HomeMy WebLinkAboutPermit Mechanical 1998-2-25
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LOCATION OF PROPOSED WORK: ~535 DlLmQS DRIVe...
\'?wa.~
OWNER: De-.hhl'_ \-\r,IY+'" J
ADDRE~~" (}5~c; Du\'Y\()S Dr-I\le>
CITY: _~f1 Ylq +'1f'J,J
DESCRIBE WORI<: bas H-trvVl U'.)
NEW REMODEL \...;"""" ADDITION
,c:<J~
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
Office: 726.3759
ASSESSORS MAP:
LOT'
.
5PRINCFIELP
.~ .......".;.1O-.j-~ ~
.
Q~O'13q
BLOCK:
STATE: rR
i:l-.-' t2 (V.Qyyli-\-1 Dner
DEMOLISH
OTHER
JOB NUMBER
225 Firlll Street
Sprlngllcld, Oregon 97477
TAX LOT:
rD\d-r7
SUBDIVISION'
PHON'"
'7 Lffo -loYiI D
ZIP'
CfTL.j-T7
ADDRESS
CONST.
CONTRACTOR'
PHONE
CONTRACTOR'S NAME
GENERAl'
PLUMBING'
MECHANICAL:(bm~{)r-l AIM! jQSI ~~~D 004f00 '=dl-Cf2 1U-t:J.Cf)
ELECTRICAL' _ C)... C? ~ ~
'-1-,~_''>:: ~~
. ~ ~~F~E USE -
LA~.)Ut;h..~ \
QUAD AREA' N'~ ~ fLOOD PLAIN'
. OF BLDGS: . OF~I~ ~ Y. ZONING CODE:_
~ <p'~ \"
OCCY GROUP' CONST~Y~: l' . OF BDRMS:
. OF STORIES: ___ HEAT SOLJRC\ <P~~~_ SECONDARY HEAT: ___n
WATER HEATER: RANGE: __ ~- "" -X SQUAnl' FOOTAGE: .._"._
~' 9.. ,.'
to')... -- 4--
"" rP_ ~
To request an Inspection, you must call 726-3769. This Is a 24 ho%rL:~r~.J1' Alllnspeclions requested before 7;00 3.m. will be
made the some working day, Inspections requested after 7:00 3.m wl~C1inadC the followIng worl< day. '
D Temporary Electric
o Site Inspection - To be made
after excavatlon, but prlor to
sellIng lonus.
o
Undcrslnb Plumbing/Electrical/
Mechanical - Prior 10 cover.
D
Footing - After trenches are
excavated.
o Masonry - Steel locatIon, bond
beams, grouting.
D
Foundntlon - After forms arc
erected but prior to concrete
placement.
o
Underground Plumbing - Prior
to filling trench.
o
UnderUoor Plumblng/Mechanicnl
- Prior to Insulation or decl<ing.
REQUIRED INSPECTIONS
~OU9h Mcclumicnl - Prlor to
cover. ~
D Rough E\rc-l~cnl - Prior to
cover.
o Electrical Servlco - Must be
approved to obtnil, perrnoncnt
electrical power.
o Flrcplnce - Prior to facIng
materials and (raming Insp.
o Framing - Prlor to cover.
lie;>' .
. ,-,1
. '"
D Wail/Ceiling InsulntlO1't -r-~flor to
cover. . \ ,..I \
i,J..Q \
o Drywall Prior tOJi'~g. \(\
(jl)o ,~'"J
o Wood Slove - A(ter InstallCl~lon.
D Post nnd Beam - Prior to floor
Insulation or decking. -...... t
\. *- (> -:,.,
D Floor Insulntion - Prl~:H \0
deckIng. f~ ..~ ..:'.~ ,... Cl1"""Curbcllt & f'pproltch - Alter
~ \ - ~. -..;:,~...f9rms are erected but prior 10
O Sanilmy Sewer - Prl~1to rllllng placemenl or concrclc.'.
trench.
D Storm Sewer - pflor to filling
trench. ::310).) ()
<---II U iO
o Water L1nc - PrIQ[)t\,_I,illl'll!', "D
trench. Ol.("'1-).~.:)
. ~\ r, \~r...
o Rough Plumbltlm..I:P.rlor t"
cover, r-,,{'\ ., \. ~
'- .. 'i---"J f...-
"
D Insert "7 ~((cr fireplace approval
and InstallatIon or unit.
, ,I
o Sidewalk & Drivcwav - Afler
excavation Is complete, forlllS
and sul).basc Ini'!erlnl in place.
Fence - Wtlen completed.
D ~;troot Trees - ~1~f[1,iJ,rl tdCWJred
trees arc planlcd.v~" ~J \L.'
-
EXPII1ES
D
Final Plumbing - When all
plumbing wt;:)(l< is complct,e.
o
Finnl Elcct~cnl - When all
electrical worl< is complete.
(
~al Mechanical - When all
mccllOnical worlels complete.
D
Finnl Ouilding - When all
required InspectIons have been
approved and building is
completed. ..
.
[0Other~l.D tumC!$L
-l. /J9ftJ '(lQ LLoot
) \9X l sbi r\O)
MOBILE HOME INS~CTIONS
o []locking nnd Set.Up - When .011
blocl<ln~l Is complete.
o
Plumbing COllllections - When
home has been connected to
waler and sewer.
o Elcctricnl COlll1CCtiOIl - When
t>locl~if1U, sel.up, LInd plufT1blng
Inspections ll:wc been approved
and Ihe homo is connected to
the service pallel.
D
Finnl - After all required
Inspeclions LIre opprovcd and
porcllCs. sl<lrllng, dccl<s, and
venting have been Installed.
LO' _ia~'tl\_ /\ W='"
"{ "\' J I
Lo( sq",i't~. (: v
Lol Type
Intorior'
Lot coverage
Corner
Topography
Total helgl1l
Panhandle
Cul.dC-Si\c.
n ('\ I "V"
\ -:","\/. " :
BUILDING PERMIT
ITEM
SO. FT.
X $/SO. FT.
Main
Garage
Carport
Total Value
Building Permit Fcc
Slale Surcharge
Total Fcc
(^)
Setbacl" '. .HE PROPOSED WORI\ iN THE.
P.L. I HSE GAR I ACC I . "-HISTORICAL DISTRICT, OR ON
I THE HISTORICAL REGISTER?
I II yes, this application must be signed
S and approved by the Historical
_~_._ _ _ _J Coordinator prior to permit issuance.
.,L_ __ _ --bJ.~.,..t: '~R,~~VE'"
. . - 4 "." -,""_' j :.
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
.
N
VALUE
"
(El)
SYSTEMS DEVELOPMENT CHARGE (SDC)
PLUMBING PERMIT
ITEM
Fix tu res
Residential Bath(s)
NO
Sanlt.JrY S~wcr
Water
FT.
FT.
Storm Sewer
FT.
Mobile Home
Plumbing Permi I
Slato Surchargo
Total Charge
(C)
MECHANICAL PERMIT
Furnace
Exhaust Hood
,
)
Vent Fan
N'
Wood Stovc/lnscrI/Flrcplacc'Ullil
Drye. Vent
:t".. f"1 ~,' A r..&'!.._
... ...__J j\J ~ (J.~.i ....
Me""il~al~rn1/:l".: ,
......eV' td ~__.)t~J'tQQ..)r
Issuance .. 1, I ~
,1\),,'1/02 l ~t.~ "",
Stalo Surcharge
I
Tolal pcrnili (D)
MISCELLANEOUS PERMITS
Mobile Home
Stale Issuance
Stale Surcharge
Sidewalk
II
Curbcut
II
Demolition
~talc Surcharge
FEE
..f' _",'
.~:"I }~
"
~3"
J5.04
112.~
~---
cQIo. 'dJD
TOlal Miscellaneous Permits (E)
TOTAL AMOUNT DUE (exciudln9 eleclric"l) -j}lt,..:;..U
(A, S, C, D, and E Combined)
"I'",~ "
This permit is granted on the express conditlonthallhe said
construction shall, in all respects, conform \0 lhe Ordinance
adopted by the City 01 Springlleld, including the
Development Code, regulating the construction and use ot
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:
Plans Revi"cwed-"l3y--"'_._-
Date
. Systems Development Charge Is due on all undeveloped
properlies within the City limits whicl1 are being improved.
. i..:
ADDrnONAL COMMENTS
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By s.lgnalure, I state and agree, that I ha:ve carefully examined
the completed application and do hereby certify that all
Information hereon I:; true ancl correct, and I furlher ccrllfy
that any and all work performed shall be dono"in accordance
Witll tile OrdinancLls of the City of Springfield, and the Laws
of the State of Oregon perlalnlng to the work described
herein, and Illat NO OCCUPANCY will be Inado of ilny
structure without permission or the Building Safety Division.
I further certify tllat only contractors and employees who
arc In compliance.wlth ORS 701.055 will be used on this
project.
,
I further agree 10 ensure that all required Inspeclions arc
requc~ted allhe proper time, that each address Is readable
rrom the street, that the permit card Is located at the front
of the property, and 1110 approved set of plans will remain
I 7E~"~:'l~'O"'""""
r:.t~ ;) ~~fA
VALIDATION: "On 5
RECEIPT NUMBER (j. 0"'\\
DATE PAl" 6l.~5.q^
AMOUNT RECEIVr,.D I cVto. ~O
RECEIVED ElY 'e:i. un .J