HomeMy WebLinkAboutPermit Mechanical 1985-1-7
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.. RESI~T1AL"
APPLICATION/PERMIT
225 North 5th Street
Springfield, Oregon 97477
Building Division
726-3753
Job Location:
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CkJner: \. ~ct\(\J\ ~('\
Address: \~~llirl~iphone: \4\.0 -5\\ t.o
City: ~~?1 ~ ~) . J(lp J Zip: Ql4\1
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ASDeSGOl'Z Map #
Subdivision:
Describe rl'ork:
en~\klcla~ ~
Date of Application
(;ont:l'actol'S
Genel"aL
Plwnbing
Electrical ,
Meclr=icsL C. ..f"I~\l. fl f'~\L.I LM . \'0. ['0 J...t-
COr/.st1"Uction Lender> ' \. ,
Nm,'
Addition
Remode 1..
Hobile Home
I-'J-BS
Value
Address
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. Rcce:pt ,iI
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Signed:
Date:
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1- rj-Rs
Lise. #
Eroil'CS
Phone
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that each ~688 is rcadabZe
It is the 1'6sponoibility of ths permit holder to S6e that a'Ll inDpeatio1l8 al"e made at the proper tim&,
fN;Jm the street, and that the permit card is located at the front of the property.
.BuiZdi~ Divi::ior: approt,'ed plan shaH remain on tha: Building sit:;; at aU times.
Pt?OCEDURE FOR INSPECTION REpUEST:CALL 726-3769 (rccorder) state your City designated job nwnber" job address" type of in3pec-;icn
roquested a~d when you will be ready for inspection, Contractors or OwneTs ncme ~nd phone number. Requests received befere 7:00 ~
r...'iZl be made the same dc.y, requests made after 7:00 am !.JiZZ be made the next i.JOrking day.
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D. SITE INSPECTION: To be made after
e.rcavation, but pnor to set up of
foT'ms.
O ' DNDERSLAB PLUMBING. ELECTRICAL &
NECHANICAL: To be made before any
work is covcred.
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FOOTING & FOUNDATION: To be rrruie
after trenches are e.rcavated and
forms are erected, but priol' to
pouring ccncret.;..
UND8RGROUND PLUMBING; SEWER. W.1TEf.!..
DRAINAGE: To be TTKLde prior to fil-
.1.ir.g trenches.
D. UNDERFWOR PLUMBING & MECHANICAL:
, To be made prior to inota 1. lahon of
fioor insulation or decking.
O POST AND BEAN: To be made pI'iOl' to
installation of floor insulation or
decking.
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ROUGH PLUMBIllG. ETECTRICAL & MECH-
ANICAL: No work is to be covered
~ur.til these inspections have beer.
made and approved.
FIREPLACE: Prior to placir.g facing
materials and befol'e fl'aJ1fing inspec-
tion.
O FRANING~ Must be l'equeDted after
approval of rough plUffhing, electri-
cal & mechanical. AU roOfing
bracing &. chimneys, etc. nr~st be
: completed. 110 work is to be con-
.~.... cealed until thiD inspection has
." be,:~ made and approL'ed.
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D
Your City Deaigr.ated Job Nwnbel' ID:
D INSULATION/VAPOR BARRIER INSPECTION:
To be made after all insulati:;n CC'.d
. . . required vapor barriel's are in place
. . but before any lath, gypsum board or
t.XZZZ covering is applied, and before
any inaulation is concealed.
DRYWALL INSPECTION: To be made
after all drywZL is in place"
but prior to any taping.
O MASONRY: Steel location~ bona
beam:J" grouting or verticals in
accordance with V.B.C. Section
2415.
WOODSTOVE: After inatalZation is
completed.
D
CURB & APPROACH APRON: After forms
are crected but prior to pounng
cort:!roete.
. D ~IDF:WALK & DRIl'EWAY: For an con-
crete paving within street right-
.of-way, to be made after all B%ca-
vating ccmplete & fom wrk & sub-
base ma.tenal in place.
D PENCE: When compl.;.te -- Provide
gates or movable sections through
P.D.E.
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. DEMOLITION OR ;'.JOVED BUILDIilCS
=:J Sanitary se:Jer ~apped ~t p:.op:;rty line
=:J Septic tank p:.a::ped and fiZZe~ lJith gra~(Jl
I Final - fl'iwn above items are cc''11Pleted
--.l and when demolition is complete or stru~-
ture moved and premises ~leaned up.
I Nobi le Hernes
t==J Blocking and Set-up
=:J Plumbing connections sewel' and water
---, Electrical Connection - Blocking" set-up
---l and plumbing connections nr~st bB approved
. beforc requesting elec:rical insp8ctio~
=:J Accessory Build:ing
--, Final - Aft:;r p:Jrcr.es, skirting, decks"
~ etc. are complet~.
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All ppojeat conditions, such as the installation of stpeet trees, c~~lotion of tne
requiped landsccpir.g, etc." must be satisfied bcfol'B the BUILDING FINAL can be 1'~queDt3d.
D FIliAL PWMBIIIG
o FINAL MECHANICAL
o FINAL ELECTHICAL
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FINAL BUILDING: The Final Building Inspection must be requeated c,fter the Final Plumbing
Electrical, and Mechar:ical InspectionD hava been made and apppoved.
.tALL MANHOLES AND CLEANOUTS NUST BE ACCESSIBLE, ADJUST!rEIIT TO BE /.t1DE I!T NO COST TO CITY f Page 1 of 2
I JOB
rcge :::;
NO. ~ SOLAR .ESS REQ.-
OacuDancl/ Grou<:J:
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L'-COG~
I Zone:
Lot Sq. Ftg.
S of lot Cooerag"
#- of StoM-es
Total Height
Topogro:phy
I
lITEM
I "bin
SQ.FTG
Garaae
CaPOOrt
I ACCBssoru
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TOTAL VAWE
IS.D.C.
Ivat.uc) .
1.5 :r
BuiZding Permit
Stats Surcharge
Total Cha.-ge3
lITEM
I FixtuPes
I Residential (1 bath)
I Sani taPy Sewer>
ING. I
I I
I I
I I
I I
I I
Water
Plwnbing Perci t
State Surcr.arge
Total Charooes
LOT TYPE
Intericr
Corner
PanhandZe
Cut-de-sac
x
Value
FEE
CHARGE
lITEM I fiO'1 FEE I CHARGE
I Res. Sa. fta. I i
I NelJ/Extend Ci1"CUi ts I I I
I Temporary Service I I I
I II I I
EZeatrical pe~t I
\ I
State Sur~harqe
Total Cha1>qes I I
ITSM roo FEE
Pz.aonace ETU'S
Exhaus t Hood I
I Vent Fan I I
I WOodstove h I
I I
Permit Issuance
Me::hanical Permit
State Surcharae
'1htl'1l Cha:ra/l.!'J
-- ENCROACHMENT --
I Sec-..l.ri..tt/ Daoo3it
I Storage
I Maint~e
I PCPmit
I Total Characs
Curbc."U:
Sidewalk
I ~f;'e.Me
I Electl'ica l
I Mobile Home
I
Label
TOTAL AMOUNT DUE:'
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I I X /?)
I I ~eL*-
/ '--~ ,ld) l. Sign.d
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1'5 ,CO I
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CHARGE
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I e:r.
11S,OO
I .(pQ
I/s:loOl.
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Type/Cor:st:
Bedrooms:
I Lot Faces -
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I P.L.
INorth
lEast
ISouth
jWest
I Enar17u SourceS
I .<ieat
II
II
: I
1 J
TtiDe
Setbacks
House CCU'aqe
Access.
Water Re'1tl?P
Range--"
FireDlaae
Wood~ t01,.'e
Fees
Building Value & Permit
This permi t i8 granted on the express condi tion that the sa"id construction
shall~ in all re6pccts~ conform to the Ordinanae adopted b'y the City of
Springfield~ including the Zoning Ordinance~ regulating the construction
and use of buildings~ and m::r.y be sUDpended or revoked at cr.y time upon vio-
lation of any provisions of said Ordinances.
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IPlan Check Fee:
I Date Paid:
IReceipt #:
I Signed:
Plumbing Permit
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No person Dhall. cons~at~ instal!~ aUer or change any new 01' e:::isting
plumbing or drainage system in whole or in pCU't~ unless such perGon is the
legal possessor of a valid plumber's l.icense~ except that a person may do
plumbing wOl'k to propel'ty which is owned~ leased or operated by the appli-
cant.
'''':,'
Electrical Permit
Where State lAJJJ requires tr.at the electrical work be done by an Electrical
Contractor~ the electrical portion of this permit shall r~t be valid until
the label has been signed by the Electztical {;ontractor.
Mechanical
Permit
Plan Excnnne1'
,.,.e
I HAVE CAREFULLY EXAMINED t1w compZeted application for permit, and do
hereby certify that all. inforrmation hereon is tzoue and correct~ and I
further certify that any ar.d all work perfomzed shall. be done in accor-
dance :vith the Ordinances of tM City of Springfield, and th~ La-..;s of tho
State of Oregon pertaining to the work described herein, and that NO OCCU-
PANCY will be m:zde of any structure urithout pal"mission of the Building Di-
vision. I further certify that only contl'actol'S ar.d e:rrpl.:Jyees who are in
compliance with ORS 701.055 will be used on this project
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Dats