HomeMy WebLinkAboutPermit Mechanical 1985-7-24
.. RESID'.T1AL"
APPLICATION/PERMIT
225 North 5th Street
SpringfieZd, Oregon 97477
Building Division
726-3753
Job Loaation: /,..::)~ ~ c;)
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Subdivision:
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Address:
Phone:
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City:
Zip:
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nAdditicn
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Remodel
Nobile Home
Date of Applieaticn
Contractors
Address
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General
Plumbing
EZectrical
Mechanic.::.l
CO~8truction Lender
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Siqr:ed: ~
Date: t{-..2L./-(~>
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Eroil'es
Phone
It is the responsibility of the permit hoLier to 8S8 that all inspections are made at the proper time~ that each ~e88 is readaDZe
f1'Ol1l ths 8troeet, and that the permit card is 'located at the front of the property.
.itBuiZding Diui=ion approved F~ skU remain on thE Building Sitoz at all times.
PROCEDURE FOR INSPECTION R~QUEST:CAlL 726-3769 (rccoT'derJ state your City designated job mm:ber, job ad.d..ress, type of in::;pec.;icn
requested ar.d when you wi'll. be ready for inspection, Contractors or Owner's name and phone number. Requests received befcre 7:00 c::n
...>izz. be made the same day, requests made afte:r> 7:00 am wizz. be made the next :Jerking day.
.' y~ City Deaigr.ated Job Nwnber If]: ~~ '-1
Rl?mJ\..:~'?t1 Tl1.::",f.f!1;1:"r,Q
O SITE INSPECTION: To be made after
excavation, but p'rior to Bet up of
f.orms.
O . UNDERSLAB PLUMBING. ELEIZTRICAL &
, MECHANICAL: To be made before any
. work is aovered.
O INSULATION/VAPOR BARRIf:R INSPF:r:,!,ION~
To be made after aU insulation aY'.d
,- , .. required vapor barriers are in place
, . but before any lath, gypsum botn'd 01'
uxz.lZ covering is appUed, and before
. any insulation is concealed.
o
POOTING & FOUNDATION: To be made
after trenches are excavated and
forms are erected, but prior to
pouring ccncret~.
O DRYWALL INSPECTION: To be made
after all drytJaU is in place,
, but prior to any taping.
[J
O MASONRY: Steel location, bo1uI
UNDERGROWlD PLUMBTNGJ SE~-'?, _W~~T~~~, beams, grouting 01' verticals in
D.:AINAGE: To be made pNor to f1.l- accordance with U.B. C. Section
,1_1.'Y'.g trenches. ~5'
UNDERFWOR PLUl,fBING & MECHANICAL: WOODSTOVE: After installation is
To be made prior to installation of cc leted.
j100r insulation or decking. ',. , "
POST AND BEAM: To be made prior to 0 CURB & APPROACH AP.9.0N,: After' forms
installation of floor ins14lation or are created but prior to pouring
deckirlfi. concrete.
ROUGH PLUrH3I!lG. ELECTRICAL & MECH- 0 SIDEWALK & DRIVEWAY: For all con-
ANICAL: No lJOrk is to be cOl)ered crete paving within street right-
.w:til. thcse inspections have beer. _Of-lXZY~ to bc made after all exca-
made and approved. vating ccmplete & fOm! wdrk & zub-
FIREPLACE: Prior tc? placi7'.g facing base TTrlterial in pZaae.
materials and before framing inspec-
tior:.
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:J FRANING: Must be requeDted after
approval of rough plwr.bing, electri-
ca l & mechanica l. A l Z. roofing
bracing & chimneys, eta. nr..lst be
;' completed. No work is to be con-
. .,-> cealed until thio inspection has
'be~n made and approved.
O PENCE: Wher: complete -- Provide..
gates 01' movable sections through
P.U.F:. .
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I DEUOLITION OR NOVED BUILDIl7GS
=::J Sani:cuy 86"..Jer ::!apped =.t p:..op~r't':f' lir.e
~ Septia tank p~cd and filla~ with Jl'a~el
--, Final - rl'hen above ite.":/s are cc;m,leted
~ and when d~lition is complete or stru:;!-
ture moved and pr2mises cleaned up.
I Nobile Rcmes
:::J Blocking and Set-up
\ :::J Plwnbing connections -- sa.Jer aT'.d Water
:::J Electrical Connection - Blocking, set-up
and plumbing conr.ections nr...st 1;e approved
. before requesting electrical inspectio,r:
:::J Acaessol"d Building
"I Final - Aft;:r p~rcr.e8, skirting, decks,
~ etc. are completed.
o
All project conditions, such as the installation of street trees, c~~lction of the
required Zandsccpi'Y'.g, etc., must be satisfied before the BUILDING FINAL can be requested.
~ FINAL PLUMBIlIG
:::J FINAL MF:CHANICAL
:::J FINAL ELECTRICAL
:::J
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FINAL BUILDING: The Final Building Inspection must be requested after the Final Plumbing
Electrical, and Mechar.ical Inspections have been made and approved.
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*ALL MANHOLES AND CLEANOUTS, HUST BE ACCESSIBLE, ADJUST!fEll'!' TO BE f.t.1DE AT NO CYST TO CITY I Page 1 of 2
I JO B NO. e5055Cf
I Zone:
Lot Sq. Ftg.
S of lot Coverag&
# of Stones
Totat Height
Topography
SOLAR "'ESS
Oc~rxmcl.f Grou;J:
WT TYPE
Interior'
Comer
Panhandle
CUZ-de-sac:
I
lITEM
I Main
I Garaae
I Caroort
SQ.FTG
ACC6880ru
TOTAL VALUE
Is.D.c.
{VaLUe)
1.5 x
Building Permit
State Surcharge
Total Cha.....ges
lITEM I NO. I FEE
I Fixtures I I
I Residential 11 bath) I I
Sanitary Sewer> I I
Water I I
I I
Plwnbing Permi t
State Surcr.apge
Total CharGes
lITEM 1/10'1 FEE
I R~8. Sa. fta.
I New/Extend Circui ts I I
Temporary Service I I
I I
EZeatrical Permit
State Suraharqe
Total Charc;es
IITSM
I Furnace ETU'E
Exhaus t Hood
1/10.
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I
I
I
I
Vent Fan
I Woodstove
Permit Issuance
Meahanica 1, Pernri t
State Surcharae
'T'crtn 1 f7hap"IUJ
I -- E/lCROACHMENT --
ISe~~t~ Deposit
I Storage
I Maint~e
IPemt
I Total CharGes
I Curhcut
I Sid_ lk
Fe~e
Electrical Label
I Mobi te Home
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I TOTAL AMOUNT DUE:'
x
FEE
Value
CHARGE
CHARGE
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CIIARGE
(5,00
,~~
15;00
(-5 ,0'0 I.
Pc.ge 2
REQ.-
-
L~COG~
.1
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Type/Cor.st:
Bearoor.:s:
, I Enerau SO'.a>ces
I Heat
I I Water> Hp.atel'
I I Range
I I Fireolace
I I Woodi;tove
II
Tu::;e
I Lot Faces -
I
I P.L.
INOZ'th
lEast
South
IWest
Setbaeks
House Carage
Access.
Fees
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1.
Building Value & Permit
This permi t is granted on the express condi ticn that the sdid eonstruction
Bhall~ in all respects, conform to the Ordinance adopted by the City of
Springfield, including the Zoning Crdinance, l'eguZating the ccnstruaticn
and use of buiLdings, and may be suspended 01' revoked at cr.y time upon vio-
lation of any provisions of said Ordir.an.ces.
I non Check Fee: I ,I
Date Paid.: I '
I Receipt II: I
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iSigned: I I
Plumbing Permit
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No person DhaZl construct, install, alter or change any new or e=isting
plumbing or drainage system in whole or in part, unless such person is the
legal possessor of a valid plumber's license, except tr~t a pe~son may do
plumbing work to property which is owned, leased 02" operated by the appli-
cant.
Electrical Permi t
Where State La1.J requires tr.at the electrical work be done by a11 ElsC!tncal
Contractor, the electrical portion of this permit shall not be valid until
the label has been signed by the Elecmcal Contractor.
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Mechanical Permit
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Pl,an E:camt.ner
uo.e
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I HAVE CAREFULLY EXAMINED the completed oppUeation for pernrit, and ria
hereby certify that aU inforomation hereon is true and correct, and I
t.nother certify that any ar.d all work perforn/ed shall be done in accor-
dance -with the Ordinances of the City of Springfield, and the La:.,;8 of the
State of Oregon p~rtaining to the work described herein, and that NO OCCU-
PANCY will be nnde of any structure witturott pamis8ion of the Building Di-
vision. I further certify that only contractors ar.d e:npl..?yes8 who are in
compliance with ORS 701.055 1JJil.Z be used on this project
1- ~gJ
Signad
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