HomeMy WebLinkAboutPermit Mechanical 1999-5-27
Ed, 8 1<u+h eIY){JfT
?)qSf) J"(,t'Sf{f'.r Rd 0
5p(U1qfLekL__~ _ STAT~: OR
In sf-oj I H(lOA rUmo ~y/;+em
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
Office: 726.3759
LOCATION OF PROPOS~D WORK
ASSESSORS MAP: /9; ~ 1-- ~~ / '-I
,
LOT:
OWNER'
ADDRESS'
CITY:
D~SCRIBE WORI<'
N~W
.
:;pnINCFJf:::'L!=' ~
OLOCI(:
REMOD~L ,.- ADDITION
DE:.MOLISI-l
.
JOB NUMOER
19072- i
22!5 Filth Street
Sprlngllcld, Orcgon 97.177
____ TAX LOT:
SUODIVISION'
/D 2...6 (,
PHONE: _7 L/-to -;)dqfo
7.lp:_~g
OTH~I1_____.
PHONE
CONTRACTOR'S NAME
GENERAL:
ADDRESS
CON ST.
CONTRACTOR'
-~-
EXPI11ES
PLUMBING'
MECHANICAL:CnmfD.r+.r;I.DW~1 DDN ~'J SWt-6 D OOLJ1:ILJ(~7-qq '72h-aw
ELECTRICA"
ATTEN IIUI\I:Ur"yul1ldvv o"'iu;le~ l.a'~.:
follow rules adop.ted by the Oregon Utl:~~- OFFIC~ uS'NoTICE:
QUAD AFI~I;f;""tinn r.enter. Those rules apf.\~\l,t OffiE: _._ TfllS-PeRMI-T SHAl1IE!Xm1tl81t=lfiNi=W()~1(
, IpAR 952-001-0010 through OAH \152'-
. 0 F B LD~(j'9u I u~ 111uy-elltain sQpies of themrl~s: ~UIHORI7FD UNDEB:Ttlrll&WWl'!1I IS NOl
OCCY G Roueailino the center. (Note:.t~e tel,!l~~'}-&. TY PE: COMMENCED OR ISf\~~ FOR
numberforthe Oregon Lltllity No'ri, ANY 180 DAY PERIOD,
. OF STORIES: -€effie",;~ 1 <>nn-332-234<f!EAT SOURCE: _____ _ SECONOArIY I-I~AT: ___.....
WATER ~IEATEn:
RANGE: ___
SOUARl' FOOTAG~: un._
To rcquc~t Oln Inspectlon, you mU5( call 726.376D. ThIs Is i1 24 tlour recordIng. ^Jlln5pcclion~ reque:;tcc.J bcfore 7:00 .1.m. will be
mode Iho same wor!<lng dny. In~pectJon:> 'raqua::>tad after 7:00 a,m: will be made the following worl< dilY.
o Temporary Electric
D
Site Inspection - To be mnde
oller cxcDvatlon. bUI prior to
selling form::;.
o
Undcrslnb Plumbinol Eleclricnll
Mechnnlcnl - Prior to cover.
o Footing - Atter tranchc::; arc
excavated.
o Masonry - Slcol loca.tlon, bond
beams, oroulln9.
o
Foundation - Aller forms arc
erected but prior 10 concrele
, placement.
o
Underground Plumbing - Prior
to Ulllng trench.
o
Undertloor Plumblng/Mechnnicnl
- Prior to Insulation or decl<ing.
o Post and Ocam - Prior to floor
Insulation or decl<lng.
o Floor Insulntion - Prior to
decldng.
o
Sllnitnry Sewer - Prjor to filling
trenetl. '
o
Storm Sewer -;- Prior .~o, fillinn
trenCll,
o
Watcr Llnc
lrcnch.
Prior 10 filling
o Rough Plumbing :-,.Prior to'
cover.
REQUIRED INSPECTIONS
o Rough Mcchnnic~11 - Prior to
cover. '
('n~Dh Electric"1 - Pdor to
~ver.
o Electrictll Service - Must be
<lpprOvcel 10 Obl<lin permanent
clectrlcal power.
o Fireplace - Prior to fnclng
materIals and framing Insp.
o FramIng ~- Prior to cover.
o Wall/C"cItiJifl ll1sul~llion - Prior 10
cover.
o Dryv.inll - PrI,or to 1.1pil~g.
o Wood Slove - Afler In:;(~llil:ion.
o In:>crl - Altcr fireplace npprovlll
, ~nd Instal!<:lllon or unl!.
o
Cllrbclll S Appro,lcll - After
forms arc crc:clcd b~1l prior 10
plOlccmcn: Qf conCrCll!.
o
Sidewalk'::' Drivew:I\' - After
exc,Jvilliorl i:; complelc, forms
aneJ sub.basc ma!crlal in place.
o Fence - Wl1cn compleled.
o ~llroot Tree:; - When all required
trees arc planted.
o Fin.1I Plumbing - When all
~umbino worl< is complcte.
D Fi ill Electtic.ll - Vvhcn all
cctriCLlI worl< is complete.
zg;2 (
- FIll" Mechilllic<ll - When all
D cll~nlca' wOrl< l~ complete.
o
Final Qui/ding - When all
require,d Im;pcctlons hilve bcen
approvcd and building is
compleled.
o
Ot,hcr
MOBILE HOME INSPECTIONS
o I?locl'dllg nnd Set.Up - When nil
blocl<lnU Is complcle.
o PllllllbillU COllllcclions - When
l1ornl': 1111:'; becn connected 10
w.ller ;HH.! ~ewcr.
o
Elcctlicill Connection _ WIlCn
blor.ldIlU. sel.uP. and plllrnbing
In~;pcclion:.; h:wc l)ccn n:pproved
ilf1(J IlIc hOllle is connected to
the :.;ervjcc panel.
I I Finnl - Arlr.-r all rcquired
Inspections arc approved and
porches, Sl{irling, decl{s, and
venting hnvc been Installed.
.,-"
"
Lot faco:;
LOI Typel
_ Into I r'
LOl sq. flg,
Lot coverage
Corner
Topography
Total height
P:lnhandle
Cul.cJe.~~c
BUilDING PERMIT
Seli)acl(:) ,
.Eb...1 HSE I GAR
.!'!..---
s
ACC I
I
.5 THE: PROPOSE:O WORI~ iN THE.
-IISTORICAL DISTRICT, OR ON
THE: HISTORICAL RE:GISTER?
" yes, this appllcalion musl be signed
and approved by the Hlslorlcal
Coordinator prior to permit Issuance.
.Y:!._________
APPROVED'
_L__.._'_._
ITEM
SO, FT.
X $/SO. FT. VALUE:
Mnin
Gorage
Cmport
Total V.1luc
Oul/dinO Permit Fcc
State Surcharue
Total Fcc
(AI
"
SYSTEMS DEVELOPMENT CHARGE (SDC)
(E3)
PLUMBING PERMIT
ITEM
Fixtures
Resldenlial E3oth(o)
N' ,
Sanitary S~wcr
W.:lter
FT. '1\- ':"
----,--
'-,
FT,
Storm Sewer
FT,
Mobile Home
Plumblno Permit
Slale SurclHHue
Tolal Charge
(C)
MECHANICAL PERMIT
Furnace
Exhaust Hood
Venl Filll
N'
Wood Stove/lnserl/ FI replilcc 'Unit
Dryf'"A. b
!kA ~ ~~
Mecllonicnl Permit
ISSU<lnce,
Slate Surcharoe
Total Pcrmll
(D)
MISCELLANEOUS PERMITS
Mobile HOnlo
Stale Issuance
Slale Surchargc
SldcWilll<
II
Curbcut
It
Demollllon
Slale Surcharge
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE: (excluding eleclric"l)
(^, 0, C, 0, and E Combined)
FEE:
",
"
"
" ~--
/0 '"
.!iijJ_t
2(..~_
BUILDING VAlUE"PLAN ,CHECK
AND BUILDING PERMIT
Tlli:; pcrmit is granted on the express condition Iho.t the said
construction 311\111, in all rczpccts, conform to the Ordinnncc
adopted by the CII)' 01 Sprlnglleld, including Ihe
Development Code, reoulaling the construction nnd use at
building~, and m.:1Y be suspended or revol<ed ot .my lime
upon viol~lion of <lilY provi5ion:; or z~id ordlnnnce5.
Plan Checl( Fcc: _,
Date P.lid:
Receipt Number'
Received By:
-, -..'--'.' .-..,-----.--
Plans Reviewed Oy
Datc
Systems Ot.'velopment Charge is due on all undeveloped
properties wilhJn the City limits which are belng Improved.
ADDITIONAL COMMENTS
t:'!EZ7/[1 J
a7U(~"
,
J!Y~ 1^, i
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By :;lgnature,1 Gtola and agree, that ,I haye carefully examined
the completed nppllcntion and do heroby carlHy thaI nil
Inrormatlon 11ereon i:; true <1n(1 correct, and I further certlfy
lhal any and all work performed ~ho.lI be done in .1ccordo.nce
with tile Ordinanc<.;:; or Ow City o( Springfleld, nnd 111e Laws
of the State or Oregon pertaining \0 the worl( described
heroin, and lIlal NO OCCUPAI\JCY will be /'l1.:lcle of nny
struclure WiUlout permission or the Building Safety Divisiol}.
I further certify Hlot only contractors ;Jnd employees who
,He in compliance 'with QRS 701.055 will be used on thIs
project.
Slgnotum
Date
VAll DATION: ,
RECE:IPT NUMBE:,l / C) J'i 2:z-.y
DATE: PAID 5 27/fj _
AMOUNT RECEiVr-'D 112~ W /
FlECE:IVED BY /Y ()~