HomeMy WebLinkAboutPermit Mechanical 1999-10-26
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
Office: 726.3759
ASSESSORS MAP:
LOT'
OWNER' I/.le-J.J,," ..s~/')\J
-P r-J' I
ADDRESS' . .D. \:Wb( ;21}'1
CITY: s;'A,(,,~
.
BLOCK:
STATE: ' Dk!
DESCRIBE WORK: --=::rJS'1A-UA-..,.-;.......( Cb.< :;;:''R>J~
NEW
REMODEL
CONTRACTOR'S N~ME
GENERAL: ~M: {11>~JI"?6DJ
PLUMBING'
MECHANICAl'
ELECTRICAl'
ADDITION
DEMOLISH
.
JOB NUMBER ..2..2.Ie(~ J
225 Fifth Street
Springfield, Oregon 97477
TAX LOT: fJt./ 1/:10
SUBDIVISION'
PHONE:
941J.-/'-'/.:t.-C}
ZIP'
911'J.:J..
OTHER
ADiJ.SS d K' .
4~d . ./J-.&6€~k
CON ST.
CONTRACTOR #
aegJ~3J-'N,
EXPIRES ..., PHONE
.ik ./f.t&;L
o Rough Mechanical - Prior to
cover.
o Rough 'Electrical - Prior to
cover.
o Electrical Service - Must be
approved to obtain permanent
electrical power.
o Fireplace - Prior to facing
materials and framing Insp.
o Framing - Prior to. cO,ver.
o Wail/Ceiling Insulation -:- Prior to
cover.. ~'
o Drywall - Prior to taping.
. ".
o Wood Stove - After l~stallatJon.
. 0 Insert - After fireplace approvlll
, , and Installation of unit.
. ,
/
r 0 Curbcut & Approach - After
forms are erected but prior to
placemont of concrete.
o Sidewalk & Driveway - After
excavation Is complete. forms
and 'sub-base material In place.
D Fence. - V\then completed;
D Street Trees - Wh~n all required
trees are planted.
ATTENTION:Oregon law requires you ?tFICE USE -
QUAD AREA- fOllowrulesadootedbytheCA'I"l!JlJoSi!:!ilj' NOTICE: FLOOD I'LAIN:
Nollflcaflon Center. Those rules 1'lr0 "At forth
# OF BLDGS: inO.^.R9S2 301 E::;~Jthrougtl'aA'f1u~d~~ul_ THISPERMITSH~iIOO?iREOEifHEWORK
OCCY GRoup,0090. You mav obtain copiefC0rlisn'l,lm);~ AUTHORIZED UNDFffi=T~~M1T1S NOT
caliir;g the center. (Note: the IAlenhone COMMENCED OR I~ ARANnnNl=n F=nR
# OF STORIES: -""""se I 'n' e u .,.,I:lEl.\c .sOURCE: SlOC'ON)j)\1iY FIl:Ai:
~""'. r Qr,.... '''ilon t~"Yi~otlTlcallon ANY 180 DAY PERIOD.
WATER HEATER: Center IS 1-800-3::l2-i'lA<N'GE: _ SQUARE FOOTAGE:
To request an Inspection, you must call 726.3769. This Is a 24 hour recordIng. All Inspections requested before 7:00 a.m. will be
made the same working day, Inspections requested aHer 7:00 8.m. will be made the fOllowIng work day.
REQUiRED INSPECTIONS
o Final Plumbing - When all
plumbing worl< Is complete.
, ,
o Final Electrical - When all
electrical work is complete.
IQ Mechanical - When all
Vhanical work Is complete,
o Final Building - When all
required Inspections have been
approved and building is
~ completed.
6Jthor0u# ?
Sfwb A-W ~.
"
MOBILE HOME INSPECTIONS
o Blocking and ~et-Up - When all
blocking Is complete.
o Plumbing Connections - When
home has been connected to
water .3.nd 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 all required
. Inspections are approved and
porches, skirting, decks, and
venting have been Installed.
(
o Temporary Electric
o Site Inspection - To be made
after excavation, but prior to
setting forms.
o Underslab Plumblng/Eleclrlcal/
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
placement.
II
D Underground Plu"rnblng - Prior
to filling trench. I.
, \:.
o Underlloor Plumping/MechanIcal
- Prior to Insul4tlon or decking.
~
o Po.st and Beam .;- Prior to floor
Insulation or decking.
. ,
'. ';' ,t,
o Floor Insulation - Prior'to
decking. \ ,
\ '
o Sanitary Sewer - Prior to filling
trench. .
o Storm Sewer - prior to HIling
trench. ,
o Water L1no - p'rlor to filling
trench. ~ \ ". '.:
. ,
o Rough Plumbing;....... Pri?r to
cover. \
;'...:0:."...-
,
,
"
Lot (aces
"
Lot sq: Itg.,":
Lot coverage
Topography
Total height
BUILDING PERMIT "~I
ITEM
SO. FT.
Main
\.,.
\
Garage
Carport
,,\\ \,'
, .
Tolal Value
Building Permit Fee
Stale Surcharge
TOlal Fee
Lot Type
.
':\ "..' .~-:{;..~l".,t..j.,~,~,~ .
'I :'.\ -~'~;'l I,,: l.' .+,!:fl,}l;...'!;i l,. .
. ':', ;;,.gl:.\,;. .
Setbacks' ,
HSEIGAR
'-,
.
}"i':
Interior
Corner
Panhandle !:
Cul.de~sac.
."
"
"t
. ,,','
'.,'
I' P.L.
IN
Is
W
~-T
VALUE
"
~,
SYSTEMS DEVELOPMENT CHARGE (SDC)
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
Exhaust Hood
Ven t Fan
X $/SO, FT,
(A)
(B)
FT:
FT.
FT.
'.,
(C)
N'
Wood Stovellnsert/Flreplace Unit
-
Dryer Vent
~/lu;('~_j; I.tr
.Mechanical Permit' .
'~,. " .
Issuimce
State Surcharge
Total Permit
S'T~
(0)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
It
Curbcul
It
Demolitlon
State Surcharge
Total MIscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrical)
(A. B. C, D. and E Combined)
FEE
"
J('~
rv. CI 0
{. J'U
2(,.~
ACC'
\ tit THE PROPOSED WORK IN THE,
"'HISTORICAL DI!3TRICT. OR ON
THE HISTORICAL REGISTER?
If yes, this applicatlon must be signed
and approved by the Historical
. Coordinator prior to permit issuance.
I
1
I
. ,A,P.PROYED'
BUILDIN~G V~Lcl'E, PLAN CHECK
AND BUILDING PERMIT
This permit is granted on the express condition that the said
construction shall, in all respects, conform 10 the Ordinance
adopted by the City. .of Spril~gfield'l including the
Dovelopment Code, regulatlng the construction and use of
buildings, and may be suspended or revoked ,Bt any time
upon violation 01 any provlGlons 01 Mid ordln'aneaa.
Plaf1 Check Fee:
Date Paid:
Receipt Number'
Received By:
"
Plans RevIewed By
Date
Systems Development Charge is due on all undeveloped-
properties within the City limits which are being improved.
ADDITIONAL COMMENTS
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 Ordinances of the City of Springfield, and the Laws
of the State of Oregon pertaining to the 'work des-.:rlbed
herein, and that NO OCCUPANCY will be made of any
structure wi thout 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 ~nsure 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
:~g:::u:~jIJ:sv ~ro ~7li~ )
DatP/;-~-91 If 'L~
, (/
VAUDATION:
RECEIPT NUMBER 0 3~fJo"
DATE PAID 10/;'{'/'11
AMOUNT RECEIV~D 2(,...j:o
RECEIVED BY ~tJ J