HomeMy WebLinkAboutPermit Mechanical 1999-3-21
OWNER: V\Oft"\1r\ t== .\~/';t4-\J.
ADDRESS:' \4 2.\ O.e~ P-n<se j Ave ~nll L
CITY: ~"\r"\f"\Ofe\rl_ STATE:~nV"\
DESCRIBE WORK' .iPJ jJ~
RESIDENTIAL
PERMIT APP!-ICATION
Inspecllons: 726.3769
.ottlce: 726.3759
LOCATION OF PROPOSED WORK: _14 '2. \
ASSESSORS MAP' 1703 '2-'13 ~
LOT'
NEW
REMODEL
ADDITION
.
--
-JOB NUMBER 970371
225 Fifth Slreel
Sprlnglleld, Oregoo 97477
TAX LOT:
SUBDIVISION:
(Y'N tJ 0
BLOCK:
~.
DEMOLISH
OTHER
PHONE: _"J~ I . Wej"
ZIP:
Q.,~,.,
CON ST.
CONTRACTOR'S NAME f'DDRESS CONTRACTOR' EXPIRES '::0 PHONE
GENERAL: ~ IN'\P~ \.l("f\+\'~"AJ~ .\\C;LaIl~r~e.c:.l:, 4-,?--o.LD D3. 08-0\ Ll1l'.710 I
PLUMBING'
ATTENTION:Oreoon law requires you to
follow rules adopted by the Oregon Utility
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;" ':''';-j .;~~<...:. ;.:..:..-:.:. ~; ........:1:. =,l.F: ::: ::~
~'nTIf'f2' - OFFICIj(Hlif.'rnu may obtain copies of the rules by
. . ",. . E4FfJ~ItJWORK calling the center. (NotIlLCfO' tP~tr.~Nfle
~ "":HMII o:.rtAI:I: EXPIR ~OT number for the Oregon Utility ~otlf,catIOn
,.. ,:-,' ;N:)C'" THIS PE8MffNtPI"', ~C;:~2: ': 1-800-:?9_Nl~~I'ODE'
. . '. JANDe/jEi'SfA)!fYPE: . OF BDRMS:
MECHANICAl'
ELECTRICAl'
.aUAD AREA:
. OF BLDGS:
OCCY GROUP'
. OF STORIES:
-.. -. c>"_OIt)Q,
IU\J~'" ,
#"\1\11
WATER HEATER'
HEAT SOURCE:
RANGF'
SECONDARY HEAT:
SOUARE FOOTAGE:
To requesl an Inspection, you musl call 726.3769. This Is a 24 hour recording, Alllnspecllons requesled belore 7:00 a,m, will be
made the same working day, Inspections requested after 7:00 a.m. will be made the folloWing work day.
, ~RED INSPECTIONS
o Temporary Electric /b Ro h Mechanlcat - Prior to
(~ ar.
o Site Inspection - To be made LJ Rough Electrical - PrIor to
after excavation, but prior to cover.
setting forms.
o Underslab Plumblng/Electrlcall
Mechanical - Prior to cover.
o Footing - After trenches are
excavated.
o Masonry - Steel location, bond
beams, grouting.
.0 Foundation - Alter forms are
erected but prior to concrete
placement.
o Underground Plumbing -:- Prior
10 filling trench,
o Underlloor Plumbing/Mechanical
- Prior to Insulation or decking.
o Post and Beam - Prior to floor
Insulation or decking.
o Floor Insulation - Prior to
decking,
o Sanitary Sewer - Prior to filling
. trench.
o Storm Sewer - Prior to filling
trench.
D Water Line - Prior to filling
trench.
o Rough Plumbing - Prior to
cover.
D Electrical Service - Must be
approved to obtain permanent
electrical power.
o Fireplace - Prior to facing
materials and framing Insp.
o Framing - Prior to cover.
o Wail/Ceiling Insulation - Prior to
cover. t
o Drywall - Prior 10 laplog,
D Wood Stovo - After Installation.
o Insert - After fireplace approval
and Installation of unit.
o Curbcut & Approach - After
forms are erected but prior to
placement of concrete.
o Sldewafk & Driveway - After
excavation Is complete, forms
and sub.base material In place,
o Fence - When completed.
o Street Trees - When all required
trees are planted.
t,.'1
o Final Plumbing - When all
plumbing work Is complele.
, ,
.
o Final Electrical - When all
electrical work Is complete.
Wcnal Mechanical - When all
l7echanlcal work is complete.
o Final BUfldlng - When all
required Inspections have been
approved and building is
compleled.
o Other
MOBILE HOME INSPECTIONS
o Blocking and Set.Up - Wheo all
blocking Is complete.
o Plumbing Connections - When
home has been connected to
water and sewer. .
o Electrical Connection - When
blocklog, sel.up. aod ptumblng
Inspections have been approved
and the home Is connected to
the service panel.
o Final - After all required
inspections are approved and
porches, skirting, decks, and
venting have been Installed.
J
........--
Lot faces
Lol ~yp_
Interior
I P.L.
IN
Is
LOI sq. ftg.
lot coverage
Corner
Panhandle "
Topography
Total height
.' . :..:, i~:K~<\>
_5 THE PROPOSED WORK IN THE.
""HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
I' yes, Ihls application must be signed
and approved by the Hlstorlc"-
Coordinator prior to permit Issuance.~
Setbacks
'HSE 'GAR' Acc'l
I
I
Cul'de.,;;tc,
W_____
E
APPROVED:
BUILDING PERMIT,'I
ITEM SQ, FT,
't
X $/SQ, FT. =
VALUE
Main
Garage
"
Carport
Total Value
Building Permit Fee
State Surcharge
Totai Fee
(A)
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
PLUMBING PERMIT
ITEM
FEE
Fixtures
Residential Bath(s)
N'
Sanitary S~wer
Water
FT.
Storm Sewer
FT,
FT,
Mobile Home
Plumbing Permit
State Surcharge
Total Charge
(C)
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan
N'
Wood Stovellnsert/Flreplace Unit
JJ&lV!~
Mechanical Permit
/ f. ()r)
IJ) .() 0
t.fr/7f
'2-t. l.7
Issuance
State Surcharge
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
fI
Curbcul
fI
Demolltloo
State Surcharge
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, aod E Combined)
:
BUILDING "hUiE, PLAN CHECK
AND BUILDING PERMIT
.
This permit is granted on the express condition that the said
construction shall;ln all'resp'ects: conform to the Ordinance
adopted' by the City of. Springfield, Including the
Development Code,.regul~ltlng the,co~struction 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 IImlls which are being Improved,
ADDITIONAL COMMENTS
.
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 Ordloances of the Cily of Sprlogfleld, aod Ihe Laws
of the State of Oregon pertaining to the work described
herein, and Ihat NO OCCUPANCY will be made of aoYe
structure without permission of the Building Safety Division.
I further certify that only contractors and employees who
are In compllaoce wilh ORS 701,055 will be used 00 Ihls
project.
I further agree to ensure that all required Inspections are
requested at the proper time, that each address Is readable
from the street, Ihal the permit card Is located at Ihe froot
of the property, and the approved set of plans will remain
on the site at all times during construction.
SlgOatur~.~_ --.
, I ~v~-
Dale :3(1:1 '}$
~
VALIDATION:
RECEIPT NUMBER 0 3.s 2. 3 V
DATE PAID 5/UJ 7'
AMOUNT RECEIVED ;j 2C U,tJ
RECEIVED BY a fJ ~