HomeMy WebLinkAboutPermit Mechanical 1999-10-19
OWNER: --:\r1-tf-' l~oE'-k(\ h",l( JP. {
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DESCRIBE WORK: -1n S-ta J A ~ A~ n+-- ' Uz::n\+- p.mp t-rll ~y
NEW REMODEL ADDITION U - DEMOLISH OTHER
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
Office: 726.3759
LOT'
CITY:
CONTRACTOR'S NAME
.
SPRINGFIELD
.
111Lf'fo
BLOCK'
AI J-.M) (fP
STATE:' n rz -
JOB NUMBER
225 Fifth Street
Springfield, Oregon 97477
SUBDIVISION'
~L
IJ'llbd ~
PHONE:
74f;,-O,()C, ?t
ZIP: Cf7<-f7n
ADDRESS
CONST.
CONTRACTOR .
EXPIRES ".-:- PHONE
GENERA' .
PLUMBING: ,
MECHANICAL:JY1Dr':4YJW<s L/lv) O\\trrp;LS~ ~r 1f-aS-7~(~ 7(j7-7W-JS--
ELECTRICA' . U
,
- OFFICE USE -
QUAD AREA:.uOTICC, LAND U~~'
i1~ -- EXPIREIFllIEWvt11\
, OF BLDGS'll-IIC>CCtlMIT~HALL . OF....lJAllT!'T
<.. ~ NDERTHIS PERMlII~ \'1v
OCCY GROU~I~rn..I()R1ZEDU , COIllSHhTYPE:
CEO OR IS ABANDONl:U rvn
. OF STORI~c{,',QMMEN , HEAT SOURCE:
IINY180DAYPERIOLJ.
WATER HEATeJ'l" , RANGF'
FLOOD PLAIN'
Al I LI.... Il\.Jl\:Ola~l:1f .cl.v\! (t:1I.~lll.;,;;o.J :Vl ,.....
4....II...u. ,,"loS ddcpt'ZONING:C0D~''''' Ilt":tv
Notihc~till- GE "r ", ',"" ,."I"lH-f( r:=;: fr,1h
, ' . ". OF BDRMS' " ,
In UAH ~::J~-U\J-J"'('~.:~ .. ;"011[111 U/1,' v<.J~.\lV ,-
nnM V^" '"'lay obtISECON'DARyfHEAT,les bv
calling :he cent:, /':0:,": th" leleohone
t. O,.SQUARE.FOOTAGE:,~..
numuttr nA 110 it.; 'J.t \"'ulHy 1~~.lII11JULl\J."
LrL..;i,C. i..:) ,'-~ ....;hVV&..-........r-./. _
To request an Inspection. you must.cal!, 725.3769. ThIs I::. a 24 hvi.Jr"recofuing.- AI/Inspections requested- before 7:.00 a.m. will be
made the same working day, Inspections requested after 7:00 a.m. will be made the following work day.
o Temporary Electric
O Site Inspection - To be mado
after excavation, but prior to
setting torms.
o Underslab Plumblng/Electrlcalr
MechanIcal - Prior to cover.
D Footing - After trenches are
excavated.
D Masonry - Steel location, bond
beams, grouting.
o Foundation - After forms are
erected. but- prior to'concrete
placemont.
o Undorground Plumbing - Prior
to filling trench. '
o Undorlloor Plumbing/Mechanical
- PrIor to Insulation or decking.
o Post and Beam - Prior to floor
Insulation or decking.
D Floor Insulation - Prior to
decking.
D Sanitary Sewer - Prior to filling
trench.
o Storm Sewer - Prior to mllng
trench.
o Water Line - Prior to r11llng
trench.
o Rough Plumbing - Prior to
cover.
REQUIRED INSPECTIONS
D Rough Mochanlcal - Prior to
cover.
o Rough Electrical - Prior to
cover. .
o Electrical Service - Must be
approved to obtain permanent
electrical power.
D Fireplace - Prior to racing
materials and rramlng Insp.
D Framing - Prior to cover.
o Wail/Carling Insulation - Prior to
Cover.
o Drywall - Prior to taping.
o Wood Stovo - After Installation.
o Insert - After fireplace approv41
, and Installation 01 unit.
D Curbcut & Approach - After
forms are erected but prior to
placemont of concrete.
"
D SIdewalk & Driveway - After
excavation Is compioto. forms
and sub.base materIal In place.
D Fence - When completed.
o Street Trees - When alt roqulred
trees are planted.
o Final Plumbing - When all
plumbing w9rl< Is complet,e.
/d~ Electrical - Whon all
~ l-.J ~rlcal work Is complete.
~al MechanIcal - When all
~chanlc81 work Is complete.
D Final Building - When all
required Inspections have been
approved and building Is
completed.
Oathor
MOBILE HOME INSPECTIONS
o Blocking and Set.Up - When all
blocking Is complete.
o Plumbing Connoctlons - When
homo has been connected to
water and Sewer.
D Electrical Connection - When
blocking, set.up, and plumbing
Inspections have been approved
and the home Is connected to
the service panel.
D FInal - After all required
Inspections are approved and
porch os, skirting, decks, and
venting have been Inslalled.
Lot faces
Lot 'TYpe
.
....It.:\.~\
( _HE PROPOSED WORK IN THE.
"."HISTOI3ICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
If yes, this application must be signed
and approved by the Historical
Coordinator prior to permit Issuance.
Setbacks
Lot sq. fIg:
Interior
I P.L
IN
HSE GAR Ace'l
I
S I I
;'=C-]
APPROVED:
Lot coverage
Corner
Panhandle \
Topography
TOlal height
Cui-de-sac
........ ~ ....
BUILDING PERMIT
ITEM SO. FT.
.~
X $/SO. FT. .
VALUE
'. ". '. "
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
Garage
"
This permit Is granted on the express condlt,lon that the said
construction shall, In all respects, conform 10 the Ordinance
adopted by the City of Springfield, Including the
Development Code, regulating the construction and use of
buildings, and may be suspended or revoked at any time
upon violation of any provIsions of saId ordInances.
Main
Carport
Plan Check Fee'
Date Paid:
Total Value
Building Permll Fee
Receipt Number'
State Surcharge
Received By:
TOlal Fcc
(A)
Plans Reviewed By
Date
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge Is due on all undeveloped
properties within the City limits which are being Improved.
PLUMBING PERMIT
ITEM
FEE
ADDITIONA~ COMMENTS /J
(;-2 ec. 7f4rA1 /')&1t""..... ( f&., fA ,,.....x
Fixtures
Residential Bath(s)
N'
Sanitary S~wer
Water
FT.
Storm Sewer
FT.
FT.
/ -
ICA LAL
fft .-.'7
',0.Ufn (j, J-.L
Mobile Home
Plumbing Permit
State Surcharge
Total Charge
(C)
MECHANICAL PERMIT
Furnace
State Surcharge
Total Permit
(D)
f).OJ
(u. CJ
/-IV
/ b'P
By signature, I state and agree, that I have carefully examined
the co~pleted application and do hereby certify that all
Information hereon Is true and correct, and I further certify
that any and all work performed shall be done In accordance
with the Ordlnancus of the City of Springfield, and the Laws
of the State of Oregon pertaining to the work described
herein, and that NO OCCUPANCY will be mada of any
structure without permission of the Building Safety Division.
I further cerllfy that only contractors and employees who
are In compliance with ORS 701.055 will be used on this
proJect.
Exhausl Hood
Vent Fan
N'
Wood Stovellnsert/Flreplace Unit
Dryer Vent
Jh./ 11"..11l /J
I ,
Mechanical Permit
Issuance
I further agree to ensure that all required Inspections are
requested at the proper time, that each address Is readable
trom tlie street, that the permit card Is located at the front
of the properly, and the approved set of plans will remain
on tha site at all t S during c1:1tructl'\L>/', /1 /"\
Signature 'J!.,( ~ v V J
----- - ~
/0
!
MISCELLANEOUS PERMITS
Moblle Home .
Stale Issuance
Stale Surcharge
Sidewalk
II
Date
Curbcut
II
Damollllon
State Surcharge
VALIDATION:
RECEIPT NUMBER ()?)~ tf
DATE PAID N I J111'~'
AMOUNT RE;CEIVED' ')j,. ru
4/tJr-.f
TOlal Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C. D, and E Combined)
, RECEIVED BY