HomeMy WebLinkAboutPermit Mechanical 1998-12-30
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LOCATION OF PROPOSED WORK: ---m- L~~~D
ASSESSORS MAP' I, 00-. 3.; ,,):1,
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RESIDENTIAL
PERMIT APPLICATION
Inspections: 726,3769
Office: 726,3759
LOT'
.
SPRINCFIEL.P
BLOCK:
OWNER: Mr. ~t"fq
ADDRESS' 4b~ LClJ(~f>t\PY\ Lp
CITY:~ STATE:_fP..
DESCRiBE WORK: In~~WVlr
NEW REMODEL'./ ADDITiON DEMOllSI'1
.
JOB NUMBER Cf ~ j 0 'i?''1
225 Filth Street
Springlleld, Oregon g7477
TAX LOT:
D (" '30()
SUBDIVISION'
PHONE:_'1~o
OHIEI1
ZIP:~~
*
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ADDRESS
CON ST.
CONTRACTOR'
PHONE
CONTRACTOR'S NAME
GENERAl'
PLUMBING:
MECHANICAL:Cmclol"t-Flrol .I95L.1:DJ Sl-.._S\-e.D
, .
ELECTRICAl'
OtY-l-.hD
EXPII1ES
b-27-qq
72b-OIOO
- OFFICE USE -
ATi'!:,NTiUN:uregon law requires you to NOTICE'
QUAD AREA: '. " -':JytheO'''''''''''iIlJt~llL._-----''__ . rLOOD I'LAIN'
IOIlUW 11.l1"~ QUVI-"vv ~"'~. h THIS PERM ~
, OF BLDGS:~I"Ijf;,."tinn Center, Those rUle:;f1f!l~llUt .. IT 'z~M~&Yrf8Mf.IE.IHE..WODv
in OAR 952-001-001 0 through OAR' 1- flU I HUR/ZED UNnJ:~ T~IS-PERMIT ...
OCCY GROUP: copies GiQfl\3iTlilell~: . ,'oi-"'UDI'll\h II=; tllOJ
OU\:lu. TUU fll"Y vUl"m , vUi'IIMENCr,;D OR II=; I
'OF STORi ES: ,.alling the center. (NOtB. :~~~^lJ:PB8nlltcE: __.__-=-' sEcti~0~NQQ~~ EOR....
number for the Oregon Utility NOllflcali'on '''' fTrJ0 nA Y PERIOD.
WATER HEATER: .,' 1 -OO-332-2M"""E: -_ SQUAnr. rOOTAGE:
vt'lll~CiII,", ... "?,...
To request an Inspectlon, you must c~JI 726.3769. TIlls Is a 24 llour recordIng, AlIlnspcclions requested bc/ore 7;00 :un. wIll be
made the same working day, Inspections rcquested after 7:00 a.m. will bc made the following worl< day.
o Tcmporilry Electric
D Sito Inspection - To be made
after excavation, bul prior to
sottlng forltls.
D
Underslnb Plumbing/ Elcctricnll
Mechnnlcnl - Prior to cover.
o
Fooling - Afler trenches arc
excavated.
o Masonry - Sleel locatlon, bond
beams, grouting.
o
Foundntlon - After forms are
erected but prior to concreto
. placement.
o
Underground Plumbing - Prior
to filling trench.
o
Undcrlloor Plumblng/Mcchanicnl
- Prior to lnsulollon or decl<ing.
o
Post nnd Beam - Prior to floor
Insulation or decldng.
o Floor Insulntion - Prior to
decking.
o
Sanitmy Sewer - Prior to fIlling
Ironell.
o
Storm Sewer - Prior 10 tilling
trench.
o
Water L1nc - Prior to filling
trcnch.
o
Rough Plumbing - Prior \0
cover.
REQUIRED INSPECTIONS
o Rough Mcchnnicnl - PrIor to
cover.
D nough Electricnl - Prior to
cover.
/
o ElcctricnJ Service - MllSI be
approvecl to obt<:lin pcrlll:mcnl
eleclrlcal power.
o Flreplacc - Prior to fnclng
materials and framing Insp.
o Frnmlng - Prior .to cover.
D WJII/C'clling Insulntion - Prior to
Cover.
o Dryw~l! - Prlor 10 taping.
o
Wood Stove - Arter In5Iall,1:ion.
o Insert - Afler fireplace approvel
and Installntlon of unit.
o
Curbcu t & Ar>pro~lch - Af!cr
forms arc ('recled but prior to
plilccmcnl of concrct(!.
o
Sidewnlk & DriVC\-'I:I\, - After
axe'avollion is complelc. forms
anCI su!:J.b::lse m",!cri.ll In place.
o
Fencc - Wt)en completed.
o
~~lrool Trccs - When a.ll requIred
!rces arc planted.
o
Fin:lI Pllllllbino - When all
plumbinG w~HI( is complcl.e.
D
Pin.ll Elect~cnl - v...."e" all
electricnl wOrl( 13 complctc.
~L (
~ ~!nnl Mcch,lI\icnl - When o'lll
IIlccllanical worlcls completc.
o Fin,ill OuildinU - WI)Cn all
rcquircd In::;pecllons hnvc been
approvcd nnd building is
completed,
DOthcr
MOBILE HOME INSPECTIONS
o OIocking nnd Sel.Up - WIlen nil
brocl<ln~l i3 complete.
o Plumbinu Connections - When
Iwme hn:; been connected 10
Wfllar :1I1tl sCVler.
o
ElcclliC:i11 COllnection - WI)cn
blor.1dnU. $CI.Up. and plllmblng
ln~;pccllons ll..wc becn a.pproved
and tile hOllle i~, connected to
the :.;ervicc P:U1CI.
o
Finnl - Alter all required
Inspections ore .1pprovcd and
porches, sldrtlng, decl<s, and
venting have been Installed.
Lot faccs
Lol Type.
Lot sq. Ilg.
Interior'
Lot coverage
Corncr
Topograpl1y
Total l1elgill
Panhandle
Cul.(Jc.~ac
BUILDING PERMIT
ITEM SO. FT. X $/SO. FT.
Main
Garage
Cnrport
Tolal Value
Ouilding Permit Fcc
Slalc Surctlar{JC
Total Fcc
(A)
P.L. I HSE . GAR' ACC I
I
I.
~---I-----=
Setbnclc; _
N
----
_L-__
VALUE
"
(8)
SYSTEMS DEVELOPMENT CHARGE (SDC)
PLUMBING PERMIT
ITEM
FIxtures
Residenlial 8olh(s)
N'
Sanitary S?wcr
Waler
FT.
FT.
Storm Scwcr
FT.
Mobile Horne
Plumbing Pcrmi!
Sliltc Surchar{Jc
Total Cilarge
(C)
MECHANICAL PERMIT
Furnilco
Exhau5t Hood
Vcnl Fan
N'
Wood Slovc/lnscrt/FlroplD.cc'Unit
Drycr Vont
Mccllanlcal Pcrmi t
Issuanco
State Surcharnc
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Homo
State Issuance
State Surchar{Je
Sldewall~
II
Curbcul
/I
Demollllon
;>tlltc Surcharge
Total Mlscellaneouz PermilS (E)
TOTAL AMOUNT DUE (exclutlinO eleclrical)
(A, 8, C, D, and E CombIned)
FEE
i.lt.;',
_tlO_-,---==-
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.3 THE PF10POSED WORK iN THE.
'''HISTORiCAL DiSTRiCT, OR ON
THE HISTORICAL REGISTER?
If yes, Ihis application must be sIgned
and approved by the Historical
Coordinator prior 10 permi! issunnce.
APPROVED'
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
Tllis permit is grnnled on tile exprcss condition that the s.nid
construction stlD,ll, in all respects. conform to the Ordin<lncc
adopted by Ihe City 01 Springlield, including Ihe
Development Code, rcgulating the construction and use of
buildings, <lnd mily be suspendcd or rcvoked at any \lme
upon violation or any provi::>ions or s<lid ordinances.
Plan Cileck Fcc:
Dalc P;.lid:
Receipt Number'
Receivcd By:
Plans Revicwccr.O-y-.---....-.--
Date
Syslems Development Ctlarge is due on all undeveloped
properties within tllC CIty limits which arc being Improvcd.
ADDITIONAL COMMENTS
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By slgnaturc, Istate and agree, that I hayc carcfully examlncd
tllC complelcd nppllcation and do hereby certify that DII
Information hcrcon i:.; true ancl corrcct, and I rurthcr ccrtify
that any and all work pcrformcd shall be done. in accordance
with tllC Ordinancu:.> o( tile City of SpringfIeld, and the Laws
of the Statc of Orcgon pcrlainlng to thc worl~ described
hcr~in, and that NO OCCUPAf>.JCY will bc -rnadc of. .:my ..!
structurc without permission or the Building Safety Divisio0.
I rurtl1cr certify that only contrnctors and employees who
arc in comptiancc'willl ORS 701.055 will be uscd on thIs
proloct.
VALIDATION:
RECEiPT NUM8Ul
3dtl-, I
. ,
I:).-?,D -l1<(
DATE PAIr>
AMOUNT RfOCEIVr-:o J_ .:) i.,
cKw
'd-o
RECEIVED 8Y