HomeMy WebLinkAboutPermit Mechanical 1983-2-4
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APPLICATION/PERMIT
~;~:~~f~:l~~hO;:;~~t 97477 'I lu-(}-O P S~ ~
Building Division
726-3753 ' /6.0 0
.... . ~..."'.. ......[;lll;. ....11_ III
As:;essol"$ Nap ,i;
i I La (P · 3" i sf,
\ fJ 05 '2..lo4L{
T= Lot ,~
\L\ (Q(Y)
Job L,oC!ati::m:
Suhdiv-=.sicn:
Cl.,-nel' :
:lo~ kJ~
) I ~ (n 1:S I ~ f.
.!XPpU d,
.4d~ess:
City:
II~--:'~.J
I I Add": tien
I RemodeL
I ,'!oo:. La Home
Phone: 7 L/b- 39g((
Zip: q 7 ~ 7 7
DesoP':be f>'Ol'k:
L.c::;"", a.-cO A-t-~ (i]LJ~
Date of AppLicatien
Conz;l'acr;ol'S
cJ-1 ~t;;;-
GeneraL
PZumbinq
F:LectricaL
Mechar.ic::L
Const~~ction L~ndel'
VaZue $ 200 aD
Address
1[%
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Sigr:ed:
f~.
rl -Lj-f3
Date:
Liso.#
Phone
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EXDires
[t,i8 the respon:;ibiLity of the permit hoLder to see that aLZ inspections are made at the propel' t~me, that each =ddress' is l'eadabZe
from the street, and that the permi t ca..><d is Zecated at the front of the property.
Agui!di~g v-:.vi=io~ ap?l'~'ed F~n sheLL remain on the BuiLd":ng Site at aLL times.
P.'?OC::DUF'!S FOR INSPE:CTIOIl RSQUEST:CAUj726-376VreoorderJ state your City desiqr.:::.ted job nw;;ber,
requesr;cd a~d when you wiLL be ready for inspection, ContraC!tcrs or Ow-ners r~e ~r~ phone number.
"->LZZ be made, thE; same day, requests mc.deafta 7:00 am UJiZZ be made the next wrkinq day.
?e~di~qd rnSDPct:.cns
O SITS I:lSPE:C':'!ON: To be made aftar
exoavation, but prior to set up of
forms.
o
UNDfRSLAB PLUMB INC , ?:LC:CT,'?IC,lL &
".!EC,=:,J,'JIC:'i.,: To be made before any
work is covered.
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POOTI:'lC ~ ?OUNDATICN: To be m:u:e
after trenones are exc~Jated ar~
ferms are erectac, but prior to.
pouring c~ncret~.
D,
U,VD7;RC,-=?OU;'!D ?[,UI,(!3 ING. S:::rc:.'=?, (,1,1 TE:.'?,
DRAINAGe:: To be made prior ?;o fil-
Lir.q r:renches.
0'
UND[RFLOOR !'!.U:',SL'VG 1 :,rE:C.!.!ANICAL:
To be made Drier to instaZZar;ionof
j100r insu~r:ion or decking.
paST AND 3EAU: To be mc.de D!'ior to
insr;aZLatien of f100r ir~~i2ticn or
deckinq.
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ROUCH ?r...U~.1BL7G. ?!.EC7'P:!C.4!:. ,1 .',fECH-
ANIC.J..D: .Vo -.;ork :.a t::J ce cOi.:erea.
until these :r~vec=iQ~s hcv~ been
made ar~ C?Pl'?v~d.
FI.~E?!..ACE: Prior to pZc.cir.g fc;.ci.ng
mar;eriaZs ar~ before frar.tir.q inspec-
tion.
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P.Ztt~1I.WJ: l\.fu.st be r-equeated after'
approvaL of ro~qh pL~~ing, eLectr<~-
caL & mechanical. AZ! '!"Oof:.r.q
bracing d chi:rmcys, etc. m'..IS!: be
,comvZe;;cd. No ~ol'k is to oe con-
~ cec'-Zed ur:ti Z this insvec-:icn ri.!ZS
. been mada end appp?ved.
Your City, Desiqr4ted Job Numba Is:
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INSULATION/VAPOR BARRIER INSPECTION:
To be made after aU insuLatwn a:"'~
reauired VQDor barriers are in D~ce
Cut before any ~th, gypsum berird or
waLL coverinq is appLied, ar~ before
any insulation is conceaLed.
job accrcss, type of inspec=icn
Requests received before 7:00 ~
3%77
DrUOLITIO:V OR ;',,'OVE:; 3UILDI,'iCS
:J SanitaI"J se'..Jer :,)apped c:t P~~PCr'8' Zir:e
~ ~epti~ tank p~ed ar~ fiZlaa with gr~~gZ
---, PinaL - f{hen above ite:"s are ccmDZetec
~ and when de~cL:.tion is compiate Or' St7~~-
ture moved ard ?r~ses cLe~nei up.
Mobi Za Hcrnes
~
~
BLockir~ ar~ Set-up
PLumbing connections
s.;;wer and water
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DFI'.!WALL INSPECTION: To be made
after aU G.r-JwaZZ is in place,
but prior to any taping.
~ EZectr<~oaL Connection - BLocki~~, set-u~
--1 and Diwnbing connections m-..;st =~ =-or'ovec.
befo~c requesting eZec=roicaZ ins?e~~io~
:.J Aocessc,''d 3uiZiir~
---, FinaZ.- Aft~r F~pc~esJ
~ etc. are ccmpLe~~d.
sk:.rting, decks,
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Location, bond
or verticaLs in
U.B.C. Section
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ALL project conditions, suc~ as the ins=aLLat":on of street trees, cc,~Zccion of tns
required Zandsccpi~g, etc., must oe sa~isfied bCfore the 3UILDI~G :I~~L acn be r2~~gSt3d.
D, FIl!AL PWNBI.'lG
!:=J, PINAL NE::,:W1ICAL
O. FINAL ~LECT.sICA.L
CJ
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FINAL BUILDING: The Find BuiZdinq Inspeotion ....r~st be !'equested .after the ?ir4L 2Z=bir~
'ELectrical, and Mecnar:iccl Inspection:; have been made ar~ apprcve~.
MASO'lFlY: SteeL
beams, croutirt.a
accordt:Utce W": th
~Q4 ',-
, 'iiOOD~TO~: Aftar instaLlation is
ccml'i.e;;"a.
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CURB & A,Z'PROACH AP.oON: Afte,:, forms
aTe erected but prior to pOUI"'~~.q
co=rete.
SIDE:f.jALi<. & DRIVE'dAY: For aU ccn-
crete pavina with":n street riaht-
oj'-=y, to be made aj'ter aZZ ~xca-
vatinq compiete & fo~ work & sub-
base materiaL in ?Z.:::.ce.
'AU, MANHOLe:S AND CLEANOUT:; HUST BE AC;:rSSI2r.e:, ADJUST,'r:;:/T TO 2e: t~'\Dr .'IT NO ::;S'I' TO CI7'Y I :J~'-e of 2
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:?ENa:: ~'hen compZc:te -- Provide'
gar;es or movabLe' seotions through
P.U.E.
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I JOB NO. <g30517 SOLAR A.SS
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! Zar:e:
Lot Sq. Ftg .
I: .:;f :ot ~.:;verag;;
," of :::.tOI"".es
I Tota! Heicht
i. ..
I TopogrfZ?hy
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lITEM SQ.FTG
I ,'.lain
I Cc:Y> ac e
i
! Car::-Qrt
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l,kaessor:J
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1'0'1'04[, VALUE
S.D.C.
Iva"u;;)
1.5 ;:;
Building PeI'm"~t
State Su:f'cna:!'ge
Tota! Cr.a.~ges
I ITEM
I FL--tu:res
lResidentiaL (1 bath)
i Sanita.!"j Sewer
I watfa'
Pbmbing Pe:m:i t
State Su:f'cr.arge
Tota! Ch.c.raes
I ITEM
I Res. Sa. fta.
IN~/Extend Circuits
I Temporary Service
Eleatr'1;caL Permit
State SUrcharae
Tota L Ch.a:!'ces
lITEM
I F".a'n:zce ?TU'S
I E;:;haust Hood
I Vent Pan
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I w::;odstove
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P errrri. t I;] suanc 2
Mechanical Permit
State Su:f'chcToe
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I Total cr.c.raes
. I -- :;tlCRCAC.S:gE~'/T
I <: ...., !) . +:
I ~eC'~I""_..'1 eDOS'L.
I Storage
Il1a-:.ntenance
I Permit
I TotaL C'naraes
I
Curbcut
Sidewalk
?e~e
ELectricaL Labe!
Mobile H:;me
TOTAL AMOUNT DUE:'
NOa
;VO.
I Ne.', ' F':'r:'
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CccuDanc:J GrouD:
LOT TYPE
I1".terior
Corner
Panhandle
CuL-de-sac
X Value
FEE
CHARGE
>;;;'!i'
C,=lJJ.RGE.
CIi;J.RCE
)<-;.00
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I C;. & 0
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-Ji/~'&O
Pege 2
'.,
REQ.-
L-COG~
I [,ot Faces -
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I P.&.
1N0r~h
lEast
ISou th
IWest
Type/Cor.st:
3eaooms:
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I Access. I
II
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Setback.s
l.'iouse I Ca:rage
I I
En2rau Sou!'':)es
Seat
~/ate'!' .'"!eat2-!'
Ranqe
Pirevlace
Wooa:Jtov8
Tu'Oe
Fees
Building Value &' Permit
This pernr~t is granted on the express condition that the said. construction
shalL, in aZl respects, conform to the Ordinance ~dopted by the City of
Springf:eZd, inaZud::'ng ti1.e Zoning Ord-:.nqnce, regulc.tir:.g ti1e ccnstr7.lcticr..
~d use of buildings, and m~y be $usper~ed or revokec at ~~ t~me u?~n vic-
lation of xny provisions of said Ordir~nces.
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Plan Check Fee:
Date Paid:
/Reczipt #:
I Signed:
Plumbing Permit
No person shaLl construct, install, aZter or change any 1".ew or e=isting
plumbing or drainage systa~ in ~hoLe or in part, unless such person is the
LegaL possessor of a valid pLumber's License, ~cept that a 'person may do
plumbing work to proper~d which is owned, leaszd or operated by the appli-
cant.
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Electrical
Permit
Where State [,C;;W requires tr.at the eLectricaL work be done by an Eleat!"'~caL
Contractor, the electricaL portion of this permit shaLL 1".ot be valid untiL
the 'labeL has been signed by the ELectrical Contractor.
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Meche nical
.....,
Permit
PZan E=c:;niner
!)ate
I HAVE CAREFULLY'r::XA.'1INED the complated ~pplication jar permit, c:r>.d do
hereby certify that all information hereon is true ar.d correct, and I
further certify that any arn all work ;:erfor;ned shall be dO;1e in acjor-
dance with the Ordinances of the City of Spr'1~ngfietd, and thz [,(;".,;S of the
· State of Oregon psr~ininq to the work described here-:.n, ar.d tr.c.t ~O occu-
PJ.NCY will be made of any structure without perm-:.ssion of the 3uilding Di-
vision. I further certify tr.at onLy contractors ~.d a~Loyees who a.~e in
compliance w-:.th CRS 701.055 wiLl be used on this projsct
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