HomeMy WebLinkAboutPermit Mechanical 1986-4-28
.. RESIDE~Al"
I APPLICATION/PERMIT
22~ North 5th Street
Spr;ingfieZd, Oregon. 97477
.. Bui Zding Division
726-3753
~ J ob !.oca~ion:
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AeOOBGOrS Map II
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Subdivision:
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l\JAf\JCl.j
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05 b()Q
CUner:
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Addr...:' 10 ':)q
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City:
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Addi ticn
Ta::: Lot #
Phone:
'}J b- (,,(,., C) I
Zip:
Describe fl'ork:
W~+~
Remodel
I
Mobile Homa
'-I- ;;)."6- '2s k,
~ .pate of Application
Contractors
. Ganem 1.
PlW1lbing !
Electrical.
M..har.ie~t - Glbu. 0..1), I
Const1"'Uction Lender _ .~_
Value
Address
C"",., \1"^ \\\\. /)
_Pt # ~L.L..~/-<
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Sigr.ed: V
Date: 'j I.f'~~-U
Lise. II EroircB Phons
It is the responoibility of ths permit holder to see that alt.. inopections m-e made at the proper tim~, that Dach :;ddr088 is l'oa.da.?~e
Ji-om the Btl'e8t~ and that the permit card is 'Located at the front of tM property.
-tBui!.ding [){'vi=io~ approved plan shcU remain on th;; BuiZdi71f1 sit:; at aU times.
P;WCSDUP.E FOR INSPECTION RE:.QUEST:CALL 726-3769 (recorder) state your City designated job nlo7Zbe1', job aacrC8S, type of inapec;icn
1'cquested ar.d when you wi'll be ready for inspection, Contractors 01' Owne:ros name and phone number. Requests received beforB 7: 00 o::::'l
:..>il.L be made th€ same dcy, requests made afta' 7:00 am will b~ made the nc:r:t :x>rking day.
~it:"l.r1 T'1.qp't>(!1:i.r."'~
O SITE INSPECTION: To be rrr::de after
e:x:ca9atior1, but prior to set up of
forms.
O UNDE8SLAB PLUMBING. ELECTRICAL &
NECH,L'IICAL: To be made before any
work is covered.
o
FOOT.TNG & FOUNDATION: To be rrade
afte~ trenches are excavated and
forma are erected, but prior to
pouring c(;ncret~.
UNDERGFfOUND PLUMBING. SEWER. W.'1TEI~
DRAINAGE: To be roode prior to fi l-
lir.g trenches.
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UNDERFWOR PWI.fBING & MECHANICAL:
To be made prior to in.otal.Zation of
f1.oo~ insulation 01' decking.
POST AND BEAM: To be mad. pmr to
instal.Zation of floor ins~lation 01'
dseki7l(; ,
ROUGH PLUMBING. ELECTRICAL & /fECH-
ANICAL: No !JOrk is to be covered
,ur.til. these inspections have beer.
made and approve':::.
FIREPLACE: Prior to p lacir.g faC!ing
materials and before framing inspec-
tior..
iD FRANING: Muot be requeDted after
approval of rough plwr.bing, electri-
cal & mechanical. AtZ. roofing
bracing & chimncys, etc. nrJ.8t be
..' completed. No lJOrk is to be con-
. ......oealed until thio in.speotion has
'\ . bG~n made and approved.
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Your City Deoigr.atcd Job Number Io:
O INSULATION/VAPOR BARRIER INSPECTIOI/,
To be made after a ZZ insu latian. ar'.d
. required vapor barriers are in p 7.ace
but before any lath, gypsum board or
w.U covering is applied, and beforo
any inouZation is concealed.
o
DRYWALL INSPECTION: To be made
after all drywaZZ is in pZace,
but prior to any taping.
O MASONRY: Steel location, bomI
beam3, grouting 01' vertioals in
accordance wi th u. B. C. Section
2415,
r\7J WOODSTOVE: After installation is
~ ccmpZeted.
o
CURB & APPROACH APttON: Afte-:o forms
are created but prior to pouring
0011Crete.
<7?,./..-, 0,;). ~ I
. DDlOLITIO!! OR ;'.,'OYED BUILDIi!GS
~ Sanitary se"..Jer aapped at p~opcrt-:i line
~ Septia tank p'oC?ed and fi. 7. led wi th gra"Js Z.
:J Final - fl'hen. above ite.-ns are oompleted
and when demolition is complete or struc-
ture moved and premtaes cleaned up.
Mobile Hemes
::J Blocking and Set.~p
::J Plwnhing conneotions -- sauer and water
::J Electrical Connection - Blocking, set-up
and plumbing conr.sctions nr...:st cs approvBd
beforc requesting eZ6o~riaal inspec~io~
~ Acaesaol"Y Building
:J Final - lifter porches, skirting, decks,
etc. are camplet~d.
o
All project conditions, auch as the installation of street tr6es, ca~lotion of the
required lan.dscapir-.g, etc., must be satisfied before tho BUILDING FINAL can be r3questad.
o FINAL PLUMBING
~ FINAL MECHANICAL
.~ FINAL ELECTRICAL
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FINAL BUILDING: The Final Building Inspection must be requested alter the Final Plumbina
Electrical, and Mechar.ical InspectiomJ havo been made and approved.
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SIDEWALK & DRlVEWA Yo' For all oon-
crete paving within street right-
of-tJC.y~ to be made after all exca-
vating complete & form work & sub-
base rruterial in pZaae.
/tALL MANHOLES AND CLEANOUTS MUST BE ACCESSIBLE, ADJUST/fENT TO BE J.~"DE AT NO COST TO CITY I Pago 1 of 2
O PENCE: Wher. complete -- Provide
gates 01' movable sections through
P,U,E,
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r JOB
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I Zone:
Lot Sq, Ft(;.
S of lot CooePage
# of Stories
Total Height
Topography
NO, 'tko?'9 \
ITEM
I Main
Ctrraae
Car>oort
l,tcc8s8oru
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TOTAL VALUE:
IS,D,C,
evct..uc)
1.5 x
Bui Lding Permi t
State Swocharge
Total Cha...""ges
IITE:N
lFutures
I
i Residential. (1 bath)
I Sanitary Sewer
Water
PZwnbing Pern:i t
State SlUcr.arge
Total- Chc.:l'oes
IBE:M
I Re.? Sa. fta.
I Now/Extend Cil'cui ts
I .
I Temporary Serv'Lce
I
EZ.e~trical Permit
St::.te Sur~ha.rqe
Total Cha:rt;es
iITEN
I Furnace PTU' S
I E:::haus t Hood
I Vent Fan
I
I WoOdstOiJ6
Permi t I3suanca
Mechanical. Permi t
State Surcharae
SQ,FTG
1110, I
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1110. I
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Total Charqp'fJ
I. -- E:/ICROACHNF:NT --
I Sec-oAr1.tl! DZp03it
I Storape
I Maintenance
I Permit
Total Cha1'f1cs
SOl_CCESS
OccuDarnWroui7:
WT TYPE:
Interior
Comel"
Panhandle
cut-de-sac
A Vat-ue
FE:E:
CHARGE:
FEE CHARGE
FEE
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/S'()O I
,(@ I
1"-..,08
1/5,00
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I/ShDI,
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CHARCE:
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/5'bD
! CUrbcut
! Sidewa lk
I
, Pence
J Electrical Label
:.Iobile Home
,
,
1 'tOTAL AMOUNT DUE:'"
L.~t:: U
REQ.-
l-COC-."(;
.
Type/Co1".8t:
Bedrooms:
I Lot Faces -
I
I P,L,
INorth
East
iSou th
IWest
I I EnerGu SO"..a'ces
I I .<ieat
Access. I I Water Hp.at~l'
I I Range
I I Fipeplace
I I Wood, to"e
II
TlJDe
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Setbacks
I Houee CaNlce
Faes
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Building Value & Permit
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This permit iD gI'anted on the express condition that the sdid construction
shall, in all respects, conform to the Ordinance adopted by the city of
Springfield, incZuding the Zoning CI'dinance, regulating the construction
and use of buildings, and m~y be suapended 01' revoked at cr.y time upon vio-
lation of any provisions of said Ordir~es.
Plan Check Fee:
Date Paid:
Receipt #:
I Signed:
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Plumbing Permit
No person ahall construct, instal!, alter or 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 that a person may dq~
plumbing work to property which is owned, leased 01' operated by the appZi-:
~t. .
......... ~
Electrical Permit
Where State LcnJ requires tr.at the electrical work be done by an Electrical
Contractor, the electrical portion of this permit shall r.ot be valid until
the label has been signed by the Electrical Contractor.
Mechanical Permit
r
\...
Plan Exarrn..ner
va.e
I HAVE CAREFULLY EXAMINED the eampleted application for pemtit~ and do
hereby certify that all information hereon is true and correct, and I
f'~I'ther certify that any ar.d all lJOrk pel'fomed shall be done in accor-
dance t.1ith the Ordinances of the City of Springfiez.dJ and the La-..;s of tha
State of Oregon p~rtaining to the work described hel'ein~ c:n.d that NO OCCU-
PANCY t.1ill be rmde of any struatur.<l lJ)'ithout permission of the Building Di-
vision. I furthel' cePtifY that only aontl'aators and employees who are in
c~pliance with ORS 701.055 will be used on this project
\...
Sigm~,y )a.lLo
tf/,..J8l X'iA
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