HomeMy WebLinkAboutPermit Mechanical 1985-8-14
.. RE.ENTlAL"
APPLICATION/PERMIT
225 North 5th Street
Springfield, Oregon 97477
Building Division
726-3753
Job Looation: t: /"2.t> /YJA-/;t,/.
ABaeBaO"S Map # /7-(;) 2 -3tJ-"3I
Subdivision:
ctme:r:
.(ktv.~h
t:,/.26 J<#A7/V
~;Z>r1Y~?/FCD __
"')7:
Tax Lot # Os ~p
/7..",.. __ ,--.
~""'_",. t::""
n DesaPibe fl'orl,;
Mm.)
n Additicn
fYl Remodel ,Re::-///&T#~LW~J?, 5;'e>v~
n lIobile Ham. F/.5#c/l!? #.r:/C7'1,T//t'iT ~E
Date of Applioaticn R-/~-~: Value /.")""0. ~e?>
Address:
City:
(;ontl'actors
General.
Plumbing
Electrical
Meohar.ioal EX c.~ r
Construction Lende~
c>7<.
PI-.one: 7 fTJ:: -/3'17
Zip: 9?f//~
Address
~I'S~I ;;q~~#E
.
Rcoe:pt" "R r-/';;?~
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fri.? is'-i?
~t? .Gc>
-- 1[;:60
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-Lb,
,~.
Sig-ned:
Date:
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y / ~-/t.f-- R;s-"
Lise. #
Exvi-ras
Phon~
It is the responsibility of the permit hoLder to Bee that aLL inopections are made at the proper> time~ t~~t each wddres8 is readabZe
fl"Ol'fJ ths street, and that the permit card is located at the frent of the property.
*BuiUiing Divicior. approved p~ shalZ remain on th2 Building Site at all times.
PROCEDURE FOR INSPECTION RE:QUEST:CAlL 726-3769 (rBcorder) state your City designated job number, job address, type of inspec-;icn
1"equestcd ar.d when you /Jill be ready for inspection, Con1;ractors 01' Ot.mers name and phone number. Requests received befers 7:00 a::'l
r.~U be made the Bams day, requests made afta' 7:00 am rJiU be made the next :.JOrking day.
T?P'(TI1":""D~ T1"<;,,"~-I;ir.1"A
.--. ,.... ......... .
D. SITE INSPECTION: To be made after
excavation~ but proior to set up of
forms.
O : UNDERSLAB PLUMBING. ELECTRICAL &
, MECHANICAL: To be made before any
, work is covered.
o
FOOTING & FOUNDATION: To be nruie
after trenches are excavated and
forms ape erected~ but prior to
t"'-"'.4 ~";j concrete.
o
UND'8RGRmJND P~UMBING. SEWER. W,4TER~
DRAINAGE: To be m::z.de prior to fi~-
.ling trencMs.
o
U11DERFLOOR PLUMBING & MECHANICAL:
To be made prior to instaLLation of
12001' insutation 01' decking.
POST AND BEAM: To be made prior to
installation of floor insulation 01'
deoking,
ROUGH PLiIMBIllG. PT,ECTR.!CAL & Uecy- .
ANICAL: No work is to be covered
',ur.til these inspections have beer.
made and approved. '
FIREPLACE: Prior to plc.cir.g facing
materia~s and before fl"OJTting inspec-
tion.
O FRAJ.!ING: Must be requested after
approval of rough plwr.bing, alectri-
,cal & mechanical. All roofing
l.~ .._~'...., & chimncys~ etc. nr.,lst be
;" completed. No work is to be CGn-
.<.,,,,:cealed until thio inspection has
" ~ b6~n made and approved.
o
o
o
Your City Desigr.ated Job Number Io:
O INSUMTION/VAPOR BARRIER INSPECTION:
To be made after all insul::.ti:m a!"'.d.
," ,0 required vapor barriers are in place
.;' . ~ but before any lathJ gypsum board or
tJaZZ covering is appZied~ and before
. ~y insulation is concealed.
o
DRYWALL INSPECTION: To be made
after all drywall is in pZace~
but prior to any taping.
O MASONRY: Steel location~ oona
beam3~ grouting 01' verticals in
accordance with U.B.C. Section
2415.
O WOODSTOVE: After installation is
ccmpleted.
O CURB & APPROACH APRON: Afte:o forms
a:z>e erected but prior to pouring
, ~rete.
o
SIDEWALK & DRIVEWAY: POI' all con-
crete paving within street right-
.of-1.X.Y~ to be made after all exca-
vating, complete & form work & sub-
base material in place.
~r~6-::?~
DEJ./OLITION OR gOVED BUILDItlGS
~ Sanitary s.euer capped at rn:..op.:;rt-~ line
~ Septic tank 17~ed and filla~ with gra~eZ
:J Pinal - [!hen ab..,"Ve ite:ns are co''7Tpleted
and ~hen demolition is complete or stru~-
ture moved and pra:nses cleaned up.
I Mobi le Hcmes
::J Blocking and Sat-up
::J Plumbing connections saver and. water I
::J Electrical Connection - Blocking~ set-up i
" and plumbing connections rrr....st be approved I
before requesting electrical inspect~o~
::J Acces'soI",d Building
:J Final - /lfter porches, skirting~ decks,
etc. are completed.
o
All project conditions, such as the installation of street trees, c~~letion of the
required landscapir.g~ etc. ~ must be satisfied before the BUILDING FINAL can be requested.
o FINAL PLUMBING
[XJ FINAL MECHANICAL
o FINAL ELF:CTRICAL
o
o
FINAL BUILDING: The Final Building Inspection must be requeoted after the Final Plumbing
Eleatrical~ and Meahar.ical Inspectiono hava been made and approved.
O FENCE: When complete -- Provide
gates 01' movable sections through
P.U,E. '
o
,'-
'.....
*ALL MANHOLES AND CLEANOU~S MUST BE ACCESSIBLE, ADJUSTHENT TO BE WIDE AT NO COST TO CITY I Page 1 of 2
::::..ge "
I JOB NO,.!i~;::>~ SOLAR AC.S REQ.-,
Zone: Oc~pancl! Grou.,:
I SQ,FTG X
I
1
I
I
TOTAL VALUE
(vat.uc)
1.5 x
Lot Sq. Ft{;.
s ~f lot Cove~g<
fI of Sto'Pies
Total Height
Topogrophy
I
'lITEM
Main
Garace
CarOOl"t
I AccessOl"U
S.D.C.
BuiUing Permit
State SUrcharge
Total Cha..~ge.
lITEM
I Fi:r:tures
I Residential (1 bath)
I Sanitary Sewel"
Water
Plumbing Permi t
State Surc".apge
Tota l Charaes
lITEM
I Res. Sa. fta.
j N6lJ/Ertend Cil"c:uits
Tempol"ary Service
Electrical Permit
State SurC!ha.rqe
Total Charc;es
ITSM
I Purrulce ETU'S
I E::haust Hood
I Vent Fan
I JlOodstove
I
Permit Issuance
Mechanical Per>mit
State Surcharae
NO.
, NO.,
I I
I 1
I I
I NO,
I
1
1 I
II I
1 I
Total Cha.'PnlUl
I -- ENCROACHMENT --
I Sea'.J.M.tll Deposit
I Storage
I Maintena~e
I Permit
I Total Charqos
I Curbcut
I Si<lmNa lk
I Fe1'l::!e
lElectrical Label
I Mobi le Home
I TOTAL AMOUNT DUE:'
WT TYPE
Interiol"
Corner
Panhandle
Cul-de-sac
Value
FEE
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V~
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CHARGE I
-I
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I
I I
1 I
1 I
I ,.
I CHARGE I
I
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CllARCE
FEE
FEE
/c:: ~
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t',s-: -,
.ePI
. GoI
1,<::: .
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1
I
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/s:~
.
L':'COG~
Type/Cor.st:
Bedrooms:
Lot Faces -
I I Enarau SO"..I.Pces
I Heat
Access. I Water Hl?atp.r
I Range
I l Firl]o lace
I I WOOd3tO"B
Il
Tl.rDe
P,L.
INorth
lEast
South
IWeBt
Setbacks
House Caraqe
Fees
I
I
Building Value & Permit
This permit io granted on the express condition that the sdid construction
shall, in all respects, conform to the Ordinance adopted b'y the City of
Springfield, incZuding the Zoning Crdinance, regulating the construetion
and use of buiLdings, and ~y be suspended or revoked at cr.y time upon vio-
lation of any provisions of 8ai~ grdinances.
,',
IPlan Check Fee:
I Cote Paid:
IRecdpt #:
I Signed:
. Plimibing. Permit
. No persop shall construct, instal!, aZter or _change any new or e:::isting
plumbing or drainage syst~ in whole. or in part,'unless such person ia the
legal possessor of a valid plumber's license, except that a pe~son may do
plumbing work to property which is O'IJTled, leased or operated by the appli-
oarzt.
Electrical Permit
Where State Law requires tr.at the electrical work be done by an Electrical
Contractor, the electrical portion of this permit shall not be valid until
the Zabel. has been signed by the EZ.ec1;rical Contractor.
Mechanical Permit
~U'~
T!.ti<< ExaJ7ti.ner ~--
g7~.8S:-
uar;e
I HAVE CAREFULLY EXAMINED the completed application for permit, and do
hereby certify that all infomlation hereon is true and correct, and I
f'.J.1Other certify that any ar.d all work perforored shall be done in accor-
dance :.nth the Ordinances of the City of Springfield, and th& Ltr...:s of tha
,. State of Oregon p~rtaining to the work described herein, and that NO OCCU-
PANCY will be m:zde of any structure IJithout permission of the Building Di-
vision. I further certify that only contractors ar~ enployeee who are in
~plianc8 with ORS 701.055 will be used on this project
*~
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6J - / if"'8S
Date
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