HomeMy WebLinkAboutPermit Mechanical 1982-2-16
It is :n. r."Ponaibit.i.ty of the pnmit hol.dlrr> to s.. that aZZ inspections aro r.tati.4 at :hs pzoopU" tims" t;r.a"t ~h -=ddrU8 is r.~!~
from ells str.st. and that tho psrrrrit oard is located at tho fran. af tlls prep.,.t...
ISui!.ding Diui::io!': aprroved plan shall. r:.,~.:f!: tpt Building Sit~ at a1.Z timBS.
PROCEDURE POR INSPEC'l'ION REOl!EST: Call. ~1p(jeecozrdt1.r) stat. your City d.esignatad iob l'UDl".b,,:r, iob addN:ss, type of in:rpec:icn
l"squeetsd ar.d. w.'".an you :.n:z.z. b. retzdy for inspClCt"..on, Contractor's or CNnnos nt:mfl c:nd pha1uJ number. Rsqtu:sts receit:ed ceiczofl 7:00 G::t
.'in be """" the sams dJ:;J, rsqussts """" aft"" 7:00 am r.n:n bs """" tlls >U:-.... '-">rking day.
, (72&;-3710 9) r_ City DsrigMtsd .ab Numbt;Z' Is:
....BUJIj-:Jf r.-r!irJl /.
0: SIT! INSPEC':'ION: To be m:z.a.. aftn' D INSULATION/VAPO.q 3ARRrrR !'!!SPE:C"!'TON:
_......~ but pM.c:- ta ..1: up of To b. ntZd.8 aftsr aLt inwl....--ti.?n aNi
toms. reqsr;Z'fld t1ap0Z" b~ aN in place
.0 UNDERSLA8 FWNBINt:, KLECTRICAL & but before.any . lath. ~psum bo~ or
'lo!ECHA11ICAL: To be 11ItZtU before an&' :.uz.z. . aoVeM.~ 1.~ appt.1.4d, and blllors
lJOrk is ~ovcred. any 1.MUZatum: t.8 concsa.1.sd.
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.. RESIDENTIAL"
COMBINATION APPLICATION/PEP.MIT _ SPRINGflELD_
225 North 5th Street ' '
Springfield, Oregon 97477
BuiZding Division
726-3753
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~SCQSoor3 Map #
~",.t-J IX.-- I-iJr:--M~
, T""tat#
SUbdivision:
~ o.m.r:~A~.A- ,/ JJ ~
~2ddNS3:~3,\~ 2I..y~ nr, i.l"
_ C!ty: ~A.- ,L.~ 1j> ()(l,
Q 0 ·
Phons: 7 U7- 7/1' Y
Zip: q 7'; 7 7
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,VIt'.,J
D..cribs Wark:
X II,-
Additicn
I:tt--cr .
RfZ1ffO.:!4l
Mobil. ,qamfl
X Dats af Appliarn:cn
La1ltraCtors
1/
"'fval"" .-\ 10.
Address
:J- / , -. f .:L
Gomsral
Plumbing
Electrical
,
rl- ,'.ftJ~har.ic.::.t
CO'fl8tructicn r.~
-:r~ .fL.- J_ '>!-/... )na...:....J
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FOOTING I POUNDATIC.V: Ta b. """"
attar trfmchds are _.......,.......Jd and
forms an ercct.d, but prior to
pow-ing ccncr.'t..
, ., D MASONRY: St.el lo:ation, bond
Wm~CROU..D F~lJM!!rNG\ SEJI'E:!l' W.1~~. bll4m3, grouti.ng or varticcLa in
DRAINAGE: To bB nra.:U pl"1.Cr to J-:'z.- a.accrodancs rJi.eh a.B.C. S.ction
L....g tl'fmcllss. ~ 2415.
UllDE.t!FWOR P'{.w.1BING & UeC!1ANICAL~ WOODSTOVE: Aftsr i.natalZa.tion is
To bs nuas pM.o:r to l.n3tal.l.a't1.01l of ccmpl.sud.
/'Lorn> i7tBUZa:tion or dscking.
POST AND aEAM: To b. ~ p'l"iot" to D CURB & APP.rNJACH AP.~N: Afte:> forms
instal.l.:I'ttc71 of floor inst..:Z4tion or are 6Nctsd but prior to pouzring
d6ck:i.7ttJ. .:on..."T8U.
ljOpGR PLllH8I."1t;... FrjEC':'R!CAr. j .'<fECH- D SIDETlALK & ::JRr/EWAI: For aLl can...
ANICAL: No '..Jerk. "':8 to oc cot,'Bl"ea creta parnttg lJitht:n streQt right-
ur.ti~ thesB i.nspec~.s havs bQB7l of-wcy~ f:D he ma:U a;'tlt' aLZ. e%Ca-
I7kltU and approv..:!.. vat".:ng ccrrrpl4ts " tom tom"k J zub-
FIP.EPl.ACE: Pr-ior to p1..acir.g tacing bas. nr:tmaZ in plaall.
I1Il:t.rials and befot's framing inspec-
tior..
D DRYWALL TIISPECTTON: Ta be """
aftU' alL drywLz. is in plac.~
but prior ta cny t<%pi"!/.
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D~: ~ compt..ts -- ?rovitis
gatsB azo .7tOVabt. sBcticns thrcugh
P.U.E.
P'P.AJ.~TNC: Mu:Jt be rsqtlS:Jt.t af~U'
approvaL of 1'OtUJh pturri:,.i.ng~ atacm-
aaL & .'1Iechan~aL. AtZ roOfing
bracing ~ ahi.mncys~ et~. /7C.Oat be
aamr1Lstad. ,110 wrJe is to bs con-
ctlaiQd untit thio instlscticn has
b.... """" and approv.d.
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Rcce~pt f~
:5' TO& 7
a;ood sID ve-
4%
/5. OD
toO
SiQr.ed:
Date:
~.du--
.c.-fIn-Pi ~.
I
Lisa. ;;
.:::,ircs
Phone
f? ;).0 /:j ?
DeJ.fOz.ITIO!l OR .l1Ot"!'D 3UIZ:::iGS
:=J Sani~ 1lQ)C' ::c:;pei =t ~F~ Zir..
~ Sspt*: tank p-...Ilrrp~d w..:. Ii Z. "ad :..'i tit ;ra.:J6 L .
:J Finat - JI1um r:Dove it~8 JZ'S aa::tpLQted .
ar.d whtln ::er.lc~i~.:or. 1..<1 a~t.":. or struc-
ture moved ar.d ?l'~3.8 :: ~tll71'lC up.
Mobi Zs Hcm8B
:::J Btocking and sat-~~
:::J Plumbing connsct~ns .- SaJBI' c;nd wa::ar
:::J EZ.cotrica~ CcnnectW1! - Bt,')ck-;-:.:J ~ set-up.
and pLumb1.71g .:onr.ect-:..=ne 1:':"'':3t =11 a;:provea
before requQBting BL.~=ricaL ~r.BpSC~~
:::J A.ccIlBGOl"":i Bui:di..~
:J fin::Z - Aftcr.?::rc.i-:es. sk~rti1tf~ dscks~
tl~. are compl.8t~a.
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ALl. pr"Oject oondi~ns~ sue.'": as ths instaLlation of S:r8et trees. a~l.;-:i.:m of" :iut
required Uuvisccpi7'.g~ etc. ~ must 00 satisfiod befol's ~r" aUILDI.:C Fr:.'AL .:an =e zosqttsstad.
o FINAL PWMBING
o ?1NAL ,'.(E(;IJANICAL
o nVAL ET.ECTRICAL
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FINAL SUltDIlle: 71:e FinaL BuiZdiYu] Inspection must bo zoequeatit:: at":er ;;"8 ~r:"-!.nat ?!ur.:bin;
EltJctriaaZ~ and .'1echar:icat 1nspect;i.ona havs been mads a7Iti approved.
"'AU ,'.fANHOJ;ES AND CLEAl/ours MUST BE ACCESSIBLE, ADJU$T!fEllT TO SE HilDE AT NO CQS; TO :1'1''1 I F:::.~e of.2
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IJob I!umb(!f':
F~O/37
i Zone:
-.
. jLot Sq. ptg.
: t of lot C""erago
i g of Storie.
! Tota 1.. Height
i Topography
OcCUDan.ctf Group:
WT TYPI:
InteMc1*
Cornel'
PanhandZe
CuI-dB-aae
FSE CllARCE I
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I /~. ()Ol
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/5. ()() I
, rhOI
/5. 'in 01 *
l'ITEM
I
Il.trin
IGcrt:Jall
i
I",","" ..._..
I ACCe880Jlt1
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! SQ.FTG
TOTAL VALUE:
Is.D.C.
(VCi-UC)
1.5 :=
Building Permit
State Suroharge
Total Cha.....gea I
lITEM I NO. pre I
I . I
I Pi:rturee
I ReaidsntiaZ (1 bath) I I
I San:itary S8ttJfJr .1 I
_or I I
I I
PZ;mzln;ng Pe=i. t
State Surcr.arqe
Total Charaes
lITEM I NO. ' FEE
Res. Sa. rta. i
.N€W/Erttmd Circuits I
Temporary Service I
I, I
EZs:J1:M.ca1. Pe:l'mi.t
State Sur!::h:zrafl
Total C'hart;S6
lITEM
I~ce PTU'S
I E.::haust Hood
I Vent Fan
I W:;OdStOiJ8
NO.
P9l'mit l::BUa1lCa
Me:Jhanic:zl Permi t
State Suraharae
Tt'J"tn l Cha1"flRfJ
I -- ENCROACHl1ENT --
I Sec-mtll DzPOsit
I Storage
I Maint~Q
I Permit
I Total Charaas
Curbcut
sidaIa. Zk
I Fen:!9
Electrical Label
MobiZe Home
I TOTAL AMOUNT DUE: *
x
Value
CHAHGI:
CHAHGI:
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Pago 2
Referer:ae Numbers: ..
L-COC #:
T"VTJe/Cor.st:
Bedrooms:
Enerau Sources
lieat
Watel" Hp1'1tp.T'
Range
FirsT' Zace
wo{xUitove
T-.roe
I Lot Face. -
I Setbaok.
I P. L. House Carage Access.
North
r:ast
South
IWest
~I
..- Fees
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r--k.
-; ~ ~
Builaing Value &
Permit
This J1flrm:. t is granted on the e.xpress condi tion that the said construction"
sha1.:L~ in aZ1. respccts~ conform to the Ordinance adopted by the City of
Springfield~ including the Zoning crdinance~ regutating ths construction
and UDe of bui7..dings~ and may be BUBpsndsd or r6dcked at c:ny t":.me upon tJio~,
lation of any proviaion.s of said Ordinances.
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Iplan. Check Fee:
Dat. Ptr:.d:
I Reodpt #:
I Signed:
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Plumbing Permit
No person ohaH C0718truct~ instaz:L~ aLter or changs any n6w or eristing
p1.umbing or dJoainage systsm in "whole or in part~ unless such psroon is ths
1.egal poSSSS80r of a vatid plumber's licsnse~ e:z:cept that a person rrrzy do
pZumbing ..x;rk to property whioh is OOlMd, Zoased or operated by the appZi-
"et::tnt.
Electrical Permi t
Where State lAZJ requires fhtrtr'thll electrical IUOrk be dons by an EZsctrical
Cantractor~ thsheLectrical portion of this permit shatz. not be vaLid until.
the ZabeZ has be"" signed by the I:ZectricaZ Ccmtractor.
Mechanical Permit
Plan t;:r.a1fl't,ne'l'
ual;e
I SA VE CAREFULLY EXAMINED the camp letsd app Lication for pBrrn1. t, and do
hereby certify that aU information hereon is true and correct, and I
f'.aother certify that any ar.d all r.JOrk pBrfornJed shall be done in acaor-
dance with th8 C L,.....~aB of the City of Springfic"ld~ and the La:.Js of thr3
'" State of Oreg"n pertaining'to the work dsscribad h8l"e-:.n, end that NO OCCU-
PANCY will be rrr:zde of any Btructura t.1ithout parmission of tha Building Di-
vision. I fta'ther certify that D:'/,ly contractors and errplbyees who a1'S in
ccmpliance L1ith ORS 701.055 !.JiZZ be ussd on this project
4 "L~AO~
Signad
.;)-I'.?-2.....J
Date