HomeMy WebLinkAboutPermit Mechanical 1998-10-28
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726-3769
Office: 726-3759
DESCRIBE WORI<:
NEW
REMODa
.
\.
SPRINCFIELP
.
JOB NUMOER ~/ .::S (.-!-L
225 Filth Street
Springfield, Orego/1 87477
_____ TAX LOT:
O"~Sa-v
STATE: () R
ADDITION ./ DEMOLISH OTHEIl
SUBDIVISION'
PHONE: _
'l1/o-IW
liP: -3J L/-15?
J:r;{
-,~
W
CONTRACTOR'S NAME
GENERAL:
PLUMBING'
MECHANICAL:fomMrL
NU 11I.I00NST
ADDRESS THIS PEI'iR,NT~(l8X.pIRE IFlHWIN&'S1K - PHONE
-~-!';;tJi: :O:l:;E!:) ':"I"\J:R TI-llSEJ;..RMIT IS NOT
C~~.~~.~="f"'m nR I!'; ABANDONED FOR
PloML FI51 DlJrJ .5-( ..)kI;JH\ nr.@f1.#b'6J h-;Xl!LQ 1Zb:1211i2
ELECTRICAL'
OUAD AREA'
. OF BLDGS'
OCCY GROUP:
. OF STORIES: ____
WATER !-[EATER:
- OFFICE USE -
LAND USE: _._
. OF UNITS:
CONSTR, TYPE:
HEAT SOURCE: _____
RANGE: ___
FLOOD PLAIN'
ZONING CODE: __
K or- 8DflMS:
SECOND^nV HEAT: ___.....
SOUARF. FOOTAGE: ..._...._.
To request an Inspccllon, you mU$t call 726.3769. ThIs Is a 24 hour recording. AlIlnzpcction:; requested before 7;00 a,rn. will be
made the same working day. Inspection:; requested afler 7:00 a.m. will be made lhe following worl< doY.
o Temporary Electric
D Sitc Inspection - To be made
after CXCilV<lllon, but prior to
5eltlng forlllS.
o Underslnb Plumbingl ElcctricnlJ
Mcchnnlcnl - Prior 10 cover.
o Footing - AHcr trenches are
excavated.
o Masonry - Sleel location, bond
beams, groullng.
D Foundation - After forms arc
erected but prlor to concrete
placement.
D Underground Plumbing - Prior
to filling trench. .
D
Underfloor Plumbing I Mechanical
- Prior to Insul<1tJon or decl<ing.
D
Post nnd Beam - PrIor to floor
Insulation or decl<lng.
D Floor Insulation - Prior to
deckIng.
D
SanHary Sewer - Prior to filling
trench.
D
Storm Sewer - Prl?r 10 fillinn
trench.
D
Water Line - Prior to filling
trench.
D
Rough Plumbing - Prior 10
cover. ..
REQUIRED INSPECTIONS
D Rough Mechanical - Prior to
cover.
o nough Electric,,1 - Prior to
cover.
o Elcclricnl Service - MllSI be
approvccl to oblnin pennnnenl
electrIcal power.
o Flrcplnce - Prior 10 fnclng
materials and frLlming Insp.
o Frnmlng - Prior to cover.
o Wall/C"clling Insulnlion - PrIor 10
cover.
D OrywlIlI - Prior 10 taping.
o Wood Slave - After In:>t;)ll<l~ion.
o Insert - Afler fIreplace approval
and Inslallilllon of unit.
D
Cllrbcllt & Approach - Altor
forms arc erecled bul prior to
plncamenl of (;oncrctc:.
D
Sidcwnlk & DriVCW:l\, - Aflcr
Cxc;)v:1tion is complete, (arms
anel sub.base l1lrL!erlal in plac0.
'D Fence - Wilen completed.
D Stroot Tree:; - When all required
trces <:Ire pl~ntcd.
PilliJl Elcci~cnl - When all
eleClric;)1 wOrl( is complcte.
D Fin;:lI Duildintl - When 311
required Inspections have been
approved and building Is
compleled.
o Ol,her
MOBILE HOME INSPECTIONS
o Olocldng nnd Set.Up - When 3/1
blocl<ln~J Is complete.
o Plumbinu Connections - When
110mu Ilil~ been connccted to
waler <l1lc.1 sewer.
o
Elcclric;lI Connection - When
bIOCI(jnO, set.up. and plumbing
In~;pcclions h.-we been approved
ilnd IlIe hOllle is connected to
tile service p.-ltlCl.
o Finnl - Afler 011 required
Inspections ;)rc approved and
porches, sl<lrting, dccl<s, and
venting have been Installed.
Lot faces
Lol Type.
.
LOI sq. fig,
Interior'
Lot coverage
Corner
Topography
Tolal 11elghl
Panhandle
Cul.cIc.sac
BUILDING PERMIT
ITEM SO. FT, X $/ SO. FT,
Main
Garage
C~Hport
TOliJl Value
Ouilding Permit Fcc
State Surcharge
Tolal Fcc
(A)
SetlJacl<3.
I P,L, HSE GAR
N
----
_5_ ~_
ACC I
I
_HE PROPOSED WORI< iN THE.
. ..'HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
.11 yes, this application must be signed
and approved. by the HIstorIcal
Coordinator prior to permit issuance.
W
CE--~ ==_~
VALUE
"
SYSTEMS DEVELOPMENT CHARGE (SDC)
(D)
PLUMBING PERMIT
ITEM
Fixtures
ResldenUal Oalh(5)
N'
Sanltnry S~wcr
Water
FT.
FT,
Storm Sewer
FT.
Mobile Horne
Plumbing Pormlt
State Surchargc
Total Cllargc
(e)
MECHANICAL PERMIT
Furnacc
Exhaust Hood
Vent Fan
N'
Wood Stove/lnserl/Flrcplacc'Unit
tJ;;;;;' rtErn
I ,__ e_
Mechanical Pcrmi t
Issuance
State Surcllaroe
Total Permit
(0)
MISCELLANEOUS PERMITS
Mobile Home
Stale Issu~lnce
State Surcharge
Sidewall<
fI
Curbcut
II
Dernoll (Jon
?tate Surch;Hge
Tolal Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrical)
(A, 0, C, D, and E Comblncd)
FEE
/5_ (}D
jQ.-:- O?:?
APPROVED'
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
Tllis permit is granted on lllC exprcss condition that the said
construction shall, in all respects, conform 10 the Ordinance
adopled by'the Cily or Springfield, including .Ihe
Development Code, regUlating the constructlon and use of
buildings, and may bc suspended or revol(ed at any time
upon violation of any provi5ion~\q( saldl'?rdln~r:_~9S. .
Plan Check Fce:_
O.:1le Paid:
Receipt NUlllber:_.
Received By:
Plans Revicwed.-.tfy-.--------
Dale
Systems Development Charge Is due on all undeveloped
properties wiltlln tile Clly limits whicll arc being Improved.
ADDITIONAL COMMENTS
~
\
(
By slgnalurc, I state and agree, tl1atl hayc carefully examined
the completed appllcalion and do hereby cerllfy that all
Information Ilereon i~ true amI correct, and I further certlty
that any nnd iJ/1 work performed ~halt be done' in <lccord<::lncc
with the Ordinanc{;~ of the City of SpringfIeld, and the Laws
of tile Slate of Oregon pertaining to the work described
her0in, ;)nd that NO OCCUPANCY will be made of any
structure wittlout permission of the Building SrJfcty Divisio~.
I further cerlify IIl;)t only contractors and employees who
arc in cQmpliancc'with ORS 701.055 will bo used on this
proiecl.
i further agrce to ensurc thai Lilt required inspections arc
rCQuested at the proper time. that each address Is readable
from the slrec lill thc permIt card Is located at the rronl
of the prope y -d-1I1C upproved set of plans will remaIn
on the site al tim" du~n71c nstructlon.
Slgnatur iJ/.
.........
Date
VALIDATION:
RECEIPT NUMElE,] 03 / 2 77
DATE PAID /0/;;' r:/ 9 Y
AMOUNT F1ECEI~f.D ;;;(",. 'd1)
FIECEIVED ElY LL._,~h rod 0