HomeMy WebLinkAboutPermit Mechanical 1983-10-14
RES\[fNTlAL ..
..
AFPLI~A?ION/PERMIT
225 North 5th Street
. ",' 7" ()
Sp~r~J~e~~J Jregon
Building Division
726-3753
97477
Job !.oc.:::.:ian:
/7c?CJ l1/iLeLEr
1'\ ()r:>8, :3 3'2..
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AS3eSOOl"Z .'.!ap IJ
Stdxii.:t";sion:
C'~."er: ;Upnn /(' F. &.....,,#
Add>-m: 17..2Q mn. ,.....Iu.-j- c:+
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Tc.: Lot /I
Pr.or.e:
7'1j-:129n
Zip:Q7'177
L.iJ~
, u15-e-r-t
DesC1"";be rl'ork:
(j))cd jto V'e-
- J.CJ30 -ti.4[x)2.
Addi. den
Ramoea!
.'~obi 1.8 ,~O"~3
10/;'-I/!3
Dcrta of A?plica.:ic:n
~;on-::rac:o:r8
GenereL
P1..umbir.g
~z.03ctri.cal
Ne=nar.:ic=l
(() 111 flLt' J
CO'PtBtl'"'..4C:iC11 l,cnd~l'
Value
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Add....es3
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S-4:rr.ed:
Da:te:
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Phon.e
It ia th. responsibiLity of the permit hold.uo to see that alt. irwpecticl18 :I1'e r.-.adtZ at :J:Q ;:roper :imc~ t.J-.at .:.cch ~fl88 is r......:".:,:oi
jioom tM street, and that tn. peI"l"rri.t card is 'l..xaeed at the [l'011t of the ?f'OPerty.
..eui!d.ir..g :r:.,ri.=io!': a?FMVed pLan s;...='::1. renain on tr.- BuiWinr: Sit:; at all tUnss.
?~OCSDm~E FOR I,':S?Et:!'I'Jll R!'C'V3'ST:CALL 726-3769 (recorder) state your City :esigr..::zted job rtl.l1i.bel',
l'aquestcd a.-.d :J.~en you :..ri.I.l be roeady for ir.spcc:-o;on, ContraC'~l'S 01' C\.:ne:-s nc::'Te end ~hone nu.'!tba.
:..'iZL be TTmie the same ded, reques:s ."rIde afta' 7:CJO am wiZL ba r.:ade tr.e net :,x)rki11:1 day.
~1!f""!,,:,.....rI,-1',.,'1"""'!:":!:~."t
O SITE nISPSC':I().'l: To be r.r:.c.a c:f;.Jr'
e.:cava:ion, ';1.1: prier ;.c set up of
forms.
u
U:WFRS[.A3 ?!.L'.'.f3I:iG. FL2C':'PlC,:! i
:-!ECHA:/IC,U..: 70 be ma.ae be~-orli :=n.y
uork is =ovcrea. .
o
POOTD'C ~ FOU:lD,1T!C:l: TO:;8 ::ade
aftti1' :;re11Cn.as ~6 e=cavatotd ar.d
j'erms G:re erec:ed, but ;;:-;':;1' :;0
pc:.trir.g ccncre-:.o.
U.'llJ~G:~OU:!D ?:'W.f~D'G. S::;'::R. ::.t.l~S.~,
D,~.'JAGZ: ;0 ae .-:r:::ie ?r..or :;0 ,;'~i.-
li.r.g :rer.c:r.J6.
D
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ir./r:ERY~C,r? P!.:.J,~Sr::C -J "rE.'C'3.A.'lICA!..:
To be r.:a.C.e ::;,....:.cr :;0 :.r.3:-at..~t-:.on 3/
,fUJol' ::nsuza:-icn or deci<.ir.g.
?')ST AND gEA,,'1: To be r.'.aec :n-~l' to
~r.8taL;.a!:...:cn of j7.oor i,....s:.:za:ior. 01'
deckinq.
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ROr.'IJH ?!.[;~~!:.IG, ?:_~~~_'t?!"-:A:' ;. .'ECH-
ANICAG: Jo 'JO~~ is ;0 jc cove~ea
:.u:-:i l :hCSol ~r..s?ec:ior.s ;'..=::e ::eer.
made .=r.Ji =??!'?'.1e:i.
Fr_~E:PL~C!: .~;or:o ?Lc.::--;....g ..C:.~r.q
r.J(;::t?.,...~i.a ~r.d :;E:lol'fJ f1'Cr.rir.g inspec-
:ior..
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FP..,J,.'~!:Ir;: A'U3: be ret;'.l63:ed at:.lr
ap?rcv~l oll'::7Uqh plli/iiJir..g, et.ecm-
cat ~ r.:ec';'..z~~al.. Al!. '!'Oo.":'~::g.
brae"~l".g & cn.ur:ncys, ilt.:. ,~""s: :;e
cormJtt1.r;cd. :.'0 ',;01'< ~8 :0 ae ::'C'J1-
,cfic"lad un:il :f:~:; inscec-:icn ;..as
. b€67'l !r.ad.~ and apPl"Oved.
ICTU:l' Ciq,' Desigr.ated Job Numb6...... ItJ:
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INSULATIO.V/VAPO,9. BA,f?RI=.~ I.'lSP::CTION:
To be r.nd.e '3t-:eI' all ir.suk:ti.?n cr.d
1'aquired vapor ca!T"';ers are in pl.a.ce
1::'.lt cefore any t..c:.th~ gyp8'".Jr.I beard or
wlZ. covering is applied, and befol'e
any ir..aula:icn fs ~::moealed.
Job ~"'CS8, ty~'
Requ~s:s rfJcBi~6d
of in::pflc-:icn
Oe;(;1'9 7: 00 l::':
o
DR~~ALL INSP~CT!OY: Ta oe .~e
after alL Cr-:fl..1a:z.z. ~8 ::71 place,
but prior to any =apir.g.
~3;;)./3to
DE,'.:Ol.ITIO:'l OR :.:Q~; 3UILDlii':;S
=:J Sarti -;ar..1 8e'.Jer ~a;;;",d ::: f"l'..op~rt-:i
I ...'.... A:d "11 rl .....
---1 56? ....1.0 <;a7I,I( P-..J::?-- a;o: J -:.. J__ t.."L...1I
l.i.>:B
G"r-:::;B~
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MASONRY: Steel z.ocation.. bonc.
~eam3, grouting or verr;ica~s in
9f~~~~c. ",;.:h a.a.c. Section
;t()ODSTOY::: After instaLlation is
ccmpLe:-Ga. ...
CORE & APPHCACP. AP.~ll: After forms
=zoe erear;;e.d out pri01' :0 P$UP";ng
~n..::rete.
o
o
SIDErJAl..? & :JRJTE'~A?: Per all. con-
crete ocr.Jinq within stzoect riaht-
of-wcy: ;0 be !r-.a:ie a.....ter aZ! ~a.
vating ocmpl.eta & jam wrk & .;ub-
base :xtenaL in pl.a::e.
---, Pinal - j;'hen above ite:::s arB c~':'f:'let"~d
---1 a.r~ :Jher. ie~Litior. is c~~ete or st~~~-
tu..-B moved and prc:ri3BS .:: leane:! U?
Nobile HC,'1:eS
:::J
:::J
:J
BLocking and S~t-up
PLumbing connections
sc:.Jar c:r.a wat;~l'
o
::ENCE: wr.er. camp l.te -- ProviCs
gates or movable sectians tr~gr.
p,a.s.
ELectricaL Connection - B~kir4, 8et-W?
and p~ing c.:7.'1r.ection8 t:r..:st to appro:;.:!.
befol'c l'eque8:~r~ elBa~ricaL ir.8?ec:io~
o
~ Accescor:,' 3uiz...:~ng
] Fi,....a.l - ,1ftCl' ;'1'c1:68,
etc. are c:;::rpZat.d.
sk:.rtil".g, dec.....s,
o
All pro;ec: cor.ai:;ionB, ~uc~ cs ~he ~n8=aiZctio" of stl'eet :re6S, ::,~~laci~n of :he
l'eq'.lirea ianiSCCf'ir.g, etc., .';':U8t :;e satisliad befol'e the aUIl.~I::G :1:/AL ::'an !JB rZq'.J.Qse.::d,
',--'
L-.J FnJAr, P!.U:.:B!:/G
U PI:I;'!. ".!E~,lfA.:l!C.tL
o F!:/AL =:'S=-:.~I'::'L
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.":'!i/AL BUILDD'G: The Final BuiLding !r.s?ection .':';'"..lst be requ.e::;ted ::,:-";ar :ha .:;oinal ?tur.:bing
2Zec:ri~aL, and Necha~ical Ir.spec:iana Juwa been ,~de ar~ apPl'oved.
-.t.:,:; ,'.!A..'1HC!.2S AND CLEANCU'!'5 :fUS~ 3E ACCSSS:ELE, .4DJi./Sr::E:lT :0 5E ,~:'1Cr 1!T :;0 ::ST ';''J CI':Y I ~"".iJ of 2
I JOB No,~3dl3.1.o
! Z01':a:
Lot Sq. F:o;.
:: :;1 t.:;~ C.:;v(Jrag~
.iI of Stories
!'ot;a~ Hright
I
I Topogra;;hy
IITEN
1,1.k:in
I~CC'B
! Car:;ocr";
I
r Acacsso!"J
I SQ.fTG
TOT..g. VALUE
IS.D.C.
I
II.,'C:":4C)
1.5 =
Buildir.g Permi t
Stats Suraharge
Total cr~""ge3
IITE.'1
j.ri-.-nores
I Residential (1 bath)
I Sanit.::.:ry Seo..Jel'
I w'e.t:c
I
PlW1lbing Perr.:i t
Stats SUI'd'.arge
Total Chc.!'aes
, ITS.\J
,'res. Sa. fto.
N3lJ/E--tend CirC'.J.i t;s
Temporary ServiC9
E!e~tNcal Permt
State Surcharce
Total O.azoces
)
IITE'~
Fia'r..:zce ETU 'S
I E::::haust Hood.
I Vent Fan
I .
I iI:xJdsto:Je
I
Permit I3su:::n.ca
,~e::;'.anic~l Per>rni.t
State Surcht::r!:tc
Tl:l't.'!l C'Joar'!R!1
I NO./
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-- ENCRCACHNE,'!T --
I SsC'.,critu 02;;03it
I Sto't'=pe
I Maintencr...::'12
Ip(!...~t
Tota? .Chal'!1cS
Cur';C'..tt
Side:.Jal~
I :crt::e
I Electrical l..=.beZ
I U b '. "
! .~O 1,.':'8 Qoms
I TOTAL loXOU.VT DUE:"
SOLAR.CESS
()CC"J.;;anc~ :;:'7'..t:::l:
WT:Y?E
Ir.:ericr
Corner
Panhc.ndle
Cul-de-sac
X Value
FIT
CHARGE
CH,JJi.GE
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Ct!ARQS I
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/5~ I
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/5,1.00 I
REQ,-
P::.ga 2
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L-COC"l:'
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T;':Je/Cor..st:
3eeroor.:s:
I '~~er~:J S(r..ll'~es
.~ \, :::ea:. _.
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II
TiJ~a
I Lot Faces -
I
I 2, G.
INo~th
lEase
ISou<h
jWest
::JP.t>-;I'J,CK.:'t
I H0t4se- - .rCCU'c::ae
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ilc:'''!,:, ,~~~-:;?J"
Ranqe
F-:'l'eoi.c.ce
Wood:;;;o:;e
I Access.
F2es
.
,
Building Value .& 'Permit
This perm-:.t ia granted on the expr>e8s condition tr.a.t the said. construction
shall. in all respects. con[crm to the Ordinance ~~ted ~y the C~ty of
SOMT'.gf'ield. :.nc!ud:.na ;ne Zonina Crdin.an~e, ~qO".1lc::.r:.a the ccr.scl""~cticn
~~ U8~ of bu:.Zcings.war~ m=y bcwsu:Jpended or r~voked;t cr.~ =i~e upon vic-
lation oj' any pr:Jvisions of said Ordir.anees. . , .
,.
!Plan Check Fee:
ICate Pa;.d:
IR.o.ip~ Hi
ISig>:ed:
Plumbing Permit
No person ahall construct. in8~l!. a!ter or change any T'~W or e--istir.g
plumbing or> drainage systen in ~hole or in part. unless such ~erson is tr~
Legal possessor of a valid plumber's license. except tr~t a person ~a~ do
pl~~ing work to prop6r~~ ~hich is owned. leased or operat2d ~y the appli-
cant.
I.
/
Electrical Permi t
Where State La:t.J r>equil'es tr.at the eZectrica1. work be dene by an. E7.e::tncal
Contractor>. the electrical portion of thw pe~t shaH T'.at be va1.id until
tluJ Zabel has b~en signed by the E1.ectrica1. ~ontractor.
I,
Mechanical
Permit
~
Plan .5:::;annnel'
ua-r;e
I HAVE" CAREFULLY EXA."!I"'~D t.w compLeted application for ?6!'mi~J c:n.d do
hereby certify that all i~jo~.ation hereon is true aT'-d correct, and I
I f.l.1'ther aer~i.fy that any ar.d alL ~ork perfo~ed shatz be Coi1e ii1 ac:or-
r dance ~th the Ordin=nces of the City of SpringfieLd. and :hz ~~s of tha
... State of Oregon psr=-=.in:.ng to the wor.< d.esr::r"'~bad herein. cr.d :r.a: ,vo OCC!J-
I n.:1Cl :viZl De !rr1.:.e of any 3truCt'.u'B IJitho~: p2~s.3ion of tnB Ju-:.!ding Di-
vision, I IUr.f;her certi.f:,j t;r..at cmly ::ontra::ol'S (N.d e:r:pl..;YB6S ~;...o c:rs in
I compLiance wi:h CRS 101.0S~ witt oe used on this -;rojgct
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(UAA/U/(" C ! // A--f'-/ '
"gr.aa ~~.
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X //) -/l/'-$3
. Date