HomeMy WebLinkAboutPermit Mechanical 1990-10-08tl" RESIDEI*HIAL"
- aPPL'tcarruh, - tnltrr
225 North |th Street
Sytringfield, Onegon 97477
Buildtng Diuision
oo? 2ar2/ 1,Lt'J I dO
.rob Locaticn
Assessora ltlaP il r^)
Svb<Liu")sion:
Otmet'
Address
City:
't
SPFtTNGFIELI)
t,,r'
tdditicn
RcmoleL
Datc of Appli
orrfrilc
.-) t,oooro ,,r,"Date:
Value
fe
o(
Tc..x tat ll
-)enera I
3 Lurnb i ng
'lechirrr i-ca I
c(: [. l:il
l
l
-J
:l
!'crms.
Utr)ERSL,1rJ PLU\EINC, ELECTRICLL &
,iit-'t;tt,t:tlc'aL: 'ro be made before any'i6nk-ii'.oucred.
l!,!l!!N__!-_t9!.Y!l!f9!t: ro be rmce
:ittrr h'e"aire$ "";ircauated and
forns at e erected, but Pt'ior to
lt)Ltt, i. rlg acnctete.
-* I ttJ,tr:!tg!)U:rp P[,uwrNc?
I l':tl!!Ll,_;l: 'l'o be nale prLor to ILL-
!it:U tr''4cles.
I ;,:tt,,:,,:;'19r,3 pt.trt:nrltc a, ttec :
^" I ,. !,. tnula [,riot' to itt:itdlLatLon ot
.i !,,., t' iltsulction ot' decking'
I j\';'.! .tNlt tttAltl: To be nade prion to
I , ,,,; r,: i t.ii-t -n ol f loor insulation on
,1 . ,(t r-ri.,'.
, ',, , ,,!l!:l!:Jc. rt.EcynlcAL ,Q tlEclt-
,., r ',.' ,' ';i,,-',.;i:-i;'t01; ao"'et'ed
tt,.t i I t,;ktstt il$pections ltape been
,, r.1,, .rrr1,ttptoued.
, ' / ' I 'l 'i ..ir '1.': I't,i.or to plcctr4 facing
,,i.r. i i I t:t .iltl bc!'ot'e fratning inspec-
r i,,,:
l i'jlil l r' : : |.lrts t be requested af tet'
,,,t,,; ,, ,! "'1' |ctugh plwnbing, electt'i-
.:ir/ :; ",, ,.:Jttrti;:al. AL! t:oofing
Itya.:tt:.1 .l i,himncqs, ete. mast be
a1111,1t 1 , 1, ,1. !!o uork is to be con-
rrdr;1,,.1 r,rtt i I tlds inspection Lns
ltt.,,t r;.:', t,,t,! q>ftt'OUed.
I NSULATION / VATO!] I]A R R TER I ILSPILZIPN :
To be nade aj'ter aLL insulaticn avg
required oapon bawiets d7'e in pLace
bui be|ore any Lath, gYPsurn baatC ot'
uLL cooering is aPPLied, and before
ay insulation is concealed.
lour Ctty peaigruzted Job Nwnbet' Is:,
DRYHA|,L INSPECIION: Tc be made
;F"r' "V-/t'ruatt'is in plaee,
but prior bo cnY taPing.
MAS1NRI: Steel location, bond
TJfri]grouttng ot: terticals in
aceondance with U,B.C. Section
2415.
TIOODSTO'/E:
ccnpT;TA.
After instalLation ie
IENCE: hlten conPlate '- ProoiCe
fiGi or nouable sections thtougli
To bepriar tc set
after
uP of
CURB & APPRCACIT A?P1!: Aftet forns
A; e"".be[but pt'ittr to Pottring
concrete.
SIDEUALI( ,q DRII:E\!/:Y: For all con-
""ete pavirg itttrin street night-
of-rx:ti- to be maCe after aLL erca-
,tLti"-,t- eonplete & fom utork & sub'
base nntertal in Pktce'
Ltl tt.
F/.rill1 i I;,'."' 1,'li
P. U. E.
ALL projeat contltlions, suck as tl.te i.nstallation of street tl'e_es.' conpletion of the
reqttiretl landsccpir.g, Lto., ,nst be satisliid-A,rfo'"n-tnn B\IILDINC FINAL can be tequested'
FTNAL DUILDINC: The final Brdlding Inapection mtat be requeeted altet the Final Plwnbing
'81
;; ;;";;;1::" olc un " hnri "aL r ns p e c t"ions'hqu e b e en nade arul appr ot e c'
P:1!e 1 af 2
BUI,
Sanilary sase* capped tt pt'operty Lir-e
.,r jr1'i r.r,,illi1 Wri/$,lr,f,,,itl i,.l; l[,r, ,,,
Septic tank p';mped and ftlled vtth gratel
Finat - l{hen abcoe itens are ccnpleted
and uhen Cenalition is canplete o? stv'ul-
ture noued and premises oleaneC up.
Ilcmes
Blocking and set-uP
Ptwnbing connections -- acl,)er and, ualer
Electrical Ccnnection - Bloeking, set-up
and plwnbing eonnections rrust be apprcvzd
before requbating el, eclr'ical inspec lion
Aceessor"; BuilCing
Pinat - Aften pcrch.es' skinting, deeks,
etc. aPe conPleted.
,1;t. !!,1i,t!!(11t..: r1t//) Ct.t.:,1NOlt't'!: lltt!'l fi!': tlCt'li:;9IBt,ll , .4D,llt:iT!1fiff T0 3E ll.4t\t /'T l:0 CCST fO efTY
w
-t \-q@D Lr,.q""-:'? 5 *WU0J\01,0)I
lrrDC tilec E r cliln
It ia tlre responsibility of tle perwtt ho-ld.er
J'ron the atre'et, artC that the -pe?mit -c-atd is't\uildtng t)iuisio:: approted plan slu:Ll remain
that all inspections are nade at the pto?e? tine, that acch ad.dress is teadable
at the front of the PtoPet'tY-Building Siti at all tines.
job aCdneas' tYPe
P,equeste recei"-ed
of inspeclicn
befcre 7:00 ct
to aee
Located
on the
you
be nade the same dcY, requests
!JJ:!-JNU9:JON:etrca,aticn, but n
trnb
:ll
--'t
L-CCr c'
JOB NO.
Building Permit
Stabe
Total Clnrgea
Plwnbing Pefiiit
State
Stdte
Total
Penit fssuance
l'lechanictL Pemit
SOLAR A(:CESS REQ''
BeCroons
Iat Facee '
-- Fees --
!tea
Datc Paid
Receipt ll:
Signed:
L,tcc
tote
Buildiing Volue & Permit
This permit io gno,'fted-on the erp.resl t!d,!!io" btwt the s'ri i ' ''' 'i "r
sh/rll, in all resp,ects,- ionforn to the ordinance edopte'l h1 t'h'' r "' ''l'
Springfield., inc!-u,ling'ttZ'\lo"i"g Crdina.nc,e' regulcLitt'1 Llt'' '' ''.
and use of buildLm1s, o"a-^'y be"susp.ende'l or reuokcC dL ct:tt t:" 'r "
iii.o" of ony prcrsisions of said ordirutrces'
Plumbing Permit
No oercon shall cc'nsttuct, i-nstaL!.,- alter or changc.GnlJ nel,-1', ";7 rf r'rr"
;i#:b:i;".;'Z;ziTziz- "iztL"-'i)-"n"i. or in patt, "u*Lesi such pc,';:tut ,i.:: t.).
lri)"t-io""-n""oi ot!" ull;a pu^anr's License' eicept that a pc::;tttt t1 1t .t''
plunbins uork to r'r.p.iii*"ini;;";'";;;e:lno"nd o'r operaLed bv r'h" ni1't
cant.
-t
I
lElectricol Permit
WhereStateLatttequirestlut'theelectt'i:aluorkbedonebyanElecLt'i':a1'
Contractor, the electtllot po'tio" of this pniit shall not be ualitl wttll
;;-1;L;1 ins bee,t signed Ay tne Electrical contractor'
Nlechqnicol Permit
-Pf,an Esant'ner
,
IHAVECARilFULL|EXAMINEDtheconpLetedapplicationforpermit'anddo'h"i:";; ,)tt7i-in"i'-i-tt-lr,ior "tilon he,eoi ie tnue and eortcet, dn'C I
fut,ther certify tnat aiy- aii aLL uonk pe-nfotmed ahall be do:te in aceo?-
';;;:;;1i'li'u'o,rain,no"ed-of the citv of--sprinsfield'3ru7 Lh.e t'c';e of t'trc
Trii""-o?"'irZil"-'t:r;;;;;;iq-'to'the uoir<ZedcribLd here1n' cnd ltnt No cccu'
pANCr uitl be nr.,le of";;;",;;";;;;;-;it1;;1- piii,ueio, of the sui,tciins D.i.'
oision. I furth,er "nnii"]',i that oily cantras'toPs arul 'enplcyees a!:o are i'tt
Z*ilil""'"Ll'ti-ons zot'bss uiLL be-used on thie proiect
7
n
llouseP. t,.
th
Iot Sq. Ptg.
Z of lot Cooerage-
! of Stories
Total Height
TopogruPhY
TNT TYPE
_ Interior
Corner
PantundLe
-
Cul-de-sae
X VaLue. FTCITEM
TOTAT' VALUE
s.D.c. 1.5 x
CHARGENO.FEE
Fittwee
Residential (1 bath)
Seuer
Wc
FEE
Neu/Ertend Circui.ts
Serttice
CIIARCEFgE
khanet Hood,
Vent Fot
-- ENCROACHMENT --
Secartt it
Permit
Sidasalk
L
Mobile llane
TOTAL A\IOUT,IT DUE: I ,{b 35 A
Cvrbcu!
{
*
,
Tate-
Permit No:
Address:
lssued Date
STATEMENT:
INFORMATION NOTICE TO PROPERTY OWNERS
ABOUT CONSTRUCTION RESPONSIBILITIES
Note: Oregon Law, ORS 701.055(4), requires residential building perrmit applicants
who are not registered with the Construction Contractors Board to sign the
following statement before the building permit can be issued. Licensed ArChitect
and Engineer applicants, exempt from registration under ORS 701.010(7), need
not submit this statement. This statement will be filed with the permit.
Fill in the applicable blanks, and initial box 1 and either box 2A or 2E.l.
w
1 I own, reside in, or will reside in the completed structure.
2. A. I-----l My general contractor is
Contractor registration number
I will instruct my general contractor that all subcontractors who work on
the structure must be registered with the Construction Contractors Board.
OR
B I will be my own general contractor.
lf I hire subcontractors, I will hire only subcontractors reoistered with theConstruction Contractors Board. lf I chanoe my mind and Eo hire a oeneralcontractor, lwill contract with a contrattor-who is reoistered with theConstruction Contractors Board and I will immediatelv-notifv the officeissuing this building permit of the name of the contraitor. '
I hereby certify that the above information is correct and that I have read and understand
the lnformation Notice to Property Owners about Construction Responsibilities on the
reverse side ol this form.
u
CONSTRUCTION CONTRAGTORS BOARD
02M) 1U24lW
r
ptfrFr;opy ro rssurNc AGENcy pERMrr F'LE
\): ry( coPY ro APPLIGANT
L tJ lffrl- @s
4 tu