HomeMy WebLinkAboutPermit Mechanical 1982-8-3
.. RESJ!NTJAL"
COMBINATION APPLICATION!PEP.MIT
225 North 5th Street
SpringfieZd, Oregon 97477
aui Zding Division
726-3753
Job loc.::tion:
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AsaaBaor~ Map
Subdivision:
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AddrGS3:
C.ty:
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n AdditiC1l
n Rem0d8l
n ,'!tJbiZII!lI.t[mtll
DBBaribs work:
r~ uYwJ-
K-~~-(<{ ;)
Oat. of Appl.catimt
{;Ol'ltmctcrs
Gcmsml
Plumbing
Et.lIotrical
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It is :M l"espcmDibiUty of ehll permit hol.tUr to s.. that aLl. inapsctions cD"8 ~ at :hs proopu time, that ~h ~.1I0 is rfl~!.
from .ho ......., and .hat .ho p...... card is Located at tho fron. of tho propU''''',
'Su,i.!.di..'"ttJ Divi.::wr. o:pprmlfui plan shall .remain on tha Building Sit;; at all t"imss.
P'R()crDURE FOR llISPECTIOR REQueST: Call lj (.zo~) stat. youzo City dssig1tatsd job 1W1r.b8J", Job at1dzocss, type of i~p.cticn
J.squcst4d ar.d b1.':Im you ~L[ b. ready for inspecr"..on~ Con...._......... or Cwurrs nc::m. end phmt8 numba. Requss'ts rsceived !;efcra 7:00 c::t
t..-iLt be ma.cJ.. the sam. dt=y. rcqIUIsts mads aft&:l' 7:00 a:n wilt be mads tM l"tUt :.JOrking day.
rOW' City DoftgnatC Job 1IIImbC' I.: ?,-O ) J / (9
,l;Itl''''l''':,.'"''"J:{ r"'N""";-./"!7ft
. 0: SIT! INsPEC':':rO,V: To b. rrr:z.a. aft.,.
'--............m., ~t prier tc ..-t up of
f......
'0 1fN1JE1/SLAB PWNBIrlC. ELECTRICAL 6
. MECHA.'lICAL: To b. maJU b.fCJr'8 any
~rk i.s .;ouartld..
o
FOOTING J FOUNDATICN: To be 1JIldJI
al~U' t:ranchBB are ucaua:ted and
forms are .r.atlld. but pzoi.qz. to
pct.Wing cXnCr.t..
W.rD~GROW!D p!'lJ1.{gING, S~. W.1TER.
D.'?AINAGE: To ba nu..:24iI pnor to fii.-
l.i.r.g trtmchas.
o
o
unDEt-!FLOOR !'LW-aJING 4 MEC!JANICAL:
To b. ffJt1IU pncr to t.nataL.latum of
f1.oor iMulatimt or docking.
POS'P AND BEAM: To b. rr:a.dc p1"i.ore to
instaL.z..::t"-..cn of fZoor i11S1aZation or
docki....
l~.O(fG8 ?r.Wtl!I!!q" E'7;SC'tRrrA.': ,I !t{ECF{-
APICAL: No :JOrlc is to bc co'/,...z;;z-
ur.ti ~ thes. i.nsp.o:;o;ons haJJ. b8tm
mads and approv.,;.
FI.~rpl..ACe: Prior to pk:cir.IJ fGCing
materials and bafore frami,ng inspec-
tier..
o
o
D
o
PRAJ.!..TNC: Mu3t be reau.aatad aftar
_t'..~"...L of I"CUf/h pLWr.bing. ~Lact:M....
eaL & :r.8chani.:a.L. AL! roofing
bracing ~ chimrtcys, et.:. m:.:st !J.
~ Lsted. No wrk is tQ b. con...
"seiad until thil1 inBl1ect'iC71 has
bS071 rrr:zdg a:ru:i. appZ'Otl'id.
O INSlJI.A.TIOllIVAPDR ~J:ER t!lSPEC':'ION:
To b. rea. aftno aLL iMvL.:ti.:m a:"ld:
~.zoed vapO!' c~ aN iPl plaa.
but esfers any lath, gypsum board or
u:zlt covering is appLi~, tmd b.jora
arty inauZatUrn is COJ1Cacl4d.
O DR:!I/ALL rnSPEC'!'!:DN: Tc 11. mads
aftuo all drywLZ is in pLac.,
but prier to any taping.
O HASONM: St~.t ~a~, ~
baama. grouti.ng or tlsr"t..eata ..PI
aacordance with U.B.C. Sscticn
2415.
I::"'?( r.'OODSTOVE: Aftsr instatlation is
l,25J acmpL.stca.
o
CURB & APPROACH AP.f?ON: Aftar forms
are erectsd. but pl"i.cr' to pouring
.:on...~U.
D SIDEWALK & DRrIf:WAY: For att con...
a:ret. pav~ng within street ~ht~
of-q. to be ma:is aftsr at! e=ca-
vating ccrrrpLsts & lam IJOl"k & ~-
bass Il't%'tsriaZ in iLa.::s.
O ."F:llCE: >'hor. oomploto -- Provide
gat;; or movabLs Bscticms :hrcugh
P.ll.E.
o
I DENOZZTIO:f OR .v.ot7' 3UIL:::ICS
J
:J Sam~ 8AJar =c:;pet: =t t-.~o~C"t:':i l.ir.s
=:J Sspti.:; tank P"...;mp~ a:-..: fiZZ-.d ~"::h ~JilL
~ PinaL.. JIhim abcvs i,t:::rs are cG::rpt.tsd .
.J ...... .
cr.d tJhan .=sr.:c:'1...~.:m u C~z..-;i or struc-
tur. moved ar..: pr~:us c!.4lDU= up.
I Mobi Ls Hcmll8
:::J Blocking and Sst...~p
:::J Plumbing connectiana -... Sc:.J1lr ~ :.:a::-ilr
:::J Elcotricc:l Ccnn8'etion - Btock";r.g, Bet-up
and pLumbing "onr.sot~ns r.:-...at =s a??rot:ea
bsforc nlqtLQ8ti.ng .ts.::ricaL ir.spsc:i.o:-t
:::J ACC.BSO~' Bui.:di~
I
] Fin.::zl ~ Aft~r.?:rre.r..8. s1Cr~11f. decks.
.ec. are eomp~.t~a.
D
ALZ yrojsct condi'tions. such as tM iPIBtaLZation of s=r.st tr.... e~L.J:icn of :iut
required 'l.a1uiscc:pi.,..g, etc., must bs satisfiad bef'ore tl-.. Bl.'IWI.-;;; FI::AL :an =. ~3qu.S'C3d.
o FINAL PWNBING
o FINAL MEr:llANICAL
o n.VAL EU:CTRIC~L
o
o
:"INAL BUILDINC: 11:8 FinaL Building Insp.ction must bo 'l'ftqufll1tlld af";Qr ;i-.. ..~ina.L ?lwr.bin;
El~c~aL. and .'!echar.i.caL Inspecotu,na halJo bun mads and approv.gd.
"AU MAl/HOLES AND CLEAl/OUTS HUST 9E AC~SSI3('E. ADJUST!fEl/'! ':'0 9E M.1D'E '..11' NO COs;' ':0 ';I'!'! I F~;s of' 2
,
-'
IJOb lIlDnber: ~jJ) / / /, .
I
I Zona: Occupanal./ Group:
!Lot Sq. Fl:{;. LOT TJPE
;: ~f lot Caverag& Interior
!!J of StonGS Corner
I
! Total Height Panhandl.
~ l'opography Cu l-de-.ae
I ITElJ
I
iMain
x
Value
SQ.F"l'G
Gc:1'aa.
Caroort
ACC68S0ru
TOTAL VALUE
I rVCl.UCJ
IS.D.C. 1.5:r:
j.
i
I
I.
CHARGE I
I
I
I
I
I
I
I
I .
I CHARGE
I
I
I
I
I
l .
Bu1.ld1.ng Pl1I'Irrit
Stat. Sureharg.
Total Cha.~g.s
lITEM
I Firtures
I Rseidential (1 bath)
I Sanitary SfNBl"
1110.1 FEE
I
I
I
Wcter
Plwnbi.ng PI1I'Irri t
State Surcr.arge
Total Charaes
!ITEM
Res. Sa. fto.
Nw/Erttmd Circui ta
I Temporoary Service
, NO'1
I
I
I
FEE
EIB:Jmcat Permit
Stats Surcharas
Total Cha.raea
IITSM
I FUrnace !!TU'S
I E::haust Hood
I Vent Fan
I WoodstOVB
I
Sf.'!.~r: ''JuZ't;hfi~'!
FEE I
I
I
I
l>=;,I,n
I
I
j
I ,GO I
j is,,t,()/.
I
I
I
I
I
I
, .
I
NO.
C.fJARCE
p61'11f'i.t 13suanca
/f),DD
a.Dn
Msdranicat Permit
rota z c;.a,.ann
I -- EllCRO~CH11E.VT --
I SB~.J.ri tll Daoosi t
I StoraQ8
Iltaint~Q
I Permit
I
I curbcu:
I si.dewalk
Total Chal"QCS
IF~e
Electrical Label
Mobils Hame
I
I
I
'fj) N'~)J k. Tl
I TOTAL AMOUNT DUE:"
Pago 2
Refel'er:ce llwnbers:
.
I
I
I
I
I
I
I
-1
L-COG #:
T;{oe/Cor:st:
Bedrooms:
I I Enercu Sources
I I .ijeat
I I WateY' .r!p.n+:P.'"
I I Rang.
I I FirefJ lace
I I Wood3tov.
II
TlI'Oe
I Lot Fac.. -
I
P.L.
riorth
E:ast
South
IWest
Setbaaks
I House Corace
I
I
Access.
..- Fees
Building Value & Permit
This permit ia granted on the ezpress condition that ths said construction'
shall, in all respects, conform to the Ordinance adopted by the City of
Spl"ingfie1.d, inc!uding the ZOning Crdina:nce, regutating the construction
and use of buiLdings, and may be suspended or revoked at cny t-':.me upon vio-
lation of any provisions of said Ordinances.
I Plan Cheak Fee:
Dat. Paid:
IReedpt #:
I Si.gnad:
Plumbing Permit
No person shall. construct, install., aLter or change any nmJ or e:z:isting
plumbing or drainage systern in whole or in part, unless such person is thB
legal possessor of a valid plumber'8 license, B%CBpt that a person Trr:l.y do
plumbi.ng work to proparty whieh 1.s ownad, lsasad or operatad by the appli.-
'cant.
Elect,r..i.u11 Permi t
WhsPe State LaI.J rsquires that the elscmcal lJOrk be done by an Elscmcal
Contractor, th9 elsctM.cal ponicn of this permit shall not be valid until
ths label Iras been signed by ths Eleerncal Contractor.
Mechanical Permit
Pl.an .:;__.......... uat:e
I HAVE CAREFULLY EXAMINED ths completed application for permit, and do
hereby ctrrtify that all information hereon is true and correct, and I
f'.n>ther certify that any ar.d all work performed shan be dn':'le in accor-
dance with the Ordinan.ces of the City of Springfield, and the: La:.Js of tM
State of Oreg:m p21'taining to the lJOrk described herein, end that NO OCCU-
PANCY will be rmde of any struature without permission of the Building Di-
vision. I further cflZ'tifY that rmly aontraotcrs and e:rrpLQyees who are in
compliance with ORS 701.055 will. be used an this project
flJ !2 ~
r~ J- 72-
I.
Signed
Dats