HomeMy WebLinkAboutPermit Mechanical 1999-9-29
-,-~;.
RESIDENTIAL ' )'< , ';,1'" ,',-
PERMIT APPLICATIONf8;fJ
'. . I, 'f~
Inspections: 726.3769
Office: 726.3759
.1'" .;
" J
'."
.,' 1.',"
'. r ~"""SPRINGFIELD
1': ' . j:f\~t~ ';:'7
i.-.
i.
i
. I ~i
LOCATION OF PROPOSED WORI<'
. '..i
I tniZ-t;y, i l,.. :.-
:'i::'~ ,.:. 't
..!
ASSESSORS MAP'
LOT'
., ".' ' , , "
~\ '\'1' ,;, l~"';~ tl' ,,> ,',,; i
, , . "" ,.- --BLOCK""
l:; ~q ;') "Hi
,ll,"C('
OWNER: ::::}rA ,,,",oS ~A\...\~'i~ '<;6I'Ao-\.""\
ADORe';",: ' ~l.-l ("} ~cn "n j. d... ;~_" --
, ,,' -..<:\. '
), \''' V'^~\.~Jf').. "',,' :, ..' STATE:' OJ,o~,,tv.
(\ ,.,' , , . ' , '\
- ,
DESCRIBE WORK: 't~lt' 0 'AAA.:'t ~'i=\.Ah ~'LJ Dn ('. '\) h 1',7"__) f
NEW REMODEL ' ADDITION ," DEMOLISH OTHER
CITY:
CONTRACTOR'S NAME
GENERA' '
.PLUMBING:
MECHANICAl'
.', ~i.!' J
qq I ~'14..
,U I
"J
"',; 225f;'ifth Street,- r'l.~"
Springfield, Oregon 97477
.":. .t I ' . . :.....,. . . . ~ '_. " ."t'..~~.,.:\., _ .
.j',
I
, I
_.,i~X',~T'" ,'.:,aJ.~o 0 .'
. S~8~'~~~~ciN'-?'--(1 : :';:]<1 ...,!,W.J!:i8
. Nl_l j
-.!
PHONE:.3:..!:1 Ll- 5;, I (,1
, .\
ZIP:
q rq++-
'It:. "j
ADDRESS'
CONST.
CONTRACTOR #
EXPIRES ,e, PHONE,
'.lhl" \J 'of
-:Sc~A.. "Ittr_~ ~ J\j ~
V'"
~ No." .
r. IC~ LAND USE:
I"f'Sp", . . . '
~'i- r;;;AliAtrooL' # OF UNIT'"
''VItia "riAL " '
COM,. 'AllE;[)U/Il'D L6~ :Q'PE:
lV/t::NC6 'ERTi"':""fI:!~ 11-11:
A^,v.~. DORIS HWJ8~Ct;~'"
'''u VA y p~/:') A.eANn",,,:IT/lII/r,S N<o.,.'
, r;;;>1'O'D RA~c."-
. ''';'-Uf:/
ELECTRICAl'
QUAD AREA:
# OF BLDGS:
OCCY GROUP:
# OF STORIES:
WATER HEATER:'
- OFFICE USE -
~"J"
jJr;ii,'~I~i;o [J crit
Ai fENT'(.,)I\J......-..,_...:.' "
fOI/OW rules adopted ..., ~"u''''',< jUt 'IL.
~otilication Cenler 1 by, ~11~ Oregan Ur "]1
mi(F.l<:l0Q~bAI~iJ-. hOSe '1,IIS<>l:"e sel :>rt
0090 v"" ~_'::_"vr~".trOlla;10AF1.S52.,Ol
;;::ONING'1"CODE:tA,n "...""">,,J;;'.... ,
C,ulmg lI1e center 1'-- -, '''~ 'ule-b]
m!10f;',tBDRMS:c, . (1\ ote, the le/etlhrm.,
'-~ ,.;:::::''', ~"'!./O'l utility I~olit;calh
SECONDARY!HEAT''-'-''~r, .,"",.. .n
. ---- "-"T-",_ :
SQUARE, FO.oTAGE: .: ""I'
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. wI/I be made the following work day" ,"" -...-
. , REQUIRED 'INSPECTIONS '., " ' ", ,', ".'11'1",,'''1
D Temporary Eleclrlc
D Site Inspection - To be mado"
after excavation, but prior to
setting forms.
o Underslab Plumblngl Electrlcall
MechanIcal - Prior to cover. .
D Footing - After trenches,are "-
excavated. . . " ," .\'
',' ., ~ -'I
1"" ...
D Masonry - Steel,locatlon"bond
, ,beams. groutlng"f .....
o Foundation - After forms"are
erected. but prior to'concrete
placement. .!. 'J I','
D Underground Plumbing - Prior
10 filling trench, ,
D Rough Mechanical"":' Prior to D Final Plumbing - When'slplr-I.:
cover, . plumbing W9rk Is complete,
"0 ~~:e~hEle~trical - Prior to 6'=I~;irl~:19~i~~! ;s~~$~fi~' :.'
tf-1Vlnal Mechanical - .When all
C::;:=VmeChanlcal work Is complete.'
, . . nl~ I '. ~\
D Final BUlldlng,- When all,
required 'Inspections have'been
approved end bulldlng.ls..
completed. ~ 'h, .
o Electrical Service - Must be
, . approved to obta.ln permanent
electr,lcal power.
,1",_ " "
D Fireplace - Prior to facing
materlal~ and framing Insp.
o 'Fran:-Ing - Prior to cover,
..,.,;:, .,,:1' \ . D Other
.,..... ,"
, D",^,alll9~il,!ng Irsulatlon - Prior to
. cover.' . t .
, '
'\ . ~'. -
. jH~1 'i, .t.:::WI1~1
'l;.)<'
q
~.:riHf1:;\IJ.. .,
D Drywall -:- Prior to taping.
. ,~; -' . ~.
D Underlloor Plumbing/Mechanical" ,. ,.' .-" "....,
-,Prior to Insulation or, decking, .1" D WoodS.lova - After installation.
o Post and 8eam - Prior to floor
Insulation or decking. '
D Floor Insulation - Prior to .
decking,
~
D Inser. - After fireplace approvel
end Installation of unll.
i
D Curbcul & Approach - After
forms are erected but prior to
placement of ~oncrete.
D Sanitary Sewer - Prior to filling.
trench, . .
, .. , " ....0 Sidewalk & Drlvewsy - After
D Storm Sewer - Prior to filling excavation Is complete, forms
trench. . an.d sub-base material In place.
D Waler Line - Prior 10 filling
trench. . '
D Rough Plumbing - Prior to
cover. . .. ,
,I ...
'. .. .~. .. -- ...
o F~~ce~--:- Wh,:n con:pleted,
.......:,.: "
:' ",
""OiS~fee~-,Trees -When all required
trees 8:re planted, '
. ,. ..
MOBILE HOMEJNSPECTIONS
'" ',' '.r",.o, .; I" ,.., '" : ~ "'11.' 1 I,
.. . ...., ,~,' ,~' .' .J h ~'."
. "
D Blocking and ~et.Up ....:. When all
blocking Is compl~l~',~.l.l" ., . j~,!~'
,I
D Plumbing Connectlons'~'Wtien
. home has been conneqted to, ,
I water and sewen--,-.. ..-t ~IU\.'" ,,'II.
1T . _.,.. "... JU:i\. 'u')
D Elecfrlcal Connection - When
blocking, set.up, and plumbing ,~
In~pectlons have been ,approved
and the home Is connected ',to'~,~~
the service panel.' '.;:
D Flnal.- A(t~( ~!I re.qu.lr~d.. "'v'
. <<, 'J h:u?pectJons are approved and ..:..
.' porches, skirting, decks, and
. .' ,venting have:~een'ln'~talledlA'lu.l.
:', ,
I
I;'
.!, . . ;, ;'") ,~ ,;'1';' .'J ./O~ .n ,/\}
-.- -'~:'r
, . '\ .' '~j , .... .: ',,," ''{-I;'i.,..6tj'~ ' . .
'. ,;,.1,.. I' '\1> ,\:~\l.'n\'I'':'.!'il":~'';;WIl, . l'ii" "...
'.t" '\:.. ., ,\1;., '~'f 'r' i ,>t". ~ \ '1 "J,
..~' \n,"'''l'll..~ .".:'iA:;,\,."i'~j,'~..": ...\.,,-...:l.:'J.~'l" t \........IoJ,l;..._ -.......,.-...., \
Loi faces. . ';'...1.:::.. ,l.:OtlYpe. ,.,""'~<~~~' Setbacks".'.""'.';'? " . ( THE PROPOSED WORK tN THE.
"" , '. "y ":'. ..' ';' :dlp'~ HSE IGAR ,Ace\! . 'n"HISTORICAL DISTRICT, OR ON '
Lot Sq,)tg.,\ '" ,_.n',f.. 1j'.~.\A:",- ."Interlor Stt"I"H'"'" ." . ..... '51 "THE HISTORICAL REGISTER?
'Lot coverage (~;.).;':,\ ;",i,~ "Corner ,/,:::, Net<. ". ' :,:';':'1 II yes, .this application must be signed
TOPOgraPh?t":~'QI:'( .::r,i,;in, panhandle V:l,s'.:~..,: ,;:;:;, ,b~~rd~:~~~vp~~or ~r p~~~1t ~~s~~~~:~1
Total height
:i'!.__
E
,-
Cul.de'sac
A~
,~.. ,.'l
, . ,. ~:: I ..~ ',', .
.~., ......}~,. ~ }:;:', ~iJ
'r " .,\
BUILDINGPERlllr ,~.;~~g~' ~i, };,
'ITEM .' sa. FT: x $ISQ, FT, _
.' .
VALUE
..... __..._ .~~-.......' l'r'~"""""---'
Main
Garage
Carport
"
Total Value
...-., _"'. '.. ..':'-'-~l...: ~.~..:. . .,
Bullalng Permit Fee,
" l'~j,.~.; -','
State Surcharge
Total Fee . ''',
(A)
SYSTEMS 'bEVELOPMENT~ CHARGE (SDC)
(B)
. .
.. PLUMBING P.ERMIT
ITEM
FEE
. ~. . .
,
,
"
Fixtures
Residential Bath(s) N'
Sanitary' S~w~r
" FT.,
Water
''I..''. lJ FT.. /.
Storm Sewer ,
FT,
MObile-Home'
".
. it,
Plumbing Permit
State Surcharge "..
,,';... "i, '.~ . ;
Total Charge
(C)
MECHANICAL. PvERMiT
Furnace
Exhaust Hood". ';1":"1",:. ..",i--
I '.:{j1!~)..1 IIi ;" .t., ;~
Vent Fan
N'
,
"
,
,
,
.:.. " ,.' "' ~ __~ ' . .... - ~: ,.' I
Wood Stovellnserl/Flreplace Unit
.....' ,.. .!:'.",' .: h
.: 'jf.io;:." ,''1.!qn
Dryer Vent .\ . ,-".",
J.U. I1.f-t1
" I
Mechanlcat'peimlt
/i:Ol:>
/(j.()J
I.n
2.(,. 5 ~
"
". :
"
Issuance
State Surcharge
Tot.al,P,er'!'!h_;:';ill .H,U, . (D)
MISCELLANEOUS PERMITS
~Oblle)7fo_m7\~; H\;' ; 'm \. .':~F>
//;..
State Issuance"
,".. ,
Stat~ .Surcharg~,.... ....,.:.., tl' ,,,
I 1'\0 J' .:;,~ ft';, ," ," '~r
Sld.mali<"" , ,It
Curbcut
It
:' ,n'''" h. -..,. -'~:,'.;.
/' ~,
Demolition. I,~ oj _''':.~
, . \'lJ. . ',':. ~ .: :-~. _ ' <''::; t I. ;~ II-
State Surcharge.-., "'"..'
.
...~.~...~!,. \.1" ~,,"l'~_ '
TotaI"Mlscel.I,,!~e()~s;'P~rmlt~... (E)
,...?: .'.'"....;;.i'J!.' .r;'" :rilr_l~~' ",- .
\ I :",!9TAl ~JVI_5?U,NT_Pl!E(eXCIUdln,g electrical)
,-~,"(A,B,_S}?, ~DE.:!L9~!!...!!I~~d.>"__.....n.__" '
,
,\ .......
"'1 '
',~' ..1 .. ',"
I:.' .. I.
,~{".~1i'PR9.VED'
BUILDffJ'G-Vl'tjgER'LAN CHECK
'.' ,.";'
AND' BUILDING PERMIT
.- -.... .' ~... ~ . . ".-.'
;~'>
>~\
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, Includl~g the
Development Code, regulating the construction and use of
tlulldlngs, and may be suspended or revoked at any time
upon violation of any provisions of said ordinances.
Plan Check Fee:
gate Paid:
Rec'elpt 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' COMME~IS ,_. .
A 12,,f?...........t .~cf~ /JPu../
d'''''/1~",nJ! . ,r
:. .
f", -
",
By signature, I state and agree, that I have carefully examined
the compl~ted application and do hereby certlry that all
Info"rmatlon hereon Is true and correct, and I further certify
that any a,nd 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
hereln"and that NO OCCUPANCY will be made of any
structure without permission of the Building Safety Division.
I ,further c~rtlfy that only contractors and employees who
, , ,
are'ln coin'pllance with ORS 701,055 will be used on this
prolect.
I
I furth.e~ agree to ensure that all required Inspections are
requested at the prop~r.t.l.me. ~ha~ each address Is readable
from the street, that the permit card Is located at the front
of the prop~ and the approved s lans will remain
on the Sltr~~~e Ing construction.
Slgnatd7;;::::; _____----
Da;e-IY <------
~
1 q""-:v
.,!" . ~
VALIDATION:
,RECEIPT NUMBER
DATE PAID '
O?~, ? L/
0/(2.1/9'1
..~.q
,
,.dN~
, ~.-'::-,,:. ~. '-,
M10UN.T:RECEIVE[l
. " :.-":.', ,....j't,,'-..
, .RECE\yED'BY"".'"