HomeMy WebLinkAboutPermit Mechanical 1982-11-8
RESlrfN'TIAi'~:
APPLICATION/PERMIT
225 North 5th Street
Sp~:~4field3 Oregon 97477
Building Division
726-3753 .
4JLz_7":~ .aJ~
, \ q Da ?J~~?J T; Lot #
~/~~ .
_=5/01 ~~-U~Phone.: 4R.s- -%t/-9<L
, Q
IL_1_LA (I/ll/ Zi;J: 9' 7'1O,S-
Job Loa~tion:
A8~eSOOr$ Nap ,#
Suhdiv':'sien:
0~'ner:
A.dt:bess:
City:
:"~~
Add:.ticn
RemodeL
-.,.
0940( p
Desoribe riork:
,'!oo':' Le .'fome
~~ -w:::::Jft
Date of AppLicatien
:';ontTcc::ors
GeneraL
PLwnOinq
ELeotricaL
,
,--
Address
Liso.#
Const~~ction [,~na.er
{f)Lu/---U &~/
/d.. t,- /4t:.S'"
Neohar.ic:: L
Rcce~pt ,if.
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~
. ~
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c . Ll(j)~
v "gr.eal]') .
Date: - ',1/ ~. -~{),
Eroir~s
Phon~
[tcis the res~onaibiLity of the permit haUier to see that aLZ inopeations are ~ade at the proper t~~€. that eaah ::ddress is re~b:e
from the street, and that the pcrmi t ca.:rd i8 7..xated at the f1'C7lt" of the property.
'3ui~i~~ ~vi=io~ approved F~ shaLL remain on the BuiZding 5it$ at aLL times.
P:?OCEDUPE -"'OR INSPE:CTION REQUEST:CALL 726-3769 (recorder) state YOUI' City designated job mw,ber,
requested a~-d when you wiZL be ~eady for inspection, Contractors, or Owners r~e ::r~ pr~ne number.
:.'iU be made th€ same d.c.y, requests mc.de afta' 7: 00 am wiU be made the n:;;xt :.JOrking day.
~eaui~~d !nscpct~cnP
o
SITE I.,SP~C':':()N: To be made after
excav~tion, but prior t~ set up of
forms.
o
UND~RSLJ..2 ?LlN.fBING. EDFCTRICAI. &
/.!ECHA:JICriL: To be made befo~.g any
work is .:::o,vcred.
o
POOTI:'IG ~ ?OUNDATION: To cem:zde
after trenches~e exc~Jated arA
terms are ergcted., .?ut prier to
pouring c~ncret~.
UND;':;:?G:~O!J!!D ?~UM3r;;G. S::'.R.='. ::.i.1TE'.'?
DRAINAG::: To oe made pT'";er ~o fiZ-
l ir~ trenches.
[]
0-
UNDERFWOFl !,!,i;.'..'BI.'IG -1 N2CHANICAL:
To be maCe orier to in3tcL~tion of
floor insukHen or decking. .,~
POST AND BEAU: To be made pT'";or to D
instaZLation of floor ir~~Laticn or
deckinq. .
D
o
o
p.o~;c;:: ?!J.~.'!E!;lG. ?!..ECT.F:?!C.4!:. .1 .',fECH-
AfJIC.J.!.: :'10 :Jork 'ia to be co~'el'ea:
untiZ tr.cse ~r~vec:io~s hcv~ D€en
maie cr~ ~pr?ved.
PP=;PLACE:: ?!'ior to Fl.c.cir~ feeing
me~eT'";aZs a~~ before framir~ inspeo-
tio~.
'0
[]
P.9...4HING: Mu.st 'be reque::;ted c.f=e-r
approval of rough pLur.~ir~, aLectr-;-
cal j mechanical. .HZ "1'Oofir~
bracir~ j chim'neys, etc. ~~St be
.aomvLe~cd. No ~rk is to be con-
'cec;:Zed un:;i L thio inspection ras
. been made end epprdved.
Your City'Desigr.ated Job Number Ia:
D
INSULATION/VilPOR BARRIER INSP'XTION:
To oe made after all insuLcti:m cr~
reauired varor barriers are in D lace
but before any lath, gypsum bodre! or
waU oovering is cppLied, cr~ before
any insulation is conceaLed.
JOO adtiress~ type of" in3!)ec~icn
Reo/~ests received b~fere" 7:00 ~
<68'dJ=\5
DnfOLITIOH OR ,'.,Orr:::; 3UILDI,IGS
~ Semi tar'J se".Jer :!ap?ed Cot p~op;;r8' Line
=:=J Septi:! tank p~~;;d end fiLLed with ;r~>eZ
I Find - rlhen cbcve ite...::s lX!'e compLeted
~ and when de~olition is com~Zete or st~~~-
ture moved ar~ ~r~ses cLe::ned u~.
. Mobi l.e Homes
:=J
~
:J
BLocking ar~ Set-~p
PLumbing connections
sc;wer c:r.a water
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DRTwALL INSPECTION: To oe made
after aU cir'JwaU is in place,
but prior to any taping.
ElectricaL Connection - BLockir~, set-u~
and pZumoing connections m-....st i;~ cpproved
beforG requesting electr-;cal ins?ectior:
o
,~SO~~,Y: Steel Location, bond
beam::;, grouting or verticaZs in
accordanoe with U.B.C. Section
241&.
::J Accesse,;; S~ad.ir.g
I Fin=Z ~ Aft~r ;~rchesJ
~ etc. are ccmpLet;;d.
3 K":.,:t'!;'7,.ng, dec~:s.J
After instaLlation is
D
ALL proj.ect oonditions, suc~ es the installation of street ~rees, ~~~lc~ion of tas
required landsccping, etc., rrrust be satisfied before the BUILDn/G PINAL ~an be reques~.:zd.
!Ii .
L-J. FINAL PW!$I:1G
C:=J _ PINAL !1E::HA,'lICAL
D. ?INAL ZLECT.~IC~L
[J
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FINAL BUILDING: The Final BuiLding Inspection must be requeotea ~fter the,Pir~l ?lur.bing
EZectrical, and Meaha~iccl Inspections ~~vo been made ar~ apprcv2i.
'AU, MANHOLES AND CLEANOUTS !fUST BE ACCESSIB!-E, ADJU5T,'S./T .TO BE: ;'.~1DE i1T :'10 ::75T TO CITY
FB & .4.t""PROACH APPON: Afte:, forms
c::re ere::ted but i:n~~or to pourir~
oo=re te.
SIDEWALK & DRIVeWAY: For aU cen-
crete .paving wi&hin street. right-
of-way, to be made after aLl exca-
vatina comvlete & foI':77 '.JJOT'k & $uO-
base-:netePf,aL .in pla::e.
D
FENCE: .~en.compL~te -- Provide'
gates or movabLe sectiens through
P.U.E.
o
I ::;~'-e
-
of 2
I JOB NO,
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1 Zone:
Lot Sq. Ftg.
,~ ~f let C~erag~
I
! # of Stor""~es
I TotaZ Heicht
i "
I Topogl'CZ?hy
IT2:.J
I,\lain
I C~~ca
i
1 Car:.-cr-t
I SQ.?TG
i .
I .'l.c~essor".)
I
I
I
IS.D.e. 1.5:::
!
TOTAL 'lAW::
(VCf..ur;)
EuiZdir:.g Permit
State Surchcrrge
Total Cr,a;>ges
IIT~N
I FL-tures
IResidential (1 bath)
I
I Sanita.!"j Sewer
I ;(at~
I
Plumbing Pern:it
.....
State SU1'cr.arge
Tetal Ciu:::raes
lITEN
IRes. So. fto.
N~/Extend Circuits
I Temporary
Service
Ele~trical Permit
State Surcharce
Total Charces
I .IT2M
I FW'?Ulce 2TU' S
I E=haus t Hood
I Vent Pan
I .
, woodsto:;e
I
PeT'rflit Is=e
Mecr,anical Permi t
I State Surchcrae
I
I Total Ci-<.t:::T(]t:3r;
t -- ZNCRCACSNE~'lT
1_. .
,~e~~r""_~ Depos~t
I Stor(]ce
I Maintenartce
I PCI'T7rU;
I Total C'tU:r(]es
I Curbcut
I Sidel.JG lk
I"
J ~.en~e
I El.zcr:rical
i Mobi le Home
Labe l
NO. I FEE
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I
i
I
I
;10.
I
I
,.
I ::e./ F:::E
I
SOLAReCE S S R EQ.~.:::qC 2
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{~ ~L/'
TOTAL 4~OUNT DUE:'
GC~..l'Canc~ Grour;:
LeT TY?E
Ir:terior
Corner
Panhandle
Cul-de-sac
x
Value
CHARGE
;':;"1';'
C~=-ijJ-1.qCE
CHARGE:
..-<: to ...tJ
/O.M
1.5, aU'
(p J I
1.51.0 I,
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I
I
I
I
I
I '
-3/~O
. L-COG~
T:,-oeICor:st:
3eaooms:
Lot ?a.ces -
Enerau Sour-~es
Hear;
TU'OB
P.[;.
Worth
East
South
IWest
Setbacks
I .'io"se I Ca:raqe
I'
I I
I I
~/ater .~'ea-;2?1
Range
Fireoi.ace
Wc;oa3tOt:e
I Access.
P;;es
Building Value & Permit
j
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I,
This permit is granted on the e:::press aondition that the said,construction
sh~Zl, in all respects, aonfoZ'm to the Ordinance adopted by the City of
Spring,;f~eZd, incZwiing the Zoning Ordinan.ce, r-eguZc.tir'.g tf18 ccnstr:tct:.cr..
and ~$e of buildingS3 end m~y be suspended or revckec at cr.~ t~~e U;DY'. vic-
lation of any provisions of said CTdir~nces.
I
Plan Checl<. Fee:
Date Paid:
IRec~ipt #:
I Signed:
T
Plumbing Permit
No person. shall construct, install, alter. or change c:ny new or e;;:isting
plumbing or drainage syste~ in ~hole or in part, ur:Zess such person is the
legal possessor of a valid plumber's Zicense, e=cept tr,at a person may do
plumbing work to proper~~ which is owned, leased or, operated by the appZi-
cant.
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I '
Electrical
Permit
Where State Lc:uJ requires tr.at the electrical work be done by an Electrical
Contractor, the electrical portion of this permit shall not be vaZid until
the label has been signed by the Electrical !::ontractor.
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Mechanical PermH
Pian E;;:=~ner
l.'ar:e
I HAVE CARE:FULLY E:XAMIN'CD t,rw completed application for permit, and do
hereby certify that all information hereon is true ard aorrect, ard I
further' certify that any ad alZ ~ork pei'j'or:ned sh~ll be done in accor-
dance with the Ordinances of the City of Springfield, and the Lu~s of the
State of Oreeon Der~inina to the work described herein, cr~ that NO OCCU-
PANCY will b~ ma2e of any" st!"~ctU1'e without permission of the 3uildir:g Di-
vision. I further certify th~t only contractor's ~:d ~lcyees who a:re in
co~pZiance with CRS ?Ol.05E will. be used on this project
/.~~ ~ l2~o,,," 1// ?/fCZ