HomeMy WebLinkAboutPermit Mechanical 1982-11-8
.. RESIDENTIAl--
APPLICATION/PEFlilT
225 North 5th Street
Sp~:ngfieldJ Oregcn 97477
Building Division
726-3753
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Job Locati:m:
''&'', 4- \?{\ ~~~'~. ~.:.50~ '~\,
\ \) Dd3~~ ~ T= wt # N:;4,'7
Asaesaor;; ,\!ap 'i
Subdi:;isien:
~-ner: u. 'YCRQf'1\-r )
Md.~es3: \?t4C?\ \. D \ f\'\-~
City: \. ~J,__ \. ~\ Q_JM ~
\\
Phone: 4 C()CCr &io%
Zip: C/04() ~
) Desoribe f.'ork:
t)lOQWJL t0exxLS+oUES
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Addi t:ien
Remod.el
".!oo~!a .~cma
Date of Appli~=ien
Conr;rccr;ors
General
Plumbinq
~lectric:::fJ'\
,\!6ch..""T.ic.= k 1 ), I f"4 flS2 J
VaZue
( OC:-fJ. 00
Address
'11} . '
L lf1lJn1DA~
CO"st~~ct~an L~nde~
R~~~i~~d !~3cpctic~~
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SIT~ I.'IS?~C':':.-]N: To be made aj't2!'
e=cav~ti~n, but prier =~ se= up of'
forms.
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UND!;:?SL:..e ?L&?fEI.1IC, 2DcC':'.~ICrlr. j.
j~;'ECF:'AaiC~~: To:.,e maae be..tcyog c.ny
wo'Pk. is -=c"'Jcrec.
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PCOTI'IG ~ :'OU:IDA'J':C.'I: To ce ,=c.e
aj''::er trencr.es are .z=cCT.Jated ar.d
ferms are el'€ctad, .?ut prier to
pourir4 ccnc~et~.
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UNDrFlc:=?or};,!D p~[jY2r;G. SE:;.r::P. ;';,1T2.'?,
DRAI~AGZ: To be maie ;~cr ~o fiZ-
Zir.g -crer:cr.2$.
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UNDERPr.QO.~ ?:.r;.t.~T:lG ,j Y:;CH.4~VICAL:
To ce maC8 ~ricr :0 ~n3~aLZation oj
f100r insu~.ien or cecking.
?'JST AND 3E:A,'1: To be mac.e ;:>r-i01'. to
ins.all.:;r;ien 0;' floor ir.3t.;i:zticr. 01'
deckin:;.
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J.~oeG;!.:' ?!..r.l~'!EI;'.iG. ~:ZC":'P!C,~!: 1 .',EC.1'-
ANIC.J.!..: .1/0 ~orY.. :.,; :::; :;c co:.:;;rec.
un~il :r.csa :r~=ec=~c~s hcvq b~er.
nk~e ~4 =P?l'O~~~.
FI.=:~P~AC2: Prior to 9ic=ir.q f:::.cing
mc!;el'"';a~s er4 bc:jore f'rc:r.rir.a inspec-
tior:.
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PR.1}~I.~,r;: Mu.:;t =e ~e~ue3ted cf'"';al'
ap?rov~l of rough ?lur.~ir4, aZectri-
cal ~ mecr.ani.:aZ. Al! :!'Oojir4
bracir4 3 chi,T.n~us, et.:. ,~~S!; be
. conroZe:cd. ;\10 ~l"k is to :,q con-
'cea'Zed ...n!;il ;h~s in8Dec~en ras
.been made enc. c?proved.
c--< )/ ) <-J
(Y'") ,4 I 01-___
~
(\01 tot. i~.l
\ \J ~ I) r; ly M KS
is rea.::a1J:e
Your Ci~i' Desigr.c.ted Job thunber Is:
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INSULATION/V/tPO." 2ARRIE,;? IHS?'::C'J'ICN:
To be ma.de a.f'ter a lZ insu Z-=:.ti:::m a7'4
raa-...ired var;or ba::tTiers aTe in D lace
but before any lath, gypsum bem.c. or
waZl cove1'ing is applied, cr.d before
any insulation is concealec..
.=:cce:?= ::
~q '-1 LI L-/
[~. is ~he resFGnaibili.=y of ths permit holder to se.e that aLZ inf1pections are r::ade at :he proper tim~, that ~:::ch dd:r8S3
from the street, ar.d that the PCI'm';t ca..'"'<i is kcated at the front of the property.
'3ui~i~~ ~vi~~o~ C?;roved ;~ sr~ZZ remain on tr2 3uiZd~ng Sita at ~ll times.
?.'?OCEDUPS !,'OR niSPE:CTIO!l RE:QUSST:CALL 726-3769 (:!'ccorde1') state YOUI' City desigr~ted job n:o;;ber,
requested a~.d u~en yeu wiL~ be :-eady jor inspection, Contracters.or ~-ne:-s r~e ar.d ?h~ne n~cr.
.....aT- be rr.ade the same d.t:.y, requests mGde aft.;;:r 7:00 am !JiZZ be made the n=t :.J01'kinq O.a.y,
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D.'?7',./AU, INSPE:CTIO,V: Tc be' mace
~fter all CriwalZ is in place,
out prior to any tapir.g.
f~~
Sio/.,t:h ~;;J
Date: II, 13-R9 ..)
Lisc.#
Ezvir[]$
Phon;;
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location, cond
01' vertic~~s in
U.E,C. Sectien
JOO adcress, type of ~n3~ecticn
Re~~ests received b~feI'e' 7:00 ~
~r;)~6~lo
DENCLITION OR ~~~'OVE: 5UILD:iiCS
=:J Sani'::ary se'..Jer cC?ped at p~opcrt:j 'Zine
~ Septi.:- .tank p~~cc. ~4 fiZZed with ~::?eZ
~ P~nal - ~~en above ite~s are cc~Zeted
~ a~d when de~cZ~tion ~s compZete or st7~~-
ture ~oved ar~ ?r~~3eS ~l8~ned u=.
Mobile l~c::;es
~
:=J
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Block~nq ar.d Set-~p
Plumbing connections
s.o:wer c:r.d water
MASO,'IRY: Steel
oeam.3, grou-;inq
~::ccordan~e wi~h
241&.
'-OODS'J'O'lE: After installat~on is
ccmpZe!;;;d.
D CUPB ,~ A.c"'P.r?OACH 4?.oOII: After forms
a:Z'e erecl'ed Qut prior to pcur;"'4
co=rete.
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SIDSf/ALi<. d DRIT;;r";A Y: Fer a lZ cen-
orel'e pavi"'4 uil'hin street right-
oJ~W::Y, to bc made af'::er alZ e:::ca-
vating complete & f"or::r !."O!!K. d ~u..O-
base mc~el'"';al in i?lace,
SZectl'"';cat Ccnr.ec'::ien - Blockir~, set-u;
and "0 ~tunbina canr:e~tions Trr..,;.st =e c::J~!"~r:e~
before requ~st:ng eZec=~~cal ins?e~~io~
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?~NCS: When comDl~te -- Provide
ga"as 01' movabZa' sect~cns through
P.U.G.
~ Ac~e~sc~~ 3u~Z~~r~
~ final - Af'::~r ~~pcr.es,
. .... :...-.-.. ~_.........J
,et__. . are ,-,-"".pZi:;:; ....~l4.
cee~:.3 ,
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3J<.::..:,"'::.ng,
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AlZ p~ojac~ c~c~:~onsJ J~C~ cs ~he ins~aZZa~~on of street ~~es~ ~~.~!a~:Qn ~f =~
required laru::.'3cc:pir.q~ etc., .?rUst be sa-cisf:.cd. bc-J......ore ti;e 3UILDI;~'G ?!;','AL -=cn be r2q"oJ.:3st:3C.
c=J _ FI.'tAL PWXBD'G
[J. FDA!. NF:':."!A.'IICAL
[]. FINAL ~~EC':.f?!Cri:'
CJ
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PI~~L 3UI~DING: The Fincl au~ld~~4 !r.s?ecti~n ,~st O~ re~~e$ted ~j:~r tr.e :~r~l ?!~bir~
~leccricaZ, and ;~earn~ic~Z :ns?e~t~cnG have been mace cr~ ~;prcv~~.
.AL~ MANHCL2S AND CLEA.t'!CU';'S :1!U57'
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3E AC::ES5I2:'cJ .4Eu~UST:~:.',!, ;:0
32 ,'.~:~D~ ...~7'
!IO :::5':' TO
1;>-'-02
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t;I':'?
JO B NO.
:~a:
ILot Sq. Ft;.
j. ~f Z-~ ~over~~-
j4 ~~ ~ _~~
!.i of ;;toz-:.es
! ::'otaZ .:!aicht
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I :'opogrCl? hy
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I~~ca
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IS.Doc.
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7'OT.4~ :'ALU2
1.5:::
I :;a~u;:)
Building ?enr.-; ~
Sta~e Sur~harge
To~l Cr.c.:ogea
?=;e 2
':L-COG~
SOL A Ft ~ C C E S S R E Q.-
CC~..J.=a7"'..c"..J Gr~;..l:;:
I ~c't _-::z~tJs -
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I 2,:', i h'o:.se
Illor1;h
lEas t
I SOl< th
I;;;est
T'dpe/ConS1; :
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3edzo~or,:s:
11-::::11 "10. I
I F'i...-::ures
!Resid.mtiaZ (1 bath)
I Scn'ita1"f SeuJer
I ;;a~e:!'
Plumbing Perr.:i t
State Surcr.c.rge
Total O.c.rces
FE2
lDD-1
I."?es. So. fta.
N<:ul/Ertend Cir~~its
Terr:porary Service
Ele~tricaZ Pe~t
S~te SUJ'or.c.rce
TotaZ Ci>.a:!'ces
I ,-7' ":'.',f
?:lrr..::zce ETU' 5
I E:::lu:rus t Hood
I Vent Pan
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, -"oodsto:;e
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Perrm-t Is=e
Meor.c.n-:ca l Per'm"~ t
State SUJ'chc:roe
To~c! ~rC!'"'Jq:J
-- z.~rCI.~CAC!;,.~~:/':'
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ISe~~~~t~ D2~03~t
I Storo:J.qe
Il~a-::'n.tencr~8
I PC!'m"; t
I Total ~~r7es
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1........:>C'.l~
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/ 2!02c;rica.l La};el
. : ,lfobi la Fiome
TOT.~!' ANOU.VT DU~:"
LeT ""'~,r:,:"
Ir:tericr
COI'1'!er
Panhandle
Cul-de-sac
X '1aZue
CiiARGE:
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C.:'ijJ~qG2
CHARGE
,-:?Qy
/0.00
/.~OO
G,O
/~O
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IS h 0
I , 2nar~J Sour~es
J' .'feat
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I':.J::g
Setba~K.s
I Cc.rar;e
I Access.
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~'/at:::"!' _~. qat.zr
Range
Firevic.ce
Wooa:;tov8
tlt";
F:Jes
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Building Value & Permit
This pe~t i8 granted on the e=Fress aondition that the sdid.const1".lcc-:on
shall, in aZl respects, aonfo~.tothe Ordinance adopted by the City of
Sprin.af:eZd, -:.nc!u.ding the Zon.in.a Crd-:ncn.ce, l'eG'"".{Zc.tir:.a the ccr..str:{ct"~cr:
~d u;~ of buildings, end m=y ce~ $uspep~ed or r~vcked ;t cr.~ ti~e ~;Qn vic-
lat-:on of xny provisions of said Ord-:~.c.nces,
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Plan Check Fee:
Vate Pa~d:
IReczipt #:
ISig-ned:
Plumbing Permit
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No person shalZ const!"~ct, install, aZter or change any ~~w or e:::-:s~ing
plumbing or drainage syst~ in whole or in part, unless such person is the
legal possessor of a valid plumber's license, e=cept tr~t a person may do
plumbing work to proper~d which is ow~ed, laas<:d or operated by the appli-
cant. .'
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Electrical
Permi t
Where'State [,c::IJ requires tr~t the electr~caZ work be done by an Electrical
Contractor, the eZec~r;cal portion of this permit shall r.at be valid until
the label has been signed by the Eleotrical Contractor.
Meche nical
Perm~t
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Plan Z=::::niner
l)aCa
I HAVE CAREFULLY rXANItlE:D the corrrplated ap?l-:cation :jor permit, and do
hereby certify that all iniormat~on hereon is trua arA correct, arA I
f.<rther c2r~ifii that any a~A all >,Jor,1( per;'om:ed sr.c.ll be dO:'le in ::ccor-
dance ~t;h the Ordinances of the City of SpP'1~ngfi;:;l.d, and :h~ Lcrw:a of' th3
· State of Oregen p$r~ining to the work described here-:n, ar~ the:" NO OCCU-
PANCY wiZZ ba ma.ie of any st1"~ctura without ?arm~s3ion of the 3u-:lding Di-
vision. I further ~ertifd tr~t o~Zy ccntrcctars ar.d ~Z~yees ~h~ erg in
co~pZ-:ance w-:th CRS ?Ol.05E will be used on thia proj$~t
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