~son ma~ do
plurr:bing ~ork to proper~~ which is owr~d, leased or operated by the cppZi-
cant.
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Electrical
Perm it
Where Stats !.azJ requires t;.~t the electr";cal work. be done by an EZeatz-:cat
Con~ctor, the electrical portion of this ~ermit shalt not ba valid until
thi3 label has been signed by the Electrical ~ontraator.
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Mechanical Permit
Pi-an 2::::crrz.ner t..'a;:;e
I HAVE CAREFULLY !XA.'ofINED ;.lte completed ~pZ.ication f'or permit, =r'.a do
hereby aertify that aU ir:fo:r.'.a~-f.,on ;:e1'eon is true ar.d ccrrec;;, ar.d I
f".U'-I;her certify that any crn all .;ork ;f2rlo~ed shaLl be done in ::'0::01'-
dance :Jith ;he Ol'dir.ances of the City of SpringfieLd, and the I.c..;a at tr.r3
State of Orec.;n D$rt.;;:inina to the uork. descr"';bcd her-ein, end tha;; ,;0 IJCCU-
Pt.aCy will b~ made of anywat'ructura without ?~rmi33ion of the Euildir.q Di-
vision. I further ~ertif~ tr~t onty ccntractor's ar4 ~t.;ye~s wr~ a.-e in
a~pZiance with ORS 701.0St wilZ be used en this projgat
~ J/fP...,/t,1
Da(!1In.
Sign3d
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