HomeMy WebLinkAboutPermit Mechanical 1999-2-26
OWNER: iJAL.t2 C/r/\/,/Jj;JA 'J
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ADDRFC:~" ;;:;'6'" ~AV
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RESIDENTIAL
PERMIT APPLICATION
-.
Inspections: 726.3769
Office: 726.3759
LOCATION OF PROPOSED WORK: 2)
J 7 () '52-2. tl4
ASSESSORS MAP:
LOT:
CITY:
SPRINGFIELD _~"
.
9fIJ 2-72-
JOB NUMBER
225 Fifth Street
Springfield, Oregon 97477
Cb ~ h1/1
I
TAX LOT:
{11 2. OI.J
BLOCK:
SUBDIVISION:
PHONE:
7~7-7~w ~
STATE: _1'J."e.
ZIP:
974'77
DESCRIBE WORK:
&/1sL//'IE: "&-45 ~ .5~UE" $ 6rl-.:s aJJfTc~~rE~
,
NEW
REMODEL
ADDITION
OTHER
CONTRACTOR'S NAME
GENERAL:
PLUMBING'
MECHANICAL:
DEMOLISH
ADDRESS
CON ST.
CONTRACTOR #
l
EXPIRES ,'"' PHONE
4~t:ifelC'~ ~5~U.l17'VC"&~~'77(P Z/
10 -9'7
257'-~~i'~ '
ELECTRICAL:
. _ Oi l-f"'I..",C'nn \::\w requireS yuulv
Al I c:.1~ ,I .- - the Oregon uu.lly
follow rules adopted by ules are set fcmtPFFICE Ui~M~t~o
., r n Center. Those r 1)...00.1- 0
QUAD AR~pt,flca 10 -"'1 n t....f,"ough O/MArG9'Os'E. _ -, .~ -..-r.'U:l: SHALL IEII.€'lfil:m- m 'fJ.'INj' ~ W"R'"
in OAR 952-UU1-VV '! ,. . s of the rules by I nlIJ rl:.nlVlI1 L:;/\rrrn:: lI-T 'I~ '" ..
# OF BLDGSO' A"I \'~" rY'\!:l\l obtam cople t# ,OEdlN\.J"S: !!.' ,.,.., 'Onl"7r-r"\ UNDERV'ollJl~..f(a=Go"i'I'Jt\'EI~ I\llW
\Jr:lV' v_" 4 (Note: the slSjJrlVl:t::I nv III I .......o.J t", .'111.:11 _. ...,'(!"'t '.
OCCY GRoup:calling the cen~er. ~ Utility ~~1iM~'?YPE: ,.,"~nhREI\I('t::r"\ OR IS f\wt0~~iEH)RMS:F()1=l
b r for tne UII:l~"" v "",m", ......._::.1 :rtl' _. - ~
# OF STORIE~um e c~nte.ri~ 1-800-332.23~~)AT SOURCE: .^~;\/ ~r.~ n/:.\ PER!orSECONDARY HEAT:
WATER HEATER:
RANGE:
SQUARE FOOTAG E:
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 after 7:00 a.m. will be made the following work day.
D Temporary Electric
o Site Inspection - To be made
after excavation, but prior to
setting forms.
D Underslab Plumbing/ Electrlcall
MechanIcal - Prior to cover.
D Footing - After trenches are
excavated. .
D Masonry - Steel location, bond
beams, grouting.
D Foundation - After forms are
erected but prior to concrete
placement.
D Underground PlumbIng - Prior
to filling trench.
D Underlloor Plumbing/Mechanical
- Prior to Insulation or decking.
D Post and Beam - Prior to floor
Insulation or decking.
D Floor Insulation - Prior to
decking.
D Sanitary Sewer - Prior to filling
trench.
D Storm Sewer - Prior to mllng
trench.
D Water Line - Prior to filling
trench.
,
D Rough Plum~lng - Prior to
cover. '.
REQUIRED INSPECTIONS
D Rough Mechanical - Prior to
cover.
D Final Plumbing - When all
plumbing wc;>rl< Is complete.
o Rough Electrical - Prior to
CQver.
D Electrical Service - Must be
approved to obtain permanent
electrical power.
Final Electrical - When all
ctrlcal work Is complete.
D Fireplace - Prior to facing
materials and framing Insp.
D FInal Building - When all
required Inspections have been
approved and building is
completed.
r C/f-5 ~
. .
D Framing - Prior to cover.
D Wail/Ceiling Insulation - Prior to
cover.
Uk-!
,
)Pit. vtA...,
@
MOBILE HOME INSPEcrlONS
D Drywall - Prior to taping.
D Wood Stovo - After Installation.
o Insert - After fireplace approvlll
and Installation or unit.
o Blocking and Set.Up - When all
blocking Is complete.
D Curbcut & Approach - After
forms are erected but prior to
placement of concrete.
o Plumbing Connections - When
home has been connected to
water and sewer.
D Sidewalk & Driveway - After
excavation Is complete, forms
and sub.base material In place.
D Electrical Connection - When
blocking, set.up, and plumbing
Inspections have been approved
and the home Is connected to
the service panel. .
o Fence - When cor.lpleted.
D Str.,,' Tr"". - Whlln 1111 rlJqulred
trees are planted.
D Final - After all required
Inspections are approved and
porohoB, IIklrlln", a.ok., anct
venting have been Installed.
Lot faces
'L~t ~yp.
,.
;;..". " f:',;t'1.\,r'~~!i
.S THEPROPOSED WORK iN THE_
"HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
If yes, this applloatlon must be signed
and approved by the Historical
Coordinator prior to permit issuance.
'.. . ~
Lot sq. ftg.
Interior
Setbacks .
P.L. HSE GAR ACC'
Lot coverage
Corner
N
Topography
Total height
';
Panhandle
S
Cui-de-sac
w
E
APPROVED:
,.
BUILDING PERn.JJJT ';'1
.~~ . ,~..
(I (
ITEM
SO. FT.
X $/SO. FT. =
VALUE
. !'.I\"~',., .~,
BUILDING VA LtiE, PLAN CHECK
AND BUILDING PERMIT
Garage
'.
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 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.
Main
Carport
Plan Check Fee:
Date Paid:
Total Value
Receipt Number:
Building Permit Fee
Received By:
State 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 S!3wer
Water
FT.
FT.
Storm Sewer
FT.
Mobile Home
Plumbing Permit
State Surcharge
Total Charge
(C)
J
MECHANICAL PERMIT
Furnace
Wood Stovellnsert/ Fireplace Unit
c:; V"H /
Mechanical perm(t
1)~Uil
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 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.
Exhaust Hood
Vent Fan
NO
State Surcharge
Total Permit
(D)
/U'O~
l(J6r
,
2'. U
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 dUJng .4onstructlon.
Signature t1Jv~ ~
, ,
Issuance
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
ft
Date
ZrzIP-99
,
Curbcut
ft
Demolition
State Surcharge
VALIDATION:
Total Miscellaneous Permits (E)
tJj2-] f~
#
-;/U/<11
AMOUNT RECEIVED I d-.c'J ZIt;!
RECEIVED BY d /,Iv ~
RECEIPT NUMBER
DATE PAID
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, 0, and E Combined)