HomeMy WebLinkAboutPermit Mechanical 1987-10-30
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.. RESIL,cNTIAL"
APPLICATION/PERMIT
225 North 5th Street
Springfield, Oregon 97477
Building. Division
726-3753 .
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,I JOb'Location:L.4C{D \~~e^ '~T
ASGessoI's Map # \'1 (')7 ,~~ l\ ~ T= Lot # () 0\00
Subdivision:
am,,, ~ ~ \. <:... \( , " ~'iv,\ -.'~ ,,^,-,Q;'O' _ '\
Address: L..4 ~ ~Cl~e^ ~\. Phone:~'2.(n' \OqS
City'0~'\j('\. ,07_ Zip' o,'\l\t')'i
I NmJ
I Addi ticn
I Remodel
Dat~ :~:;:z:::en\(')~'(D -9,~ vaz~ \CO -
ContI'actoI's ~ess
Describe r>'OI'1<:
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Signed:
Date:
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ExpiI'es Phone
GeneI'al
PZumbing
ElectI'ical
Mechar.ic(zl
C01\8tl'Uction
Lisc. #
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It is the r-esponsi-biZity of the pel'77tit holder to see that aU inopections are made at the pzoopezo time, that each c&:b-ess is I'eadahZ.
f1"Olll the stzoeet, and that the permit cazod is Zocated at the f:ront of the pI'operty.
~Bui!ding T>ivicion appI'oved plan shaU I'emain on thE Building Sits at aU times.
PROCEDURE FOR INSPECTION REQPEST,:CALL 726-3769 (I'ecoI'deI') state YOUI' City designated job nzq;;beI', job address; type of inapecticn
zocquested ar.d when you will be I'eady foI' inspection, ContractoI'S 01' OWners ncme and phone numbeI'. Requests received befcI'e 7:00 ~
''i'' b, =d, th, 8=' dey, "'qu,.t, mcd, aft':" "00 = wi" b, mcd, th, nat ~'ki""rn
' . YOUI' City Desigr.ated Job NumbeI' Is: C , 0 ~ ~ ( /?
Re i I s cticn , u
0, SITE INSPECTION: To be made afteI' "I INSULATION/VAPOR BARRIER INSPECTION: 'DEf.fOLITION OR NOVED BUILDIiVGS
excavation, but prior to set up of -.J To be made afteI' aU insul;:<tion Ir.'.d
foI'TT/s. ," required vapOI' barrieI's are in pZace
O UNDERSLA.B - PLUMBING, ELECTRICAL &' but befoI'e any Zath, gypsum board 01'
: MECHANJi.:AL: To be made befoI'e any waU covering is appZied, and before
work is coveI'ed.any insuZation is concealed.
o
FOOTING & FOUNDATION: To be made
afteI' tI'enches are eXcavated and
, foI'TT/s are erected, but pI'ioI' to
pouring concrete.
o
DRYWALL INSPECTION: To be made
afteI' aU drywall is in pZace,
but prior to any taping.
O MASONRY: Steel location, bond
beama, gI'outing 01' verticals in
accoI'dance with U.B.C. Section
, 241~
JJ...w6ODSTOVE: AfteI' instaZZation is
ILl ccmpleted. ~ y
0'
UNDERGROUND PLUMBING. SEWER. W,~TER.
DRAINAGE: To be mad'e prior tofiZ....
Zi1".{J trenches.
! 0: UNDERFLOOR PLUMBING & MECHANICAL:
To be made pI'ioI' to installation' of
:, flooI' insuZation 01' decking.
D
POST AND BEAM: To be made priOI' to
installation of floor insulation 01'
, decking.
ROUGH PLUMBING. ELECTRICAL & MECH-
ANICAL: No WOI'k is to be coveI'ed-
,until these inspections have beer.
made and appI'oved.
FIREPLACE: Prior to placiY'{J facing
materials and befoI'e fI'aming inspec-
tion.
I FRARING: Must be requeoted afteI'
---1 appI'oval of I'ough plumbing, electI'i-
,cal & mechanical. AU rOOfing
bI'acing <'1 chinmcys, etc. '"'.1st be
~'completed. No work is to be con-
,,',,~..cealed untiZ this inspection has
, ~ been made and approved.
o
CURB & APPROACH APRON: Afte::o forms
are eI'eated but prior' to pouI'ing
COn::Jrete.
o
o
SIDEWALK & DRIVEWAY: For aZZ con-
CI'ete paving within' street right-
pf-way, to be made afteI' all exca-
vating complete & form work & sub-
, base material in pZace.
~
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PENCE: k~en complete -_ Provide'
gates 01' movable sections through
P.U.E.
o
:=J FINAL PLUMBING
~ FINAL MECHANICAL
J FINAL ELECTRICAL
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==:J Sanitary s~~eI' aapped at p~oper~d line
~ Septic tank pumped and fiZZed with g-ra:Jel
I Final - r\~en above items are completed
~ and when demolition is complete 01' stI'UC-
~UI'e moved and pI'emises cleaned up.
MobiZe Homes
~ Blocking and Set-up
~ Plumbing connections -- s~er and Water
~ ElectI'ical Connection - Blocking, set-up
---.J and plumbing connections '"'.1st be approved
before I'equesting electrical inspection
~ Accesso~d Building
I Final - After pOI'ches, skirting, decks,
~ etc. are completed.
o
All project conditions, such as the installation of stI'eet tI'ees, co~letion of the
I'equiI'ed Zandscaping, etc., must be satisfied before the BUILDING FINAL can be I'equested.
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FINAL BUILDING: The Final BuiZding Inspection must be I'equested after the Final Plumbing
Electrical, and Mechanical Inspections have been made and appI'oved.
~ALL MANHOLES AND CLEANOUTS MUST BE ACCESSIBLE, ADJUST!fENT TO BE MADE AT NO COST TO CITY Page 1 of '2
JOB NO.
Zone:
Lot Sq. Ftg.
I of lot CQVerag~
# of Stones
Total Height
Topography
I
lITEM
I Main
I em-aae
I Carport
I Accessorl./
c-age ~
SOL~'" ACCESS REQ.-
Occupanvly Group:
LOT TYPE
Interior
Corner
Panhandle
Cul-de-sac
l- C c5-G~' '-\
TypeICor..at:
Bedrooms:
Enerql./ Sources
Heat
Water Heater
Range
Fireplace
Woodztove
Tl./De
Lot Faces -
P.L.
North
East
South
West
Setbacks
House I Garage
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I Access.
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Fees
I SQ. FTG
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Is.D.c.
TOTAL VALUE
(value)
1.5 :z:
Building Permit
State Surcharge
Total Charges
FEE
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Value
CHARGE
ITEM
I Futures
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Residrmtial (1 bath)
Sani tary Sewer
I W~ter
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Plwnbing Permi t
state Surcr.a.rge
Total Charoes
ITEM
I Res. Sa. fto.
I NawlE:z:tend Circuits
I Temporary Service
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I I
Electrical Permit
State Surcharqe
Total Charqes
r ITSM
I Furnace ETU' S
I E:z:haust Hood
Vent Fan
rl
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Woodstove
Permit'Issuance
Mechanical Perrrrit
State Surcharae
Total Charaes
-- ENCROACHMENT --
Se~wntl./ Deposit
Storage
I Maintenarwe
Permit
Total Charqes
Curbcut
SidelJalk
I Ferwe
I Electrical Label
I Mobi le Home
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TOTAL AMOUNT DUE:"
FEE
CHARGE
EEE
CHARGE
auilding Value
&
Perm i t
This permi t ia granted on the express condi tion that the' sdid construct
'shaZZ; in all respects, conform to the Ordinance'adopted by the City of
Springfield, including the Zoning Ordinance, regulating the ccnstructici
and use of buildings, and may be suspended or revoked at cny time upon i
Zation of any provisions of said Ordinances.
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Plan Check Fee:
Date Paid:
Receipt IJ:
Signed:
Plumbing
Permit
No person shall construct, install, alter or change any new or existing
plwnbing or drainage syste~ in whole or in part, unless such person is t,
legal possessor of a valid plwnber's license, except that a person may ~
plwnbing work to property which is owned, leased or operated by the appl,
cant.
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Electrical
Permi t
Where State Law requires tr~t the,electrical work be done by an Electncc
Contractor, the electrical portion of this permit shall not be valid unti
the Zabel has been signed by the Electrical Contractor.
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Mechanical
Permit
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I 'Fran Examiner - "'- ~ ,
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I HA VE CAREFULLY EXAMINED the completed application for permit, and do
hereby certify that all information hereon is true and correct, and I
further certify that any ar4 all work performed shalZ be done in accor-
dance ~th the Ordinances of the City of Springfield, and th~ L~~8 of the
State of OregQn p3rtaining to the work described herein, and that NO OCCU-
PANCY will be made of any structura without permission of the Building Di-
vision. I further certify that only contractors ar~,e~pZQyees who are in
---"compliance with ORS 701.055 will be used on this project
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