HomeMy WebLinkAboutPermit Mechanical 1985-9-19
.. RESID~IAL"
APPLICATION/PERMIT
225 North 5th Street
Springfield, Oregon 97477
BuiZding Division
726-3753
Job Location: /~5() Nf)f21../r!/)~./J #'
ABoeBaoro Map # ) I'J 0 3 .::2 02 ,? c-/ Tr;z Lot #
Subdivision:
,Q3q
0;;2300
CuneI':
WtU}-if 01..(}-n rUm V
& 50 (hL1 ~,n,J & 7I"4'3<Pr.one:
7c1G 5733
&e~- /o.C)()
~ D7JJ~ ~r;-/AAck~ -
Vv~ 0Y. t~ - !f1{)deI tlM-weIL
41-4-2-C~FI );J--/ .. .
q.({j-'l5' Value 1145-0.
Address:
City:
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Nm,l
Additicn
Remodel.
,'1obi La Bama
Date of Appliaaticn
Cont:l'ac:ol'S
General.
. Plumbing
. ELectrical
l-Ieohar.icoZ NQR-rHWt::5, WI/I/tJ(;,
Construction Lender
Zip:
Address
C, PrU;)
;::}/) 0/ ()
.
~.cce:~t #
(3 1~3 /q
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eLf
Vre
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:y~\
Siqr;ed:
Date:
{C
9-/9-[('5
Lise." ,
Er;;il'as
Phone
S-;;)/-9,f,
701.0 -05C /
It i.s tho ~esponDibility of' ths permit holder to B8e that all irwpections a:re !:'lade at ~he proper tim€# that each ::dd:rcs8 is re~:e
from the street, and that the permit card is located at the front of the property.
.Bui!.ding Divi::ior. approved p'LaJ:1 shaU remain on tha Building Sit~ at aLl times.
?ROCEDUF?E FOR INSPECTION REQUE'.?,T;CALL 726-3769 (recorder) state your City designa.ted job nw::ber.. job adiI'css.. type of in3pec:icn
requested a~~ w~en you will be ready far inspection.. Contractors or Owne~s n=me end phone number. Requ~sts received befere 7:00 ~
:..'izz. be made the same day.. requests made after 7:()0 am wizz. b:z made the next :.JOrking day.
3!l.PJ.I1:~l"rf T'1::P-'1J:tipn!J
::J SITS INSPEC':'ION: To be m::zde after
excavation, but pl'ior to set up of
forms.
1 :J ' UIIDERSLAB PLUMBIIIG, ELECTRICAL &
! "~CHA"'IICAL: To be made before any
LJOrk is covered.
:J
FOOTING ~ FOUND,1TION: To be m::zde
after trenches are excavated and
forms are erected, but prior to
pouring ccncret~.
:J UNDERGHOUND PLlffifJ3ING. SEWER, W,~TE.~
DRAINAGE: To be roo.d.e prior to fil-
. l. ir.g trenches.
:J
UNDERFLOOR PLUl.:BING & NECHANICAL:
To be made prior to in3talLation of
j100r insulation or decking.
POST AND BEAN: To be rr.adc prior to
installation of floor inaz.:Zation or
dBcki"G .
ROUGH PLU!!BIllG. ELECTRICAL & MECH-
ANICAL: No :JOrk is to be cat:ered
,ur.tiZ. these inspections have beer.
made and approved. .
FIRF:PLACE: Prior to placir.g facing
meterials and before framing inspec-
tior..
I:]
,]
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FRA!!ING: Must be requeDted after
approvaL of rough plwrbing, electri-
cal & mechanical. All roofing
bracing & chimneys, etc. trr.lst be
,campl.eted. !Io LX)rk is to be con-
.:. cealed until thiD inspection has
'be~n made and approved.
Your City DeGigr.ated Job Numb€!' Is:
,--, --""
O INSULATION/VAPOR BARRIER IiJStJ!::.:r.:T1UN:
To be made after all insul:;tian a:'".d
. required vapor barriers are in place
. . but before any lath.. gypswn boa2'd 01'
wll covering is applied.. and before
. any inouZation is concealed.
.0 DRYWALL INSPECTION: To be made
after all d:rywall is in place,
but prior to any taping.
O MASONRY.. Steel location.. ba1uI
beama.. grouting or verticals in
accordance IJith U.B.C. Section
2415.
IVrWOODSTOVE: After installation is
r ccmpLeted.
O CURB & APPROACH APRON: Afte::- farms
are crected bu t prior to pouring
con.::rete.
o
SIDEWALK & DRIt'EWAY.. For all con-
crete paving within street right-
of-liX':Y.. to be made after all exca-
vating complete & for.m work & sub-
base material in plaae.
551J 9tJ7
DEUDLITION OR ;~tOVE:; BVILDIj,1GS
=:J Sani:cry se:Jer capped ~t ~opcrt'::i lir:e
~ Septic tank lT~ed and fille~ uith ~~Bl
::J Final. - r,'hen ab..."'Ve items are completed
ar.d when d~litior: is complete or s~~-
ture moved and pr~3e8 cleaned up.
I Nobile Hemes
~ Blocking a7Ui Set-~p
~ Plumbing connections -- saJer and wa~er
--, Electrical Connection - Blocking, set-up
---.J and plumbing connections trr..st 1;e appr::Jl:ec
before requesting eZectrical inspec~io~
=.J Accessory Building
::J Final - After p:Jrcr.es.. skirting, decks..
etc. are completed.
o
All. project conditions, Guch as the instal.lation of s:reet trees, c~~lotion of the
required Zandscc:pir.g, etc... must be satisfied before the BUILDING FINAL can bo raquest.zd.
:J FIliAL PWt.!BlllG
] FIliAL MEcHANICAL
] FINAL ELECTRICAL
]
o
FINAL BUILDING: The Final Building Inspection r:TUst be requested alter the Pina.l Plumbing
Electriaal.. and Mechar:ical Inspectio1UJ have been made and approv~d.
O PENCE: M~en complete -- Provide.
gates 01' movable sections through
P.U.E. .
o
AALL I.fA.NHeLES AND CLEANOUTS 1IUST BE ACCESSIBLE, ADJUST!fEtlT TO BE g/l.DE AT NO C':'ST TO CITY I Pa~e :! of 2
I JOB
I
I Zone:
NO. /)9)qvl] oc:~a~:"R c'JE S S
Lot Sq. Feg.
:: of 'Lot CJ/Jeragc
#- of Stories
Total Height
Topography
LOT TYPE
lITEM
I "Jain
I CaraCl!
I SQ.FTG
Carnort
Accessol'u
I
I TOTAL VALUE
IS.D.C. IVC."""ZUCJ
1.S"
Bui1.ding Permi t
State Surcharge
Total Cha.....gea
lITEM ; 110'1 FEE I
I Fi::tures I
I Residential. (J bath) I I I
I Sanita:ry Sewer> I I I
Water I I I
I I I
Plwnbing Perr::i t I
State SUI'cr.moge I
Total Char-CBS I
11TEt.! 101001 Fr;';;' I
Res. Sa. fta.
New/Extend Circuits I I I
Temporary Service I , I
I I I
EZe:!tri.ca 1 Permi t
St::.te SzaoOharOB
Total Charces
ITEM I NC. I FEE
Purr.a.ce ETU' 5 I ,
E=haust Hood I I
I Vent Fan I I
I JlaodstO"JB I I
I I
Permit Issu.ance
Meohanic~Z. Permit
State Surcharac
Tote! CharqRll.._
I -- ENCROACHMENT --
I Sec-,.{ri~ Deposit
I Storage
I Main.t~e
I Parmi t
Total Char'pcs
ICUrbcut
I Sidewalk
I Fence
j Electl'icaZ
,
j Mobile Home
Label
I.TOTAL AMOU~~T DUE:'
Interior"
Corner
Panhandle
CUl-de-sac
Value
CHARGE
, .
,;iiARC;E J
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CHARGE
/ S. 0.0
. G,1)
IS', (,.,7)
I
I
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I
I
/S.b'O
REQ.-
~
Bedroor.:s:
L-COG~
':~.:..pe/Cor.8t:
I we Faces -
I
I P.L.
iflorth
lEast
ISou th
IWest
I I E'/12rmJ So;.a'ces
: I .,eat
: I
II
II
TiJ:'e
Setbacks
I House Caraoc
I Access.
Water Hnatpr'
Range
FirocDLacc
Woodctoz.:e
Fees
Building Value & Permit
I
I
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This pernr~t ia granted on the express condition that the sfl"id. construction
shatl, in all respects, conform to the Ordinance adopted by the City of
Springfield, including the Zoning Crdinance, l'eguZc.ting the ccnstructtcn
and use of buildings, and m:1.y be BUClpended or relJO~ed at cr.y' time upon vic-
Zatian of any pravisior.s of said Ordir.ances.
,.
Iplan Check Fee:
Date Paid:
IRecdpt g,
iSigr.ed,
Plumbing Permit
\
No pereon DhaZ'L construct, instaZ?., aUer or change any r.elJ or e:::isting
plumbing or drainage system in whole or in part, unless Buch person is t~.e
legal possessor of a valid plumber's license, except tr~t a person may do
plumbing ~rk to property ~hich is owned~ leased or operated by the appli-
cant.
Electrical Permit
Where State Law requires tr.at the electrical ~ork be done by an Eleatrical
Contractor, the electrical portion of this permit shall r~t be valid until
the Zabel has been signed by the Electrical Contractor.
Mechanical Permit
, .
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PLan E':ramt.ner
LJar;e
I HAVE CAREFULLY EXANINED the completed application foT' pennit. and do
hereby certify that all i~for-mation hereon is true and correct, and I
further> certify that any ar.d all IJOrk perfoMled ahall be done in ae~or-
dance lJith the Ordinances of the City of Springfield~ and th:: La:.Js of tho
State of Or>egQn p~rtaining to the work described herein, ar~ that NO aceu.
PANCY will be rrr:J.de of any structure without permission of the Building Di-
~vfsion. I further certify that o~ly contraators ar~ ~l~yee8 who are in
ca::pUance with ORS '101. ass will be used on this project
...-......,
'. ,~,
v:/Lc: ~
q-/ 1-3'~
I.
Signsd -
Date