HomeMy WebLinkAboutPermit Mechanical 1999-10-21
RESIDENTIAL .'
PERMIT APPLICATI
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Ja~BER '1U '-IS'
~~'~LD
Inspections: 726-3769 s!E "'Q, 225 Fifth Stroet
01Ile.:,728-3759 ' ,~.J1 Sp"'OIl"d, a"oo' 97<77
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ASSESSORS MAP, til_ _ TAX LD~ c:; :( (') n
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OWNE"" "0liQj(,J ~*p.\,pno,
ADD':;;" .)i3;;l0\. J:)U,hPJ''l IPonp:
CITY: ~Or\'rO\-!\ P Jti ' : STATE:
Or
. SUBDIVISION'
PHaNE: ,;)1 n -lo?lq( L-
ZIP: G'7'-lT7
OESCR,aEWOR" .s)0..<,4,Q OQ ~ -\-en fwD..-\- r~ I f) ~\D fuA bo.m(QA
NEW _ REMODEL L. ADDITION_ DE.MOLlSH _ OTHER_
, ,
CQNST.
ADDRESS , CONTRACTOR_~ _. EXPIRES
.. L\lo'i'iJ (Y'o.:,nStTe.t:~ 005%c"'~
CONTRACroR'S NAME
GENERA" \-\ IlA 'l1' -'-'\-\] :s 0"
AT CPUj'MBtN'G: ~ -~~r .= j~.1 _ ~- .'. -~ ;" ,I
fOliC 6;",,'r.' ~ -~- -..J 'l'V'1'~'~~-''''-r~' I,J'." ;".'
.. r'MECHANIC,f.lo ,-',It . .:. ..,j.",. ~
NO'I"'I ," :', : - ~'''.- 1 .~I r .,... ''''; '''<;)- 'Jt:'- .,!"" 1~::"'~ f" ,\.
. l.. ,c ~L~CTRICAL: ',' "_': ".: '.'" I
In OA ~. '- )... " ... ,. . ...,.........- '.i' .......1- .~"~
00"0 Y011~'-\'c ,'-:~ ,.:;,'~,?~l~;. ',. "J. '/~', .,- OFFICE USE_
."1' , I.CI., _.r i. ...\.-".1,..... '..II' . , ; ~~ '-'J
cal . 'QUAD AREA:,'" -, . - _ . LAND USE:
. ........ ~. . \. ....' ~ .'" ;.... r......
nun- O~Pf...~~..~':-:--:::::- ~,. .:'7:.'~oli:jC(L95}!NITS:'
O~.~~Oti~.: . "'., :..~ - ~:~ ~J. fONSTA. TYPE:
II OF SlORJFo,
WATER HEATER'
,
0)-01'
PHONE
,'-110-11<; 7'7
NOTICE:'
THI~ Pl"RMIT9I-lAI L EXPIR~ Il:TLJ~:\ IORK
flU I HUHILt:U UNUt:R THIS PERMIT I; NOT
COMMENa~{)jW{iSAai)"'.:'C"~E.Q.F( I=l
:W~180 DA'I'\llEFOOt;,
. OF BDRMS:
HEAT SOURCE.
. RANGE:
SECONDARY HEAT:_
SqUARE FOOTAG E:
To reqUH' an In.poetlon. )'OU'mu$lcaJl 726-3769. Thla la a 24 hour recording. All InspecUons reQuested belore 7:00 a.m. wlll be
made Ihe aemo working d8Y. Inspections rOQuested after 7:00 a,m. will be mB(le tho lollowlng work day.
'REQUIRED INSPECTIONS
o Temporal"/.E1oclrlc
- rn Rough Mochanlcal - Prior to
L..;.J cover. _
". -- ,
o SlhllnsP,e!lUon :::-_,!o,~,JP.tdq_._.r::p Rough.Eloctrlcal'_ Prior to
. , allot excavation. but prior ~.. =1 . cover.
Httlng 100M. !
. .. I
o UndenJab ~1.umblng/Elecl!l~~1/ .rfl Electrlcal Service _ Must be
Mechanlcal - PrtOl to OOV!"'. L..:J .PPrOved to Oblalnpermanent
..h.... .."", I .,.. ,. ,1 olectrlcaf'pgwer.
~ ~I,
o FooUng '- Alter trenchQ .,.
~1;lM.1., ,,',
I ,... .... , ~ 1',_
o Masonry - Steel rocatlon. bond
be~ grouting. : j ~ , 0
' .. " -. " 'l.. . Framing _ Prior to cover.
o Foundat&on - After forma are ' i .1." '-
OIect04 but IN:l~r tp concrete:. 0 WalllCelllng.lnaulaUon _ Prior to
~~~b 1'1... t~: ....; CRQ ~! , ,cover.''ll )1'
'I'll
o Underground Plumbing - Prior 0 Drywall _ Prior to taping
10 mllng trench. '
..J...a~.J~;" .. ...JP;1J.V' . (. 1": I
O UnderflOOl Plumblng/M,cbanlcal... ,.,\ " '
,- .r.1r~~~J~_u!a~~0~,~r~~~~~,1.A::+l :VO,O?, f~er~ - Aflor Inlltallnllon.
. ,j 'i . r' I ~,
o Po.1 and Beam - Prior to floor
InsulaUon'Dr'decklng, .1"~ >
o Floor ~pon - Prior ..tc!_~
decking.
o Sanitary Sewer - Prior to IlIl1ng
trench.
o Stann'SeWer - Prior 10 IIl11ng
"onch.
o = ~~..._.PrI_or to fllII,:!g.._
o RouQh-P~lnlil'- Prlor'i;:'-
c~.__ _ ___h--:....
---t-
D Fireplace':'" Prior to facing
material, and framing Insp.
i'r:-jllnaar1 -,Aller flreplacct approval
L-:J and Inatalletlon of unit.
'00'
O Curbcut & Approach - Alter
lorma ate oracled but prlot 10
. placomont 01 concreto.
O Sidewalk. Drlvewlty - Aller
. excavation III comptoto. lorms
. and !',~b-b!Ue mal~rlal In place.
. .,..lld_
nO.Fenc~.;;-:", ~hon completod.
, 1.,r..,('
D. Straat ne.. - Whttn all required
,1IrOOIl'ant'planled. .
,\
al Plumbing - When all
plu bing w9rk Is complet,o.
rJI! ~1!"Ial Mechanical - When all
mechanical work Is complete.
,
o Final Building - When all
reQuired Inapecllons have been
approved and building Is
completed.
Oath.r
MOBILE HOIII!E INSPECTIONS'
:t ,,'
o Blocking end Set.Up - When all
blocking Is complete.
D PlumbIng Connections - When
homo hall been conneCled to
water and aowtlr.
o Elaclrlcal Connection - When
blocking, set-up. and plumbing
Inspoetlons have been approved
and the home la connecled to
th~ service panel.
o Final - After all reQuired
Inspections are approvGO and
Porcho.:ilkJrtlng. decks, and
ve~""g ~ve been InstalleC!,
. .- '. ~ . ",
Lot laces '~'IO' Sl!llback!l
Lot sq. Itg. I P.L. HSE GAR Ace I
Lot coverage Corner IN i
Topography Panhandle ; Is I
Total height Cul-de.sac f.-- J
BufLDING PERMIT ~'I "
ITEM. Sa. FT. . X $/Sa. FT... VAUJE
M~'}
Garage
Carpolt
Tolat Value
Building ~rmit Fee
Stale Surcharge
TotaJ Foa
(AI
SYSTEMS DEVELOPMENT CHARGE (sDC)
(61
PLUMBING PERMIT
ITEM
Fixtures
Residential Bath(s)
Sanitary ~wer
Water
N'
F1:
FT.
Storm Sewer
F1:
Mobile Home
Plumbing Permit
Stale Surcharge
Tolal Charge ~
MECHANICAL' PERMIT.' .
Furnace
Exhaust. HOod
~,.
Vent Fan
N'
, ", .0 tal
Wood Stove/lnsert/Flreplace:Unlt
. ..('t;t',;" ....."JiIlt.\~
o"")J,:J fJw.../)'"
,
Mechanlcel Perml t
Issuance
State Surcharge
Total Permltf":_; . ....t(O\. }
MISCELLANEOUS ~ERMiTS
Mobil. Homo.
Statel...u~'
State Surchatge
Sidewalk _ It
.'
't'tl!
~ ~:'l
d 'j't'.~'~
.... I
, ~.;
Curbcut
DemollUon
II
r:' '.1
,";. u
l.~ ~ I.'
..,.'
Slate Surcharge
Tolal MI~~e~. Permlt"'::'.{.: eE)
, .....-. .:~.1t.-:.-:
TOTAL AMOUNT DUE (exclUdIng olectrlcal)
'^' e.c,. Q...xI.E c;omblnocl)~-
FEE
/eou
Iv O~
I. \/)
,(,(;. 'J'?
IS THE pA ED WORK IN THE.
'-HISTOfUZTAICT, OR ON
THE HISlORICAL REGISTER?--D.U....
It yes, this appJlcallon musl be signed
and approved by the Historical
Coordinator prior to permit Inuance.
APPRoven.
BUILDING vllu1E, PLAN CHECK
AND BUILDING PERMIT
This permit Is granle<J on the oxpress condition lhat the said
construction shall, In all respecls, conlorm to Ihe Ordinance
adopted by the City of Springfield. Including tho
Dovelopment Code. regulating the construcllon and use of
tluJrdlngs, and may be suspended or reVOked 01 any time
l:Ipon violation 01 any provIsions of saId ordinances.
Plan Check Fee:
Date Paid;
Receipt Numbor'
Received By:
Plans Reviewed By
Date
Systems Development Charge Is due on all undeveloped
properties within the City limit. which are being Improved.
AD~ITION~L COMMENTS / / I
a s:.....J'i: i:l.f;<.-Tl'':'';Y a.r..,
h-. ,"^,- .Y '
, ,
By signature, I stato and.agree,. that I have carelully examined
the compleled appllcaUon and do hereby c~rlllY lhat ell
Information hereon Is true and conocl, and I further certify
that any and all work perlormed ahall be done In accordance
with tho Ordlnancus 01 the Clly of SprlnglJold, and the Laws
of the Stato of Orcgon"pertal~lng 10 tho work described
herein, and that NO OCCUPANCY wlll be made of any
structure wIthout permlulon 01 the BulJdlng Salely Dlvlslon.
I furthor corllly that only contraclors and employees who
are In compllanco with ORS 701.055 will be used on this
project.
I furlher agree to ensure that all required lnspecllons 81e
rec;ueoted althe proper time, that each address Is readable
from Iho street, that the permit card Is located at tho front
01 the property, and tho approved set 01 plans will remain
on the alte at all times during construction.
S'gnat". ~ h. L0wd
101 ;;2llqq
Date
J'
() '3 S'.7'J b
DATE PAID 'u /'ll (1'1'-
AMOUNT RECEIVED ~ ~ /{I S<J
RECEIVED BY. - ,~
VALIDATION:
RECEIPT NUMBER