HomeMy WebLinkAboutPermit Mechanical 1983-3-29
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.. RESI~NTlAL"
AP?~ICATION/PERMIT
225 North 5th Street
Spri~~fieZdJ Oregon 97477
BuiZding Division
726-3753
SPRINGFlELD
)<. Job [,oo=.,on: f~ij A{;qll ~L/6c
Aso88Goro :!ap. \ rJO"d A (0 \ ~
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Subd-:.tr:sic'l:
" ~,:ner: tfou JkE/1ER'G/1/f'LJ7
~ Add.-es;: t?b- #f?17 7/1;f,j/6~
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Addi tic"
Ta &aU (')4.~ I (1
'{pr.one: 7t/7-~J' lY'
,;,:". 9' Uil
Desc:1"'ibe fl'ork:
Remode~
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,'fob-:. Z2 ::/oma
~a:e 0]' AppLicaticn
:.;071::rCO::0!"8
General.
PLumbing
i _ !1.eetrical.
'\ ~}!BChar.ic.: 1.
,I Constl"'.lctian [.;:r:a"er
v',ue 131/5.' t:O
IAddres3
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Rcce-:;:),; ,iI.
(Of )( 0 ::\9J-,
Siqr:ed:
Date:
~l(\n_ ) ,
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Lise. #
E;oircs
Phon(;
[~ is :h" resp07'1Gi'bi1.i.:y of ens Fermit holdsr to 866 that at! irwpactions ~e :::008 at the propitr :ir.lI;1 t.'-.at :u:.ch .::idress is l'eaiab:.
,from eho 8:ree:~ and that the permit c:uvJ. is t..xated at thQ front of the propert:y.
.t3ui!.di~.g ::r:ui,::io!". ap;:rot.".ad p!.an shcn remain on the Bu.-:.Zding Site at ::zll times.
?'?OCEDURE fOR INSPECTION R!'aill'ST:CALL 726-3769 {recorder} statEl' your Ci.ty .iesigr.ated joe nur.:hel', job adixss, type of ir.3pec:icn
raq;..esccd a~.d U":tHt you wi"" bti ;oeady for ir.spccdon, Contraotors or Ol.."ne:-s r.ene c:r.d phone number. Requests l"flosil,:.d eelcl"l 7:00 .:=:;
:.'ilZ. be made the same d=y, requests made afta- 7:00 am t.1iZl ba made the nc:rt ;;orkin; day.
tJP,n:n:"'eA_ :"',.,<:'.."~t";'",,,.,..q
O SIT! I."JSPEC'::al'o': To:,e r:r::.as aftO!l'
excavation, ~ut pl'icr to as: up of
forms. .
O U,'ID[.~SLA8 PU'::.f3I.'1C, E[,2C7Rlr:.t! ~
NECH.':'."iC-i[.: To bEl' madO! befol'':) any
werle is ~::r.;c::"ed.
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PCOTD'C $ FOU/IDA-TIeN: To 06 .~
after :rencr.~s are ~c~.;at8d and
forms are .reo:.d, but prior to
pourir.g conc::'"et6.
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U:';DrRG.~r;.~'D "?~r..?-fEn:c. s::.aR.. ;;'1T!'.i',
DRAl;,!AGE: :0 be r.:a.::e prior ~o fi i..-
l.i.r..g ::rer.cr.8$.
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WIDE.I:!F:QOR r'T.U....'Sr.IG :1 ,.~CH.4.VICAL:
To aEl' mads priol' :0 -:.n3~t.;...2::-:'on of
11001' insuZa:-ion or decking.
?JST AND 3EAU: To,:,e rr:cdc pr-;or :0
inst"aU.:::-icn of' /,Iool' ir.3t;l.a:ior. 01'
d8cki"i;'
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.~C~I(;H ?:'!r.'!3~__;G. ~rE::':'P!C"~!.. ~ g~c..,-
AH[CA~: So ~or~ ia :0 jc covered
ur.tiL ;r.C8~ :r~=ec:ior.s hav~ ~~er.
made c:r.d "=pp::'"?:;"ed.
FI.~~?Utct: Prior:o pbir.g f::e-:.ng
mc:..riaZs a:r.d b~forEl' lrar.tir.g inspec-
tior..
FRA.'!I.'IC: ."!ust.:,s -:'equeated after
cpprov..;l of ::'"ough ;Lur..bing, aZec:r-;-
caL & mecr.ani..:::z~. "H~ rooj:.r.g
bracir.g d chimn.:ys, at.:. .'n"..lse be
. corrrole=cd. "'0 '..;.:;11'-< is :0 ae CC7'!-
. cec:~ldd ;.ir.:-iL :hi3 ir.s:?ec:icn ;..a.s
. b6en mad~ end approt...ed.
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Your City. Desigr.ated Job Nwnber Is:
O INSULATI0N/VAPO.,? c.4.FiRIER I."ISP"!'C'!'ICt/:
To be mads after all insul.::ti.on 1X"'.d
rcauired VatlOI" ctJIT"iers are in ;,lace
but cejore any lath, gypsum bcare or
waLL ~veri.ng is cppZied, :zr.d oejore
(]Jty ir..suLation is conceaLed.
D.9.~";ALL INSPECTION: To be mae.e
after aLL az..:;/wZL is in place,
but prior to any ~aping.
O MASOH;,?Y: SteeL location, bond
baams, grouting or v6rticals in
accordance >...r:'th U.E.C. Section
2415.
~ODS~OVE: Altar installation is
.6J..;b.':'lpLe~~d.
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CURB & APPROACH .4P.r:QN: AftO!r' foms
are ereoted but ;;r-';or to p::r..lI";ng
~n.:::l'ete.
SID~WA.Li( & DRr.'C:f.'A'!: COl' aU CC7I-
crete paving ~it"hin street right-
oj-wey, to bc made a;':.ar all e::oG.-
vatina comvlete & fo~ ~rk & ~ub-
base ;'.a::erial in pla.oe.
ex 3 \ '5CY7
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DC:UOLITIO;'/ OR ;~:Ov::; 3!/I!.Dli/CS
:J Sani tary se'..Jer capped =t ~~pcr:-:l Ur.a
~ Septi~ tank p~~ed and f~LZ~d with gra~eZ
---, FinaL - rlhen aXVQ ite:~s are ccmolEl't~d
~ ar.d when ie~L~:ior. is com?Z~:e or st~~~-
tu.......e r.:ovsd ar.d pr&::7i;;es de,;;.r..za u.p.
. Nooi La Hc.~es
:::J Blocking and Sat-~p
:::J Plumbing connec=ions S~El'r cr~ wa:er
:::J EZcctr-;cal Ccr.r.ection - Blooking, set-up
and p~umbing c:mnections r.T"...st =8 C?prOL"c.
b9fcl'c request:ng e~eo:ricaL inspso:io~
~ .4cceS3c.~' BuiL.:.ir.g
~ Final - Aft~r ;~rcr.fls. skirting, dec~~,
~ etC. are Ccmpl8=~d.
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All project conditions, a;.ich as :he ins:a~Lac~on of street :1'888, :~~!c:i~n of the
required l..an.C.!!.cc:pir.g, etc., :r:ust be sat:isl~ad before tJ:e 3l.'I!.DD'C I'D'AL ~.::n ::El' ::'"3qtlSSt;3d.
O. FINAl. Pr.U,'.!9D'C
D. FI:lAl. NE':HA,'IICAl.
CJ Fl.'lAL E!.tC":.r::IC':':'
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PINAL BUILDING: The Final Buildil".q !r.s?€ction ,-n.lS:- bfJ requested =..-~:ar the _~ir.aL P!u:r.bing
Electrical, and Necr~~icai Ir.speceionG have been ~ade ar~ a?prcv~=.
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:!NCE: :then compL~te -- Provide
ga;;s or .71ovabLe' sections through
P.U.E.
"AL~ MAl/HeLts AND C~EANOU7'S ,'lUST Bt ACCESSI3!.E, .4.DJUS':?~E::'!' :0 3S g.1Ct ,;1' ;,:0 ::::57' TO CI':''! I ::>....~B of.2
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I JOB NO,
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i Zone:
ILot Sq. Ftg,
l~ ~f tot Caveraq&
! ,;J of 5tor-:.es
!:otat Haigh:;
,
Topog'l'<I?hy
SOLAR .ESS
C~c:".J..':;anc"J Grcr..l.:)"
IT~:.!
SQ.. FTC
I ,'Ia;n
1~~c2
i
I Car:-art
I,
1.-;C::23301'"'
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'rOT:..!, Z.EU~
---~~--~.
IS,D,C, ),5:::
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( :,:a~Ui:)
Euil.ding :er:r.-;t;
State SU1'~hJrge
To:aL Cr.a....ge3
II':'!.'1
I FL~es
,'to.
ResidentiaL [1 bath)
Scr.::.ta"f":f Ser.J~r
I :Jctezo
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Plumbing Perr.:i. t
State Surcr.a:rqe
Tetal C'fIC.!'ces
lITE'\!
l.ge8. Sa fe!].
I N;;z,)/E:rt.md Cil'C".li ts
!Tempcrary Seruico
I.va, I .__
I I_
I I
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Eleatrica l Pe~ t
$t::.te Su:raharae
Total C"tUJ.:!'ces
I iT"-V I ::C,/ ~-;'~
F':Jrr.:zce ETU'S
I E=haus t Hood I
I Vent fan I
I 1
I ;;;'ods~o-.;e
Permit 13su:::n.ce
Med'.anic:: l ?erm t
State Surc1tt::rac
.....'T'~=r.z CJ.cr""n~
!.~'C.::CAC!D!!.'!':'
!Se~..I.~;tu D2~03it
'I Stol'!1qe
I ,'.fa"':ntenar~e
I. '.
. C'l'mt..
_T2~al C"nc.1"':!cs
I CUr';C'..I.t
I Sid=Z'<
I?"",.
I EZ.zctl'ical
,
! ,\fobi 103 F1X18
!.c!;eZ
1 Z'OTA!: ANOU.'1T DUe:"
LOT '!'fP!
Ir.terior"
Corner
Pc:n.handle
C'.4l-de-sac
x Value
FEE
CHARGE
C.=iAR.CE I
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CH)JiCE I
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P:::qa 2
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L-COC'l."
REQ,-
T~','()e/Cor.8c:
3edr~or.:8 :
I E,ot :a.ces -
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I~orth
east
ISO'.4th
I~est
II EnarolJ Sou.r~es
Heat
I
II
II
II
T:l'ce
5etna.~i<-.1
I H014se I Caraae
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I Access"
ilcrt.p... :Jp.n~p.l'
Range
:~%"e'()lace
Waoa.;Jtot:e
Fees
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Building Value & Permit
This pel'm'"~t is granted on the e::press (!ondition that the sd:i.d. conscr".J.c:::on
sha~l, in ~lL respects, confc~ to the Ordinance :::dopted by the Ci:~ ~f
Spr"~r.gf:.eZd, :.nctwiing the ::'oning Crd::nancEl, reg-.A.ktil1g thB. CC1':st::":./c:::"cn
and ~~e of buildings, and m:::y a~ ~usper~ed or revokec at cr.~ t:.me ~~~n ~ic.
Zation of zr.y ?rjvisions of sa::d CTdir~nces.
.
Plan Check Fee:
Catc Paid:
Rec~ipt #:
IS.:g,:.d:
Plumbing Permit
No pereon shaLL construct, instalt, aZter or change any new or e=is:ir.q
plumbing jr drainage syst~~ in whole or in part, unless such person is the
legal possessor of ~ valid pLumber's license, e=cepc tr~t a person ~~~ do
p'lur.:i:,.i.ng :,;or,~ to propert-:f which is cwrr.ed, l8a8&d or operated by the cppl.i-
oont,
.
Electrical
Permi t
Where State LaJ.J requires tr.at the e Lectr"':'cat work oe done by an !'ta~trica l
Contractor, the electrical por1;io11 of this permit shall roOt be valid until
tM label nas been signed by the Electrical ~ontra~~or"
Mechanical Permit
pi.t:;n C=..---m.ner L!a:.a
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I HAVE CAREFULLY ~XANINEJ) :.I..e -.:orr.pleted ,"?plicar;iol1 f~r permit, c:nd de
hereby certify chat aZZ inlo:':':7ation hereon is true ar.d ccrrcct. ar.d I
further cer:ij'~ that any ar.d all :.,"ork ;:erlor:-ned shall be don.e i;o: ac~or-
dance ~th the OPdin:mces of tha City of Spr"~ngfio;l.d, and 1;h~ tA::..;a oj ti:3
State of Oreg.:m p::;rt..::ining to :r.e ~r.~ cescr-~bcd herG~n, c:r.d the:; .va occ!J-
Pt./lCY will bB ,7t%.:ie oj' any structw's withou.t parmis3ion of the Building rr~-
vision. I further ~eri;if~ tr~t o~ly contrcctjrs ar~ ~t;yees wr~ are in
c~~pZiance wi1;h CRS 701"OS~ wi!Z be used en this pr~jgci;
..~~ /i~tJ~tJ7/T~
~7
...:1-..;8-&
Dat.
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