HomeMy WebLinkAboutPermit Mechanical 1983-1-24
.. RES~NTlAL':
APPUCATION/PERMIT
225 North 5th Street
Spl"~r~field. Oregon 97477
Building Division
726-3753
,!J.r;:;: n 7 -rnlt~ f'M!h. JJi) I f"rrfJ~~ \
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Job Lo~:::ti071:
A8aeSGOl'~ .t!ap
Stl.bdirr;sicn:
SPRINGFIELD
r;( 0 N\J'fu-Hr1 rrJi b__
fJ..I:)(., 71h~f1/'~ W f
~ Xp~ O~ .
:::....'7161':
Add-...es3:
City:
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Add"; ticl1
Remoc.el.
.'!obi!~ .9oma
t'c.:e of ,..tppli.::::%:icn
~'onrl'cc::or8
GeneraL
Plumbing
ete~troiC'a.L
Ntl:::har:i.c::l.
C071str~ctian L~na'er
Pr.one: 74 )-55?f
Zi?: 47),/)")
Desc:ri.be [I]Ol'k:
Addres3
':~cce-:.p; ft.
(,,",0: ~/\Di
W~
I ~/
/1%
/c5,()()
,60
----
/6 6 [)
cluk
~
Siqr:ed:
Date:
&-
~ f-'!)4-(f 2.
l.ise.if
E:::;,il'es
Phon.e:
['t;. is :h" reSF01toibil.i.:y of thB permit holder to 8ee that aZ.! incpectiona are ,~ade at ;he proper ti.71€~ that ~h =ddres8 is rea::a..b:e
from the 8tre6t~ and that the pCJ"r.7i.t card is t..xated at the frent of tri.l! properPj.
.t3ui!c!i:".I] ~:)i=io:": :=pr::rot:t1d plcr. sh:::ZZ remain on thB Bu.-:':Zding Sit:; at aU times.
F'.70CEDUPE ton INSP=(;TIOn ,::'EQu=;'ST:CAlL 726-3769 (recorder) state your City desigr.ated job mm;be1'3 job adciress3 type of :.n3pec-;icn
l'aquestcd a:"'.d when yeu. :.1il~ be ;oeady' fOl' ir.spaction3 ContI'actcl's or OI..'ne:-s r.':'I'I'I8 c:r.d phone number. Requ€sts receir.:ed cefel',} 7:00 a;":'i
:.,..U1. bo trade tiu; same dcY3 requests mcde afta' 7:00 ern !Jilt b2 made tlw ~t :.;orki~ day-
Your City, Deaigr.atcd Job //umber I3: g-~ ~()l ~ L:) /..,
~pnpi~p~ r1~~p~t~~q
O cI""ro "',c-.~r-''''''I' T - -
~ 1_ ~,'~r:'''4_'J.: o:Je mace
excav.::ti~n3 .;u.t pl"'icr t:J so:
forms.
o
aj:21'
u.p of
WIDt.~SL':'E -='C:'::.f3INC, ZLEC?~Ir:J':': ;:
,~fECH..J,;'[C:'i.: 70 be n:ade before
work is ::ovcred.
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FeOTING ~ FO!.H/DAT:C.'l: To be ::r:zd2
ar'tt1r :::l'encnes .::.re e::ciTJcted ar.d
forms are el'ec;;ed3 bu.t prior to
pou.rir.g c~nc:"et.;;.
U.!!D=:?G:~Qf):!!) :::'UJ.f2HG.. SE:'..I2.~, ;:.r.1TE'.~,
ORAD/AGE: To be l1YZ.e prior ::0 /i~~
l.ir.g r;1'er.cr~~.
[]
0-
U.'l!JERF'WOR I'!:.V:..'ST:lG ~ ,v.::':HA.VIC:..L:
fa bEl mae.e orier :::0 ~n3;;c~Lat:.on of"
{7.001' insu.z.C:::wn or decking.
MST AND 3EAM: To be ..r:de prior to
in3ta~z.atien of floor ir..st.:Zaticr. or
decki",,_
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ROUGH ?!..rF.!f!!'IC, ?!.E:::':'.9._":O,[.1, .'.fE:CFl-
AllleA!.: .';0 '.Jori-: ":3 :0 be cor.:el'ec.--
ur.=i~ ;~cs~ :r~~e~:::icr.s ~V~ ~eer.
made =r~ C??'l'~~e~.
FIP.::?LACE: Priol' to pLcci.r.g fc.cing
met.riaLs ar.d before i'rcmir.IJ in3pec~
tior..
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PR..4}~I."/tJ: ,'.fu.st:;;e -:oequeated af-':er
appl'ov~L of rough ;~ur.hing~ a~ect~~-
caL ~ mecr.ani.=aZ. ..l.l.! ~oj':"r.g
bl'acir.IJ ~ chimn~ys3 Bt~. ,~~3t; be
. corrroLe=cd. .'10 'oial'k is to :;-3 con-
.. Cec.i8d unci L this ir.stlec7ien r.a8
. been :r.ade end appr~n:ed.
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IlISULATION/VAPO.'? BARRIER IHSPE:C'!'ICll:
To be made after aU insu.l.a.ti.:m w.d
required vapOl' tarriers are in place
but beiore any lath3 gypsum beard 01'
wt.z: covering is cppl.ied, ar.d before
arty insu:l.at:ion is concealed.
DFl!DLITION OR ;~:DVE:; 3!JILDTi/GS
~ Sa:nitary 8€".Jer ::apped ~t p~ap;;rt-i Zir:e
~ Septi~ tank p~~ed ~~ f":lZ~d ~~th
:::r:z-;e:
""y
O DRY''';ALL INSPECT!ON: Tc be ,....ace
after aU G.rdl..Jal.l. is in place,
bur; prior to r::ny :aping.
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MASO!IRY: SteeL
beamG3 grouting
accordance wi th
241~.
;,lOODS'!")VE: Aftar installation -:.s
cc::rpi<2-:€d..
location, bond
or verticcls in
V.E.C. Section
:J Pinal - f/hen c..Xve items a:re ccmoZetec
ar~ ~hen =~~l~:ior. is c~Z~~e or s~~~~.
tu:oe moved ar.d pl'~;;es =le.:::r.ed :J.?
Nobile Ec.-nes
=:J El.ocking ~4 Set-~p
=:J PlUT~ing connections s~er CT~ wa=er
~ EZectric~l Ccnr.ect~on - Blockir~3 set~~~
~ and pZwnbing com:ections r.r...st =~ C?p'!';::n.:ec
before requ.e8t~ng e!ec;~;ca~ -:.ns?ec=io~
:=J Acoessc.,~. 3uil:i:..r.g
:J Fina~ - Aft~r ;orcr.es.
etc. are c~?le;€d.
akir-:~ng3
dec;"-33.
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CURB & APPROACH APPON: Afte:" forr./s
a:re ereoted but prior t;., pC"'.lri1".g
oon.::rete.
SIDEW,u,;( & DRI:'EWAY: For a~Z cen~
crete paving wi~hin street right-
Ol-U:C:;h to be made a;'ter a~! e:::cc;-
vating c01TpZete & forr./ !.iOrk & sub-
base ..r..c.teria~ in plaoe.
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All project conditions, su.c~ as che ~ns:a~laticn of street :1'<2es, ~~~!az~vn of the
required ?andsccpir.g, etc., must be sctisf-:.cd 0<:f'o1'8 tr.e 3UIUJ!:;C :I,~'AL oan be I'2qtlss:.zd.
0, FnlAL PLU.'-!BI:/G
CJ. FINAL ,'.[E~HA:1ICAL
O. :1.'IAL ELEc:'RIC:':'
,=:J
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FINAL BUILDINC: rr.e Final Eu.i~ding !r.s?ection ,~Bt b~ requested ;fter tr.e:-:.r~~ Pl~bir~
E~ectl'ical, and Nec;..a.r:icc;l Ir.specticns haVQ been made ar.d (:;:prcvei.
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?!NCS: :then como~Gte -- Provide
gates 01' mOVable' secticns through
P.U.E.
.tALL; MANHOLES AND CLEANOUTS ,'fUST BE .J.CCESSI3LE. ADJ!.'5'n!~:."!' TO 3E ".!.1DE' .'!T ;'/0 ::-5'1' T'J CI':'"! I :J~~e oJ' 2
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No~~01~6 SOLAR 'ESS
I JOB
! ZO?':e:
I wt Sq. Ft'].
~ ~f l~t Caverag.
CcC"...r:::anc~ Grou::;:
LOT T'!?E
Interior
f! of 5to~es
. Total Height
,
I Topography
1'."1
IMc:~n
Corner'
PanhandLe
C-",1.-de-sac
I SQ.FTG
I
x
Value
l~.-:c~
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I Car::cl't
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1.-tc.:'essol"'"J
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TOTAL 'l~.LUE
Is.D,c,
lUC.I.Ui:)
1.5 r
Euilding :?errr.i t
State Sur>cnazoge
To-=aZ t:r.a..-ge3
II':!M NO. I FEE
IFL-t"'.J.1"es
I ResidentiaL [1 bath}
i Scr.it.:r.1"d Sewer
I ;/c::i!-"
I
Plumbing Perr.:i t
Stata Suzocr.arge
Tctal C;u;::raes
I '>-"
........,
'Flea. Sa. fta.
I N~/ErtJnd Cil'cui ts
I Temperary Se.ru1.ce
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Electrical Per.-:rit
State Surc;..aroe
Total C'f/lU'ces
I :T;:,~
I Furr.o:ce ETU' S
I E:::haust Hood
I Vent Fan.
I '
I ilooasto:Je
II/C"
I I
I I
/
F-;'t'
P~t Issuanc2
Me::;..a11ic::Z Permit
State Surchcrac
'f'''-=r.l C'}.yno~~!J
-- Z:ICRCACE,\'E:iT --
10 ,'n '.
l~e~~tu ~e=cs~~
I Stor~ae
I !1a-:.nt~.ar.4e
10 '.
. crr.n......
Total Cha:l''1es
I CuI'bc-...lt
I Sid2WCJ.Zk
I !'en:::e
I El.acr::l'1.ca 1.
,
I .'ofobi lo Home
Label
.1 'roTA! Af.!OU.'lT DUE:--
cj?L{ ')dS ()
P=.ae 2
~
l-COG~
R EQ,-
T:(oe/Cor.st:
3ea?or.:s:
I EnerGu Sou.r'::es
i Heat
I ~ater ~~a~2I'
I Range
I Firer:; iace
I Waoa::; to:':2
I
T:J'oe
I [.ot :czces -
I
I P.:-.
11Ior;;n
lEast
South
I"'est
Setbacks
I.'IO_S< I Cc:rc:ae
I
I
! Access.
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Fees
Building Value & Permit
This permit ia granted on the e=p7'ess ~ondition that the sa"id. constl"'.J.c:~on
shaU. in '2Zl' :respeats. conf~rm to the O'rdinar.ce :zdopted by the Cit."d .,f'
Sproir.af':.eZd. -:.na!udi.ng the 20n:.r.a Crd:nance. :reau.Lctil~a the ccr.str-:..:t:..::r:
ar~ u;~ of ~uildir4S. and m:zy bevJuspended or revoked ~t cr.: t:'~e ~;~r. vie-
lation of :IT'.y pr:)visior.s of sc::::'d Ordir.cnces.
I Plan Check Fee:
I Date Pc:~d:
jRec~ipt #:
IS::".:ed:
Plumbing Permit
/10 pereon chall. cO'r'.stn.!ct. instal!~ a!ter or chango GnY new or e:::isting
plumbing or drainage SY8t~ in ~hole or in part~ ur.less such person is the
lega~ possessor of a valid plumber's license. e:::aept tr~t a person ma"d do
plumbing ~Ol'k to proper~~ which i~'our~d. laased 07' oper~ted by the ~ppli-
cant. I
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Electrical Permi t
Where State [.aL) requires tr~t the eLectr"~cal. work be done by an Etet:tricaL
Ccntr'actOl'. the electrical portior. of this ?ermit shaLL roOt ba va!.id until
the label nas been signed by the Electrical. ~ontr~ctor.
Mechanical
Permit
Pt..an c=n.ner
L.'Q.:;e
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I HAVE CAREFULLY ELL"-lINF.:D :h.e compLeted ~ppLicai:ion for permit. and do
hereby aertify ehat aLl. injo~at~on:hareon ~s true ~rd correct. ar~ I
TJ.r-:.her cer-:~f:i that any er.d ail work "?erJo~ed shall be do:'f6 i:'f ~c~,n".
dance :.Jith the Ordin:mces of the City of Springfield. and th~ La:.:s of th3
State of Orec"n Dort..4inina to the war.1e descr-ibed here~n..J end the::: NO QCC!J-
PJ.!lCl rdLZ b~ m::.d.e of c:nyv ~truct:.a'awitr.out ?~rr.r~33ion of the ~u.~Zdir.g 0-:.-
vision. I further ~ertif:i tr~t o:'fly acntra~tors and ~l"ye6s wr~ are in
ca~pliance with ORS 701.0SE will be used on. this projzat
?l~O~;-aPJ
1/7'//;3
Data