HomeMy WebLinkAboutPermit Mechanical 1983-5-4
ft.. is t.he zoesponaibili:y of ehs perrrrit iwlder to see that aLZ iMpect:ions are .'7.ade at :he propel' ti.7J€, tJ-.at ~h =ddress is l'eaiab:e
Jrom tho street, and that the permit c~ is tccated at the frent of the property.
~3ui!di!"'..g D-:.:Ji::io'!': approt:ed ;:l.an sh....n .. m7~'~ SuiZdirlfl Si.t$ at all times.
?."?OCSDUPS ."'OR INSPECTIOu REa T:CALL 726-3769 (reeo der) state your City desigr.a.ted J'ob nur.:bel', J'ob adircss, type of in30ec-;icn
raquesr:cd a:>:d when you. uil.Z. b ......d for inspect..' tractors 01' Ot..'n8:OS r.L:.rne c::r.d phane number. Requests l'eceit:ed c~fcr'e' 7:00 c;
:..'iZl. be rrade thE: same day, requests m a 7:00 a'7I tJiZZ be made the nat :JOl'kirl.] day. 0' 'Jl .. \ 1oc:::...4
Your City- Desigr.atcd Job NUJ'fIha Is: C'J l' U
oeauir~d rnsr~ctic~s
O SITE I.7S?~C-::.JN: To be r.rzde after
ezcavati~n, ~U~ prior to set up of
forms.
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.. RESlDtTlAL':
APPLICATION/PERMIT
225 North 5th Street
SpringfieZd, Oregon 97477
BuiZding Division
726-3753
SPRINGFIELD
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.lob !cc:;ti.on:
'-~\ )~4 \. mQl C\
\~~ T=
~~QCl t..,_
&,t # 7'J'31(1)
ASCSS.ON ,\Iap ,I
SUbditr:.sic'1:
~_"er: WI QJU~ ~mr
Add.-e83:c9lcH.~ \\ '::>.D~
City: Clo.J...t!j, ~
~~~ J '
Pr"",e: '14'7..50L/8
Zip: q '/4 ?r;
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DQ8a1""~be rlork:
~6mLe...
4 \--\s Z lJl19
R /I.~ CO
Addi:icn
R<2mode~
.'~ob-:. Z2 "~om(]
rate of Application
Cont:rcc:::ol'S
Vatue
Addres3
General
PLumbing
ELectricaL
N.=har.ic= d J lrr:x:::l.z.n - Jli.J JL (J!\'f'1.->1
Constructian [.c:na'€r- -a..._ {j
UUV2RSL-:'.B ?T.J.J.'.f3UG. EL2C7'RIC,tL ,{
,\'ECh'),'JIC':'i.,: To be made before
work is ~ovared. .
U .J.it~ULATrON/VAPOR 2ARl?I2R IHSP2CTICtJ:
To be ,~e after alL insuL~tion ~4
'. required vapor ba:rriers are in place
but before any l.ath~ gypsum bcCU'd or
uxxl.l (X)vering is c:ppZied~ c:r.d ber~ore
any insulation is concealed.
cny
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FOOTT?lC ~ FOU:lDAT:C.'l: To ce ::r:uie
aj"ter :l'enci:es are e.::c(I"Jated ar.d
forms are erec:<td, but prior :0
pour-;1".g CCnc:'et.;.
~ 0 MASONRY: Steel. Zocation~ bona.
U.'1D;:..,C.'~-'JU.'!D F~Ur.f!Jn'c. SS;.I2R. ;:.r,1T.:.i'.
b~am3~ groutina or verticals in
O!~AINACc: h:O be ma~e p~~or ~o I~'- accordance ~~th V.B,C. Section
..1".g ~rer.c .es. 241&.
UND~Rnoo::? !'!.~.'.tsI.~G ~ N::C.~~:VIC:'[': 4~WOODS'!':VE: Aft.n' installation ";S
To De mace pr'!.cr ..0 :.n3~aL.-..:zt:.on oT cc.-:rpl..a,;€d.
{1.oor insuz.c:zion or decking. .
?aST AND 3EAU: To.;e rr.c.dc pl""'Al' ~ D CURB & .4PP.1?OACH .4?r::oN: Afte:" forms
instalk::tien of floor ir.suZa:icr. or ae ere~ted but prior to pOUI"";I".g
deckin;;. ~rete.
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DHyrtlALl. INSPECTION: Tc be r,o.ade
after aU Gr::/wU is in place~
but prior to any :aping.
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Ro~rcp' ?!..tr.Ap!:.1G. F'!.2C':'.T:?!CA!. .~ .'.fECH-
AHlr;:.!..: .';0 ~ori-: -::3 ';0 be co~'ereri
until ;r.cse :r~~ectior.s ~V~ ~eer.
ma=e ~~ C?Pl'?ved.
E'IRE:?LAC.:: Pr":.or;o plcc-::r.g f~c-';nq
mct~l'iaZs ar~ before framir.g inspec-
tior..
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SIDEWALK a DRIYEWAY: For all CCTl-
crete paving wi chin street right-
OJ"-WC'ih to be made after aU e=:CQ-
I}atina ~arrDZete .5 fo~ '..XJl'k ~ :;ub-
base ;;'cte-rt.al in p~e.
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:-'3::....c::: When. compZ.;te -- aovide
gaces or ;:wvabZe sections through
P.U.t,
FR.4..'~I.'It;: ,'ofust::o zooque3t:ed af"';er
approv..:.Z o,f rough ,?Zur..bing~ zZect1""':-
caL & mecr.ani.:aZ. ..tZ! 'f'Oo1'-:'1'.g
bracing d chi.nncys3 et~. ~~sc be
. conmZe,;cd. .'/0 ~l'k is to b~ cor:-
~ cea'Zed ..r.ti Z :hia insoec;icn ;..a8
'been ,~e end a?p'f'Oved.
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.=?cc;r'::;J'; .'i
(() ()R~")C)
....
fat
&isc.#
Uo/.ed:H.., ~n )_f
Vat" ..:..A'T~ -r. ~
. -
.Enirt!s ?r.ol1S
J~
~7
A!"
I VEnOl-ITIO;'! OR ;~:Ov=; 3UILDI,7CS
~ Sani"';a:ry se".Jer ~ap?ed ::t p~opct't':i lir:e
:==J Se?ti~ tank p~~cd ~nd f-:.lZed ~th gT~~eZ
,
:J Pinal - C{hen c..Xve ite::-:s a:!'e ce:::oZetec.
ar~ ~hen d~cZitior. is c~Ze:e or s"';~~~-
~e moved ar~ ?r~':~es ~Ze=ned ..p.
l.vooi i:z Hcmes
:=J Blocking and Set-~p
:=J ?!~~ing connec;iQr.s ~c~er ar~ wa:er
~ SZect1""':cal. Ccnr.ectf.on - BLocking~ 8et-~?
---1 and pZt/mbing c07lr.ectwns t:r...st =6 crpp!'ot:ec.
befol'c requesting e!ec~ricaZ. ins?ec"';io~
~ Acces::w.-,:,.' EuiZ':::-:.ng
] Fin::;,l - 11ftc:r ;'$l'cr.es3 sk-::!'ting3 dec;....s~
etc. are ccmpZet;;d.
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All project: c~c~:~ons~ $UC~ as er~ {l1s;aLZa~~on of street =l'~eS3 ~~~!~t~~~ of ;he
required LandscC?i1".g3 etc., .7tUst be sa::isfied lx:f'ore tr.e BUILDI::G FD'AL ~cn be r2qu.3s:..zd.
'[], L
FIUA Pl-UX"EI,'/G
[~J. FI.'IAL MF::P.A:IICAL
o ,:Of.VAL E!ZC':RIC:':'
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FI~AL BUILDIYG: The FiMCl BuiZdi1".g Ir.s?ectioM ,~st 09 reoueaced cfter the.:i1"~Z. Pl~bing
ELect'rical~ ant:i Necr.ar.iccl Inspeccicrw have been :nade ar.d cpprovJ::.
.A[.i: ,'.t:,,'lHCLES AND CLEANOUTS ,'WST BE .4CCESSIBf..:, ACJUS'i',':E::T -:0 3E ,'.:..1DE l!T ;'10 ::5': T') CI'::! I ?::"?~ or" 2
I JOB NO.
t
iZcr.e:
Lot Sq. Ft;.
~ ~f Lot CQVe~ag~
.~ of Stol"'ies
TotaL H.eich:~
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I Topogra;hy
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I.\fai"
SQ. FTC
l~xe
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I Car:'~r::
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r ...c~esso!":J
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IS.D.c.
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TOTAr. VALUS'
(VCI.Ui::)
1.5 =
Buildin.g Pel'm";t
Sta te SUI'ch.:lrge
TotaL Cfo.a....gea
I I~,M I NO.
IFL-t:u.res
I ResidentiaL (1 bath) I
I Sc:nit:Jt"j Sewer
I "c.~er
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Plumbing Pem t
State SUI'cr.aJ"ge
Total C'llC.raes
I ITEN
I ,VQ. i
I I
.ge8. Sa. ft:].
Now/Ert.md Cirocui ts
I TemDoraru Service
Ele::trical ?e~t
State Su:r~harc:e
TotClZ C'~ces
I IT,,\f
,..:c,
?:.Lrr..:zce ?tV' 5
, E:=haJ..:.s t Hood
I Vent Fan
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I iloodsto:;e
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Permi t Issuance
Me::r.anic.::.l Permit
State Surchcrac
'!''''=r..l. C1-.c-r'J"!!1
c:1CRCACHXE.'!'!'
Se~~~;tu Da~o3it
StO'l'f:lqe
Na.intcn.c:n.ae
Perr.ri.t
Total C'nar"'1cs
I Cur':'C'..I:t;
lSidez.Jaz:,:
I :e~e
I Et..zc:ricaL
i .'rfobi La Heme
Label
I TOTAL A,',!OU,.,'T DUI::-
SOLA.CESS
CCC"J.:::anc:J Gro-.J.:J:
l.OT TYPE
Ir:terio'Z"
Corner
P~le
C"'..ll-ae-sac
x
Value
;'!;"';:'
CHARGE
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C.i'ARGE
I;'~r> CHARes I
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..s .- GJj
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Ij~-~
1-/0.' ~~
?~ga 2
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L-COC{o
REQ.-
'I''dpeICor.sr;:
3i!d.r?0rr:s:
I Ztot F'~ces -
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?[..
5etca~k.s
I Ho:..se I Caraae
1 1 2ne1'au Sou.r~es
I I .'ieat
I Access. I I Wate!'~/u:,~Pr'
I i Ranqe
I 1 Pireoiace
I I Wood.o:;o:;e
II
T:;r-e
1I0r<;i1
East
SOJ,.;,Zft
IH'est
-- Fees
Building Value & Permit
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This perr.r:.t to granted on the e:::pr€ss ~ondttion that the sdid. constr"..u,:;ion
sh~tL. in aZL respects. conf~~ to the Ordinar.ce ~dOpted ay the :it~ Qf
Spr::r.cf"~ew.. in.c!:.uiing the 2onir..a Crd-:':r.anc6. roeC'.J.Lc.ti/:g th.B CCr.3;;~tC:~cr.
~~ ~;~ of buiZdir~s; and ~~y =e~ Juzpended or revoked at cr.~ time ~~cn uie-
~:;icn of ~y previsions of said CTdir~ces.
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I Plan Check Fee:
I Cate Paid:
IRec.ipt #:
IS~ed:
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Plumbing Permit
lIo 'p6rson~Ghall canstr,,,wt. ins::al.Z.. atter or chartge any roew or e:::.s::.ng
plumbing or drainage systen in ~hole or in part. unless such ~er80n is the
legal p08sessor of a valid plumber's license. e=cept tr~t a pe~son ma~ do
plw:-:bing :.Jork to prope!'ty which is O1Jr.ed. leased 01' operated by the appLi-
cant.
Electrical
Permi t
Where State Lc:t..J requires tr..at the eZectl""~caL work be done by an Ele::tricaL
Contractor. the eZectrical por;ion of this ';)er:':1it shaLL not b~ val.id ~nta
the LabeL has been signed by the ElectricaL ~ontractor.
Mechanical Permit
Pl.c:n ~'Z.ner
t/a:;a
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I HAVE CAREFULLY eXANINED the ~on:p~atad cpplicat:ion jor permit. end do.
hereby certify that aL~ ir:fo~.at-:.on hereon is true ar..d ccr!'cc't. ad I
fJ.I''the1' cer:-:':/:; :;hat any cd ai2 :.;ork ;lJrlo~ed shall.. 09 do~e i:: ac::or-
dance :Jith -cite Ordi.r:ances of tM City of SpringficUl., and 'tit<; i.c'..;a of th3
State of Orec.::n D$'l't..::ininc to the 1.J01'k, descr-~bcd herein. ar.d 'tnc.;; ,';"0 OCC!J-
r;::'1CY wizz ba nt:Ide of crnyw st1'Uctur3 without p:3rmissior: of th'e EuiZdir:g Di-
vision. I further ~el'tifd th~t o~ly cor:tra~tors and ~l~yees w~~ ere in
c~pZiance with ORS 701.0$5 wiZZ be used on this proj~ct
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