HomeMy WebLinkAboutPermit Mechanical 1982-11-12
.. RESUfNTlAL"
APpgC.J.TION/PEF.MIT
225 Rorth 5th Street
Sprir~fieZdJ Oregon 97477
BuiZding Division
726-5755
() )AJ,JiJl {Y\ (qJJ~ L
10<5 d- ~f"/ Cyr"",e: 147-;).OOY-
Zi;,:
wood ~
(\J.lr+MCUl~
/I-/;).-%Q... Vatu. 51 '1.60
Job c.oc.::tion:
10'5 d-
AS.:ieaCON .ttap ,IJ
Suhd{,~8icn::
!:....'71er:
Add....QSJ:
City:
n
n
n
n
'leo.J
Addi tic"
RemodeL
.'!OO{,!,;? .":{om{J
~a:e of AppLi~:icn
:.;on:rc.c:OI'8
GeneraL
Plumbing
!lectM.cal
.'.tfl~hm:ic::l
~ ),1 ) (J D ,F .J
COl'UJtl"'..lcti01'l l.t:rtder
SPRINGFIELD
(S)~~A )
T"" [,at .,
DescT"'~be flork:
Addres:J
.
.=?CC8-:.~t ,;;.
-")CJCj It? 4-
. ()X)ocl ~
40/0
/5.00
~o
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IS-. GO
Siqr.ed:
Date:
~
/1-/;;), -gQ.....,.l
l.iac.p.
Er:;i1"cs
Pr.on~
It. is thQ resFanaibili.:y of ths permit holdu to 866 t;ha~ at! im;pectians are ::-;ad. at the propel" :i.~~~ that ~h ~flS8 is re~:"
from the street, and that: the pcrr:rit c:J:l'd is 1..xated at thfl freont of the property.
.t3ui!.di....g Di:ri.=io:-. cxp;:rol:ed plan s;..cz.t. l'elMin on the BuiZdi7tfl S:..t:> at 2z.t times.
P.'?OCg!)(jRE FOR I,'ISP~CTIOll .:?!OUEST:CALL 726-3769 (recorder) state your City desigr..:::ted ioe nto:':ber, iob aca.rcss, type of ir.::pec-;icn
l'rzqucstcd a~.d !J.l:~m you :..:iLl. be :oeady tor ir.spcct:ion, Contractors or Ct..'ner-s r.cme cr.d Fhone number. Requests recsit:fld before 7: 00 c:1
:.'iZl. De rrade thE; same day, Z"squests maae afta 7:00 an lJiz.L be r.rJ.de the rn::=t :.>orkin.; day.
.~eauir"d J"nsr:'''~tiC1'!R
O C'.....t' ""5"'-/"""""'''''1". T' .
_~~_ ':',f r:'."._'Jh. 0 oe maae
e::cav.:::ti.;;n. .;u: pl"icr tc set
farms.
o
aftotr
up of
U!/D!RSL;'3 ?L("','.SI.'lC, 2LEC":.9ICAL ~
,~!ECh'AaIC:'i.: To be rr.ada be/(;~iI
W01"',l,: is ~o".)cred.
o
POOT2j'C ~ FOl.HlDAT:C,'I: To ce .'Xlde
after trenches aI'fJ exca"Jated ar.d
f$rms are arec:.ec, .::ut Fl'"';Cr to
pouring c::nc:-etc:.
U:-!D::RC.o/JU.','I) ?~UM7?n'Co S!"..fFRo ;.1.1TE.1'.
DRAL'.'AGE: :'0 be - ma..:.a prior :0 fi.~-
lir.g :rer.cr.8~.
o
0"
UNDERPLOOR PLU.\'EIYC ~ XE'=HA.VICA,L:
To be maCe prier :0 -::n3taLZa:~on of
f1..ocr ";1"I8ula;:;ion or deci<.ing.
?'JST AND 3eAU: To.::e n:cde p'l"";or =0
in,n;a~l.::icn of ['loor insz,ol.:.l=icr. or
decking,
o
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ROWJH ?!.lr.'F!!".lG.:,!.2C":'P!CA!.. 1 .'.fECH-
AilICA~: ,Vo ~ork ~J =0 oe co~ered
ur.:-::~ ~~es~ :r~=8c:~Or.8 ~J~ ~~er.
made ~~ =?pr?ve~.
fI.~~?[....CE: .Prior:o pi.ccir.g /~ci..r.g
mct:aria~s ar.d bE;foNI lrar.rir.g in3pec-
tior..
o
o
P.VYI.'It;: Must be ~e<;".{e::::ed af":er
appro'.),;:l of rough ;lur..bing, aZect1"";-
cal ~ mecr.ani.::a.l.. rl.~! ~o.r":'r.g
braci..rg & chi.T.n~Ys, ae~. .~'{3t be
. cCmrJle:cd. .'10 -..01',< is to b~ con-
"ceal..d :,(r.:il thi3 ir.s::lec=icn has
'been made and app~~ed.
Your City. Desiqr.ated Job Number I3:
u
lNSUr.AT!ON/VILPO.f? eARFaE'.">l IHSFE'C'!'IGU:
To be :nade after a l7, inS"..t l.::tion WA
recuired vewOl" barriers are in ~lace
but before ~y lath, gypsum bCarc or
wz.z covering is cpptied, c:r.d befol'(1
any in3ulation is concealed,
2S rl. d. L\ ~ '2\
I DEUOLITION OR ,..fav::; 3UILDIiiCS
:=J Sani:cu-y Se".Jtlr ct:p?ed at ~::)?~r=-:i 7,ir:e
~ S6pti~ tank ~~~ed and fillad ~th ;r::~eZ
I Pina~ - [-.'hen abeve ite:~s are cc:::~let~d
~ ar.d when dencli:ior. is c~Ze:a or st~..t~-
ture ~oved ar~ ?r~;aes cle=n~ U?,
cny
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D.q~WAL[' I:'ISPE'CT!O:V: To be made
after all GrdL;Q.Ll is in place,
but prior to c:ny taping.
I Mobile Ho:::es
~ Blocking and Sat-up
~ Pl~~ing connec:ions e_ s&Wer ar~ wa:ar
~ EZectrical Connection - Blocking, set-u?
---1 and plumbing conr.ections r.r...st !;s <I?p"!':!t:ad
before request";ng e!ec~rical ins?ec:io~
-, .,~,
~ Acce$~c.~ Bu~~~r4
:J -' '''t .
r"l.n.::z" - I,; ~r ;:Jrcr.IlS,
et~. are c~lot;~d,
skirting,
dec;"..3,
O .'ofASO;'Il?~: Steel
bear.:3, grcu. ting
~Mcordance with
241E.
;';OODS'!'OVE:: Aftar installation ";8
cc.-:rpl.;!t;c:d.
location, bond
or verticals in
U.B.C. Section
D
CURS d APPRCACP. _4?~N: Atta:"' forms
aTe 2rected but prior to pcu.nng
~ncre te.
SIDEWALK d DRI!-'EWA Y: For all ccn-
C1"'et:e paving !Ji~hin street right-
oj-way, to be mc..de a;'ter all ezcc-
vatinQ' curroZete & foP-'il wrk & ::ub-
base .;..::teM:al in place.
o
AZZ project cor.ditions, $ua~ as ~he ins=a!lat:ien of s:reet :rOles, :~~!a~~~n of :hc
required Zandsccpir.g, etc., must be satiar"";cd before tr.a 3f.'I!.iJI,':C FI.':Al. ::"C1"I be rst:;u3s:Jd.
0, .
FINAl.. Pl.UgSI:lC
:=J. FINAl. NE~HA:1ICAL
o ?I:'AL 2!.~C':'R!C:':'
I;~
o
PINAL BUIr-DINe: The Final Euildir.g !r.s?ect";on .-::ust otJ reque3ted -=t~6r ti:u .':'ir.:::.l 2lur.:bing
Slectrical, end Necr~~iccl Inspectiona have been ~ade ar4 =?provec.
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.::'ENCE: When co::rpl.;-ci! -- ?rovide
gates or movable. sections through
P.U.E.
.ALC .~fA:'lHC~2S AND C:ZANOUT5 NUS':' 3E .:'CCESSIBLE, ADJf,,'S':,'!2.'."!' TO BE :.~1DE !;T ;'/0 ::5':" TQ t;I':~ I ;J'"'~e of:2
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I JOB NO,
I
iZcr.e:
Lot Sq, F~.
~ ~f lot Caverag~
# of 5tol"'i.s8
I Total H8igh~
I
I Topography
IIIE:'1
I.'kli"
l~(!ca
I
! Car=cot't
I
I A.ccesso!':.<
SQ.FTG
'i'OTA.~ t'ALliS
IS.D,C,
I
1 UC!.UC)
),5 =
auilding ?er:r."~t
State SurcnJ!"ge
Total ~r.a'Z"ge3
I lIEN
I Fi--tures
I Resid""tiaL (J bath)
I Scr.it.:lr'../ Sewer
I wc.t8-"
I
1','0.
Pl:.unbing Perci t
State Surd".arge
Tata! cr.crces
III'Df
I Res. Sa. fta.
I N3lJIExtend CirC".li:8
I Terr.pcrc:ry Service
i 'VO.I
I I
I I
I I
Electrical Permit
State Surcharae
Total C1UU'ces
lITE,"
I ,';C. I
~"::CQ ETU' S
i E:haust Hood
Vf1J1t Fan
;/ooasto-.;e
I
Pemt 13SlU:TlC8
Mechanic:;l ?err.rit
Statll SurcJu:rac
'!'n t:::.! Cbzr~~!J
E:1C;:~CACE".:E:!'!'
Se~.l~;tu D8~03i~
Storaqe
l"la.intl!rlCr.::e
Parmi t
Tota! C"nc.r"'1cs
I C'ur:'e'.l;
I Si.dtr.Vaz.~
I,.,,,,e
I EZ.accrica i
,
I .'-Iobile Hame
Lebel.
I TOTAL
AJ.!OU.'lT Due:--
SOLAR.CESS
CCc:"J.:;a7l.C~ GrC'.l:l:
l.OT TYPE
Ir.terior
Corner
Pc:nhandZe
C"..lZ-de-sac
X VaLue
FEE
CIiAP.GE
:;-1;'
CHARGE
:':'1:'
CHARCE I
I
I
I
A-'OO I
I
I
1~.CK5 I
./,,0 I
/~ (/](~.
I
I
I
I
I
I.
I
I
I
!
I
~~ / ~.lJ QJ
P::.qa 2
.
L-COC;j,<
REQ,-
T;'oa/Cor:st:
3edr"oms:
I Lot Fa.ces -
I Setbacks
I P. [.'1 House I Carace
lfIorth
IEost I
IS"" th I
liVest
II E'n21'au Soul'~es
.7.'eat
A,acess. i I
I
II .'coa,to"e
I';;~e
Water 'It!at.<!T'
Range
Pire'Oiace
Fees --
Building Value & Permit
This permit is granted on the e::p1"ess ~ondition that the s,aid. "o/'l.st1"..Ic:::on
shaZi~ in all respects, conf~~ to ;he Jrdinar.ce =dopted by the ;it~ of
~pr>ir.cf":.etd, :.nc!ud:.ng the Zonir.a Crd:ncnce, recr,).'ktir.a th~ ccr.s'C'r:,~;:.cr.
ar.d :.t:;~ of buildir.gs, end m::y bew Juspenaed 01" r~voked ;t C'f'.:J :::,':t6 :.;:;r: vio-
lation of :my ?1"~viaior..s oj' sa'i..d Ordir.ances.
I Plan C'neck Fee:
ICate Paid:
IReoEipt #:
ISig1"ed:
Plumbing Permit
No person shalL construct, ins~l!.. a~ter or change any r.sw C1" e:is;ir.g
plumbing 01" drainage SY8t~~ in ~hole or in part, unless such person is tr~
legal possessor of a valid plumber's license, e:cept trAt a person ma~ do
plur.:bing :.;ork to prope1"t":I which is OIJY'.ed, l~sed or apercted by the ,zppli-
"""t.
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Electrica I
Permi t
Where State LcJJJ roequires thAt the eLectr-'~caL work be done by an ELectn.cal
Contractor, the electrical por:ion of this permit shall r.at be valid un.tiZ
the label has been si{;ned by the Electrical Contractor.
Mechanical Permit
Pi-an .:=cmr:er I.)a:;a
I HAVE CAREfULLY !XANINeD t,:'.e cOlT:pi~ted ~plica:;ion foro perm"~t, end ~
hereby certify that aU ir:lo~at::on he1"son ::s t1"U.:J ar..d aC1"!'t:ct, c::r.d. I
f..U'~h.er cert'i..j':i that any cr.::1 all :,:ork ;erlor::red shall be ao':1e in. ac~or-
dance :.rith the Ol'dir..:::n.ces of the City ()f Springfield, and tnz i.c:..:s of :;h3
State of Orea~n 'Ozrt.:;:inina to th.e <..'01','< described hOl'ein, cr.c ;;u;.:; ;'/0 OCC!J-
PJ.!lCl wilL b~ rrr:J.::.e of a:ny~ .3t:1"Uct:U1'a without ;'3mri.sawr: of the Euildir:g !r~-
vision. I further -.:et'tif::" tr.::t o:1ly ccnt1'a.=tors ar.d e::rpl.;yees w;..o -=re in
~liance with ORS 701.055 wiZl be used en this pr()jzct
~~_ @..Z
//-/j-.f~
Date