HomeMy WebLinkAboutPermit Mechanical 1999-12-4
OWNER:rKfYr,y 8.. NCln Ija(tl SON
ADDRESS" h'lqr7 r{)rc,y-l-h JQ)
CITY: S9rl n1.v1~' STATE: oR
DESCRIBEWORI" I n-s-l--o... I I \-\PM 'Pllmr Sys-tem
REMODEL V ADDITION
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I
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RESIDENtJ,li:L
PERMIT(APPLICATION
Inspections: 726.3769
Office: 726.3759
ASSESSORS MAP:
LOT'
NEW
CONTRACTOR'S NAME
GENERA' '
.
SPRINCr-IELP
BLOCI{:
DEMOLISH
OTHEIl
'*
-
JOB NlIM[)EIl
r8/'i9S
225 Filth Street
Springfield, Oregon 97477
TAX LOT:
1>5"4 () 0
SUBDIVISION'
PHONE: _T:J!}-IIoIoJ
ZIP:
qlLl-l g
ADDIlESS
CON ST.
CONTRACTOR #
PHONE
PLUMBING'
MECHANICAL:ComJO({ FlovL,JQ5J CttV .s.J-:, S-1-.f"J)
ELECTRICA' .
EXPIIlES
DDt-fbD
b-d1!lg ?2b-OIDO
- OFFICE USE - ATTENTION:Oregon law requires YOI,J to
.fol~ow r.ules arl~Bt~*''\VI''e OreQon Utilitv
LAND USE: -.- -v t eFt:- L/\ N.
: """,,,a Ion en er. ose rules are set forth
In OAR 952-Q12019V'l Q ffiRJil6h Ol',n :J::i2.JG ; _
0090:"You may 8P.t~BRltgles of the rules bv
"QlImg the center. {Note: the telephone
number for tMC:%tp1):fl:!ltIHIYWotffleal:vo,
eent~~tkA'Rq:B~Xa~:41:__u_.
QUAD AR~:r -, - .-
l'lU IllIt::
# OF BLDGS: ' H Of' U~ITS:
I HI::> t"t:HMI r ::>HALL t^t"IRE IF THE WOHK
OCCY GROURj:,"- ---... - --',~, PERMICONSTJl, TYPE:
i\u nvnlLC:U u"uc:n 1 nl;;l t I::> I~U I '
WATER HE'~\iT;Ef1:" "^." D,:ClIQ'.:',_
# OF STORIES:"-"~-~ ~~,~ . ~ uJOONEOHE'AT SOURCE: _____
\.IVlYl........1 ,......L..IJ .....\ I ..... rHo...'"" l 1..11 \
RANGE: ___
To request an Inspectlon, you must call 726.3769. ThIs Is n 2<1 hour recording. All Inspections rcqUCSlcd before 7:00 a.m. will ,be
mado the same working dilY. Inspections requested aftor 7:00 ~un. will be mncJc the (ollowlng worl< dLlY.
D Temporary Electric
D
Site In5pection - To bc made
after excavation, but prior to
setting forllls.
D
Undcrslnb Plumbing I Elcc Idenll
Mechanical - Prior to cover.
D
Footing - Afler trenches arc
excavated.
D
Masonry - Steol loentlon, bond
beams, grouting.
D
Foundation - After forms me
erected but prior to concreto
. placement.
o
Underground Plumbing - Pdor
10 filling Irench,
o
Undcrfloor Plumbing I Mcchnnicnl
- Prior to Insula lion or dccldn[j.
D Post nnd Beam - Prior to floor
lnsulntlon or dccl<lng.
o Floor Insulntion - Prior to
decking.
o
Snnitmy Sewer - Prior to tilling
trench.
D
Storm Sewer -
trench.
Prior 10 filling
:~ '\. \: .
o
Waler Line - Prior 10 lilling
trench.
O Rough Plul11bill'O - Prior to
cover. . ~ .
REQUIRED INSPECTIONS
o Rough Mechnnlc~1 - Prior to
covcr.
D nough ElcClricn/ - Prior 10
CQver.
o
EleclriC<l1 Service - Must be
approvcej to obt.1in permanent
electrlcal power.
o
Flreplncc - Prior to (tlclng
materIals and {filming Insp.
o Framlno - Prior to cove.;. . I
o Wall/C"ci1inO Insulntioli .:...: PrIor to
cove~ . ~~ '..
, .
o
OrywlIlI - PrIor to taping.
o Wood Stove - A(ter In5talln:lon.
o Inserl - After (lreplocc approval
and Install;:ltlon of unl!.
D
Cllrbcllt & Approach - Ahcr
[arms arc crr:Clcd bul prior \0
plilccrncl1t of concrete!.
o
Sidcwnlk & Orivew:IV - Afler
excavnlioll is Com[?lcte. forlllS
and sub.b.1SC rntl!crlal in place.
\ ,
o Fence - WIlen completed.
,
o ~;troot Trees - When nil required
Hees nrc planted.
D
Fin;:11 Pllll1lbing - When all
plumbing worl< Is complet.c.
o r-in.lI EICC1~C"1 - \to/hen all
electrical worl< is complete.
~F) I (
'.lwl Mec lilrHcnl - When all
/ nr{:clwnical worl< .If> complele.
o Fln;:1I Ouilc.lil\{J - When all
required In5pectlons have been
approved and buildIng Is
completed.
DOI.her
MOBILE HOME INSPECTIONS
o OJockillg .1nd Sel.Up - When all
bl()cl<ln~l is camp/etc.
o
Pllll1\binU Connections - When
homo 11:.1:; been connected to
willer iI/H.I SCWC!r.
o
Elcctdclll Connection - When
l)lor.1dnU. SOI.Up. and plllmbing
In:;pcctlon:; 1I.,vc been npprovCd
i1nd the homo ir. connected to
tile :;crvlcc panel.
o
Filln! - After all required
Inspeclio-ns are npproved and
porches, sldrting, decl<s. and
ventIng have been installed.
LOI faces
Lol TYP_
Interior'
Lot so' Itg. .-'--"-
Lot coverage
Corner
Topography
Panhandle
Total height
Cul.cJc'~.:lC
BUILDING PERMIT
ITEM SQ, FT, X $ISQ, FT.
Main
G (lragc
Carport
TOlal Value
Ouilding Permi( Fcc
Slate Surcharge
TOlal Fcc
(A)
r
. ,\
, ,THE PliOPOSED WOfil< iN THE,
HISTORICAL DISTRIC1', O~ ON
THE HISTORICAL RL'GIS,T\.R?
.11 yes, this application musl.bc signed
ond approved by the Historical
Coordinator prior to permit issuance.
SCtlJilCI<:;
~ HSE _GAR ACe
N
----
_$_ ~_.
,':!!._.- -- ----
..5...._ _
VALUE
"
(B)
SYSTEMS DEVELOPMENT CHARGE (SDC)
PLUMBING PERMIT
ITEM
Fixtures
Residential Bath(s)
N'
SanItary S~wcr
FT
----.--
WOler
FT,
Storm Sewer
FT.
MobIle Home
Plumbing parmlt
Slate Surchar{Je
Total CIHHgC
(C)
MECHANICAL PERMIT
FUrnLlCQ
Exhaust Hood
Vent Fan
N'
Wood Slovellnserll Fl'eploce 'Unil
Dryer Vent
1M /J~
--;
Mechanical Parmi t
Issuance
Slale Surcharoc
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile HOnlo
Stale Issuance
Statu Surchalgc
Sidewalk
"
Curbcut
II
Demolition
?talc Surcharge
Total Mlscellaneo.u~ Permits (E)
TOTAL AMOUNT DUE (excluding eleclric"l)
lA, B, C, D, ''and E Combined)
FEE
I!'~' b
/ d, {)r>
--.,-.r / lr-
'Z ~ z.;.
APPROVED:
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
TIlls permit is gmntcd on lhe express condillon th,')l the said
construction sllall, in all respects, conform to the Ordinance
adopled by Ihe Cily 01 Springlield, including the
Oeve(opmenl Code, regulating the construction and use of
buildings, and milY be suspended or revoked at any time
upon violation or any provisions of said ordin<lnces.
Plan Ctlecl< Fcc'
Dale Paid:
Receipt Nlllllber:_
Received By:
Plans ncvic"wed"-.Oy-.-----.--
Dale
Systems Development Charge is due on all undeveloped
properties within the City limits which are being Improvcd.
ADDITIONAL COMMENTS
~
(
By signature, I state <Jnd agree, tllat I h~ye carefully examIned
U1C completed applicntion nnd do hercby certl(y that nil
lnformo.llon llcrcon iG true :1I1cl correct, and I further ccrtHy
that any and all work performed shall be done in accordance
wlth tile Ordinanct::"; of the City of Springfield, ellld lIie Laws
of llle St;:Jte of Oregon perlaining 10 the worl< described
herein, IJnu thai NO OCCUPANCY will be rnaeJe o( IJny
struclure wlthoUI permission of tile BuildIng Safoty Division.
I further cerli fy tl'wt only contractors and employees who
arc in cornplianco'with ORS 701.055 wIll be used on thIs
projecl.
I furthcr agree 10 cnsurc thaI all rCQuired inspections are
reQuo~tcd at the ro er . ne,-IIl?! each address Is readable
(rom tllO stre ,tlln the permit card Is locatcd at lhe.fronl
of tllC prapo ty, al llle .:lpprovcd sot of plans will remaIn
on tile silc at a li es durin CO;SI'))ct'ltn.
Slgnatur.... Wh~
00 ([
DOle / ,1-L{-,qrJ
VALIDATION:
RECEIPT NUMBUl tJ'3 ~~ '>/
DATE PAin n/'f/7Y
AMOUNT RECEIVf:D 4;;:1
RECEIVED BY J