HomeMy WebLinkAboutPermit Mechanical 1985-1-2
.. RESI~T1AL"
APPLICATION/PERMIT
225 North 5th Street
SpringfieZd, Oregon 97477
BuiZding Division
726-3753
Job Location: /()i/q nLnA~j)
ABGeBaOre Map # I LCY?-/2loL\ \
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Subdivision:
Q.m:er:
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AdtJIoess:
City:
~,'
n
n
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Addi ticn
Remodel
Nobile Hom3
Date of Application
Contractors
Genera l
Plumbing
Electrical
Mechar.ic::l -'lrL~-
Con8t~ction Lender
Tax Lot # () ~ l O()
Phone: '7 '-17 -31 C7 7
Zip: 97<('77
Describe r.'ork:
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Va lue cJ.() 0
Address
" Rcceo.,t .. IS C, lfO&!{
p;J
Signed:
Date:
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I-Z--~ (
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'.
Lise. #
ExPires
Phone
.1
It is the 1"osporwibility of tho peJ"T1tit holder to 8e8 that all. incpections aroB made at the proper timc, that ecch ddrOS8 is l'oadab:i1 !
from the street, and that the permit card is located at the front of the property. , ,
*Btli!di!'l{J Divi::ior: approved plan shall remain on th;s Building Sits at all times. i :
PROCEDURE FOR INSPECTION R~QUEST:CALL 726-3769 (recorder) state your City designated job nwnber, job ad60css, type of in3pec-:.icn '"
roaquested a~d when you win be peady for ir.spcction, Contractol'S or OlJner's ncme end phone number. Requs.sts received bofcro 7:00 c:.;
:..>iLl be made the same day, requests made afta' 7:00 am will be made the next :JOrkin.g day.
Reaui't'ed Tnsop-cticn!'l
D SITE INSPECTION: To be Tl'Klde after
excavation.. but proiaI' to set up of
forms.
O UNDERSLAB PLUMBING, ELECTRICAL &
l.fECHANICAL: To be made before any
work is covered.
o
FOOTING & FOUNDATION: To be made
after trenches are excavated and
forms are erected, but prior to
pouPing concret.:;.
o
ID
10
1
:0
VNDSRGROVND PLUMBING. SEWER. W.qTE,&
DRAINAGE: To be made prior to fi l-
lir.g trenches.
o
UNDERFWOR PW~$ING & MECHANICAL:
To be made prior to instalLation of
floor insulation or decking.
POST AND BEAM: To be made pPLor to
installation of floor insz.:Lation 01'
decking ,
ROUGH PLUMBING. ELECTRICAL & MECH-
ANICAL: No work is to be cOL'ered
u.r.til these inspections have beer.
made and approved.
FIREPLACE: Prior to placir.g facing
materials and before framing inspec-
tior:.
FRAJ~ING: Must be requested afte't'
approval. of rough plwr.bing, electn-
cat & mechanieal.. AU roOfing
bracing & chimneys.. etc. nrJ.st be
,completed. No work is to be con-
.. cea led unti l this inspection has
'be~n made and approved.
o
Your City Desigr.ated Job Nwnbsr Is:
O IN:;'Ul.JA~'10NIVAPOR BARRIER INSPECTION:
To be made after aU insulv.ti:::m cr.".d
. required vapo't' barriers are in pZace
but before any lath, flYpswn board 01'
wLl covering is appZied, and before
any insulation is conceaZed.
O DRYWALL INSPECTION: Tc be made
after aU d:ryLJa.U is in pZace..
but prior to any taping.
O MASONRY: Steel location, bona
beams, grou ting 01' vertica ls in
accordance with V.B.C. Section
2415,
O WOODSTOVE.... After installation is
ccrrrpleted.
o
CURB & APPROACH APRON: After forms
are arected but prior to pouring
concrete.
85orJOI
DEUOLITIOH OR ;',:OVED BUILDIilGS
=:J Sani-:.ary se'".Jer capped ~t p:.opcrt-:i Zir:e
~ Septic tank p~~ed and fiZled with gra~Bl.
--, Final - mIen abovG items are co:noZeted
---1 ar~ when d~cZition is complete or stru~-
ture moved and pr;:miaos cl.oaned up.
. MobUe Hcmes
~Btocking and Set-~p
~PZumbing connections sewer and Wa-:.er
~lectrical Connection - Blocking, set-up
~ and plumbing connections nr~st be appro~od
before requesting elec:rical inspec-:.ion
:J Accesaol"',:f Building
J ytfial - After p:Jrcr.es.. skirting, decks,
....d' etc. are comple:cd.
o
All. Froject conditions, such as the installation of street trees, c~~Zotion of the
requi't'ed l.a.ndscapir.g, etc., must be satisfied before the BUILDING FINAL can be 't'squeat3d.
o FIliAL PWII.BIIIG
o FIliAL ME~HANICAL
'0 FINAL ELECTHICAL
I
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o
FINAL BUILDING: The Final Building Inspoction must be requo3ted alter the Final Plwnbina
Electrical.. and Mechanical Inspoctio7W have been made and approved.
o
SIDEWALK & DRIVEWAY: For aU con-
crete paving within street right-
of-wcy, to be made after an exca-
vating complete & for.m work & sub-
base material in pl.ace.
"ALL MANHOLES AND CLEANOUTS HOST BE ACCESSIBLE, ADJUST!fEl1T TO BE !.~1DE AT !,'O C'JST TO CITY I Page 1 of 2
......
O FENCE: Wher. campZ.:;te -- Provide
gates or movable sections through
P.U,E,
o
I JOB NO, '6SOtYol
Zone:
Lot Sq, Ft{;.
S of Lot Coverage
# of Stones
Total Height
Topogrophy
lITEM
I Main
I Cc:raae
I Carool"t
I Acces8orou
SOLAR eESS
Occu:!Jancl! Grou,,:
LOT TYPE
Interior
Comer
Panhandle
Cut-ds-sac
I SQ,FTG
x
Value
TOTAL VALUE
Is.D.c. fVatuc) ,.
1.5 :r
I
Bui1.ding Permit I
State Sla'charge I
Total Cha.~ges , .
lITEM I NO, FEE CHARGE I
I Fixtures I
I Residential (1 bath) I
I Sani tary SeLJ81' I I
IWctel" I I
I I I
Plumbing Permi t I
State Swocr.arge I
Total CharGes I .
lITEM I NO, 1 FEE CHARGE I
Res. .Ii,.,. !!ta. I
INBW/E~end Circuits I I
I Temporary Service I I I
I I I
Ele::trica l Permi t I I
State Sul'o/uuoae I I
Total ChtwC8s I I.
ITEM I NO'/ FEE CI/ARGE I
Furnace ETU'S I
Exhaust Hood I I I
Vent Fan I I I I
WOodsto:;e I I I '5.00 I
I I I I I
Permit Issuance I I
MechanicaZ Permit I .~D I
State Surcharoae I I
Tota.l CharnRS LsUo l .
I -- ENCROACHMENT -- I
Se~~ritu Devosit I
I Storage I
I Maintenance I
I Permit I
I Total Cha1'GCS I I.
I Cur,,,,,: I I
I Sid_lk I I
Fen::e I I
Electrical Label I I
Mobile Home I f
I I
I I
TOTAL AMOUNT DUE:' .Ji I C;, (; D I .
rage ~
REQ,-
.
L-COG~
Type/Cor.st:
Bedrooms:
I I Ene1'(fu SOi.U'ces
I I Heat
I I Water' .tl(~atl?l'
[ I Ranae
I I Firep lace
I ~ Wooda tove
Tuoe
I Lot Faces -
I
P,L,
North
E:f2st
South
West
paes
Setbacks
: House I Caraqe
I i
I I
I I
Access.
Building Value & Permit
This permi t is fJ1"mted on the express condi tion that the said constr-uction
shall~ in all reBpcct8~ conform to the Ordinance adopted by. the City of
Springfield, including the Zoning ardinance~ regulating the constrruation
and uee of buildings~ and may be suspended or revoked at c:r:y time upon vio-
lation of any provisions of said Ordinances.
Iplan Check Fee:
Date Paid:
IReceipt #:
I Signed:
Plumbing Permit
No person shall construat~ instalZ~ alter or chango any ~~ or existing
plumbing or drainage system in whole or in pa:rt~ unless such person is the
legal possessor of a valid plumber's Zicense~ except that a pe~son may do
pZwnbing work to property which is OtJned~ leased or operated by the appli-
cant.
.~.
Electrica I Perm it
Where State LauJ requires tr.at the eleatrical work be done by an Electrical
Contractor~ the electrical portion of this permit shall not be valid until
the Zabel. has been signed by the Electrical {;ontraator.
Mechanical Permit
Plan E:r:c:rm..ner uat=e
I HAVE CAREFULLY EXAJIINED the completed application for pe1'mit~ and do
hereby certify that aLl information hereon is tpue and corrcct~ and I
further certify that any ar.d all. work pe'1'fomed shall be done in aCCOl"-
dance tJith the Ordinances of the City of Springfield, and tht: LmJs of tho
State of Oreg"n p2rtaining to the work described hel"ein~ and that NO OCCU-
PANCY !Jill be /mde of any StPUCtla"2 !Jithout parmission of the Building Di-
vision. I further certify that only contpactors ar~ empz"yees who are in
compliance with ORS 701.055 will be used on this project
/./P.P /! 4? _:/L L
/_ ,;?.''-'-. ? S-
Date
Signed