HomeMy WebLinkAboutPermit Mechanical 1999-10-22;:r,r 'it
't'rs,lOB NUMBER
P PPL ICATION
lnspectlons: 726€769
Offlce:78.3759 ,r,'. 225 Elfth Street !,!
Sprlngfleld, Oragon 97477
,1... .. l: ,
a
SUBDIVISION:
-,;'i '?t:.'r.l ";li;, .li,;il
i:
LOCATTON OF PROPOSED WORK:
ASSESSOBS MAP:
LOT t
;'l
9T .(
,'5r
or
OWNEB:-7 aE:
(
STATE:ZlPt
Jc"
fr
ADDRESS:
CITY:
c5
DEMOLISH OTHER
DESCRIBE WORK:t-
NEw /'' REMoDEL ADDITION
ADDRESS I
CONST.
CONTBAST)R EXPIRES C .?,fte.|E(4shtGENEBAK
PLUMBING:
MECHANICAL:
CONTRA TOR'S NAME
+
ELECTRICAL:
- oFFtcE usE -
ZONING COOE:
OUAD AREA:
* OF BLDGS:
OCCY GROUP:
r OF STORIES:SECONDABY HEAI
SOUARE FOOTAGE:
CONSTB. TYPE:
-HEAT SOURCE:
-
LAND USE:
WATER HEATER:BANGE:
# OF UNITS:
-
To request an lnspectlon, you must call 726-3769. Thls ls a 24 hour recordlng. All lnspectlons reqqested before 7:00 a.m. wlll bemade the same worklng day, lnspectlons requested after 7:00 a.m. wlll be macte the followlng Work day.
REQUIRED INSPECTIONS ;)i,':
n Temporary Electrlc l-l Rough Mechantcat - Prior tou cover. I I
E
[-l Underslab Plumblngl Etecrrlcat/lJ Mechanlcat - Prlor to cover.
Foottng - After trenches are '
excavsted.
't ' .''f]Ma3onry - Steel ,locatlon, bond
boams, groutlng., r ,
Foundatlon - Aftdr form! .rc
erected but prlor to concrete
placemont.
Port and Bcam - Prlor to tloor
lnsulatlon or decklng.
Floor lnsulallon - Prlor to
decklng.
Electrlca! Servlce - Must be
approved to obtaln permanent
olect4lcal power.
,r' .
"Flrcptace - Prlor to faclno
materlala and lramlng lnsp.
Framlng - Prlor to cover.
,l .' 1l ,
[-l WaltlCbltlng lnsulatlon - Prlor tor-, cover. : -.
f oot'"'l - Prlor to taPlng.
Wood 'Slovo - After lnstallatlon.
pffrr"r Mechanlcat - When ail
fi,mechanlcal work ls complete.
; ,.
l-l Flnal Buttdlng - Whon ailH requlrecl lnapectlons havc been
approvod and bulldlng lc
compl6tocl.
,z I JrH- +
Slte lnspectlon - To be mads
after excavatlon, but prlor to
settlng formg.
Sanltary Sewer - Prlor to fllllng
trench.
Storm Sewer ; Prlor to ftlllng
trench.
Water Llne - Prlor to fllllng
trench.
Rough Plumblng - Prlor to
cover.
Rough'Eleclrlcal - Prlor to
cover.
lnrcrl - After flreplace approval
and lnstattatlon ol unlt.
Fence,- I rhen corilpleted.
'.1. I
Flnal Plumblng - When allplumblng work ls complete.
"--..."..-'Flnal Electrlcal - When all
eleclrlcal wor( ls complete.
E
E
frotnt'&
l_l Undorground Plumblng - PrlorlJ ro iiiilng trench.
l-l Underltoor Plumblng/Mechanlcatl-l - Prlor to lnsulatlon or dect<lng. , '
MOBILE HOME. TNSPECTIONS
' 1,' .i-i : i ,i. ..'",;., .i l" Jr. i
I , ,,:. I
l_l etocktng and Set.Up - When ail
-
blocklng ls compl€te. . | ;,.:
, rifi
ii
l-l Curbcut & Approach - After|J forms are erected but prlor to
placomont of concrete.
Sldewatk & Drlveway - After
excavatlon ls compioto, forms
and'sub-base materlal ln place.
Plumblng Connecttons - Wlien i
been con nected to
--; *1"1"'';;! ';
;t,
,n - When
plurnblng -1
approved
'tq: r?E
E
,l ,lo{
. .., -E-l,stroet Trees - When all requlred' l;lrtie'ee are plantod.
n and
.' I l,1rg;
r, . i
l;, 16:'1, .,: ;. r,.
I . i jl{1,
.l
. , ii
+r,.iir a i!i ,
tr,; ,i
TH PROPOSEDLot faces.
Lot sq. ftg.
Lot coverage
TopograPhY
Total helght
t.ot Type
-g-. lhterlor
I ':i I corner
-
Panhandle
Cul-de.sac
I
H CAL
THE HISTOBICAL
ll yes, thls applloatlon must be slgned
and apProved bY the Hlstorlcal
Coordlnator prlor to permlt lssuance'
Systems Development Charge ls due on all undeveloped
propertles wlthln the Clty llmlts whlch are belng lmproved'
ADDITIONAL COMMENTS
HSE GAR
I
w
Thls permlt ls granted on the express condltlon that the sald
consiructlon shall, ln all respects, conform to the Ordlnance
.Oopt"O by the Clty ol Sprlngf leld, lncludlrlg the
Ooretop-ent Code, regulatlng the constructlon and use of
outtOtng", and may be suspended or revoked at any tlme
upon violatlon of any piovlslons ol sald ordlnances'
VALUE
Plans Revlewed BY Date(A)
UB
DLNA ITGPBUILDING PE IT CHECK
Total Value
Bullding Permit Fee
State Surcharge
Total Fee
SO. FT. X $'SQ. FT,ITEM
Maln
Garage
Carport
Plan Gheck Fee: _-
Date Pald:
Recelpt Num
Recelved BY:
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
ITEM
Flxtures
Resldentlal Bath(s)
Sanltary Sewer
Water
Storm Sewer
Mobile Home
PLUMBING PERMIT
FEE
No
Fr.
(c)
Plumblng Permlt
State Surcharge
Total Charge
Wood Stove/ lnsertrFlreplace Unlt
Dryer Vent
4/1< /rl/(d,-
Mechanlcal Permlt
lssuance
state surcharse /9 f f ,4 5
Total Permlt (D)
MECHANICAL PERMIT
z2z..z)
/ ,go
?4 ro
N0
ao
/ 0,60
Furnace
Exhaust Hood
Vent Fan
By slgnature, I state and agree, that !.have carefully examlned
th6 completed appllcatlon and db hereby certlfy that atl
lnformatlon hereon ls true and cornect, and I lurther certlfy
that any and all work performed shall be done ln agcordance
wlth the Ordinances of the Clty of Sprlngfleld' and the Laws
of the State of Oregon pertalnlng to tho work descrlbed
hereln, and that NO OCCUPANCY wlll be made of any
structure wlthout permlsslon of thetullcllng Saf€ty Dlvlslon.
I further certlfy that only contractors and employees who
are In compllance wlth ORS 701.055 wlll be used on thls
prolect.
I further agree to enaure that all requlred lnspections are
requ€sled at the proper,tfme, that each address ls readable
lrom the atreet, that the pormlt card ls located 3t the front
of the property, and the approved set ol plans wlll remaln
Slgnature
Date
on the slte at tlmes durlng constructlon.
MISCELLANEOUS PERMITS
Moblle Home
tsTotal Mlscel
Sldewalk _- ft'
Curbcut
Demolltl
State Su
State lssuance
State Surcharge
TOTAL AMOUNT DUE (excludlng electrlcal)
(A, B, C, Q and E 9omblned)...*
Z1r I0
?-C
VALIDATION:
BEOEIPT NUMBER 0351L
DATE PAID
RECEIVEO BY
AMOUNT RECEIVED
ACilrpr
-i{F
sl
THE
ONORDtsrRloT,
I
i
FT.
FT-
I
NIl)rURIL Fax:57F945-{0ri- bi n ,99 p:31 ?,02
toc^rpN OF
Assllsoits uAr
I.(II:
r'. I . ,, rii.:.1'j;1 ..,.;
,..14*iir:{j...t, :' ',{ir:.!.i}:..j1 ri,
:l i'r:4l'erJti it!1-,.|{tirl _,i
it.i-
EXPIREIFTI{EWORK
THISPERtvItTISNOT
ISABANDONEDFOR
orrNEft
cirV,
STATE:zte
NEMODEL. .AODN,ON ' :oEro|.,!lt _ srHti
Dclcntac tvoRrt
New /'
coilsLcoflTtt^Grtle
ELE6BICAL:
.tilECHAI{icAt-:
@NTlAcloRs NAUE
GENERAb
. 'r :'.' ';,.,.', ': .,cr*
.PtUirBlIC:
i 9F tDhll$:._.-.'ret ',r:'".,.-, '
SEG9NOA8Y HEAT _ ..1 .
SOU.ABe.FOgrAOB g,r.;.", .,,.:r; . ,
- O74Cl uar -
LAND
t.1 l.rlr:.j
IYF!',
:
coNsf,e.
.oF .---.-- ZONINGb0!:
tn, oF5t6B'Fs:
WATER
QTTAO AhEA:
FIOOO PLATN:- .
ATTENTIO
ln
{ry,Ati
ba ml(r.
dt raaultad'
Inspactlom rtqtraied bc,orath. tqttoytig'rtpfi .dr*.,
E]
trI
7:00 o.nr. wlo !a i
,l
r') Xrrlrlr., ..., iE rT.rrrrr E.crrtc
i-l qlt ti.D.Grbn r lb b. rhrdo-.
-
dlcr Gcayallol.l. btJt Ddo? toadtlng lorm!.
[-l ttnrlrrdrb prl,iDr&CrE crilo.t,H X.Gt[rlcJ - prlor to cowr.saryl,o. - Murt b.tb tibtrln p.?mtnanl ,4lxsrm"ry:+
f-l Fli.l Brdtrgng.- IUhrr ril .u raqrrlrad larprcttoar l]r tInrD9rold rnd bulr(nno.lr..colttdata4 _
fro"* r'<< ko*
id 14 Sr>r.t Cl-
'l"idt;: I
MOEILE HOMA NSPEUiiIihTS' Ii',.F.t, 1-i.t..;-i13.,, j I:Jit .*
'[-'l Floarore rna g.wd:\lrhil ir
-
Dlooklae 1a oornCglg.,ur- ii ,.,,:.:
REOUIBED INSPECTIONS
[-l n"qft lt.GtErtcrt - prto, to
-
goril. .,:tnrl Prh6lDttt9 - fftrt i,t,:.![urnblne wqs tr ooricxa
.i- .r...
Flr.r.l. ggqdc.l -
'rviroo dtar6trtGlt bm't! omCrrq
Etbddo!t
9Otar,
- idor o ltctaaar6 rrtrlt4 hri
l-l frcnadtdr.- errri tcrnr irH sl'clad,Dst 9rtof !o conc|tt.. pl-anralit. .. !.-,, .,
l-] urirtrrttoor' '-Prtoito ||darblmrirdit.ttct'riarl{lm iildaolulrEt,,, I
''!:r1
l-I Xer rtd !..,r - prlor.tou lnlnirll,on q dacH6o.
[--l noor lnau!.uor - Prtor to'H docKne.
n Srdhry tlcror - Pn{ lo tlmnt .H mtnct.
.'i r' ' 'lr;r--
l-l gtonn Sruot r Ptlor lo lntllr3t-l gcnctr.
|-l Wfirr LIE - Pno. to ,lliln! .
! 1"
l.-J 166s;. i?*
E]Rnrro\-PrlotF.ueh
oo[r'
Prlo, to oou.r.
lnanlrIeo - Prter toj
P(or ro trddo.
I
wladcFlr - Aft r t,ir.ltrtion.
- Aftcr
,nrtarltl
!i,lr.n to.nDlat d. .
Pf orrbhg Gon6ottcri r.,t{lhn
iorna ha6 bGr c@Errd to
weler irr(t lGiats ' 'r ll{:i'r'ri'i:
[-I UnO*garrmrt piunbangH io fllllng tlfrch.
,H o*q' -- Frlor
,+,.irl.Jit :i:'i
' 1 :i ,i- - - r ril:-.:.;rn acirtcrt ccniislroi --rivr.r"H. UooLtn3r ltt.oB ltr6.cnmum .:
lnagacllcno tl8vc Uron eppmiO
rnd tha lroorc lr oCrurIll lct.?' ttra .arvlq! orEl. - " t'._-*,- :-
J ...,,||
I
r\lll rt
oI'..
oa??"ili;(:;l z'
tii r,
'1. r: r; ..; . .r
lj
i ... .i'i.r. t a
f.
toyou
OF
cR6UftoccY
,d8
, ,'.'.. |i
i=.;l-l
sslhL'
:irij. iffi
rCr.:
lt9E:
, ar 1(l
' :',':
to{al V.lua
Bullding Pd"rmit Fce
Sllt€ Surcht g. ,
Iotal Fco
BUILDING
VAUJE
(A)
scl F?.y"Ftr
M.ln.
Grr.g.
Oarport
t
Fr. .
sYsrEMs D6rE|-oPMENT CHARGE GbC)
(8)
lTEM
Flxts.sD
Rc3ldrnrlrl Berh(s,
Sanll$y q3^f,er
ttliter
Storm Sgllrsr
MobllB Horne'
PLUIIIBING PERMlr
PEE
N.
rr .,, ,,
,,
[..r
--;ik:-
#
--l
Flumung Porrnrl
'Stata Surchrtgn
IbrJ Clrrrgo
v$ooo Btd*?r,?rc.rrnrnU&i unr i
IryE irBnt . ',,'.: '''
4As /ilru7
-i---:+
,"1/{tu..-a.e
,/,co4,rg
MEcHANICA| p,rnmlr
-
-
M€chanlc8l Permlt
Pf*,15
N.,
(DlTotal Pirmll
Fumsca
Exhrurl Hood
V.tfl FIl
l!3ufrc.
stete Sorenargc
MISCELLANEOUS PERMITS
trroulG Homo
6tate l3asance
aur Surch.rla.
gdewalk tt
Curbcst
-
lt
Dcrndiltlon
sldo gurBharle
'(qtotal
rhctrlo.0q.nd
NLI ISTURfi-
Lot laaoa '..l-5l lvoc
lrt.cov€rao€
-.;.{
Total h€aeht
R.nh.ndt.
Fax :541-345-2402 t16t 22 ',99 L2"32 P.03
.itr
lf y... !t{e
pcriirt trruraor
CHECK
lato.rui:
n.calved By:
Sy3tam3 O.valoprncnt Cherge lr du. on dl undlrrdoDad
prep.rtlts dtl{o the Clty ltmltt uhlch arcOgerglmpru,ed,
ADD}TIONAL COMMENTS
,.,i,
Bi:ign3tuc, t cret. and agina, thrl l;heh crr*rtrqid{nd
thc oorndot d appltc.tldn rn6 d6 frcialy"n5i{fi rhat at,:
lnfoiTrsllonh3lEon ls truc md cor,l6cl, an6 f Entarcsrtl'y
rhst lrry and all uroi( tldifuin d lhiil br bonr lr 'ii.;souoe
wlththb Odhlnces ol th- clty ol9;rlogfiGld, rr$ tnc LaIr3
ol lhe stetc oI Orbgbn.pertelnlng to tlra.wrirR dslerlb.d
haraln,.md that No occuPANct,wlll br mede ol iny
ttruatura wtrour pcrmlc$on ol th.fufirflng S.I.ty O$.bn, .
I lo,tb€r cortlty that onty enlract.rri,rrfO efrOii#cr uno
rro h.gqmpllrnea wtttr oRS Tct.otg wll t u.ad qr utl.
projct i
I turthcr ign.c to aErora that all nqslitlfnifiiflona rrr
rgqu€rtod at tho pfrcp!.,q,mer.th{r5ch !r5r.Eq lq rp.drDle
lrDm urc arc.q rrlat ttrr par.Il?tt cJfl lr.lcqlra,dt$a tlDnt
of lhr proFcrrr. f|d thc epgrov.d ial ol pla6a wlll f3r,!cn
on tft. rlt. at rlmcs
Slgn.tert
Oal.
., li. ..!
VAuri*Ion:
.BEoqFr. riluMBER
OATE PAID
AMOUNi14EOpv.to
.'r.'i:
..i .1
NECElvEO
and aFproicd
.1., l':r," '1".:
prlor td
l!
uron vlolrtlotr!,f riy o{
tho
of
clty
or thro
f:
eonaltgotlotr. r' ""l:r.-, :.