HomeMy WebLinkAboutPermit Mechanical 1987-1-20
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APPLICATION/PERMIT
225 North 5th Street
Spr~ngf~eZd, Oregon 97477
Bu~Zd~ng D~v~s~on
726-3753
SPRINGFIELD ,~..._. ,.
Job Locat1-on
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T= Lot # bZ2 (f)
Asaessora Nap
Subd't.v't.st.on
Or.mer ':p h \ \ lip € '5 VY") \ ,\-r
Address ;:;l c> ~ I 1-+ A "- ex, 'R.... ':D~
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Add't.tt.cn
Remodel
'40b1.. le Hona
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Date of Appl't.catt.cn
c.ontra.::.tors
Genera l
Plumbulg
Electrt.cal
tfechancal 71th)?;
Const~ctton Lender
,o,1'~~CE'1
Phone '7 L/ b - D d- -=s I
ZLp q 7~'17
Desc:rt.be f\'or'~
Value
Address
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Exp1-res
Phone
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It 1-8 the responD~bt.l't.ty of the pe~t hoUfeI' to see that all tnspeattons are nade at the proper tume, trat ~cch ~e88 tS I'eadao:e
from the street, and that the permtt card t8 located at the front of the property
~But.Z.dt"..g lhvt.cw'" approt.-ed plan shal, _~ Bu-:.ldulq Sd.:; at all tt.mes
PI'OCEDUPE Fon INSPECTION REQUES ALL 726-3769 (X'c~order) state YOur Ct.ty destgna.ted Job mn-ber, Job adc.rcs8., type of 'Ln3pec=t.Cn _
roequcatcd a'"'t.t t..-'~en you cJ/,Z Z be rE..Q _r~_ ~ '-~~ c.ontractors OJ:' OWne~s r.cme end phore mower pequests recett.-ed before 7 00 a"i
...tZ'l be made the Dcune dcy, requests made after 7 00 am LnZZ be made tlte next .JOrhng da..J /I J----
YOU; C'Lty Destgr.a.ted Job Nwnbe:r. Is ~ 1 (S() ~
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'tRf7!l1. Y'ed Tn.<:Jf){Jr!tuinR
O SITE INSPECTION To be made
excavatt.on, but p1''Lcr to set
forms
[]
after
up of
UNDERSLAB PLUMBING. ELECTRICAL &
lfECHtl,11ICAL To be made before any
work 1.8 ..:!overed
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FOOTING t. FOUNDATION To be made
after trel1ches are excavated and
forms are erected, but pr'Lor to
pourtng ccncret~
U"WERGPOUMD PLUMBINC.. SEwr;T:? W1TE't,
DT:?AIllAGE To be made pr1-Or to ft. Z-
hY'.g trenches
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UNDERFLOOR PLUl'BINC & MECTIANICAL
To be made prtor to t.nstaLlatt.on of
j100r t.118ulatton or deck'Ll1g
POST AND BEAM To be ff'ade prtor to
tnstalZat'Lcn of floor t.nsr,.,latt.on or
decktrtg
ROUCH PLU',fBInc. ELECTRTCAL & MPCH-
ANICAL No uJo1'r 'LS to be cOl-ered
urtt. l these 'Lnspectt.on'l have been
made and approved
FIOEPLACE Pr1-Or to plca'LY'.g fac1..ng
mater'Lals and before frcunt.ng tnspec-
ttor'
FRA/'ING Must be requeated after
approval of rough plumbt.ng, electrt.-
aaZ & mechanu~al AU rooftng
bractng B cht.mncys, etc w~st be
completed No work t.s to be con-
- cealed unttl th'LS tnspectton has
been made and approved
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INSULATION/VAPOR BARRIER I"lSPECTION
To be made after all t.nsul~t'Lon ~A
requ-:-red vapor barrt.er'l are tn place
but before any lath, gypSW1l board or
uxzlZ COVer'Lng t.S applted, and before
any t.naulat't.on t8 concealed
r DEtfOLITIOM OR
OVED BUILDIdGS
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DRYf~ALL INSPECTION Tc be made
after aU drywaLl 'LS t.n place,
but prt.or to any tapt.ng
:=J Sant. ~m y se'.Jer capped a.t p~op~rt"':1 Ztr'e
~ Septtc tank p~ed and ft.lZed,Wtth graJe~
I Ft.nal. - j{hen above ",te'11S are cC'7Tpleted
~ and when deMol-:-tt.or 1.8 complete or stru~-
ture moved and preMt3eS cleaned up
. Mob'L le Hemes
:::J Block'Lng and S2t-~p
:::J PZumbt.ng connect'Lons scwer and wa:er
:::J Electr~aal Conrectt.On - Bl.ock~ng, set-up
and plumbt.ng connectwns nr...st be approved -
before requesttng elec;rtcal 'LnSpectto~
:=J Accesso1:";1 Butldt-ng
:J FtlUll - After porcres, skt.rttng~ decks,
etc are completed
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All pt'o]ect COI1d~t'Lons, lJuc't. as the 'lnstaLZat-:.on of st:r.'eet trees, co"'Wlehon of tne
requ'Lrpd landscc-P'Lrg, etc , must bp sat'Lsft.ed before tre BUILDING FIVAL can be requested t
=:J FINAL PLU"'BIlIG
~ FINAL MECHANICAL
~ FINAL ELECTRICAL
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PINAL BUILDING The Ft.nal Butldt.ng Inspectton must be requested after the Ftnal PZumbtng
ElectrtcaZ, and Mechartcal Inspect-:.ona have been made and approved
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~SONRY Steel Zocat'Lon, bond
beams, grouttng or vertt.cals tn
accordance wtth U B C Sectton
2415
WOODST~~ After 'Lnstallatwn t.8
ccmpleted
"AT r, tfll!'HGLE5 AND CL['IINOUTt""' Hiler nr I1rrF5$IBLr, AD.rUST~fENT TO "1E rf~DE /IT NO CCST TO CI'T'Y I Pa.ce 1 of 2 J
CURB & APPROACP AP9.0N
are erected but prt.ol"'
C01UJre te
After forms
to pourt.ng
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SIDEWALK & DRIVEWAY For all con-
crete paV'Lng w'Lth'Ln street rtght-
of-wcy, to be made after all exca-
vattng complete & foI"l work & Dub-
base matert.al t.n pla~e
D
r'ENCF
gates
P U E
h~en cO'11pl~te -- Prov't.de
or movable sectt.ons through
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12~:B NO 0l0()4~:a~:"RG::"C'
Lot Sq Ftg
~ Qf lot Coverag~
ij of Stones
Total Pet-ght
Topography
lITE!!
I Mat-n
Be; FTC
Gc:raae
Carport
1 A~ccssoru
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TOTAL VALUE
S D C
(1.x::.Wc)
1 5 x
Bu t ld-z-nq PeI'rm t
State SU1'charqe
Total C}1Q"'ge3
II1EM
1 F'LXtures
\ Res"/'dant1-aZ (1 bath)
I Sant-tary Sewer
I NO
Water
Pl.>>nbt-ng Derr1-t
State Surcl.arge
Total Charaes
lllE.N
I Res Sa fto
I NaJ/Extend C1-r>CU1- ts
!Temporary Servt-ce
\
Eleatncal Pel'rrnt
State SUl'~harae
Total Charc;es
I IT[;M
I Furnace PTU' S
I Exhaust Hood
I Vent Fan
I Woodstove
I
Per>nrl-t IssuanCE
Mecham..cal Pernn t
State Surcharae
Total Coo"''':!'].'!
Ef/CROACHME'I'T
ISe~dnt4 Dap03tt
I Storage
I Matntenance
I PCI'm1, t
I Total Charaes
I Curbcut
St.dewalk
F(Jn::!c
EZectrt-cnl Label
Mob1-le Home
'TOTAr,
MfQUNT Dur .4-
~SL
'3 REQ-
l-COG~
T'1De/Corst
BedPoof"'s
LeT TYPE
I Lot Faces -
Setbacks
I p ~ House Caraqe
INoI'th
lEast
Sot..th
!fveat
Water I{(mt.(>yo
Range
Ft-reptace
WOOdGtoLe
I Enero../ SO.A.I'ces
/.feat
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II
II
TuDe
Inter'wr
Corner
Acc..ess
Panhandle
Cut-dc-sac
Faes
X Value
Building Value & Permit
Tht-s pel~t t-3 granted on the express condt-tt-on that the sa~d constructton
sl~ll3 t-n all respeots3 conform to the Ordt-narce adopted by the Ct-ty of
Sprt-nqft-eld3 t-ncZud~ng the Zont-ng Crd~nance3 regutatt-ng the constructt-cn
and use of bUt-tdt-ngs3 and m~Y be suspended or revoked at cry t~me upon vt-c-
Latton of any proUt-st-ons of sat-d Ordt-nanees
,
,
Iplan Check Fee
Date Pa~d
IRecet.pt H
jSt-g"'ed
FEE
eHAl GE
Plumbing Permit
No person IJhall construct3 l..nstatz3 aZter 01' change Gny rew or e~t-sttng
plumb1..ng or drat-nage system t-n ~hole or t-n part3 urles8 8uch person t-8 the
leqaZ possessor of a valt-d plumber's It-cense3 except that a pe~son may do
ptUMbt-ng work to property wht.ch t-s ow~ed3 leased or operated by the apptt-
cant
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GHAR~E
Electrica I
Permi t
Whel'e State Law requt-res tr~t the electrt.caZ work be done by an Ele~tr1..cat
Contractor3 the etectrt-cal port1..on of tht-s permt-t shatl rot be valud untt.l
the label has been st.gned by the Eleetr1..cal Contractor
NC
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Mechanical Permit
CfiliRCE
Ie:; f50
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1160(/
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PLan Examt-ner
Vate
I H,1VE CAREFULLY EXAMINED the completed applt-oatwn for pernnt3 and do
hereby eertt-fy that all t-~forrnatt-on hereon t-8 true and correct, and I
further certt-fy that any ard all work perfo~ed shall be do~e tn accor-
dance "nth the OrdUlances of the Ct-ty of Spr1,.r1gf'Lcld3 and the La-...,8 of the.
State of Oregon pcrtat-nt-ng to the work desert-bad here~n3 end that NO OCCU-
PANCY w1,.ll be made of any struoture Wt-tho.A.t perm1..S81,.O~ of the BU1,.ldt-ng Dt--
vt-st-on I furthel' certt-fj that o~ly contraotor8 ar~ e~ployee8 Wro are t-n
ca~pZ~anoe wt.th ORS 701 055 w1,.ll be used on th1..8 proJeot
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/~k-~7
Date
AC IVITY INFORMATIC ' SHEET
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tJ;Y- ~
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COMPLETE THIS SECTION. INCOMPLETE FORMS WILL BE REJECTED'
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S'I-?lrt':- I-.o..r( c-.
PERSON MAKING REQUEST
P, 1. ~ /1'7,' /A.
PROPERTY OWNER
MAILING ADDRESS
MAILING ADDRESS
C {.L cJ ~/'-I":
I CITY
/)/l
STATE
ZIP CODE
CITY
STATE
ZI P CODE
BUSINESS TELEPHONE #
HOME TELEPHONE #
BUSINESS TELEPHONE #
HOME TELEPHONE #
2 PROPERTY ADDRESS
(IF DIFFERENT FROM MAILING ADDRESS)
: 3 MAP &. PARCEL NUMBER
(REQUIRED INFORMATION)
(from tax maps 1n Department of Assessment and Taxat1on.
or from tax statement)
rJ./';....-".l L' "..., ?,,/'I~, _~ .7~ /.
(1 - / , ~~ ~~ .~
TOWNSHIP RANGE' SECTION TAX LOT(S) OR PARCEL #
ZONING
If ' 03 /I ~~
TOWNSH I PRANGE' SECTI ON
1- z. aU
TAX LOT(S) OR PARCEL #
ZONING
TOWNSH If' RANGE' SECTION
TAX LOT(S) OR PARCEL #
ZONING
TOTAL CONTIGUOUS PROPERTY IN SAME OWNERSHIP-
,4 SUBDIVISION (1f app11cab1e) 5' t"- AJj :.JJ.,o.J~''\-
5 REQUEST (~tate exactly what you plan to do) <::; z:::.;pf/c
ACRES
LOT .2:;2- BLOCK ~
76' A /C If 11.L.r- f}/1I1
j 6 DIRECTIONS TO SITE
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** FOR STAFF USE ONLY **
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ZONE/ LAND USE.
14-33
LAND MANAGEMENT DIVISION / 125 E 8th AVE., EUGENE, OR 97401 / 687-4061