HomeMy WebLinkAboutPermit Mechanical 1999-2-16
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RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
Orlice: 726.3759
,
:;PRINCFIE.LP ~
LOCATION OF PROPosm WORK: -I'li22.._LitJ DA
ASSE~SORS MAP: I<;A r'l '/ _ t'J <I ~
,
ADDRES~' //0 L/
CITY: ,JjJrt.J11He.J1".
DESCRIBE WORI<: / A/Sl-dJl 1111< (!.ondtllOJl/t'.r
REMODEL ..,-/
LOT'
OWNER:
BLOCK:
La N~_
STATE: .---41<
.
JOB NUMUER 2~ C) 2/_7
225 Filth Streel
Sprlnolleld. Or"gon 07477
TAX LOT: ~ I t:i" ?)?_
SUBDIVISION:
PHONE: _7t/-1- :3es.;?
7.1 P: _tl1!i2..J
NEW
ADDITION
DEM9L1SH
OTHEn _______
PHONE
ADDRESS
CONST.
CONTRACTOR'
CONTRACTOR'S NAME
GENERAL'
PLUMBING'
MECHANICAL: t!JJmfori::. Flow JqS/ DON Sf, Sfe, D
ELECTRICAl'
I,XPlnES
[;()J./bfJ
h~Z4LJq
'llb-DlO()
OUAD AREA:" ,
".
_"'wo. ZONING CODlf:ll'~RK
NO \ \vl-' l"'t,PIRt. 'I' :r
CONSTR. TYPE: __ -~M\1 S\-\p.~.I0r- BDr.1MS:l,^1\ \S NO
1\-\\':; n-" IlER llil':; r ,-. '
HEAT sounCE' _, .~n\"'C:O llNS"'COND^FI~""iElA<;:rOR
. --~-'f\.1J " ,~. . L.<- R IS f\.B,....".,""" . ------.
RANGE: ___ - -...'I'NCEO OSOUAnL: FOOTAGE: "",_,_.
v\.l.~". .... .. 'oj pE.fUUU,
f\\\, ~ '_ '- 0-
To request an InspccllOl1, you musl call 72G-3768. TIlls Is n 2<1 hour recording. All Inspections requested before 7:00 .un. will be
made tho same worl<lno diJY. In:;pcctions rcquc::;tcd afler 7:00 a.m: will be maue the (ollowln~l Worl( day.
. OF BLOGS'
I:~- ~, ...
OCCY GROUP:
. OF STORIES: ___
WATI:R HI:ATI:R:
o Tcmpornry Electric
o
Silo Inspection - To be m;1dc
after cxcilvntlon, oul prior to
selling (orltl~.
o
Undcrslnb Plumbino I Elee trienll
Mcehnnlcnl - PriOr 10 cover.
o
Fooling - After trcnchc~ are
excavaied.
o Masonry. - Steol loentlon, bond
bcams, grouting.
o
Foundnllon - Ailer 'orms arc
erected but prior to concrete
pla.cement.
o
Undcr!lround Plumbing - Prior
to fllllng Hench.
o
Undcrfloor PlumblnO/Mcchnnicnl
- Prior to insulnllon or dccl(ing.
o Post rind Oeam - Prior \0 floor
lnsulntlon or dccl(lng. .
o Floor Inslllation -, Prio.r to
decldno.
o Snnilnry Sewer - Prior to OIling
trench.
o
Storm Sewcr - Pdor 10 (illinO
trench.
o
,
Water LIne - r?rl'qr to filling
trench.
o
Rough Plumbing
cover.
Prior to
- OFFICE USE _
,.
",
. LAND USE: _._
,
, ,t
'.. H OF UNITS:
REQUIRED INSPECTIONS
o Rougll Mccllnnicnl - Prior to
cover. '
o llouOh Elcctricnl - Prior La
CQVer.
o Electrical ServIce - M~JSI be
apprOvc(1 \0 oblnin permanent
elcctrlcal power.
o
FlrcplOlcc - Prlor 10 ftlclng
malerlal!.> and framinn Insp.
o Framing - Prior to co'ver. \
D Wnll/C'c1lino Inslll,llion -" Prior to
cover. .
~
o Dryvinll - Prior 10 I.lping.
o Wood Stove - After In5Iall~l:ion.
o Insert - After f1replncc apprOvl.l1
and Inslalli:ltlan of unIt.
o
CurbClll S. ^ppro,lcll - After
forms arc c:recLed but prior to
pJ;JCCmCnl Q' r.oncrelll.
o Sidewnlk l.. Drivew:I\' - After
exc.:1v;Hion is cornplele, 'arms
ilncJ sub.bnse ma!crlill in place.
o Fence - Wilen compleled.
o ~llroot Trees - When all requ'lred
Irees LHC pli:lnted.
FLOOD PLAIN:
o Finnl PlllIl1bing - When illl
. plumbing w9rl< is complel,c.
~r-i/lOlI ElcctlicOlI - V....hen all
~ICctrjc:al wOrl< is complete.
( ,
~Flllnl Mcch.lIlicill - When all
~eCIILlniC<l1 wOrl(.ls complelc.
o Fin,11 OuiJdilltl - Whcn all
required inspections have been
approved. and building Is
completed. .
o Ot,her
MOBILE HOME INSPECTIONS
o OlocJ..:illg nnd Sel.Up - When .1/1
blocldnu is complele.
o Phllnbinu Conllecliolls - WI)cn
hom(; ha:.; becn connCClcd 10
Willer :,1/1<.1 ~CVJcr.
o
Elcctlical COllllcction - When
blocldnu, ~CI.uP. and plllmbing
In:;pcclion:.; Il;"lVC been approved
ilnd tile 110111e ir. connccted 10
the. service panel.
I I Fin.,l - Afler all required
Inspections .:Ire approved and
porches, sJdrting, decl(s, and
venllng have been Installed.
Lo! faces
Lol TYI '
_ In rior'
LOI SQ. fig.
, ~ . ' ......
Lotcoverag'e
Topography
Tolal helgl\l
\
Corner
P~nh.1ndlc
Cul.{Je.~ac
BUILDI~G PE~MIT
X $/SO. FT.
ITEM
SO. FT.
Main
GariJge
, '
CiJrpOrl
,.
TOlo.l Value
OuildinO Permit Fcc
Slate Surcharge
Total Fcc
(A)
,~
, ,
SetIJ.1cl<:i.
I P.L. I HSE '..GAR' ACe \
N, '
~--- I
IS THE PROPOSED WOR-I< iN THE,
'..'HiSTORiCAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
II yes, 1I1ls application must be signed
and approved by Ihe Historical
CoordiniJtor prior \0 permit issuance.
.'!'!._..- -- ----
.5-__,J
VALUE
"
SYSTEMS DEVELOPMENT CHARGE (SDC)
(0)
PLUMBING PERMIT
ITEM
Fixtures
Resldenliol 0,,111($)
N"
Sanitary S~wer
Waler
FT,
FT.
Storm Sewer
FT.
MobIle Home
Plumbing PermIt
State Surell.Hoe
TOlol Charge
(C),
MECHANICAL PERMIT
l1Z~
Furnace
Exhaust Hood
Vent Fan
N'
Wood Stove/lnscrl/Flreplo.cc'Unil
Dryer Venl
Meehnnlcal Perml t
Is!;uance
Slille Surcharoc
,7J-f,<f.r
Total Permll
(0)
MISCELLANEOUS PERMITS
Mobile Home
SI<lle IS5uance
State Surcharge
Sldcwall<
It
Curbcut
Il
Demollllon
State Surcharge
TOliJl Mlscellnncouz Permil:> (E)
TOTAL AMOUNT OUE (excluding eleclrieal)
(A, O. C, 0, and E. COlllbinetl)
FEE
>>1 r tItl ,
/~~
_LO ~O_
--L..3:_~
Z6-~2tJ
'-0 .
gb.
APPROVEO'
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit is gr.1nted on Ihe expre!;s condillon Ihol the said
construclion sllall,ln <:Ill respecls, conrorll110 the Ordln<lnce
adopted by Ihe Cily 01 Springfield, including Ihe
Devclopmcnt Code, rcguI<lting the construction and use ot
buildings, ;lI1U m."}y be suspended or revol<ed <ll iJny tIme
upon violation or ony provisions or s;)iu ordlnnnce:;.
Plan Checl< Fec'
.o:1te P.lid:
Receipt NllIllber'
Received By:
PI.1ns Acv"icwed--'Oy-.-------
Dote
Sy~tems Development Chorgc is due on all undeveloped
properties within the City Iimils which me being Improved.
ADDITIONAL COMMENTS
~.t6<~H.2.q ~~/7
/.<; ,;{8(((/~.
\
(
By sIgnature, I state and <:Igreo, tl10.11 h.1;ve c;)rcfully examined
1110 completed nppllc<:lllon and do hereby eerlHy lh<lt .11/
Information hereor1 i:; true ;'II1c1 correct, and I further cer(ify
Ih;).t ony and all worl< performed chnll be done in nccord;mco
with the Ordinanc<.::.> of Ill(: City of Springfleld, iJnd the L<:Iw:;
of the 5t.110 of Oregon perlainlng 10 the VJorl< described
herein, o.n,d lhal NO OCCUPf\NCY will \.)e mo.cle of any _~
struclure Wiltloul permission of the BuildIng Safety Division.
I further certi fy lllat only contraclors <:Ind employees who
are in compliance'with ORS 701.055 will be used on this
proiecl.
I further agrec to ensure \11.at all required Inspeclions <:IrQ
requested <.Illhe proper tfme, Iha\ cach address Is readable
(rom the street, llli'll the permit card Is located at the fronl
of llle properly, all the ~pprovcd :;ct or plans will rcmnln
on 1I1e "He 0 all 1m " dur;, 9 ~n)fu1on... I
Slgnolure ,;J)~ '"'-'
if
DZlte
d. - / I..3!l.
VALiDATION:
R~C~II'T NUMEl~fl
'(2- &(, 8
Z//tb/<J 'j'
DATE PAIr>
r f,
AMOUNT R~CEIVf.D "'70 .20
__.r::ECEIV~OY --~~!"~-1~~l
i' ~ 1,/~/