HomeMy WebLinkAboutPermit Mechanical 1998-7-2 (2)
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LOCATION OF PROPOSED WORK: _975 Ef.lIL1-JLit#J
17 b3 1-7 1/
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ADDRESS' (115 ;;:'(JL/rJJLuu
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REMODEL ADDITION
RESID ENTIAL
PERMIT APPLICATION
Inspeclions: 726.3769
Otlice: 726.3759
ASSESSORS MAP'
LOT:
OWNER'
CITY:
DESCRIBE WORI(:
NEW
CONTRACTOR'S NAME
,
5pnlNCFIELP
BLOCK:
STATE: -!Jv
-
JOB NUMElER
7fo t(f(~
225 Filth Street
Sprll1gllcld, Oregol1 97477
TAX LOT: _II 2.. / 00
SUBDIVISION:
PHONE:
7f/-7~J9J/6
ZIP: Q7#'7
.
()j~.J f!tmd JJjJll1/b Ad r 7P 'J! J
DEMOLISH ___ OTrIEIl
ADDIlESS
CONST.
CONTRACTOR #
PHONE
GENERAL'
PLUMBING'
MECHANICAL: &rJl&uJ /95/ fJ?A~c;J." /if,J)
ELECTRICAl'
NOTICE:
I HI::; I"l:HMII SHALL E~~I~E'j}Erl1EV'VOOi-\
I'.U I nvru,Cf> UNOER"rnfSlfl'i:!~~lIT 13 NOT
C01MNCEO OR IS ~cmEmro:-:
# OF STORIES: __~ PERlort,lEAT SOURCE: _____
WATER HEATER: RANGE: ___
QUAD AIlEA:
# OF BLDGS:
OCCY GROUP:
tJl2i/.t.,O
- OFFICE USE -
l,XPlllES
b --;7- 99
'1dh-()/CY)
FLOOD PLAIN'
ZONING CODE: ____
It or- DORMS:
SECONDAflY HEAT: ___._n
SQUARE FOOTAGE: ...__.
To request an Inspection, you must call 726.3769. This is n 24 hour recording. All Inspcctlon5 rcqucslcd before 7:00 a.m. will be
made the same working dny. In::;pcctJon::i requested after 7:00 .un. will be made the following WOrl< day.
D Tcmpormy Electric
D Site Inspection - To be made
aHer excavation, but prior 10
set ling lorm5.
D
Undcrslnb Plumbing I Elce trienll
Mechnnlcnl - Prior to cover.
D
Fooling - Afler Irenches are
excavaled.
D Mnsonry - Steel locnllon, bond
beams, grouting.
D
Foundntlon - Afler forms are
erccled but prior to concrete
placement.
D
Underground Plumbing - Prior
to filling trench.
D
Undcrlloor Plumblnul Mceh.1nical
- Prior to Insulation or decldng.
D
Post nnd Oeam - Prior 10 floor
In5ulollon or dccl<lng.
D
Floor Insulnlion - Prior \0
decking.
o Sanitary Sewer - Prior to fllling
trench,
D
Slorm Sewer - Prior 10 fllllnn
Irencll.
D
Waler Line - Prior to filling
trench.
-,
D Rough PIUlllbin(i .....: Prior to
cover. .,
REQUIRED INSPECTIONS
o Rounh Mcchnnicnl - Prior to
cover.
D (lough Elcclricnl - Prior to
cover.
D Electricnl Service - Must bc
approvccl \0 oblnin pcrmilncnt
electrical powcr.
D Flrcpl<1cc - PrIor to fnclng
malerlals Jnd (raming Insp.
D Framing - Prior to cover.
D Wall/Celling Insul,ltiol,' - PrIor 10
cover. ~
D
Drywall - Prior to l.1pln'g:
o Wood Slove - Aller !n!";lall;l:ion.
D Inserl - After (Ireplace npprovlll
ilnd Installation of unit.
o CLHbcul & Appro.lcll - Afler
forms arc c.'reClcd but prior 10
plnccment of concreW.
o
Sidewalk & DriVCW:I\, - After
excavntion Is complctc. lorl1l~
ancl Sul).b.1se ma!<:rlnl In place,
D
Fence - WIlen compleled.
D
~llrool Trees - WIlen all required
lrces arc planted.
D
Final Plumbing - When all
plumbing worl< is complel,e.
o Fin,al Elect~cill - When all
electricat warlc is complete.
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- F' Mcclwnicnl - When all
I1cc/lanical worl< I~ complete.
D
Fin.1I Ouildin{J - Wilen all
required Inspecllons have been
approved and building is
completed.
DOthcr
MOBILE HOME INSPECTIONS
D OIocking nnd Set.Up - When all
blocl<ln~l is complete.
D
Pllllnbinu Conncction~ - Whcn
home 1101:; been connected 10
waler WH.! sower.
o
Eleclric..1 Connection - Wilen
bloc::ldnO. ~ct.up. and plumbIng
In~;pccIl<.)n~ l1:wc been nppfovcd
and tllC 110IllC is connected to
tllO $crvlce panel.
D Finnl - After all required
inspections <1re approved and
porches, sl<irllng, dccl<s, and
venting tlavc been lnstnllcd.
Lal (aces
Lol Type _
LOI SQ. /.Ig.
Inlcrior'
Lot coverage
Corner
Topography
Tolal helghl
Panhandle
Cul-{je-sac
BUILDING PERMIT
ITEM
SO. FT.
X $/50. FT.
Ml.1in
Garage
Carport
Total Value
Ouilding Permit Fcc
Slate Surcharge
Tolal Fcc
(A)
ACC I
I
I
it THE PIlOPOSI:D WOIlI< iN THE.
""HISTOIlICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
II yes, Ihis appllcallon must be signed
and approved by the Historical
Coordinalor prior 10 permit issuance.
Sctb.1C]<S.
I P.L. HSE GAR
N
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APPROVED:
~-,---,,,
VALUE
"
(El)
SYSTEMS DEVELOPMENT CHARGE (SDC)
PLUMBING PERMIT
ITEM
Fixtures
Residential 8athlo)
N'
Sanllury S~wcr
Water
FT.
FT.
Storm Sewer
FT.
Mobile Horne
Plumbing Porrnll
Stale SUfctHH{le
\, Total Chorgc
(C)
MECHANICAL PERMIT
Furnocc
Exhausl Hood
Vent Fan
N'
Wood Slove/lnscrl/Flrcplacc'Unit
Dryer Venl
~-,!,r'C1- f7 ___
Mechanical Permit
Issuance
Slale Surcharoe
Tol<ll Permit
(D)
MISCELLANEOUS PERMITS
Mobile Horne
State Issuance
Stale Surch<lrge
Sidcw<llk
/.I
Curbcut
"
Demollllon
Slate Surcharge
TOIOlI MI:;cellancous Permits (E)
TOTAL AMOUNT DUE (exclu(ling eleclrlcal)
(A, 0, C, D, and E Combined)
FI:E
{I(.)
/5.00
La OJ
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2'- z.,..>
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
TIlis permil is gronted on the express condilion Ih.11 the said
con:.;lruction :.;11<.111, in all rcspects, conform \0 Ihe Ordinance
adopted by the City 01 Springfield, including the
Developmcnt Code, regulating the construction and use of
buildings, and may be suspended or rcvol<ed at any lime
upon violation of any provi:;ion~ of SOlid ordlnonccs,
Plan Check Fcc:
Dale P'-lid:
Receipt NUlIlber'
Received By:
PI:Ins Reviewed ..0-;,-.----.-.
Dale
Systems Development Charge is due on all undeveloped
properties within the City limits which are beIng Improved,
ADDITIONAL COMMENTS
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By slgn<lture, Istate and agree, U,at I hqve carefully examined
tile completed <lpplication ond do hereby certify that ill!
Information hereon i:.; true and correct, and Ifurlher certify
that any and all work performed shall be done in accordance
with the Ordinancu:.; of the City of Springfield, <:lnd the Laws
of the Slf'ltc of Oregon pertaining to the worl< described
herein, <:!nd tl1<lt NO OCCUPAr'IJCY will be made of any
slruclure without permission of the Building Safety Division.
I furlher cerli fy Illal only contra~tors and employees who
arc in compliancc'witt, ORS 701.055 will bo used on this
praiec!.
r furl her agree 10 ensure Iha\ all required Inspections arc
requested allhc propcr limo, Il1at oach address Is readable
.----
from tile street, I It 1 permit ca.rd Is localed at the front
of the property- :lnd C .:lpproved set or pl<Jns will remain
On tile sile a all ti during 10 .
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Signature
-<J
Oat,...
VALIDATION:
(nO ~'-f~
DATE PAl" 7(2/1'9-
AMOUNT RIOCEIVf:Q ___ '2-~ ~ /J
FIECEIVED DY trY wa-v:;
RECEIPT NUMBUl