HomeMy WebLinkAboutPermit Mechanical 1984-10-18
f,~,~ fv-- b
4.,~.".,,-r L.J"',-aI' ~~~
. ,. _ Iro . ..:....1"._.. .
. ,/n; ,'4 I"C......
" ~f\v=~~ ~,- Lf't./I
. ,
.. RESIDENTIAL.'
AF?LI~A'J:ION/PERMIT
225 North 5th Street
Sprir~field, Ore2on 97477
Building Division
726-375J
Job !:.oc::.:i:m:
a s l/J~ 'I' ~1 MJJ
\1 ()~~lo (\
l)ri OOG
AS:JesDOrJ X:rp /I
SldJdi:r..sicn:
<;"
C:.:l'l2r: ~,~'l).JLd ~0 ~
At1d:-~S3: 626'1 (p "' .1- J A~"
C~t-~: A'f ~~
I A"t>"J
I I Acc-:': :icn
I I R=O'::lll
.J I .'!ob-:': le .'!0f'!3
T= :-Ot /I
Pr.or:e: 7f./7- 6 ~ ~ L
Zit': Q'1 \..( 77
Desc'/"'":be (.'ork:
, ,
""",.' .P~
0.rv--p...JJ ,;4, ~ .
:'. ~.-~v
Ceneral
Plumbing
i Electr-::cd
I ,'.{echar.ic.:l <:::::L.~ L- \. ~
, I .COl'l8tl"'.lc:i::m l.c:>uip.r
!~ is :he res;;onaibili:y of' the penm:~ holder to see :ha: al!. inapectiol'l8 are made at :hll propu tim.. that =h=dd:res8 is re~":"':':
;i'onr ths street. end thGt the permi~ card iB,l.:x:~ted .:.t the f1'071t of the property.
.;ui!di!'".g .:r~vi=io~ C?::rot:edplan sr..::Z.Z.renain on thE au-!:Zding Sit<: at aZZ times.
P."QC::'U?:: ,OR n:S?::(;'!'IQ!! R::~U!'S7':CALL 726-3769 {recorder} state your City :iesirpo.ated job =ber. job ~E:ss. type of inapec:icn
rsquesr;cd Cl7".a :.I.':en ~ou :.Jill be ready for ,ir.spcct-::on. Con1:ractcrs or Ol.:ne:-s. =e end phor:e.' nuWCl'~ Requesr;s receit:ed bej"cr~ 7: 00 <=
:.'iZ-Z be rrcae t~ same deb requests :nede cfta' 7:00 = wiZl. be mcuie--the n=t wrkin; da-:i.
Ilata of Appli.caticl'l
J () -10:'" ~ l{
:"'07t=r~c:ors
Va!ue
11(0 7~. o-{)
Add.-ess
lTi\-lW ~ -~Lc.kJ> CLlAW
,
'.
.~eC?..Ji..."t1 r,!,,~~"f!t~cn3
SI'i':: I:"l3?::C: I:J:!: To be rrcde
e:~av.::e~.:m. :,ue pl""~Czo tc set
J"':J-rms.
a.fter' ,
up of
Your City. Desirpo.ated Job Numba' Ia:
D
o
lr.lD::::?S[,A3 ?::.e...f3I:/c. 2L2C':'.oIC,lL
:~C,:':'.J:J;.;A[': 'i'o oe ma.cie bejore =y
wric is =ovc:!"ed.
o
F'(X)'!'r,'/c ~ FOU:!D,1TIC"/: To be rrcde
af:.?r ::!"encn2s a.re e=cC;1Jat,zd ar.d
fcr:ns, a.re erecr;2a. but prwr :a
pourir.g ccncret.>.
o
!r.!D-:::?iC?O'F.!D ?::'~7C ;::0, Su"E.'R. :r.l ?'::P,
D.".A:.'J':',,~: Io be ~e p:-:.or :0 ;'ii.-
lir.g :rer:c;..2s.
o
UlICE:.~:::'CC,'? !'!.U.~~r.:C ~ XEc:?A.'IIr::.::.:
'1'0 ;,e l1:C.Iie prUr ~ insr;::.i.Z-ation of
f"laor ir.suk:tion or cUckir.g.
?'JS7' ,~,'lf) 3:::....f: To be r.-.aCe p'/"'"~l' to
ins:al""=r;u:n oj f!ool' insda:io,; or
cUckinq.
D'
o
~:r.t)~,t;r.. ?:~7'f3r:.'c. ::.2~.~!C"~~ 1 :.r2C.'1- \
ANI':),::': :10 'JO:!"i: ia :0 be COL'e:!"ec. .
tu::-::z. :i:cs.:J -:r..s=,ec:iC7':s ;.-=tJ~ ~ee7:
mcce ;rd ~~r?~~d.
FI,=::?!.'!"C::: ~or:a plc.::-::,...g !c.:--::,..g
mc.eer-Wio ar.d before frcr.ri,..g inspec-
t i01':.
o
[]
F!'..J....~I,.!r;: NU3: be reC".lJ3t2d a;:03r
C?prclJ'::!. of r:Juqh pll.r.-.iJir..g. zLectr-::~
ca.l & r.;ecr.ani.::JL. Al!. roofinq ,
bzoac-:':r.g & chimncya. et:. r.r~se ~Q
CCI1TD Z2:cd. ;':0 -.;.:11'< -:.s to be ccn-
. cea"!2d WlC-:: l :1:is insr:ec:-:':cn ;...as
.b€~ mad~ and approt:ed.
.,.
D INSUr,'!"TIO,V/VAPO!? BA.'IRER D!S?::C'J'ION:
To be r.-.ade after aU ir.sul.::t~n Cl7".a
, rcqu-::red vapor barriers are in' p laae
but cefore any lath, gypsum beard or
LXlZZ aovel"ing is appZi.edi and. before
any i,...rr.tlaticn ~s concealed.
D DRY'..IAU INSP::CTrO.'l: To be made
ajter all c.r-j'..JaZZ is in place.
but prior to =y tapi,..g. ,
o
MASON?Y: St2el Zocation~ bond
beama. grouting ozo verticaLs in
accordance with a.B.C. Section
2415.
M ''..IOODSTO'/?: Aftel' installation is
~ ccmp1-2tc:d....
D
CURE & Al'F'RCACP. ,4P.".CN: Aft2:" forms
are are:ned but prior to p:;uring,
con..."l"ete.
.
,'Ieee::,: ~ E (p .5 (p 8 &
-0
~~
Sigr.2d:
Date:
10/
- /()-/O-~ '(
o
SIDE'.-IALK & 'RnnIAY: For all con-
crete paving !.Iithin street right-
of-wc.y. to be made aj"tzr al? e:::ca...
vatir.g ~crrrplete 3 to= work & .suO-
base /T'c;tel"ial in pla:e.
Lisc.if
E~ircs
Phon<:
o
::"/Vc.;:.: When complc:te Provide
gates or :novable sections through
p.a.E.
.j
137(PtJtJO
J/ I Y 1f5<./
o
'?Lfo 7;2(;
/ DE!:OLITIO.A! OR .~~.aV!; 3UILDI!7CS
=:J Sani taro" Sll"..Jer cC?ped. =t ~op<:rt;-:i 'li"!'le '
=:J Septi:" t=1< p"..il?d cr.'.d fi Z. Zzd ui th ~.;z,
~ Pinal - rfhen ~-ve ite::/s are c':''m:Jlet<:a
~, ..1 .~.. .. ~
' =a :.men ~er.lCl-:.~'l.Or. t.s complete or Svo ...c-
ture r.;ovea c:r.c pro::m.Jes ::leaned up.
Nobi Le Hc~es
~ Blocking and Szt-up
~ Plumbinq connecti~ S;::')er' and /Jatzr
~ EZectric=! Ccnr.eation - Blocki,..g, set-U?
---1 and pZumiJing acnr.ectiol'l8 lrT"..:.st !:e G;'pr~t.',zc
beforc requestir.g e!ec:l"i.cal ir.s?ectio~
=:J Accessol"'.i Bui!.::.ing
---, Fir.aL - ,1ft::r :;::r<::.;.,e8. sTdrt-::,...g, de::.v..s.
~etc. are ~~~e~~a.
D
All project ~or.di=i~ns, auc~ as "he {ns~aL!c.~ion of s:reee :rees, ~.:.~!a:~~n ot :~
required Zanc:"cC?ir.q, ,:;tc., must be satis:"icd ?Jafore "r.2 3Ulr::r::c ?I."!AL ::an !;e rZCjUest<:d.
:=J FI":A::' PLU:..'SI::G
~.:'I:I':'l. :!F.::,'-!A"/!CAl.
'~ .". !.','"
.--1 Itu ;:Z::.~I::"~
.'=:1
o
?r:IAL 3UI[,JI::G: The FinaL !!ui'tdi,..q rr.s"eat-::on ,':':USt be reque3eCld -;/'::2r t1o.2 ,='-:.na.l ?!ur.:bin;
~L2ceri~aL. and Necha~icaZ Ir.s?ec~i~na ;uwa been made a,..a approved.
'A::'':: ",!':':IP.C:'I~ ANOCr::,l,NCUTS ,'!us'!' 38 .~CC::SS:;r.::. .J,DJ~'S,:~:r: :0 3:: :.~1C:: :!:' .':0 ::S!' 'l"'J CT:Y I ?=-;z ! of 2
Job Number:
b L(07~fo
Zon.e:
r;o't Sq. Ftg.
% af lot Caverage
!i of Stories
Total Height
TOpOgl'C1phy
lITEM
I
iNain
SQ.FTG
,
I CaYaae
! Ca:rpor t
I Aeeessorlf
I
I
TOTAL VALUE
I
is.D.C.
(value)
1.5 x,
Buildir.g Permi t
State Su:rehxl'ge
Total Charges
lITEM NO. FEE
1 Fi.xtu:res
Residential (1 bath)
Sanitary Sewer
Water
Plumbing Perrr.it
State Su:rer.arge
Total Charoes
i ITEM NO. FEE
I Res. So. fto.
I NaJ/Extend Cireui ts
! T errrpora:ry Serviee
!
i Electrieal Permit
I State Su:rcharqe
I Total Charqes
12:::14 ' " NO.' FEE
I
I F'urruzee ETU' S
I E:::haLlst Hood I
I Vent Fan I
I ~/oodsto;)e ' I
I I
Permit Issuanea
Mechanieal Permit
State Su:reharae
Total Charoes
I ENCROACHMENT --
ISe~~ritlf Deposit
Storage
Maintenan:::e
Permit
Total Charaes
eu:rbeut
Sidewalk
I Fence
I Eleetrieal
I Mobi le Hame
I
I
Label
TOTAL AMOUNT DUE: *
Occupancy
Gr.
LOT TYPE
Interior
Corner
Panhandle
Cul-de-sac
x
Value
*
I
I
I *
CHARGE I
I
I
I
I
I
I
I
I *
CHARGE
CHARCE
I
if-" rrV I
I
I
f' ~ '--0
.~_ 0
.&;0
1:5-{o0
I
I
/sf'6. 00
Reference aumcers:
L-COC i!:
Type/Canst:
Bed:rooms:
Enarau Sources
Heat
~/ater !!~(1.ter
Range '
I Fireplace
~/oodstove
i
I
I
I
, I
...,-:- -'-"1
I Lot Faces -
I Setbacks
I P. L. House Ca:rage
North
East
South
,west
Fees
I I
: I
I I
I I
I
! ,
T'Ipe
Access.
Building Value & Permit
This permit is granted on the express eondition that the said construetion'
shan, in an respeets, conform to the Ordinanee adopted by the City of
Springfield, including the Zoning Ordinanee, regulating the construction
and use of'buildings, and may be suspended or revoked at any time upon vio-
lation of any provisions of said Ordir~nees.
Plan Cheek Fee:
Date Paid:
IReceipt #:
I Signed:
Plumbing Permit
No person shall construct, install, alter or ehangeany new or existing
plumbing or drainage system in whole or in pa:rt, unless sueh person is tr~,
legal possessor of a valid plumber's lieense, exeept that a person may do
plumbing work to property which is owned, leased or operated by the appli-
"eant. ' ,
Elec trica I
Permi t
Where State Law requires tr~t the electrical work be done by an Electrieal
Contractor, the electrieal portion of this permit shall r~t be valid until
the label has been signed by the Electrieal Contraetor.
*
Mecha nical Permit
l *
I
I'
I
f *
I
I
I
I
r
I
I
Plan Examiner
uat;e
I HAVE CAREFULLY EXAMINED the eorrrpleted application for permit, and do'
hereby certify that all information hereon is true and eorrect, and I
further eertify that any ar.d an work, performed shan be done in aecor-
danee with tha Ordinances of the City of Springfield, and the Ur~s of the
State of Oregan pertaining to the work deseribed herein, and that NO OCCU-
PANCY will be rmde of any strueture without permission of the Building Di-
vision. I further certify that only contractors ar~ enplayees who a:re in
eomplianee with ORS 701.055 will be used on this projeet
~~~,~
-11) jl/) /YI/
Date I
Signed