HomeMy WebLinkAboutPermit Mechanical 1982-11-1
., RESIOfNTIAL.:
APPLICATION/PERMIT
225 North 5th Street
Spri~4fieZd, Oregon 97477
BuiZding Division
726-3753
Job [,oc=ti,": .3LoD~ ~ ~O U
Asoe'Gor" Mapf \ 'lCJ'2...3() lPl Tc;:J: [,ot # O~J::J))r}
Subdi:r:.sicn:
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Cit'~:
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SPRINGFIELD ,,"
Pr"",,, 747.5823
Zip: q~n
Describe fl'ork:
Addi tic"
~ ~r~~~~ "w.dirA
\ \ - ( - 8~ Va,ue \, (f'J:') 00 Date: rn)
Remac.e Z
.'fobi!~ ?loma
Date of AppZicaticn
~'on~l'CCi:'ora
Address -I
Genera!
Plumbing
~tectrical
Nschar.id ~ ~ C't \J \ N\n.1{\ 'L -v. \e::du.c1r s
Const~~cti~ L~ndel'
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.=?cce:.~~ !:
9=tC\ \ 11
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{.iac. #
E:;r::,i1'es
Phort~
~:~ 2.lZ. rM IY\ ~
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I:. is ~hs responaibility of' eM permit ho'ldu to see that: aU incpections are ,~ade at the propel' t:im€" t.~at ~c.ch ::dd:toess is re~:.
.from the stl"eet, and that the pcrr.ri.t card is t.xated at the {ront of the property.
.l:3ui!di~.g invido:,: ap?ro1;sd pl.an sh:::z.t remain on the Bu~ldin.g Sits at .::Ill times.
PROCEDURE POR INSP~CTIOll RSOUEST:CALL 726-3769 {rec::orcer} state your City Jesigr.:zted J'oc nur.;ber~ J'ob adC:ress~ tYF6 of in3pec::icn
requested a~d when yeu 1Jin be ..eady for insp~ct";on, Contractors or Ol.."ners r.ane .;;r.d Fhone number. Requests receil;ed cefc'l'll 7:00 a:-;
:..:il.Z. be made the same day, 'l'equests maie afta 7:00 am wil.Z. ba made the nc:ct :.JOrkin; day.
-9-J2/2fL{ () 'L
1:?/u11ji."'<t4 r7'l.:~""r!t.{r.1'!.q
O SITE INSp~~rCN: To be rrrlde
excavati.:m, bu-= prier to set
forms.
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after
up of
UNDE::?SL~B ?!,f.J.'.f3TVG, ;'['2C':'RIC.t[. /,
1~!ECr:;""lIC;'[,: 'To be ",.ade before
WO'l'k is ~ovcr'ed.
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PCOTIYG ~ F'OUNDAT:C:l: To be ,mae
after :renches are excGrJated and
ferms are erected, but prior to
pourir~ ccncret~.
U.\IDiIRGROU:!D P:'U!.r.JE;G. S:::R.~. :o.'.1TER~
DRAINAGE: !'o be ma.1.e privr ~o fU-
r ir.g crenchez.
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Your City. Oesigr.atcd Job Number Is:
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INSULATION/VAPOR 8ARRIEFl DISP::C'!'IC!l:
To be roode after a L 1. inS"..t: L,:;;t~n rr-.d
required vapor ban>iers a:l'e in place
but cerore any Zath~ gypsum board or
wZ.Z covering is c:ppZied, c:r.d before
any in3uLation is conceaLed.
any
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DRYWAL~ iNSPF:CTTON: Tc be r.".ade
after a L Z. drywa Z Z is in p 'lace,
but: prior to any taping.
,~SONRY: SteeL Zocation~ bond
beamo, grouting or verticals in
aocordancQ /J"':"th U.E.C. Section
2415.
'ilOODS'!'OVE: After instaLlation is
mpZet€d.
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UNDE.'?PLQOF? !'Ul....'EnC .il ,'1~C,t{ANICAL:
To oe made prier to ~notai~tion of
11001' insutc:icn or decking.
P'JST .4NO 3EAM: To be made pr"'":"or
ins:aU.::tion of floor in.s;.:Zati
decki,,",
0'
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RO!JCH ?!..r.r.!B!:/C. ~!..ECT_~!CA!:.1 .'.fEc.ri-
AHICA!..: Yo ~ork i~ to ce COl;2pea
ur.tii ;hese ir~~ectior.s ~J~ b€er.
made crd zppr~ue~.
FI.~F:PLACE: Prior to plc.cir.g facing
mc.r:eriaZ,s' ar.d before jrar.tir.g inspec-
tion.
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PRA.'~I.'Ir;: Mu.st be !'sc;uested after
appl'ov.::L of rough ,;l,ur..bing, eZectr-i.-
cat ~ mec;..anical.. At! 'l'Oofir.g
bracing & chimneys, 8t~. nr~St be
. como1.e;cd. :/0 -.;.::Irk is to be con-
o cec:Led ur.:i L this {,r,svec;icn r.aa
'been mad~ and approved.
o
CURB & A.Z'P8.CACH .4P.e.ON: Aj'tar foI'rrrs
are ere.:ted but ;n"':"ol' to pco..a"":"ng
~n::l'ete.
SID~';"-LX. <1 DRJf.TWAY: For aU con-
creee paving ~i~hin street right-
Ol-wC:~h to be made atter aU exaa-
vatina ccmvtete & form '..JO'l'K. & sub-
base ;'.c:te~':aL in pLa::e.
CE.'.!Or.ITIO;'! OR ;~:QV::; 3UILDlifCS
:J Sani-tar.! se".Je'l' capped ::::t p:.opo:rt-; Zir:a
==:J Septi~ tank r~~ed and f~rZad ~ith gT=~e~
---, Pinat - [;Then abcve {,te:::s a:re Cc!::oZetcd
~ and ~hen ie~cli;ior. is compZe:e or st~~=-
t~e ~oved ar.c: ?r~Jes cLeaned up.
Mobil.e :'lcmes
=:J Blocking ar~ Sat-up
=:J Plumbir~ connec:ior.s SC<U9r ar~ ~atar
~ Elcct~;caL Ccnr.ec~ion - Blockin;, set-u?
--.J and pZ.:unbing conr:ections r.r...:st be appro::n:ed
be;orc requesting ~Zec:ricaL ins?ectio~
=.J Ao::eS30. ':1' 3uiZ.iir..g
---, Final - Aft;;r ;:7rcr.es,
---J etc. are cc.mpLe=~d.
ski!'ting, decks,
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fENCE: When. compl~te -- aovide
gates or ~ovable sections th'l'ough
P.U.E.
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ALL project conditions, $uch as ~he ins=aLla~ion of street :r~es, :~~Za:ion of :ne
r'equired Landsccpir.g, etc., ."TtUSC oe satisfied before the aUI!.DI.W; Fr::AL can be roaqu.3s;..zd.
0, FIllAr. Pl.!/;'(BI:iG
CJ. FI:/AL !.fE:lfA:IICA[,
D. FINAL ELSC':",r:IO.:'
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PINAL BUILDING: The Final Building !r.s?ection ,~t be requested ~fter the.Zir~l Plu~bing
ELectrical, and Uecr.ar.iccZ. .Ir:specr:ion13 have been made ar.d appro!.1~c..
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"AU, MANHCf,ES AND CLEANOUTS ,'lUST BE ACCESSI3LE, AEJL'S7.'!2::T ':'0 3S ,'.fADE l!T !lO .;:S':' Tj ':I':''! I 0"...;) of 2
I JOB NO,~ 22ZloZ"sOLARlcESS
!.
!.;.C'!':e:
ILet: Sq. Ft.;.
I~ ~f la: Caveraq.
! # of Stori.es
11'otaZ Haicht
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I Topography
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~!!E"I
l.~l:in
l~':Ca
SQ. FTC
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I ..i.c::essor")
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IS,D,C,
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TOT,H; :.'ALUE
I :X:'I.:.J.C)
],5 =
3uiLding P~;t
State SW"ch~e
:OotaL Cr.a......ge3
II':'!;'.!
!:L-t;-.;.res
IResident~Z (1 beth)
I Scr.it;a::r~4 SlWezo
I ;;r:::~e!"
I
1,,10'1
'I' I
. I PLumbing Perr::i t
State Swocr.arge
Tctal. cr.c:r'ces
11I'Dl
I.t?es. Sa. fta.
I New/Extend Circ'.J.i ts
I Temporary Serncs.
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I'VO'I
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Ele::tricaZ Pe~t
State SUI'~harae
Total C'fUll'C€S
I I?E,V
"C'I
I
I
P:.trr..:::l:ce ETU' S
E::naus t Hood
I Vent Fan.
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I iloodsto:;e
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Perr.n.t IJsu=nce
.'1e::r.anic::.Z Permit
State SurcJu::roae
TI'J:,;,~l C'hcr'7t!!'I
I :::ICRCACE:E:/'!'
I 0 '~D '.
l...eC".J.1""~l.U 2:'031....
StOI'!1qa
,'~int;:ncr~2
I D '.
. CI'f'!t'!....
I Total. C"rlCr"U1S
I Cur.?G"'.J.t
! S{,di!!Ua.l.~
1 Y."".
! GZ.acrrical. LaheZ
\ .\fobita flame
I TOT A!., ANOU.~'T DUE:"
GCC""i.:;an.c:J Grou:;:
LOT T'fPE
I'f'.tel't.or
Corner
Panhandle
C"J.L-de-sac
x Value
CHARGE
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Ch'Ai/CE
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1/009/
1s'(.)CJ I
.100 I
11SteO I
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CHARGE
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)5.lo(j
?::.ge 2
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L-COG'l.<
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REQ,-
T;.;peICor.8t:
Bed.r~oms:
I [,at Faces - I I EnerGlJ Soul'-::es
I Setbacks I I .,'eat
I P.:-. Ho~se I Caraqe I Access, i I Water 'ip.I'1~;:!Y'
It/orth I I Range
IEl'1st I I Fireolace
ISouth I I I I Wooa.:;to:;e
[West I II _ 1,1
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Pees
T:n:e
Building Value & Permit
This permit is granted on the e=Fress -::ondition that the sdid.conscruc;ion
shall, in all respects. conform to the Ordinance adopted by the City of
Sprir.gf'~eZd, including the Zoning Ordinance, roeq',A,lc.tir:g 'tr.e COr:st:':.l'::~.;n
and use of buildings, and m~y ce suspended or revoked at cr.~ t~me u;or. vio-
lation of '1.J".y pr:Jvisior.s of said Crdir'.ances. ~ .
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Plan Check Fee:
Dat~Paid:
Receipt IJ:
ISi;r-:ed:
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Plumbing
Permit
No person snall construct, instalZ;"aZter or change any new or e=isting
plumbing :Jr,drainage syste~ in whole "or in part, unless such person is tr~
legal possessor of a valid pLumber's license, e=cept tr~t a pe~son ma~ do
plumbing work to proper~d which is ownedJ leased or operated by the appLi-
cant. /
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Electrical
Permit
Where State LaLJ requil'es tr.at the elect1'icaL /Jork be done by an Electrical
ContJ:>actorJ the electrical portion of this -permit shall not bt3 valid until
tM label has been signed by the Elect;rical :;ontractor.
Mechanical Permit
P "an '::za;m..ner
L..'a::;a
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I HAVE CAREFULLY F:XANINED t,Iuz complated =ppZication jor permitJ end do
hereby certify that aU informat-:.on hereon is true and corrcc"tJ and I
f.ao":her certify that arty a:r.d aZZ !.lork perlomred shatz be do':1e in accor-
dance ~th the Crdin::mces of the City of Spr--;ngficldJ and =h~ ta-..:a of tha
State of Oree.:m oS'rt.J:inina to the war,1( d.esC!""'~bcd here:,nJ cr.d that .va OCCU-
PI-NCZ uiil~ ba rrr::J.d.e of any'" structure without permis3ion of the =uildir.q 0--;-
vision. I further ~ertif~ tr4t O':1Zy ccntra~tors and ~Z~yees wh~ are in
c~pliance with CRS 701.05& will be used on this projzct
~
.5ignzd
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