HomeMy WebLinkAboutPermit Mechanical 1998-7-22
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
Office: 726.3759
LOCATION OF PROPOSED WORK:
ASSESSORS MAP:_/_7-'l /_
LOT'
.
SPRINCFIELP 11m
BLOCK:
OWNER' Thnn\S YDu,nt\
ADDRESS: '1011 WsDnm Loop
CITY:~
DESCRIBE WORK: JllikJ I 1-Iell:L Thm.p
NEW
REMODEL
STATE: --.!2f<
ADDITION
DEMOLISH
~
.lOD NlIMOEn.-Zt!S CJ ~r?7"
225 Fifth Street
Sprlnglleld, Oregon 97.177
____ TAX LOT'
o z. 5" .!J-€)
SUBDIVISION:
PHONE:
'7%-L4i00
ZIP:
q14-7g
OTHEIl
~
- "f
PHONE
ADDRESS
CON ST.
CONTRACTOIl .
EXPIIlES
CONTRACTOR'S NAME
GENERAl'
PLUMBING'
MECHANICAL:~ Ict!:)l t:N\I st S1e, D
,
- Nl..lTleE: ZONING CO~~:THE WUHI\
CONSTn. TYPE: --.- -RMIT SH'AtlJ?6:lWI~. __
1 HI:> ."- ~ PERMIT ,~ Nv I
HEAT SOURCE: _____ ..,. ,,,oIZED u~~s8J~k~IY H!;~T~..m
/'IV'I'on ANDONcU .vn
nANGE: ___ COMMENCED Qf~:A~A#I.. FOOTACE:..__._
.. '" r"'clnn
ANY lOll iH'\ -
To request an Inspccllon, you mU5t c~rl 726-3768. Tills Is n 24 hour recording. All Inspection::; requested before 7;00 a,m. will be
made tho same working d<lY. Inspection::> requested after 7:00 n.m. wjll be made the following worJ( day,
ELECTRICAl'
,
....
""
QUAD AREA:
I
. OF BLDGS'
OCCY GROUP:
. OF STOIlIES: _'_
WATER HEATEn:
o Tcmpornry Electric
D Site Inspection - To bc mode
after excavation, bul prior Lo
setting lorl11~.
o Underslnb Plumbing/Elcctricnl1
Mechnnlcnl - Prior to cover.
o Footing - After trenches arc
excavated.
o Masonry - Stee[ locatlon, bond
beams, grouting.
o
Foundnllon - After rorms ore
erected but prior to concrete
. placement.
o
Underground Plumbing - Prior
to filling trench.
o
Undcrlloor Plumbing I Mcch:micnt
- Prior to Insulation or decl<inn.
o
Post rmd [3o<Jm - Prior to floor
Insulation or dccl<lng.
o Floor Insulnlion - Prior 10"
decking. . '
. .
o S.:lnilnry Sewer - rrior to filling
trench.
o Storm Sewer - Prior to fillino
Irench, ",
o WiJlcr Llnc -. p'rlor \0 .filling
trench. .,.. .
o
Rough PIUlllbillD - Prior lo
cover.
I'" .'
- OFFICE USE -
'. 'LflND'l;JSE: _._____
H OF UNITS:
REQUIRED INSPECTIONS
1"5<r':nough Mecl1::lI1/C:l1 - Prior to
~over.
~nOlJuh Eleclric..1 - Prior to
~()vcr. .
'. ,
o ElectricCiI Service - MllSI be
ilpprovecl \0 obtflin pCnrlllllent
clcclrlcol power.
o Flreplacc - Prior to fnclng
materla[s and framing Insp.
o Framing - Prior to coyer.,
o Wall/C'clling III suInt ion .- Prior to
cover, ...1 ~
o
Drywnll
Prior 10 13pillg~
o Wood Stove - Afler lnstalln:ion.
o Inserl - After fireplace approval
and Insla[l<:lllon of unit.
o
Curbcut & Approuch - Aller
forms arc c:reeled but prior 10
pl:lcemcnt of concrete!.
o
Sidewalk & Drivew:1Y - Aftcr
excavation is complete. form:;
aneJ su\).bnse lTla~r.:rlill in plile!.).
o Fence - WIlen completed. ,
o ~\troot Trees - When nIl re~ulred
trees arc pl.1ntcd. ,-
lDtW
b-~q
1.,7J:,.C/lX)
FLOOD PLAIN:
o FirHll Pllllllbing - When all
plumbing worl< Is complet.e.
~'ill"l ElcCI~C..1 - \o'Vllcn all
, . clec'tdeal wOrl< is cOfllplete,
.,.,.' . . .
(
f"S7( Fiorll Mcchnnicnl - Wl1en nil
~eCllanjcal worl< 1$ com pie Ie.
o Fln;1I Uuilclin{J - When all
required in5peellons have been
ilpproved and building is
completed.
DOthcr
. .
MOBILE HOME INSPECTIONS
o Dlocking and Sel.Up - When nil
blocl<lnU Is complete.
o Plulllbinu Conncctions - WI1en
llOm(~ h:l:,j been connected 10
Willer IIllel sewelr.
o
Eleclricill COllnccllol1 - WIlcn
lJlocldno. :;Cl.Up, iJnd plumbing
ln~;pectlon:.; I"we been <JpprovecJ
Clnd tile hOllle i::-, connecled (0
the service panet.
'-I
o
Finnl - Arter ull required
Inspcctions ore approved and
porcl1cs, ~1(jrlin9, dccl<s, and
ventIng have been Installed.
)'
~I
"1
LOI faces
lOI Type.
Interior'
,
. lol sq.-Itg.
Lot coverage
Corner
Topography
Total 11elght
Panhandle
Cul.(Je.~(lC
BUILDING PERMIT
ITEM
SO. FT.
X $/SO. FT.
Main
Garage
em port
Total v5fuc
Qui/ding Permit Fcc
Slate Surcllarge
Tolal Fcc
(A)
Setlnel'3 "'-'--_5 THE PHOPOSED WOHI, iN THE.
r P.l. ~SE GAR' ACC I '. . HISTORiCAL DiSTHICT. OR ON
---......,--- THE HiSTOHICAl REGISTER?
~- -- . II yes, this applicallon must be signed
_~_______ and approved by the Historical
Coordinator prior 10 pcrmit issuance.
.L___
W
.----.- -- ----
APPROVED:
VALUE
"
(e)
SYSTEMS DEVELOPMENT CHARGE (SDC)
PLUMBING PERMIT
ITEM
Fixtures
Residential 8~lh(s)
Sanltur~: S?vJer: d
N'
FT.
'1---'---
Water
Slorm Sewe;-
FT.
, ,
"
FT.
. ,
Mobile Home
,.,.). -
("':1":" '
Plurnblng Perrnit
Stale Surc11aroe
Totill Charge
(e)
MECHANICAL PERMIT
Furnace M:!:?f/J /lV~
Exhaust Hood
Vent Fan
N'
Wood Stovellnserl/Fireplace 'Unil
Dryer Vent
Mecllimical Permi I
Issuance
Slate Surch~lf!Je
,7 J-I'-,4J"
Total Perml t
(D)
MISCELLANEOUS PERMITS
Mobile Home
Stale Issuance
State Surcharge
Sidewalk
It
Curbcut
It
~
Dcmollllon
~lalC Surcharge
Total Miscellaneous Permil!; (E)
TOTAL AMOUNT DUE (exciu,ling cieclricai)
(A, B, C, D, and E Combined)
FEE
'" ,
ijl
.f.;
fl.,.:;-
I ;", _.,~ \",
.. .,'.
/J?#t1 ,
/~dO
.Le~p .
--I- ~_~
:20. :La
..~d
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
Thi!; permit is grLlnlcd on Ihe cxpress condition that the said
conslruction sllafl, in all rc~pcCls, conform 10 the Ordinance
adopted by the Cil}' of Springfield. including the
Development Code, regulating the conslruction and use or
buildings, and m~y be suspended 0-; revoked at any time
upon violLllion of any provisions of said;~ordin<?-r)ccs.
Plan Check Fcc.
OLlIe PiJitl:
Receipt Number.
Received By:
PILlIlS Rcvi(;~Cd--.!3y-'-'---'--
Date
Systems Development Charge is due on all undcvelopc:d
properties withIn tho City limits which arc being Improved.
ADDITIONAL COMMENTS
-..<.yAtA7 &~/A::'.ns/r cS..
.4'~L//R~
\
(
By signature, I stale and agree, thai I h3;.ve carefully examIned
tho completed .llp~rication and do hereby certIfy th<1t all
InformatIon hereon I:; truc al1(l correct, and I further cerllfy
(hal any and all work performed shall be done' in accordance
with tile Ordinances or the City of Springfield, emd the Laws
of the Slille of Oregon perlaining to lhe worl< dcscrlbed
herein, and t11al NO OCCUPANCY will be made or any
structure wllhout permission of the BuildIng Safety Division.
I furttwr ccrtify Itlal only contractors and employees who
arc in compliancc.with GRS 701.055 will be used on this
proj ec I.
I furltlcr i'lgree 10 en~ure 1hi'l\ all required inspections arc
reque5led althe proper time, that each address Is readable
(rom tIle street, that U1C pcrmH card Is located at the fronl
of tile property, nnd the ~pproved 5et of plans will remaIn
on the sile al all times during constructIon.
-cgnalUre _~/J, .~ ~ -: ___
Dale 7/22-1)'~
VAliDATION:
?IJ ~~ ~
DATE PAID -7/2 2-/J' ~
. ((
AMOUNT. RECEiVED ~...,,2-0
---/~
RECEiPT NUMeUl
FIECEiVED BY
,
\