HomeMy WebLinkAboutPermit Mechanical 1995-10-11
j:'
- .~.
RESIDENTIAL
PERMIT APPLICATION
Inspec:tlons; 726-3769
Olllc:e: 726-3759
-.
.
~(,?!' I
9?~9-J,/
JOB NUMBER
225 Fifth Street
Sprlngflold, Oregon 97471
:ASS.ES.ii> MAP-
LOr. _
BLOCI('
OWNEP.' ,~/CfJ/7 73 (l;(P' .
ADDRlaSS:' /'~Lf~/f.f/ M/',,)
.CITY: . sr/"/~ lfdd /. . STATE:~
DESCRIBE WORK: //Js7i //~ jIJR'1f/ .ekcb/~ ~/1?tJCe
REMODEL)( . ADDITION DEMOLISH I
. ,.
. . I ~~
CONTRACTOR'S NAME ADDRESS . I CONTRACTOR'
. G.ENERAL: ~r.li RCn.-f~' ~OS~,J V,~eW 7~lq
PLUMBING'
"'MECHANICAL:.l:::/ CI'"\lY'.V t ~..,
. /
EL.ECTRIC:AL'
, .
NEW
OTHER
I
I
r
I
I
. . . I
To r.que..t an Insp..c:tlon, you must c!lll 726-3769. ThIs Is a 24 hour recordlllll, All Inspections r..quest..d belor.. 7:00 a.m. wll b.
mad. th.. aame working c1a)/, Inapectlon.. r.qu....'.d all..r 7:00 ~m'1111 be made th. following work clay.
REQUIRED INSPECTIONS
.' ,
rA7I Rough M.chanlc.,...l.1 Prior 10
~ cover.
o Ro~gh !.I.etr'leal ~ Prior to .'
caver.
QUAD AREA'
, OF BL.DG~'
OCC'( GROUP'
. OF STORIES:
WATER HEATER'
o Temporary ElectrIc
O Site Inapectlon - To b.. mado
after excavation. but prior to
..ttlng 'arm..
O Underalab Plumblng{Electrlcal/
MechanIcal - Prior to cover;
. 0 Footing - Alter tr.nches are
. excavat.d. .
O Masonry - Steel location,. bond
beams. grouting,
'0 Foundetlon - Afler lorms are
.rected but prior tei concrelO
placement.
O Underground Plumbing - Prior
. to filling- trench. . .
O Underlloor. Plumblng/M.chanlcal
- Prlor to Insulation or decking.
i'
o Post and S.am - Prtor to floor
Insulation or c1ecklng.
O Floor InsulaUon - Prior to
d.cklng.
o Sanil..ry S..wer - Prior to IIIlIng
Irench.
O Slorm Sewsr - Prior 10 filling
tr.nc:h.
O Walar Uno - Prior 10 filling.
. lrench.
o Rough Plumbing - Prior 10
cover. .
- OFFICE use _
LAND US""
. OF UNITS:
CONSTR. TYpe._.
I
HEAT SOURC'"
RANI'''''
o Elaclrical Service - Must b.
app'roved to obtain permanent
el.i:trlcaJ~wer. '1 .
o FlrsplllGa - .Prlor lolracfng
maierlal. and framing Inap.
o Fr.;.ung - Prior I~ dover.
. : . I.
O. I
Wall/Calllnglnsulallon - Prior to
COV~t '1
o Dry!"sll - Prior to taping.
o Wood Stovo ..:. Aller natallallon,
o 'naert - Aller flrepl,::. apprOVal
and"n~taflatlon 01 uit. .
o Curbcul " Approach!.... Afler
forms are sreeted bul prlor to
plllG.ment 01 concreto.
o Sidewalk" Drlvaway I Aller'
excavation Is compr..t.;: lorma
ancl sub-base material In plllGe.
. I .
. I
o Fence -:- Wh..n com~etad.
o $Ir.et Tre.. - When all required
Ireea are plan led. .
ZIP:
9'~?'7
I
PHONEI
'i'1"~
?4~'
EXPIRES ~.
~'=- '.
FLOOD PLAIN'
ZONING CODE:
. OF BDRMS:
SECONDARY HEAT;
SQUARE FOOTAGE:
1-
, .
o Final PlUmbing - When all
plumbing w9rk Is compl..t....
D FInal ElectrIcal - When all
..laClrlcal work I. complela.
IA?1 FInal Mechanical - When all
~ mechanical work Is compl..te.
o Final BUJldl"g - Wh..n all
required Inspections have been
approvecl end buildIng Is
complat"d.
o Olhar
MOBilE HOME iNSPECTION~
o Blocking and Set. Up - Whon a I
blocking I. comple.e.
o Plumbing Connacllons - Whan
home has been connOCled to
water and seWer.
tJ EleotrlclIl Connection - When
blOCking. .et.up. and plumbing
. Inspection. have been approvod
and the home Is connected to
Ihe service penGl.
o FInal - Aller all required
Inllpectlon. .ro approved unci
porcho.. eklrllr'lQ, decks, anCl
venting h.ve been In:stall.d,
,
Lol fllCes
~I ~pe.
Lot .q. /lg.
LoI cove~age
To pography
Tolal height
Interior
Corner
~
Panhandle
Cul-de-sac
;;\' ":
. .
, '.
I
_ THE PROPOSED WORK IN THE.
. '-HISTORIc;AL DISTRICT. OR ON
THE HISTORICAL REGISTER?
If yes. thIs application must be sl1l1ed
and approved by the Hlstor'f I
Coordinator prior to permit Issuan
APPROVEO:. .
I
I P.I.
IN-
Is
Iw I
lU
Setback.
, , , I
HS! GAR ACC
I
I
I
I
BUILDING PERMIT
ITEM SQ FT: X $/SQ FT. _ VAWE
Main
Garage
Carport
Total Value
Building Permit Fee
Slale Surcharge
Total Fee
(A)
,
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
PLUMBING PERMIT
ITEM
Fixture.
Residential Bath(s) N'
Sanitary S!lwer FT.
Waler FT.
Slorm Sewer FT.
Moblte Home
Plumbing Permit
Stale Surcharge
Total Charge
(C)
MECHANICAL PERMIT
Furnaco
Exhauat Hood
Vent Fan
N'
WoOd Slovellnurl/Flreplace Unit
Dryer Vent
FEE
Mechanical Permit /?/;y'. /,47. ~
Issuance ~ /19. -
Slata Surcharee .-~
10t&l ,..ermll (I)) -2h..~
MISCELLANEOUS PERMITS
Mob/Ie Home
State ISluance
State Surcharge
Sidewalk
1\
/l
Curbc:ut
Demolition
State Surcharge
Tolal Miscellaneous Permlll (E)
-
TOTAL AMOUNT DUI! (excluding ololOlrlcal)
CA. B, C, D, and I!i Combined)
..::26. ?t19
BUILDING VALUE, PLAN CH.ECK
AND BUILDING PERMIT
Thl. permit Is granted on the expreso condition thallhe S~d
c.onatrucllon ahllJl, In all respect_. conform to the Ordlna Co
adopted by the City 01 Sprlnglleld. Including e
Development Code. regulaUng the conatrucUon and us of
buildings. and may be suspended or ravoked at any II ne
lipon violation of any provisions 01 said ordinance.. . .
Plan Check Fae:
Qate PaId:
Receipt Number'
Received By"
Plans Reviewed Oy
Date
Systems Developmonl Charge Is duo 01'1 all undevelop Id _
properlles within tho City 1I",lts which are bolng ImproY< d.
ADDITIONAL COMMENTS
.1
,. .
By algnalure, I stale and agre.. Ihatl h..... carefully eXamln ,d
the completed appllcallon and do horeby certlly thai ,1/
Infotmatlon hereon Is true and correct. and I furlhor cerny
thai any and all work performed ahell be done In accordan ...
with the Ordlnanc~. 01 the Clly of Sprlnglleld, and the La\'a
01 the Stato of Oragon pertaining to tho work descrlb, ,d
herein, lII'Id Ihal NO OCCUPANCY will be made 01 a 'y
struclure wllhout perml..lon 01 the Building Safely Dlvlsl, II.
I further cerllly that only contractors and employees w70
are 11'1 compliance with OAS 701.055 will be uoed on t1s
pro1ec!.
lOW''''"" .WIOU LV ~11"''''IV Ultll UII r9QU!,eO ,na;pectlona ar8
reqUesled at the proper lime. that each adelressls readat'a
'rom the atreel. that the permit card Is loceted al the It
01 the property. and the approved $G~lans wi
01'1 the slle at all times during -/_
r.::.
Slgnat
Date -.dJ
VAUDATION;
ReCEIPT NUMBER /~.:?-s--":;>
DATE PAID bo?7/\ 9-:;;;-
AMOUNT RECEIVED -::?~. 2~
RECEIVED BY ~c-,P;T~....
';-