HomeMy WebLinkAboutPermit Mechanical 1999-10-22
OWNER: I.-e.r:> _ <:v '::Lne7 lAJOtcJAp_r
ADDRESS' ~;:J /$ L[J. ('.p~el__J)h If,/?__ .
CITY: S tOft (\Q-he..l STATE: n t<.
u "-.) ...
DESCRIBE WORK' fh~fu 1.A m()j es<.-h 'c ~~ P/1"
NEW REMODEL ADDITION DEMOLISH ---f.J-_l)OTH~R
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769 '
Office: 726.3759
ASSESSORS MAP:
LOT:
CONTRACTOR'S NAME
GENERAL:
PLUMBING:
MECHANICAL:
'(Y\avshalA ~
ELECTRICAL:
,I'
BLOCK:
-j'"
JOB NUMBER q 9lss--- tj
'225 Fifth Street
Springfield, Oregon 97477
TAX LOl:
U)'SI'JO'
SUBDIVISION:
PHONE:
rJ Lf fn-/~ 74
J
Cfr;477
i nSerr
ZIP:
ADDRESS
CONST.
CONTRACTOR It
EXPIRES ,:") PHONE
L{IIO ()llr'flc ~ ~-Ad. ~~~7~ '747-7Cf!.{i
- OFFICE USE -
QUAD AREA: LAND USE: ATTEN1'IOl\lF~0Q@ribi?.A!FN?qtmes you k.
follow rules adopted bv the Oreg9n UWity
If OF BLDGS~/Ct:-: It OF UNITS: ,". ....'t.onC.eZONING,COD.E,:..... --_._.,.8_.......
a'lV'. l\lumlvul t!LI:I!. !Iiv;::ic 'i.:IIVu,",-,,,,,,-,v, ,....,.' ,
OCCY GROUfHt~ --. CONSTR. TYPE: in OAR 952-00~-G'FiBIDF.fM'S'ilh OAR 952-001-
If . v r-CHIV// r SHAll EXPIRE IFtThf~@8" . 0090. You may' obtain copies of the rules by
OF STORI ~TIclOn/ZED Uf'lUt:H 'HIS PERMIT CEo l;dl-::I "J the c~~R:9.~Rtm':.\~1~1fjl~~:-;~~..c
WATER H EAOOMMF:NCED on IS ABANDON~~N8i:~OT number for trSQ~A~IR@!F~o~~<fE9tlflcatlon
'~oc)j;'~'Pl::H/UlJ FOR - . Center is 1-800-332-2344).
To-reqlJsst an !nspecllcn;-you must' call 726.3769. This is a 24 hour recording.Alllnsp'ectlons requested-before 7:00 8.m, -Will be
made the same working day,' Inspections requested after 7:00 a.m. will be made the fOllowing work day.
.REQUIRED INSPECTIONS
o Temporary Electric
o Site Inspection - To be made
after excavation, but prior to
setting forms.
o Underslab Plumbing/Electrical/
Mechanical - Prior to cover.
o Footing - After trenches are
excavated.
o Masonry - Steel location, bond
beams, grouting.
o Foundation - After forms are
erected but prior to concrete
placemont.
o Underground Plumbing - Prior
to filling trench.
o Underlloor Plumbing/Mechanical
- Prior to Insulation or decking.
o Post and Beam - Prior to floor
Insulation or decking.
o Floor Insulation - Prior to
decking.
o Sanitary Sewer - Prior to filling
trench.
o Storm Sewer - Prior to filling
trench.
O Water Line - Prior to filling
trench.
. ',,-
o Rough Plumbing - Prior to
cover. '
o Rough Mechanical - Prior to
cover.
o Rough Electrical - Prior to
cover. .
o Electrical Service - Must be
. approved to obtain permanent
electrical power.
o Final Plumbing - When all
plumbing worl< Is complete.
o Final Electrical - When all
electrical work Is complete.
o Final Mechanical - When all
mechanical work Is complete.
o Final Building - When all
required Inspections have been
approved and building Is
completed.
o Framing - Prior to cover. /' _J /'
~Other (r~ I~
o Wall/C'elllng Insulation - Prior to
cover.
o Fireplace - Prior to facing
materials and framing Insp.
o Drywall - Prior to taping.
o Wood Stove - After I~stallatlon.
o Insert - After fireplace approvl!lf
and Installation of unit.
o Curbcut & Approach - After
forms are erected bllt prior to
placemont of concrete.
o Slde'walk & Driveway - After
excavation Is compiete, forms
and sub.base material In place.
o Fence - When completed.
o Street Trees - When all required
trees are planted.
MOBILE HOME INSPECTIONS
o Blocking and Set.Up - When all
blocking is complete.
o Plumbing Connections - When
home has been connected to
water and sewer,
o Electrical Connection - When
blocking, set.up, and plumbIng
Inspections have been approved
and the home Is connected to
the service panel.
o Final - After al/ required
Inspections are approved and
porches, skirting, decks, and
venting have been Instal/ed.
Lot faces
Lot sq., ftg.
Lot coverage
Topography
Total height
BUILDING PERMIT'
ITEM
SO. FT.
Main
Garage
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fee
Lot Type
Interior I P.L,
IN
Corner
Panhandle 'l~ . Is
Cul.de-sac W
E
ot
X $/SO. FT. .. VALUE
"
(A)
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
PLUMBING PERMIT
ITEM
Fixtures
Residential Bath(s) N'
Sanitary S~wer
Water
Storm Sewer
Mobile Home
Plumbing Permit
State Surcharge
Total Charge
, MECHANICAL PERMIT
Furnace
FT.
FT.
FT.
(C)
Exhaust Hood
Vent Fan NO
Wood Sto~~~
Dryer Vent
Mechanical Permit
Issuance
State Surcharge
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
ft
Curbcut
ft
Demolition
State Surcharge
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrical)
(A, S, C, D, and E Combined)
FEE
Ie tI,
Ie> ()"
1< ru
UIU
.... '"j'; :\~i \;
Setbacks
HSE GAR ACC'
.HE PROPOSED WORK tN THE,
. "HISTOAICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
If yes, this application must be signed
and approved by the Historical
Coordinator prior to permit Issuance.
I
,--
APPROVED:
. ". . \~.
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit Is granted on the express condition that the said
construction shall, In all respects, conform to the Ordinance
adopted by the City of Sprlngflel.d, Including the
Development Code, regulating the construction and use of
buildings, and may be suspended or revoked at any time
upon violation of any provisions of said ordinances.
Plan Check Fee:
Date Paid:
Receipt Number:
Received By:
, '1
Plans Reviewed By
Date
.
Systems Development Charge Is due on all undeveloped
properties within the City limits which are being Improved.
ADDITIONAL COMMENTS
1 .I . .11,. . --:- '1. ""'
"V.a--, lA c:;-'.:',ry"~/Lf 05 . ~~
By signature, I state and agree, that I have carefully examined
the completed application and do hereby certify that all
Information hereon Is true and correct, and I further certify
that any and all work performed shall be done In accordance
with the Ordlnanc~s of the City of Springfield, and the Laws
of the State of Oregon pertaining to the work described
herein, and that NO OCCUPANCY will be made of any
structure without permission of the Building Safety Division.
I further certify that only contractors and employees who
are In compliance with ORS 701.055 will be used on this
project.
I
I further agree to ensure that all required Inspections are
requested at the proper time, that each address Is readable
from the street, that the permit card Is located at the front
of the property, and the approved set of plans will remain
:::::u:~. at a:1~~J1:~
J
VALIDATION:
RECEIPT NUMBER D"5?7 6 z
DATE PAID /o/zr( fr /!
AMOUNT RE;CEIVE~ .;;".:s-v f/ .
RECEIVED BY tt.iI L! ~