HomeMy WebLinkAboutPermit Mechanical 1999-12-9
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726:37G9
OU(cc: 72G.3759
ASSESSORS MAP:
LOT:
SPfllNCFIELP 1Xlm~
OLOCI,: .
JOG NUMOEfl
0\'4 ((PC i'
225 Filth Streel
Sprln\J(lcleJ, Oregon 97.177
TAX LOT:
SUODIVISION:
PHONr-'
741-(:;gS7
OWNER: TODD tl Sl-fERR1E Lue-4g
ADDREAs:' /72Lf (!flR.R.JA6E?Uf~E
CITY: .::J 0 Y IN a .{/ el d . STATE: .
I J
DESCRIBE WORI,: c3 ffi PUJ2AJ!ttt. f1 It / (!,/
I
NEW v- REMODEL
DR
. .
ADDITION
DEMOLISH __.
ZIP: _Q1Y77
On-I Ell
--~-._---
CONTRACTOR'S NAME
GENERAL:
PLUMBING: .
MECHANICAL:toWlFDttr PLDW ,/qS/1X>I'\J s.~ 5tf Jt_'
ELECTRICAU:, r-".
rnlinl/I/ r. IIA~ '.,r';,"r,-:,:" "
ADDRESS
CONST.
CONTFlACTOR h
PHONE
. ~'.. ,-. j -. ., '.
",,! oti.j'! Cr. ,,; ~ '..-" :.;r~'; ~ L .
I':'." :~.(:: ('_:''''(:''!''_:~'r'~ 1';~ ' -~'_J
. .'
-'..:'>: :''''-':::,r=:n';',.rPl- OFFICE USE -:...
EXPIIlE.S
410D
~.:.a1 --OJ
'1f)Io~DIlJ)
~n O/.\H ~1~"~'.-i..i:.;'~ ~'. :,' , ' .\ ~\...:' :....-1 ~~f.;~: .t~c ~~"
QUAD A:51:.9.:-5"~. ',';.. c. . ,,;~,,: ~:.: . :;;", Lt),f;:t.9 tYj;3E: _.
~ OF BLDcfs~iling {i~e GG)I'Z"'. "":':"';1' (',i;.:~)r'6rr-:WUNITS:
nurnbertor U1f: Ort"':::50;': t.. .. \\~OWjcatiCrI!
OCCY GROUP: r."",...,.,... :;:""""':,4), CONSTfl TYPE:
NQTI~E: .
THIS PERMIT SHALL EXPIRE IFTHE WORK
---AlJfHORIZEifitl~elVa^hlJ? PERMIT ISNOr
r,OMMENC~g ~~ l? ~~~~pONED FOR
ANY 180 DAY PERIOD.
. ,II OF fJDnMS:
" OF STORIES:
WATER HEATER:_
HEAT SOURCE:
RANGE: ___
SECQNOAny HEAT: ___.....
SQUAnr: FOOTAGE.: ..._,_..~.
To request an Inspection, you musl call 72G.37G9. Tills Is a 2-1 Ilour rccordlng. Alllm:pecl/o"s requested before 7;00 a.m. will be
made the, same worlelng d<.lY, In:;pections requested afler 7:00 a.m. will be made the followlnn worle clay.
REQUIRED INSPECTIONS
o Temporary Electric
o Site Inspection - To be made
aller exctlVa!ion. bu.l prior to
setting turms.
o Underslab P.lumbingl Electrical!
. MechanIcal - Prior lo cover.
o Footing "';"Afler trencllCs arc
. exctlva led.
o Masonry - Steel location, bond
beams, groul/ng. .
o
Foundallon - After forms arc
erected but prior to concrete
. placemcnt.
o
Underground Plumbing - Prior
to filling Irencl,. .
o Underlloor PJuinblnu/MeCI1;mical
- Prior to Insulation or decleing.
o Post and Beam - Prior to floor
Insulation or decldng.. .
o Floor Insulation - Prior to
declelno. '
o SLlnilLlry Sewer ~ Prior 10 filling
trench.
o Slorm Sewer - Prior {o (j(ling
. trencll.
\'.' I.;'
, ,
o Waler Line - Prlor)o fill,i,ng.
trench. '.;
. .
o Rough PI~l11billO ~ 'prior to-
cover. ..,. "
o Rough Mechanic;1I - Prior 10
cover. .
, 0 Rou\Jh Electrical - Prior 10
CQver.
o
Eleclric,1I Service - Must be
approvee! to obtain permanent
eleclrlcal power.
o
Fireplace - Prior lo. fuclng
malerlals and (rarninglnsp.
o FrLlmlno - Prior 10 cover,
O WLlII/ C'ellinglnsulation - prior 10
cover. ~. .
o Dryw.:\1I - Prl~r !0'!.:1pi;1g'.
o Wood Stove - Afler In:>lallalion,
o Insert - After fireplace approval
and Inslallilllon of unit.
o
CurbCllt & Appro;lch - Aller
(orms are crncled bul prior 10
pl<.lcclllent 01 concr(~I(). .
o SidewLllk & Drivew:l\' - Aller
, cxcavillion is complele,' 10rlllS
aneJ :;ul;.bi:lse 'mi'l~eri,ll in plilce.
o Fence - \"mcn completed.,
o ~;troot Tree:; - When all required
Irees arc pl.:lnled.
o Final PlulIll>in!J - When all
plllml)ing w9rl, is complcl,e.
o Fin; Elcctlica/"-INllen t11r
el clriciJl Worll is cornplcle,
(
Fin:ll Mechanical - When nil
mecll:lf,ical worlels complele.
o
Fin;IJOuiltlinu - WI)en all
required in::;pecllons have been
approvcd and lJuilcling is
completed.
o Ol.her
\,
MOBILE HOME INSPECfIONS
o Olocking nnd Set-Up - WI1Cn nil
blocleint) Is complelc. . '
o
Plulllbin!J Connections - When
Ilom(~ l)as been connecled to
wa ler ;.Intl :;eVl(~r.
o ElcclliGill Connection - When
LJlocllin!J. SCI.up. and plumbing
In:;pccllons Il;we: been approved
ilnd .tlle Ilo/no I:; connected 10
111U scrvj co panel.
[ I Finnl - After all required
Inspections arc approvcd and
porcl1es, sl<lrling, dccl<5, and
ventlnnhavc been Installed.
Lot filce:; LOI Tyr Se\bac.l~:; .
Lot SQ.,ltg. Interior' P.L. HSE _GAR' ACC I
Lot coverage Corner N I
---..-. I
Topography Panhandlc S --..--
Total height Cul.cJe.sac; W
.---..... --- ----
BUILDING PERMIT
ITEM SO. FT. X $/SO. FT.
Main
Garage
Carport
Total Value
Building Permit Fcc
Slilte Surcharge
Tolal Fcc
(A)
E
VALUE
"
(0)
SYSTEMS DEVELOPMENT CHARGE (SDC)
PLUMBING PERMIT \
ITEM
r:ixturos
'I . .
. N,'
Residential O:J~h(s) .
:J ',~ .
F'J:
Sanitary S~wcr
Water
FT.
FT.
Storm Sewer
Mobile Home
Plumbing Permi!
Slate SurcharGe
Total Charge
(C),
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan
NO
i,.. .
Wood Stovel1nsert /Flreplace 'Unit
Dryer Venl
Mechanical Permi I
Issuanco
S I a te S,LJ rc Il~lI!l'J
Tolal Permit
(0)
MISCELLAN,EOUS PERMITS
Mobile Home
State Issuance
Stale Surcharge
Sldewall~
rl
Curbcul
rl
Oomollllon
?talc Surcharge
Tolal Miscellaneous Permils (E)
TOTAL AMOUNT DUE (eXCludinG electrical)
(^. 0, c, 0, <Ind E Combil1e(l)
FEE
'-
~6, ~
. :ilQ!_.._~- ._
. -,.r-+ I JS
~~~ I
IS THE PliOPOSED WORI< iN THE,
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
II yes, this application musl be signed
and approved ,-by the ,Historical
Coordinator prior to permil issuance.
APPROVED: .
,BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
TI1is'permit is grol1led ol1lhe express conditionthatlhe snid
construction sholl, in 011 rcspccts, conform 10 thc Ordinance
adopted by lhe City of Springfield. including thc
Developmen\ Coele, re(lulnting the conSlruction <lnd use of
buildings, <lnd m;Iy be suspended or revoked at <lny time
upon violation or :Jny provisions or said ordinLlnccs.
Plan Checl< Fcc:
D:Jle P:Jid:
Reccipt Number:
ReceivN! Oy:
PI:lns ReXcwe(i-'Oy-'-"---'--
Date
Systems Developmen\ Chnrgc is due on all undcveloped
properlies within the City limits which are being Improved.
ADDITIONAL COMMENTS
~'~'-',,,,.f
cf~.~'
\
(
Oy slgnaturC,1 st<Jle and agree, tl1atl havc carefully examined
the completed :Jpplic:Jtion and do hcreby ccrtlfy thaI all
Inrormatlon hereon is true :In(! Gorrect, and I further cerlily
thai any and all work performed shall be donc. in accordance
with tllC Ordinances or the: City or Springfield, (lnd (he Laws
or lhe Slale of Oregon pertaining to the work. described
herein,<)f1d \1101' NO OCCUPi-\I\)CY will be rnacle or any
structure without permission or ll~c BuildInG Si.lrcty Di~ision.
I rur\l1cr ccrUfy lllat only contractors and cmployces who
arc in complionce'with ORS 701.055 will be used on this
project.
I rurlhor agrce 10' ensure t11at all required inspections are
reQucsted at the proper lime, Ih:J.t c:J.ch address Is readable
rrom Ihe slreet, 111:Jt 111e permit card Is localed at the fronl
or the pr~~ty, :Jnc:!-II1C Llpproved sel of plans will remain
on the si e :It , limes 'uring c 1St ucUon,
(I
Sign"", ~. d
Ddte J~~q~9q
VALIDATION:
RECEIPT NUMOn1 ~{I? '3 q --:2---
DAn: PAID, \ ?--~ - C, f
AMOUNT RECEIVr-:D ----$..~ u
RECEIVED OY __...___~