HomeMy WebLinkAboutPermit Mechanical 1999-7-1
RESIDENTIAL
PERMIT APPLICATION
,
Inspections: 726,3769
Office: 726,3759 '
ASSESSORS MAP'
LOT'
OWNER:~AI(~ ;s:~.,..
ADDRF"'" 'tfj271 c:;
(je~v</" tI
CITY'
DESCRIBE WORt<'
hl'JM / !.. !'v"
NEW
REMODEL
CONTRACTOR'S NAME
GENERA' .
PLUMBIN""
MECHANICA' '
(jIJIlI () tt
.
. BLOCK'
5,
ADDITION
DEMOLISH
OTHER
.
190f/3
JOB NUMBER
225 Fifth Street
Springfield, Oregon 97477
TAX,LOT'
SIfBDIVISION'
oc, 1/) 0
PHON~'
g;'r l/ 5l) 7.
'zIP:.!J7426
ADDRESS
, CONST;
CONTRACTOR'
EXPIRES ,'"' PHONE .
"
,
ELECTRJCAI. .
" Nl j 11[;1:::
THISPERMITSHALLEXPIREIFTHEWORK - OFFICE USE-
QUAD A'/l/iAHORIZED UNDERTHISPERMlTl~S;\gtSE:__
. OF BL<!QMMENCED.bRISABANDONEDF9~F UNITS:
OCCY ~r~;~~~ODAYPERIOD.
. OF STORIES:
WATER HEATER:
\
ATTENTION:Oregon iaw requires' you to
. ,~,,~... ro 'Ies adripn,ol!l9 fJ'I:ATN~aOn Utilitv
Notification Ceriter Those rules are set forth
, ZONING CODE:- u_ _~~
In UAH ::102-001-0u 10 tIIruuy" UM" 'N'--VV ,-
?~e? Voo may Ob!,l!I1fCEllpR~S)f thp. fill!'!!': b'l.
calli no the centP.r (Nn~) ~Ie telelhone
~ ECON Y,H A' ,. ,
numoer tor the lYragun ~II y ,Ii 011 .~C"'VI1
r:enter iSSQUARE2E~tiE:
CONSTR. TYPE:
HEAT SOURCE:
RANGE:
To request an Inspection, you must call 726,3769. This Is a 24 hour recording. All Inspections lequested.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, .
I '
REQUIRED INSPECTIONS
o Temporary ,Electric
o Site Inspection - To be made
after excavation, but prior to
setting forms. ' ,
, ,
o Underslab Plumblng/Eleclrlcell
Mechanical - Prior to cover.
.0 Footing""': Alter trenches are
excavated. '
'0 Masonry -.:. Steel location, bond
,beams, groutlng.. .
o Foundation - After forms are
erected but prior to concrete
. . placement.
o Underground Plumbing - Prior
to filling tlench.
o Underlloor Plumbing/Mechanical
...: Pr.lor 10 Insulallon or decking.,
o Post and Beam':" Prior to floor
Insulation or deoklng, '
! ~~. .' .~ .
o . Floor Insulation - Prior to '
, ' deckl ng. .
o ~anltary S~wer.- Prior to filling
trench. -'
o Storr,n Sewer - Prior to filling
trench.
o Water Line -Prior to fIIUng
'trench. . "
, .
o Rough'PlumbJ",) ~\ Prior to
. cover. " - .
o Rough Mechanical - Prlqr te:>
cover.
o Rough ElectrIcal' - Prior to
cover. .
o Eleclrlcal Service - Must be
a'pproved to obtain permanent
electr,lcal power.
o Final Plumbing - When all
plumbing w9rk is. comp.h~t.e.
D Final Electrical - When all
, eleptrlcal wo'r~ Is complete.
'0 Fi~al ~echanlcal - When ali
mechanical work Is complete.
o Final BUilding - When all
required Inspections have been
approved and building is
. c~mpleted.
o Fra;"'ng - Prior to cover,' . ~ C'~ .
. . /l9J'her, "I'> .~
o Wail/Ceiling Insulallon - P,lor to
cover. . . .
D Fireplace ~ Prior to facl.ng
materials and framing Insp.
o Drywall - Prior to taping.
o Ineert - Aller fireplace approvel?
/ Installation 0'. unit., . >
l.J Curbcut & Approach - After
forms are erected but prior to .
placemont of concrete.
o Sidewalk & .Orlvewav - Alter.
excavation Is complete, forms
and'sub-qase material In place.
o Fence - When completed.
D..S.t~ee' Trees - When all required
, trees are planted: _ - .
MOBILE HOME INSPECTIONS
o Blocking and Set,Up - Whon all
blocking Ie complete,
o Plu~blng Connections - When
-home has been connected to'-
, water and sewer.
o Electrical Conne9t1on - When
. . blocking, set.up. anp plumbIng
Inspections have been approved
and the home Is connected to
the service panel.
o Final '-- After all requlled
Inspections are approved and
porches, skirting, decks, and
venting have, been Installed.
r-
"
Lot faces
Lot sq. Itg.
Lot coverage
Topography
Total height
L~t'~P. '
,Interior
Corner
"
Panhandle'
Cul-de-sac
.' ", ':.v. ',Ii";" :~".i~,~: '
'J, I': ~i'; l!.'!'.,~r.) ~ll.:j: ~'i'l.}~ :\it.,
::... ,~ ;' . ~ . ,.' '':'. ;'::.wt:l;. 't\"
, IS THE PROPO~ED WORK IN THE,
......HiSTORICAL OI8TRIOT, OR ON
,THE HisTORICAL REGISTER?
If yes, this application must be signed
and approved by ,the Historical
CoorglnOlllr prl9r 19 pormIlIDD~UngO,
. '\..~'..:.: "
'Setbs'cks .
HilI! I (liAR Ace' I
I
,I'P.L.
IN
Is
'.
W
E
APPROVED:
,.
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BUILDINh ~Uk PLAN CHECK.
AND BUILDING PERMIT
This permit Is granted on the express condition that the said
construction shall, In all respects, conform to the Ordlna'nce
adopted by' the City, 01 Springfie'ld, including' t~e
Development Code, regulating the construction and use of
buildings, and may be suspended or revoked at any time
upon violation 9f any provisions of said ordinances.
BUILDING PERMIT ::I";~ .t
ITEM sa, FT, 'X $/SO. FT, = VALUE
MaIn
Garage .
Carport
Total Value
Building Perm.it Fee
State Surcharg~
Total Fee
,(A)
"
. Plan Check Fee:
Date Paid:
Receipt Number'
Received By:
Plans Reviewed By
Dale
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
PLUMBING PERMIT
ITEM
Fixtures
Residential Bath(s)
N'
Sanitary S~wer
Water
FT.
FT.
FT,
Storm Sewer
Mobile Home
, Plumbing Permit
State Surcharge
Total Charge
MECHANICAL PERMIT
Furnace'
,Exhaust Hood
Vent Fan NO
Wood Stov~lrePlace Unit
Dryer Vent '
'CM~
. ,
MeChanical Permit
Issuance '
Stat~ Surcharge
Total Permit
(C)
Mobile Home
MISCELLANEOUS PERMITS
(D)
State Issuance
State Surcharge
Sidewalk
It
Curbcut
Demolition'
'It
State Surcharge
Total Miscellaneous Permits (E)
Systems Development Charge Is due on all undeveloped
pr<;lpertles within the City "r:nlts wh'lch are being Improved.
ADDITI.ONAL COMMENTS
FEE
/
/);ow'
By signature, I stato and agree, that I have carefully examined
the completed application' and do hereby certify that all
Information hereon Is true ~nct correct, and I further certify.
that any and all work performed shall be done in ac~ordance
with the Ordinanc~s 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 made of any
structure without permission o~ the Building Safety Division. '
I further, certify. that only contractors and employees who
are In compliance with ORS 701.055 will be used on this' ,
project.
I 5:0'\l
/D.{)O
(,)0
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I further agree to ensure that all required inspections are
requested at the proper time, that each address Is readable'
from the street, that the permit card Is located at the front
of the property, and' the a proved'set of plans will remain
on the site at all e ~g~.
::t~ J:L I~(
,
VALIDATION:
RECEIPT NUMBER O'3Ij.7()~
DATE PAIf' 6, j/;/77
AMOUNT RECEIVED ~J ~ If(l'fO
RECEIVED BY d/ L.0.+V .
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TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, 0, and E Combined) ,