HomeMy WebLinkAboutPermit Mechanical 1982-11-8
RESIDE'NTIAL ..
APPLICATION/PERfdIT
225 North 5th Street
Springfield, Oregon 97477
Building Division
726-3753
Job Loo.::tion:
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AS:Jessorz Map ,~
T= Lot # cmD
Subdivisien:
~l.:ner: ~v'~. ~"
.4ddr-ess: fI:}((J, Ii ~ .e..~,
11, . f/,~v /
City: ~ f...t-1..Jl-/
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Phone: t it ~ ~co/ gS- -
Zip: r 7 ~O.s-.
'DesoT"'~be 'i.'ork:
NC!".JJ
Additio~
Remodel
:J:A-r-n.r-~ --u)t-JJ~
, Value lo~~'
,I.foo-i. le aoma
Date of Applioat~on
Contractors
Address
General
Plumbirzq
E:lectrioal
~ (jj~1
7~' - I '-I-R...~ .
Nechar:io::l
CO"st~~ctionLender
Rcce:.~i; ,~
5Gl q L{(P
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v1..qr.ea: , M
Date:
- -
\ t -y.) ~P,6l.
Liso.#
Expires
Phone
It,is the I'esponoibility of the permit hoUier to see that all inspeotions are ~ade at the proper t~~~, that e.::ch .::ddress is reaiaa:e
from the street, and. that the permit card is l.:;cated at the frent' of the property.
~3uiZdi~4 Divi=io~ approved p~ shell remain on the Building ~itc at a.ll times.
PtIOCE:DU,oE: POR INSPECTION RE'QUEST:CALL 726-3769 (reoorder) state your City desig7'.ated job nur.;ber, JOO address, type
r~quested a~d when you will ae "eady for inspeotion, Contraoters or Ow-ne s 7'.ane and !,hone nwnoer ,eques." r_oe1...ed
:.>ill be made the same dc.y, requests mc:ae aft;;:!' 7:DO am will be made the ~at :.;orkinq- day. 8'~'" ~. ~ dr-,' (')
Your City, Desigr~ted Job Numb;;:!' Io: r:)J~~ · J
Reouired !nsv~cticns
O 'SITE' INSPECTION: To be made after
, excavation, but prier to set up of
forms.
D
INSULATION/VAPOR BARRIER INSF'XTICN:
To be made after all insul~tion ar.d
reauired VaDor barriers are in 'place
Cut before any lath, gypsum boird 01'
wall oovering is applied, a7'.d oefore
any insulation is ooncealed.
o
UND~RSLAB ?LUMBING, ELECTRICAL d
,~.'EC2;!'NJC:'L: To be made before any
work is coverea.
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, FGOTI:'IG' ~ 20UNDATICN: To be
after trenches are exo~vated'
forms' are erectac, but prier to
pou.~r~ ocnoret~.
=de
a".d
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DRYWALL INSPE:CTION: Td oe made
after all &,jwall is in plaoe,
but prior to any taping.
C]
O ,'1ASONRY: Stee l
UND'ERG:~OU;~.7D ,?[;UMST:VG. S2rRP, W.1TE'R, Oexer/a, groutina
D~AINAGE: To oe made prior '0 J~~- accordance ~:th
h7'4 r;renohes. '. 2415.
UNDERPLOOR !'!'Ut~nIG .j YE:CHANICAL:~' ',oiOODSTOV'e: After installation is
To be mace prior to installation of ccmpleted.
j7.oor insula;;ion 01' deoking. ' '
POST AND BEAU: To' be made prior to D CURB & ,4..T'PROACH APpeN: After forms
installatien of [7001' insulation or are ere~ted but pl~or to p~~ri"4
deoking. ~oncrete.
looation, bond
or verticals in
U. B. C. Seotion
0'
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ROUGH ?LUMEItlG. E=ECTPICAL ,j MECH.':'"
AHICA!..: No '..)orK '~.3 to DC covered ,;
until these ir~cectic~s have bee~
mo~e ar~ ,appr?ve~.
FI."-::;PLACE: Prior to placir4 facing
materiais a~-i before fr~7'4 inspeo-
tion.
o
SIDEiv'ALi( & DRIVEWAY: For all oon-
orete paving within street right-
of-wey, to be mad.e after all' exca-
vating complete & fo~ ~rk & 3ub~
base mc.tep':al in pla~e.
o
D
D
?ENCE: ~~en.compZ~te -- Provide
gates 01' movable' seotions'through
P.U.E.
'P.9...4.NI;~lG: MU.st.:;e requeated c.f-:ep
approv~l of rough plwrhin4, eleotp':-
oal & mech.ani~al. Al! r'00ji7'4
braci7'~ B chimneys, et~. ~~st be
,comvleted. ~o ~rk is to b~ oon-
,0eGied until this insDeotien r~s
'been made end approved.
o
of inGDeotien
before' 7: 00 c.";
, DElIOLITION OR ;',;OVS:; BUILDIiiCS
:J SanitXl"d se'.Jer :xrpped =t p~opert'd line
~ Septi:) tank p:i--:-:pedc:.nd fiZZed with ;rc..:e:
~ Final - ~~en abcve ite~s are oc~leted
~ and when de~cZ~tion is co~iete or st~~~-
ture moved ar~ pr~~3es ~le~ned U?
I MODi 19 Hcmas
=:J
=:J
Blooking crr.d Set-up
Plumbing conneotions
sG:Wer c:r.d wc:.-:;er
~ Eleot1":oc:.l Conneotion - Blocki~4, set-~?
~ Gnd plumbing conneotions ~.;st be C?pro~'ec:
before requesting eleotrical ins?eo7;io~
:=J Ac.=esso.L'Y 3ui,l3..-:r:.q
~
Pinal - Aft~r F~rches,
et~. are ocmple:ed.
3k-:'Y't:.ng~ dec~:s,
o
All proJect cO?".dit'1~ons~ Due!: as the .tns~a~~a~i~n..of street ~:~e~, ~::'7let7,Qrt. of the ~
required Zandsccpir.q, etc., ,~st be sa~~sj~ea oejore th2 3U~~Dlj;G :~,AL ~cn ~e r2~~9st2a.
01.
FINAL PLUXBI:IG
[J. FINAL i1E;;P.A:IICAL
!--, PINAL ELECT.9ICAL
L_L
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FINAL BUILDING: The Final Building Ins~eotion ~USt be re~~ested ~fter tr.e,?i7'~l Pl~T.bing
Electrical, and Meah4~iccZ Inspections liava been made a~4 a?prOv8~.
'AU MANHOLES AND CLEANOUT:; HUST BE.' AC;;ESSIBLE, ADJU5?:'!Z.'J'I' TO 3E :,fjlDF: !IT NO C':;ST TO CITY I "~:-e 1 of 2
I JOB NO.
I' :cr.e:
Lot Sq. Ft;.
;~ ~f tot C~erag~
I
!.~ of StOT"'~es
! TotaZ Heicht
i "
I Topogra;hy
I ITE.'.'J
I !,fain
I~:::c~
SQ.FTG
! Car=~r'C
I.
I .,c~esso!':J
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TOTAL ~TALUE
I vc~ue)
S.D.C.
1.5 ;::
Euildirtg ?errr.-"~t:
State SW'ch:II'ge
Total Cr.a::'ge3
\ n::i1
I FL-tures
!" .. . l
1,.esU1entUl
(1 bath)
i Sani ta!"j
I ;,.'c~ er
I
Se-wier
Plumbing Pern:i t
State SW'or.arge
Tcta Z C'l1C.raes
12[.'1
I.'?es. Sa. ftc.
INGW/~-tend Circuits
I Temporary Servioe
E2e~tricaZ Permit
State SW'cha.rae
Total Ch.arces
";'7'-:'.'.1
F'-l2'r.aoe' 2TU'S
E::ha1.lst Hood
Vent Fan
I "'/oodsto;;e
I
Permit Issu=e
.'1ecr.anioc.Z Perrrri t
State Surcharae
Tota l C'''.tI1''le3
-- Z."lC~-::,,]AC.:'gEHT
Ie. .
l~e~~~~tu D2=03~t
I Stor~qe
I Ma-:,nten.c.l"..Je
I ~ 'j.
.t" aI'm"'... .....
I TotaZ C'l1C.r'les
r cUrb~.,lt
f Side,;alk.
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~ :en~e
i F:Zeotrica Z LaJ:;eZ
I
: Mobi le Home
,(.()..I/I.iU .:'''-. ~
TaTAr. AMOUNT DUc:'
SOLAR
P:::qe 2
'L-COG~
CC~..J.~anc"..J GrO"...t:;:
J C E S S R EQ.-
BeCr'.Joms:
NO.
.vo. I :;;;'r;'
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LOT TYPE
x
F~E
Interior
Corner
Panhal".dZe
Cu l-de-sao
Value
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CHARGE' . "'1
CHA.i?GE
CHARGE
J,o V
10 ,0>>
/1--,0 f)
t;J
I.~IQ
.3/.~()
I ~ot F~oes -
I
I ' P. L.
North
East
S=th
IWest
7'{peICor.st:
I I ~narau Sour~es
j I h.'eat
i I
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I I
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I I
Tuoe
Setbao.'<'s
, House I Ca:rage
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I Acoess.
~later g~a4;2T'
Rarzqe . ...
Pir'evlace
Wooa.:;to-:.:e
Pees
I, I
Building Value & Permit
This pernr~t iG granted on the express condition that the said,construotion
shall, in aZl respeots, conform to the Ordinanoe adopted by the City of
Spr'ina fie ld, inoZud-i-ng the Zonina Crd-:nance, -reauZc.tina the ccnst-:'7.lcticn.
and u~~ of buildings, and m~y beususpe~~ed or'r~vokec ~t cr.y tine upon vic-
lation of xny provisions of said Ordir~nces.
Plan Cheok Fee:
Date Paid:
Reo;;;ipt #:
Signed:
P~umbing Permit
No person GhaZl oonstruot, instaZ?., al,ter 01' ohange any new cr e:::isting
plumbin,J'~Or drainage syste.71 in '.Jhole 01' in pa:rt, ur.less suoh person is the
Zegal possessor of a vaZid pZumber's Zicense, ~oept tr.at a pe::'son may do
plumbing '.Jork to proper~,j whioh is ow~ed, Zeas;;;d or operated by the appZi-
cant.
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Electrical
,..-
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Permi t
Where State Law requires tr.at the eZeotrioal work be done by an EZectrioal
Contraotor, the eleotrioal portion of this permit shaZl not be valid until
the Zabel has been signed by the EZeotrioaZ Contractor.
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Mechanical
PermH
Plan E=c:niner
uar;a
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I HA VE CAREFULLY E.'XA.'1.INED t.".B oomp Zeted :::pp l ioation for permi t, c:t'.d do
hereby oertify that aZZ inJormation hereon is true al"~ oorreot, and I
f.A.I'ther oertifythat any ar.d aZl work perrormed shall be done in accor-
danoe :.lith the Ordinanoes of the City of Spr"~ngficld, and th;;; La-..;s of the
State of Oreaon Dzrtainina to the work desoribed herein, ar~ that NO OCCU-
PANCY wizz b~ made of any" struoture without permission of the 3uiZding Di-
vision. I further certify th~t o~Zy aontra=tors ~~d ~lQyees Wr~ ere in
oompZianoe with ORS 701.05E wiZZ be used en this prQjzot
,~~Iy /2~"I/ ~/t.;).