HomeMy WebLinkAboutPermit Mechanical 1985-10-18 (2)
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.. RESltWNTIAL"
APPLICATION/PERMIT
225 North 5th Street
SpringfieZd, Oregon 97477
BuiZding Division
726-3753
Job Location: 1/ (J ><
Asaesaors Map # / 5? 6 d
-::f~ /lXJ.o J
0</ ~ / Tax Lot #
.11,
~
rJ(Cf(J()
Subdivision:
HA~ -/<;1 :Yu:lr
,510f ~~~ Frdme:
Zip:
Q.mer:
Address:
City:
nN~,'
n Addition
n Remodel.
n ,'Jobile Home.j ~ c-
Date of APP"liCaticn.-1'()-:/g-.--: O.J.
1Lf1-/15~
a:;:::;
.~
Value '/ ( ()()
1AU:;~~
(,'ontractors
General
Plumbing
Electrical
Meohar.ieal K 0 Z V L.J()D D
Construction Lender . ___
Address
E'vr;,rErJE
.
'(MAl AVA
Receipt,~ i j ~ 5 ~ J{C(
vl"h U -,};C
Signed:
Date:
Oc/
10 ~(k' -ire;-
Lise. #
Expires
Phone
1LO ,5j ,;l d.
/0 -d.9-~
Your City" Desigr.ated Job Nwnb€1' Is:
U iNSULATION/VAPOR BARRI~R JNSPgCTION:
To be made after all insulcztum w.d
'. required vapor barriers are in place
. . but before any lath, gypswn board or
waU covering is applied, and before
any irwulation is concealed.
D DRYWALL INSPECTION: To be made
after aU drywaU is in place,
but prior to any taping. .
O MASONRY: Steel location~ bond
beam3~ grouting or verticals in
accordance with U. B. C. Section
2415.
rl WOODSTOVE: After installation is
~ ccmpleted.
D
CURB & APPROACH APRON: After forms
are erected but prior to pouring
aonarete.
SIDEWALK & DRIVEWAY: For aU con-
crete paving ~ithin street right-
of-LX:.YJ to be made after aU exca-
vating complete & for.m work & sub-
base material in place.
It is the responoibility of ths permit holder to Bee that aZt. irwpections are made at the proper timbJ that each .:ddrOS8 is l'eadah:e
froom the streetJ and that the permit card is located at the front of the propert;y.
-'<Bui!ding Divi~ior:. approL.ed plan shaZZ remain on tha Bu-:,ldin.g Sit;; at all times.
~ l{PROCSDURE FOR INSPECTION RE:OUEST:CALL 726-3769 (recorder) state your City designated job nwnborJ J.ob adC:t-essJ type of in3pec-;icn
, . requested ar.d when you /Jill be ready for ir.spcct";onJ Contractol'S 01' OWners nane end phone numbct'. Requests received befcl'e 7:00 c:::
;.,.~ll be made the same dc.YJ requests made after 7:00 am will be made the next :JOrking day.
Reauired Tnsvecticns
O SITE INSPECTION: To be made after
excavationJ but prior to set up of
foPms.
O : UNDERSLAB PLUMBING. ELECTRICAL &
. MECHANICAL: To be made before any
work is covered.
o
roOTING & FOUNDATION: To be "",de
after trenches are excavated and
foPms are erectedJ but prior to
pouring ccncret,;.
UND8RG.'10Ul-m PLUMEING. SEWER. W.1TER.
DRAINAGE: To be maie prior to fi l-
.Ur..g trenohes.
o
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UNDF:RFWOR PLUUBING & MECHANICAL:
To be made prior to installation of
11001' insulation 01' decking.
POST AND BEAM: To be made proior to
installation of floor ins~lation or
deckirl{; ,
ROUCH PLUMBIlIG. ET.,ECTRTCAr, ,lJ MECF/-
ANICAL: No work is to be cOL'ered-
.. w:til these inspections have beer.
made and approved. .
FI.~EPLACE: Prior to pZacir..g facing
materoials and before framing inspec-
tior:.
O FRAMING: Must be requeoted after
approval of rough plwrhingJ eleotri-
.cal & mechanical. AU roOfing
bracing & ohinmeysJ etc. rrr.lst be
;.completcd. No work is to be COt1-
. ;.cealed until thiD inspection has
. be.~n made and approved.
o
o
D
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D FENCE: When compl~te -- Provide-
gates or movable sections through
P,U.F:, .
D
fc;OCf92J
I DE'"'!OLITIOH OR ;~lOVEE BUILDIi/GS
:J Sani~~ S8'..1er capped a.t p~op<=rt':i line
~ Sept-:,c tank fi~~ed and fiZZe~ with gra~el
I Pinal - f{hen ab..."'Ve items are ccmpleted
~ ar.d when demolition is oomplete 01' stru~-
ture moved and pr2mises cleaned up.
I Nobile Hcmes
:::J Bloc1:ing and Set-up
:::J Plumbing oonnections s<=wer and water
:::J Electrical Conr:ection - BlockingJ set-up
and plumbing connections TTr...st 1;e approved
before requesting elec=rioal inspectio~
:::J AcoessoJ9':j' Building
I Final - After porcr..es.. skirtingJ decksJ
~ etc. are completed.
o
All project conditionsJ suc~ as the installation of s~reet treesJ aa~latiDn of the
required Zandsccpir..g~ ctc.J must be satisfied befol'e the BUILDING FIt/AI. can be request.:zd.
D FIlIAL PLUMBIlIG
o FIliAL UECHAIIICAL
o FINAL ELECTRICAL
o
o
FINAL BUILDING: The Pinal Building Inspection must be requested alter the Pinal Plumbing
ElectrioalJ and Nechar.icaZ Inspectiorw have been made and approv.1d.
/tALL MANHOLES AND CLEANOUTS flUST BE ACCESSIBLE, ADJUST!rEt/~ TO BE N.1DE AT NO CaST TO CITY Pa~e! of 2
JOB NO. ?:5C(t(D
Zone:
SOLAR A.SS
Occuoancl/ Grou'O:
LOT TYPE
Lot Sq. Ft{;.
Z of lot Caverag~
#- of Stones
Total Height
Topography
I
IITEN
I Main
lCc:r>ace
I CaroOl't
SQ,FTC
ACCeBSOl'U
IS,D.C,
TOTA& VAWE
/ve:t..uc)
1,5 :r
BuiZding Pernrit
State Surcharge
Tota l Cha.~ges
lITEM I NO. I FEE
Fixtures . I
I Residential (J both) I 1
I Sani tary Sewer I I
WateI' I. I
r I
Plumbing Permi t
State Surcr.arge
Total CharGes
lITEM 1,/10' I FEE
I Res. Sa. fta.
I New/Extend Circuits I I
I Temporary Servioe I:' I
I' I
Electrioal Permit
State Surcharqe
Total Charc:es
ITEM
I Furnace BTU'S
I E:::haust Hood
I Vent Pan
I .
IWoodstove
I
I NO.,
I'
I' I
I I
I I
I I
Permit Issuance
Me::ha:nical Permit
State Surcharae
'lhtal ChaT'flP.S
-- EIICROACIil>IENT --
Sec-m tz; DeP03i t
Storage
Maintenance
I Pernrit
I Total CharGes
I CUrbcut
! Sidewa lk
./
I Feme
I Electrical Label
I Mobi la Home
I TOTAL AMOUNT OUE:-
Interior
Corner
Panhandle
Cut-de-sac
x
Value
CHARGE
CHARGE
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FEE
CHARCE
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1/5,001
I < 1;,'0 I
I (5', c::,o I-
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Ie: en I
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REQ,-
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Access. I
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II
II
TUDe
L-COG~
Type/Canst:
Bedrooms:
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I P,&.
INorth
lEast
ISouth
iWest
Lot Faces -
Setbaaks
House Carage
En2I'n}J SOU1'e8S
.':feat
Water Yt>.atp.I'
Range
Firevlace
WOoi3tove
Fees
Building Value & Permit
This permit iG granted on the express condition that the said. construction
shall, in all P8ape-ets., conform to the Ordinance adopted by the City of
Springfield, incZuding the Zoning Crdinan.ce, regulating the constructicn
and use of buildings, and,m::zy be suspendedoI' revoked at c:r.y time upon vic-
lation of any provisions' of said Ordinances.
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PZan Check Fee:
Date Paid:
Rec~ipt #:
Signed:
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Plumbing Permit
No person shall construct, instal!; alter 01' change any ~~ 01' e:isting
plumbing or drainage system in whole 01' in part, unless such person is the
legal possessor of a valid plumber's license, except that a pe~son may do
plumbing work to property which is owned, leased 01' operated by the appti-
oant,
Electrical Permit
Where State Law requires tr~t the electrical work be done by an Ele~trical
Contractor~ the electrical portion of this permit shall not be valid until
the labeL has been signed by the ELectricaL Contractor.
Mechanical Permit
PUIn Exarmner uate
I HAVE CAREFULLY EXAMINED t.w compteted appHcation for permit~ and do
hereby certify that aU i'r:formation hereon is tl'Ue and correct~ and I
further certify that any ar.d aU work perfor:7!ed shaU be done in ac~or-
dance tJith the Ordinances of the City of Springfiel.d~ and the; Ltr..;s of the
State of Oregon p~rtaining to the work described herein~ and that NO OCCU-
PANCY win be rrr:zde of any stl'Uctur.a r.rithout permission of the Bui"Lding Di-
vision. I further certify that only contra~tors ardi e~toyees who are in
c~ptiance with ORS 701.055 witt be used on this project
V -t/~ _"/".~ ~ ..:h-.ff-
r Sign2d
Ny I ~ ~ rrc:
Date