HomeMy WebLinkAboutPermit Mechanical 1998-12-2
OWNER' Jim t ~J1I't.:j. t9r,:;;:, )(j/lj
ADDRESS" I> 'hJ9 G'ic>lc ler
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DESCRIBE WORI<' ibid A; ~nd6'.1H;'Y z: e;)(i,c/~ -/;;rct'cI ,J/,. S,(/SZ-~m.
NEW REMODEL' ADDITION'/ DEMOLISH OTHER
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
Office: 726,3759
LOCATION OF PROPOSED WORK:
i't IJ 1- ()7-
ASSESSORS MAP:
LOT'
"
. ". '.~;
CITY'
CONTRACTOR'S NAME
GENERA' .
PLUMBING'
.
:2-2
BLOCK:
STATE: ~Y'
.
JOB NUMBER
1X/'f r9
225 Fifth Street
Springfield, Oregon 97477
SUBDIVISION'
PHON'"
9?P 9c:J~6
ZIP'
~7Y7cf'
ADDRESS
CONST.
CONTRACTOR'
EXPIRES '.-:0 PHONE
MECHANICA' .
GNri&u h"eat/"Q
../ V
~.,2.?> fJ ,5M .due
ELECTRICA' .
fU9i-/t~
"
97~.2
AT'Tr-H'T'II""\"'I.,:,:-:,;,,:~ 1_. :-::;:...:::-:: ~.:~: 1:
- OFFI~IMQlj:ufes adopted by the Oregon Utility
aUA[).~F.lEA;"I"'., LAND USE: Notification Center. Those rW,eR,W:.e~'lel,tQ.rth
lll\. Tlvl. '" U~M l:IO"'-VU ,-uu ,0 throughlJAIi ~52-Ct I-
· OFlIllDr::R:...N'... '" I" L I:":rl""~ I'" THE W""OF UNITS: --.O{\QO V"" """I' "h'?in COpiezo.NIillG 1l!lIlm8:J\L-
II.....T"t:1 u.", ...... 'Ii- I.o.n . II... I Vrli\
OCCY. GR0"'P.'''''!' 'J"b'!;'A TH'" P"RMIT IS """""STR TYPE' calling the center. (Note: !.I1o!BllWRPJ},fil
,~~..."'oIL__ -.. - I ..- "" I..-,;;r:" , numoerTOrmeur~gonUtilityNOlifical16n
. OF(StORIES::'~/') t'\I'lICl 4QHlnt'\~IED FORHEAT SOURCE: r.on'o..~ 1-800-332>E~l)ARY HEAT:
WATE'R"kEATE'R'Y f'lf"fllnO RANGE: SQUARE FOOTAGE:
To request an Inspection, you must call 726-3769. This Is a 24 hour recordIng. All 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.
D Temporary Electric
D Site Inspection - To be made
after excavation. but prior to
setting forms.
o Underslab Plumbing/Electrical/
Mechanics! - Prior to cover.
o Footing - After trenches are
excavated. .
D Masonry - Steel location, bond
beams, grouting,
D Foundation - After forms are
erected but prior to 'concrete
placement.
D Underground Plumbing - Prior
to filling trench.
D Underlloor 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 T Prior to'lIl1lng
trench.
o Storm Sewer - Prior to filling
trench.
o Water Line - Prior to filling
trench.
o Rough PlumbIng; - Prior to
cover.
I
REQUIRED INSPECTIONS
D Rough Mechanical - Prior to
cover.
D Rough Electrical - Prior to
cover.
o Electrical Service - Must be
approved to obtain permanent
electrical power.
D Fireplace - Prior to facing
materials and framing Insp.
D Framing - Prior to cover.
D Wail/Ceiling Insulellon - Prior to
cover.
D Drywall - Prior to taping.
D Wood Stovo - After Installation.
o Insert - After fireplace approvel
and Installation 01 unit.
D Curbcut & Approach - Alter
forms are erected but prior to
placemont of concrete.
D Sidewalk & Drlvewav - After
excavation Is complete. forms
and sub-base material In place.
D Fence - When cOinpleted.
D Street Trees - When all required
trees are planted.
D Final Plumbing - When all
plumbing worl< Is complete.
, ,
D Final Eloctrlcnl - When all
electrical work Is complete.
I'V1 Final Mechanical - When all
~ mechanical work Is complete.
D Final Building - When all
required Inspections have been
epproved end building Is
completed.
o Other
MOBILE HOME INSPECTIONS
D Blocking and Set.Up - When all
blocking Is complete.
D PlumbIng Connoctlons - When
home 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
porches. skirting, decks, and
venting have been Installed.
" ' 1
~"l',' I...>"., ~ ~ ,~. :1,:: ~!ir.~;' .'. ,
~,1. " I
L~t ~yp. .S THE PROPOSED WORK 'IN THE,
Lot faces Setbacks .
ACc'I "..-. '
Interior I P.L. HSE GAR HISTORICAL DISTRICT, OR ON
Lot sq. ftg. IN I THE HISTORICAL REGISTER?
Lot coverage Corner If yes. this application must be signed
" Is I and approved by the Historical
Topography Panhandle -,-~ Coordinator prior to permit Issuance.
Total height Cul-de.sac W
,E APPROV'"'' '
" "
BUILDING PERMIT 'j '~ 'f
ITEM sa. FT. x $/SO. FT.
VALUE
BUILDING VALOE, PLAN CHECK
AND BUILDING PERMIT
Garage
'.
This permit is granted on the express condition that the said
construction shall, In all respects, conform to 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
Receipt Number"
Building Permit Fee
Received By:
State Surcharge
Total Fee
(A)
Plans Reviewed By
,Date
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge Is due on all undeveloped
properties within tll0 City limits which are being Improved.
PLUMBING PERMIT
ITEM
ADDITIONAL COMMENTS
, FEE
Fixtures
Residential Bath(s)
N'
Sanitary S~wer
Water
FT.
Storm Sewer
FT.
FT.
Mobile Home
Plumbing Permit
State Surcharge
Total Charge
(C)
MECHANICAL PERMIT
Furnace
State Surcharge
Total Permit
(D)
Ir-,,~
10. f).J
'-IS' IrS'
2 Co <-0
By signature, I state and agree, that I have carefully examined
the completed application and do hereby certify that all
Informatlon hereon Is true and correct, and I further certify
that any and all work performed shall be done In accordance
with the Ordinances of the City of Springfield, and the Laws
of the State of Oregon pertaining to the work described
herein, and thai NO OCCUPANCY will be made of any
structure without permission of 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.
Exhaust Hood
Vent Fan
N'
Wood Stovellnsert/Flreplace Unit
Dryer Vent
Ale f/ /(/, f
Mechanical Permit
Issuance
MISCELLANEOUS PERMITS
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 approved set of plans will remain
on the site at all tl~e_s ~rl constructIon.
Signature ~~
Mobile Home
State Issuance
. State Surcharge
Sidewalk
It
Date
/ /..,)..'?(j
Curbcut
It
Demolillon
State Surcharge
VALIDATION:
RECEIPT NUMBER ~ 3 7-2. '7
DATE PAIl" /2.2.<1);
AMOUNT RECEIVED J.' Z-j;;
RECEIVED BY at tJtJtA.f/
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Combined)