HomeMy WebLinkAboutPermit Mechanical 1983-9-19
I
I
.
.. RESIDENTIAL"
SPRINGFIELD
APPLICATION/PERMIT
225 North 5th Street
Sp~;ngfieZd, Oregon 97477
BuiZd~ng Division
726-5755
Job !.cas::',,":
\ \ \D.. l\J~~C)~~
\ { n3 ct l04 \ ~Tc.-: ~tN
Asassaorz .~!.:l'p N
Subdi.:;.;,sicP1:
()(Jl (1)
,..",.r:,~ ~Ltl~ ~ . 1\'
Awm: \\ \ 11'3 - - - ~ _ _\ ~~ (U ~j)
,~:y: ~'\\)~\ · Zip:
~ lM\r\.~
W."
cY td50.CO ~
l
J
~~:=:,:,~ ,:;::~=u:,,, w:~~~ t::~!~~.:~,,:
fl"Cnl tM serest, end that the permit ea:rd is ~!3.tlld.;;t the [1"011t of tM property.
~Eui~i.~~ Jiui=io~ ap;roved F~ s~~Z! r~~~n on en. Eu-:.Ui~ Sits at at! times.
n
n
n
n
'113".,
Ac!di. tic"
RarT'.o.:aZ
,'!obi.!/? Ho."!'!;J
Data of Appticaticn
:';on:r~c:ors
CeneraL
Plwnbing
O~
-
'68C1""':be rlork:
Value
Add..-es3
.
.::cee:?: ':l
un r/
,
rJ
90~
Siqr.ed~
Oat" . '-I>I'I-H- ~
Lise.,
E=:;i:>cs
Phone:
P.,?OCS!)UP.S POR INSPECTIDIJ .i'ECUEST:CALL 726-3769 (recorder) state your City desigr..::zted .:'00 rr..a;;bel', Job cu:c.rcsa, type of il':~p8e::ic"
l':zqtJ.esr;cd tr.o: :.I::en you tJill be ready ;'01' ir.spcc:ion, Con"tl'ac'Zrs or Ot.;ne:,s ncme c:nd phone number. Reques~s r8c8it:ed c8fcr9 7:00 t=:
:.-iz.z. be mado t~ same dc.y, requests mcae efta' 7:00 a:'lT 1Jiz.z. be made t.'i.e nat :JOrkin; day.
-~Jf.f!f!i..,.~tf_ J""',<:"'~~:':i.'~"!:'!
O SI'I'~ INSprc:' :rO.'!: To be :nade after
c=cavc:::i.:m, but prier :c 8ft: U? of
i~s.
----.. O'ID"o::r.r:;.,.l.3 ':J'r["f3r'IC "L-C':'QIr', j
U ;'~C~~:/Ic'U,:' - ;0 6be .~: ';~r;;; any
work ~s ~ovcred. .
o
PCarING ~ FOU:!D,1TIC.'I: To be .-:cee
after trencnes ~9 e:cavatJd a~~
ferms are er6c:.zd, but pri.;;r :.0
pourir.g ccncre:..
U.'.'DJRC.=?OU.'/D ?:'V,lC::lC. ssnR. :J'.l7!R.
DRAI.'!AG2: ro oe ma.:ie pr-::or :0 J-'i~-
lir.g :rer.cr..dS.
[J
o
Wlr:E.1:?~!'cCR Pr.U,'.~I::G ~ :'.f!CEAHICA.!-:
T~ be !~.tUie pr{,.,;r ;c t.1':3tci:.Z-.::t-:.cn of
floor insuZaticn: or decki.r.g.
?')ST AND 3E:A:.f: Ta be r.-.a.Cc rn-;or to
i1t8tal;..:t:i.an of ttoor ir..:n~z.a:ion or
,;"cki",.
o
o
_~mtr;;; ?~~~!3r:.'c. ~!..:::C':'.1:?!~).:' -1 .'EC."-!-
ANTC).!..: ;"10 'X':-": i.3 ::0 be cOL'e'!'ed
:u:::.-:: I. thcs,;z ins?~c:icr.s ;'..=V9 ::eer.
mace ,=rd =??'!"VB~.
Fr"~E:PLAC2: mor ~ ?l.c.::''f'.{J fcc-i..ng
::'u::-er--.:aZd o;,r<.d before lrc:r:tir.g inspec-
::ior..
o
D
1."-4.'~!:!r;: Mus: be req-.lS~:€d a;~;er
C?prev,;;! of rough pLwr.hing, eZectri-
caL .& mec;...::r.i.=aL. AL! '!":}o;r'{.r.g
braC'";ng ~ ~hi.mnClj8, o1t,;. ,":':'.J.8t !;e
ccmr;JZa:cd. :.'0 :..:ar< ';8 :0 09 -::'cn-
. cec.'Zotd untiL thi.s insoecticn r.as
"b6en ,~c and. approved.
leur City. Decigr4tcd Job l~~~ ID:
D
nlSULriTIO,V/VAPO.9. BA.f?RIER DlSP::C':'ION:
To be rr.a.de after aLL insui.::twn w.a
requi.red vapor c~ers are in place
C-J.t ~ej"c!'e any !at-h, gypS"oIJ!! boazod or
wl.Z. covering is C?pLied, ->>td bsfors
~y i~u~twn ~3~~cool~.
g?,2.Lx04-
'Dcl:OGITIO;'! OR .'..'Qv.:; 3UILDIilGS
:J Semi:ary se:Jer ~apped ::t rn-:.opcrt:";t. U:O:Q
:=J Septi~ tcn.k p~cd ar.d filled t..'i:h ;r=-':il~
"I Pinal - :.?:er. GXve i-;e:::s are c~:~Latcd
~ ar.d ~hsn d~l';tior. is c~ZJte or st~~:.
ture r..oveC. ar.i ?1'~3eS eLsaned up,
NobiZe P.c~es
~ 3locking and Sat-~p
~ PLum!;i113 connections -- S&:.I6r ar~ wa:.:-
::J ELectricaL Ccnr.ection - BLocki.,..;, se;-u?
and pLumbing connections nr.J.st ~e ap?r~t:.d
before reques;:ng electrical iI':SpBC:io~
=:J Accesso!"". 3uiz..::"':ng
~ Fir~l - Aft~r ;~rcr.es, sk"':rtir4. dee~A.
~ etc. are c~~e:~d.
D
ALL or~Jec:: cor.di::ior.sJ ~uch as ~he ~r.s::c~lcticn of s~reet =reesJ :~~Za~~on of trte
reqtJ.ired z.ar.dsccpir.;, .-.::tc.. ..T-ust :;e satisliad ?;;cj'ore :;'.8 3UIl.:JI:;C FI:l~L -::'cn :'8 '!'zCjJ.9st;:d.
o F;.~'A!. PLU....'BI::G
~ FI:IAl. N~=,ttA:I!CAL
o F'rNAL !r.Er::.9IC:'r.
.=:]
o
.'='ItIAL 3:;I:'DDC: 2';:e Final Building .!>!soec:ion .'":Ust bQ !'eaue:Jtea :::~~:.r :r.e Final ?~u.-.bin;
!lec:rical, and NQcha~ic:::L Ir.spec:i~na :~a been ,~ae and c~~'!'oved.
DFt::-.JALL rISP::CTIO;'I: fe be made
after aH 6o-~waz.z. is in place,
but prior to any :apir.g.
O .~!ASO.'IP.Y,: S:~el locat~,:, ~o~
~eam:J, grouw~P4 or Ver:~CCLS ~n
ac=ordc.n.ce '.Ji.:h fl.B.C, Section
2415.
D
installation is
.A~L; NA.'/ECLrS /,ND Cl.EANOUT5 .'fUS':' =E AC:rSS:3LE, .J.r:J;.1S?.':~:.''T' :0 BE .'.~1.c.: :~T .~'O :~sr 7? CE''! ';J""'~e of 2
D
C;....R3 ~ AI'P8CACE .4.F.~N: Af-;e:o forms
=re erected but prior :0 pcur;ng
aon.:reta.
o
SIDE:;,JALK. & JRF.TtlA?: For all. con-
crete pavi71fl wi:i:"':n st1>eet right-
ol-'-'(;~, ;0 be .'r'.a:ie a:~t.?r at! e::::aa-
vatir.a cCV1I"PZeta ..; ~~om lJO:"K & zub-
base ,~=er;al in piaee.
D
:=N{;!: When camp l~te -- ?rovida
Jates or ~vable sectians tr~gh
P.U.;;.
D
I JOB NO.
I Zor.a:
Lot Sq. Ft;;.
:: ~f tat C:JI)sl"ag&
.I! of Stories
1'otal Haight
I
I Topography
I
I!~::N
I.'.lain
I S~.F'!'G
I
I
l~tZce
i .;",-,C"O
I
I .-ic~csso!""
:!'QT,-g. VALUE
Is.D.c.
1.5 =
11,'Cl.:4C) ,
Building Permit
State Surch.:1rge
Total cr.a..""g8a
lar.v
I FL-ttJ'es
I Reaid.mtiaL (J bath)
Isanit.:zroJ Si1'..Jel"
I ;,ctiL'"
I
I NO'1
I I
FI;.qnbing Pe1'r.:i t
seats Surcr.a.rge
Total Chaoaes
1 ITS'\!
f Res. Sa. fta.
I N.ttJ/E--tomd Cil'"C'.d e.s
TempcrtzrfJ Serrn.C6
1:;0'1
I I
1 I
I I
EZe~tr{cat Permit
st.:ts Surcharce
Total C"r.azoces
I iT::'~
I F'urr.:zCIil ?TU'S
I E.:haus t Hood
I Vent !':;n
I _
I .""dstc"e
I
I.'IC.I
I I
I
1 I
I I
Pe!"m";t Issuanc01
,'fed".an~c.::l Pel"l'!r"; t
Stato Surchcrac
'!'o't:I':.L C}..a.r?lUJ
I -- c.'JCRCACHNE:t! --
I S6C"mtu {)<1~o3it
I Seor~fI
l,"k:intenar~1iI
I p"-",,,t
I TataZO>.aracs
I eurocut
I Sidewa 1.'<
i Pen:::e
I E'Zec~rical L.c.b€l.
! .~cbi Za .,ome
I Z'OTAL )..MOWlT DUE:"
.
SOLAR.CESS
Oct:".J.:;ar.c:; :::;~;l:
WT :Y?'E
r .
.r::t:e%"1.01"
Corner
Panhcndlol
Cul-de-sac
X Value
FIT
CF.ARGE
FS~
C.~'"L;;;r,Gc
;'1;':'
I
I
I
I
t.."'.. CO I
I
,I
I DO
S. I
I~
I/::s.
C,'!A.9.f:E
.......
---
P=qc 2
.
L-COG~
REQ.-
T:r;;e/Cor.st::
!lat Faces - _ . -. I I
.:;etca.cl<.s I i
I P. D. I Hou.se I Ccxc.ae I Access. j I
1II0"<h I
lEes:; I
IS""t;, I
IWest I I
3~Croor.:s .'
E'nel"au Sources
Hea:
Tu:::e
""Cr;2I"~'p'~~PT'
Range '"
F-:. reo icce
:.tooa:;; tot-"e
Fees
I
I
I
I
I
I
I
, .
,
I
I
I.
Building Value & Permit
This pel'mit 1;~ grc:nted on the express condition :;..a.: the s~id. construction
shall, in art ~e8?Ccts, con[cMm to the Ordinance ~~t:ed by the C~ty of
Springfield, -:.r.c!uding ;he Zoning Crdin.ar.CB. I''1g'.J.Lc.::.r:g ;';f!B CCr.8t!"'..l~t;~;cn
and use of buiZdings. ard m=y b~ su~pended or revoked at cr.y time upon uic-
Zation of ~y ?I'OVi3ions of said Ordir4nC8s.
I Plan Check Fee:
I Cate Pa-:.d:
IRec<ipt n,
ISigr.ed:
Plumbing Permit
No person'chait conatruct, install, alter or change any r~w or e--isting
plum0ing or ~inage system in ~hole or in part, unless such ~erson is tr~
Zegal possessor of a oaUd plumber's Ucense~ except that a pe:'son may do
pZ.~bing work to proper"t':I which is owned~ leased 01' operated :;y the appZi-
cant.
I
I-
Electrical Permi t
Where State LaLJ requires tr.at the electrical. work be dens by an El.ectrical
Contractor~ tM elsctrical portion of thia pe:omi.t shal1, roOt b6 oalid uneit
the Label. has been signed by the El.ectrical. ~ont1'actor.
I
I
i
I-
Mechanical
Permit
~
Pl,an Ezar.n.ner
ua<::e
I-
I
I
I
I HAVE' CAREFULLY EXA.'1.Io'lED the conrp~eted application tor ?et'mi:, and dc
hereby certify that aLL inJo~a~ion hereon i8 true and correa:, and I
f.a>the:r certify that :my ar.d aLZ !.:ork perjor:ned shall be do'1e in acoor-
dance :.lith tna ordin::n.ces of the City of Springficl.d, and ~1u Lc:.;s of ti:a
State of Oreg~n p~r~ining to the work des~;bcd here~n~ end :r~t so QCCU-
Pl.!lCY :Jill De .":U.ie of any struatura !Jithou.: parm-f.8Jio:". ~f the ;ui!ding D"~-
vision. I fta'ther certify that o:-tLy contraato.rs w.d ~l':;YQe3 1.;;'.0 are in
aompLiance with CRS 101.05& wiLL oe used on this proj~ct
\/U~
/ S CoO I. ;,\igr.3d
~/8S