HomeMy WebLinkAboutPermit Mechanical 1985-3-8
.. RESI~TIAL"
APPLICATION/PERMIT
225 North 5th Street
Springfield, Oregon 97477
Building Division
726-3753
Job Location:
(/1;;;4 ~dil~
MrJd &)n /lti,
/;;)7';" 7?. :4;)' ~ - -Pl-.o>>e: 7"-/7- ;;r~ 74
-1M/_:,i"J# /Ya Zip: 97</7 P ,
ASD8S00rs Map H
Subdivision:
QJner:
Address:
City:
@Nm.,
n Addi ticn
n Remodel
n .~!obiZe Home
Taz Lot #
Describe fl'ork:
W~~
~Q 7;~
~/Y'h r vazuel!,c;-SO ~
Date of Application
Contractors
General.
PZumbi7lfl
Electrical
Mechar.ical
~~
AdfhoeSB
. Rcce,pt" h (j '3 Y Y
Pel
. .
Siqr.ed:
Date:
dJ.4 , I
?,/,.i>'/,.fy
,
Lisc.#
Exvircs
Phone
Constl'"Uction Lender
It ia the responsibility of the perrni.t holder to sse that all irwpections a:t'6 madG at the prOpBl' tim~, that each ~e8o is l'cadab~e
frcm ths street, and that the permit aard is located at the front of the property.
-BuiZdi!1fJ Divisior: approved plan shall remain on tha Building Sit;; at all times.
PROCEDURE FOR P!!!_FIT.c'l'TON_ _RE'PUF.'.c;''P:CALL 726-3769 (recorder) state your City designated job number, job adi:rcss, type of im;p8c~icn
]faq'Ucstcd and when you win be ready for inspccHon, Contractors or Owne:-s ncme end phone number. Requests receivBd cBfore 7:00 a":"l
r.~Z1. bB made th€ same day, requests made after 7:00 am will be made the next working day.
Rl?mJ;'r,p,1 T'1P11p...tir.!'R
D SITE INSPECTION: To be roode after
excavation, but prior to set up of
forms.
O . UNDERSLAB PLUMBING. ELECTRIC,1L &
MECHANICAL: To be made before any
work is {J01Jcred.
o
FOOTING & FOUNDATION: To be 7rade
after trenches are exC!avated and
forms are erected, but prior to
pouring ccncret~.
UNDSRGROUND PLUMBING. SEWER. W.1TER,
DRAINAGE: To be m:uie prior to fil.-
Ur.g trenches.
o
o
UNDE.qFWOR PLUMBING & MECHANICAL:
To be made prior to installation of
floor insulation or decking.
POST AND BEAM: To be made prior to
instalLation of floor ins~lation or
dscki7lfl.
ROUCH PLlfMHIllG. F.r,ECTRICAL & MECH-
ANICAL: No work is to be cOL'ered
,until these inspections have beer.
made and approved.
FIREPLACE: Prior to p7..acir.g facing
materials and before framing inspec-
tion.
O FRAHING: Must be requeated after
approval of rough plurr.bing, electri-
.ool. & mechanical.. AU roofing
bracing 8 chimneys, etc. nr.J.st be
:' compl.eted. No work is to be con-
,..cealed until thio inspection has
:" b6~ made and approved.
o
o
D
YOW' City Deoigr.ated Job Nwnber 10:
D INSULATION/VAPOR BARRIER INSPECTION:
To be made after all insul;:;.tum ar.d
'. required vapor barriers are in p laae
. but cefore any lath, gypswn board or
LXlll coveping is applied, and befoPG
any insulation is aoncealed.
DRYWALL INSPECTION: To be made
after all drywall is in plaae,
but prior to any taping.
O MASONRY: Steel location, bona.
beam3, grouting or verticals in
accordance with v.B.C. Section
2415.
~OODSTOVE,: After installation is
)XJ ccrrrpleted.
D
D
CURB & APPROACH APRON: After forms
are eretlted bu t prior to pouring
oonarete.
SIDEWALK & DRII'F;WAY: For all con-
crete paving within street right-
of-liJay, to be made after aU exca-
vating ccmplete & for:':1 work & sub-
base material in platle.
?(j{)fca i)
DEl.JOLITIOH OR ;~:OVE!; BUILDIilGS
:=J Sani~ 8e'..Jer ::apped ~t p:.opcrt:,. Lir.o
=:J Septic tank p-.....?ed and fiHad lJith gra.:;eZ
I Final - rl'hen abcvo ite.'118 are cc,'nploted
~ and when demolition is complete or struc-
ture moved and premises cleaned up.
Mobile Hcmes
=:J Blocking and Set-up
=:J Plumbing connections GClJor and lJat6l"
--, ElectricaL Connection - Blocking, sot-up
--l and pLwnbing connections nr...st ce approved
before requesting' electrical inspoc~io~
=:J Accessory Building
---, Final - After porcr.es, ski.rti.ng, docks,
~ etc. are compZet~d.
o
All project conditions, ouch as the instaZlation of streot trees~ c~~Zotion of the
required landsccpir.g, etc., must be satisfied before the BUILDING FINAL can be rsquestsd.
o FIliAL PLUMBIIIG
o FINAL MECHANICAL
o FINAL ELECTRICAL
o
o
FINAL BUILDING: The Final Building Inspection must be reque:;ted alter tho PinaL Plumbi~
Electrical, and Mechar.ical Inspectiono hava been made and approv2d.
o
O FENCE: When aomplGte -- Provide
gates or movable sections through
P.U.E. .
D
"ALL #/Alma= AND CLEANOUTS IIUST BE ACCESSIBLE, ADJUST!fEIIT TO HE MADE AT /10 CDST TO CITY I Pa,e ! of 2 / I
NO.X!.! /)0;;( () SOLAR .ESS
I JOB
I Zone:
Lot Sq. Ft{;.
S of lot COlJerag<
!I of Stones
Total Height
Topography
OcCUOa1'tCU Grou;,:
lITEM SQ.FTG X
IHIin
I Gc2taae
I Caroort
I ACCBSBOl"U
I
I TOTAL VALUE
Is.D.c. Ival.U~)
1.5 :r:
BuiZdi7lfl Permit
State Surcharge
Total Cha..'"gea
lITEM
I Fi:rtu.ros
I Residential (1 bath)
I Sanitary SewSI'
I Water
I
Plumbing Perr.:i t
State Surcr.arge
Total Charaes
lITEM
f Res. So. fta.
I N6t.J/Extend Cil'cui ts
I T ""'..t'.... .....:f Service
I
EZeatrical Permit
State Suraharqe
Total Charc;es
lITEM
l Purnace ETU' S
I E:rhaust Hood
I Vent Fan
I WOodstOVB
I
Pa1'17Tit Issuanca
Meahanical permit
State Surcha:rae
iNO.1
I I
I I
I I
I I
I NO.1
I I
I I
I I
I NO.1
I
I I
II I
I I
Total Char('r~~
-- ENCROACHMENT --
Sec-ol'l"i tzJ De0081. t
Storage
Maintenana6
Permi t
Total Chal'OCS
I Curbcu:
I Si<WJalk
I Fcm:J6
I Electrical Label
1 Mobi le Home
I
I
I TOTAL AMOUNT DUE:"
WT TYPE
Interiol'
Corner
Panhandle
Cut-de-sac
Value
FEE
CHARGE
FEE
I,
I CHARGE I
I I
I I
I I
I I
I I
I I
I I,
CHARGE I
1
J. 5fX1
I
i
I
tb.!!.-I
/5~!,
I.
I
I
I
I
l'
FEE
I
I
I
I
I I
/-5---00 I '
Page 2
REQ.-
.
L-COG'lt
T:.j'Oe/Cor.st:
Bedrooms:
Enerm-/ Sources
.qeat
T"V6
I Lot Facee -
I
I P.L.
jNorth
IEt1.st
South
IWest
I
I
I Access. I
II
I:
II
Setbacks
House Caraqe
Water lJ!".t1.tl?T'
Range
Fireplace
wood:;to'f,.'e
F2es
I
I
I
I
I
I
I
, '
I
I
I
I,
Building Value & Permit
This permit in gronted on the express condition that the sa"id construction
shall, in all respects, conform to the Ordinance adopted by the City of
Springfield, including the Zoning Ordinance, regulating the censtI"'.J.ctien
and use of buiZdings, and m:::y be sUDpended or roevoked at cr:y time upon vie-
lation of any provisions of said Ordinances.
Iplan Check Fee:
Date Paid:
IRecdpt #:
I Signed:
Plumbing Permit
No pereon Dhall construct, install, alter or change any new or exiBting
plumbing or drainage system in whole or in part, unless such person iB the
legal pOSBeSBor of a valid plwnber'B licenBe, except that a pe:oson may do
plumbing work to property which is owned, leaBed or operated by the appli-
cant.
Electrical Permit
Where State LaJ.u requires tr.at the electrical 1JOrk be done by an Ele~trical
Contractoro, the electrical porotiDn of this permit shaZl. r.ot be valid until
the label has been signed by the Elecrncal Contractor.
Mechanical
Permit
PI.an Exarrn.ner
vate
I HAVE CAREFULLY EXA."1INED the completed application for permit, and do
hereby certify that all infomTation hereon iB true and correct, and I
further certify that any ar.d all work perfornled Bhall be done in accor-
dance with the Ordinances of the city of Springfield, and th:: La:,)B of tha
State of Oregan p~rtaining to the work described herein, and that NO OCCU-
PANCY will be rrrlde of any structura without permission of the Building Di-
vision. I further certify that only contractors ar~ empl~yeeB who are in
compliance with ORS 701.055 will be used on this project
~.f)~
Signed
~'6'A(r
Date
.. RESI~T1AL"
APPLICATION/PERMIT
225 North 5th Street
Springfield, Oregon 97477
Building Division
726-3753
Job Location:
03~ f,J.a~~/O
/~~ ~/b///L
/a 78. -?J. ~2 ~- Ph07le: 7<;/7- ~ '/p7</
xl~ J~'G (f)J2 Zip: fJ7417tf _. ,
I IF
ASGeBa02"S Map #
Subdivision:
Q,mel':
Address:
City:
~m,)
n Addition
n Remodel
n :.1obi le Boma
Tax Lot #
W~~k:
~
2, h ~ )- Value Ii b, ~() rr5!--
Date of Application
t:ontractorB
GeneraZ
Plumbi7lfl
Electrical
Ne::har.ical
~
Addres3
4 Rcce"t fJ I/Jt/ '3 Sf,1
(Je/
Signed:
Date:
4!/vI / /
-'5/P;/5J--
Lisa.fi
EXDirCB
Phone
Construction Lender
[t is the 1'esponttibil.ity of thIJ perwtit holder to BeB that aU irwpectionB are r.1ade at ths proper timc~ that iU:ch ~888 is readab~e
from ths street, and that the permi t card is located at the f:roon.t of the property.
-!Jui!ding Divi::ion apPl'ol.-'ed Flan shatz. remain on the Building Sit:; at azz. times.
PROCEDURE FOR INSPECTION RE:.QUEST:CALL 726-3769 {recorder} state your City designa.ted job nto:-:bel', job address" type of in3pecticn
requested ar.d w.J:en you UJilZ be I'eady for inspection~ Contractors or OIJners nc.me and ;;hone nwnbC1'. Requ.;;sts received before 7:00 ~
:..'ill bB made th€ same dc.y~ requests made afta' 7:00 am will be rrade the next :.JOrking day.
l?p_1!I11:Yl..pn r"'RnJ'/;+:1:r.'1J!'l
O SITE INSPECTION: To be rrr:zde after
e:::cavation~ but prior to set up of
forms.
O UNDERSLAB PLU/.fBING. ELECTRICAL &
MECHANICAL: To be made before any
work is ~ovcred.
o
FOOTING 5 FOUNDATION: To be nnde
after trenches are excavated and
forms are erected~ but prior to
pouring ccncret~.
UNDERGROUND PLUMBING/, SEWER. w'1TE,'t
DRAINAGE: To be roo.:1e prior to fi l-
lir.g trenches.
D
o
D
UI/DERFWOR PLU/.fBING & MECHANICAL:
To be made prior to insta 7- "lation of
!toor insu"lation or decking.
POST AND BEAM: To be made pPior to
insta'L"lation of floor insu"lation or
decki... .
ROUGH PLUMBING. Pr,ECTRTCAL & MECH-
ANICAL: No work is to be cOllered
ur.ti l these inspections have beer.
made and approved.
FIREPLACE: Pr>ior to pl.acir.g facing
materia7-s and before fmming inspec-
tion.
FRAl!ING: Must be requested after
approval of rough plwr.bing~ elect1'i-
cal & mechani~al. Azz. roOfing
braaing & chimncys~ eta. /1T"..lst be
. completed. No work is to be con-
.:.cealed until thio inspection has
'b6~n made and approved.
o
o
o
Your City Desigr.atcd Job Nwnber Is:
O INSULATION/VAPOR BARRIER INSPECTION:
To be made after all insulati::m w.d
. required vapor ba:rriers are in place
but before any Zath~ gypsum boa:rd or
tXlZZ aovering is applied~ and beforG
any insulation is concealed.
DRYWALL INSPECTION: Tc be made
after all d:rywaZZ is in place~
but prior to any taping.
O MASONRY: S:~el location~ bomJ
beam3~ grou,,'7;ng or verticals in
accordance wi th U. B. C. Section
. 2415.
r\-:;(WOODSTOVr;:: After installation is
JAJ c:cmpleted.
o
o
CURB & APPROACH APRON: After to","s
are erected but prior to pouring
aonarete.
SIDEWALK & DRIVEWAY: For all con-
crete paving within street right-
of-r.x:.y~ to be made after aU exca-
vating complete & form work & $ub-
base roo.terial in place.
xL! !Jbd, 0
DEUOLITIOH OR ;:~OVE!) BUILDIi!GS
~ Sani tary S6'.Jer ::apped ~t p~opt:rt'":i "Line
~ Septic tank p~~cd and filled with gra~eZ
::J Final - ({hen above ite.~8 a:re ccmpletcd
and when d~litior. is complete 01' Bt~~-
ture moved and pr~se8 cleaned up.
Mobile Hcmes
~ Blocking atUi Sat-up
~ Plumbing connections 8&Wer and water
---, Electrical Connection - Blocking~ sot-up
--' and plumbing connections ttr...st ce approved
before requesting etec:rical inspec~io~
~ Ac.:zoessol":i Bui 1.ding
::J Final - After porcr.es~ Bkirting~ decks~
etc. are ccmpletcd.
o
All project conditions~ such as the installation of s:reet trae8~ c~~lativn of the
required Zandsccpir.g~ etc. ~ must be satisfied before the BUILDING FINAL can be r2quest:zd.
o FINAL PLUMBING
o FIliAL MECHANICAL
o FINAL ELECTRICAL
o
o
FINAL BUILDING: The Pinal Building Inspection must be requeDted attar the Final Plumbing
Electrical~ and Mechar.ical InspectionD hava been made and approv2d.
o
O FENCE: "'her. compl~te -- Provide
gates or movable sections through
P.U.E.
o
-ALL Wu'lHCLES AlflJ CLEANOUTS lfUST BE ACCESSIBLE~ ADJUST!rENT TO BE 1,~/1DE loT !.'o CaST TO CITY I PaFe 1 of 2 ,
I JOB NO.XL! C0;}{) SOLAR .ESS
I Zona: OCcu.oancu GT'OU<1:
Lot Sq. Ft{;.
S of lot Coverag<
# of Stories
TotaZ Height
Topography
I
lITEM
I Main
SQ. FTC
Garace
Cal'"Dort
IACC8S80ru
I
I
TOTAL VAWE
Is.D.c.
(vat.uc)
1.5 :J:
Building Permit
State Surcharge
Total Cho...~ges
lITEM I NO. FEE
Fi:rtures I
Residential (1 bath) I
I Sanitary SeLler I
I Water I
I I
Plumbing Pam t
State Surcr.arge
Tota 1. Cha:raes
lITEM ' /10'1 FEE
I Res. Sa. fta.
I Nmu/Extend Circui ts
I Tempol'ary Service
E2e~trical Permit
State Surcharqe
Total Char(;ss
IITSM /10. FEE
I Purrl11.ce ETU' S
Ezhaust Hood
Vent Fan I I
I WOodstove II I
I I
Perorrrit Issuance
Me=haniaal Pernrit
State Surcharae
TDt;nl Cha'T'ruUJ
-- E/lCROACHME/lT --
Isecuri~ Davosit
I Storage
I Maintenanca
I Parmi t
I
Total Charocrcs
Curbcu~
side>Jalk
I Fenae
I Etectrical Label
I Mobile Home
I TOTAL AMOUNT DUE:.4
LOT TYPE
Interior
Corner
Panhandle
Cut-de-sac
x
Value
CHARGE
I
I
I
I
I
I
I
I
I
I
I
CHARGE
CHARGE I
I
1
I
J~l
I
I
I
bDI
/..s-w 0 , .
I.
I
I
I
I
, .
I
I
I
I
I
I
/sO~l.
Page 2
REQ.-
.
II
II
II
II
II
II
TUDe
L-COG~
1
j
I
I
I
! I
I
I
Type/Cor.at:
Bedrooms:
Lot Faces -
P.L.
North
East
South
IWest
Setbacks
House Caraqe
I Access.
I
I
I
Enel'G}J Sources
Heat
Wate1' Hnatl?1'
Range
Firep lace
Woodatove
Faes
Building Value & Permit
This permit iG gronted on the e.:rp1'ess condition that the sdid C!Onstl"'Uction
shall, in all respects, confo1'm to the Ordinance adopted by the City of
Springfield, incZuding the Zoning Ordinance, 1'egulating the censtl"'Ucticn
and use of buildings, and m~y be sUDpended or reuoked at cny time upon vie-
lation of any provisions of said Ordinances.
j,
I
I
I
, .
!Plan Check Fee:
IDatc Paid:
IRecdpt H:
I Signed:
Plumbing Permit
I
I
I
I
I.
No person ahalZ. constl"'Uct, instalZ." alter or change any new 01' e:isting
plumbing 01' drainage system in whole 01' in part" unless such pe1'son is the
legal possessor of a ualid plumber's license, except that a person may do
plwnbing work to property which is OlJ'ned" leased or operated by the appli-
cant.
Electrical Permit
I
I
I
I
, .
Where State Law requires tr.at the electrtical IJOrk be done by an Ele~trical
Contractor" the electl"ical portion of this permit shall r.at be valid until
the Zabel has been signed by the Elecrncal Contractor.
Mechanical Permit
Plan E:r:aJm.ner uace
I HAVE CAREFULLY EXAMINED the completed application for permit, and do
hereby certify that all information hereon is true and correct" and I
further certify that any ar.d all work perfomJed shall be done in accop-
dance with the Ordinances of the City of Springfield" and th:: La:.;s of tho
State of Oregon p.:;!rtaining to the work described herein" and that NO OCCU-
PANCY LJill be rrade of any structUl'a LJithout ponnission of the Building Di-
vision. I fUl'ther certify that only contractors ar~ employees who are in
compliance with ORS 701.055 will be used on this project
~ J1I( J.!1J<at-
Sz.gnad '-
::?....q -9s
Date