HomeMy WebLinkAboutPermit Mechanical 1997-9-30
~~,
LOCATION OF PROPOSED WORK' 323 V\t\ c( ~+( e.\d..
I 7 () '3 '2.. -:z, -:2, c.I.() '3 '3 cr-O
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
Office: 726-3759
ASSESSORS MAP'
LOT:
o
SpnING':'IELO
BLOCK:
OWNER'
ADDRESS:
CITY'
~l'>k Sa ;~f<,r J.~;:::;\cr.t-"
~ )... J vY\a i".5 fi-e\.O.
~ :;-<', "# ~ 1 r\J STATE:
DESCRIBE WORK: -:c~-ta Hi ~
NEW
REMODEL
CONTRACTOR'S NAME
GENERA' .
PLUMBING'
MECHANICAL:
ELECTRICAl'
YY\.!/J~WJ
QUAD AREA:
. OF BLDGS'
OCCY GROUP:
· OF STORIES: ___
WATER HEATER:
() '(2. .
Bn."",,{'
rt ~",,-r- Pu M{)
,a
JOB NUMBER .5:J-LY 3 r
225 Filth Street
Sprlnglleld, O,egon 97477
TAX LOT'
*
.
ADDITION
DEMOLISH
OTHER
SUBDIVISION'
PHON~'
_ ZIP:
9 '1<-n 7
,I
ADDRESS
CONST.
CONTRACTOR .
EXPIRES ',: PHONE
a<..-\j ""~
l/1I0 O{"":"'~:t..
.~~.q1'f1ts 7f1.7-1l.f1(J I
~S-l."f 0 l z..{l.J/'f) . !
FLOOD PLAIN:
ZONING CODE:_
'. OF BDRMS:
SECONDARY HEAT:
SQUARE FOOTAGE: _
To request an Inspection, you must call 726.3769. This Is a 24 hour recording. All Inspections requesleb before 7:00 a.m. will be
made tho same working day. Inspections requested after 7:00 a.m. will bo made the following work day.
o Temporory Eloclrlc
o Silo Inspection - To be mado
after excavation, but prior to
. seltlng forms.
o Underslab Plumblngl Eloctrlcal!
Mochanlcal - Prior to cover.
o Fooling - After trenches are
excavaled,
o Masonry - Sloel location, bond
beams, grouting.
o Foundntlon - After forms are
erected but prior 10 concrete
placemenl.
o Undorglound Plull1blr,g - Prior
. to filling trench. '
o Und.rlloor Plumbing/Mechanical
- Prior to Insulation or decking.
o Post 8nd B08m - Prior to floor
Insulatlon or deckIng. .
" (
o Floor Insulallon - Prior 10
docking,
o Sonltary Sower - Prior 10 filling
trench.
o Storm Sewor - Prior 10'1I[II"g
trench. II
o Woter lIno - Prlpr to filling ~,~
' trench.' .
o Rough Plumbing - Prior to
cover.
- OFFICE USE ';"
LAND USE: _
. OF UNITS:
CONSTR, TYPE: __
HEAT SOURCE:
RANGE: _
R':,9UIRED INSPECTIONS
~~.~gh Mochal1lc~1 - Prior to
cover. ,
o Rough Electrical - Prior to
covor.
o Electrical Servlco - Must be
approved to obtain permanent
electrical power.
o Flreplaco - Prior to facing
materials and framing Insp.
o Framing - Prior to cover"
o WalllC'olllng Insulnll~f1. - Prior to
cove~ ~', .
o Drywall - Prior to taping.
o Wood Stovo - Aller Installation.
o Insert - After fireplace approval
and Installation of unit.
o Cmbcul & Approach - After
forms are erected but prior to
placomont of concrote.
o Sidewalk & Drlvewav - After
excavation Is complete, forms
and sub.base material In place.
o Fenco - \Nllen completed.
o Stroot TrOGS - When all rOQulred
trees are planted.
o Final Plumbing - When all
plumbing w9rk Is complet.e.
o Final Eloelrlenl - When all " ,
eleclrlcal work Is completo.
~I Mochonlcal - When all
mechanical work Is complete.
o Flnnl Building - When all
requIred Inspections' have been'
approved and building Is
com pie led.
DOthor.
MOBILE HOME INSPECTIONS
o Blocking ond Sol. Up - When all
blocking Is complete. ,
o Plul11blng Connoctlons - Whon '
homo has been connected 10
water and sower,
o Electrical Connoctlon - When
blocking, set.up, and plumbing
Inspecllons havo been approved
and the home Is connected to
the service panel.
o Final - After all required
Inspecllons are approved and
porches, sklrllng, decks, and
venting have been Installed.
Lot faces
..-""
Lol Typ~/
Interior
I P.L.
IN
Is
Iw
IE
Setbacks
, , , I
HSE GAR ACC
I
I
I
I
l -.:::,
.j...tis THE PROPOSED WORI< IN THE.
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
II yes, Ihls appllcallon must be signed'
and approved by the Historical
Coordinator prior 10 PfHmlt Issuance.
Lol sq. IIg.
Lot coverage
Topogrephy
Total height
Corner
Panhandle
Cul-de,sac
BUILDING PERMIT
ITEM SQ. FT. X S/SQ, FT. '_ VALUE
Main
Garage
Carport
"
Total Value
Building Permit Fee
Stale Surcharge
Total Fee
(A)
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
PLUMBiNG PERMIT
ITEM
FEE
Fixtures
Residential Bath(s) N'
Sanllery S!'wer FT.
Water FT.
Slorm Sewer FT.
Mobile Home
Plumbing Permll
Stele Surcherge
TOlel Cherge
(C)
MECHANICAL PERMIT
Furnaco
Exhaust Hood
Vent Fan
N'
Wood StovellnsertlFlreplace Unit'
Dryer Vent
i-le.o.r p~
,
JS.-
/0,-
;,;).0
~("J..O
Mechanical Permll
Issuance
Slate Surcherge + 03. '6
Tolal Permll
(D)
MISCELLANEOUS PERMITS
Mobile Home
Slale Issuance
State Surcharge
Sldewelk
II
Curbcul
II
Demollllon,
Slale Surcharg~
Tolel Mlscelleneous Permlls ,', (E)
TOTAL AMOUNT DUE (excluding eleclrlcal)
(A, B, C, 0, and E Combined)
APPROVED'
. 't .
BUILDING VALUE. PLAN CHECK
AND'BUILDING PERMIT'
This permll is granted on Ihe express condlllon Ihallhe said
conslrucllon shall,ln all res peels, conform 10 the Ordinance
adopled by Ihe Clly. of Sprlnglleld, InclUding the
Oo~~'opmcnt Code, regulating the construction and use of
buildings, and may be suspended or revokod al any lime
upon viola lion' 01 any provl~lon3 of said ordinances.
Plan Chock Fcc:
"
Dalo Paid:
Receipt Number'
RecelvetJ By:
Plans Rovlewed l3y
Dale
Systems Dovelopmcnt Charue Is duo on all undeveloped
propertlos within tho City limits which arc being Improved.
j
ADDITIONAL COMMENTS
...
Vo 14~
y b 2. 2..'1, dD
j
By signature, I stalc and agree, that I have carotully examined
the compleled appllcallon and do hereby certlly thai all
Inlormallon hereon Is Irue and correct, and Ilurlher cerllly
that any and all work performed shall be done In accordance
wllh Ihe Ordinances ollhe Clly of Springfield, and the Laws
01 lhe Slale of Oregon pertaining 10 tho work described
heroin, and (hal NO OCCUPANCY)/IIII be made 01 any
structure without permission of the Building Safely Division.
I further certlly thai only contractors and employees who
are In compliance wllh ORS 701,055 will be used on this
project.
I furlher agreo to ensuro thai all required Inspections are
requested at lhe propor time, thai oach address Is readable
lrom tho slreot, thallhe permit card Is localetJ at Ihe lronl
01 the properly. Dnd IhqAlpprovcd sel 01 plans will remain
on the site at all ilLS dU~lng conSI~UC1l0n.
Signature ~ 1j,J~
'I -: 'Ul_cl]
Date
VALIDATION:
RECEIPT NUMBER ;:).7 C;;S 0
DATE PAID '1 - '30 - 9,
AMOUNT RECEIVEr; '$ ...::) lP. :l-tl
9<W
RECEIVED BY