HomeMy WebLinkAboutPermit Mechanical 1998-10-11
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SPRINGFIELD
RESIDENTIAL
PERMIT APPLICATION
/nspecllons: 726,3769 ~'i(,
Olllce: 726-3759 ~"
LOCATION OF PROPOSED WORK: _ '-/t 75 -A.:1;4./Y9 0/_
ASSESSORS MAP' / 7 tJ '2- :!J 1- '/- L-
LOT'
}?'cK frlAd:^>,'}/9
ADDRE"'" '7"-<'75 MR.,.,
~(/1;' ~/c/
OWNER:
CITY:
.
JOB NUMlJEI1.Q.2 / '-5; J.-
225 Filth Street
Springfield, QItJUOIl 97477
"').0," ./77<!"/J:.L t7J(__
o /7a-v
BLOCK:
I/v,6 hk
)'r I
TAX LOT:
SUBDIVISION:
c;~/,fl~ PHONE: __ 7</7- 7"7?3
~
STATE:
CJ/7
DESCRIBE WORK: ~ I'lg ~ I/;~Ch;< h '-h'~
NEW REMODEL ADDITION DEMOLISH
OTHEI1
_ ZIP:
'77tr'7J7
-~
" ~10NE
CONTRACTOR'S NAME
EXPIIlES
GENERAl,
PLUMBING'
MECHANICAl'
ELECTRICAL:
M-"U<; ~~
,
ADDRESS'
CONST,
CONTRACTOR'
//5 '/""'''''r''>(.A-.O
<77:5'16
t./61-Z/o/
- OFFICE USE -
NOTICE:
QUAD AREI).' LAND USE:_
. OF BLDG' H'~ r'l:HMIT SHALL EXPIRE IF T~b~g~K-s:
AU I nUN/LeU UNUER THIS PERMIT IS NOT
OCCY GROUR." - , CONStR, TYPE: _
"UIV"V1t:I~(,t:U UH I::; ABANDONED FOR
. OF STORIES, ,-. - .. HEAT SOURCE:
"'" IU'."'" t~rMIIJlJ
WATER HEATER:
ATTENTION:Oregon law requires you to
follow rules ado,l?ted by, the Oregon Utility
-Notification '&%lll'r !'ffi'O'ije-rotas-ara set fOl1h
in nAR 952~tQa1e4tullJJOh OAR 952-001-
0090. You m~ obtain copies of the rules by
(,;alling the ~~nY&yt~.f:;Lt:. li It: tcio...; IVltO
nllmber fcsltknmlrogoo IJliliJly .Notifi,ciltion
Center is t-800-332-2344).
SQUAme FOOIAGE: '..__,_
RANGE: _
TO r~fluest a,., Inspo,:Uon, you must call 726.37G9. This Is :J. 24 hour recording. All Inspections rC(lueslcd berore 7:00 0.10. will be
made"the somo working day. Inspections requested after 7:00 a.m. will be made the following worl< day.
o Temporary Eloctrlc
o Site Inspecllon - To be mado
after excavation, but prior to
setting forms.
o Underslab Plumblng/Electrlcall
Mechanical - Prior to cover.
o Footing - After trenches are
excavated.
o Masonry - Sleel locallon, bond
beams, groullng,
o Foundation - AHer forms are
erected but prior to concrete
placemont.
o Underground Plumbing - Prior
to IIl1lng trench,
D Underlloor Plumbing/Mechanical
- Prior to Insulation or decking.
o Post and Beam - Prior 10 floor
Insulation or decking.
o Floor InsulaUon - Prior to
decking,
o Sanllary Sewer - Prior to IIIl1ng
trench,
o Storm Sower - Prior to filling
hench. .
o Water Line - Prior 10 IIIl1ng
(rench.
o Rough Plumbing - Prior 1.0
cover.
REQUIRED INSPECTIONS
[Xl Rough Mochanlcal - Prior 10
cover.
o Rough Electrical - Prior to
cover.
o Electrical Servlco - Must be
approved to oblnln permanenl
electrical power.
o Fireplace - Prior to facing
malerlals and framing lnsp.
o Framing - P~lor to cover.
o Wail/Ceiling lnsulutlon - Prior to
cover.
o Drywall - Prior 10 taping,
o Wood Stove - Aller Installallon.
o Insert - After fireplace approvel
and Installation of unit.
o Curbcul & Approach - After
forms are emcted but prior 10
placoment of concrete.
o Sidewalk & Drlvewal' - Aller
excavallon Is complete. forllls
and sub-base mal(!rlal In place.
o Fence - When completed.
o 81rool Trees - Wht3n all required
trees are planted.
o Final Plullluing - Whcn ul!
plumbing w9rl~ Is complete_
o Final Electrlc..1 - When all
electrical wor'< is complete.
rh Final Mechanical _ When all
~mechanlcar worl~ Is complete.
o Final Building - When all
required Inspections have been
approved and building Is
compleled.
~or ~.t-~s
~\-~1"
MOBILE HOME INSPECTIONS
o OIocking and Set-Up - When all
brockln~l Is complete.
o Pluml>ing Connections - When
home IlilS been connected to
water and sewer.
o Eleclolcal COlllleclion - When
blockinu. sel-up, and plumbing
Inspeclions have been npprovcd
and the horlle Is connecteu to
the Service panel.
o Final - Alter all Icquired
Inspections are apPlOvcd and
porches, sldlllng, decks, and
venting have been Installed.
-
Lot faces
Lol Typo
.
~
,.....
1.01 sq, ltg,
Inlerlor
Selbacks
- -- --.--
.Bh. ~ _~ AGee..
li.____
~----
W_______
L_____,_
IS THE PflOPOSED WOll11 ;11 rHE
' HISTOfllGAL DISTRlcr, Of! or-,
THE HISTORICAL REGISTEfl?
" yes, Ihls applicallon lIlusl b!~ sIgned
c1nd approved by the Hl~lorlcal
Coordinator prior 10 permit IS511snce.
Lot COverage
Corne r
Topography
Panhandle
Tolal helghl
Cul-de.sac
BUILDING PERMIT
ITEM
SO,FT,
x $/SQ, FT, ~
VALUE
M:lln
Garage
"
emparl
Tolal Value
Building Parmit Fcc
Slale SurCharge
:rOlnl Fcc
(A)
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
PLUMBING PERMIT
ITEM
Fblures
FEE
Resldenllal Balh(s)
N'
Sanllary S~wcr
Water
1'1'.
FT.
Slorm Sewer
FT,
MObile Home
Plumbing Pormll
Slato Surcharoo
Tolal Chs"rge
(C)
MECHANICAL PERMIT
Furnaco
Exhaust Hood
Vent Fan
N'
Wood StovcllnscrtlFlrcplace Unit
Dryor Vent
Mechanical Permit
;II!,; -
~Q.-
...K.../- ,_fK
~-
Issuance
Stale Surcharge
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
Slalo Surcharge
SIOewalk
It
Curbeut -
It
Demollllon
Slate Surcharge
Tolal Miscellaneous Permlls
MOUNT DUE (eXCluding eloclrlcal)
TOTAL A
(A, 8, G. 0, and E Comhlned)
IE)
APPROVED:
BUILDING VALUE, PLAN CHECI<
AND BUILDING PERMIT
ThIs permit is gran led on lhc C)(prcss condillon lIliltlhc silid
construct/on shall,ln all respects, Con IorIO 10 Ihe OrdInance
adopted by lhe City 01 Springfield, includIng the
Development COde, rcguJ;Uing lhe construclieJl) allel USe o.
buildings, and may be SUspended or rcvokud ill ilny limo
upon violation of any proviJion5 01 s.lid orllfnilnccfo.
Plan Check Fcc: _
Dale Paid:
-...----
Rcceipl Number:
Received Oy:
P!iinSncVlowmroy- ...------
Dato
Systems Deveropmcnl Charge Is due On nIl lItllle\'I~loped
properllcs withIn 1110 Cily linlils which arc bp.lng Improved.
ADDITIONAL COMMENTS
fj,R t!../"Y;C,4~ --h~
"11u d-p L
By signature, I otale and agreD, Ihall have care'ully oxomlned
Iho comploted application and do horeby certify lhnl all
Information hereon I:; lrue and correct, and I further cartlly
that any and all work performod sholl be dono in Dccor1l3nco
wllh tho Ordlnoncu8 of Iho City 01 Springfield, and Ihe LllWS
of the Stnto o. Oregon perlnlnlng to tho worl< doscrlbod
horoln, Lind Ihat NO OCCUPANCY will bo moclo of any
structuro without porlnlaslon 0' the Bulldlnu Snloly Dlvllllon.
I further certify Ihal only contractors and omr)loyocs who
orc In compliance wIth OAS 701.055 will uo used on thIs
prolecl.
I furthor agreo 10 ensuro Ihal all roqulred Inspoctlons are
rOQuested at tho proper limo, Ihat oach nddresR Is rOBdable
from tho streot, thalltlO pormlt cord Is locatod BIlho Iront
of tho property. nnd Iho approved sot of plans will remain
on Ihe slto at all times durIng construction.
{' :-:::;- ~~
Ignalure ",.,-- _........ ~~
/~-re
a.lf" _
VALIDATION:
RECEIPT NUMBEfl
/O-tl-'9<{'
DATE PAID d'"
At J.fo,
AMOUNT RECEIVED ~
RECEIVED 8Y _,~"