HomeMy WebLinkAboutPermit Mechanical 1998-12-4
OWNER:J)f.J..ry I li Wv ImrJo. ,tJnLf-l
ADDRESS" ~iJ(L S-t
CITY: 5PflY1fJ}/pjr} . .
DESCRIBE WORK: LrtS+CU I bas r-uyna [L
REMODEL V
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
Oltice: 726.3759
ASSESSORS MAP:
LOT:
NEW
CONTRACTOR'S NAME
..
SPRINCFJELp
BLOCK:
:>TATE: -Dr;?
ADDITION
DEMOLISH
OTHEfl
.
JOB NUM(JER
9? /'1 rb
225 Filth Street
Sprlnglleld, 0'''9011 97477
TAX LOT
tJ'iooc
SUBDIVISION'
PHONE: _1'-/-7 - t:Jh()6
Z1P/174-77
ADDRESS
CONST,
CONTRACTOR K
PHONE
GENERAL:
PLUMBING'
MECHANICAL:~l1r+> alLW Iq5l11'1J5-~ste~ t)
ELECTRICAl'
EXPlnES
~o
(0- d:7 .qq TZbfJli)
- OFFICE USE - . 0 egonlawrequiresyoUIO
ATTENTION: r h Oregon UlililY
OUAD AREA: LAND USE: _.__ . r "".rul.,., Adopled bYh8fi>& \ir6'!ltl1 Inrth
l\1(j'ij"/l"e. ,oJ:":" f Cenler. Those ru~ n.'o.Q<;~ 001-
K OF BEr>GS'\,?[o:;. N OF UNITS: _ NOllfIC~_IO~ -0010Ih~!;l'~= ~
TI-II~ ol::RM in OAR 9~i!-VU I . 'AS of the ru es uy
OCCY GROUP, IT RHI\II I=YPIRE-IF THE w5~NSTR. TYPE: -"()OOO: You I'l'l'Y obtain c9~r. ~qa\~~t~~
AIITI-I(lQIZED U i\ . he center. (Note. Iii , '
K OF STORIES: _UNDER THlC: cr::qMIT IS l'JeA'r sounCE: __-!@j~!:1g I 0 gof.l>l;IUOXI)Itf>lQli~Gl/-~~?: "_...n
COMMF"Nr.ED OR IS A I numbertortml, re ~3:>-2344).
WATER HEATER:' I?t\NDONED FORRANGE: ___._ "MtAPS 1-80Q;01J7lnL'. FOOTAGE: ._____n_.
Nty 1.''- '~f V P,-R'r'ln
To request on InspectIon, you must c~1I 726.3769, This Is a 24 l)Our recording. All Inspections relllle~Hccl before 7:00 n,rn. will be
made the same working day, In:.pectJons requested after 7:00 a.tn. will be made the following worl< day,
o Tompornry Electric
D Silo Inspection - To be made
after excavation, but prior to
sctllng forms.
o
Undcrslab Plumbing/ Electric..1!
MechanIc..! - Prior to cover.
D
Footing - Afler trenches arc
excavated.
o Mnsonry - Steel location, bond
beams, grouting.
D
Foundntlon - After forms cHe
erected but prior to concrete
placement.
o
Underground Plumbing - Prior
to filling trench.
o
Underlleor PlumblngJ Mechonicnl
- Prior to Insulation or dccldno.
o
Post nnd Benm - Prior to floor
Insulation or dccl<lng.
o Floor Insulnlion - Prior 10
decking.
o Snnit.1ry Sewer - Prior 10 filling
trench.
o
Storm Sewer - Prior 10 filling
trencll.
o
Waler L1no - Prior to filling
trenctl.
o Rough PlumbinD - Prior to
cover.
REQUIRED INSPECTIONS
o Rough Mechanic.11 - Prior to
cover.
o Rough Electricn! - Prior to
CQver.
o
Electrical Service - MllSI be
approvecl 10 o:.>btc1ill permanent
electrical power.
o
Fireplace - Prior to facing
materials aneJ (raming Insp.
o
Framing - Prior to cover.
o Wall/Ceiling Insu!ntion - Prior 10
cover.
o Drywnll - Prior to t'aplng.
o Wood Slove - 'Afler In5tallation.
o Insert - Arter fireplace approval
and Installation of unit.
o
Curbcut & Approilch - Alter
forms arc crnclcd but prior to
plnccmcnt of concreto.
o
Sidewalk & Drivew:l\, - After
excavation is complete. forlllS
ancl sul).baso rn[l~c:rltll in pl,lce,
o Fence - WI,en compleled.
o ~ltrool Trees - Wl1cn all requIred
trees arc pl~,ltcd.
o
Finnl Plumbing - When all
plumbing w9r1< is complct,e.
o
Final Elcclhcnl - Wilen all
eleclrical worl< is complete.
(
Finnl Mech;lIlic<l! - WIlen all
~,eCllLl/ljcal worl< Is complete.
D
Finnl Ouildino - Wilen all
required Inspections have been
approved <lnd builcJing is
completed.
o
Ol.hcr
MOBILE HOME INSPECTIONS
o OIocking nnd Set.Up - When <lll
blocl<jn~J is completc.
o
Plumbing Conneclions - When
IlOrno has becn connected to
waler nnc.l sewer.
o
ElectriG<l1 Conllcctlon - Wilen
l)locl~ll1D, set.up, and plllmblng
IIH;pccllons tl~VC been npprovcd
and the Ilome is connected to
the service panel.
o Fill<ll - After ull required '
Inspections O1re approved and
porChes, sldrling, dccl<s, and
vcnlln{J have been Installed.
Lol faces
Lot SQ. flg,
Lot coverage
Topography
Tolal height
BUILDING PERMIT
ITEM
SO. FT.
Main
Garage
Carport
I.
Tolal Value
Ouilding Permit Fcc
Slate Surctlargc
Tolar Fcc
Lol TYP.
Interior'
Corner
Panhandle
Cul.(jc'~~c
X $/SO. /'T,
(A)
Sell'olcl" -----'--'.5 THEO PF101'0SED WORK iN THEO .
P,L, 'HSE' GAR' ACC I . "HISTORICAL DISTRICT, OR ON
-:- - I THE HISTORICAL REGISTER?
---- I If yes, this applicatlon must be signed
_L- __ ond opproved by the Historical
Coordinator prior to permit issuance.
w
----..- -- ----
EO
----.-
APPROVED:
VALUE
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
'.
Thls permit is granted on the express condition that the said
construction sllall, In all respects, conform 10 the Ordinance
odopled by Ihe Cily of Springfield, including the
Development Code, regulating the construction and use of
buildings, and m.:1y be suspended or rcvol<cd at any tlrne
upon violation of any provisions o( said ordinances.
Plan Check Fcc'
Dale P;JicJ:
Receipt NUlllbcr:__.
Received 8y:
PI:lI1S Rcvic""wcd--i3y-'--------
Dale
SYSTEMS DEVELOPMENT CHARGE (SDC)
Systems Development Ctl<:Hge is due on all undeveloped
properties witllin the City limits which ;:Ire being improved.
PLUMBING PERMIT
ITEM
Fixtures
Re51dunliol Balll(5)
N"
Sanltnry S!Jwcr
Waler
I'T.
FT,
Storm Sewer
FT.
Mobile Home
Plumbing Permit
Stale Surcharge
Total C/lDrgc
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan
N"
Wood Slove/lnserI/Flrepl;:Icc'Unil
Dryer Vent ~
/~ -~---
Mecllanical Permi I
Issuance
State Surcharoe
Total Permit
(B)
(C)
Mobile Home
MISCELLANEOUS PERMITS
(0)
Stale Issuance
Slate Surcharge
SJdcwall<
Ii
Curbcul
II
Demolition
?tl1le Surctlargc
Totol MIscell~lneous Permit~ (E)
TOTAL AMOUNT DUE (cxc[utJing electrical)
(A, 0, C. 0, and E Combined)
ADDITIONAL COMMENTS
FEE
~
IS: "t.>
I().p~
(
By slgnalure, I slate and agree, 111a! I hayc carefully examined
tho completed applicD.tion and do hereby cerllfy Ihal all
Information hereon i3 true anel correct, and I further certify
that any and all work performed shall be done in accordance
with tile Ordinancus of the Ci ly o( Spring(lcld, and the Laws
of the SWle of Oregon pertaining to the worl< described
herein. and that NO OCCUPAI-.JCY wHI be made of any
struclure wilhoul permission of the BuildIng Safely Division.
I furttlCl' certify ttw! only contractors and employees who
arc in compliancc.with ORS 701.055 will be used on this
proiecl.
'fro ? !:_
7..t.",,,,
I furl her agree to ensure thot all rCQuired inspections arc
reque~led at the propcr time, ttlat each address Is readable
from the street, thlll the permIt card Is locnted at the fronl
of the properly, nd he proved set of plans will remain
:~g~:~u:~e 0 al:;'~1:rin ~7JL ~
Dale ! a/d-/..f..q'1 U
VALIDATION:
REOCEOlf'T NUMBUl c'? '3 )- 2. 'J 2...
/2/'( 7 r
AMOUNT RECEIVED 'h{,. V
c.-(/t-J.:./
DATE I'AID
FIECEIVEO BY