HomeMy WebLinkAboutPermit Mechanical 1998-08-25RESIDENTIAL
PERMIT APPLICATION
lnspections: 726.3769
Office:726.3759
LOCATION OF PROP
SPFlINCFIELr)
t to {3
%Y,
JOB NLJMi]EN
225 Fittl: Strcct
Sprir-rg f I elcl, Ora gon 97 47 7
545 A/, lZnrl
ASSESSORS MAP:'Ti\'fl',\
TAX LOT:
LOT:BLOCI(:SUBDIVISION
PHON E,:
STA]'E:ztPD(
OWNEB:
ADDRESS
CITY:
ADDITION DEMOLISI.I OTHEI1
DESCRIBE WORI(:
NEW- REMODEL
ADDRESS l.:XPlllES PI-IONE
MECHANICA
CONTRACTOR'S NAME
ELECTRICAL:
CONST.
CONTI]ACTOR //
GENERAL:
PLUMBING
_ OF':ICE USE _
LAND USE: -.-- ATTENTION:Oregon laW[OOOrBg
To rcquest an lnspectlon, you must call 726'3769. Tlrls ls a 2,i hour rccordlng. All inspections ie(lucstccl i:cforc 7;00 a.rn. wlll bcmade the sante worklng day, lnspcctions rcquestcd aftcr 7:00 a.m. will bc macjc thc tollowlng worl( cjay.
REQUIRED INSPECI'IONS
Temporary Electric Rouglr Mcclranical - Prior to
c ove r.
Final Pltrrrrbing - Whcn allpluntl:ing worl< is conlplct.c.
Sile lnspcction - To bc macJc
after cxcavation, but 1:rior tosettln0 forrns.
Rough Elcctrical - Prior to IFinal Elcctlical - yJhcrt allc ove t.cail worl( is conr plate.
Underslab Plunrbing / Elcctrical/
Mcchanical - Prior to covcr.Elcctrical Scrvlcc - Mt,st be
approvecl to oblain pcrunancn
clectrical l)owcr.
Firt
/
cclranical - When all
lrarlical worl< ls corrlplcte.
Footlng - Af ter trenches are
excavated.Flroplace - Prlor to facing
materlals and (raming lnsp.
Final Uuilcling - Whcn all
required inspcctlons havc becn
approved and builcling is
corn plc tcd.Masonry - Steel locatlon, bond
beams, groutlnO,Franrlng - Prior to covcr.
Fourrdatlon - Af ter lorms are
erected but prior to concrctc
placernent.
Othcr
Wall/Cciling lnsulation - Prlor to
cover.
Undcrgrourrd Plunrbing - Prior
to fllllng trench.
MOBILE }.IOME INSPE TIONSUnderiloor Plumblng/ Mcclranical
- Prior to lnsulatlon or deckinq.Wood Stovo - Af tcr ln:ltall.rlion.
Post and Beam - Prlor to f loor
lnsulatlon or decl<lng.lnsert - AItcr flrclilace approval
and lnstallatlon oI unlt.
Blocliirrg arrd Set.Up - Wlrcn all
blocl<in11 is cornplete.
Floor lnsulation - Prior to
deckl ng.Curbcut & Altl.rroaclr - Altcr
[orrns arc crcctcd t]Ut t)rior lo
placcrncnt oI cortcrctt:.
Pltrrnbinll Corrrrcctions - Whcn
lrornr.l has been conltccted to
w;ltcr;lncl sevJer.
Sanitary Scwcr - Prior to lillin0
trcnch.Elcctrit:al Corrrrcctiorr - Whcn
L:locl<irr g, sct.up, and plrrntbing
irrtjpcclions lrnvc ltccn approvcd
arld tl)c [rorrrc is connccted to
tlrr: sorvicc lrancl.
Storrn Scwcr - l)rior lo tilling
trench.
Sidcwalk & Drivcway - nftcr
cxcaviltion is complctc, Iorrns
an(l sul).basc rnalcriill in placc.
Water LIne - Prlor to tilling
t rench,
Fclrce - Wllcn colnplcted
Rouglr Plunrt:ing - Prior to
cover.
{itr€ot Trccs - Whcn all tcquircd
trces are plantcd.
Firral - Aftcr all required
irrspcctions arc approved and
porclrcs, sl(irting, decl(s, and
ventlng havc been lnstalled.
Qt*tt
toQUAD ABEA:
-
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E
E
E
tf
tl
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tl
tl
fl
E
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tl
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[-l Drywall - Prior to tal]ing.
l:]
[]
r_l
r_l
t_l
ACCP.L.HSE GAR
NI
J
E
Lot faccs
Lot sq. ttg.
Lot covcragc
Topography
Total lrciOht
Lol -l-ypc .. ,.
-
lntcrior'
--
Corncr
.-- Panhancllc
-- Cul'dc'sac
c tl)ac i . THE PROPOSED WORK iN Tl-lE--fltsrontcAL Dlsrnlcr, oR oN
TIJE IIISTORICAL REGISTER?
-
ll yes, il.ris application must be slgncd
arrd approved bY the Historlcal
Coordinator prior to permit issuance.
APPROVED
VALUE
(A)
x s/so. t--T.
PERMIT
SO. FT.
BUI LDI N G
ITEM
Main
Garagc
Carport
Total Valuc
Building Pcrmit Fec
Statc Surcltargc
Total Fcc
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
Tl-ris pcrnrit is grarrted on the cxprcss conditiotl that the said
construction slrall, in all respects, conform to tlre Ordinance
adopted by the City of Springficld, including the
Development Coclc, rcgulating the construction and use of
buildings, and may be suspcndcd or rcvol<cd at any tlrne
upon violation of any provisions oI said ordinances.
PIans Rovicwcd l3y Date
Bcceipt N urnbc
Plan Clrccl< Fce:
Datc Paid
Rcccived By:
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systcms Dcvclopmcnt Chargc is duc on all undevelopcd
propcrtics witlrin tlrc City lirnits whiclt are bcing improved,
Rcsldcntial Bath(s)
Sanitary Scwer
Water
Storrn Scwcr
Moblle Horne
PERMIT
FEE
Ni
F-1.
(:t'
r l.
(c)
Plurnblng Pcrmit
Statc Surclrarge
Total Charge
PLUMBING
ITEM
Fix tu res
ADDITIONAL COMMENTS
By slgnature, I statc ancJ agree, that I havS carcf ully examlnecl
the complcted application and do hereby certify that all
lrrformation hereorr is true artcl corrcct, and I Iurther ccrtity
that any and all wor)< pcrfclrmcd shall be done in accordance
with tlrc Ordinarrccs ol thr.r City ol Sprirrglicld, ancJ thc Laws
ol thc St;rtc oI Orcgon perlaininO to thc work described
hcrcin. and llrat NO OCCUPAI{CY will bc rnacjc of any
structurc willrout perrnission of tlre Buildlrr0 Sa(ety Division,
I furtlrcr certily that only contractors ancJ enrployees who
aro in cornpliancc.with ORS 701.055 will lre used on this
p roi ec t.
I furthcr agrec to cnsurc that all rcquirecl inspcctions are
rcquestcd at thc propcr timc, Ihat eaclr address ls rcacJable
frorn tlrc slrcct, that the pcrmlt carcj Is locatcd at thc front
c approvcd sct oI plans will remain
Slgnatu
Da le
(
I
cs during constru tlon
d
tiat
of il-rc pro
on thc sit
Wood Stovc/ lnscrt / Flrcplacr: Urril
MISCELLANEOUS PERMITS
Mobile Honrc
State lssuancc
Statc Surchargc
Sidewalk
-=-
tt
Curbcut
-_
ft
Dcmolltlon
Slatc Surchargc
/ u,'d o
:{5f7r
26 k_
Total Misccllaneous f)errnils (E)
Dryc Vcn t
l{oo
Vcnt Fan
(D)
MECHANICAL PERMIT
Fu rnacc
Exhaust Hood
N0
Meclranical Pern"rit
I ssu ancc
Statc SurcharOc
Total Pcflnil
TOTAL AMOUNT DUE (cxcluc.ling clcctrir:ut)
(4, B, C, D, and E CorrrbinccJ)
)3tr ?rDATE I'AID
AMOUNT RECEIVED
FIECEIVED BY
VALIDNTION:
RECEIPT NUMT]EF]
RESIDENTIAL
PERMIT APPLICATION
lnspections: 726-3769
OIfice:726-3759
LOCATION OF PRO
1;PRINGFTELT)ftl, rs
%v,
JOB NL.'M8EN
225 Fi(ttr Strcct
Sprlng ileld, Orcgon 97477
545 rJ pn nrl'""nyr'\
TAX LOt LIMr:,tASSESSORS MAP:
LOT:BLOCI(:SUBOIVISION
PHONE
STN'I'E 7-tP:
OWNER:
ADDRESS:
CITY:
N DDITION DEMOLISI.I OTHETI
DESCRIBE. WORI(
NEW
-
FIEMODE,L /
ELECTRICAL:
-
ADDRESS EXPI}1E,S PI.IONE
MECHANICA
CONTBACTOR'S NAME
GENERAL:
PLUMBING:
CONST.
CONTI1ACTOR /
_ OFFICE USE _
To rcquest an lnspectlon, you must call 726-3769. Tlrls ls a 2,i lrour rccor<Jlng. All lnspectiolls rc(luestcd i:cforc 7;00 a.rn. wlll bc
made the sanle worklng day, lnspcctions rcguested after 7:00 a.m. will be madc thc tollowlng work cJay.
REQUIRED INSPECTIONS
Temporary Electric Rouglr Meclranical - Prlor to
cover.
Final Plr,rrrrbing - Whcn allplunrl:ing worl( is completc.
Site lnspcction - To bc madc
after cxcavation, but I)rior tosctting forrns.
Rouglr Elcctricnl - Prior to Final Elcctr(ical - Vr'hcrl atlc ovc r.cal worl( is conr plotc,
/
Undcrslab Plunrbing / Elcctrical /
Mechanlcal - Prior to covcr.Electrical Scrvlcc - Must be
al)provccl to obtain f)crrnancnclcctrlcal l)ower.
Firt cclrarrical - Whcn all
Iranical worl( ls cornplctc.
Footlng - Af ter trenchcs are
cxcavatcd.Flroplace - Prlor to faclng
materlals and lraming lnsp.
Fin:rl tluilclirrg - Wlrcn all
required inspcctlons have bccn
approved and builcling ls
corn plctccl.Masonry - Steel locatlon, bond
beams, groutlng.Framlng - Prlor to covcr.
Fourrdallon - Af ter lorms arc
erccted but prior to concrctc
placcrnen t.
Otlrcr
Wall/C;ilinS, lrrsulatiorr - Prlor to
c ove r.
Undcrground Plunrbing - Prior
to (llllng trench.Drywall - Prlor to taping.
MOBILE I.IOME INSPE TIONS
Underlloor Plumblrrg/ Mcclranical
- Prior to lnsulatlon or deckin0.Wood Stovc - AItcr ln:itallalion
Post and Bcam - Prlor to f loor
lnsulation or decl<lng.lnscrt - AItcr (lrcl.rlacc approval
and lnstallatlon ol unlt.
Blocliirrg and Sct.Up - Wllcn all
blocl<in11 is cornplcte.
Floor lnsulation - Prior to
dcckl ng.Ctrrbcr.rt & Alrl.rroaclr - AItcr
forrns arc croctcd tlut prior lo
placerTlctlt oI cortcrcttr.
Plurnbirrg Corrncctions - Whcn
Irornr: has bcen conrtected to
w;ltcr illtcl scvJcr.
Sanitary Scwcr - Prior to tillin0
trcnch.Elcctrit;al Corrncction - Whcn
blocl<irrr;, sol-up, and plrrnrbing
Irtspcctions lrivc bccn approved
:ilrd tlle trornc is connccted to
tlrr: scrvicc grancl.
Stornr Scwcr - l)r'ior to tilling
trenclr.
Sidewalk & Drivcway - n(lcr
cxcaviltior't is complclc, lorrrs
an(l sul).basc rnaterial in placc.
Watcr Llnc - Prlor to lilling
trench.
Fcrrcc - V!lrcn colnpletcc,
Rouglr Plunrbirrg - Prior to
cover.
{itroot Trccs - Wlrcn all rcquircd
trces arc plantcd.
Firral - AItcr all rcquircd
inspcctions arc approved and
porcl'rcs, skirting, decks, and
vcntln0 havc bccn installecl.
[]
D?Qtut
LAND USE: _.-- AtrTENTlON:OregonOUAD AREA:
tl
n
tl
tl
n
tl
E
E
tl
D
T
[]
t:]
t_l
t:l
t:]
r_l
r_l
r_f
E
P.L.HSE GAR
N
c
E
Lol faccs
Lot sq. ltg.
Lot covcragc
Topography
Total helglrt
Lol 'fy,)c ._
-
lnlcrior
_-- Corncr
-
Panhatrclle
_- Cul-tlc-sac
tl)acl(s r ' THE PllOl'OSEO WORI( iN TIJE .
YrtsronrcAL otsrBlcr, oR oN
TI.1 E, IJISTORICAL REGISTER?
-
l{ yes, this application must be slgncd
arrd approvcd by thc Hlstorlcal
Coordinator prior to permit issuance.
APPROVED:
VALUE
(^)
x s/so. I--T.
BUILDING
ITEM
Main
Garagc
Carport
PERMIT
SO, FT.
Tolal Valuc
Building Pcrmit Fce
Statc Surcltargc
Total Fcc
BUILDING VALUE, PLAN CHECK
AND BUILDING PERTVIIT
Tlris pcrmit is grarrtecJ on lhc express condition tl'rat thc said
construction slrall, in all respects, conform to the Ordinance
adopted by thc City of Springtield, including lhe
Development Coclc, rcgulating the construction and use of
buildirrgs, and may bc suspcrrdcd or rcvol(ed at any tlrne
upon violation of any provisions of said ordinanccs.
Rcccipt Nrrrrrbcr:_..
Plans Rcvicwcd 13y Datc
Datc Paid
Rcccivccj By
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systcms Dovelopmcnt Chargc is duc on all undeveloped
proportics within tlrc City linrits whiclr are bcinq; improvecl.
PLUMBING PERMIT
ITEM
Fix tu res
Rcsldcntial Bath(s)
Sanltary Scwer
Water
Storrn Scwer
Moblle Horne
FEE
FT.
(c)
[:
N"
t--1.
Plurnblng Pcrmit
Statc Surclraroe
Total Clrarge
ADDITIONAL COMMENTS
By slOnature, I statc ancl agree, ttrat I havS carcf ully examlnecj
the complcted application anc.l do hereby certlly that all
ln(ormation hcrcori is truc ancl corrcct, ancJ I Iurther ccrtify
that any and all work pcrformcd shall bc done in accordance
with tlrc Ordinanccs oI ttrr: City otspringficld, arld thc Laws
o( thc St:rtc o[ OrcAon f)crlaining to thc worl< described
hcrcin, arrd tirat NO OCCUPAITJCY will t-ic rnacie of any
structurc without pcrrnission ot the Buildirrg Safety Division.
I Iurtlror certity tlrat only contractors ancJ en]ployees who
arc in cornpliancc witlr ORS 70i.055 will bc used on thls
proiec t.
I furthcr agrec to cnsure that illl rcquirccl inspcctions arc
rcqueslcd at the prol)cr tinre, tltat cach acJdrcss ls rcacjablc
from thc strcct, tltat thc pcrnrlt carcj ls locatccJ at thc front
d tlro approvcd sct of plans will remain
Slgna tu
Date B
ata cs during constructlon.
of lhc pro
on tlrc siI
Wood Stovc/ lnscrt/ Flrcplacc'Urrit
Drycr Vcnt!s-l-!rry---
Meclranical Pcrrnit
lssuancc
Statc Surclr;rr1;c
Total Pcrrnlt (D)
MISCELLANEOUS PERMITS
Mobilc Honrc
Statc lssuancc
Statc Surclrargc
Sidcwall<
--
ft
Curbcut
--
tt
Demolltlon
Slalc Surcharge
/{oo
/ u,'l o
:E{7r
24u
Total Misccllancous Pcrrnits (E)
Nt oVcnt Fan
MECHANICAL PERMIT
Fu rnacc
Exhausl Hood
tr>trffiTOTAL AMOUNT DUE (cxcluclingl olcctri<:al)
(4, B, C, D, and E Corrrbirrod)
VALIDATION
BECEIPT NUIvIE]EF.I
DATE PAID
AMOUNT F]ECEIVED
)3 rr ?
FtE,CEIVE.D BY
Plan Ctrccl< Fcc:
-