HomeMy WebLinkAboutPermit Mechanical 1998-12-4
OWNER:rKfYr.r 8.. Na.n Ija(tl SON
ADDRESS" h'lqr7 r{)rc,y-l-h JQ)
CITY: S9rl n1fl~' STATE: oR
DESCRIBE WORI" In-s-l--o...ll \-\PM 'Pllmr Sys-tem
REMODEL V ADDITION
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RESIDENtJ.li:L
PERMIT(APPLICATION
Inspcctions: 726.3769
Oflicc: 726.3759
ASSESSORS MAP:
LOT'
NEW
CONTRACTOR'S NAME
GENERA' '
.
SPRINCr-IELP
BLOCI{:
DEMOLISH
OTHEIl
'*
-
JOB NlIM[)EIl
r8/'i9S
225 Filth Street
Springfield, Oregon 97477
TAX LOT:
1>5"4 () 0
SUBDIVISION'
PHONE: _T:J!}-IIoIoJ
ZIP:
qlLl-l g
ADDIlESS
CON ST.
CONTRACTOR #
PHONE
PLUMBING'
MECHANICAL:ComJO({ FlovL.N5J CttV .s.J-:, Sfg"J)
ELECTRICA' .
EXPIIlES
DDt-fbD
b-d1!lg ?2b-OIDO
- OFFICE USE - ATTENTION:Oregon law requires YOI,J to
,fol~ow r.ules arl~Bt~*''VI''e OreQon Utilitv
LAND USE: -.- -v t eFt:- L/\ N.
: """,,,a Ion en er. ose rules are set forth
In OAR 952-Q12019V'l Q tfiRJil6h ol'.n :J::i2cJG ; _
0090:"You may 8P.t~BRltgles of the rules bv
"Qllmg the center. {Note: the telephone
number for tMC:%tp1):fl:JltIHIYWotffleal:vo,
eent~~tkA'Rq:B~Xa~:41:__u_.
QUAD AIl~:r -- - u_
l'lU IllIt::
# OF BLDGS: ' H Of' U~ITS:
I HI::> t"t:HMI r ::>HALL t^t"IRE IF THE WOHK
OCCY GROURj:,"u u__ --- - uuC,~, PERMICONSTJl. TYPE:
i'\u nvnlLC:U u"uc:n 1 nl;;l t I::> I~U I '
WATER HE'~\iT;Ef1:" "^." D=I)'Q'.:',_
# OF STOIlIES:"-"~-~ ~~,~ . ~ uJOONEOHE'AT SOUIlCE: _____
\.IVlYl........1 ,......L..IJ .....\ I ..... rHo...'"" l 1..11 \
RANGE: ___
To request an Inspectlon, you must call 726.3769. ThIs Is n 2<1 hour recording. Alllnspeclions requeslcd before 7:00 a.m. will ,be
made the same working dny. Inspections requested after 7:00 ~un. will be mncJe Ihe (ollowlng worl< dLlY.
D Temporary Electric
D
Site In5pcction - To bc made
after excavation, but prior to
setting forms.
D
Undersltlb Plumbing I Elec lricnll
Mechanical - Prior to cover.
D
Footing - After trenches arc
excavated.
D
Masonry - Slcel locntlon. bond
beams. grouting.
D
Foundation - After forms arc
erected but prior to concrele
. placement.
o
Underground Plumbing - Pdor
10 filling Ircncn,
o
Undcrfloor Plumbing I Mechtlnical
- Prior to Insula lion or dccldng.
D Post nnd Beam - Prior 10 floor
Insulntlon or decl<lng.
o Floor Insulntion - Prior to
decking.
o
Snnitnry Sewer - Prior 10 tilling
trench.
D
Storm Sewer -
trench.
Prior 10 filling
:~ '\. \.. .
o
Waler Line - Prior 10 lilling
trench.
O Rough Plul11bill'O - Prior to
cover. . ~ .
REQUIRED INSPECTIONS
o Rough Mechnnlcnl - Prior to
covcr.
D nough EleClricn/ - Prior 10
CQver.
o
Elcclricnl ServIce - Must be
approvcej to obt.1in permanent
electrlca.1 power.
o
Flreplncc - Prior to (tieing
materIals a.nd {filming Insp.
o Framlno - Prior to covc.;. , I
o Wtlll/C"cJlinO Insulnlioli .:...: PrIor to
cove~ . ~~ '..
. .
o
Orywnll - PrIor to l3.ping.
o Wood Stove - A(ter In5tLlJln:lon.
o Inserl - After (Ireplace approval
and InstalJ;:ltlon of unl!.
D
Cllrbcllt & Approach - Afler
forms arc crr:Clcd bul prior \0
plilccrnent of concrete!.
o
Sidcwnlk & Orivew:l\, - A/ler
excavntioll is Com[?lcte. forlllS
and sub.b.1se Intl!crlal in place.
\ ,
o Fence - Wtlen completed.
,
o ~;troot Trees - When nil requIred
Hees arc planted.
D
Fin;:11 Pllll1lblng - When all
plumblno worl< Is complct.e.
o Fin.1I ElcCl~cnl - V.Jhen all
electrical worl< is complete.
~F) I (
'.1H'l1 Mec lilrHCill - When all
/ nr{:clwnicnf worl< 'If> complCle.
o Fln;:1I Ouilc.lll\{J - When all
required Inspectlons hDve been
approved and buildIng Is
completed.
DOI.her
MOBILE HOME INSPECTIONS
o OJockillg .1nd Sel.Up - When nil
bl()cl<ln~l Is camp/etc.
o
Plumbinu Connections - When
homo h:.\:; been connected 10
willer iI/H.I sewc!r.
o
Elcctdclll COlloection - When
IJIocldnu. SOI.Up. and plllmbing
In:;pcctlon:; 1I.,vc been npproved
iHH.l the hOlllo ir. connected to
tile :;ervlcc panel.
o
Fillil! - A/ter all required
lnspeclio-ns arc approved and
porches, sldrting, decl<s. and
venting have been lnstnlled.
Lot faces
Lol TYP_
Interior'
LOI so' It9. ,-'---"-
Lot coverage
Corner
Topography
Panhandle
Total height
Cul.cJc'~.:lC
BUILDING PERMIT
ITEM SQ, FT, X $ISQ, FT
Main
G (lragc
Carport
TOlal Value
Ouilding Permi( Fcc
Slate Surcharge
TOlal Fcc
(A)
r
. ,\
, ,THE PliOPOSED WOfil< iN THE,
HISTORICAL DISTIlIC1', O~ ON
THE HISTORICAL RL'GIS.r\.R?
.11 yes, this application musl.bc signed
and approved by the Historical
Coordinator prior to permit issuance.
SCtlJilCI<:;
~ HSE _GAR ACe
N
----
_$_ ~_.
_':!!..--------
..L_ _
VALUE
"
(El)
SYSTEMS DEVELOPMENT CHARGE (SDC)
PLUMBING PERMIT
ITEM
Fixtures
Resldenlial Elalh(s)
N'
SanItary S~wcr
FT
----.--
Waler
FT,
Storm Sewer
FT.
MobIle Home
Plumbing parmlt
Slate Surchar{Je
Total CIHHgC
(C)
MECHANICAL PERMIT
FUrnLlCQ
Exhaust Hood
Vent Fan
N'
Wood Stovcllnserll Fireplace 'Unil
Dryer Vent
1M /J~
--;
Mechanical Parmi t
Issuance
Slale Surcharoc
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile HOnlo
Stale Issuance
Statu Surchalgc
Sidewalk
II
Curbcut
fI
Demolition
?talc Surcharge
Total Mlsccllanco.u~ Permits (E)
TOTAL AMOUNT DUE (excluding eleclric"l)
lA, El, C, 0, '"nd E COl1lbined)
FEE
I!'~' b
/ d. {)r>
---.,-.r / lr
? ~ z.;.
APPROVED:
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
TIlls permit is gmntcd on lhe express condition t11,')1 the said
construction sllall, in all respects, conform to the Ordinance
odopled by Ihe Cily 01 Springfield, Including the
Ocve(opmenl Code. regulating the construction and use of
buildings, and milY be suspended or revoked ,'It any time
upon violation or any provisions of said ordin<lnces.
Plan Ctlecl< Fcc.
Dale Paid:
Receipt Nlllllbcr:_
Rcceived By:
Plans ncvic"wed"-.Oy-.-----.--
Dale
Systems Development Charge is due on all undevelopcd
properties within the City limits which ,'lre being Improved.
ADDITIONAL COMMENTS
~
(
By signature, I statc <Jnd agree, Illall h~yc carefully examIned
U10 completed application and do hereby certl(y that all
lnformallon 11crCQn iG true ;"1I1cl correct, and I further eertHy
that any and all work performed shall be done in accordnncc
wlth tile Ordinnnct::"; of the City of Springfield, ellld lIie Laws
of llle St;:Jte of Oregon perlaining 10 the worl< described
herein, IJnu thai NO OCCUPANCY will be rnacJe o( any
struclure wlthoul permission of tile Build1ng Safcty Division.
I further cerli fy tl'wt only contractors and employees who
arc in cornpliancc'wilh ORS 701.055 wIll bo used on thIs
projecl.
I further .:lgree 10 ensure Ihal all required inspections are
requested allhe ro or . ne,-IIl?t eacll address Is rcadable
(rom tllC slre ,Illa tile permit card Is located at lhe.fronl
of tile prope ty, al llle .:lpprovcd set of plans will remaIn
on tile sile at a li es dunn CO;SI'))ct'ltn.
Slgnatur.... Wh~
00 ([
Dale / ,1-tf-1rJ
VALIDATION:
IlECElf'T NUMBUl tJ'3 ~~ '>/
DATE PAin n/'f/7Y
AMOUNT RECEIVf:D 4;;:1
RECEIVED BY J