HomeMy WebLinkAboutPermit Mechanical 1998-07-10:;PFlINGFIEL()
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JOB NLJMAER
LOCATION OF PROPOSED WOBI(
RESIDENTIAL
PERMIT APPLICATION
lns pections: 726-3769
OItice:726-3759
TAX LOT:
225 Filtlr Strect
Spring (lcrld, Orcgort 97477
PHON E,:
STATE:7-lPiOR q TI
OWNER:
ADDRESS:
CITY:
NEW
-
REMODEL ADDITION DEMOLISI.I OTI.IEII
DESCRIBE WOR}(:
ELECTRICAL:
-
ADDRESS l:XPll:1ES PIlON ECONTFACTOR'S NAME
MECHANICAL:
CONST.
CONTRACTOR ,
GENERAL:
PLUMBING
HEAr sAU$HOBIZED-IINDEB THIS PERMIT l$d&T.ronrly riEAr
n^ N G ECQMMENCEDEII! IBANqONED FQB u^ n F. Fo orAG E:
_ OFFICE USE -
WATER I.IEATEfI:
c o N sr T'H[S PflE RMITSHALLEXPIBE I F TH E W0Rl6 o n r',r s :
FLOOD I)LN INQUAD AREA:
r OF BLDGS:
OCCY GROUP:
r OF STORIES:
LNND USE:
, ot' uNOTIGE+-ZONING CODE:
To request an lnspectlon, you must call 726-3769. Tlrls ls a 24 hour rccorc!lng. nll lnspeclions re(luestcd lrc[orc 7:00 a.rn. wlll bcmade thc safile worl(lng day, lnspcctions rcquestcd aftcr 7:00 a.rn. will bc madc thc followlng worl( clay.
E ED INSPECTIONS
[-l Temporary Elcctric Ro r Mcclrarrical - Prlor to Final Pltrrrrbirrg - Whcn allplunrl:ing worl( is complctc.
Site lnspcction - To bc mactc
a(ter excavation, but ltrlor to
settinO forrrts.
Rouglr Elcctricnl - Prior to Final Elcctkcal - lVhcn ailclcctrical worlr is corrrplcte.cover
Underslab Plunrbing/ Electrical /
Mechanlcal - Prior to covcr.Electrical Scrvlcc - Must be
al)provccl to obtain pcrrnancnt
clcctrlcal l)owcr.
F
/
I Mcclranical - Whcn all
cclranical worl< ls cornplctc.
Footln0 - Af ter lrenches arc
excavatecJ.Flrcplace - Prlor to faclng
materlals and f raming lnsp.
Final Builclirrg - Wlren all
required inspcctions have becn
approvcd and builcling is
corn plc tod.Masonry - Steel locatlon, bond
beams, groutln0.Framlng - Prlor to cover.
Fourrdatlon - A(ter [orms arc
erected but prlor to concretc
placerncn t.
O thcr
Wall/Cciling Insulatiorr - Prlor to
c ove r.
Undcrgrourrd Plunrbing - Prior
to fllllng trench.Drywall - Prlor to tallinO.
MOBILE I.IOME INSPECTIONSUnderlloor Plumblng / Mcclranical
- Prior to lnsulatlon or decl<ing,Wood Stovc - Altcr ln:itall.rlion.
Post and Bcam - Prlor to f loor
lnsulatlon or dccklng.lnsert - AItcr flrcJrlacc ap;troval
ancJ lnstallatlon oI unlt.
Blocliing and Sct.Up - Wlrcn all
blocl<in11 is cornplcte.
Floor lnsulation - Prior to
dcckl nO.Curbcr.rt & AJr;.rroaclt - Altcr
lorms arc crccted bUt prior to
placcrncnt oI corrcrctu.
Plr.rrnbirrl; Corrrrcctions - Whcn
Irornr: h;rs bccn connccted to
w;ttcr ar')(l scvJcr.
Sanitary Scwcr - Prior to tillin0
lrcnch.Elcctrical Corrrrcctiorr - When
blocl<ing, sol.up, and plumbing
lrls;pcc tions l)i'rvc. l)con approvcd
.lnd tltc tlolnc is conncctec, to
th0 scrvicc par'lcl.
Slorrn Sowcr - l)rior to tilling
trcncl'r.
Sidcwalk & Drivcw.'r1, - nflcr
cxcavatio|r is complcte, [oil])s
ancl sul).base lnalcrial in ;tlaco.
Watcr Llnc - Prlor to tilling
lrench.
Rough Plurnbing - Prlor to {itrost Trccs - Whcn all rcquirccJ
trces are plantcd.
Firral - Aftcr all rcquircd
lnspcctions arc approved and
porcl.rcs, skirling, cJecks, andvcntln0 havc bcen lnstallecl.covcr
ASSESSORS MAP:
SUBDIVISION: - '
,1Llr1-21
tf
tl r_l
t_l
tl
l_-l
E
[]
tl
tl
tl
tl
tl
l-_] Fcncc - Wtrcn cornplcted.
tl
tl
fl
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t:]
P.L.|.1SE
N
c
E
Lot laccs
Lot sq. f tg.
Lot covcragc
Topography
Total hclght
BUILDING
ITEM
Main
Garagc
Carport
Lot 'lyl)c
-
ln tcrior
--
Corncr
-
Panhandlc
-- Cul-cjc-sac
x $/so. t--T.VALUE
Slc t l:ac l< s
GAR
IS TIIE, PI1OPOSE,D WORI< iN TIIE .
I.I ISTORICAL DISTRICT, OR ON
TIJE IJISTORICAL REGISTEF?
-
ll yes, this application must be slgncd
and approvcd by the Historlcal
Coordinator prior to permit issuance.
APPROVED:
PERM IT
so. tsT.
Total Valuc
Building Pcrmit Fce
Statc Surcltargc
Total Fcc (^)
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This pcrrrrit is grantecJ on tire cxprcss condition tlrat thc said
construction shall, in all respects, con[orm to tlre Ordinance
adoptcd by thc City oI Springficld, including the
Dcvclopmcnt Codc, rcAulating the construction and use of
buildings, and nray bc suspcndcd or revol<cd at any tlrne
upon violation of any provisions oI said ordinances.
Plans Rcvicwcd l3y Datc
Plan ChecI< Fce
Datc Paid
Reccipt Ntrnrbcr
Rcccivcd By:
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systcms Dcvelopmcnt Chargc is duc on all undeveloped
propcrtics witlrin llrc City linrits whiclt arc bcing inrproved.
ADDITIONAL COMMENTS
By slgnature, I state ancl agree, tlrat I havS carcf ully examlneci
tlre complcted ap1>lication and do hereby certlfy that all
ln(ormation hcrcor'r is true an(l corrcct, and I Iurther certify
that any and all worl< pcrlormccl shall be done in accordance
with tlrc Ordinanccs of tlrr: City ot Springtlcld, arrcl tlrc Laws
of tlrc Statc of Orcgon pcrtairring to thc work cJescribed
lrcrein, and tirat NO OCCUPAT'JCY will be rnacje o[ any
structurc witlrout pcrrnission ot tlrc Buildin0 Safety Division.
I Iurtlrcr certi[y tl]at only contractors and entployees who
arc in cornpliancc.witlr ORS 701.055 wlll be used on this
pro jec t.
l[urthcr agrec to cnsurc tltat all required inspcctions arc
rcquestcd at thc prol)cr timc, that cach address is rcadablc
thc pcrnrlt card ls locatcd at thc front
thc approvcd sct oI plans will remain
'/ - /b'q y
Datc
(
ufl loncon s
t!1Slgnaturc
f rorn t lrc s trcct,;!J:al,
o( thc propert/ any'
on tr're s:tc Et;f m
Wood Stovc/ lnscrt / [il rcplacc Urri I
FEE
l-- l.
FT.
/f.ao
fi), a't
L2!-.
Tolal Misccllaneous [)crrni ls
N
I:L--
(E)
D rycr
,l
2(,,7.o
PLUMBING PERMIT
Vcnt Fan
Ven t
(D)
(c)
ITEM
Fixtures
Rcsldcntial Batlr(s)
Sanltary Sewer
Watcr
Storm Scwer
Mobllc Hornc
MECHANICAL PERMIT
Fu rnacc
Exhaust Hood
Mechanical Perrrril
lssu ancc
Statc Surcharllc
Total Permlt
Plumblng Pcrmit
Statc Surcharge
Total Charge
TOTAL AMOUNT DUE (oxclutling c'lcctrir:al)
(A, B, C, D, and E Corttbirtcd)
VALIDATION
RECEIPT NI
DA'I'E PAID
AMOUNT F'I
FiECEIVED
ECEIVED
A
UMBEF] - U (/
8Y
Ctr
2."d
MISCELLANEOUS PERMITS
Mobilc Honrc
Statc lssuanco
Statc Surchargc
Sidewall<
-
tt
Curbcut
-.-
lt
Dcmolltlon
Stato Surchargc