HomeMy WebLinkAboutPermit Mechanical 1981-10-10
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CO~BINATION/APPLICATION PERMIT
CITY 0: SPRINGFIELD
225 aO""!TH 5TH ST.'?EET
SPRI.-JGFIET-D. ORE:C-ON 97477
auiZdi~~ Divisio~
726-3753
-- SPRINGFIELD-
"- \. RECEIPT # .s- 7St'S-C/
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Job Location:
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g L &E 13,E;"Lt.-E.
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Subdiv!. sion:
.<I.8S13880rS Nap II
/7-{) 2-;-32- -tJ"3
OIJner A/' c.../~ \J h:.D/Vl ,,~,C
Addzoes8 S /O.AA 12
City S P PJ..D
T= Lot II CS- ff tta
Phone # 7'/~.S7S-(
Zil'
Describe Work
vJo-o-O ~
I I AVe..'
I I Addi tion
r I Remode 1.
Contractors Name
Addzoes8
G"ene.ra Z.
PZumbing
Electrical.
f.1echa1:icc1.
Constru~tion Lander
~ ~ /tJ-/6 ~r/
Authorized Ci~d Agent
Li8C;;
Phone #
Expires
REQUIRED INSPECTIONS
It is the responsibility of the permit holder to see that all i~spections are made at the proper time, that each address is
readable from the street, and that the permit card is located at the front of the property.
~ All manholes and cleanouts are to be adjusted at no cost to the City
SITE INSPECTICN: To be made after FIREPLACE: Prior to placing ~acing I ~STOVES: After ins"tallation ~
excava"tion, but prior to set up of materials and before fra~ing ~nspec- ~ i~v~ompleted.
fO~3. tion.
illIDERSLAB PLUMBING. EU:CT?ICAL &
MECHANICAL: To be made before any
work is covered.
FOOTING & FOU/lDATION: To be made
after trenches are e::cavated and
forms are erected, but prier to
pouring concrete.
UNDERGROUND PLUMBING. SEWER. WATER.
DRAINAGE: To be made prior' to fil-
ling trenches.
mlDERFLOOR PLm1BING & MECHANICAL:
To be made prior to installation of
floor insu13"tion or decking.
POST & BEAM: To be ~4de prior to
installation of floor insulation
or decking.
ROUGH PLUMBING, ELECTRICAL & MECH-
ANCI~L: No ~ork is to be covered
until these inspec~ions have been
. made and approved.
FR..l\.MING: Must be requested after I
approval of rough plumbing, electri-
cal & mechanical. All roofing,
bracing & chim~eys, etc. must be
completed. No work is to be con-
cealed until this inspection has
been made and approved.
CURB & APPROAC? APRON: After forms
are erected but prior ~o pouring
concrete.
SIDEWALK & DRIVEWAY: For all con-
crete paving wi"thin street righ~-
of-way, to be ~4de after all exca-
vating complete & form work & sub-
base materi31 in place.
INSULATION/VAPOR BARRIER INSPECTION:
To be made after all insulation and
required vapor barriers are in place
but before any lath, gypsum board or
wall covering is applied. and beforel
any insulation is concealed.
OTHER INSPECTIONS: may be required
in accordance wi~h Building Code,
to be indicate~ in ;la~s or by no-
tice from Building Inspector.
DRYWALL INSPECTION: To be Il\3de
after all drywall is in place,
but prior to any taping.
MASONRY: Steel location, bond
beams, grouting or verticals in
accordance with U.B.C. Section
2~15.
FINAL PLUMBING
All project conditions, such as the installation of street trees, cornpl~tion of the
required landscaping, etc., must be satisfied before the BUILDING FINAL can be requested.
FINAL ELSCTRICAL
fINAL BUILDING: The Final Building Inspection must be requested after the Final Plumbing
Electrical, ~nd Mechanical Inspections have ~een made a~d approved.
I ~L MECHANICAL
No occupancy of the premises can be made until the Final Building Inspection has been
mad~ and approved, and a CERTIFICATE Of OCCUPANCY HAS BEE~r ISSUED BY THE BUILDING DIVI-
SION ~~D POSTED ON THE PREMISES.
PROCEDURE FOR INSPECTION REQUEST: Call 726-3769 (recorder)state your City designated job
number, job address. type or inspection requested and when you will be ready for inspec-
tion, Contractors or Owners name and phone numbers. Requests received before 7:00 a.m.
will 'be made the sa~e day. requests made ~fter 7:00 a.m. will be made the next working
day. YOUR CITY DESIGNATED JOB NUMBER IS: ?fIe 7:A f
Page 1 of 2
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P3ge 2
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L-COr, ::
IJOB NUHEER
I ZONE
,
REFERENCE NPMBERS
OCCUPANCY GROUP
TYPE/CONST"R.UCTION
BEDROm-!S
;'io~.; Sr;.:;ve
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Lot Square :tg.
~~ of [.ot Covered
# of Stories
':'ota~ Heigh-:
:'o?ograph.y
[.ot
Ty;;e
Interior
COl'7'ler
Par:hand~g
Other
['ot
P.T.,.
Nor"':h
East
South
West
Setbacks
Faces:
I HOllse
(jarage. Acco:?sa I
"
i
(
I Energy SO:l.~l~es
"ent
I ::.;i:er Heater
I pange
, ?oo~
,
::.!'::::''.,.c~a
.::;O..~'
FEES
BUILDING VALUE/PERMIT
1."17. "'tn. 1.~121.."t
ISq. rtg. (Jarage
Isq. Ftg. Carport
ISq. Ftg. A~ce~so':Y
Isa. Fta.
Va~ue
.r:
Pe":'lTi t CIla~es
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n
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This permit is granted on the express condit~on that
the said const;ruction shaZZ, in a~Z res=ecu, conf:)I~
to thB O!'dinar.ces adopted by the City 0;' Sploof.nqfiel-d,
inc~w:iing the Zoning Ordinance, ref!"..L~at-:.ng the con-
stro..u:tion and use of "bo.lil-dings, ane"lay :,e $"..Lspendea
or r~Joked at any time upon vioZati;n of an? previ-
sions of said Ordinances.
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r
r
8ttl'!:p. SU.l'f"!hf'fT't7p.
S~stem Deve~orment Charae
11.5::: !labe
- I
Plan Check Fee
Date Paid
Receipt /I I
I -
j
TOTAL CHARGES
PLUMBING PERMIT
INO.
I
,
fEE
CHARGE
P"i.:tul'es
No person shaZZ construct, insta~~, aZter or change
ar:y net.I or ezisting p~umbing or drc::.nage system in
who~e or in part, unl.ess such perso~ is the :ega~
possessor of a va~id p~umber's Zicer~e, except that
a person may do p~umbing work to proper~ wr.-:.ch is
owned, ~eased or operated by the appZicant.
f{ater Service
S!lni taro) Sf!J',]er
SUBTOTAL
State Surcharge
TOTAL CHARGES
\.
ELECTRICAL PERMIT
Nt).
. FEE
CHARGE
TOTAl, CllARr./?S
Where State LaJo.' requires that the e:act:-icaZ work be
done by an EZectrica~ C?ntraator. the eZect;:o-;caZ por-
tion of this permit shan not be vaZi.d until. the ~-
be~ has been signed by the El.ectric::.t. Contr~tor.
The EZectrica~ Safety LaLJ does not requ~re ::. person
to obtain a ~iaense as an e~eatrici= tI1".d/or e~ec-
triea! CO"ltr!zctor to make an e~ectr:.caZ ~ns;.:ZZ::.tion
on prO?erty which is owned by himse:: or a ~zmber of
his immediate famiZy which is not ir.tenied :-:1' saZe.
lease or rent.
Sa. FootaQe
!Jew or E.ti:ension/Cir-:uit
Te:':r-oo!"O..l"'f C/7":struction
SUBTOTAL
Str.zt'1 Surcha:rr.re
MECHANIC.4.L PERMIT
l~l().
FEE:
CH.4RGE
F'uronace - BTU'S
Exhaust Hood
Vent Fan
Wood Stove/Heater
SUBTOTAL
Statc Surcharqc
TOTAL CHARGES
E!lCROACHNENT
Se~ty Deposit
I Storage
I Maincnanae
I F",..,,;t
I TOTAL AMOUNT DUE
I
j C'..lrb-:ut
I Sidewalk
~ F~ncg
I~~ectriaal [.abe~
I
/1 ~/6'- i)
Plan Ezamin~r Date
I HAVE C.1REFULLY EXAMINF:D the comp~eted application for permit, and do
hereby certify that a~~ information hereon is true and correct, and I
further certify that any and a~Z work performed shan be done in aacozo...;
danae wtih thB Ordinances of the City of Springfie~d, and the LaLJs of the
State of Or<::gon pertaining to the wo:!'k described herein, and that NO OC-
CUPANCY wiZZ be made of any stro..lcture without permission of thB BuiZding
Di7}ision. I fu.rther certify that on.Zy contractors and empl.oyees who are
in comp~ianoe with ORS 701.055 wiZZ be used on this project.
'tOTAL AUOU!lT DUE
~~~~~4f~-
~~onea Jate
Bui~ding Division approved p~a'"l sha~~ remain on the Building Site at aZZ
times.
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