HomeMy WebLinkAboutPermit Mechanical 1982-1-28
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'.. RESIDENTIAL'.
COMBINATION APPLICATION/PEP..MIT ,.... SPRINGRELD_
- 225 North 5th Street ' .
- Springfie7.d, Oregon 97477
_ Building Division
= 726-3753
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.rob Location: n'
Assessors Map,~ ,1'" nt.... 'J.>~ -. q.o
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5Iq.l(l~( v4-1\~,
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J fYU/ 11~88 ro
' Value I, OW .
SUbdivision:
OI.mer:
Address:
City:
.v",,",
Addition
Remodel
~fobiZe Flame
Date of Application
Con1:l'actors'
General
Plumbing
Electrical ff) :"\
!1gehar.i~ f _ 'jJ 0
Construction Lender
l)t;
~ q, 4-<0
Describe Work:
'~~
Rcce-i.pt ,#
5 .., cr rO...A
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J)6- Q;G
<....
Sign
Date:
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1-r::OP> -B~;
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Lisc.#
E:r::;,iras
Phonz
YOII.r' City Del1ignatBd. Job NumbfU' Is:
D INSULATION/VAPOR BARRIER INSPECTION:
To bs made after aLL insul....-tion crr.d.
required vapw CIZZ'Z'UI1'8 are in place
Cut csfore any lath, g1fp8Ul1t boaI'd 01'
!Jall covering is appliBd., and before
any insulation is C07'lCBalBd..,
I DRYWALL IllSPECTION: To be made
-.J after alL drywall is in placs,
but prior to any taping.
O MASONRY: SteeL location, bo?u:i
, bearrra, grouting or verticals in
aocoztdance rJith U,B.C. Section
,,2415.
r5( WOODSTO'IE: Aftel' instaLlation is
~ccrrrpLeted.
O CURB & APPROACH APRON: After forms
are ereoted but prior to pouring
~n...'T6te.
O SIDEWALK & DRrIEWAY: POl' aLl. con-
arete paving rJithin stzoeet right-
of-wc.y, to be ma::ls attel' aLL e:r:ca-
vating cC11/T]lete & form work & sub-
base mat;er;..aL in pZace.
O ."'ENCE: When aompl..zte -- Provide
gates or movabLe sections through
P.ll.E.
o
~ 10_~r
It is the responttibiZity of the permit hoLdfU' to see that aLL inspections are made at the proper time, t.":at each -=ddress is rea:1ab!a
from the stzoeet, and that the permit cazod is 7.aca:t:ed a:t: the front of the property.
'BuiLding Divi::ior: approved pLan shaLL remain on the BuiLding Sita at aLl. times.
PROCEDUI?E FOR INSPECTION REQUEST: CaLl. 728-3783 UoocordSIrl state yOUI' Ci.ty d.esigna-ted joc nwr.ber, job adtboess, type of i.n3pecticn
requested ar.d. when you ;,;iZZ be ready fol' inspection, Contzoactcl's 01' OI.mers name and phone number. Requests received befol'e 7:00 a::r
wiLL be made the same dc.y~ requssts made afta' 7:00 am wiLL be made the nezt ~rking day.
~ro00q
Rl'!au1:.,.",rf r..tm"'f!H.r.11S
SITE INSPEC':ION: To bs mads aft8%'
e:cava:ion, but priol' t:c se't up of
f01'1ll8.
UNDERSLAB PLUMBING. ELECTRICAL &
MECHANICAL: To be made befwe any
work is ~overBd..
FOOTING .~ FOUNDATICN: To be made
after trer.ches are e:r:cavated and
forms are erectBd., but priw to
pouring concreto.
UNDERGROUND PWMEING; SEWER. w'1TER,
DRAINAGE: To be ~ priw to fiL-
Lir'..g trer.ches.
UNDE.f?FWOR ['WMBING & t-fEC!lANICAL:
To be made prior to instaLlation of
[tOOl' insulation or decking.
POST AND BEAM: To be made priOI' to
instal.lation of [tOOl' insulation 01'
decking.
ROUCH PLUMBING. E:r.ECTRICAr. & MECH-
ANICAL: No work is to be c07-'ered
untiL these inspec:ions have been
ma::ls and approve":'. '
FIREPLACE: PM.oI' to placir..g facing
materiaLs and befwe framing inspec-
tion..
FRAND1G: Mu.st be l'squestBd. after
approval of rough pLwr.bing, eLectri-
caL & mechanical.. ALZ l'Oofir..g
bracing & chimneys, eto, nr~8t be
c= Leted. No work is to be con-
cealed until this inspection has
been made and "''''1:'4 "ved.
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3/Cl/9: L lY../-/00Z.. ~
-0
.0
~D
:0
:0
;0
1
~D
iD
;0
DEMOZ-ITION OR MOl7D 3i.JIL::JGS
=:J Sani, ta:ry Sel.Je1' cc:ppee. =t ~ope:!'t":i Lir.e
=:J Septi:: tank p-'.lrrrped ar.i fir Zed :.;i th grrrJe 1. ;
I Final - .r;~en ~~e i~e:ns are C(;.'11pLeted ;
.....J ar.d when ~emo:.1.t7..or. 7-$ co=Ler:a or struc- '
ture moved and pr;;mi.:;;;s deane:: up. .
Mobile Homes
j
:J Blocking and Set-~p
:J Plumbing connecti~ns -- scuer =nd ~ater
---, Electrical. Ccnnection - BZockirq, set-uo :
--...J and plumbing ~onr.ecticns r.~3t ::e ...,,"'. "./ed. i
before requesting elea:;1'ical. ir.spectio:-:
:=J AceeSGoZ"d Bui Zding
---, Final - Aft<:l'.?:7r'ches, skizotinq, decks,
....J et:c. are camp :.er:.zd.
D
--. ALl. project conditions, sue.": as ths installation of street trees, a~Z.;ti.on of ::its
required Zandscc:pir'..g~ etc., must be satisfied bet ore tr.e BUILDIt:C FI.7AL ::an ;,e Nquesr:!!d.
: 0 FINAL PLUMBING
o FINAL !!E~ANICAL
'0 PI,VAL ELEC':RICI.L
'0
f
",0
PIN.4L BUILDINC: The FinaL Building Inspection must be l'equeste::1 after :;r.e Final ?!wr.binq
elecrneal., and Mechanical Inspectiono have been made cmd. approved.
~ALL MANHOLES AND CLEANOUTS MUST BE ACCESSIBLE, ADJUST!fENT TO 3E ,\f.~DE.1T NO cosr TO CITY I F:::.;e' 1 of 2 i
._i
IJOb Number: ~b9
I
lZono: Occupancq Group:
i
i Lot Sq. Ftg.
I % ::If tot C::Iveragc:
# of Stories
TotaZ Height
Topography
WTTYFE
Interior
Corner
Panha:ndle
Cu l-de-sac
lITEM
I
I Main
1 Ga:raae
i Ca:rport
I Accessoru
. SQ.FTG
x
Value
TOTAL VALUE
S.D.C.
1.5 :&
(vaLue)
Bui7.ding Permit
State Surcharge
Total Cha....ges
lITEM
I Fi:z:tures
I Residential (1 bath)
\ SanitarzJ Sewer
I Water
NO. FEE
CHARGE
Plumbing Permi t
State Surcr.arge
Total Chazoaes
lITEM
I Res. Sa. fto.
New/Extend. Circuits
NO. FEE
CiiARGE'
Temporary Service
Eleatrical Permit
State SurahaI'qs
Total. ChaZ'qel1
I ITSM
, NO.". FEE
, "
CHARGE
Furnace ETU' S
I EzhaJ.tst Hood
I Vent Pan
I W::Iodstove
I
, c::::;. 00 I
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1:5. 00
. (00
.I:S. (00 *
,
Perrrrit Issuance
Meahania:z l Permi t
State Surcharae
Total Charaes
I -- ENCROACHMENT --
i
I Secr..lrity Deposit
I Storage
I Mainter>..ance
I Pormit
I Total Charqes
leurbcut
\ Sidewalk
I Fen::e
I.
E1.ectrica 1. Labe 1.
I MobUe Home
I
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/S.&o
TOTAL AMOUNT DUE: *
Page 2
Reference Numbers:
L-COG #:
T1jT?e/Const:
Bedrooms:
Enerqy Sources
Heat
Water Heater
Range
Fireplace
I Woodstove
! ,
T!Ape
wt Faces -
Setbacks
P.L. House Garage Access.
North
East
South
IWest
Fees
Building Value & Permit
This permit is granted on the express condition that the said construction'
shall. in all respects. conform to the Ordinance adopted by the City of
Springfield. ina?ud.ing the Zoning Ordinance. reguZating the construction
and use of buildings. and may be suspended or revoked at any time upon vio-
Zation of any provisions of said Ordinances.
*
t *
Plan Check Fee:
Date Paid:
Receipt #:
,Signed:
Plumbing Permit
No person shaZ7. construct. ins ta ZZ. az.ter or change any ~ or existing
pi.wnbing or drainage system inuJhole or in part. unless such person is the
legal possessor of a vaZid plumber's license. except that a person may do
plumbing work to property which is owned. leased or operated by the appli-
. cant.
I
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Electrica I Perm it
Where State LazJ requires tr.at the electrical work be done by an E7..ect;rical
Contractor. the electrical portion of this permit shal.l not be va1.id until
the Zahel has been signed by the Elecmcal Contractor. '
*
Mechanical Permit
PZan E=ner
J)a1;e
I HA VE CAREFULLY EXAMINED thB aomp leted app Zication for permi t. and do
hereby certify that aZZ infoI'mation hereon is true and correct. and I
further certify that any ar.d aU work performed shaH be done in accor-
dance with the Ordinances of th2 City of Springfield, and the Laws of the
* State of Oregon pertaining to the work described herein. and that NO OCCU-
PANCY wiU be rrrlde of any structura without permission of the Building Di-
vision. I further certify that only contractors and empLoyees who are in
c~~liance with ORS 701.055 will be used on this project
*
1- L~ - <{L
Date
Signed