HomeMy WebLinkAboutPermit Mechanical 1987-1-30
.. RESIDE'-IAL"
APPLICATION/PERMIT
225 North 5th Street
SpringfieZd, Oregon 97477
BuiZding Division
726-3753
.lob Location:
IoJ!2 7 /l1~
17D~3~4t/
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A8CeSSOl''s Map #
Subdivision:
Tax Lot #
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1<//J/}/1~7
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JJ -1)/0
lAmer: J(QQp/rT Ii'A tPJ Clh rrmlil<1JnJ
. Address: I/JK;;1 7 JJIl aAAv 1/ Phone:? d. to - 5lftf 3
City:
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N~l.l
Addi ticn
Remodel
:!obile Homa
{- 30,-.'(1
Date of Application
G:ontl'act"ol'S
General
PLumbing
Electrical (' J .
Mechar.iccl XLtlod
COl'tStruction Lende!"
Zip:
Describe fl'orlc:
fI'S
~"p
Value
Add."'es3
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'J 1/(;411/
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Sigr:ed:
Date:
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Expires
Pr.on~ I
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It is the responsibiLity of thD permit haUler to see that atz. irwpections a:re made at the proper tim€~ that each .:zddress is rea.::ah!e
froom the street, and that the permit card i8 located at the f1"07tt of the property.
.lrBui!ding [}o;ui::io:-: approved pl.an shaU remain on thE Building Sit:; at aU times.
PROCEDURE FOR INSPECTIOU RE'QUEST:CALL 726-3769 {recorder} state your City design.:lted job nur.:ber, job a.d.i:rcss, type of ir.::pec:icn
reques&cd a~~ when you wi~~ be ready for inspection, Contractors or OWners ncme end phone number. P.eques~s received before 7:00 ~
:..~lZ. bs made the same day, requests made after 7:00 am will be m:u1e the nc:s:t :x;rking day.
...r:t1!(yu1:~/ui TYlnnpl'!r.ir.1J.<;'
,j SITE INSPEC':'ION: To be made after
:---1 excavation~ but prier to set up of
[01'ms.
--, . U1IDERSLAB PWMBING. ELECTRIC,1L &
---1 NECHA.:JICAL: To be made before any
work is ,:)ovcred.
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FOOTING & FOUNDATIOll: To be m:uie
after trenches are excavated and
t01'mS are erected, but prior to
pour-ing concret~.
UNDERGROUND PLUMBING} SEWER. W"1TE.r?~
DRAINAGE: To be made prior to fi"L-
.Ur.g trenches.
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UIIDEBFLOOR PW/.!BING & MECHANICAL:
To be made prior to instaLlation of
floor insulation or decking.
POST AriD BEAM: To be made pr-ior to
instaL~ation of floor ins~Zation or
d2cking .
RO!!CH PUP-fBIlIG. ELECTRICAL & MECH-
ANICAL: No :Jerk is to be cOl..'ered
w:tiL these inspectior.s have beer.
made and approved.
FIREPLACE: Prior to pZaci.,..g facing
mater-ials and before framing inspec-
tion.
::J FRAHJUG: Must be requeGted after
approval of rough plwr.bing~ electri-
ca l & meehanica"L. A l Z. 1"00 fing
bracing & chimneys, et,:). trr.lst be
"completed. No work is to be con-
'- cealed until thiD inspection has
. b6~n made and approved.
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Your City Decigr.ated Job Numba' ID:
O INSULATIONIVAPQ.1? BARRIER IHSPECTIOll:
To be made after all insula.t-um w.d
.. required vapor barriers are in p laae
. but before any lath;, flYpswn board or
wll covering is applied, and before
any insulation is concea~ed.
DRYWALL INSPECTION: To be made
after aU drywall is in place,
but prior to any taping.
O MASONRY: Stee l location, bona
beam:;, grouting or verticals in
accordance with U.B.C. Section
*15.
WOODSTOVE: After installation is
ccmp~eted.
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O CURB & APPROACH APRON: Afte:> forms
are ereated but pr-ior to pouring
concrete.
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SIDEWALK & DRIVEWAY: For all. con-
crete paving within street right-
of-liJC.Y, to be made after all exca-
vating complete & for.m work & ~ub-
. base mater-ial in place.
D
O PENCE: When co:npl~te -- Provide
gates or movable sections through
P.U.E.
D
2100 7/
'DEMOLITION OR ;'.:OVE:; BUILDI,7GS
=:J Sani tary BeJel' ~apped at p:..op;;rt":i 'line
~ Septic tank p-....""?ed and fi L le~ L1i th ara""Je Z
:J Final - r{her. ahove itcrs are cc.orrpleted
and when demclition is complete or stru~-
ture moved and pr::r.naes ~leaned up.
Mobile Hemes
:=J BLocking and Set-up
:=J Plumbing connections -- s~er ar~ water
---, Electrical Conr.ection - Blocking, set-up
--' and plumbing connections nr..;.st !:e appr::n:ed
before requesting electrical inspectio~
:J Accessory Sui lding
:J Final - Afto::r parc1:es, skirting, decks,
etc. are complet;;d.
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AlZ project conditions, such aB the 'Z".nstallation of st,.eet trees, co."71pleti..:m of tile
required landscapir-.g, etc.;, must be satisfied before the BUILDING FIllAL can be ,.aquestad.
:=J FIliAL PLWBIlIG
::=J FIliAL I1Et;HANICAL
:=J FIliAL ELECTRICAL
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FINAL BUILDING: The Final. Building Inspection must be requested c.tte,. the Pinal Plwnbing
Elect,.ical, and Mechanical Inspectioru: have been made and approv.d.
"ALL MANHCLES AND CLEANOUTS HUST BE ACCESSIBLE, ADJUST!fE,'IT TO BE gADE AT NO C;JST TO CITY I Page :1 of 2
JOB NO. Q f}/m 1(
SOLAR AWSS
Occuoancu Grau.~.
. Zcmr.!:
. Lot Sq. Ftg.
~ :;Jf lot C.::nJerago:
.!/ of Stories
Total. Height
i Topography
'ITEN I SQ.FTG X
, I
!Main
; I
iGc::t'aae
I I
I Caroor>t
! Accessol"lI I
I
TOTAL VALUE
'S.D.C. 1.5 ::: evc./;uc}
Building Permi t
State Surcharge
Total Cha.~ge3
ITEN 11I0'j FEE I
Fixtures
Residential (1 bath) I I I
Sanitary SeLJs!' I I I
Wc:.teP I I I
I I I
Pl:.unbing Pern:i t I
State Surcr.arge I
Tetal Char-aes I
ITEM I NO. I FEE
,f?es. So. fta. I i
N3W/Extend Cirf:U.its I I
Temporary Service I I
I I
Ele::trica 1. Permi t
State Surcharqe
Total Cha:rces
I NO.,
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i)M-~A r I I
ITEM
FEE
Furn::zce PTU' S
E=haust Hood
Vent Fan
NOodstO"Je
Permil Issuance
Mechanic::.l Permit
State Surcharac
Total Cha:rot?fJ
-- ENCROACHMENT --
SeC".lrittJ Deposit
)torage
'1aint~e
::Jcrmit
Total CharGes
::ur,!,cu:
;idewa.lk
-;"en::e
:Zectrical Label
..ohile Home
~OTAL AJ.!OUNT DUE:"
WT TYPE
Interior
Corner
Panhandle
Cut-de-sac
VaZue
CHARGE
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CHARGE I
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CHARGE
/S,tID
IS. &0
.&0
(S. l, 7'>
30.00
REQ.-
L-COG'"
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Access. I
II
II
II
II
T;ipe/Cor.st:
Bedroor.:s:
I En2rnu Soupces
Heat
Watel' Yrmtf?1"
RaY1f:c
Fireplace
Wood~toz;e
Lot Faces -
TiJPC
P.L.
North
East
Sou th
West
Fees
Setbacks
I House, Caraae
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Building Value & Permit
This permit ia granted on the express condition that the sa'id construction
shall, in all respects, conform to the Ordinance adopted by the City of
Springfield, including the Zoning Crdinance, regulating the ccnstructicn
and use of bui~ingsJ and may be suspended or revoked at cr.y time upon vic-
lation of any provisions of said Ordinances.
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Iplan Check Fee:
Date Paid:
IReadpt #:
ISigned:
Plumbing Permit
No perean shall cOnstruct, instal!, alter or change any new or e=isting
plumbing or drainage SY8t~ in whole or in part, unless such person is the
legal possessor of a valid plumber's license, except that a pe:>son may do
pl.~.bing work to property which is OIJT1ed, leased or operated by the appli-
aant.
,
ElectricalPermi t
Where State Lazu requires tr.at the electrical work be done by an Ele~trical
Contractor, the electrical portion of this permit shall root be va~id until
the Zabel has been ~igned by the Electrical Contractor.
Mechanical
Permit
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Plan Ezaminer
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I HAVE CAREFULLY EXAMINED the completed app~ication for permit, and do
hereby certify that all ir-.fO=m:ltion hereon is true and COITcct, and I
r..lrther certify that any ar.d aU IJOrk perfomled shall be done i:t accol'-
dance :.lith the Ortdinances of the city of Springfield, and th;; La:;s of tho
State of Oreg~m p$rtaining to the work described herein, end that NO OCCU-
PANCY lJill be m:xde of any struetU1'2 without p~rmis3ion of the Bu.ilding Di-
vision. I further certify that o:tly contractors ar~ ~pl~yecs who are in
c~pliance with ORS 701.055 will be used on this project
//2.., n.-a) 4zLN;/
Signad /
/~so -f1
Date