HomeMy WebLinkAboutPermit Mechanical 1985-8-23
.. RES.NTlAL"
APPLICATION/PERMIT
225 North 5th Street
Springfield, Oregon 97477
Building Division
726-3753
Job Location:
!o9t?,7 "wtVAt_
/7/):J .3 ZJ ::Ss
T= Lot # nc; 70 I
~<~- ;? ~~ 1iv:6
1(}4t1~ $/1/;' ) Phone: ?4b~d?l/
~/Id- Zip:
ASG8SaOrS Map #
Subdivision:
QJner:
Address:
City:
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N,m,l
Addi ticn
Remade 1.
Uobile Home
6-;.J?-%C:-
Value
Date of Applicaticn
Contracto1'S
Genepal r i-dld&.! ~
Plwnbing V - 11
Electrical.
f.1echar.ica 1,
Constl"UctiOJ'l Lendel'
7ji{~
bO
glO
Address
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Rcce:pt f' A 0,!; I ~~
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Or:-
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Signed:
Date:
Lise. #
ExPires
Phone
It is the 1'esponoibility of ths permit holder to 88e that all inopections are made at the proper timE, that each :dd:res8 is 1'e~Ze
from ths street, and that the permit card is Zocated at the fI'Ont of the property.
-BuiUing f)t~vicior: approved F~ shell l'emain on tha Building Sit;; at all times.
PROCEDURE FOR I~.~PF;r;'1'I9!{ REQUEST:CALL 726-3769 (rcaorderJ state your City designated job number" job address" type of in3pec~icn
requested ar:d when you will be ready for inspection" Contractors or OI.mer-s name and phone nwnbcr. Requests received before 7: 00 C':'l
u.'ill be made the same day" requests made after 7:00 am will be made the next :uorking day.
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ReauiY'p.d InsDp.cticn.<J
O SITE INSPECTION: To be made after
excavation" but prior tc se: up of
forms.
O . UNDERSLAB PLU/.fBING. EL_p.C'rRrr~_&
MECHANICAL: To be made before any
work is covered.
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FOOTING & FOUNDATION: To b. "",d.
after trenches are excavated and
forms are erected" but prior to
pouring concrete;.
UNDERGROUND PLUMBING. SEWER. W.4TE.rs.,
DRAINAGE: To be ma.:ie prior to fil-
.lir.g trencMs.
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UNDERFWOR PWMBING & MECHANICAL:
To be made prior to insta l lation of
/tOOl' insulation or decking.
?OST AND BEAM: To be made prior to
installation of floor irwu.lation or
decking.
ROUGH PLUMBING. Er,ECTR!CAL & MECH-
ANICAL: No work is to be covered-.
.ur.til these inspections have beer.
made and appl'ovec:.
FIREPLACE: Priol' to P Zacir.g facing
materials and befol'e framing inspec-
tion.
::J FRAMING: Must be requested afte'I'
approval of rough pl~bing" electl'i-
cal & mechanical. All roofing
bracing & chimneys" etc::. 11T'.Jst be
;' completed. tlo work is to be con-
'.. cea led unti l this inspection has
. bee:z rrruie and approved.
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Your Cit:y Deoigr.ated Job Number ID:
O INSULATION/VAPOR BARRIER INSPECTION:
To be rrnde after all insulatian CC'..d
.. required vapor barrie'I's are in place
. . but before any lath" gypsum board 01'
LXltz. covering is applied" and before
any irwuZation is concealed.
O DRYWALL INSPECTION: To be made
afte'I' all drywll is in place"
but prior to any taping.
O MASONRY: Steel location" bona
beams" grcmting or verticals in
accordance with U.B.C. Section
2415.
r\71 WOODSTOVE: After installation is
If-J acmpleted.
O CURB & APPROACH AP.WN: After forms
are erected but prior to pouring
C07'lCl'ete.
. 0 SIDEWALK & DRIVEWAY: For all con-
crete paving within street right-
of-wcy, to be made after all exca-
vating ccmplete & fom liJOrk & sub-
base TT/I".lterial in pl.a.ae.
O PENCE: When comple;te -- Provide.
gates 01' movable secticns through
P.U.F:. .
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DEU()LITIOH OR NOVED BUILDIiiCS
=:J Sani tary Se'..JeT' capped at ~op~rt'y l ir.e
~ Septic tank ~~~ed and fille~ with ara~el
:J Final - rl'hen above items are co.wpleted
and when demolition is complete or st~~-
ture moved and premises cleaned up.
Nobile HomeS j
::J Blocking and Set-up
::J Plumbing connections -- s~er and Water
::J Electrical Connection - Blocking" set-up
and plumbing connections nr~st be approved
before request~ng elec~rical inspec~io~
::J Accessory BuiZd~ng
I Final - AftlJ1' porches" skirting" decks"
~ etc. are completed.
o
All project conditions" such as the instaLlation of street tree8~ c~~lction of the
l'equired landscaping" etc." must be satisfied befope the BUILDING FINAL can be l'zquest3d.
::J FIliAL PWMBING
::J FINAL ME~HANICAL
::J FINAL ELECTRICAL
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FINAL BUILDING: The Final Building Inspection must be requeated alter the Final Plumbing
ElectPical" and Meahar:ical InspectionD have been made and approved.
AALL MANHOLES AND CLEANOUTS. ~fUST BE ACCESSIBLE" ADJUSTUElIT TO BE '.tt1DE AT NO C~ST TO CITY Page 1 of 2
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I JOB No./),t;Dc;,r!)
I Zone:
Lot Sq. Ftg.
S Qf lot CovePag<
"# of Stories
Total Height
Topogrophy
SOLAR ACceS
OccuDancll Grou,,:
LOT TYPE:
Interior
Cornel"
Panhandle
Cut-de-sac
ITEM
I !-bin
I Garaoe
I Carnort
I AcceS80ru
SQ.FTG
TOTAL VALUE:
S.D.C.
(val.UC)
1.5 :;:
Building Permit
State Suraharge
Tota l Cha.-ges
IITE:M
I NO.
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Fixtures
Residential (1 bath)
Sani tary Sewer
Water
Plwnbing Permit
State Surcr.apge
Total Charaes
IITE:M
'Res. Sa.
fto.
NBUJ/E:r:tend Cil'cuits
Temporary Service
Eleotriaal Permit
State SurCharQ8
Total Char(:;8S
NO'1
I
I
I
x
Value
FE:E:
CHARGE:
FE:E:
CHARGE:
ITEM I NO. FEE CIIARGE:
Fur11ace ETU'S I
E=hauBt Hood I
I Vent Fcm I
I WOodstove I
I I
Permit Issuance
Mechanical Pernrit
State Surcharae
Tnt:nl Chrrrn~UJ
-- E:NCROACI/MF:NT --
I Sec-..a"i ttt De"OOsi t
I Storage
Maint~8
Permi t
TotaZ Charqcs
I Curbcut
I s-id= lk
IFe~e
I Electma Z Labe Z
I Mobile Home
I TOTAL AMOUNT DUE:: ,
I.~.OO
.&0
/5", (d) I-
I
/5,&-0 I-
P::::.ge <:!
REQ_-
.
L~cod~
T;.;pe/Cor.st:
Bearoor.:s:
I Lot Faces -
I Setbacks
I P. L. I House Caraqe
INopth
lEast
IScuth
IWest
I AacesB.
I I Enar(1,ll Sources
Heat
Water Yf'.atp.'f'
Range
I Fil'eDlace
I Wood:3tove
II
111::e
Fees
Building Value & Permit
This perrrr:t is granted on the express condition that the said construction
shaZl~ in all respects, confoI'm to the Ordinance adopted bOy the City of
Springfield, inc!uding the Zoning Crdinance, regulating the construction
and use of buildings, and may be suspended or revoked at cr.y time upon via.
Zation of any provisions of said Ordinances.
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Iplan Check Fee:
Date Paid:
IRecdpt #:
ISigned:
Plumbing Permit
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No person shall construct, instaZZ, alter 01' change any nmJ 01' e--i.sting
plumbing or drainage system in whole or in part, unless such person is the
legal possessor of a valid plumber's license, except that a person may do
plumbing work to property which is owned, leased or operated by the appli-
cant.
Electrical Permit
Where State LabJ requires tr.at the electrical work be done by an Electrical
Contractor, the electrical portion of this permit shall. roOt be valid until
the label has been signed by the Electrical Contractor.
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Mechanical Permit
Plan E:r.cminer
va"e
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I HAVE: CARE:FULLY EXAMINE:D the completed application fop pernrit, and do
hereby certify that all inform:ztion hereon is true and corl'cct, and I
fuPther certify that any ar.d a'Ll lJOl'k perfomed shall be do:1e in accol'-
dance :.lith the Ordinances of the City of Springfield, and the La-..;s of thG
State of OregDn pertaining to the work described hel'ein, and that NO OCCU-
PANCY unZZ be rm.de of any structure unthout permission of the Building Di-
vision. I further certify that ~ly contractors ar~ empZDyees who are in
compliance with ORS 701.055 unll be used on this project
:::1!!J1- ,-1t, ~'q.L
S'tgned tt
't' ?-3-SS-
Date