HomeMy WebLinkAboutPermit Mechanical 1984-8-3
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.. RESIDENTIAL"
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225 Jorth 5th Street
Sp~;r~f~eZd, Oregon 97477
Build~ng Division
726-J75J
Job !..cc.::i:,","
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1: U :11. N.panDibiU::!I oJ' tM pllfrmi: hold.",. eo II.. :ha: aH i7lDpecti.o718 are r.ItUU at :Ju, ;roF~ :imc.. e,&..ct ::::en =dd:raslI i. r4\':::':':':
;'"rcnt tis. streec. end that tho permi: card i. l..x:zeed at th. front of eM prcpere'';.
.!ui.!..:!i~.g :>ivi:io:-: C?F:'o'/:ed ;Lcn s;..c~z, 1'1tn:J~n on t~ 3ui.Zdin.~ $:.t:; at all times.
?..~~~DVR~ ?on n:S!'!C"::~Jl1 .';>~~UE'Sl"_:CAll 726-3769 (rccOl'deJ state your Cit:y de$ig7-..::zt.:d job nur..bel", job aC:::!oC$S, tiWB of in=;:tI::~icr:
l"sque#ccd a;-.d :J::en i'Otl ;.ri.l.L ae rea.a:y for i,...spcct-"...cn, Con'trac:ecr# or O!..-ne:"s nt:Ie c:n.d ~izcr.e m..;!%bcr. Requcs;s recnr:lld bsfers 1:00.::
:.'izt b. IfGci. the aarr.. Ct:;h requlls:$ :rJc.a.". cftW" 1:00 an fJ'iLl. bz r.r.lCB ths nc.:t :.lOr.lc:in; da:J..
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at:~r :r6rtCn,u CJ"e 2.:cctlated a,..d
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pow-i".g C:::J1Cl'.:..:.
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[Zccr -::r..suZa:-::cn or dilci<ir.g.
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maCe ~.d =:;;::'7Je'::.
F7_~!?!.A"'''Z: Pr-ior:o ?t.a.:-::r--1 !,c:-Jo.t;
mat"en..:i" a.,..d before lr=-:rir..g in.pec-
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~P.~~!.'!r:: 1~3:!ls reC004ol3:ed al:olr
C??rcv.:! of r::ru~iI pZi.r..bir..g, .;rZectr::_
azL 4 l::eci-.ani.:.2L. At~ :"Oo[::'1'l.1
br::zc-:r.g 4 citimn~'J3, .t.::. IT...t ~.
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. c<<:'!Jd WlC-::Z :l:iD iiuC'ec:-:cn ;..a.
. bc~ ma.:. tmc! crP,..,vftd.
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rour City. CBcigrJ2.ted Job Numbc I:;:
O I!lSi..'r.~'!'!O.vIVAPC_9. gARRIZR I,~'S?!C':'!O,'l.:
To be r.v..::.a after all ir.suL..:::::i.:m !r".a
. l'cqu-:.red vapor l;a:!"!""i.ers are in p l.cce
eu't CGf"orB ar.y Za;h, gypsur.t beard or
u:zl.L covering i3 appLi.ed, and bsfoI's
any ir.a-..cZa:icl1 ~B con.::eaLed.
DR~"ALL r,.,sp~C':'!o.'1: To as made
after aLl. Czoo.1wLL is in plac.,
but prior to C1'ly tapir.g.
O ,,<<SO:I?,!: StaeL l.ocat"-.:.o,." bo7u:!.
beam3, arou:i7U7 or ver~icaZ-3 in
ac::o~~s !.l"i:h Y.S.C. Section
I~ G;or,:: After installation i.
cc:rrpZ.~t..d. ...
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Cl.'P9 ~ .ti'P.QCACP. AP.~N: Af~~:" fO'l"mB
are ~l'e:,:r;sd but prior to pcuring
:cm...-retll.
SID::-..IALX & :JRr.T"A'!: For all. CC?l-
cret~ paving 1J'ir;J:in street righ-:-
Of-we;;, :0 be. ma.:iB at:er at! uca-
uati,..a :,:cnrpleta j ;'OM work .r ~uD-
bass ,~:-er1:aL in pZ.a::s.
CE".'OL~:-IO:! OR .\~v::; 3:.::r:';;JI;i~S
.=J Scni~:I SIl'..JC" ::::;;?ec ~t: ~opW't;,. ti:>':Q
.=J S~p,ti: tank. p'.J?.:d arod f-::l.l~ r.n::h ;rw:-.:.
:J FinaL - rr'hmT: ~""V1l i~e:::s arB c~lQt~d
. .I .... . ""-
~~ when ~~L~~~r. ~s complete or s~._~
turs r.-.oved t:rt:: prc:n.3et1 :Learut:: :.t.;1.
Nob-i.?6 Hc:r:es
=:J aZocking and S~t-:..p
=:J Plwnbi'1'l.1 ::OJVl,4!'C:~ Bc.J1lr ant! W:41'
---, Electric~: Ccnr.ec~~ - Blocki~4, Sll~-U;
--1 and pl.unun.ng c~J:ect';.ans ~8t =_ c:;J;Jr::-.....
before NquRs:-;r.g Ill.sc=ri:aL -::1".B?flc:i:r.:
.=J AC:G'ssol"3' Sui z..;-::ng
--, Pi"..::L - I:ft~r .:~rei:~s,
-.J e~. c::rG' c=91.s:.d.
sk-:r:-::.,..g, de::y.s,
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:'!NCE: WMn eompl.tll -- PrcvU!"
go:;;; or .7fov<%bw ucticns tr.n:;rugr.
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ALL pr~j~c: ::ar.di:~"8, ~uc~ C3 :hs ~n3:.:::L!c~::::n of s:ra4r; ~B~S. :~~!c:~J",o::^-
N(j'04tred ~and.:;cC?i,..;, :;:c., :r.us:; =~ sa:::3;'iad ;;.::jortJ ~i-.. 3L'::'=::::: T!:!Au :oal't ;fl r.1t;.tss:.:d.
::J Fr.~').:' ?!:i.\'9!::C
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=:J :!.~'':'' !:.z::.~!::'l.
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.":'!:u.:. a:./I:':r.','c; 11:6 f-::naZ E:..iLd.i.r.g :r.3;::le:::icn "':".lSt bfl rea-04a:::a.:i =...:"1' :10,3 .:"tn.:zZ nw:-:cin;
E!3c:ri~al, ~ ~ecr~~::c=Z ;r.spec:i~n~ :~O ~4Qn .~~ ar~ =pprovoli.
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-A=: ".!:'::E!~:?~ ~ND C:'~':'NCl1'::; .'!Us: 3€ .~C:::SS:El..r. .~:.ij':S'Z':~:"':: '::0 3~ ,~~1C! ;~:" ::0 ::s: :-, Cr:'! I ?=;~ ! of Z
;Jcb :I",,",cr: 'D40S ~ V
: Z.;r:c:
OCCUDancu c.
LeT TYPE
: Lot Sq. Ftg.
:': "i lot C"veragc:
:f! of Stories
,
Total HeiGht
. .."cpo:;zou;..'ny
i ITE:.f
1
fNain
,
1 Gc:race
I Caroort
1 ACCBSSOl"U
SQ.FTG
TOTAL VALUE
I
Is.D.c.
I
(VC(.UC)
1.5 :z:
Sui tdir.g Permi t
State surcharge
TotaL Cha.~ge.
1 I'J'EN
1 .
1 Ft.rtures
I ResidentiaL (1 bath)
! Sani tarw Sewer
I Water
. NO.
FEE
PLumbing Pern:i t
State Surcr.arge
Total Chal'aes
I IlEN
NO.
FEE
Res. Sa. rta.
llGlJ/E:::tend Circui ts
I
I Temporary Service
I
EZs::!trical Permit
State Su:r~ha:rqe
Total C'ha:rces
I "'\1 I:IG. I FEE
....-.
! .='urn::ce ETU'S I I
I E=haust Hood I I
I
I Vent Fan I I
I W:>odsto;;e ., I
I I
Permi t Issuanca
Me::!hanic:zl Pel"mi t
State Surcharoc
T"tal CnnrOPlJ
! f:.l/CROACI1:.tENT --
I Sec-..critl.l D2DOSit
I Storage
I nainte~e
Permit
Tetal ChapaC8
Curbcu:
sideLIJLk
Ipe~9
I EZectl"ical Label
I ,'.lobi Ie H:;me
1
I
I
I TOTAr. AMOU,'IT DUE:'"
Interier
Corner
PanhandLe
Cu I-de-sac
x
Value
CHARGE
.
CHARGE I
I
I
I
I
I
I
l .
CHARCE I
I
I
I
/5_00 I
I
, 00 I
It>
I
. Lo 0 I
1,5.(~1l I .
I.
I
I
I
I
I.
)$- LuO
Ref~~er.ce ~~=ers:
:-'w'CC !l:
.-
I Lot Faces ~
I
I P.L.
INorth
lEast
Sou.th
IWe8t
Tiipe/Cor.st: _,
Access. I
I
I
I
I
;
---'j
E,;Jrooms:
Setbacks
House CarGoe
2n21'r:~1 Sources
H~at; ",
:\'"/:tel' _Up-atr!',.
Ha11f:e
Pi reo lace
Wood~ tOJ,:e
;:":;:'.1
Faes
'.
Building Value & Permit
This perrrr;t ia granted on the express condition that the said ~nstl'UC'tio"
shall, in aZl respects, confo~ to the Ordinance adopted by the City of
Springfield, including the ZOning Crdinance, regutcting the ccnstruaticn
and use of buildings, and m:J.y be BUDpended or revoked at cny time upon vio-
Lation of any pr~vision8 of said Ordir~e8.
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I
,.
Plan Check Fee:
Date Paid:
Rec;;ipt #:
Sigr.ed:
Plumbing Permit
No person shaZZ ConBt~ct, install, a~ter 01' change any new or e=isting
plumbing or drainage SYBt~ in whole 01' in part, unless such person is tr~
legal possessor of a valid plumber's license, e%cept that a person ~~t do
plwnbing work to property which is owned, laased or operated by the appZi-
"cant.
Electrical Permit
Where State LeA; requires tr.at the electrical ZJOrk ba done by em Eleetrical
Contractor, the electrical portion of this permit shalZ r.ot be valid until
the Zabel has been signed by the Electrical Contractor.
Mechanical Permit
Plan 63:annner
"'''8
I HA VE CAREFULLY EXAMINED the completed application for permit, and do
hereby certify that azz. info:omation hereon is true and carl'cct, and I
f"..J.rthel' cel'tify that any ar.d azz. lJOrk performed shazz. be do:'1s i."1 ac::or-
dance with the Ordinances of the City of Springfic1.d, and th~ LccJs of tho
State of Oreg.m p::l't.::ining to the ZJOrk described hel'e~n, c:nd that NO OCCU-
PANCY LJiZl be ltrlde of any structure L1ithout p3rmissicm. of ths Building Di-
vision. I further certify that o:'1ly con~etors ar~ ~loyees wr.o are in
compliance with ORS 701.055 L1ill be used on this pl'oject
I fhdA~fpJ;. ~d
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Date/ -- 1