HomeMy WebLinkAboutPermit Mechanical 1982-11-8
.. RESIDt'NTIAL..
APPLICATION/PERMIT
225 North 5th Street
Springfield, Oregon
Building Division
726-3753
L~~~~~O~':.'a" 4\'~~_'\~\f)\~~' ...,,,.
\ i)J)::J~ 9)~ T= Lot # nf}.4 ( lfl
97477
Job
Asaesaorz Nap l;
Suhdivisien:
~XLQ f" 1\-r )
Vl4~ \.0 \Y\~
~~.?\~-~
Cl.--ner: U.
.4dd:!'ess:
Ci ty: \.
Phone: 4 ~CCr lo(o4?,
Zi;;: C/ 04n~'
...~
t~Oft'~~~S1o~
!/"!'.J
Addi ticn
Remod.el
".foo-':' la .=Ieme
Date of AppZication
Contrccr:ors
General
Plumbing
i ~lectricat:1\
I Nechar.ic.::kUtJ 0 11 0 .I
I. Const1"'Action L<:nder
VaZue
(o~ l 00
Address
OJIt1A11JaA~
~)/)<.J
(Yt") .41 Ct-J.
,
l\D1 tff'L. I Id vc
\'~ ~ l)~~
Rcce:.pt .if.
-Qqq Ll4
, "I
f~~
Si~,dJ~;J
Date: II ~ B-71.9 ~
Lisc. #
Enir2S
Phone
It.is the resFonaibili~y of the permit hoLder to see that alZ inapections are made at the proper t~~~, that ~ach .::ddress is re~Ze
from the street, and that the permi t card is kcated at the front of the ;;roperty.
'3ui!di~4 ~vi=io~ ap?roved plan shalZ remain on the Building Site at all times.
JOo aCeress, type of ~nspectien
Reo/.lests received befere 7:00 ~
?,,?OCSDURS paR INSPECTION RSQUEST:CALL 726-3769 (:!'e~order) state YOUI' City desiqr..::zted job number,
requested ar:d when ycu wi! l be ready for inspection, Contracters or O!omers 'r.cme and phone numbci>.
:.>ill be made the same dc.y, requests mc;de aftc;.~ 7:DO am uJill be made the n~t ;;;orking MY,
~ ~~~~~
R~aui~~d !nsv~ctic~s
o
SITE INSPEC':'ION: To be made after
eXcavation, but prier to se~ up of
forms,
o
UNDgRSLAB ?LL?,fBING, EDECTHICrlL d
MECHA:IIC,J,[,: To be made before any
work. is ~ovcrec..
o
PGOTI?IG :! POW1DATICN: To be mace
after trenches are exc~Jated and
ferms are erectad, but prior to
pourir~ ccncret~.
D.
UNDrRG.~OUND ?['UM3T:VG. S'2'.RP, W.1T'2.'?,
DRAINAGF: To oe ma.ie pr'T~or =0 fi l.-
lir.g trenchez.
0-
UNDERFLOOR !'':JRrsnlG oj NE:CHANICAL:
To De made Dricr co instaZLation of
11001' insu~r:ien or decking.
o
POST AND 3EAM: To be made ::>rio:!' to
insr:aZlaticn of 11001' i".8IOi:zticr. or
deckinq.
D
ROUGE ?Lm1BIVG. ~~ECT?~CA~ .j ~~CH-
AHIC.J..L: No ~oT'k is to Dc co~'ereti
until thCS8 ir~vec~ic~s have beer.
made era .~pr?ved.
FIPEPLACE: F7io~ to pZc.cir.g feein.g
ma!:eriaZs ar.d before jramir4 inapec-
+-'
v1.on.
o
D
FR~!ING: 1~3t ~e re~ueated after
approv~Z of rough ;;Z~~in4, eZect~;-
cal & mecr..c.nicaL AlZ roofir-.g
bracir.q 3 chin:n;;ys, etc. Ir.'..lsr: be
. comvZe!:ed. No '~rk is to be con-
, cea'Zed until this ins!:1ectien ras
'been made and approved.
Your City. Desigr.c.ted Job Number Ia:
D
INSULATION/VIIPOR BARRIER INSPECTION:
To be made after alZ insuZation ~a
requ.ired vapor barriers are in place
but Defore any lath, gypsum board or
wU covering is applied, era before
any insulation is concealed.
Dfl.!OLITIO:\' OR ,'.lOVE;:; '3UILDIiiGS
~ SanitC1"d s~~er capped =t p~op<:rrd Zine
==:J Septic tank p~~;;d and filled with gr~,eZ
~ Pinal - ~~en abcv6 ite~s are ccmpZetec
~ and when d~~oZition is co~Zete or st~~~-
ture moved ar~ pp~~3es ~Ze~ned U~.
I MoDi l'e Hcrnes
~
=:J
Blocking ar.d Set-up
?lumbinq connectiQns
s.cwer ar.d wa:er
D
DR'fWALL INSP'2CTrON: To be made
after aU d:rywaZZ is in place,
out prior to any taping.
~ EZect~;cal Connection - Blockir~, set-u~
--.-J and 'OZzunbina connections IT.A.st =~ c-:>~rat:ed
before requ~sting eZectrical ins?ec~io~
=.J Ac.::es$o.l.'~' 3uil:i-=-r.q
~ Final - Aft~r ;~rcr.es~
~ etc. are c.=mplet;;d.
ded:s,
o
,~SONRY: SteeZ location, bond
beamG~ grouting or verticcls in
~~;~~:::: ~;:e:' :~~a::::: is
cc....roZeted.
. D CUP~ & AI'PRCACH AP,OON: After forms
are erected but p!>ior to pcu.Y'"'~n4
.::oncre te.
D
SIDEWALl{ ,.; DRIVEf-lA'f: For aU cen-
crer:e paving within street right-
oJ~wcy) to be made aft~r al! exca-
vatinq comviete & fo~ work & sub-
base ~c.tertal in ?la::e.
.3 K.":.,!''C:,ng ~
o
AlZ project conditions, suc~ ~s the insr:aZlatien of street ~ees, ~~.~Ze"ijn of the
required Landsccpi~q~ ctc_J must De satisfied "bel ore the 3UILDING :I~AL ~cn be r2~ugst3d.
D. FnlAL PWXBI:IG
,i,,[J.
FINAL ME::HA:1ICAL
D. ?INAL ELECTRICAL
[J
o
PINAL BUILDING: The Find Build~ng Inspection ,':7Ust be req>..<eated ~fter the ?ir.al PZ..Jmbing
ElectricalJ and Mecha~iccL Inspecticno have been made ar~ cpprov~~.
D
?~NC'2: When com!:1Zete -- Provide
ga!:es or mov~bZ~" 3ect~ens through
P.U.E.
~ALL MANHOLES AND CL~ANOUTS NUST BE: ACCE:S5I3LE, ADJUST;'.S:!'!' TO 32 ".fADE /1:r' !'fO :::-57: TO CI'?Y
o
?=::e
of 2
I
i JOB NO.
!~
! ;.;.C?!e:
Lot Sq. F~.
,~ ~f lot C~er~g~
Iii' -t .
'.. oJ ;;; or-..es
I.~ .. 1 u ' ,
.. o"a. ..e1.cnt
i "
Topogrr:l?hy
I IT~"./
INa~n
I~~ca
I
! Cxr=art
I SQ. FTC
I,
I .-!c~esso!'''.J
IS.D.c.
I
TOTAL ;'AWE:
IVc.t..ur;}
1,5 :::
Building ?e~~t
. State Surcharge
Total Cr.tL~gea
! I'I'::N NO.
I Pi... --ture s
I .'.J . I b
iRes~ant1.al ,1 ath)
i Scnita1"j SeuJer
I ;;a~e:!'
Plumbing Pern:i t
State SUI'cr.arge
Total Ch.c.rces
I lTD.! . ,yo.
I !?es. So. fta.
IN<:ul/Ertand Circuits
I Temporary Service
Electrical Permit
State Surcharce
Total Ch.arces
172M
I :iC,
?:.a'r..::zce ETU' S
E:::lu:rust Hood
l Vent Pan
I .
I ;Joodsto:;e
I
Perrm-t 13=2
Meor.c.nic:::: l Permi t
I State Surchc:roe
I Total Charaea
I cNC;.-::CACE:.1,fE~'.'T --
1_, ,
l;;;eC'~I'"_tu D2~OS1.t
Stor~qe
Ma-:.ntenc'l'..ce
I Permit
Total ~~r7es
SOLAR
CCC"d.'Can.c'".J Crou.~:
x
F~E
,
I ^._' ..
I ,-"",':JC'.l.
I Sidz:,;a.l7<.
I
I?ence
I E:lecr;rica l
: .\fobila Home
La}; el
I TOT,4,!; tu'.!OUNT DUE:'
P:::ge 2
- L-COG~
C E S S R EQ.-
LeTT'!?E:
Interior
COI'1'!er
Panhandle
Cul-de-sac
Value
CiiAP.GE
C.:i;J.RGE
CHARCE
S.oo
10.00
Lr;-O 0 I
(PO I
IS-Zo I.
/.5100
I
I
I
I
j
,
__I.
Type/Consr; :
3edI'ooms:
I Lot Faces - I I 2n2!'au Sou!'~es TZ!"C8
I Setbacks j I Heat;
, P.L. I h'OUS2 I Caraqe , Access. I ~/ater
.=:gatar
[North I I j I Ranqe
lEast I I I I Pi peoiace
ISouth I I I I Wooa:;tov8
IWest I I I j
Fees
Building Value & Permit
This pernr~t is granted on the e=rress condition that the said_const1"~ction
sh.c.ll, in aZl respects, conform to the Ordinance adopted ay the City of
SprinafieZd, -:~ncZuding the Zonina Ordinance, reauZc.tina the ccnstr:ict~~Cr..
and ~;~ of buildings, and m~y ce~ suspe~~ed or r~vcked ;t cr.y ti0e ~?or.. vic-
lation of any provisions of said Ordir.c.nces,
I
I
i ·
I
J
I
I.
I
Plan CheCK Fee:
Date Paid:
IRecc;ipt #:
ISi{P':ed:
Plumbing Permit
No person shall construct, install, aZ~er or change any r~w or e:::isting
plumbing or drainage syste~ in ~hole or in part, unless such person is the
legal possessor of a valid plumber's license, e=cept tr~t a person ma~ do
plumbing ~orK to properbd which is o~~ed, leasc;d or operated by the appli-
cant.
Electrical
.. '..00;
Per m it
Where State [,CJ.1) requires tr.c.t the electricaZ worK be done ay an Eleatrical
Cont7'O.ctor, tJuz electrical portion of this ?ermit shall not be valid until
tJuz label has been signed by the Elect:rical Contractor.
Mechanical PermH
Plan Z=cniner
/)ar;e
I HAVE CAREFU[,LY EXAMINeD the compZeted application for permit, and do
hereby certify that alZ injormat~on he:!'eon is true ar~ correct, and I
f..l.I'ther cer~ij"y that any ar.d all r.;ork per;'omred shali.. be done in accor-
dance with the Ordinances of the City of Springfic;Zd, and th~ L~~s of tha
· State of Oregon pertaining to the work described herein, ar.d that NO OCCU-
PANCY wilZ be maie of any structure without permission of the Suilding Di-
vision. I further ce:!'tifii th.c.t O:'lZy contractors and e::rplcyees r.;r..o are in
co~pliance with CRS 701.055 will be used en this projzat
I
I
j
X~ck~~./
.::J1.{fza
.
il/RJt'~