HomeMy WebLinkAboutPermit Mechanical 1984-12-17
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APPLICATl ON/PERMIT
225 North 5th Street
SpringfieZd, Oregon 97477
BuiZding Division
726-3753
Job Looation: ~ R ""i L../ L7JI CU.d
ABaeSGOrn Map # \I.r~ ~ \ l\ ')
Subdivision:
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T= Lot # ('0\ \l.
t!-.h.1l/~ ~u 8 8(j~fJ
~r}qg ~C!~I/",
L.e~ (/IJ~~L /)#~
\' -I De8~:ribe rl'ork:
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Ctmer:
Address:
City:
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Addition
Remodel
.'.!obi le Hom:)
Date of Application
Contractors
General
PLwnbing
~leotrioal
fit .....-
, ~~e_chQT.i~ Z
Constl"Uction
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of;; e~ /J.~I/ - 61 <{ ~ (..
Ph'W~ ,(IR-hr'7S1
Zip: 973.ss-
Address
-(rA~ h' &Ol.P-f)tWl~ ..
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Rcce-:pt .II.
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Date: / ./:Y (I, /7 f1-I
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Lise. Ii
ExPires
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It; is ths responoibility of ths permit halder to see that aU inopections are made at tho: proper tim€;o that c:!ach :;ddress is readab:o:
from the street;o and that the pcrnri t card is tocated at the front of the property.
ABui!di'!'l{J Dividor: approved plan shall remain on the Building Sit$ at aU times.
PROCSDURE FOR INSPECTION RE:QUEST:CALL 726-3769 (rceorderJ state your City designated J'ob ntm;ber;o job addrcss;o type of ir.:;p6c~icn
requested ar.d when you wiLL be ready for inspcction;o Contractors o~ Owners name end phone numbcr. Requests received before 7:00 ~
iI.>ill. be made th~ same day;o requests made after 7:00 am will ba rrr:I.de the next :xJrking day.
R~nvi~~1 T~p~~~r.ir.~~
D SITE INSPECTION: To be m::zde after
excavation;o but prior to se~ up of
forms.
O : UIIDERSLAB PLUMBING. ELECTRICAL &
. NECHANICAL.. To be made before any
work is ~ovcred.
o
FOOTING & FOUNDATION: To be ""de
after trenches are e:reavated and
forms are erected;o but prior to
pouring eancrete.
UNDZRGROUND PLUMBING. SEWER. W,1TE,'t
DRAINAGE: To be roode prior to fil-
Ur.g trencMs.
o
o
UNDERFWOR PLUMBING & MECHANICAL:
To be made prio~ to instaLlation of
floor insuLation or decking.
POST AND BEAM: To be mad~ prior to
instaLlation of floor insuLation 01'
deoking.
ROUGH PLUMBI!JG. ELECTR.TCAL ~ MECH-
ANICAL: No lJOrk is to be covered-
" w:ti 1, these inspections have beer.
made and approve'::.
FIREPLACE: Prior to ptacir.g faeing
materials and before framing inspec-
tion.
O FRAJ.!ING: Must be requeoted after
app~ovat of rough plwr.bing, electri-
.ca'L & meehanica'L. AU roofing
braeing & chimncys;o etc. lIr..lst be
~'completed. No work is to be con-
....,..:..cec.led until thio inspection has
~be~~ made and approved.
o
o
D
Your City' Desigr.ated Job Nwnba> Ia:
O INSULATION/VAPOR BARRIER INSPECTION:
To be made after a'Ll insulatian ~n
'. required vapor barriers are in place
. . but before any lath;o gypswn board or
u:z.U covering is applied, and before
any insulation is eoncea'Led.
O DRYWALL INSPECTION: To be made
after aU dzoywaU is in plaee;o
. but prior to any taping. .
O ~SONRY: Steel loeation;o bond
beams;o grouting 01' verticals in
aacoPdance with U.B.C. Section
2415.
~OODSTOVE: After installation is
~ ccmpleted. ,
o
CURB & APPROACH APRON: After' forms
are erected bu t prior to pouring
concrete.
'?t\()qPJ ()
DEUOLITION OR :':OVED BUILDIilCS
=:J Sani~ary sC".Jer ::apped ~t rn:.opi:rt'"i lir.e
:==J Septic tank ~~~ed and fiZZe~ uith gra~Bt
:J Pinal - [{hen ab..."'Ve item.s are completed
and when demolition is complete or struc-
ture moved ani! premises cleaned up.
Nobile Hames
:::J Blocking and S8t-~p
:::J Plumbing connections s~er and WatSr
:::J Electrical Connection - Blocking, set-up ,
and plumbing connections nr..lst ce approved
. before requesting electrical inspec~ion
:::J AccesGol"':1' Building
:J Final - Afti:r p:Jrches, skirting;o decks,
etc. are comptet~d.
o
All project conditions, such as the installation of street trees, c~~lation of the
required Zandscc.pir'.g;o etc., must be satisfied bcfore the BUILDING FINAL ean be 1'8qusst3d.
o FIliAL PLUII.BIIIG
D FIliAL ME~HANICAL
o FINAL ELECTRICAL
\'
o
o
FINAL BUILDING: The Final Building Inspection must be requested after the Final Plumbing
Electrical;o and Mechar.ical Inspeetiona hava been made and approved.
o
SIDEWALK & DRIVEWAY: Fop all con-
crete paving within street right-
of-tx.y;o to bc made after aU exea-
vating complete & fo~ work & sub-
base roc:terial in place.
"ALL MANHOLES AND CLEANOUTS MUST BE ACCESSIl3LE;o ADJUSTlfEUT TO BE MA.DE I!T NO CaST TO CITY Page 1 of 2
O PENCE: flhen co.7tpl~te -- Provide-
gates or movable sections through
P.U.E. '
o
I JOB NO.
I Zone:
Lot Sq. Ftg.
S or lot Coverage
#. of Stories
Total Height
Topography
lITEM
I~bin
lea:raae
I Caruort
I AeC'es801'U
I
I
Is.D.c.
TOTAL VALUE
evcl.Uc)
1.5 x
Building Permit
State SurchaJ'ge
Total Cha,."ges
lITEM
I F1.:rtures
IResidential (1 bath)
I sanitary Sewer
Water
PlWllbing Pel'Ir.i t
State Surcr.arge
Total. Charaes
lITEM
I Res. Sa. fta.
I N6WIExtend Cirr::ui ts
I Temporary Service
I
EZeotrical Permit
State Surcharqe
Tota l Charces
lITEM
I Furnace ETU'S
I E:rhauet Hood
I Vent Fan
IlIoodstove
Pernn.t Issuance
Mechanica Z. Perwri t
State SU:rcharoe
SOLAR ACCESS
Occur;anct/ C.-
LOT TYPE
SQ. FTG
NO. FEE
I NO'1
I I
I I
I I
I NO.
I
I
1 I
II I
I 1
Total Cha"''Y,,!R
-- ENCROACHMENT --
SeC".J.loiLl/ Deposit
I Storage
I Maintenance
I Permit
I Total C'haroqcs
I Curbcu;
I Sidewlk
IFe~e
1 Electrical Label
I Mobile Home
1,1
TOTAL AMOUNT DUE:'
x
FEE
FEE
Interior
Corner
Panhandle
Cut-de-sac
Value
CHARGE
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1
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1
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CHARGE
CHARGE
,(00
/5: (Pol.
I
/5. "0
rc:yc '"
._".
REQ,-
L-COG-l1
Type/Const: . Bedrooms:
I I Enare" SOUl'cts
I I Heat
Access. I I Water Hl?atPJ'I
I I Range
I I Firev lace
I I Wo0d3tove
I J
~
, ..
I Lot Faces -
I Setbacks
I P. L. I House Carage
1N0rth
lEast
South
IWest
T.mB
-- Fees
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Building Value &
Permit
This permit is granted on the e:t:press oondition that the sa.id aonstroction
shaLL, in all respeats, conform to the ~inance adopted by the City of
Springfield, including the Zoning Ordinance, regulating the construction
and UDe of buildings, and m~y be BUDpended or revoked at any time upon vic-
latipn of any provisions of said ordinances.
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Iplan Check Fee:
Date Paid:
IReceipt #:
ISifl"ed:
Plumbing Permit
No person shaH construct, instal'L, alter 01" change any new 01" e--isting
plumbing or drainage system in whole or in part, unless such person is the
legal possessor of a valid plumber's license, except tr.at a pe:>son may do
plumbing work to property which is cn.med, leased 01' operated by the appli-
cant.
Electrical Permit
Where State LaJ.J requires tr.at the electrical, work be done by an Eleotl'ical
Contractor, the electrical po~tion of this permit shall r~t be valid until
the labe l has been signed by the Electriaa Z. t:ontractor.
Mechanical Permit
P tan E'3:a:Jrn.n.ar
va"e
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I HA VE CAREFULLY EXA.~INED the aompleted appliaation fo~ permit, and do
hereby certify that all information hereon is true and a01'l"cat, and I
further aertify that any ar.d all /JOl'k perfo~ed shall be done in aceol'-
dance lJith the Ordinances of the City of Springfield, and th~ Lt::.wJs of tha
State of Oregon p~rtaining to the work described he~ein, and that NO OCCU-
PANCY lJill be TTrlde of any structure urithout p2rmission of the Building Di-
vision. I further certify that only contractors ar.d errp~yee8 who arB in
compliance with ORS 701.055 will be used on this project
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