HomeMy WebLinkAboutPermit Mechanical 1983-5-10
.. RESlDtNTlAL':
APPLICATION/PERMIT
225 North 5th Street
Spri~~field, Oregon 97477
Building Division
726-3753
SPRINGFlE1.D ..
Job !.oc.:::.tion:
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C>.mer: a -:; ;f(J /'o.IL~~
AdJ."es>: 0 L{ <;, 1 ~ 1 ~ yY)C AC~,,;/
Cito,!: t4...Lv.lAd ~p
A8~eSGOrZ ,\!ap .Ii
Subd~:r;sicn:
r;::v.;~.,
n Add":ticn
n Remodel
n .'!Ob'f.Z2 .=tom3
~Phcme:
Zi;,:
'1 ~-
97Y8.Q
~/
De8C1""~be fl'or/<.:
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w~-~d...U-~ ~~ -
Date ot AppLicaticn
/;-ID ''63
,,:ontrector'S
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Va!ue ~
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GJ,j-O."I Ar~
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IS-. 00
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Siar.ed:
;jc.,
,"5-/0'~ 7,
Date:
~ - (~fl1~ 7f-^-r.c.
r
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Liac. P-
I " h~-~ ~7d-<f-L/
E:r::;il't!s
Phone
Genera l
Plumbing
~lectri.cal
Nechar.i.c::.l
Con8t~Jcti~ Lender
Add1-es3
[t. is the resFonaibiZity of ehs pel~it holdu to see that aU incpections are .-::OOe at ::he proper til7f~1 that ~::.ch =ddress is rea.::a.;:e
from ehe street, and that the permit c.:uv1 is l..xated at the ;)ocnt of eM. property.
~Eui~i~4 D{~i=io~ ap;roced FLan s~~ll remain on the 3ui~ing Sits at all times.
P!?OCSDURS FOR INSPECTION R.:OUEST:CALL 726-3769 {recorder} state your City desigr.::zted job nur.:bel'J
l'aquestcd a~d when you will be ~eady for inspcction~ Contractors or OWne~s r~e cr~ phone number.
:.'ill be ".ads th€ same dcy~ requests mc.ae afta' 7:00 rX'I'I wiLL be made the n~t :xJ'l'kin.g day.
~eaui""Dd 1"1!sr:'Dcticl'!'l
O (,''''''1:' T'IS"'~f"""'<O>~\1 "'. .
_l.!._ _. r:'J. ~'-'I.: .0:Je maae
ucavati.:;lnJ but proior tc se;
forms.
o
after
up of
U;'/D.:PSr.:.B PLU.'.l3INC. 2[,2C?PIG.!I. l'
;\'ECHJ..;iiC.:.i.: To;.e "..cde before any
wo:""i( is ~O"Jcrec.
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FOOTING ~ :OU1~rDAT:C.'l: To be .mes
after :renches are ~cGrJated ar~
forms are erect2cJ out prior to
pourir.g ccnc:oet.o=.
[]
W1D'SRGROlJ,'.'D ?!.LU;;n:C. S':-.lFP.. ~:1TER.
DRAINAGE: To De ma.:ie prior ~o lii.-
lir.g ;rer.cr.2z.
o
VNDERPVJO::? ?LlJ.'..'9T:Jc 'J .Y.'ECH.4.VIC:"L:
To 1;e maee prier :0 -:;n~;;cLi...It~011 of
noor insulat:ion or decking.
?QST AND 3EAN: To be ".de ;"('''';01'' :0
ins-raLl.a'tien of noor ir..st.:Zation or
decki"!;.
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RorJG,~' pnr._'er.'!C.?t,EC?~!C~!..{ .'.f'€C,9-
AHI~A::. 30 ~ork -~~ .:0 ~~ ao~~red
ur.=~l ;r.esa :r~~ec;~Or.s ~~~ ~~er.
made -':Z1".d C?pr~nJed.
r:.~::p!.AC2: Prier ~ pladr.g !:::.cinq
mc.-r~riaLs ar.d b~fore frar.rir.g inspec-
tior..
PP...4.~I,'IG: Must be ret:;ue:H:ed cf";er
tI?prov..:.l. of rough -;lur..DingJ electr-;-
cal & .',:ecr.ani..:a!. Al~ ~oj:.r.g
bracir.g ~ chimn~ysJ et~. .~~s't be
. corrro Zet:cd. ;'10 ;;ark is to be con-
. cec:Z.lJd ur.til. this instlec~en r.aa
. bee.n made c.n.d cpprot,'ed.
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Your Cit'~. Desigr.atcd Job Number Ia:
U INSVLATIONIVAPO.9. HARRIER r.vSFECTICN:
To be mads aftel' aLL insuL.:;ti.:;m w.d
. required vapor carriers are in place
but cefore any lath~ gypsum oeCll'C or
wZZ covering is cppZied, ~.d oetore
any insulation is conceaLed.
o
D.9.'fWALL ;NSPECTIO,V: To be ,"!'.ade
after all drywal.Z is in pZace~
Dut prior to any taping.
job acarc3sJ type of ir.~pec~icn
Requests recei~ad c~fer9' 7:00 ~
'gSJ&7Y'
DF.'.fOLITIOH OR ;~:QV::;-:; 3UILDI;iCS
:J Sani ;ar':f se'Jer ~apped =t p~~p~rt;. U....:2
:J Septi~ tank p:.:yed cz7"wd f:.Zlac. :.nth gr:z:..:e!
J Pinal - [{hen ahcve ite~s aJ"e cc.~Zeted
~ and when demolition is c~Zate or st~~~-
tu.""e moved ar~ ?p~3eS ~le~ed U?
NODila Hcmas
=:J Blocking CU'.d Sat-:.lp
=:J PLumbing cor.nec~ions .- s~er cr~ wa~er
---, Slectriccl Connection - BlockingJ set-u~
---1 and pZwnbing connections r.r..st !;e c:ppr:;Jl:ed
befor~ request~ng ~Zec;rical ins?ec";io~
~ Acces~c,';;" 3ui l.::.r..g
] Fin:: l - Af't::r ;:Jrcr.es J
etc. are c~pLe;~d.
3,1(~r::~ngJ
dec/..3J
o
:<<SO.'IRY: SteeL locationJ cond
oear:u3J grouting or verticals in
accordance with V.B.C. Section
2411::
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ALl project cor.ditions~ ~uc~ as t:he ~ns;aZ.laL~on of street ~2eSJ :~~Zc::.on of the
required w.ndsccpir.g~ etc. J must' be sa'tis{r.cd o;);ore the Bf..'I!.iJI:'/G Fli~'AL =,an be r:u;uss:.:zd.
0.' FDfAL PLUt1BI.'/G
D. n:IAC NEcHA:IICAC
O. ?I.'IAL 2LEC':'RIC';':;
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PINAL BUIf.DINC: The Finel Building Ins",eatian .-:-:USl: o<a requefJtea ::fter the. .7ir.aL Plur.:bin.;
ELeotrica!..J and Neaha.....icc:.l inspe:ni.cnfJ nave been .7Zade ar.d :=pprcIl2c.
Aftar installation :.s
~ALL NANHC[,(;S AND CLEANOUTS UUST BE AC~ESSI3r.2J ADJL'S7','S.~'T TO 3E ,',L1DE ..!T :','0 :::5':' TIJ ':I':'Y I ;,......01 of:2
o
CURB & APP.rWACH .4P.'~ON: Afte-:o forr:rs
ere erec'ted but prior to pouring
con.::!rete.
SIDEWALK & DRI~,'E''';A?,' For all ccn-
crel:e paving wi::hin stre€t right-
of-r..x:YJ to be mde attar all. e:cc-
llatina CC7f1DZete & f'orr:! :.;ark. .i $ui:l-
base ~terial in place.
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~NCS: Wher. co."11plote -- ?rotJice
~ ~l:es or ::tovabZe s6ctions through.
P.U.E.
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I JOB NO. <:J,;~1c'7q
I
i:or.a:
SOLAR .CESS
CCC'.,l::;an.c:J Grou:;:
LeT TYPE
Lot Sq. Ftg.
~ ~f lot Cavera.g;;
.# of Stories
I TotaL Heic;u::
I -
I Topogra;;ny
I
I II'D!
I".lain
I SQ.FTG
1~,,"c2
I -
I Car::~r't
I.
1.,ccasso!":J
S.D.C.
TOTAL ;'ALf.JS
lVa~UC)
1.5 =
ZuiZding ?eTm"';t
State SUI'cnarge
Total f:r.a:oge3
11':'::11 liD., FEE
I Fi-~es
Resiaentiat (J bath) I
Sc:nit.:tI"'d Sewer
I :tct€.....
I
Plumbing Pem t
Stat6 SW'cr.arge
Totat cr.c.!"ces
I I!'EN
l."?es.' Sa. fta.
I Nw/Ertand Cif'CUi. ts
I Tempcrary Service
i
i ''iO./
I I
I
I
:.";"'1;'
Electrical Pe~t
St:::te Surcharae
Total. C'tta.!'ces
I =.o:ae 2TU'S
I E::haust; Hood
I Vent Pan
I .
I ilooasto:;e
I ,'lC. I
,:;':'t'
J
Per:m.t Issuance
Mecr.anic::l Pernrit
State Surchcrae
'!'r'Jtct Chzr-:1"1!f
-- ~.'lC:~CACH.:,fE;'!':'
Se~~;tu D2~o3it
Stor~qe
I Maintenar.::e
I Parmit
I ~.~/'lCr;:es
I CUZ'':'C'.4t'
ISid"","Z<
I !'en::e
12Z.aC'Cl'ical
I Nobi Ie Hxze
lahel.
1.:rOTA! ANOU.'lT DUt:"
Ir.teZ'io'l'
Corner
Panhandle
C'.J.Z-de-sac
x
VaZue
CilARGE
CHARGE
CHARGE I
I
I
I
16,00 I
I
/5'.00 I
I
,(00 I
, .
I
I
f
I
I
/<(.00 I
I
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I
-33,(00
P::.ae 2
.
L-COG~
REQ.-
T~'.;e/Cor.3t "
3edr.,or.:s,'
I E,ot; :~ces -
I
I P.c.
Wortn
lEast
SG'....:h
[:V'est
Enerau SOUI''1es
Sea::
:;;J~e
Setbao,i.:s
I Ro"se Caraoe
I Aaeess. I I
I II
II
{lrr.t8t' Y.ecr.o;,<>.r'
Range -
Ptroeoiac:e
Wooa.:;:;o~e
Fees
Building Val~e & Permit
This permit is granted on the e:::press ,zondition that the s~:iid. aonstl""..tc::ion
shatt, in ~lt respects, confo~ to the Ordinance adopted by the Cit: of
Sprir.cf'ieZ-d, -:.ncb.ding :r.e Zon:.r.o Crd-:.r..a1!C6, r>€a'..tl.c.til:o the ccns"t:>:,a-:;"':cr.
ar.d :.<;~ of buildings, end m::.u b(;~ auzDende.:i or revoked ~t cr.:J t-:.:::e ;<;:::r. vie-
lation of: '.Ir.y pl'OVi3ior.s of ;aid Ol'dir.cnces. ..
.
IPlan Check Fee:
ICatc Pa-:.d:
1 Ree<i?t #:
I Signed:
Plumbing Permit
No pereon ehaU construct, tns;aLZ, aLter or change any Y'.eW or ezis7;ing
pLumbing Or' drainage sY8te~ in ~hole or in part, unless such person is the
legal, posse3sor of::z valid plwnoer's 'l,icense, e:::cept t;-.at a pe:'son .'i'.a:; do
plumbing ~ork to proper~d which is ~~~d, leased or cpercted by the ~pZi-
cant.
.~
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I.
Electrical
Permit
Where State Lc:w requires tr.at the etectr--~cal work be done by an Electrical
Contractor, the el,ectrical For::ion of thi3 per::rit shall roOt ba vatiC ur..til
the Zabel has been signed by the Electrical, ~ontractor.
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"
Mechanical
Permit
Plc:n. Z=....--n'Z-r!el'
t/a::.a
I HAVE CAREFULLY EXAA.JINED t,l...e compZ.ated =?pZication jor permit. end de
hereby certify that all inJo~at~on hereon is true a~~ correct, ar~ I
fur-:hel' cBzotil:; that any cr.d all. 1.:ork. ;erfor:ned 3haZl be do:1e in G.c~or-
dance :.lith ~h.a Ordinances o{ the City of Sprinqficz.d, and ::hz Lc..;a of :;(:3
.. Stat.a of Orecon osrt.:;:inir..c to the work descr-;bcd. her6in, cr.d tha: :'iO OCCU-
PJ.,NCY ~lZ. b~ rrr::.d.e of cznyv structure wi thou.: pemr;s3!.or: of the ?uildir:g 0";-
vision. I further ~ertif~ tr~t o:1ly contractors and ~loye€s wr.o a.~e in
c~pZ.iance ~;th CRS 701.05~ wilt be used on this projsct
:;;;~tl. Cd
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