HomeMy WebLinkAboutPermit Mechanical 1999-11-5
OWNER: .c:...h i (Iet~ef'd
ADDR~~~" r,.p"t)Co . 1C{r.;e-(1J('I'l~_
Sprl~-h("Jd
DESCRIBEWORK:~ill ~L"I-~(P
NEW REMODEL ADD~'ON . '~EMOLIS';/ OTHER
v
RESIDENTIAL
PERMIT APPLICATION
,
Inspections: 726.3769
Office: 726,3759
LOCATION OF PROPOSED WORK:
I KO:r
ASSESSORS MAP'
LOT:
CITY'
CONTRACTOR'S NAME
GENERAl'
PLUMBING:
MECHANICAL:~' 1 5
ELECTRICAl'
t
QUAD AREA:
. OF BLDGS: Ir
')I.'
OCCY GROUP: r
. OF STORIES' O:J,:,jJ,
WATER HEATER'
.
SPRINGFIELD
.
JOB NUMBER qq I :;;Z C,
225 Fifth Street
Springfield, Oregon 97477
1)(1' ue ~
04--lI-o==n
TAX LOT:
SUBDIVISION'
PHONE:
rJ 4. 7-Cf423
BLOCK'
STATE:
("')1<
ZIP: Q747'?r
ADDRESS
CONST,
CONTRACTOR .
EXPIRES .':;'> PHONE
REQUIRED INSPECTIONS
o Rough Mechanical - Prior to
cover.
o Rough 'Electrical - Prior to
cover. '
o Electrlcel Service - Must be
approved to obtain permanent
electrical power,
o Fireplace - Prior to 'acing
materials and framl.ng Insp.
o Framing - Prior to cover.
o Wail/Ceiling InsuleUon - Prior to
cover,
o Drywell - Prior to taping,
o Wood Stovo - After Installation.
GJ Insert - After fireplace approvlSl
and Installation of unit.
. .
. .
0, Curbcut & Approach - After
. ,.. ,forms are erected but prior to
placemont of concrete.
o Slde'watk & Driveway - After
excavation Is comploto, forms
and sub-base material In place,
o Fence - When completed.
o Street Trees - Whan all required
trees are planted.
Ljl~, SpPtcL5OlS?1LJ
74 7-7tILLS- -
NOFT!g~~LAIN' . .
THIS PERMll%~~~L EXPIRE IFTHEWOA <
AUTIlliI4~%D UNDER THIS PERMITlS NC r
COM'Mf!NWClt'h I~ AtlANlJUNE:D FOR
AN~%11l~ryWR1t56::
SQUARE FOOTAGE:
TI') rl3Quest ~.n In':jpe~t!o!1, you muat call 726':3769. ThIs 1$ a 24'hourll.::,cording; -AiI"lnsp"ectlons' requested before 7:00 a,m, will be
made the same working day. Inspectlons requested after 7:00 a,m. will be made the following work day.
o Final Plumbing - When all
plumbIng w9rl< Is complet.e.
o Final EI clrlcal - When all
elect al work 15 complete.
Final Mechanical - When all
mechanical work Is complete.
o Final BUilding - When all
required Inspections have been
approved and building Is
completed,
o Other
MOBILE HOME INSPECTIONS
o Blocking and Set.Up - Wten all
blocking Is complete.?
'='" '
.r" \
-- :
o PlumbIng Connections - When
home has been connected to
water and Sewer,
(
O \..
Electrical Connection - ,When
blocking. set'up;'and plumbing
Inspections have been approved
and the home Is connected to
the service panel.
o Final - After all required
Inspecllons are approved and
porchos, skirting, decks, and
venting have been Installed,
J
,~ 'Iif""''" .r':';'.'OFFICE USE-
LAN'DUS~: ' ,y.
.l UI
. o"F UNtTS'-~,1-
" hy
.CONSTR.T:f;1'E:
,_ . ~ . ,I...
, r ,-'.... '- \:~- :;' ""HEAT,;SO'ciR'CE'
C::'.' .': - .1J;;:"\44i....
RANGf'
o Temporary Electric
O Site Inspection - To be mado
after excavation, but prior to
setting forms.
o Underslab Plumblng/Electrlcall
Mechanical - Prior to cover.
o Footing - After trenches are
excavated.
o Masonry - Steel 10caUon, bond
beams, grouting.
o Foundation - Atter torms are
erected'but. prior to concrete
placement.
o Underground Plumbing -:- Prior
to filling trench,
o Underlloor Plumbing/Mechanical
- Prior to Insulation or decking.
o Post and 8eam - Prior to floor
Insulation or decking. .
o Floor Insulatlon,....1 r:>rlor to'
decking,
o Sanitary Sewer - Prior to '"l1ng
trench.
D Storm Sewer - Prior to mJlng
trench.
o Water Line - Prior to filling
trench.
o Rough Plumbing - Prior to
cover.
'. ,. I','; ~'''.: ..
Lot 'TYpe . Setbacks I,J'"
Inlerlor I P.L I HSE ' GAR,'
Corner I N
panhandle"',r':_'+, . .r ';
CU~'~,~:S~CI I ",'. 1 " J
E
_HE PROPOSED WORk IN THE,
""HISTORICAL DISTRICT, OR ON
THE HISlORICAl REGISTER?
If yes, this application must be signed
and approved by the Historical
. Coordinator prior to permit Issuance.
'\.J....
,
,
Lot faces
Lot sq, ftg,
Lot coverage
Topography
Tolal height
BUILDING PERMIT
ITEM SO, FT,
'i
X $/SQ, FT. _
VALUE
Main ' '-' :
\ \ \
Garage \
Carport ,J ,
i
\ .
"
,', '\ \ ,
Total Value
Building Permit Fee
Slale Surcharge
Tolal Fee
(A)
SYSTEJylS D~VELO~M.ENT CHARGE, (SDC)
. ' ,'\ ....... . ~\ .,' . \,' .--
" . ., (B) \
PLUMBING PERMIT
ITEM
FEE
Fixtures
Residential Bath(s)
N'
Sanitary S~wer
Water
FT,
FT,
Storm Sewer
FT.
Mobile Home
Plumbing Permit
State Surcharge
Total Charge
(C)
MECHANICAL PERMIT
Furnaco
Exhaust Hood
Vent Fan
N'
Wood StovellnsertlFlreplace Unit
Dryer Vent
Mechanical Permit
.$l!!:. -
~/D, ----
, i ,D~ +- , u <;:
HIo,,,,-o
Issuance
State Surcharge
Total Permit
(0)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
It
Curbcul
fl
Demolition
State Surcharge
Total Miscellaneous Permlls (E)
TOTAL AMOUNT DUE (excluding electrical)
(A, B. C. D. and E Combined)
Accl
,
,
I .
I' ;-
. ':. " "
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
APPRov,:n,
This permit Is granted on the express'condltlon that the said
construction shal": In all respe<?t~, conform't.o'th!J OrdInance
adopted 'bY-- the, City, of Sprlngfleld;~;lnclui:llng the
.--Development Code, reg'ulating .(tie construct/on and use of
..... ~ . - .
buildings, and may be suspended or,r'1vOkedi at:any time
upon violation of any provisions of,sald 'ordln'ances.
"
Plan bheck Fee:
"," l;~
Date Paid:
,
I;
Receipt Number:
Received By:
Plans Reviewed By
Date
, Systems ,Development Charg~.lsdue on alii undeveloped
I "i ,t', t,.. ;. _.' ,
~",?pe~t!eswlthln tho City limits which are being Improved,
ADDITIONAL COMMENTS
J
\/~ l1Je_ (J/i ~' ,;,~
PJU(1r~ ~,
7\
By signature, I stale and agree, that I have carefully examined
the completed eppllcetlon and do hereby certify that all
In(ormatlon 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
struclure without permiSSion of Ihe 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 further agree to ensure that all required Inspections are
requested at the proper time, that each address Is readable
from tlie street, that the permit card Is located at the front
of the property, and the approved set of plans wIll remain
on the slte~at all I es durl~ construction,
SIgnature 4ft, .~_
/' /- ---'
Date II f S191
VALIDATION: ~
RECEIPT NUMBER Ool; 10
DATE PAin, 1[-: S" -Cj (
AMOUNT RECEIVED ~..)!P, g;()
RECEIVED BY ~