HomeMy WebLinkAboutPermit Mechanical 1999-9-8
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726,3769
Office: 726.3759
LOCATION OF PROPOSED ~cr;K'
ASSESSORS MAP' J 2
LOT:
..
SPRINGFIELD
.~OB NUMB~R 99/7.2. 7-
225 Fifth Street
Springfield. Oregon 97477
TAX LOT:
7c.f 0 0
BLOCt<.
SUBDIVISION:
OWNER' ~-~ '+ ~()'f,V: r=~('~J J.v:1\ pHONE:~7OJr;...-Lrxld...
ADDRESS" I 0(') ~ J) ( Xr ~.. ,I') rive
CITY: 's.-plin3-helr1 - STATE: OR- Zlp:374'7y
DESCRIBE WORK: \ Ik'-.iz! U.. ~(yat71- AT'( ( ~( ~~6-a5:. -hJrnac1:?
NEW REMODEL ADDITION DEMOLISH OTHER
CONTRACTOR'S NAME
GENERAl'
PLUMBING:
MECHANICAL: lYla (,s,ha l11S:,.
ELECTRICAl'
QUAD AREA'
. OF BLDGS:
OCCY GROUP'
. OF STORIES:
WATER HEATER:
ADDRESS
CONST,
CONTRACTOR'
eXPIRES .::" PHONE
RANGF' SQUARE FOOTAGE:
To request an In!;pectlo", you must ca!l726.37S9. Thlo Is n 24 hour recording; Ai/Inspections requested before 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,
REQUIRED INSPECTIONS
LJIIO OI(r'frL '~-J#/d -#:-~S?'7c) 7!j]_I7It;..;-
,,' ,.,I(eS you.t~,.
fc......\\)'; Qo'~"_ nrpoQO UU~"J.J.
hi . C.\;u\~:' &.:'COFFICIU;SEI":; are s;z '0'01'
\oIlOW cenlel, 1 "u".. -- n O~R 9 - b
;\loti\iCAI~r6)uSE:, n",nmroUg .."" ruleS 'J FLOOD PLAIN'
, ,!I,H952-Uu, -' 'r COP1"" v. . pl'1one
i[10 . Of:l.UI~IITS~tJtal .._.n'lnetele , J,tiO[1 ZONING CODe:_
009-0: ,'~_ .....0 centel, \,w'Lltility 1\10111'"
cC0NSTR: TY.pE:r~ ,-.. A\ . OF BDRMS:
'mberlOIW,f.: - .,.,,,.'JJC-'
[11~EAT ;:;OURc"E: . SECONDARY HEAT:
o Temporary Electric
o Rough Mochanlcal - Prior to
cover.
'OOI!::l3dA\fOOlH AN\f
O Site Inspection - To \">lNTJl'9~\"OON=&woIn~!'l~0'.:t'rlor to
atter excavation, but p';lbf=\b1=:1I~ ~ -cb'V(jf.Y
setting forms, ION SII~!::l3d SIHI!::l30Nn 03ZI!::lOHlf1\f
o Underslab Plumbl.}fhlElM:"t&J.~13!::lI~lIVE\~J.lI~~HI Must be
Mechanical - Prior to cover. LJ approve<t:tY9l>lalnreermanent
electrlcal1lOYJer:V "
O Footing - After trenches are '
excavated. 0
Fireplace - Prior to facIng
materials and framing Insp.
o Masonry - Steel location, bond
beams, groutlng.
o Foundatlon - After forms Bre
erected but- prior to concrete
placemont.
o Undorground Plumbing - Prior
to filling trench, '
o Underlloor Plumbing/Mechanical
- Prior to Insulation or decking.
o Post and Boam - Prior to floor
Insulation or decking.
o Floor Insulation - Prior to
decking,
o Sanitary Sewer - Prior to filling
trench.
o Storm Sowor - Prior to filling
trench.
o Water Line - Prior to fIII/ng
trench.
o Rough Plumbing - Prior to
cover.
o Framing - Prior to cover.
o Wail/Ceiling Insulation - Prior to
Cover.
o Drywall - Prior to taping.
o Wood Stovo - After Installation.
o tnsert - After fireplace approv41
and Installation 01 unit.
o Curbcut & Approach - After
forms are erected bUI prior to
placement of concrete.
o Sidewalk & 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.
o Final Plumbing - When all
plumbing w9rl< Is complete.
~Inal Electrical - When all
electrIcal work Is complete.
~nal MechanIcal - When all
~ mechanical work Is complete.
o Final Building - When all
required Inspections have been
approved and building Is
completed,
o Other
MOBILE HOME INSPECTIONS
o Blocking and Set-Up - When all
blocking /s complete.
--
o Plumbing Connections - When
home has been connected to
water and sewer.
o Electrical Connection - When
blocking, set-up, and plumbing
Inspections have been approved
and the home Is connected to
the service panel.
o Flna' - After all required
Inapectlons are approved and
porch os, sklrtlno, decks, and
venting have been Installed.
Lot faces
Lol ~pe ...
Interior
.....,';\~\
("PROPOSED WORK IN THE,
----HISTOI'lICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
If yes, this application must be signed
and approved by the Historical
Coordinator prior to permit Issuance,
Lot coverage
Corner
Setbacks
I P.L I HSE I GAR I Acc'l
IN. I
I S I I
W I
.L-. _,J-- --
APPROVED:
Lol sq, ftg,
Topography
Total height
\'
Panhandle
Cul-de-sac
BUILDING PERMIT
ITEM SO. FT,
"
.~
X $/SO, FT. _
VALUE
. ..:. ., 'I
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
Garage
"
This permit Is granted on the express condition Ihat Ihe 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.
Main
Carport.
Plan Check Fee:
Total Value
Date Paid:
Building Permit Fee
Receipt Number:
State Surcharge
Received By:
Total Fcc
(A)
Plans Revlewod By
Date
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge Is due on all undeveloped
properties within the City limits which are being Improved.
PLUMBING PERMIT
ITEM
ADDITIONAL COMMENTS
FEE
Fixtures
Residential 8ath(s) N'
SanItary S~wer
Water
FT.
FT.
FT.
\)-\uc*' ~ff 1cf;L
\. (). O.ll.O/ ,
/
Storm Sewer
Mobile Home
Plumbing Permit
State Surcharge
Total Charge
(C)
MECHANICAL PERMIT
Furnace
Mechanical Permit
/5,00'
I f),QO
'.05, ,is;
(D) diJ-Su
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 Slate of Oregon pertaining to the work described
herein, and thai NO OCCUPANCY will be made of any
struclure 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.
Exhaust Hood
Vent Fan
N'
Wood Stovellnsert/Flreplace Unit
Dryer Vent
Issuance
State Surcharge
TOlal Permit
St,ate Issuance
Slate Surcharge
Sidewalk
Signature
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 pormlt card Is located at the front
of the property, and the approved sel of plans will remain
on the site at all time during construction,
~' eLl..(}/)
rqq/
MISCELLANEOUS PERMITS
Mobile Home
~.. ...-
fI
Date
Curbcul
fI
Demolition
Slate Surcharge
VALIDATION: J
RECEIPT NUMBER' ~. 550.s
DATE PAID q I q ~qr --'0
AMOUNT RECElv~r' . ..<w- '::>{
, 1- ,tf1~;;
RECEIVED BY
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (eXCluding electrical)
(A. B. C, D, and E Combined)