HomeMy WebLinkAboutPermit Mechanical 5-12-3
.. RESIO JTIAL..
APPLICATioN/PERMIT
225 North 5th Street
Springfield3 Oregon 97477
Building Division
726-3753
;
Rcce:pt.iI. 15 4?5 70 Lf
~
Job Location:
S9/b G ~/
J ? 0 ex :1lJ';>..:L T= Lot #
!If) 9:'
/7
/~;r~ ~
j't{lb h _~
Assessors Map #
Subdivision:
Oz.mer:
AdcWess:
Ci ty :
n
I I
I I
I ~
N=
Addition
Remodel
Nobile Home
Date of Application
Conr:ractors
/2-3 -gr;-
Aci;L~ess
General
Plumbing
Electrical
Mechar.ical -:J A.R J1~
Construction Lender
~~aJ
Phone:
'7;;2{.,-tCfv
~---~/0
Zip:
D1J~
Value
$ / IYJH)
Signed:
Date:
cc
/2 -. ':? -.rS-
Lise. Ii
E=oires
Phone
/'
~
'0
/~~ff ~JA \
L,. ,
Your City Desigr.ated Job Nwnber Is:_
o
INSULATION/VAPOR BARRIER INSPECTION:
To be made after all insul::ltion 1T.".d
required vQpor barriers are in place
but before any lath, gypswn bOa:t'd or
UX1.ll covering is applied, and before
any' insulation is concealed.
It i8 the responsibility of the permit holder to see that all inspections a:t'e made at the proper timG:, that each ::.dd:ress is re"'>";.:,,
from the street, and that the permit ca:t'd is "Located at the front of the property.
*BuiZding Division approved FUzn shall remain on tha Building sits at all times.
PROCEDURE FOR INSPECTION REQUEST:CALL 726-'3769 (recorder) state your City designated job nw;;ber, job ac.=ess, type of inspec-jicr.
requested and when you will be ready for inspcction, Contractors or Oz.mers name c.nd phone number. Requests received befere 7:00 c;c;
;,.'ill be made the same day, . requests mc.de afta' 7: 00 am will be made the next :xJrking day.
Rem/ired Insvections
O SITE INSPECTION: 'To be made
excavation, but priorte set
forms. .
o
b
after
up of
UNDERSLAB PLU!1BING. ELECTRIC,1L &
11ECHANICAL: To be made before any
work is covered.
POOTING & FOUNDATION: To be made
after trenches a:t'e excavated and
forms a:t'e erected, but prior to.
pouring cencrete.
I~
iLJ
UNDSRGROW!D PLUMBING. SEWER. W.4TER,
DRAINAGE: To be made prior to fil-
Z.ing trenches.
o
UllDERFLOOR PWf.fBING & MECHANICAL:
To be made prior to 'installation' of
!zoor insulation or decking.
POST AND BEAM: To be made prior to
installation of floor insulation or
deckinr; .
ROUGH PLU!!BIHG. ELECTRICAL & MECH-
ANICAL: No wor-k is to be cOl.:ered
.until these inspections have been
made and approved.
FIREPLACE: Prior to placir~ facing
materials and before framing inspec-
tion.
[], FRANING: Must be requeated after
approval of rough plumbing, electri-
cal & mechanical. AU roofing
bracing & chimneys, etc. lTT'..st be
completed. !lo work is to be CGn-
.., cealed until thia inspection has
'been made and approved.
o
D
D
o
DRYWALL INSPECTION: Tc be' made
after all drywall is in place,
but prior to any taping.
MASONRY: Steel location, bona
beama, grouting or verticals in
accordance with U.B.C. Section
gs///?
DEf.fOLITIO.'.' OR ,'.fOVE:; BUILDIZ!CS
==:J Sanitary s~~er capped =t p~oper~d lir.e
~ Septic tank p~~ed'and filled with gra~eZ
~ Pinal - T>'her: above items are cer:roleted
. .:; -".~.. . -.;.......
. and when ~emc~vv"on "s complete or s~ru_-
ture moved and premises cleaned up. .
Mobi l'e Hemes
~ Blocking and Set-up.
=:J Plumbing connections -- sewer and water
~ Electrical Connection - Blockina, set-u~
~ and plumbing connections lTT'~st c~ approved
before requesting elec=rical inspec=ion
~ Accessory Building
I Pinal - After parches, skirting, decks,
~ etc. are completed.
D
All project conditions, suc~ as the installation of s=reet trees, co~letion of tne
required landscaping, etc., must be satisfied before the BUILDING FINAL can be rzqu.estzd.
D FIllAL PLUNBIlIG
~ FINAL MECHANICAL
=:J FINAL ELECTRICAL
~
o
.pINAL BUILDING: The Pinal Building Inspection must be requ.eated after the Final Plumbing
El,ectrical, and Mechanical Inspection3 have been made and approlJed.
o
~15.
1'\/1 WOODSTOVE:
~ completed.
After:installation is
-ALL MANHOLES AND CLEANOUTS UUST BE ACCESSIBLE, ADJUST!fElIT TO BE !.t1DE AT NO (':)ST TO CITY Page! ./of 2
D
CURB & APPROACH APRON: After> forms
are erected but prior to pouring .
ao=rete.
D
SIDEWALK & DRIVEr.IAY: For all con-
crete paving within street right-
of-way, to be made after all exca-
vating complete & form work &.sub-
base material in place.
o
PENCE: ~~en complete -~ Provide
gates or movable sections through
P.U.E.
o
IJOB
I
iZone:
No.13S"/JI1 SOLAR ACCESS REQ.-
L- C 0 G~
Oa=pana!{ Gr
!Lot Sq. Ftg.
i ~ of lot C.:meragc
i# of Stories
ITotal Height
I
Topography
ITEM
I Main
I Cc:raoe
I Cal"Port
I Aacessorlf
I
I
Is.D.c.
I SQ.FTG
I
I
I
I
, l.
\.
TOTAL VAWE
(va~uc)
1.5 x
Building Permit
State SUI'charge
Total Cha:>ges
I ITEM I NO. FEE
Fi:J:"tlfr'es I
I Residential (1 bath) I
, I
1 Sanitary Sewer
I Water
I ,.
Plumbing PePTr:i t .
State SUI'cr.arge
Total Charaes
i ITEM i NO.
I Res. Sa. fta. I
I NaJ/Extend Ciratii ts I
I Temporary Sepviae I
I
Electrical Permit
State SUI'charqe
Total Chai>(:es
lITEM I NO. I "FEE
Furnaae ETU'S I I
E=haust Hood I I
I Vent Fan I I
I Woodstove I I
I I
Permit Issuanae
Mechanic::x l Permi t
State SUI'aharae
Tot'7!- Charaf:!s
ENCROACHMENT
Se~~ritlf Deposit
Storage
I Maintena~e
I Permit
I Total Charaes
! Curb=t
! Sidewa lk
I
! ~e~e
I Electrical Label
! MobiZe Home
TOTAL AMOurrr DUE:.' .
I
I.
I
LOT TYPE
Interior
Corner
Panhandle
Cul-de-sac
x
Value
CHARGE
FEE
CHARGE
ClIAReE
I
I
I
I
I
I IScan
I .01
I (?r0V l~
t
I
I
I
I
I
I
" /S.(oZ).'~
Ti1'pe/Cor.st:
Beciroor.:s:
I Lot Faces -
I Setbaaks
I P. L. House Caraqe
INorth
lEast
ISouth
.IWest
Fees
I I Enerau Souraes
I I Heat
J I
I I
I I
I I
II
Tu::e
I Aaaess.
I '
I
I.
Water Yeater
Ran(:e
I FireD laae
Wcodctove
Building Value & Permit
This permit is granted on the express condition that the said construction
shall, in aZl respects, conform to the Ordinance ::xdopted by the City of
Springfield, incZuding the Zoning Ordinance, regulating the construction
and use of buildings, and m::xy be suspended or revoked at any time upon vio-
lation of any provisions of said Ordir~naes.
, ~
I
OJ ~
I
I
I
Plan Check Fee:
Date Paid:
IRea"ipt #:
I Signed:
Plumbing Permit
No person shaZl construat, instalZ, alter or change any new or e=isting
plumbing or drainage syste~ in whole or in part, unless suah person is the
legal possessor of a valid plumber's license, except tr~t a pe:>son may do
plumbing work to property which is owned, leased or operated by the appli-
cant.
I
I
I
I ~
I
I
I
I
I
I
I
, ~
Electrical
Per mi t
Where State Law requires tr~t the electrical work be done by an Electrical
Contraator, the electriaal portion of this permit shall not be valid untiZ
the Label has been signed by the Eleatriaal Contra~tor.
Mechanical PermH
Plan Examiner
uate
I HAVE CAREFULLY EXAMINED the completed application for permit, and do
hereby certify that all info:omation hereon is true and correct, and I
further certify that any ar.d all /Jork perfor:ned shall be done in accol'-
dance with the Ordin::xnces of the City of Springfield, and the L~~s of the
~ State of Oregon pertaining to the work described herein, and that NO OCCU-
PANCY will be made of any structure without p2rmission of the Building Di-
vision. I further aertify th::xt only aontrac:tors a;:d e.~pbyees who are in
compliance with ORS 701.05E will be used on this proj~ct
x..~
I. .- --
S1.gR-..u: ..' . .. ," . .... '.'
/dv/3 (Xl'
Date