HomeMy WebLinkAboutPermit Mechanical 1986-5-25
.. RES1DITlAL'.
APPLICATI /PERllIT
225 North 5th Street
SpringfieZd, Oregon 97477
BuiZding Division
726-3753
.1ob Location:
"?5'3c, Cr.R")~ Y-J:le"'" f2..o
() 63 1'S 00 T= Lot #
~. ;3
D.;).'-.,60
ASGeS30r;; Map #
Subdivision:
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I !A.me":
I Address:
I City:
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fA I Nm,'
I,n
Addition
n Remodel
n .'.!obiZe Homa
~~ L. \f)E~l\r
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752C
~d
Date of Application
:;)r~-U
G:ontrac::oI'S
GeneI'aZ
Plumbing
ELectI'icaZ
Mechar.ica Z c,.,\ ~ 5....., "P '" ,
Construction Lend~
R.D
Pr.ane:
/,;:),.b~ 9LJd-/
CJJI/7l
Zip:
Desaribe fl'orl<.:
WOOD-=stOl)~
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f<lOD\ )"C
Value
Address
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vrR--r
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Signed:
Date:
1?
:::> .::2-G)' '2;c-.
Lisc.H
Exvil'<JS
Phone
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It is 'the responsibility of the permit holder to see that all incpections are made at the proper timf;~ that each .::ddress is rea:ia.b:e
f1'Ol1l the BtI'eet,. and that the pc1'TTrit card is located at the front of the property.
*Bui!ding l>i.vi::ior. approL'ed pZan sr.cll remain on thiz Bu-:.Zding Site at aZZ times.
PROCEDURE FOR INSPECTION R~QVEST:CALL 726-3769 (recorder) state YOUI' City designated job nwnber" job ad6>css" type of ir.:;pec:;ic,:
requested a~d when you wiLZ be ready for inspection" Contractors 01' OUne~s ncme end phone number, Requests received ceforB 7:00 ~
;..'iZl be Trade the same dcy" roequests made after 7:00 am will be made the nc.xt :xJl'king day.
RP.~li~~q T~?r.~~t~r.rR
O SITE INSPEC'!'ION: To be made after
excavationl but pr>ior to set up of
forms.
O UNDERSLAB PLUMBING, ELECTRICAL &
I MECHANICAL: To be made before any
wo1"k is covered.
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FOOTING & FOUNDATION: To be r.r.zde
after trenches are excavated and
forms are el'ectedl but prior to
pouring ccncret,;.
CJ
UNDERGROUND PLUM13ING. SEWER. W.qTEFf.,
DRAINAGE: To be made pl"ior to fii--
lir.g r;rencnes.
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U1IDERFLOO.'l PW!,.'BING & MECHANICAL:
To be made proiaI' to in3talZation of
11001' insuZation 01' decking.
FaST AND BEAM: To be made prior to
instaZZation of floor insuZation or
deckirlfi.
ROUCH PLUMBInG. ET.ECTRICAL & MECH-
ANICAL: No work is to be covered
until these inspcC!tior.s have beer:
made atul appl'ovc,::.
FIREPLACE: Pr>wr to pZacir.g facing
materials and before framing in speC!-
tior..
FRA!~ING: Must be roequeDted after
approoval of rough plwr.bingl electri-
cal & mechanicaZ. An roOfing
broacing & chimncysl etc. nr~st be
cOmPZeted. No wol'k is to be con-
.; eea'Zed until this inspection has
. be~n made and approved.
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Your City Desigr.ated Job Nwnber Is:
O INSULATION/VAPOR BARRIER INSPECTION:
To be made after alZ insuZati::m cr.".d
. rcquiroed vapor ba1'I'iers are in place
but beforoc any lathl gypswn board 01'
wZZ covering is appZiedl and beforoc
any insuZation is C!OrlceaZed.
DRYWALL INSPECTION: Tc be made
after aZZ dryL;all. is in placel
but prior to any taping.
O ~SONRY: Steel loC!ation" bona
beams" grouting oro verticals in
accordance with U.B.C. Section
2415.
ri'I WOODSTOVE: After installation is
r..lJ ccmpleted.
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CURB & APPROACH AP.I:fON: Afte::o forms
are crected but prior to pouring
concrete.
SIDEWALK & DRIVEf.iAY: For aU con-
crete paving within stl'ect right-
of-wc:.y" to be made after aZZ exca-
vating complete & for.m WOl'k & cub-
base mater>ial in place.
~'7
I DE,'.10LITIOH OR ;'.:OVE:; BUILDIt?JS
:=J Sanitary Se'..)er capped ::t p~op.::rt:i line
=:J Septic tank p:.L-;;pcd and fiZZed with gra:Je'Z-
I FinaZ - mzen above ite:ns are cc.o:roleted
~ ar.d when d~lition is complete 01' st~~:-
ture moved and premises cleaned up.
-MobiZe Hemes
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O E'ENCE: When compZete -- Provide
gates or movable sections throough
P.V.E.
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~ BZocking and S8t-~p
~ Plumbing connections s~er ar.d Wa~el'
~ Electrical Connection - Blockingl set-up
~ and pZumbing connections r.r~st te ap?l'~~ec
before requesting electricaZ inspec=io~
~ Accessozv' BuiZCing
I Final - I1ftcr ;:;rcr..esl skirtingl decksl
~ etc. are compZe=cd.
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AZZ projeC!t conditional sucn as the inst~llation of street trees, cc.~lat~on of the
required landscaping" etc." must be satisfied before the BUILDING FINAL can be request:zd.
~ FIliAL PWNBIIIG
ZJ FIliAL MEoHANICAL
=:J FINAL ELECTRIC!.L
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FINAL BUILDING: The Final Building Inspection must be requested after the Pinal PZwnbi~
Eleatricall and Mechanical Inspections have been made and approved.
"'ALL MANHOLES AND CLEANOUTS HUST BE ACCESSIBLEI ADJUST!fEtlT TO BE r.t~DE liT NO CYST TO CITY I Page 1 of 2 f
I JOB
izona:
NO. "bbODk.5'
Lot Sq. Ftg.
Z "I lot C.:JVerag~
# of Stories
Total Height
I Topogr>aphy
I
IITm
IMain
I Garace
Carpcpt
Accessol'U
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Is.D.c,
TOTAL VALUE
c VCLUC)
1.5 x
Bui Lding Permi t
State SW'chJrg€
Total Char-ges
lITEM
IFixtw'es
Residential (] bath)
Serni tary Sewer>
! Water
I
Plumbing Pe1'r.':i t
State Surct-..a.rge
Tota! Charaes
lITEM
i Res. Sa. fto.
IN~/Extend Circuits
I
I Temporary Service
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lITEM
I Furnace ETU' S
I E:::hau.st Hood
l Vent Fan
I
1 W::Jodstove
Ele~trical Permit
State Surcharqe
Total Charces
Permit Issuance
Me~hanic:Jl Per>mit
8tf'ltc Jjurchc:rtac
Total Cha.,.nem
SQ.FTG
I NO'1
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I NO.;
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SOLARG!6.. ESS
OCCUDanCtl rou.Y
WT TYPE
1/10'1
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I -- ENCROACHMENT --
Sec-.J.rit1l Deposit
f Storage
I Maintenance
I Permit
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ICUrbcut
I Side1JJQ lk
Total Charot!s
,
,
i Fence
,
I EZectricaZ LabeZ
; Mobile Home
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I TOTAL A/.fOUNT DUE: >t
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Interior
Corner
Panhandle
CuZ-de-sac
x
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Value
FEE
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CHARGE
FEE
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CHARGE
CHARGE
FEE
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1/5,06
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REQ.-
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L-COG"lo
TYDe/Cor.st:
Bedrooms:
I Lot Faces -
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I P.L.
INorth
lEast
ISouth
IWest
Setbacks
I House Caraae
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I Enerau Sources
I I Heat
Access. I I Water -'/mtp.J"
I I Range
I I FireD lace
I I Woodztove
II
TlJrJe
Fees
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Building Value & Permit
This permit is gJ"G.nted on the express condition that the sdid construction
shall, in all respects, confo~ to the Ordinance adopted by the city of
Springfield, incZuding the Zoning Crdinance, regulating the ccnstI"'J.cticn
and une of buildings, and m:;.y b;; suspended or revoked at any time upon vic-
lation of any provisions of said CJrodinances.
Iplan Check Fee:
Date Paid:
IReceipt #..
I Signed:
Plumbing Permit
No pereon shall construct, install, alter 01' change any r'.ew or 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 person may do
pl~bing work to property which is oum.ed, leased 01' operated by the appli-
cant.
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 lahel has been signed by the Electrical Contractor.
Mechanical Permit
,
PZan Exam1-ner
ua'Ce
I HAVE CAREFULLY EXANINED the completed application for permit, and do
hereby certify that aU ir:foT'mation hereon is true and correct, and. I
f'J.rther certify that any ar.d a lZ work performed sha lZ be done in ac~or-
dance :vith the Ordinances of the City of Springfield, and th;;; La:,js of the
,. State of Oregon p~rt.:zining to the tJOrk described herein, end that NO OCC!J-
PANCY will be made of any structUJ"2 without permission of the Building Di-
vision. I further certify that only contractors ar~ ~Loyees who are in
compLiance with ORS 701.05E will be used on this project
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I )(rya:mtU 11b1,~4
I, !gngd
Date