HomeMy WebLinkAboutPermit Mechanical 1982-6-25
.. RESlDlNTlA'L"
APPLICATION/PERMIT
225 North 5th Street
Springfield, Oregon 97477
Building Division
726-3753
SPRINCFlELD
-
Job l.ocation:
\~~~ ~It l\ J:tiQA, 1 )k.
\ '\ (""?. ':'JU \ ~ T= wt # 0 ~('Y)
Assessor's .~!ap /I
- -
Subdivision:
Cl->ler{' 12.ll'MI\r1 t A'(\o.~
Add.~es3: h~~, ~ l ~ .\. \ MQ f) Phone:
City: ~rtJ fuL
n
n
n
n
N.,.,J
Addi tien
~r
RemodeZ
,~!obi.Ze ':-!oma
Date of AppLicaticn
Cont"ractol'S
General
Plumbing
ElectricaL
Mecirar.iccZ
'^
ctl .0 fU.A...,
cO"st~~ceion Lender
Zip:
"l\\~ - \f1h\
C\\Ltll
.
?<:ce:pc ,1
'SQ'~ {)("
Descr;be r\'ol'k:
~~~~
Value
Addres3
&!}.() .00
,,:,1
~
~L
Siqr.ed:~
Date 4 " .l..n II /:,)5 X.::lJ
J
Li3C.#
? :::;;il'CS
pr..one
Ie is ~ho l'esponoibitity of ehB permit hotder eo sss that aZZ inopections are ~ade at the proper tim€, that ~~ch ~es8 is l'eada~:2
Jl-om ehs street, and chat the permit card is 7..xa:ted at th6 f1"011t of the property.
.tEu.i.?di~.g iHvi::w'!: app:oot:ed plan shell l'er.-.a:n on t~ Building Sit;; at all tUnlSS.
P.70CSDU.~E FOR INSPEC::ION REQUEST:CALL 726-3769 (recorder) state your City designated job nUl7:oel', JOD ac.::.ress, type of inspec::icl'l
r~queB~cd ~~ when you wi~~ be ready for inspection, Contractors or Owners ncme ~nd phone ~~hcl'. Requests recei~ed befcr~ 7:QO ~
..."'iZl. 06 rr:ade the same dc.y, requests made afta' 7:00 am lJ'il.l. be nr::zde the n=t :JOrkin; day.
_~~mli:"t:'r( T'''pn",~t~:r:.._q
O SITE IN~P::C':'!ON: ~o be made
e=cauatton~ ~ut p~cr to set
fol'fl'/s.
o
after
up of
UNDcRSLAB Pl[.','.fBI.'IG. ELcCTRIC1L .3
NECHA,'!ICA[,: To be made before
work is .:ovcred.
o
POOT I:IG .!! FOW/D,U Iell: To be made
after trencnes are exoavated and
fcroms are erected, but prier to
pourir~ ccncreto.
UNDSRGROUND ?["L:M2IHG. SSWE:R. W.1T!".Q,
DRAINAGE: To be ma.::e prior to fi.~-
Zing trenches.
o
o
UNDE.f?FLO(),~ Pr.W$IYG ~ NE:C.tfANICAL:
To be maCe prior 'CO in3~aZ.Zction of
[2001' insulation or deCking.
POST AND BEAM: To be made prior to
instal.lation of fZoor insulation or
d8ckirtg .
o
o
ROUGH ?r.lr.~BrHG. Er.EC7!?ICAL ,>j ME:C,<::J-
ANICAL: No ~rk is to oe covered
ur.ti~ these inaoeaticr.s h=v~ beer.
made and approved.
FI_~EPLACE: Prior to pLccir.g facing
mctQria~s and bGfore [roaming inspec-
tior:.
D
o
FRA!~Il!G: ,'.!u3t be requsated af-:02r
approva~ of rough p~Wihing, e~ect;roi-
caZ & mecr.ani-=aZ" AZ!. roofing
bracing & ahimncys, at.:. ~~st bs
. corrrp~etad. .'10 work is to be CCTl-
ccec:.l~ unti~ this insoeation has
. b6~ made and appro~ed.
Your Ci ty. D6oigr.ated Job Nu:r.ber Io:
o
INSULATION/VAPOR BARRIER IHSP~CTION:
To be tnade after all. inS"'..t~ti..:m c:!"A
rCU{Uil'ed vapor barTiers a:re in place
but be"'ore any 'Lath, gypSU'1t board or
wall covering is app~ied, and belol's
any insulation is con.cea~ed.
WDl gl /J
I DElfOLITIO~.' OR .'.tCV:::; 3lJILDD,'CS
~ Sani=cry s€"..)er :;apped ::;t :n:...oP&l'"t::. Zir:J
:::J Se"t~.... +--k p'.-~d .---,,; ~-~'11..A :.r.".h -a-.<o-:
~ ...... .......... ......:'... ............J... ..~'- .... :;1'. ........
] F--:'naZ - r;'hen above ita.7:s a:re cc."iOZetGd
and when da.~cZ.itior: is compiete or st~~~
ture ~oved ar~ ?l'&,~3eS :;Zeaned ~?
. Nobi ZJ h'c,~es
:::J aZocking and Se~-~p
:::J PLumbing connections sewer cr3 wctar
:::J Electrical. Ccnr.ectior: - BlocKir~, set-u;
c:nd ,?Zumbir.g connections r.r.;,st !;e a;"prot;ed
befol'c requesting eZec:ricaZ ins;ec=~~
~ Acces.:=or',;l' 3uiZ.dinq
] Pin=Z - After ;~rcr.es, s~rt~ng, dJ~k3.
etc. are a~le=&d.
D
All. project co~di;io~~, $uch as ;he {ns:aLZc~ion of a:~eet =r2e$. :~~!e~~~~ of the
~equired iAndscc.pir..g, etc., must ~e satisf:..ed before tr.e aUII...DI."iG FI."!)'L :;.=n bQ rZq".l;>!sc3d.
o pnlA!, PLUU9I!lG
o FI:/AL MECHANICAL
o FINAL ELEC':'.'?IC/"L
o
o
PINAL BUILDING: The F~nal 3uild~ng Inspection ~st be re~AeGted cfter ;r.e :ina~ 2!umoi~~
Electrical, ar~ uechar.ical Ir.s?ectic~3 ;~va been made ~~ ~?Fr~v2d. ~
any
DR!WALL I,'/SP!:CTSON: Ta be made
alter an drywall is in pl.ace,
but prior to any :aping"
O ~so/~qy: Steel. location, bona
beamo, grouting or verticals in
accordance ~th V.B.C. Section
~15'
rtJODSTOVE..: After inBtal.lation is
ec,-rrpl.e;ed.
O CURB & .4PPROACH AP_~N: Aftezo form~
are erected au t prior to pCU1'"'~ng
.:on.=rete.
o
o
SIDEWALK & DRlf~AY: For aZl con-
crete ,?aving ~ithin street right-
of-wc.:!~ :0 be made after .:1Z! e.=ce..
vatinG ccmolete & forom work j ::;ub-
baoe mc.te;r.aZ in p'Zace.
"ALL MA/lHCLES AND C[,EANQUTS .~IUST BE ACCESSrsC.Z, AD,IUST.'!Z:iT TO ;E ,'.!.1DE' !:T .':0 C:-5': TO CIT'! 'P::~i? oj 2
o
:'ENCE: When comol~te -- ?:ro'Jide
ga;;s or movabZ~/ sections th.rough
P.U.E.
D
?::.ge 2
I JOB NO,~O 7.~J /I SOLAR .ESS REQ-
I Zone:
Lot Sq. F~.
~ ~f ~t Caverag&
# of'StoPies
I !!'otaL Height
I
I Topography
lITEM
I ,''''in
SQ,FTC
_~ace
C.::r:-c!'~
I.
I ,"'ccesso!'~
S.D,C,
TOTAL VALUE
Ivc:.uc)
1,5 =
BuiLdi.ng Permit
State Surch.xrge
Total cra-:ogea
r:ITE'M
~
Fi-.-t:'u:res
l?esidential (1 bath)
San.i~.t Sewer
I we:te..""
I
Pl:Jr.fb--;r.g Pe~t
State Surcha:r-ge
Total CT,cr-Gl!s
lITEM
I Rl!s. Sa. fta.
/New/E--tend Circuits
lTemporary S~Jice
I
1.'10'1
I I
I I
I I
Elect'["f~caZ Permit
St.::..te Surcha..""oe
Total Cha..""ces
1 ZZ'2N .'iC. I F~":'
l.r:o..a"rl.:1ce ETU'S
E=hmist Hood.
Vent Pan I
I LI I
I iloodsto:;e
I v I I
Permit Issucnce
Mechanic::l Perr:ri.t
State Sur~hc:zoac
TotcZ. Char?e!J.
-- EllCRCACiiNEHT
I SeC".J.ritu '2'Ooait
! Storcqe
1.'1a.intenar.ce
IPerr.rU
I Total C:-o:"'.a!"p'cs
I c-.a-bC'"...l-;
! Side..xzZk
I Yen.:;e
! !Zectr-!.ca! :.cbel
,
! ,\fobi Ze Home
/'"Jccu:;ar..cu Grau:;:
LOT "'.I':l:"
Interiar
Corner
?~le
Cul-de-sac
x
Value
IrOTAL A:.fOUNT DUE: '"
.~e~
I
I
I
I
I
I
J
I
I.
I
I
I
I
I
I
I
I.
I
I
I
,
I
IIO,CJ:! J
( ~ OCJ I
I ,UJ I
1/5.iDo I.
CHARGE
CHARGE
CHARCE
.~oo
I
I
I
I
f
I
j
I
I
[
I
I I
J.c) 0~
.
'L -CO G~
Lot F(lces .
T~pe/Ccr:8t :
Bedroar.:s:
J I Enp.ra~ SourcP-s
I I Heat .
I' ilat~r .:JmtP.!'
J I Ra1"..qa
I 1 ?-=-Z"6olc.ce
I I Waod::;;ov€
II
';'".I::e
P.L
!North.
lEase
IS""tn
tWest
Se:backs
I .'1""88 I Cara,.
I :
J Access.
Faes
I
I
I
j
I
I
I
i.
J
I
I
I.
Building Value & Permit
This per.mit iz granted on the express condition that the s~id.constl'Uc~ion
shall, in aZl ~espcct3, conform to the Qrdinar.ae ~oFted by the City of
Sp~~1"4fi.eldJ ~ncZuding the Zoni1".g Cr-dinanc6, regulatir.g ;r.e ccnst~~c;icn
ar~ use of buildir~sJ and m=y be suspended or revaked at cr.y time u;or. vic-
lation of any pr~vi~ior.s of said Ordir4nces.
I Plan Check
I Cat. Paid:
I R8adpt #:
ISi&",8d:
Fee:
j
1
j
Plumbing Permit
No person. Dhal7, construct. ins taU" aUe"!' or change Gn:! 1".BW ar e:::isting
plumbing 01' dr~inage systen in ~hole or in part, ur.less such ~erson is tr~
legal possessor of a ~alid plumber's license. except tr~t a pe~son ~a~ do
plumbing work to prapert'~ which is Cl/...'r.ed. teased 01' operc:.ted by the appZi-
aant,
Electrica I
Permi t
Where State Law requires tr.at th9 elect1"'~cal work be done by an Electrical
Contractorl the elec~r1'~al portion of this pe~it shall r~t be valid until
the label has been. signed by the ElectricaL ~ontl'~ctor.
Mechanical Permit
Pl.cn Ex....-m..r:er
uar:e
I !iAVf: CARSFULZ,Y !XANI:1ED t.w aompleted application f"or pe~tl zr..d de
hereby certif"y that all i~fo~ation he~eon is true and corrcctl cr~ I
r.J.rther cer-:iiy that any ar.d all work per[orned ahal! be do:-:e in aCC::7r-
dance :.lith the Ordinances of tJuz City of SPl""~n.gf:.;:ZdI and thz [,c:..;a of t;:(3
State of Oregon p::rt.=:.ning :0 the wortc d.es~bcd hereinl c:r.d th.a= NO CCCU-
P~!!lC? /V";lZ. be ,~.a.:ie of any st:'Uctu.re witho",t permissio:,: of the 3uiZding ff":"-
viaion. I further aertif;J :h::r.t o:'tly aontr'a.ctors a;~ ~Zoyees wf:o aJ"e in
aampliance with ORS 701.05E will be used on this project
$Ik IlL
Signzd
'.
2 s J..~ '2-
fu.ta