HomeMy WebLinkAboutPermit Mechanical 1999-8-6
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
Office: 726.3759 I
.
SPRINGFIELD
LOCATION OF PROPOSED W~RK:_~/26.) ~J..1-,
ASSESSORS MAP' /10 3 S 'f / .
LOT'
Dt"1Y'\ ,I( {J Ics
ADDRESS" fin R"i C,7Y7
CITY: <;"c::;., J-", f-(",,,,,,,-
OWNER'
BLOCK:
STATE: rc, / /-C'
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JOB NUMBER 97/4 7b
225 Fifth Street
Sprlnglleld. Oregon 97477
"" ~2 13
TAX LOT' f9 87 dO
SUBDIVISION:
PHONE:_707-n.):"' 62~
ZIP:
1S<JDf... ~
- II
~
DESCRIBEWORK:~S'f"I/ IJafrrhtc...lu'- \ t'f-crc..-/-c "'1'iI-cI11S'"
REMODEL,>( ADDITION DEMOLISH OTHER
NEW
CONTRACTOR'S NAME
GENERA' '
PLUMBING: _! ,..6 r'1 f Ph r ( f ~
ADDRESS
CON ST.
CONTRACTOR'
EXPIRES '" PHONE
P/'AVl bl-hj ,UtL.
J?, Roy: 2~7 q E'-(t'n, {)r.q7~fo'L
MECHANICAt.
ELECTRICAl' ~(t'Ihl/1 tlhJ 5011S' //rf'r/r/c...
'. NClTU:;b': I\i I 1:.1" IIVI~~UIt;;YUIIId.VV It:YUII'C'~ yv.~,~v
S PERMIT SHALL EXPIRE IFTHEWORIL OFFJH\!P1r..[~I~S aUUjJl"U uy 'I '." VI "!,lVII vu",y
'\ ~I . rn No1ifjca1iof.l Center. Those rules are set forth
'QUADAR~oFiIZEDUNDERTHIS.p,ER~{!,l~t1I'DSE: in nAR!l!'i2-:001.001.othrougtjt~AWJ:1-
-, - '. cnuMENCED OR IS ABANDONED FO~ 0090. You may obtain copies ofthe rules by
· OF BLD6S"" · OF UNITS: 11"1 ""-(N t . t""'NjNGIoC.C""E:
ANY 1BO DAY PERIOD. "Q "'!:l' ",,,,,,,,,,,. 0 e.. :';:;""~~I~" -
OCCY GROUP' CONSTR. TYPE: !lllIIIPArfnrthe Orecon Utlli.iy&oilt!IA1tf!l"
Center is 1-800-332-2344).
. OF STORIES: HEAT SOURCE: SECONLlARY HEAT:
WATER HEATER:
RANG~'
SQUARE FOOTAGE:
To request an Inspection, you must call 726.3769. This Is a 24 hour recording. Alllnspecllons requested before 7:00 a.m. will be
made the same working day. Inspectlons reQuested after 7:00 a.m. WI.ll~macJe the following work day.
REQUIRED INSPECTI<5NS
" ','-~
D Rough Mechanlcal- Prior to
cover. "'0, . :G~\
D Temporary Electric
D Site Inspection - To be mado
after excavatlon, but prIor to
setting forms.
,.
D Underslab Plumblng/Electricall
Mechanical - Prior to cover.
D Footing - After trenches are
excavated.
D Masonry - Steel location, bond
beams, grouting.
D Foundation - After forms aro
erected but prior to concrete
placement.
D Underground Plumbing - Prior
to filling trench.
D Underfloor Plumblng1Mechanlcal
- Prior to Insulation or decking.
D Post and Beam - Prior to floor
Insulation or decking. .
D Floor Insulation - Prior to
deckl ng.
D Sanitary Sewer - Prior to filtlng
trench. _
D Storm Sower - Prior to, filling
trench. ,
~ .
D Water line - ~rlor to. filling
trench. '. -
. ~ .
D Rough Plu:r:nbln~ - Prior to
cover. ~...\ .
D Rough Electrical - Prior to
cover. '
D Electrical Service - Must be
approved to obtain permanent
electrical power.
D Fireplace - Prior to facing
materials and framing Insp.
D Framing - Prior to cover.
D Wail/Ceiling Insulallon - Prior to
cover.
D Drywall - Prior to taping.
D Wood Stovo - Atter Installation.
D Insert - After fireplace approval
and Installation of unit.
D Curbcut & Approach - After
forms are erected but prior to
placement of concrete.
D Sidewalk & Driveway - After
excavation Is complete, forms
and sub-base material In place.
D Fence, - ""hen completed.
D Street Trees - When all required
trees are planted.
l%f Final Plumbing - When all
( ~ plumbing w9rl< Is comple1e.
rs:?T Final Electrical - When all
~Iectrlcal work Is cO~Plete.
D Final Mechanical - When all
mechanical work Is complete.
D Final Building -. When all
required Inspections have been
approved and building Is
completed.
DOther
MOBILE HOME INSPECTIONS
D Blocking and Set.Up - When all
blocking Is complete.
D Plumbing Connections - When
home has been connected to
water and sewer.
D Electrical Connection - When
blocking, set-up, and plumbing
InspectIons have been approved
and the home Is connected to
the service panel.
D Final - After all required
Inspections are approved and
porches, skirting, decks, and
venting have been Installed.
r
,
Lot faces
".
: .,
L~t lYP'
_ Interior
lot sq. fig.
"Lot coverage
Corner
Topography
Total height
"
Panhandle ."
Cul-de-sac
BUILDING PER~IT:'l"t
ITEM sa. FT. x $/SO. FT.
Main
Garage
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fcc
(A)
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
PLUMBING PERMIT
ITEM v7
Fixtures
Residential Bath(s) N'
Sanitary S~wer FT.
Water FT.
Storm Sewer FT.
Mobile Home
Plumbing Permit
State Surcharge
Total Charge (C)
MECHANICAL PERMIT
Furnaco
Exhaust Hood
Vent Fan N'
Wood StovellnsertlFlreplace Unit
Dryer Vent
Mechanical Perml t
Issuance
State Surcharge
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
fI
Curbcut
fI
Demolition
State Surcharge
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrical)
(A. B, C. 0, and E Combined) ,
.~. ':
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. I",
. . J I;. i. :\~
';"'1"':'" It) '~k"':-'.J "
. - ~.' . \.': .,'<~l):'i.."
Setbacks .
HSE GAR Acc'l
I
,'....-:
"
l'p.L.
IN
Is
Iw
IE
VALUE
"
FEF_,
'~ze
J ..,
2-0
.-
, I;. .
:.:,': -.';.~Ji-~
; -.S THE PROPOSED WORK IN THE. .
HISTOI:UCAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
If yes, this application must be signed
and approved by the Historical
. Coordinator prlo~ to permit Issuance.
Ill, ,~~P~OVED:'.'
BUILDINh W\LtlE, PLAN CHECK
AND BUILDING PERMIT
This permit Is granted on the express condition that the said
construction shall, In all respects, conform to the Ordinance
adopted by the City of Springfield, Including the
Development Code, regulating the construction and use of
buildings, and may be suspended or revoked at any time
upon violation of any provisions of said ordinances.
Plan Check Fee:
Date Paid:
ReceIpt Number'
Received By:
Plans Reviewed By
Date
Systems Development Charge Is due on all undeveloped
properties within the City limits which are being Improved.
ADDITIONAL COMMENTS
Ez l-7::7f4."/
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By signature, I state and agree, that I have carefully examined
the completed application and do hereby certify that all
Information hereon Is true and correct, and I further certify
that any and all work performed shall be done In accordance
with the Ordinances of the City of Springfield, and the Laws
of the State of Oregon pertaining to the work described
herein, and that NO OCCUPANCY will be made of any
structure without permission of the Building Safety Division.
I further certify that only contractors and employees who
are In compliance with ORS 701.055 will be used on this
project.
I further agree to ensure that all required Inspections are
requested at the proper time, that each address Is readable
from the street, that the permit card Is located at the front
of the property. and the approv set OpPI ns will remain
on the site at II tlm? durJ c nstn.a...cj n.
Signature t,1J;tI b
I ~
Date . " 7 ~
VALIDATION:
RECEIPT NUMBER
DATE PAID
AMOUNT RECEIVED
O]Sf L/ 0,
~/ t/ '1''1
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RECEIVED BY