HomeMy WebLinkAboutPermit Mechanical 1987-10-1
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.. RESID~TIAL"
APPLIC(lTl0N!PERIfIT
225 North 5th Street
Springfield, Oregon 97477
Building Division
726-3753
Job Location:
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Subdiuision:
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Address: If d-IJ YJ/IMLJ i IV/! /) Phonf, '2if?-53bf:"
City: ' I Zip:
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n Additicn
In Remodel.
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Date of Applicaticn
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General
Ptumbing
Electrical
/4echtrr.ic.::.l
Co.nstruction. Lender
Describe fl'ork:
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Sigr.ed:
Date:
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Address :1-7.. KooSz II&<.. T
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Lise. #5#~(Q6 Exviros IIIF?P'
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Ie <La the reDpcmoibility of the permit holder to see that att inDpections are mads at ths propsr tim€, that each t::ddress is rea::acZ-t!
fJ"CnJ tM street, and that ths permit card is l.ocated at the front of the property.
~Bui!di~ Diuici.or: approved plan shaU remain on th2 Buitding Sits at aU times.
PtlOCEDURE FOn INSPECTION REQUEST:CAll 726-3769 (recorder) state your City designated job number, job adtircss, type of inzpec=icn
raquasted a~~ w~en you wiZZ he ready for inspection, Contractors or OWners ncme end phone numbcr~ Requests received befere 7:00 ~
:..>iZz. be made the same <icy, requests made after 7:00 an witz. be made the n:::z:t :,)Orkirt{; day.
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O SITE <INSPECTION: To be made after
excavation, but prior to set up of
forms.
O UNDERSLAB PLUMBING. El.-ECTRIC.1r. &
MECHANICAL: To be made before any
work is ~ovored.
o
FOOTING ~ FOUND,1TION: To be mad.
after tronchss a1"'S excavated and
forms are erected, but prior to
pouring ccncret~.
UNDERG.WY.'W PLUMBING. SEWER. W.1TEl?
DRAINAGE: To be made prior to fi Z-
.7.ir.g trenches.
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UNDERFLOOR PLUf.aJING & MECHANICAL:
To be made prior to in3taHation of
floor insulation or decking.
POST AND BEAM: To be made prior to
instaHation of floor insuLation or
decki"!;.
ROLlGH PLlP..!BIllG. ELECTRICAL & MECH-
ANICAL: No work is to be cOf.:ered
.ur.til those inspections have beer.
made mid approve'::.
FIREPLACE: Prior to plecir.g facing
materials and before framing inspec-
tior:.
FRAJ!INC: Must be requeDted after'
approval of rough plurr.bing, etectl'i-
.cal & mechanical.. AU roofing
bracing 4 chimneys, (Jt~. rn"..lst be
/completcd. flo work is to be eOt1-
. ceated until thiD inspeotion has
. b6e:n made ant! approved.
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.Your Ci ty DeDigr.ated Job Number Ia:
O INSULATION/VAPOR BARRIER INSPECTTON:
To be made after all insutatian ~4
. required vapor carriers are in place
. but before any lath, gypsum beard or
LnU covering is applied, cmd before
any inauZation is concealed.
DRYWALL INSPECTION: To be made
after alZ drywalZ is in place,
but prior to any taping.
O ~SONRY: Steel. tocation, bona
beam3, grouting or verticaLs in
accordance with V.B.C. Section
2415.
r71 ,WOODSTOVE.: After instaUation is
~ ccmpleted.
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O CURB & APPROACH APRON: Afte:- forms
are erected but prior to pouring
concrete.
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SIDEWALK & DRItrc;WAY: For aU con-
crete paving within street right-
of-r.x:.y, to be made after at! exca-
vating complsta & form work & sub-
base material in plaae.
~1o ?l{?--
DEUOLITIO!,l OR gaVE:; BUILDI;lGS
~ Bani =ary se'Jer capped ::l.t rn:.opcrt-:i lir.e
=:J Septic tank p:o::pcd and fiU~~ LJith ;;ra~el
:J Final - fl'hen abcve ite.'7ls are ccmpletcd
and when d~lition is comptste or stru:-.
turs moved and prcmiaes aleaned up.
Nobile Hcmes
:::J Blocking and Sat-~p
:::J Plumbing connections -- scwer and ~at6r
. :::J Etectricel Connection - Blocking, set-uF
~nd pLumbing connections nr~st ce approved
before requesting etectricat inspectio~
~ Accessory Buil.ding
:J Final. - After p:1rcr.es, skirting, decks,
etc. are oompteted.
o
All. project conditions, such as the instattation of street trses, ca~Zatio" of the
required landsccpir.g, etc., must be satisfiad before t1:e BUILDING FINAL can be requestsd.
[] FIlIAL PW/oIBIIIG
~ FINAL ME~HANICAL
o FINAL ELECTRICAL
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FINAL BUILDING: The Final. Buitding Inspection must be requeoted after the Final Ptwnbina
Etectrical, and Mechar.ical Inspectio7UJ hava been made and approuad.
O !'ENCE: When cO:l1pl~te -- Provide
gates or movabZe sections throug1:
P.U.E.
~ .fN-.~ s,,1
.4ALL MANHOLES AND CLEANOUTS MUST BE ACCESSIBLE, ADJUST/fEIIT TO BE MADE AT NO COST TO CI'!'r I Page 1 of 2 !
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I JOB NO. Q10r{7 4?-SOLAR AC.S
I Zone: OaClmanClJ CroU:?:
Lot Sq. Ft..
S of tot Coverag"
III of Stories
Total. Height
I
I Topography
I
I ITEM I SQ. FTC
I Main
I Geraca
I Caroort
I ACCCSSOl'lJ
LeT TYPE
Intericr
Corner
Panhandle
Cut-de-sac
X Va ~ue
TOTAL VALUE
Is.D.c.
I VCLUC)
1.5%
Buildi,lg Permit
State Surcharge
Total Cha:oge3
lITEI-!
I Fixtures
I Resid211tial (1 batM
Sanitary Sewer
I WC;~I'
I
NO.
FEE
CHARGE
Plumbing Perr.:i t
State Surar.at'ge
Total Char(7(~s
111'E~'.1
,
,
I Rp.~. So. fto.
IN~/Extend Circuits
,
!Tsmporary Service
.':0'1
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FEe:
CiiAhC2:
'Eleatrical Permit
St::.te Sta'aharqe
Total Charces
lITEM
i
! Furnace PTY' S
! E::haust Hood
l/le.
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I I
VI
I
\.s::: ,00
pt't'
CHARCE
i V an
('.
.....~ W:JatiltJo:Je
! \'.^i-
Permit Issu:mca
Me::hanical Permi t
Stato 5urchcl"l1c
Tl,.tol. r.harf)~[J
ENCROACHMENT --
SeC"oI.ritll Deposit
Storage
Maintenance
Panni t
Total Charaes
Curbcu t
Sid_tk
Fen::e
Electrical Label
Mobile Home
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IS,OO
:Jl'AL ANQil/lit DuE;:'"
REQ.-
L-COG""
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T;'oe/Cor.st:
Bedl,oor.;s:
Enernu SO~4rces
Heat
Water Hl?atrr'
Rat'9c
f'ircplaca
Wooaotot:e
I Lot Faces -
I Set Xlcks
j P. L. I House Cara{Je
(Jortll
TiJr"c
I Acccws.
East
Sou th
West
II
Fees
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Building Value & Permit
This psrrnit io granted on the express condition that the said construction
shall, in all respects, conform to the Ordinar.ce adopted by the City of
Springfield, incLudi.ng the Zoning Crdi.nance, regulating the ccmJtr-.4o:ticn
and uce of buildings, and m:J.Y be Gucpended or revoked at a1:Y time upon vic-
U1tion of any provisionn of said Ordina~c~n.
IPlan Check Fee:
i Date Paid:
IReedpt U:
ISig"ed:
Plumbing Permit
No percon Dllall construct, ins taU, alter or change G11Y new cr e:::isting
plwnbbl{i or drainage syste:n in whole or in pm>t, w:la:w such pOl'80n is the
legal possessor of a valid plumber's license, except that a pe~son ~y do
pluJ::biJ'lg IJOrk to property which is owned, leased or operated by the appli-
cant.
Electrical Permi t
Where State &aw requires th~t the electrical work be done by an Ele::trical
Contractor, the electrical portion of t}li:; permit shall not be valid until
the label has b~en signed by the Electrical ~Olltractor'.
Mechanical
Permit
PUlIl E:ram'Lner
uac;a
I HA~'E CAREFULLY EXAMINED the completed application for permit, and do
hereby certify that all i~fo~tion hereon is true and correct, and I
f~rther certify that any arn all work performed shall be done in ac::or-
dance :,lith the Ordinances of the City pf Spr'inaficld, and th~ (g..:s of the
State of- Oregon p::rtaining to the work described heT'ai.11. and t}ll1t NO OCC!J-
PANCY will be made of any structUre witho~t par.miB:;io~ of the Building Di-
vision. I further certify that o:1ly contJ'ao:toT'S and c'11pLoyecs who are in
c~pliance with ORS 701.05E will be used on this project
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