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Home My WebLink AboutPermit Mechanical 1998-9-25 RESIDENTIAL PERMIT APPLICATION Inspections 726.3769 Office 7263759 SPRINGFIELD L-h. .IIi: ~ (1 .J ~,p" k;:: I-~ ASSESSORS MAP LOCATION OF PROPOSED WORK , 7<;'6:> jrtD 2-06 12- LOT OWNER J-I'7i'hAl1dJS k:.",P?A) ADDRESS <'7<{n /',</< R" k >:~- (l , ~ 1/ CITY . /"" ..,;; r < C DESCRIBE WORK ;;A~ /k... /, rJ,;, ADDITldN ~h,~ / ;J""k- I-k.-./n { DEMOLISH __ OTHER NEW REMODEL CONTRACTOR'S NAME Ow,U-R.... 1 / ( GENERAL PLUMBING MECHANICAL ELECTRICAL ~'C,\ JOB NUMBER 97//'17 225 Flflh Streel Springfield, Oregon 97477 /,0 q'L/"!P TAX LOT SUBOIVISION ;;oc.;OD , BLOCK ~/tLs.R/~nc / STATE /) ;;Z PHONF ZIP Q)</7.F- ADDRESS CONST CONTRACTOR # EXPIRES .... PHONE - OFFICE USE - t tJnTIf'.S:' ATTENTION Oregon law requires you 0 Q~"''rl A~' . OR,J.AND USE folio'" rlll"~ ~dopted ~~5@9.\W Utility bH1S PERMIT SHAl.l i:XPIHt: It' I tit: W l\ NotlflcaltOn Center Those rules are sertonn # AUT~~~tt:lJ UNIJt:r\ I MIS PERMIT IS NOr OF UNITS In OAH ~bi!-UU I_0010ti1ffii1~2-nnL OCCY C;;f.!.Q.lJ.~ - . - 'l~'l'r 't;f: FOR CONSTR TYPE 0090 You fY'~y obtain €~~~ rules by COMMl:NI.i u un 10 1'\13" ... , calling the center (Note the telephone # ~N,!ST~SI:'Py H.RIOn HEAT SOURCE numoertormeOreg&fOOIlt~WltWatiQn WATER HEATER RANGE "'.<>ntArIS 1-8~?~bTAGE To request an Inspection, you must call 7263769 This Is a 24 hour recording All Inspections requested before 7 00 am wltl be made the same working day, Inspections requested after 100 a m will be made the (ollowlng work day o Temporary Electric o Site Inspection - To be made after excavation, but pnor to setting forms o Underslab Plumbing/Electrical I Mechanical - PrIor to cover o Footing - After trenches are excavated o Masonry - Steel locatlon, bond beams, grouting o Foundation - After forms are erected but prIor to concrete placement D 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 Final BUilding - \^,hen all reqUired Inspections have been approved and bUilding IS completed (Q;) C~ Prior to ~IRED INSPECTIONS /1-' R-.-dh Mechanical - Prior to ~~e~l o Rough Electrical - Prior to cover D Electrical Service - Must be approved to obtain permanent electrIcal power D Fireplace - Prior to facIng materials and framing lnsp D Framing - Prior to cover D Wall/Ceiling Insulation - cover o Drywall - PrIor to taping o Wood Stove - After Installation D Insert - After fireplace approvlll and Installation of unit D Curbellt & Appro;:tch - After forms are crpc...ted but prior to placement of concrete o Sldewall{ & Driveway - After excavation Is complete, forms and sub base material In place D Fence - When cOlnpleted o Street Trees - When all requ,lred trees are planted _ ".. Fl al Plumbing - When all lumblng worl{ Is complete D FInal Electrical - WIlen all electflcal work IS complete /n F~I MechanIcal - When all ~chanlcal work l~ complete , t'Y/ MOBilE HOME INSPECTIONS D Blocking and Set Up - When all blockIng Is complete D Plumbing Connections - When home has been connected to water and sewer D Electrical ConnectIOn - When blocking set up and plumbing Inspections have been approved and the home is connected to the service panel D Fmal - After all reqUired Inspections are approved and porches, sklrllng, decks, and venting have been Installed , , Lot faces Lot Type Lot sq ttg Intenor I PL IN Is SetbaC"ks HSEIGAR I I I ACC I I I IS THE PROPOSED WORK 1N THE HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? If yes, this applicatIon must be signed and approved by the Historical Coordinator prior to permit Issuance Lot coverage Corner Panhandle 1 Topography Total height Cul.de-bac w ---- E APPROVED ITEM SO FT X $/SQ FT VALUE , . \1: BUILDING VALtJE, PLAN CHECK AND BUILDING PERMIT BUILDING PERMIT t Main This permit IS granted on the express condition that the said constructIon shall, In all respects, conform to the Ordinance adopted by tho City of Springfield, 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 Garage Carport Plan Check Fee Date Paid Total Value Receipt Number BUlldmg Permit Fee Received By Slate Surcharge Total Fee (A) Plans Reviewed By Date SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Development Charge IS due on all undeveloped propertIes within the City limits Which are being Improved PLUMBING PERMIT ITEM ADDITIONAL COMMENTS FEE Fixtures ResidentIal Bath(s) N' Sanitary Sewer FT Water FT Storm Sewer FT MObW r/~m. Total Charge (C) I~~"u '1,>, 7( It, VJ Plumbing Permit State Surcharge MECHANICAL PERMIT Furnace Dryer Vent t7/,/S Wood Stove/Insert/Fireplace Unit If!,.b- fle<..1lA- G /K 5T../k! 2,0 V 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 Ordlllanc~s of the City of Springfield, and the Laws of the State of Oregon pertaining to the work described herem, and thai 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 701055 will be used on this project Exhaust Hood Vent Fan N' /J / /2P V Mechanical Permit Totar Perml( (D) I),()O /0, (JO -,/(/ If U,ZJ 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 on the sIte at all times during construction SlgnaturJ )(l ~.!II\ A e. r?f!o.QP,~_', ( Issuance State Surcharge MISCELLANEOUS PERMITS MobIle Home State Issuance State Surcharge Sidewalk ft Datp 9-...i:'f-Qg Curbcut ft DemolitIon State Surcharge VALIDATION RECEIVED BY o ~/5 31 '1/2 s- Ie; If ';7'-12.4- () / AVtJ~ TOTAL AMOUNT DUE (excluding eleclrlcal) (A, B, C, D, and E Combined) '12-l.{v RECEIPT NUMBER DATE PAIr> .AMOUNT RECEIVE'D Total Miscellaneous Per/THts (E)