HomeMy WebLinkAboutPermit Mechanical 1986-5-5
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.. RESIO.TIALu
APPLICATION/PERMIT
22~ North 5th Street
SpringfieZd, Oregon. 97477
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Bui1ding Division
726-3753
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I Addross:! ~ < 7!? }Jf ~
I City: I
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Job Location:
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ASD68aor~ Map
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Subdivision:
4 < q 1J5 mtfJ.#/
#1'70;} 34'<1.3
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In
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Addi Hen
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RemodeZ
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Uobile Homo
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_~t6 0 App"t.catt.on
Contractors
5 -5 ,'llJ
'~ral ,
PZwnbing I
Electrical I
Nochar.ic.%Z . ~ -(1/ ILl A /
ConstJ"Uction Lender
Tax Lot #
(}!Jf'IJ(
.~ Rcce~pt '!/.
B ~v, 35"<6
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Pr.one:
7if6-13?3
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zip:
Describe r.1ork:
.~iN'e
Value
Add:res8
/~U-()L
*
S-S-fb
(l-C~
Signed:
Date:
Lise. #
ErDil'CS
Phone
It u tJur responsibility of ths permit holder to see that aU inDpections are made at :he proper time~ tJ-.at DCCh .:;ddrsSB is readahZe
froom the stzoeet. and that the permit card is 7.ocated at the fPOnt of tM property.
*Bui!ding- Diui::ior: approved plan shatz. remain on thE Building Sit:;: at all times.
P.?OCEDURE FOR INSPECTION REQUEST:CALL 726-3769 (l'ccorde2~) state YOU!' City designated job mqr:ber~ job addrcss~ type of in3pee-;icn
t"equcstcd ar.d when you will be roeady for inspcction~ Contractors 01' OI.mers name and Fhone number. Requests received before 7:00 a::7
:..'ilZ. be made the same dc.y~ requests made after 7:00 am will be made the nczt :JOrking day.
Reaui'l'p.d Tnsru?cticn."1 _.
O SITE INSPECTION: To be made after
excavation~ but priOl' to set up of
forms.
O UNDERSLAB PLUMBING. ELECTRICAL &
MECH/J..NICAL: To be made before any
. wol'k is ~ovcred.
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FOOTING & FOUNDATION: To be nr:zde
afte::- tl'enches al'e excavated and
forma are eroected, but proior to
pouring concrete:.
UNDSRGROW.rD PLUMBING. SEWER, W.4TER.
DRAINAGE: To be nn:ie prior to fi 7.-
lir.g trenches.
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UNDERPWOR PLUMBING & NECHANICAL:
To b9 made prior to in3tallation of
floo~ insuLation or decking.
poST lAND BEAM: To be made priero to
instaUation of floor insulation or
dsckirv;.
ROUCH PLUMBING. ELECTRICAL ,I; MECH-
ANICAL: No work is to be cOl,'ered
.w:ti7. thcs9 inspections have beer.
made and approved.
FIREPLACE: FTior to plaair.g facing
materials and before framing inspec-
twr:.
0'1 PRAJ.!ING: Must be roequested aftero
approval. of rough pl.wr.bing~ el.ectri-
001. & mechanical. All roofing
braeing & chinmcys~ etc. l1r..lst be
:'compl.etcd. No work is to be con-
....~.Ollal.ed until this inspection has
'\' boon made and cpproved.
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Your City Desigr.ated Job Nwnber Is:
U. INSULATION/VAPOR BARRIER INSPECTION:
To be made after aU insul.ati::m w..d
'. rocquiroed vapor barriers are in place
. but before any lath, gypsum board or
LXlU covering is appUed~ and befors
any inaulation is conceal.ed.
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DRYWALL INSPECTION: To be made
after aU d.rywU is in place~
but prior to any taping.
O'MASONRY: Steel. location~ bona.
beam3~ grouting or vertical.s in
accordance wi th U. B. C. Section
. 2415.
~ WOODSTOVE.:' After instal.lation is
pccmp~eted.
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CURB & APPROACH APRON: After fol'tTls
are erected but prior to pouring
C07'larete.
3bOdr/(
DEUOLITION OR !.:OVEr; BUILDIiJGS
~ Sanitary se'.Jer capped ~t p:..opel'tb. lir:e
~ Septic tank p~~ed and fiZl.e~ uith gra~e~
:J Pinal - fl'hen above ite.'71s are cc."rrpleted
ar~ when demoZition is complete or stru~-
ture moved and premises cl.eaned up.
Mobile Hcmes
=:J Bl.oaking and Set~up
=:J PZumbing connections scwero and water
---, El.ectrical Connection - Bl.ocking~ set-up
--.J and plwnbing connections nr...st ce approved
. before requesting electrical. inspection
:=J Accessory Buiz.ding
I. Final. - After p~rches~ skirting~ decka~
~ etc. are completed.
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All prooject c011ditions~ such as the installation of street trees, aO,"."1plation of the
l'€quired l.andscapir.g~ etc. ~ must be satisfied beforB tJ:e BUIWI/lG PINAL can be requested.
0I11AL PWNBIlIG
JZl FINAL MECHANICAL
=:J PINAL ELECTRICAL
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FINAL BUILDING: The Final Building Inspection must be requested after the Final. Plumbirra
El.ectrical.~ and Mechar.ical Inspections havo been made and appl'ovad.
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SIDEWALK & DRIVEWAY: For a'Ll con-
orete paving within street right-
o f-t.x:.y ~ to be made after a Zl exca-
vating compl.ete & fo~ work & sub~
base material. in place.
*ALL MANHOLES AND CLEANOUTS MUST BE ACCESSIBLE~ ADJUST!fEflT TO BE NADE AT NO COST TO CITY I PaFe 1 of 2
D PENCE: When compl.e:te -- Provide.
gates or movabl.e sections through
P.U.E. .
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JOB Nc:QrnO,?;/(
Zone:
Lot Sq. Ft:;.
S of lot COlJerago
.II of Stones
Total Height
Topography
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lITEM I SQ.FTG X
Main I
I CcJoace I
Carvo:rt I
,1cceBsoru I
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I TOTAL VALUE
I fvat..Ue)
IS. D.C. 1.5 x
Building Permit
State Su:t'cha:rge
Total Cha..."'ges
lITEM
I Fixtures
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i Residential (1 bath)
I Sani tary Sewer'
! fIatsI'
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I NO.
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I FEE
Plumbing Perrd t
State Surcr.arge
Total CharGes
j-:TEU
I Re.']. So. fto.
!Now/Extend Circuits
iTempol'ary Service
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Ele=triaal Permit
State Surcharqe
Total Cha.1'ces
I ITEM
11/0. I
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]'UI'n:lce ETU'S
Exhaust Hood
I Vent Fan
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i Woodsto:;e
Perrrrit Issuance
Meohanical Per>nrit
State Surcharae
Total Cha:r>oRfl
: -- ENCROACHMENT --
I SeC"~rit1/ De'D03it
I Storage
I Matntenan.::!e
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Permi t
Tota 1. ChaPQcs
;Cu1'bcut
,
I Sidewa lk
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; Penoe
~ EZectl'ical Label
Mobile Home
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j TOTAL AMOUNT DUE:"*
SOLAR .ESS
Occupancl/ Gre...,,:
WT TYPE
Interior
Corner
Panhandle
Cut-de-sac
Value
CHARGE
FEE
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CHARGE
FEE
I CHARCE I
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1/5.hV I.
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/5.&0
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REQ.-
L-COG"l'
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Ttroe
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This pernrit ilJ granted on the express condition that the sa"id construction
shaZZ~ in all respects, conform to the Ordinar~e adopted by the City of
Springfield, inc!uding the Zoning Ordinance, regulating the construction
and use of buildings, and may be suspended or revoked at any time upon vio-
lation of any provisions of said Ordinances.
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~Ar/~ a~~
Signad ;7" ~
Date
I Lot Faces -
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I P.L.
jNOl'th
lEast
ISouth
jWeBt
Type/Cor.st: .
I I Enerau Sources
Heat
I Access. I Wate?' l{p.atp'T'
I I Range
I I Firevlace
I I Wood:; tove
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No person shatz construct, install, atter 01' change any r.elJ 01' e--isting
plumbing 01' drainage system in whole 01' in part, unless such person is the
legal possessor of a valid plumber's license, except tr.at a person may dc(--
pZwnbing work to property which is OIJned, leased 01' opel'ated by the appli-...
cant.
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Where State Lazu requires th.at the electrical work be done by an Electrical
Contractor, the electrical portion of this permit shall r~t be valid until
the label has been signed by the. Electrical Contractor.
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I HAVE CAREFULLY EXAMINED the completed application for pennit, and do
hEreby certify that all infoT'mation hereon is true and aorrect, and I
T..ll'ther certify that any ar.d all work pel'for:ned shall be done in accor-
dance :.nth the Ordinances of the city of SpPingficld, and th~ L<r...;s of tha
>+ State of Oregon p~l'taining to the work cescPibcd herein, end that NO OCCU-
PANCY wi II be rrr::zde of any StruCtW02 wi thout parmis3ion of the Building Di-
vision. I further certify that ~ly contractors ar~ employees who are in
compliance with ORS 701.055 will be used on this project
Bedrooms:
Setbacks
I House I Cara.ae
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Building Value & Permit
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I Plan Check Fee:
Date Paid:
IReadpt #:
I Signed:
Plumbing Permit
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Electrical Permi t
Mechanical
Permit
PLan Examiner
uar;e
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$'-$-3"6