HomeMy WebLinkAboutPermit Mechanical 1984-8-22
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.. RESIDENTIAL"
APPI.I:,'S:IO.'I/PERMIT
225 North 5th Street
Spl"';r.qfieZd, Oregon 97477
BuiZding Division
726-J75J
Job !.cc~:i:)1f."
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El.actrical
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I: t... ~M re'PQncibiZi.:y of' eM pfln:Ti: i1cld.uo to tlftS :hat alZ inDp.cticns are r:tads at :h. ?l"OpU :i.I1I1;1 that: =cis ::ddrsSB is r.......:....:
f'T"C7Tf eluJ stretlt. end that the permi: card i. l...x3ted at the frent of eh8 property.
.~li.i!.di~.g jivi,:io!": C?F'o::ed ;;LC::n sr..::::l. l'er.ta-:'n on th.t Bu~tdiJ1f1 $:.t::; at aLl' tim.s.
f'.~O~!J!J?~ Fon ;....S?!~!~l/ n!~resr.:CALL 726-3769 (rccordsrJ state you:r City de:Ji{p".at~d J'ob nur:-.bero~ job ad.:i."css~ type of i~p(l::~icn
rosques~cd a....,d :J.':en you ;.ri.LL oe ready fol' i"..3pcct-::07l~ Cont:raetcl'S 01" G\Jne:-s ~e .::nd phor:.e nu.~cr. .'!equ~3;s reca1.r;cd 1;llfcroe 7:00 c::
:.'iH b.1ft:Jae the samll &:i~ requu:s .~cde efta' 7:00 a:1f rJiH ba made t.w nc=t :JOrkiJ1; da-:i'
'" .' 1';"" City. C.sigr.ated Job Numb.,. Is: ~l/ 0& 0 h
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at~~r :l'BncItOl'S are 2.:cct1at.zd e,..d
fC"r.:ls c.re .reet~d, but pr{..,r :.0
pouri.".g C~7lCre:.o:.
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['Locr ~,..tIllw;t::c" or tUci<ir.g.
Ms:' _,VI!) 3~~N: To be r.:aCc pr-;"r to
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o:zZ & "::6cio.ani.:al. AL!. roo:"-::rJ:]
b~~r..g & C;timn':!l3, ,t-=. r.r".lat !J.
ccmoZ.l:cd. ::0 -""'r< ';s :0 O. ::'CPI-
. cec!.Jd tott::, :hi/J inst'BC~C11 ;..aa
. b~~ ma..::~ c:n.d c.PP,.."I.,'ed.
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O I!lSULA'!':!O.v/VILPO_~ EA,IVU::R I.'!S?=CTIOU:
To be r.:a:is aft41" an ir.suL.::t:i"n lr'.a
- required vapor 1;a:!"!"'ier3 are in p lacs
Cut cslors any l.a;h. ~psur.J beard or
r.ntz. covering ::8 appli.ed~ and befor6
any ir..r..tZation ~8 conceaLed.
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DR~'/AU. n,sp~C'!:!a,'l: Tc b. r.r:zde
after all. c:::z...d!..laLl is in pZace~
but prior to any taping.
.\fASO."I.:?Y: Stasl Zccation.. Jxmd
beam:;, grou:il1g or ve1"'ticc:!s in
a.c:ord. 1Ji:h U. B. C. Ssctian
24H
ODS!'OY::: After instaLlation is
ac'71pLoil:.d. ~
DS....'CLI':IO...' OR .~."Qv=; 3!JILD!il'jS
:::J Scn1.:az..i se..Jar :a:;;?cc. ::t rn:.opQ'~' Zi~s
~ S.pti.: tctk y...,?::i ar.d f-::ll~ rJi:h ~w:~:
::J E'~z. - :num ci...-ve ite=:s are c~l.Qtt:d
ar~ whsn d~l~~ior. is complete or s~=~
ture r.-.alJea C1'Id pr~388 ::ltlaTl4ld up.
Noo-iZe iic:-r.es
~ az.ocking and SJt..:.tp
.=:J Pl.wr.bing C'07m~C:~ st:Jtn' aN! wa~.r
--, Elac:ric:::.!. Ccnr.eae-.:on - B1.ocJcir.g, 88~.U?
-.J cutd pl.:m:Ding C.7.'lr.Qc:.:ona m:.:.st ':8 cppr~T:~::'
beforc request~r4 s!.c:ri::al ir~?ee:i~
~ Ac.:'essor:,' 3uit.::ing
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et.:. arQ c::~q;",.8:.d.
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ALL projea: aar:.di:~"s. JUC~ CJ :he {ns:aLla:~cn of street =re~s. :~~!a;~" of ~he
required ~cnd:;cC?ir..;,:;tc.. :r.ust :,e sati.s;"iad ;;o:lore :i-.. 3l/r!=I::r; f!::,U. :oan :,e r3CjUB8tcd.
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::O::IAl. 3:JI:':Jn'c: The FinaL SuiLdi,1".t} Ir.S;:I6c:i.on -:'..I8t be requeaud =.~.:<it' :hJ f:.n::L ?!tir.':oi'V
r!~CtricaL. and NBC~~i.C~Z Ir.s?ec:i~n3 ;~a ces" mad~ a,..~ approlJ~i.
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Cl.'t?9 ~ APPRCACP. AP.C!':N: Af;.:" fU/"!ns
:re erected but ?rU:Jr to pcuring
.:on.=r6ttl.
SIO="tlALX d 'Rr.TW."!: FC'r all ccn-
creta paving IJithi.n street righ:-
of-I.JC.:J~ eo be made at:.2r aL~ Uca-
vatir.g ccmpleta :1 lom tJOrJc & ~uD-
bass m::;:eriaL t" pla:s.
'A':': .'.f'::,'P.C:'ZS I.ND Ct=ANCff:S .'fUS:." 9& AC:!SS:El.r. .4~ji..'S7.'~:.": -:0 3= ,',!.1C! :~:' .':0 ::sr ':"'J CI':!
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.r:-::Ncr: When co:npl..tB -- P"rovid~
gat;; or ,~abl. sections through
P.U.E.
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of 2 I
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Job Number:
x-Y'ofoo (p
Zone:
Occzmanc.u Gr.
LOT TYPE
Lot Sq. Ftg.
% ;)f lot CoveI'ag~
1# of Stones
,
: Total Height
~ l'opograe:hy
!ITEM
I
i:.k2in
I
1 Cc.raae
!caroort
I AccessorlJ
I
I
SQ.FTG
TOTAL VALUE
I
IS'O,c.
(Vc.L.UC)
1. S :r:
Buildir.g Permit
State S/n'charge
Total Chazogea
lITEM ' NO.' FEE
I Fiztzaoes
IResidentiaL (1 bath)
I Sani tary Sewer' .1
I Water'
I
PLumbing Pem t
State Szaocr.arge
Total Chc.l'aes
lITEM
NO. I FEE
I
I
I
I
Res. Sa. fta.
N~/E:r:tend Cir'aui ts
Temporary Service
Ele::trical Permit
State SW"~harae
Total Charces
lITEM NO. I FEE
I F'u1>n::.ce ETU'S I
I E::haust Hood I
I Vent Fan I
I Woodsto:Je ., I
I I
Permit Issuance
Me~hanic:zl Perrrrit
State Surcharae
Tota l CharfJ{!f;
I ENCROACHNENT --
I Sec-"cl'i tu Deoosi t
I Storage
I Naintena~e
I Permit
Total Charaes
I Cw'bcut
I Sidewalk
I Pen:!e
I Electrical Label
I MobiZe H;;me
I TOTAL AMOUNT DUE:-'
Interior
Corner
Panhandle
Cu l-de-saa
x
Value
C/IARGE
CHARGE
C!!ARCE
I
I )S,o-O
I
I /~, O--U
I
I .to l)
I )5. ro 0
I
,g 75. G D I,
Referer.ce ~umbers:
L-COC .ij:
I Lot Faces -
I
I P.L.
INcrth
,lEast
ISou th
Ifiest
T;;pe/Cor.st: _I
Access. I
I
I
Bedrooms:
Enerml Sources TilDe
Heat
fvater Yp.atep
Range
Fireplace
Woodstove
Setbacks
House Carage
..- Fees
Building Value & Permit
This psrrrr~t is granted on the express condition that the said constl'"Uction'
shaZl~ in all respects, conform to the Ordinance adopted by the City of
Springfield, incLuding the Zoning Ordinance, regulating the construction
and UGe of buildings, and ma.y be suspended or revoked at c:ny time upon vio-
lation of any provisions of said Ordir.ances.
I
I
I,
!PZan Check Fee:
IVate Paid:
IRecdpt #:
I Signed:
Plumbing Permit
No person DhaZl construct, install, aUer or change any new 01' existing
plumbing or d:l'ainage syste:n in whole or in part, unless such person is tr.e
legal possessor of a valid plumber's license, except that a person may do
plwnbing work to property which is O1Jned, leased 01' operated by the appli-
'oont.
I
I,
Electrical Permit
Where State La:LJ roequires tr.at the eZectrical WOI'k be done by an Ele~trical
Contractor, the electrical portion of this permit shaH roOt be valid until.
the Zabel has been signed by the Electrical Contractor.
,
Mechanical Permit
,
I
I
I
I,
I
Plan E::z:ctm,ner
uar;e
I HAVE CAREFULLY EXAMINED the completed application fol' permit, and do
hereby certify that all information hereon is true and correct, and I
further certify that any ar.d a'Ll work. perfomred shall be done in ac~or-
dance with the Ordinances of the City of Springfield, and th~ La:.Js of the
State of Oreg.:;n p~rtaining to the work described herein, and that NO OCCU-
PANCY IVizt be rode of any structure without parmission of the Building Di-
vision. I further certify that o':1ly contractors ar.d mrpl.:Jyees who are in
c~~pliance with ORS 701.055 will be used on this project
~-<<dr ./J ~/ ei-:J:J-PY' .
Sig-;.gd ~ Date .