HomeMy WebLinkAboutPermit Mechanical 1991-11-25
.. R" r'-- '.J T I A L · ·
COMBINAT~A}.. .J.{CAT ION/PEP.MIT - SPR1!'lGFIELO-
225 North 5th Street
- SpringfieZd~ Oregon 97477 ~
BuiZding Division ~
726-3753 ~
Job Loc:ltion: r.J,~ \ \~ ' 0
ASl1esoors Map N 1 (j n3~~/11J/J:.-:----- '-~; Lot -;-D4'r1l) .
, Describe Work:
~et&(!e:. O//Farna!. ce.
(jets -Furnace,
Subdivisi~m:
amer: ~/'1rl/ 1<--f'~J-t/'/aA
Addl'eu: A (~ 1; / I<t:'f/-P.f r b'f-
City: ()/?T'/>7Q freid, oR
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I
I I
1)(1
I I
IV mJ
Additicn
Remodel
Uobile 1Ioma
Phone:7C//-73C7
Zip: 9' 7 ~77
U) f-~
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, " 9'., dO
Value 1~f(S-
Addresa ~~
DatQ of Application '/ h "/9'/
,
Contractors fVIa.r<:J"aIL.., Jk.erf"! rut:;l,{fa7'1~
General
Plumbing
Electr>ical
Nechar.ic.:l
SUDervisinQ'E~ectrician
Rccdpt ,~
.
~c ! 01
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,ICY
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, Sigr.ed:,/;j~ /y...............~
Date: " 1/-2. <,\/cf. / '
Lisc. H 2S7Q a E:r:pil'cs/zlz.5 /Cf/
Phone
It is ~he responoibility of the permit hotder to see that all inapections are made at the proper time, that each ~eso is readab~e
from ths street, and that, the pcrmi t card is located at the front of the property.
ASui!ding Oivi::ion approved plan shall remain on the Buitding SUa at all times.
PROCSDUl?E FOR INSPECTION RSQPEST: CaZZ726..;".t7f-j9 (.rccorder) state your City designated job nwrobel', job adtb-css, typfl of in3pectien
l'equested ar.d w.l:sn you lolillbs ready for inspcction, Contractors or a.mere nams and phone numbel'. Requests received 1;e1'o)'e 7: 00 IT.!
:.>ill be made the same day, l'equeste made afteI' 7:00 am will be made the nczt :.)Orkin:J day. I /1
Your City Designated Job Nwnber Ia: q I m r; L.1/
ReauirDd InsrD~~:r.nA
. 0: SITS INSPEC':'ION: To be madll after
e;r:cau:ltion, but pr>ior tc Set up of
, forms.
'0 ' UNDERSLAB PLUMBING. ELECTRICAL &
MECHANICAL: To be made before any
LJOrk is ~ovcred.
-0
FOOTING J FOUNDATION: ' To be made
after tl'enchos are e;r:cavated and
forms are erected, but prior to
pouring concreto.
D
U.'IDFRGROUND PLUMBING. S::wER. W,1TE!l,'
D!?AINAGE: To be made priOl' to fit-
lir.g trenches.
D
D
D
PRAHING: Mu3t be reque3ted after
appl'ovaL of l'ough pLwrbing, eLectri-
caL & mechani~aL. AH 'f'Oofing
bracing ~ chimneys, st~. nr~st be
completod. No LJOrk is to be con-'
cealed 'until thio inspection has
,b6en made and, approved.
0, INSULATION/VAPOR BARRIER INSPECTION:
To be made aftel' all insulation and
required vapOl' carl'iers are in place
cut cefore any lath, gypswn board 01'
w~~ covering is applied, and before
any, inaulation is concealed.
D DRYWALL INSPECTION: To be made
after all drywll is in place,
but pl'ior to any taping.
O MASONRY: Steel lo~ation, boiui
, beama, grouting or vel'ticals in
aocol'dance with U.B.C. Section
2415.
L
WOODSTOVE::, Aftel' installation is
ccmpleted.
DEMOL-ITIO!I OR .'1017!) 3Un::.'1cs
::J Sanitary SetJE!' oapped ::t p:,oPO:!'t":i Zir.e
~ Septio tank p~~d ~~ fil~ed ~i~h ;ra~el '
--, final - .f/hen above it;::ns are c:;r.rpleted .
--.J ar.d when dema~itior. ia cor.r;;leto1 01' struc-
ture moved ard pl'~~aJs CJ~eane= up.
Mobile Hemes
~ Blocking and Sat-~p,
~ Plumbing connections -- sauer and Wa~el'
--, Electrical Connection - BZockir4, set-up
--.J and plwnbing conr.ections tr...at ;;e tZ??roved
befol'c l'squesting eleJ:riCJa~ ir.spection
.=J AcceSGol"d Buil.di~
J
D
CURB & APPROACH AP!?ON: After' forms
are ereoted but prior to pouring
~01U:l'e te. '
--, final - Aftcr.porc.1:es, sk::rt'irlf, decks,
-.-J etc. are comp~etea.
o
~A~l project conditions, such as ,the installation of s~reet tl'eea, c~~ZJtion of ;rtS
$, 'l-equil'ed landscaping, etc., must be satisfiad bofol'e tr.e BIJILf)I,~'C FI.'lAL ~an !:e l'Jquest3d.
nN.4L BUILDINC: The Final Buitding Inspection must be requeoted after :rte finaL ?!umbilt{J
Electrical, and UechanicaZ Inspections have been mads and appl'oved. ,
0, FINAL PLUMBING'
'iATI- FINAL MEr:HANICAL
~ FINAL ELECT!lICI.L
o
D SIDf:fIALK & DRIV'E:flAY: Fol' all con-
crete paving within streot right-
of-way, to bc made after all exca-
vating complete & forrn'lJOrk & sub-
, base material in place.
o
,I'ENCE:' ~'her. ,compl"te -- Provide
gates 01' movable sections thl'ough
p.a.E.
AALL f.fANHOLES AND CLEANCUTS MUST BE ACCESSIBLE, ADJUSTHENT TO BE M,1DE AT NO COS'i' TO CITY I P;;'ie of 2
o
IJCb ,Nwnbcr:
I Zone:
Refcrer.ce Nwncers:
L-COC II:
Interior
COl'1ler
Setbacks
I House ' Ca.1'age
Access.
^~:~. Bedrooms:
",,,:,,,,",,.,
rt$ytl~i7I' Sources
I Heat'
I Water Heater
I Range
Fireplace
Woodstove
T!lpe
Occupancy Gro.
Type/Cor.st:
,-
Lot Faces -
Lot Sq. Ftg.
,:; af lot Coverage
II of Stol'ies
,Total Height
I
I Topography
I
I
I
lITEM SQ.FTG
I Main
WT TYPE
Panhandle
Cul-de-sac
P.L.
North
East
South
West
,.- Fees
X Value
Building 'Value & Permit
This permit is granted on the express condition that the said construction'
shall, in all respects, conform to the Ordinance adopted by the City of
Springfield, including the zoning Ordinance, regulating the construction
and use of buildings, and may be suspended or revoked at eny time upon vio-
lation of any provisions of said Ordinances.
Garaae
Carport
Accessor.l/
IS.D.C.
TOTAL VALUE
(val.ue)
1.5 x '
*
Building permit
Total Chargea
*
Plan Check Fee:
VatePaid:
IReceipt II:
I Signed:
State Stu'charge
lITEM
I Fixttu'es
Residential (1 bath)
NO.
FEE
CHARGE
Plumbing Permit
No person shall construct, install, alter or change any ne~ or existing
plumbing or drainage system in'~hole or in pa.1't, unless such person is the
legal possessor of a valid plwnber's license, except that a person may do
, plwnbing ~ork to property ~hich is or.med, leased or operated by the app~i-
'cant.
Sanitary Se~er
Water
Plwnbing Perrr.i t
State Stu'cr.arge
Total Charaes
I.
.inEN
NO.
FEE
CHARGE '
Electrical Permi t
Res. Sa. fta.
New/Extend Circuits
Where State ~ requires that the electrical ~ork be done by an Electrical
Contractor, the electrical portion of this permit' shall not be valid until
the Zabel has been signed by the Electrical Contractor. '
\
Temporary Se1'1Jioe
Ele~trical Permit
State Stu'ohar(1e
Total Charges
I *
IITSM
I furnace ETU' S
I Exhaust Hood
I Vent Fan
I Woodstove
NO.
FEE
ClIARCE
Mechanical Permit
Permit I3suance
Total Charaeo
-- E:NCROACHMENT --
/}::3CXd
,. I.,()~
/)[0 ;)"-
(" .~ *
....-
Ne~hanical Permit
State SurcharGe
SeC"..tri ty Daposi t
PlAn E:raminer
uate
Storage
I Naintenanae
Total Cllaracs
I HAVE CAREFULLY EXAMINED the oompleted application for permit, and do
hereby certify that all information hereon is true and correot, and I
further certify that any ar.d all ~ork performed shall be done in acaor-
dance 1J1ith the Ordinances of the City of Springfield, and the La;,}s of the
* State of Oregon pertaining to the work desoribed herein, and that NO OCCU-
PANCY ~ill be made of any structure ~ithout permis3ion of the Building Di-
vision. I further certify that o:lly contractors and employees ~ho a.1'e in
c~~pliance ~ith CRS 701:055 will be used on this project
Permit
i eurbeu t
: I Sidew,1lk
~F;'en~e
Electrical Label
"Mobile Home
I ~_ d ~,1?_ .1 . /-.
'U/~N~/ -,
OJ/o J)S * ~igned {/V- ~ ,
.- ,- ..- . '"
D!(./i(Jj1f
_, TOTAL AMOUNT DUE: 4
Permit No: q }()()0( /I
Address: c9,-~ \ -\~~
Issued by~'_ffi~ Date: J--;.~q/
FOR OFFICE USE ONLY
~, , , ,STATEMENT:
INFORMATION NOTICE TO PROPERTY OWNERS
, ABOUT CONSTRUCTION RESPONSIBILITIES
,Note: Oregon Law, ORS 701 ;055(4); requires residential building permit applicants
who are not registered with the Construction Contractors' Board to sign the
following statement before the building permit can be issued. Licensed Architect
,and Engineer applicants, exempt from registration under ORS 701.010(7), need
not submit this statement. This statement will be filed with the permit.
Fill in the applicable blanks, and initial box 1 and either box 2A or 2B:
/
1.1~1
I own, reside in, or will reside in thecomPlet~d ~structure.
My genera,1 contractor is \'(\\.~\\() ~"- ~
Contractor registration number ;;n:':/J9C)
2. A. 1'~c'l
I willi nstruct my general contractor that all subcontractors who work on
the structure must be registered with the Construction Contractors Board.
OR
B. I I will be my own general contractor.
If I hire subcontractors, I will hire only subcontractors registered with the
Construction Contractors Board. If I change my mind and co hire a general
contractor, I will contract with a contractor who is registered With the
Construction Contractors Board and I will immediately notify the office
issuing this building permit of the name of the contractor.
I hereby certify that the above information is correct and that I have read and understand
the Information Notice to Property Owners about Construction Responsibilities on the
reverse side of this form.
/;
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/ 1/ Aj-.~..~ (j "-r J' /f (J .. --/ I
-' Signature 9,f Permit Applicant '---~
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/
/ /SO /vr
/ V ' /
Date
CONSTRUCTION CONTRACTORS BOARD
0244J 1/90
~?~copy TO ISSUING AGENCY PERMI~'FILE
COPY TO APPLICANT
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