HomeMy WebLinkAboutPermit Mechanical 1999-6-15
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ADDITION
RESIDENTIAL
PERMIT APPLICATION
Inspections: 72G,37G9
Oltice: 72G.3759
ASSESSORS MAP'
LOT'
CITY:
DESCRIBE WORI"
NEW
REMODa
PHONE
CONTRACTOR'S NAME
GENERAL:
-
:;PRINCFIELP !'1m
,
JOB NUMOEI1
190 ro f
DLOCI(:
STATE: _o.R
DEMOLISH
225 Fiflll Street
Sprlnglleld, Oreoon 97477
TAX LOT'
SUBDIVISION:
Inoo c)
PHONE: ~ 7Lf(P - Sggq
11/
7.IP:
Cl7l/77
OTHEI1____._,__
~ '
'.
- OFFICE USE _
ADDRESS
CON ST.
CONTRACTOR'
EXPII1ES
:~~:~::AL:Ct2m.J-Drf r;'p'J),L7liAJ->>J~/ DO/'J.s1/ SwkJJ ,!)() 'lt1J -'6- !)7-9C!.,_lJtl6~ ffi)
ELECTRICAl'
QUAD AREA' '. LA~R USE: _'_____
. OF BNG1~CE;, ,..i.L(y,\?IBE\Fil"\E~~6"f1NITS:
PERMIT:;11 PERMI'T IS 1'1
OCCY G~P: - Utlr<:QiHI?- roI1NSTn. TYPE: __ . . OF DDHMS:
1\1 m-IOR\Ll:U ADI\NOONED , e uiles you I,U
. OF STcml1:~, . 'C,n"QISI"L' HEAT SOURCE: _i'l'fjOtl,n.",,,on law I q~a~{'Ull.l\iliiY HEAT: _'_,...
COMN'I:....- \00 IX'flb , ," tad by the 0 " t forth
WATER HMJ.'>.'8\}Qtl.V PER :...__ RANG E: -"-4;;~1~'" ',Illes ad~~I"TtlOSe IUlf$"o1J'~l1gi!.'6{flTAC E: ,..._
Ai'll w;tili~"llnn cen .. .~_~"nh OAR 9 --""-'
n"?-OOl-UU 'v ".. ," Q o:l the IUI"''' ~T
To reques< an Inspection, you mus< call 726.3769, Tills Is.1 ~ {jl)\fi\J'CC'or'(Jrn~t5llai'11sfiillli1on_ r~fJ~fH~I\1SI belore 7:00 .1,rn, will be
made the same worl<lng day. In:;pecllono requeo'ed aller 7:!30~~Q\II~\!6~ii'tEft.~,611~'~o'{(ftl!a~
REQUIRED 1~19\l:\l)JUll:N:$~gonUtlhty 44).
~, numbl:lT'to, 1_800-332-23
o Rqugh Mcc!l<lnical -0Uf61?G~ 0 Finnl Plumbing - When all
.- -eover, . plumblno wor/t is complete.
o:;~"o." Ekc'rienl - Prior '0 ~J."'I Electlienl _ When all
O ",." (i {5::~~,~;~:: :':::~'",
. Elcc tric.lI Service - tyl11S I be
approvecl to obt.1in permanent m'6clianicLlI worl< 'Is complete.
clcClrlco.l power.
o Temporary Electric
o
Sile In5pcction - To Dc m.1.dc
after cxcDvn(Jon, but prior 10
SOiling forllla.
o
Undcrslnb Plumbing I Electric..11
Mcchanlcill - Prior \0 cover.
o Footlno - A(ler trenChes .:Ire
CXC<1valcd.
,
o
Mnsonry - Steat loc:Hlon, bond
beams, grouting.
o
Foundnllon - A(ter forms :"Ire
erected but prior to concrete
. pf.1.ccmcnt.
o Underground Plumbing - Prior
10 fIlling trench.
o
Undcrlloor Plumbino/McchOlnicOlI
- Prior to Insulntlon or dccl<lnri.
o
Post nnd Ocam - PrIor to floor
Insulalion or dcel<lng.
\ , '
o Floor Insul"tion :- Prior to
decl<lno.
o
S~nit"ry Sewcr - Prior to filling
Irenell.
o
Storm Scwcr - Prior to flllinQ
trench.
o W~tcr Line - Prior \0 filling
trench.
o
Rough Plumbing - Prior 10
cover.
o Flrcplace - Prior to (<1clng
materIals .1nd fr<1rning Insp.
o
o
FramIng - Prior to cover.
WalJ/C.clli:1U In:>ulntion - Prior to
coVer.
.0 o ry...i" II
Prior 10 l:l.ping.
o Wood Stove - After In:H.::tll:t:lon.
. '
o In:>crt - I\ftcr (Jrcplncc oPprovl.Il
Jnd Inst.1J!illlon of unit.
o ClJrlJcut [;. Appro,lcll - After
. form::; are crCClcd but prior 10
plOlcemen: i)( Concrete.
o
Sidcwnlk ~ Drivcw:l\, - A(tcr
cxcaVillion i:> complete. (arm:;
llnel Sul).bi1SC m~:erlOlI In placc.
o Fcnc.c - Wilen complctcd.
o
~;troot Tree::; - WIH~n llll requIred
trees arc f)IJnled.
FLOOD PLAIN:
ZONING CODE:__
o Fin,,1 Uuildinu - When nil
required Inspections hilve been
approved and buil(III\9 is
compleled. ..
DOI.her
MOBILE HOME INSPECTIONS
o OlocldrlO llnd Set.Up - Wilen all
bl()cl<ln~J Is complcte.
o PIUIllUilltl Connections - When
110/n(.: 11;.I~ been connected to
waler ;uH.l ~ew<:r.
o
Elecldc;ill COllnection - When
blor::1dnU. ::a~l'un. and plumbIng
In:;pecll(,)(l:; lI.we been npproved
ilnd the home i:;. connected 10
the $crvlcc panel.
I . I Finnl - Art0.r all required
Inspections are approved ilnd
porches, sldrling, decl<::;, and
venllno hove been Ins lolled,
LOI ft.lcc:i
LOI Ty.
_l~or'.
LOI sq, Ilg,
Lot coverage
Corner
Topography
Panhandle
Total helghl
Cul-<Je.$~C
BUILDING PERMIT
ITEM
SO, FT,
X $/50, FT,
Main
Garage
"
Carport
\"','
Tolnl VnJuc
Ouildino permil Fcc
SI~IC Surch~Hue
Tolal fee
(A)
SYSTEMS DEVELOPMENT CHARGE (SDC)
,
,\'
,(0) ,
'.
\ ,
,
PLUMBING PERMIT
ITEM
Fixtures
Residential Oath(s)
N"
Silnltary S~wcr
Woilter
FT,
FT,
Storm Sower
FT,
Mobile Horne
Plumblno Permil
Stale Surcharge
TOloill Cl1aroe
(C).
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent F.il.n
N'
Wood Stovel Insert/Flrenlacc .Unit
~ 7nl ----
Mechanl~1
ISSUilnce
Stntc Sllrell.HOc
Tolal PermIt
(0)
MISCELLANEOUS PERMITS
Mobile Homo
Stale Issuance
Slale Surcharge
Sldcwnll<
II
Curbcul
II
Demollllon
\
Slale Surch;lJge
Totnl MI:;ccllaneouz Permits (E)
TOTAL AMOUNT DUE (excluding eleclrlcal)
(A. B. C, D. and E Combined)
Sctl>ac!(:) .
'.,.,15 THE PHOPOSED WORI< iN THE,
- HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
II yes. 1I11s appllcalion musl be signed
and approved by the Hlslorlcal
Coordinalor prior 10 permi! issuance.
~ HSE_ _GAR ACC
N
_5______
E '. ,\
._--'"
,'!'!._-- ------
APPROVED'
VALUE
"
FEE
IS.O iJ
'0. OJ
~L-
? C. 2-0
BUILDING VALUE, PL'AN CHECK
AND BUILDING PERMIT
ThiS permit is granted on the express condiliontl101lhe said
construction shall, in all rc::;pccts, conform to, the Ordinance
adopted by Ihe City olSpringlield, including the
, . .., ...J, ...
Development Code. re{Julali.ng the construction and use of
, \, .
buildings, nnd m,1Y. be, ;'>U$pcn.d~d or rcvol<cd ~t any time
upon viol<llion of any p(ovi5:ion~ of snld ordinnncc$.
~ I I I
Plan Cllccl< Fcc:_.
1 Onle Paid;.,'
, '-
\ ---~..~.;-~--_...-
Receipt NlllTlber:__.._
Received Oy:
rl:lns Rcv.ic~cd._.Qy-._-------
Dale
Systems Development Charge is .due 0':1 011 undeveloped
\ properties within.\11c CUy limits w~j.cl' arc being Improved.
.. \ 'I ' ., ' . . \ '\. \,
ADDIT}O,NA,- C9MME~TS/ '4
c:;:(; ~~M-7A ,'-!CUvf~
__ _' Tn - u'O_ II
/JfY0><</f ~ &, I ~
j' ,i
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By signature, I :;tatc <lnd ngree, thall hqvc c<lI'cfully examined
the completed applicnlion rind do hereby certlfy thaI all
Inrormatlon t1crcon is true .1ml correct, and I further cerllry
Ihotllny t}nd nil work performed shnll be done in .1ccordancc
wilh the Ordinance:.; of Ihe City o( SpringUcld, and the Laws
of the SI:J!C of Oregon pertainIng to the worl< described
hervin. ond 1I1<J1 NO OCCUPAr-JCY will be made or any
~tructure without pcrmi~~ion or the Building S<.lfely Division.
I furll1C:r certi fy .111.11 only contractors nnd employees who
arc in compliance'with ORS 701.055 will be used on thIs
project.
J further :Igrce 10 cn,.urc \1,al all required inspections arc
rCQuc~lcd althe pro Jor timc, Ih.11 each addrcss Is readable
from 111C ~trce ,a c permit card 15 localed at the fronl
of the propc y,;')n he ~pprovod ~;el of plans will remaIn
on Ule sil .11.111 '0 d ";;;r~ruJuon,A. '.
Slgnalur~ i....J j) ~"-CA
~/5Jll (J
Date
VAlID/ITION:
REWI'T NUM8E,1 OJ '/l{70
DATE p^IDGjIJ/r9
, .
AMOUNT'RECEIVC:D ~. -20, 2-:f7
FIECEIVED BY __I<( wJ