HomeMy WebLinkAboutPermit Mechanical 1998-01-120ll09/98 1{:00 t}503 726 3689 SPFD DEV. SER @ oot
RESIDENTIAL
PERMIT APPLICATION
lnspectlons: 726.3789
Olllco:726-3759
LOCATION OF PROPOSED WOFIK:
SPRINGFIELTf
Rooa{
qfi,
JOB I'IUMBER
225 Firlh St,eet
Sprlng lleld, Oregon 97 477
I Y tq h^odoc
ASSESSOFS MAP:l-)33 b2>ol7trc
[oT:
I
BLOCK:
TAX LOI:
SUBDIVISION: . r.
Ca<o I (be.
o(.STATEI
PHONE:
S ZlPi
I \n lnaAo c_ADORESS:
OWNER:
CITY;
NEW- REMODEL AODITION OEMOLISI-I OTI-IER
,.rt.l\J q,)-t- COESCBIBE WORK:
AODRESS
ILI,.ELECTRICAL:
coNcoN
..t lo uMECHANICAL:l'Y\a r., ha t [3 t C.5
EXPIRES O PHONECONTFACTOR,S NAME
PLIJMEING:
1L{ -t - lvur
ST.
TFIACTOR ,
- OFFICE USE -
, OF BDRMS:
LAND
,oF
QUAD AREr'\:
, OF BLOGS:
SECONOARY HEAT:
SOUARE FOOTAGE:WATER HEATEFI:
OCCY GROUP:
I OF STORIES:
ZONING COOE:
--
FLOOD PLAIN:
To roquost an lnspecllon, you must call 72&3709.All lnspectlons requesled belore 7:00 a.m. wlil be
mado lho oamo worklng clay. lngpectlons roqussled lre lol owl n9 wo rk day.
REQUIRE
[-l Temporary Eloctrlcl-J n Rough Mochanlcal -'cover.
Flnal Plu mb ln I When all
plumbln 0 work ls com p lel.o.
E Slto lnspoctlon - To be made
aller excavallon, but prlo, to
setttng lorms.
l---l nough Electrlcal - Prlor tol-J covor-tl Flnal Eloclrlcal - When atloleclrlcal work ls complete.
E Undarelab Ptumblngt Eloclrlcal/
Mechonlcal - Prlor lo cover.t]Eleclrlcal Servlco - Must be
approvod to obtaln permanonl
olectrlcal power.
lnsl Mebhanlcol - When all
mechanlcal work ls oomplole
l--l Footlng - After tronchss areu gxcavaled,
l--l Maeonry - Stoot tocatlon. bondu beams, groutlng,
Flroplaco - Prlor to facln0
materlals and lramlng lnsp
Flnal Buildlng - When all
requlrad lngpectlons have Ssgn
approved and bulldlng le
comploted.
tl Fdundalton - Atrir
'orms
are
orocled but prlor to concrele
placomonl.
ff Framlne - Prlor to cover.
l--l Wattrcolttng tneulalton - prlor toE- coveL
f--l orhsr-
f--] Undenground Plumblng - Prtort-t rr-ffffris r*"dn. '--- I I orfwall - Prtor lo laplng.
E
tl
tl
Undrctloor Plumblngl Mechanlcal
-.Prlor lo lnsulatlon or declrlng.
MOBILE HOME INSPE TTNS
Wood Slovo - Artor lnstallatlon.
Pogl ond Bcom - Prlor to ,loor
lnsulatlon or docklng,lnsorl - Altor llreplace approvll
and lnslallatlon of unlt.
[--] Alocking and Sot.Up - When ailu blockln3 ls complote,
Floor ln6ulatlon - Prlor to
decklng.Curbcut & Approsclr - Alter
lorms are crocted but prlo, loplacoment of concrele.
fl Plumblng Con6s61;s65 - When
horne hes been connected to
walor and gewer,
Sanllary Sewer -. Prlor lo flillng
trench.
Slorm Sower - Ptlot to lllllng
lrench-
Sldowalk & Drlvewsy - Alrsr
oxcava(lon ls complete, lorms
and sub-bage malerlal ln place.
Eleclrlcal Connecllon - When
blocklng, set-up, and plumblng
lnspectlons have been approysd
and th€ home ls conn6cled lothe servlce panel,
l--l Water Llno - Prlor to flillngu Ironch.
F-l Rough Plumbtng - Pdor tolJ cover.
Fenco - When conrplolod,
Slroot Tr€os - Whcn all requlred
lreos are planted.
[--l Flnat - After atl requtrbdlJ lnspecllons are approvod andporches, sklrtlng, decks. a^dventlng have boen lnstalled.
n
I
I
I
q) v 77
GENERAI.:
01/09/98 14:00 ?}503 I 3689 SFFD DEV. SER @ooz
Lot lacos
Lot sq. trg.
Lol covelage
Topography
Total helOht
Lor Typo
_- lnterlor
-- Corngr
-
Panhandte I
-
Cul.de-sac
PL,HSE GAR ACC
N
S
E
.. IS THE.PROPOSEO WOFIK }N THE .
HISTOFICAL OISTRIST, OR ON
THE HISTORICAL REGISTE R?
l, y6s, l,r,s appllcallon mu6t be slgnedand approved by lhe Hletorlcat
Cooydlnalor prlor lo pelmll lssuance.
APPBOVED:
VALUE
(A)
BUILDING PERiJiIT
SQ. FI X $/SO. FT.,TEM
Maln
Garage
Carporl
Tolal Value
Bulldlng Permlt Foe
State Surcharge
Tolal Feo
I hls pormll is granted on lhe oxpress condlllon that tho Baldconstructlon Shall, ln all respecls, COnlorm to the Oidlnanceadopled by the Clty . e1 Sprtnglteld, lncludlng lheDevel6p6snl Code, reguiailng the conslruetlon anOi6e ofbulldlngs, and may be suspended or rovokod al any ilmeupon vlolallon ol 66y provlslong ol said ordlnances,
Plan Check Foe:
Plsns Ilevlewsd By Oato
Flocelpt Numbe
BUILD'
AND B
G CH ECAN K
U L D N PG IT
Date Pald
Focelved B1t
SYSTEMS DEVELOPMENT CHARGE (SDC)
(8)
Sysl€m5 Oevelopmont Charge ls dua on all und€voloped
properllos wlthln the Clty llmlts whlch are belng lmproved.
ITEM
Flxlurss
Resldonllal Bath(s)
SEnllary Sowor
Wal€r
Slorm Sower
Moblte Home
FEE
(c)
FT.
PLUMBING PERMIT
Plumblng Permlt
Stato Surchaige
Tolal chargo
. FT,
ADDITIONAL COMM ENTS
Lg
By slgnature, I stale and agrse, thal I have carelully oxamlnod
lho completed appllcarlon and db hereby cerilly lhat atl
lnformallon hereon ls truo and corisct, and I lurlhet coillly
lhat any and all work perlormed ohall be done ln accordance
wlth the Ordlnances ot tho Olty of Sprlngfleld, and the Laws
o, the Stat6 ol oregon.perlalnlng lo lhe work doscrlbed
hcreln, and rhal NO OCCUPANCi wlll be made of any
structure wllhout permlsslon of lhe Bulldlng Sat€ty otvlston.
I lurthqr certlly that only conlraelor8 and employees who
aro In compllanco wlth ORS 7Ol.O55 wlll be used on thls
pro,ect.
I furthor aoroo lo ensuro that all roqulrod lnspecllone are
roquastod al th€ propor tlme, lhat each address le readable
trom lhe slreol. that the permlt card ls located at lhs tront
of the property, and th6 approved sel ol plans wlll rernaln
Slgnature
Dats
on the glte at al durln0 conslrucllon.
Wood Stove/lnsort/FlrBplace Un,t
Dryor V€nt
MISCELLANEOUS PERMITS
Moblle Home
Stale lssuancs
slate surcharoe
Sldewalk
-
lt
Curbcul . - lt
Oemollllon
slalo surchargo
Tolal Mlecellanoous Pormlls (E)
t0,
State Surchar so + O ,0" Z 6 ,7€+.'/{
#au.e
4
Nr
b ts,
've4l Fen
Totrl P€rmll (o)
Mochanlcal Permlt
lgguancs
MECHANICAL PERMIT
Furnace
Exhaust Hood
TOTAL AMOUNT OUE (oxcludlng electrlcat)
(A, 8,cr q and E Combln€d)
>g++7
l-r)-1q
.+(t^->
AMOUNT RECEIVED
NECEIVED BY
DATE PAID
VALtonrloru:
FIECEIPT NUMBER
N'
FT.
-llqq
*-#