HomeMy WebLinkAboutPermit Mechanical 1982-2-17
.
.. RESIDENTIAL"
COMBINATION APPLICATION/PEP.MIT ,.- SPRINGFIELD
225 North 5th Street ' '
Springfiel.d, Oregon 97477
Building Division ~
726-3753 ~
Job I.ocatian:
A.....ors Map . J 1- 03- ,2,lp-1J I
Subdivision:
T.:::: Lo. * f) If A h{j
_.r: VI ec;; It. Mm1lf" <;/NtA~li:
Mdro.3: 1..1.!1./... (J41 nUU...'t' -
,
City: SJ?P/J,/6/::dJ...'D
ffiv-,
n Additicn
n RBmDdd
n ,'!abiZ. Hmra
Phon", Z!f/d - 3t, 7/
Zip: q7if77
~~~
ISry'~ '
oI-/7-l:L v2~7S',11
Dat:. of AppL_~.,,_
~=-;Ju~.--
P!Jmrbi1!g
EZscmca.l
.'JfI::1rar.ic.::l
C01Ultructicn LIl7ldor
A~"II~
~
RCCB~'Ot .,
,.t:j l( (}7::l...
/J/!, f! /5': 00
7'% ,6tJ:.
:;!if; s: tPd
SiQr.od:
Date:
/) d,d
~)l5- '
{.1.,ac.JI
~?i:rcs
Phone
It is ~1uJ Nsycnailriu'ty of thIJ pazrmi.t hol.t:iJao to ,.. :hat aU inop8Ctions are r:tt%l.UJ at; :M prupa" time, t1-..at (:CCh =dd:r.88 is r~!~
from .ho '_... and .ha. .ho p......:. =-d i. z.",crtod at tho j'rcn. of .ho p""p"'ey,
'9ui!.di."tg Di.ui::i.or: appro1.'fJd plan shalt ~t2~ ~,o/'t1ing SittJ ~ aLl timss.
PrtOC!:DURE POil .11~~I:oL..j.rOR HE9TJES'1': Cazz. ~V', r ~~) stat. yow- Ci.ty dasi.gnatlld J'ol: nurr.ber, job aa.az.cS8, typ. of in;;pscncn
requested ar.d w.':mI you rJitz. be ready fol' inspcct'>.:on, ContNato2"8 or CUurs J'IQI'l'G c:nd phona number. .1:!~8t8 r8cei;;Bd bSj"CN 7:00 G:':'l
",;a II. nruJ. .he _. dq. '""_... madJJ aft"" 7:00 "" ",;a b. nruJ. tho = :JOrk<ng day.
r_ City D.ftgrlatsd .rob IIlImbtzr I.: S'! /J.{) /39 .
/:I~'''~~ r<JO~"'nr.'''\
. 0 SITS rNSPEC':IO.~(: To b. 1rr::d. aftlrr
_..'_......... but pr-icr ta ..t' '4' of
fam1l.
-0 1INDERS!.AB PWNBING_ et.ECT1lICAL &
. llECHA.'JICAL: To b. matU be'for8 any
Wl'/( is >:ovU'.d.
o
o
FOOTING ! FOUl1DATICN: To b. nruJ.
aftno trcmchD. are ccavat<<i a7d
forms ~ _"o't~, but prier> to
pow-ing acncrGt:..
U.\rrJ!RG.qoU!!D PLllNBING\ SEJ/ER.~ w'1TER,
D.f?AIllAGF: To be m:z.14 prier to fi.l..-
~\.r.g trmche8.
o
UllDE.f?FLOOR p"UgSnlG 4 m:CHANICAL:
To be nt:tde pl"ior ~ inQta~lanon of
f1.oora 1.7lSULation O'I" dscking.
POST AND BeAN: To b. wr:uiA: pr'..or to
instaLl..:::tt.cn of flooro in.8'1.OLaticn 07"
dock.....
BQYJ;!{ :I~.~r.~BI~9- 1rr;ECTRrCA!, & .YfCFl-
ARreAL: No :.)Ork. is to oe COI.'Bred.
ur.::i.L ~hC8. insP8ori.onS hau. bem
nruJ. and _..:.
FI!'.EPL4CE: Prior 1:0 pZacir.g fac!nq
mat"rials and before frarrring inspec-
tiar..
o
o
o
o
PRAJ.mlC: Mu3t b. 1"8CUII3tsd af~D'
approval of l"mUJh pLUrr.bi.ng# aLsct:r";-
oo.L of :r:echani;;aL. AZ.~ roqofing
bracing ~ ch1Jmou:ys, .t~. nt"..lBt b.
c::1mp taecd. ,'10 wrk is to b. con-
oeaL8d wztil this insDecticn has
b.." nruJ. and approu.d.
O I.VSUL4TIONIVAPf'!/ BWrr/1 msPEC'!'ION,
To b. rrr:u:. aft/n" aLl. .z:n.suz..-t'ion crtd
ZOC!qV'"'...1'8d uczpmo c~ <D". in pLac8
btt b.fcr8 any lQ'th, gypl1U11f board. 0'1"
u:ztz. ClDfJerin.g is app'Li.d, atrd b.tore
any inavZation is conc.lIal.sd.
O DRYl/ALL I!I5PECT:rrJN: Tc b4 nruJ.
aftu aLl. ~n is in place,
bu. prior .0 ='i taping.
O MASONRY: S...! Za.."3ticn, bond
b~, grouti.ng or l)wt:ical.s in
a...-_...w.1._..... IJ'ith fl.B.C. Seati.on
2415.
(!)(I _DSTOn: Aft.,. iMta!taticn i.
~ ccmpLst84.
D CURB & APPP.OAC11 AP_~N: After forms
are srsctsd, but prior eo pouri.ng
.z.cm...--rete.
O SIDEWALK .4 JRrnwA.1: For aLl. ccn-
ersts paving :.nthUI St:r6Gt r-ight-
of-wc.y, to be mc:;:.U, after aLZ uca-
va~:.ng ccmp lAte .. J~or::r t.m"k & ~ub-
base I71:t'maL in ?Za:6.
D
o
!'ENCE: >?urn """",to.. -- I'r<tuid.
g;;;;; or movab le SBCtU:ms through
P.U.E.
DENOr.rTIO.Y OR .'<<1\'!"' BUIL;;:ICS
:J Sam.:ary tlfAJC' :c:pp.c. =t ~~ Zir./l.
=:J Sflpti..:: tank. p".mrp~d a:"~ {-;z.'Z.ad :..'i.tk ;M'Jsl
:J ."inc.L - .!llum c:Dcve itt:"fS a:t'fI ccr.ml.ted .
ar.d when ::.r.rc~itior. ia c01?14:Q or struc-
ture movlld and prm3u ~ Z4ane up.
Mobi z.. HC:rllIS
:J Blocking and Sat-:J.p
=:J P'l.umbing connsctians .- S&:.J8r O'td watsr
:J EZ.Gctrica:~ ccn".ct~ - Bloc1d:.:;, ..t-uP.
and ?lumbt.ng .:onr.sct-:.cn.s ~.l3t ;8 ~Ba
before reqtul8ti.ng e~.,:ricaz. i.r.spec::Ur.:
:J ACCeSBOl"j Sui :.ding
] riML - t.ft~r .?~cf:es, s1drri1'lf, decks,
e'te. are cr::mp:.at~a.
o
ALl. pl'Ojeat eondit:iorts. sue': as eha instaLZat".:an of s~e't tN.., ca:=:pz..':i.:m of :iuI
l"fIquirfld landser::pil".g, (;tc., must be satisfiDd befoN tr,JI BVILJU:::; FI.7AL .:an !::e 1'~qutlst3d.
o FINAL PLUKBING
o fIliAL I~NICAL
o PI.VAL Er.ECTRIC~L
o
o
.':'INAL BUILDINC: The Pinal. BuildU1g Inspection ::1USt b6 zoequeotsd af-:er :i:a .r'inaL ?!.un:bi"3
EZllctrical, and. .'1echar:icaL Insp6ctu,no haua be,," f1JC1dQ and approvad.
.ALL ,~fANHOLES AND CLEAlICUTS uUST BE ACCESSIBLE, ADJUSTUENT TO BE <'-tilDE AT NO cas; TO CI'!'! I F;;;a of Z
J
iJob l/umber:
.
Occurxmct/ Grouo:
iZone:
i
,Lot Sq. Ftg.
~:: of lot C.:werag&
i # of Stol'i..
: Total Hright
\ Topography
I !TEll
I .
I!-bin
I Gcztaaa
[ Caroort
I ACC8SSDrU
I
I
S~.FTG
TOTAL VALUE
Is.D.c.
lva'U~J
1.5 =
Building Ptrrtrtit
Stat. Suroharg.
Total Charg..
IITEN
I FUtur..
I Rssidential (1 bath)
"llO. FEE
Sanitary St1W6r
Water
Pl"",bing Pmr.it
State Surcr.arge
Total Charaes
1, ITEM
Res. Sa. fta.
IlleJJ/E::J:t<md C'il'OUi t.
I Ter.rporary Se:rviCB
1110'1
I
I I
I I
Ele:Jt:M.caZ Ptmrrit
State Sur:iharQs
Total Chart::ss
lITSM
I Puzon::COB ETU' S
I E=haust Hood
I Vent- Fan
I Woodstove
NO. F!E
'/1
I I
Perrrri.t I38uanc2
Me::hanic:zl Pemt
State SUrcharae
Tn"tn. 1. ChnrnetJ
I -- EIICROACHNENT --
lse~~tu D200sit
Storage
Mainte?UIl'U:e
I Permit
I TotaL ChaNC!8
i Cw'bc:u:
I Sidew Zk
I Fen:!e
I Electrica I Lahe l
I MOM Ze HomB
I TOTAL AMOUNT DUE:;
LOT TYPE
Intencr
C0l'?16T
Panhandls
Cul-de-sac
x
Value
CHARGE
FEE
CHARGE
CllARCE
/t),Oi)
j,<): ()O
,hr')
/ c:;: hrJ
/S~
D:' on
Pags 2
Reference Numbers:
.
L-COC #:
T'",pe/Cor.at:
Bedrooms:
I Enerau Sources T-.me
I Heat
I rvatep PlU'ItJ'!l'
I RangS
I Firo8rJ lace
r-: Wood3tove .---.-
-1
I Lot Faces -
I Setbaoks
I P. L. House Carage AccesS.
IlIorth
lEast
South
IWest
..- Faes
I
I
Building Value & Permit
This permi t io granted on the express c:ondi tion that the said construction.
shal.Z.. in aU respects, conform to the Ordinance adopted by the City of
Springfield, incLuding the Zoning Ordinance, regulating the ccmstruction
cmd uaB of buildings, and may be suspended or revoked at eny t-:.ms upon vio-
lation of any provisions of said Ordinances.
*
*
Plan Check Fee:
Date Paid:
Rect:ipt II:
I Signed:
Plumbing Permit
No person shalt. construct, instaLl, aLter or Chan.gB any nezu or mating
pl.wnbing or drainage 8Y8t~ in Who1.B or in part.. unLess BUCh ptU"son is ths
tsgat possessor of a vaUd pLumber's 'License.. 6%Cept that a person may do
plur..bing r,;ork to propsrty which i. =d. leased or operated by tho appli-
"oant.
I
I
I
1*
I
I
I
I
I
I
I
, *
Electrical Permi t
Where State LaL1 requizo8schat th4 electrical tJOrk bs done by an E1.acmcal
Con'tractor, ths etectrical. portion of this permit shall not be vatid until.
the labsl has been signed by the EZectl'ioal Contractor.
Mechanical Permit
*
/l
Plan E:taJfn.~
",",.
~-/7-Y~
I HA VE CAREFULLY EXAMINED ths aomp Leted app tication for permi t.J and do
hsreby certify that aU info:m.ztion hereon is true and aOlTeot~ and I
f'.aotJ..er certify that any ar.d all. work perfornted shatz. be don.e in aaaor-
dance :.n.th the Ordinances of the City of SpringfioLd., and the La:.Js of th(J
.4 State of Oreg.m psrtaining to the work cssaribed herein~ end that NO OCCU-
PANCY rdZl be rrade of any structure lJitho-04.t parmission of the Building Oi-
vision. I further certify that cr.'/.ly contractors and e:rrpl,;,yees wh~ are in
aampliance with ORS 701.055 will be used on this project
I f~(/~~~;h/
I * Si7f.8d ./' t/'
.;2~'7 / ,r:z.
Date