HomeMy WebLinkAboutPermit Mechanical 1982-9-15
I
I
I
I
I
I
.. RESlrt~HIAL"
APPLICATION/PERMIT
225 North 5th Street
Springfie Zd, Oregon 974 7?
BuiZding Division
726-3753
~ CoS~S ~ $-(.
\10~. 2444 Ta: wt #
(Yo "'. l-!'V~l1dd
Ct,Sb~ ()~~ s1. Phone:
~ p,utd. Zip: <=;7'177
Describe rl'ork:
C1~k -S~)
J- . '. 0 .-.t-
l.s...;".. 0 JJ ~ ~ \):..QJ.
.Job Location:
Assessors Map #
Subdivision:
Ot.meJ" :
AddreS3:
City:
n
n
n
Npt,)
Addi ticn
Re.'t/odeZ
r><J .'.!obit.a Home
Date of Application
q -/S-1S"Z..-
(;ontractors
~.!h1" It, A, ~
General
PLumbing
I electrica l
I Me~har.ic.::.l
I. Constructi011 r.ender
'$ ~~t cfl
tlflm
-4
Value l.fS o.
Addre8s
_ y.,nj1riJ.
, Rcceoot. ~h S9'f.n 98'
\.)J-o () J) sf o-ue
(?~
y t>--/o
-----
ill <;, G:, 0
4/5.00
,fo6
r--
Siqr.ed:
Date:
'\
~
CiJI-
9- 1,,- S<--
Lise. II
E:::wil*8S
Phone
It is the responsibiUty of the pernrit holder t;() see that aH i1U1peetions are !:'lade at ths ;roper tUn,;, that ;u:ch .::zddress is 2"eada..O!.e
fJ."Om ths street, and that tM permit ~ is t..xated at the f1"Ont of the property.
"Bui!di'!".g r>i.vi::io'!': CIp?:M1.'ed Flan sr.c:tl l'e;o:-.ain on thz Buitdin{! Sits at all times.
PROCEDUP.E FOR INSPECTION RE)?lIEST:CALL 726-3769 (I'ccorderJ state your City designated job number, J'ob adCrcss, type of in3pec~icn
l"aquestcd ar.d W.':en you LJiU be ready fel" inspcotion~ Contractors or Ot.me::-s nane and phone number. Requests received befcrB 7:00 C':'l
.....iZ.Z be made the same dcy, requests mc:de ~ft~ 7:00 a1t wiZL be trrlde the m:rt :.JOl'kin.g day.
q~Ji~y~~r~~~~~tir,~q
O SITE INSPECTION: To be m::zde after
ucavation, .;ut pl"iOl' to set up of
forms.
O UNDFRS[,AB PLL'r,fFJING. ELECTRIC.IL .-1
I.fECHANICAL: To be made before any
work is ,;:overed.
o
FOOTING & FOUNDATION: To be r.rz.d.e
after trencnes are ucavated and
forms are erected, but prior to
pouring ccnaret~.
UND~GROUND Pr.lJMBING. ~.JER. W.1TE'R,
DRAINAGe.' To be rrr:zd.e prior to fU-
7.i1".t} trenches.
o
o
UNDERPLOOR P[,UUBI.'IG & !.fF:C,qANICAL,-
To be rr.ad.s prier to in3tallation of
noor insula;:;ion or decking.
POST AND BEAM: To be mad~ prior to
install.atwn of floor inst;lation 01'
deckin:; .
ROPGR P['UMEIHG. Er.ECTHICAL ,~ }.fEC8-
ANICAL: No ~ork is to be covered
until these insvectior.s hevl] beer.
:r.ade c:nd appr?Ve.:.
FIREPLACE: Prior to pt.a.ci1".g facing
mcteriais and before framing inspec-
tio,-:.
o
D
D
o
?RA.~~ING-' Must be requested after
approval of rough pLwr.bin.g, eZectri-
aaZ ,{ mechanical. AU roojin.g
bracing ~ chimneys, et,;:. m*~st be
. compLeted. .'10 work is to be con-
"cealed until. this inspection has
. be~ made and approved.
lour City Desigr.ated Job Number Is:
o
INSULATION/VAPOR BARRIER INSPECTION:
To be IMde after all insuktw-n a"".d
required vapor barriers are in place
but bej'"ore any lath, gypswn board or
wU covering is appZied, and before
any insulation is concealed.
~:<I 60s
I DEftOLITION OR ,etOV!':: 3UILDIiiGS
~ Sani tal"';;/ se-'e2' ~apped ::t ~op~r-'::1' line
=:J Septic tank p:<',?ed a:--.d fi.Zl..ed with G7'a':J.e!.
=:J ". I '~-". . . "
~!.na - .\r><;:n c.?v"Ve 'l,.....e~s are cc"~,?!.et(;,-
ar~ when d~clitior. is c~Zete or st~~-
tul"e moved ar.d prc::riaes cZeaned up.
J Mobire Hcmes
o
pR'f'''ALL IllSPEcrIOJV: Tc be r.:ade
after all.. drywall is in place,
but prior to any taping.
:::J aZocking and Set-~p
:::J Plumbir~ conne~~icns ~- sc.wer ar~ water
:::J Electrical Connection - BZocking, set-u~
and pZwnbing connections nr...st !;e C??!"oved
befor(; request~n.g e!ect~;cal ins?ectio~
.=J Accessor".l Buik!.ing
J Fir.::r.l - Aft.:r p:;rc,r.es, s:':'-f.rtinq, decka,
~ etc. are ccmple~ea.
D
All project c01"~itions, $uch as ;r~ instatZation of s~reet trees, c~~Zetion of the
required 7.andscapir..g, etc., must be satisfied before tr.e BlJILDINC FINAL ~an be raq-o.lest.zd.
o PINAL PLU!.fBIlIG
D FINAL J\fE':HANICAL
o FINAL E[,ECTraCA[,
o
o
FINAL BUILDING: The FinaZ Building Ins~ection ;71USt be requested c.fter the Final PZwnbirg
EZectrical, and Mechar.ical Inspection::; have been made and approved.
O MASONRY: Steel
beama, grou tin.g
accordance r.r~ th
2415.
location, txmd
or verticals in
V.E.C. Section
"'ALL MANHC[ES AND CLEANQUTS HUST BE ACCESSIB['E, A.DJVSTHE,'/T TO BE t:.1DE fiT 1:0 C')ST TO CITY I P~ge 1 of 2
fJ
D
WOODSTOVE: After installation is
ccmpleted.
CURB & APPROACH APRON: Afte.... forms
are erected but ?rior :0 pCUZ"";ng
.zoncrete.
SIDEWALK ,{ DRJT/EWAY: For all. con-
crete paving within street right-
of-way, to be made after aU exaa~
vating ocmplete & tOr:if work & aub-
base materiaZ in pZa.:::e.
o
D
:'ENCE: Wher. comp l6te -- Provide
gates 01" movabte secticns through
P.U.E.
o
I JOB NO, B2-I~o(
I Zone:
wt Sq. Ftg.
S or wt C.:JlJera.<
;II of StoM,6S
To~Z Height
Tv~vt1,,-""':,hy
SOLAR A_ESS
QCC'UZ1ancll Grou,,:
lITEM
I Main
SQ.FTG
Gc:Pac;~
CaI":JOl't
Accesso1'U
TOTAL VALUE
Is.D.c.
1,5 =
(vaI.UC)
Buildir.g Permit
State Surcharge
Total r:ha.-ge3
lITEM
I Fi:r:tures
I Residential (1 bath)
I Sanitary Sewer
I Water
NO.
Plumbing Perm t
State Surar.a:rog6
Tota Z C't1C.raes
i ITEM
I Res. Sa. fta.
I Naw/E--tend Cil'cui ts
I Temporary Service
I
I NO'1
I
I
I
EZe~tricaZ Permit
State Surcharae
TotaL C'tl!lI'ces
IIT"1
I F'urna.ce ETU' S
I E:haust Hood
I Vent Fan
I '
I Woodsto-:;e
I
I NO. i
I
pe:rr:ri,t Issuance
Mecr..an.icaZ Permit
State Surchaoae
",,,,tn.1- r:haro".M
-- EllCiWACHNE:/T --
lse~~~~ Deposit
I Storage
I f.faintenar.ce
I Permit
I TotaZ Charaos
I Cur;,cut
I Sidewalk
! J'en::e
IElectricaZ LebeL
! Mobile BomB
I TOTAL AMOUNT DUE:"
LOT TYPE
Interior
Coroner
Panhandle
Cut-de-sac
x
VaLue
FEE
CHARGE
FEE
CHA.RGE
-co
'""
CHARCE I
I
I
I
I~.O 0/
I
I
I
. G:. 0 I
IS'. 1001.
1~,I.9D
Pegs 2
.
L-COG~
REQ,-
T;.;oe/Cor.st:
3edroor.:s:
I wt Face. -
I
I P.L.
INOl'th
lEast
ISouth
IWest
I I Enero:J Sources
I l Heat
II
II
II
Ii
II
Tuoe
Setbacks
I House I Caraqe
I
I
I
I Acee...
Water' .'!p.t1tp.1'
Range
Pire'DLace
Wood:; tove
Fees
Building Value & Permit
This peI'mi t ia granted on the express corldi tion that tJw sdid constr'.lction
shall, in aU respects, conforrm to the Ol'dinar.ce :zdopted o'y the City of
Springfield, inc!udir~ the Zonip~ ~d~nance, ~~gulatinq the ccnst~,,(cticn
c:r.d use of buildings, and m=::y be suspended 01' reVOKed at c:r:y t~:~:e upon uic-
Lation of any provisions of said Ordir~ces.
I
I
I.
/Plan CheCK Fee:
Date Paid:
IRecdpt #:
I Signed:
Plumbing Permit
No person ohall cOrtStruct, install, alter 01' ehar~e czny r.elJ C1' e-.-isting
pLumbing or drainage systen in :Jhole or in part, unless such person is t1-.e
legaL possessor of a valid plumber's license, except t1-~t a person may do
plur.:bing !Jork to propert'od which is owned, Lea3ed or operated by the appU-
cant.
I
I
I
I.
Electrical Permit
Where State Lau requires 1;,..at the eLectr>ical work be done by an SLectricaL
Contractor, the electrical portion of this permit shall. roOt be valid until
the label has been signed by the Electr>ical :ontraator.
I
I.
Mechanical
Permit
Plan Examiner
vaoe
I HAVE CAREFULLY !XA."fIllED the completed appl.ication for ;>err.rit, and de
hereby certify that aU i~fo:'r."ation hereon is true and CClTcct, c:r.d. I
f'.I.1'ther certify that any ani all work pe1'lo~ed ahaLL be da:7.e in ac~or-
dance :Jith the Ordinances of tr.4 City of SpringfieLd, and th~ La:.;s of tha
~ State of Oreg~n p~rtaining to the WOrK described he~ein, end that NO OCCU-
PANCY wiZl be rrnde of cny structure withou.t permissio:1 of the BuiZding Di-
vision. I fwother ~ertil:j tha.t O:11.y con~tors ar.d e::rp~yees wr.tJ are in
~l~e with ORS 701.05S wiLL be used on this proj~ct
/:;;;~;2/A ;;;?~ //~
. f./sign,a;1 /'
~-/$'-?~
Date