HomeMy WebLinkAboutPermit Mechanical 1987-10-29
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.. RESII!r:NTlAL"
APPLICATION/PERMIT
225 North 5th Street
SpringfieZd, Oregon 97477
BuiZding, Division
726-3753 .
":';;'
SPRINGFIELD
~
Job Location:
/ ~ 9/ ;;Jr; tV/JUfh/
/703 c9..5' 3d Tcz Lot #
,/ . fJ /, I
"1,1ClA1f. CJeJ!/tvz o;XJ-
/Y11 Fi.~~~'
ASDeS80rs Map H
Subdivision:
CUneI':
Address:
City:
OL/7VO
Phone:
-1/j~ -J,C/cj/
It! 6- 7;?-~ C/
..
-~.~..'
lOt/If (
-I
Zip:
Receipt f
J~ J!l-(~/c-
~
C))J,
III \
[Lm.,
n AMi ticn
n Remodel
n :-fobile Roma
Describe f/ork:
GIJ 0.0 cLo--l-&-lK.-
"~.
PNL-L~
. .10. -'7..C/- i\ 'I. VaLue
iuidres8
Date of Applicaticn_.
C:ontractors
General
PZwnbing
Electrical
Mschar.ical
Corurtrl.lction Lender
It u the responsibility of ths permit holder to 8ell that all inspections are mads at tJuJ proper tim~~ that each cJdrB88 is rsadab'Z.E
frcnr t1ul street. and that the pormit card is located at ths front of the propsrty.
.Bu.i!di~ {}t;vicior.. approved plan shaH remain on tha Building Sits at all times.
PROCEDURE FOR INSPECTION RE:OUEST:CAll 726-3769 (recorder) state your City designated job ntD7':ber. job address; typo of inspecticn
raquested and when you will be ready for inspection. Contractors or Owners name and phone number. Requssts received befcre 7:00 ar.t I
:.'"ill he made the same day~ requests made after 7:00 am LJiU ba ma.de the nat :.JOrking day.
Raaui~p.d I"8op.~ticnR
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SITE INSPECTION: To be made after
excavation. but prior tc set up of
forms.
UNDERSLAB PLUMRING, 8LECTRICt1. L_ ~
: MECHANICAL: To be made before any
wrk is covered.
.0
FOOT ING ~ FOUNDA T ION: To be made
after trenches are excavated and
forms are erected. but prior to
pouring ccncret..
I ~. UNDERGROUND PLUMBING, SEWER. W.1TER~
.-J DRAINAGE: To be made prior to fi l-
.lir.g trenches. .
1--,. UNDERPWOR pT,.rl/.fBTNG & MECHANICAL.:
--.J I To be mad6 prior to inotallation of
11001' insuLation or decking.
o
POST AND BEAM: To. be made prior to
installation of floor ins~lation or
. decki"..
o
o
ROUGH PLUMBING. Er,ECTRICAL & ~CH-
ANICAL: No work is to be covered-
,ur.til those inspections have beer.
mads and approved.
FIREPLACE: Prior to p1.acir.g facing
materials and before framing inspec-
tion.
O FRAHING: Must be requeoted after
approval of rough plwr.bing~ electri-
cal /I mechanical. AU roOfing
bracing ~ chimneys. etc. nr"'st be
:' completed. No work is to be con-
,.~.~.cealed until this inspection has
~b6~n made and approved.
.~.-'
Signed:
Date:
CC
/0- Z,q f'7
Phone
Lisc.#
ExpiNJS
Your City Deoigr.ated ,!ob Nwnber Io:
O INSULATION/VAPOR BARRIER INSPECTION:
To be ma.de after all inoulati::m lr.".d
'. required vapor barriers are in place
. . but before any lath. gypswn board or
!.XJ.tz covering is applied. and befo~e
. any i7113ulation is concealed.
O DRYWALL INSPECTION: Tc be made
after aU drywaU is in place.
but prior to any taping.
O MASONRY: Steel location. wna
beams. grouting or verticals in
accordance LJith U. B. C. Section
2415.
O WOODSTOVE.,: After installation is
ccmpleted.
o
CURB & APPROACH AP.I:{()N: Afte:, forms
are created but prior to pouring
conarete.
SIDEWALK & DRIVEWAY: For all con-
crete paving within street right-
pf-way. to be made after all exca_
vating ccmplste & tOm! work & suh-
, base material in place.
o
o FENCE: When complete -- Provide
. ~~~~h. op mova~n :eetic.e thmugl:.
~ UJ(lt~ tthvv
~\.I
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,
?57eJ 93 (
DE/.fOLITIO.'1 OR i::OVED BUILDINGS
.=J Sani tary SBUer capped ~t rn:..oplJr~~ line
=:J Septi~ tank P-""'P<d and fiU<d L>ith gravei
I Final - r.'hen above items are complGted
---1 ar.d when demolition is complete or 8tru~-
t.ure moved and premises cleaned up.
I Nobile Hemas
=:J Blocking and Sst-~p
=:J Plumbing connections sewer and water
---, Electrical Connection - Blocking. set-up
--.J and plumbing connections nr~st co approved I
before requesting elec=rical inspoction
=:J Accessol"b' Building
. --
I Final - After p:Jrches. skirting. dllCk.s.
~ etc. are completed.
o
".
All project conditions. such as the instaLLation of street trees~ c~~lotion of the
required land8capi'l"4. etc.. must be satisfied before the BUILDING FINAL can be requestrJd.
o FINAL PLUMBING
o FINAL MECHANICAL
o FINAL ELECTRICAL
o
o
FINAL BUILDING: Th9 Final Building Inspection must be r8qu.eoted alter the Firtal Plumbing
Electrical~ and Mechanical Inspectiono hauo been made and approvad.
"'ALL MANHOLES AND CLEANOUTS MUST BE ACCESSIBLE~ ADJUST!rENT TO BE MADE AT NO COST TO CITY "page of:2 I
I JOB NO. F/Jn [$31 SOL
leme: Occu
Lot Sq. Ftg.
S of Lot COIJerag<
# of Storie.
TotaL Height
Topography
I
lITEM
1 Main
leaz.an.
I Caroo:rt
I Accessol'1I
I
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Is.D.c.
-/ SQ. FTC
x
TOTAL VAWE
(value] ,
1.5 J:
raga z
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Building Permit
State Surcharge
TotaL Charge.
lITEM
I Fixtures
I Re.id""tiaL II bath)
I Sani tary SelJar
I Water
I NO. I
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Plwrrbing Permi t
State Surcr.a.rge
, Total Cha1'QOS
lITEM
Res. Sa. fta.
I NSLJ/Extend Cil'cui ts
I Temporary Service
n
I I
, I
I I
Ele~t:rical Permit
State Suraharae
Total Charpes
ITEM
I Purrra.ce !!TV'S
I Ezhaua t Hood
I Vent FE!!.-.
b/;;dem./ _ I
r t1JO -~I
Psrrrrit'Issuance
Me~hanical Permit
State Suraharoac
Total CharaeD
-- ENCROACHMENT __
, Secul'it", Devosit
J Storage
I Maintenan:!e
I Permit
Total Charq~_
FEE
CHARGE
., .
T' elCor.3 t:
l-cod~
Bedrooms:
Lot Faces -
Enal'q}l Sources
Heat
T~'Oe
CHAlICE
Setbacks
: House I Caraqe
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-j
I
j I
I I Range
/ =tJireOlaoe
Wood:; tot:e
I. '_
FEE
CIIARGE
I Access.
I
Water .l{I:mtP.l'
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I ~S .0'0
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Building Value & Permit
This permit'io gmnted on the express condition that the sa'id construct1.
. shall. in all respects. confo1'm to the Ordinance adopted by the City of
Springfield, inaluding the Zoning Ordinance. regulating the ccnstl'ti.ctic
and use of buildings. and m~y be suopended or revoked at any time upon v
lation of any provisions of said Ordinances.
\
I Plan Check Fee:
I Date Paid:
IR~OeiPt #:
S'Lgned:
Plumbing Permit
No perDon shall construct, install. alter or change any new cr existing
plumbing or drainage system in whole or in part. unless such person is th
legal possessor of a valid plumber's license, except that a person may do
plumbing work to property which is owned. leased or operatod by the appli
otmt.
Electrical
Permit
Where State La1J requires tr.at the electrical work be done by an Ele!;Jtrical
Contractor, the electrical portion of this permit shall not be valid until
the Zabel has been Signed by the Electrieal Contractor.
Mechanical Permit
./~Il
.
I Curb=~
I Sidsl.Ja Lk
1.!i'en:::B
/ ELBa trica I Labs l
I Nobile Home
TOTAL AMOUNT DUE:'
~s 00
/
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Pt..an EXC:lTl'Lner
va.e
I HAVE CAREFULLY EXAMINED ths completed application for permit, and do
hereby certify that all infoPmation hereon is true and aorrect. and I
.further certify that any ar.d alZ work pel'foP.11ed shall be done in accor-
dance with the Ordin::mces of the City of SpringfieZd. and th;; La:.Js of tha
State of Ol'eg:m p~rtaining to the LXJrk dBBcribcd hersin. and that NO OCCU-
PANCY will be made of any structura without permission of the Building Di-
vision. I further certify that only contractor's and,e~pZ~yees who arB in
compliance with ORS 701.055 will be used on this proj~ct
,. /
~4~~~~~
Signed ~ ~
IO-2-C;-t?
Date
.. RESIDLe IAL"
APPLICATION/PERI
225 North 5th Street
Springfield, Oregon 97477
Building Division
726-3753
, :s en \...)~ V
~ " Ph'fe:
~ zJ
I (-I~~
\. ~ AddJ'es3
"'-
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-"'-
It is tlw l'esponuibiLity ermi~~ to see that alt inspections are made at the proper timb. tr.at each .:ddrB88 is rca.:::ab:e
from the Btreet. and that the p 't~~~~ated at the front of the property.
.Bui!di~ Di.vicior: approved plan 8 ~ remain on tha Bu.i'Ldirtg Sit~ at all times.
Pl?OCSDu.r~E FOR INSPECTION R~OUEST:CAlL 26-3769 (recordsr) state your City designated job . er; job adi:rc8s:tyP6-c>f in3pec:icn
requested a:--.a w.':en you will be ready for 'r.spaction. Contractors or OI.me:os ncme and p TlU.r.lbcr. Requsst"s receit:ed beJCI'a 7:00.:::-;
:..~z.z. be made the same day, re~est8 made a. er 7~oo.am win be made the ncxt :JOrki y. )
, Your City Deoigr.atea Job Nwnba Io: gL, 0 ~
Job Location:
AB3e8GOr~ Map II
Subdivision:
Q.mer:
Addrass:
FJ\~
\~ql PIQ
City:
n
n
n
n
Mm.'
Addi ticn
Remodel
.'.!obi le Boma
Date of Applicaticn
Cont"rac:ol'S
General
PLwnbing
Electrical
l1echar.ic.::l
Constl"'Ueti071 Lender
J?,!,!,r;~",! T,.,,:,,:?:~~~,,:"'"'":r
"I SITE IllSPEclroN:~o be
.-.J excavation.. ~PM.~ to
forms.
::J UIIDERSLAB PLUMB '. . ELECTRICAL
NECHA:JICAL: To be e before an
~rk is covered.
::J
FOOTING 8 FOUND,1TION: To e
after trenches are excavated a
forms are erected. but prior to
pourir~ concreto.
UND!RC.WUHD PI-UJ.fEING} SEWER, W.1TE.~
DRAINAGE: To be rrruie prior to fil-
,lir.g t;renches.
=:J
:J
I/NDERFW0-9 Pr,UJ,,$ING & Ur::C.flANICAL:
To be made-pr~or to-~n3tal~tion of
/1001' insulation or decking.
POST AND BEAN: To be rr.adc prior to
installation of floor insuZation or
deaking .
ROUCH PLlP..'BI!!G. ET,ECTRICAL & MECH-
ANICAL: No work is to DC covered
,until these inspectior.s have beer.
made and approved.
FIREPLACE: Prior to placir.g facing
materials and before framing inspec-
tion.
FRA!~I!lG~ Muct be requeated aftep
apppov~l of rough plwr.bing, electri-
cal & mechanical. AU roofing
bracing B chimneys, etc. ~~st be
,completed. lIo work is to be ccm-
..l. cealed until thia inspection has
'b6~n made and approved.
::J
=:J
=:J
=:J
0170D
~l(1o~0Cj41
O INSULATION/VAPOR BARRIER INSPE?:<Prm.
To be made after all inBul~tian ~~
" raquiped vapor bC!1Tiers are in place
but before any lath. gypswn board or
wall covering is applied. and before
. any inauZation is concealed.
DRYWALL INSPECTION: To be made
after aU dryl.JaU is in place.
but prior to any taping.
O MASONRY: Steel location.. boTuJ
beams. grouting or verticals in
accordance with U. B. C. Section
2415.
o
WOODSTOVE: After installation is
camp letsd'.
.Rcce;at< ../lr 61 f 2.3
"J
U' V1L
o
CURB & APPROACH APRON: After forms
are erected but prior to pouring
concrete.
SIDEWALK & DRH'EWAY: For aU con-
crete paving within street right-
of-way. to be made after aU exca-
vating complete & fo~ work & sub-
base materia l in p Za.::e.
"
~
{'JV:;
f'C;t"t t7 /
, ,w^,
,):.,)6
II \i'1
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O YENCE: Wher.. complote -- Provide
gates or movable sections through
P.U.E. '
Si{1r..ed:
&;
II-/f-fdo
Date:
. .
Li:;c.#
Phon;:
E=r;iros
-
-
'.)L:,.,,,,,,....J..J..z.7:m OR gOVE:; BUILDI.7GS
~ Sani tary 8e'...)er capped ~t p~op::rt":i line
~ Septic tank F.&?ed and fiUe~ !.lith ;ra:Jei
I Final - fl'hen ab.?ve ite.'718 are cc,-:rpletcd
~ and when d~olitior. is complete OP Btru~~
ture moved and prcmtses cleaned up.
,
. Nobile Hcmes
~ Blocking and Set-up
~ Plumbing connections scwer and ~~er
---, Electrical Connectjon - Btocking. set-u?
~ and plumbing connections nr~st be appro~ed
before requesting electrical inspection
~ Accessory Building
--, Fi1UlZ - I.ft::r porc1:es. sk-;rt"ing. decks.
~ etc. are compZe;~d.
W 4-~ r 0
o \:)
I~S~
'Q IHY t>N\
All project conditions..3uc~ as the installation of street trees. c~~letion of the
requirad Zandscapir".g. etc.. must be satisfied bcfore the BUILDING FINAL can be raquestad.
:J FIliAL PLU!,fBIIIG
::J FIliAL f.IE~HANICAL
:J FINAL ELEC':RICI.L
=:J
o
FINAL BUILDING: The Final Building Inspection must ba requested cfter the FiruJ.l Plumbing
Electrical. and Mechar.ical Inspectiorw have been made and approv.d.
"ALL NANHCLES AND CLEANOUTS HUST BE ACCESSIBLE. ADJUST!!E,'J'!' TO BE !.~I\DE I'.T /.'0 C~ST TO CITY I P:2~a :1 of 2
I JO B NO.ofo'r:> ~3D
! Zona:
ILot Sq, Ft;.
1:1: of lot Caverage:
I # of Stories
,Total Height
,
i Topography
'ITE:.!
l SQ. FTC
,Main
. Gc::raae
Car:::ocrt
Accessor':J
TOTAL VALUE
'S.D,C.
(VC.LUC)
1.5 :::
Building Permit
State Surcharge
Total Cha.~ge3
ITEM
Pi=:ures
Reswentia l (J bath)
sar.itary Se-..'cr
;.rate!'
PZ;.l:7:bir:g Perr.:i t
State Su:rcr.arge
Teta! cr.arnes
11'Df
.T?es. So. f't::.
N~/EXtend Cir~~its
Temporary Service
Ele~~rical Permit
St:=te Slddurroe
Total Cha:t>ccs
i';':;".~
I
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'4uL~ Jk~oI
I Pe'l'rr';"~ t Isswzn.ce ,
?urr.ace PTU' S
E=haust Hood
~ent Fan
iJoodsto;;e
Me:::r.ar:ic::.l Pel'mit
State SurcharGe
Tn~cl C1-nY"am;
-- EilCROACHMENT
~c~~ritu DZ~03it
ltarape
~ain.tcnar..:!'~
"'crmi t
Total C'n.cT'aes
.'urbcut
;idewaZk
'cn:::c
-lectl'ical Labd
'obile Harne
".JTAL ANOU.':T
I t.'O.
I NC. I
::0.
SOLAR A'AESS
Occu'Oancu Gl'O"J.'"
LOT TYPE
Interior
COI"ner
Panhandle
Cul-de-sac
X Value
FEE
CHARGE
C.i"":'HGi;,
F":;'
CHARCE
\S.dO
L~ . c-o
\5." V
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lS t>O
REQ.-
L-COG-.lo
.
Type/Cor..st:
Beiroor.:s:
I Lot Faces -
I
I P.L.
North
lEast
ISoz.otn
IWest
I
I
jl:.ccess. I
I II
I II
I II
En.2r(7~ Soarces
h.'cat
T"~e
Setbacks
I Hou.se Caraae
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J
Water .4f?att'!'
Hanpe
Fircnlaca
WooQ:;tot:e
F2es
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Building Value & Permit
This pernr:t is granted on the express condition that the said construction
shall, in all respects, conform to the Ordinance adopted by the City of
Springfield, incZuding the Zoning Crdinance. regulcting the ccnst~~cticn
and use of buildings. and m~y be suspanded or revokec at cr:y time upon vic-
lation of any provisions of said Ordir~nces.
IPlan Check
Date Paid.'
Recdpt #:
Sigr:.ed:
Fee:
Plumbing Permit
No percon shall construct, instalL, aZter or change cny neW C1' e=isting
plumbing 01' drainage systen in whole 01' in part, unless such person is the
legal possessor of a valid plumber's license, except tr4t a pe~son mQ~ do
pl~bing work to property which is owned. leased 01' operated by the Q?pli-
=nt.
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Electrical
Permi t
Whel'e State LaLJ requi'Pes th.at the electricaZ WOl'k be done by an EZe::t'Pical
Contl'actor, the electrical pOl'tion of this permit shall not be valid ur.til
the Zahel has been signed by the Electr>icaZ ~ont'Pa~rol'.
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Mechanical
Permit
(.(.\.
Plan Excnn,nep
vaLe
,
I HAVE CAREFULLY EXAMINED the completed application for permit, end do
hereby certify that all i-r:fo::orr.ation hepeon is t:rue al".d correct. cni I
further certify that any ar.d all work perfor;ned sh.all be do~e i~ ac::ol'-
dance ~th the Ordinances of the City of Sprinafield, and th~ L~~B of tha
State of Oreg~n p$rtaining to the work described hcre~n. cr~ tr~t NO OCC~-
Pl.NCY will be made of any structure without parmis3io~ of the Building Di-
vision. I furthel' certify that o~ly contractors w:d c~pl~YCCB who are in
compZiance w~th ORS 701.05E wilZ be used on this p'Poject
\
LuL/'/
Sign2a' ~
Date
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