HomeMy WebLinkAboutPermit Mechanical 1998-10-20
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
Office: 726.3759
.
SPRINGFIELD
.11.",
LOCATION OF PROPOSED WORK: ,~S3 0_ _~.Bmc
ASSESSORS MAP: \ '1]) '0 \ ~ +( ) __
LOT:
-JOB NUMBER q~11
225 Fifth Street
Springfield, Oregon 97477
~A i\lm
~ If /I
f'l'F\ IrJ
BLOCK:
__ TAX LOT:
SUBDIVISION'
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l-A RSQo, m 1'l(' ..J)llnr'l tcJ
IGobS
OWNER: \'\.0)-\ f\\ /-,1\1
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ADDRESS" \=" 0, fun-x
CITY: ~U.9 QJnL
DESCRIBE WORK: .I:Yl.sTr:I.ilATltl~, O~ A 1",10111 AUl ~('u1r11t>/l "- ~(lt1f 7urn.o
NEW
REMODEL
STATF'
OR
ADDITION
DEMOLISH
OTHER
PHON'"
i/85-83b 0
ZIP:
97(j(jO
ADDRESS
CONST.
CONTRACTOR #
EXPIRES .;:. PHONE
CONTRACTOR'S NAME
GENERAL'
PLUMBING'
MECHANICAL:ft.">.')Qf'Jl'lfl'n' ~hATm9~ Ale.
ELECTRICAL'
QUAD AREA:
# OF BLDGS:
OCCY GRO!-lP:
# OF STORIES:
WATER HEATER:
1<'.0. ~OX '1/:1.
ElJ9W' (it:/. (?17'1<1o
/fJ(J(.,.J7C, R.3/..2.00fl
.,s l/ I- (" d3-.251(
- OFFICE USE -
LAII)!Oj~\CE=-- FLOOD PLAIN'
# oFHffi,,\'fS?,MIT SHAll E=XPIRE IF THE WOInflNING CODE:
cON~H19R1PEP UNDER THIS PERlin IS NOToF BDRMS'
~E~P~~tJ~t5'E=D OR IS ABANDONEu FOR SECONDARY HEAT:
RA~~I180 DAY PERIOD. SQUARE FOOTAGE:
,
To request an Inspection, you must call 726-3769. This is a 24 hour recording. Alllnspectlons 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 INSPE.~~I~~
o Rough MOch~gWoeQ,lllprl%l!)I.ili\'/ n 0 Final Plumbing - When all
cOtf.'b1agOI\ \ne oleg set loti: plumbing w9rk is complete.
~ilO ' Q\ed\)~ lulesll.le 52-00\-
~11~~~~'e\<!"'\'iaji~\Iglf~I1Jllulas \)~ D Final Electrical - When all
\0 \" ll.\i~ OO\O\nl 'as 0\ \na nOl\a electrical work is complete.
!'loti IC.., 952-00\ - \)\a.il\ eO\:lI. \ne \ala? \iol\
. O/':<> {'(\a.~ 0 \r-\o\a. N~lllea: $
o Underslab Plumbing/Electrical! 11\ d\Q.lI~~Elri&lh~rvlc!htiflt.\I{/sf Final Mechanical - When all
Mechanical - Prior to cover. OO~ll\I1l'jjl8'<!W..~~lh",,",ijM, t mechanical work Is complete.
ell. ~~W1~\l1'~5'~0-""~
o Footing - After trenches are I\U{'(\ cel\\el 0 Final Building _ When all
excavated. 0 FIreplace - Prior to facing requIred Inspections have been
materials and framing Insp. approved and building is
completed.
o Temporary Electric
o Site Inspection - To be made
after excavatIon, but prIor to
setting forms.
o Masonry - Steel location, bond
beams, grouting.
o Foundation - Atter forms are
erected but prior to concrete
placement.
o Underground Plumbing - Prior
to HlIlng 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.
D Storm Sewer - Prior to filling
trench.
o Water LIne - Prior to 'fllllng
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 Insert - After fireplace approval
and Installation of unit.
o Curbcut & Approach - After
I forms are erected but prior to
placement of concrete.
o Sidewalk & Driveway - Afler
excavation Is complete, forms
and sub.base material in place.
o Fence - When completed.
o Street Treos - When all required
trees are planted. .
o Other
MOBilE HOME INSPECTIONS
o Blocking and Set.Up - When all
blocking Is complete.
D Plumbing Connoctlons - 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 15 connected to
the service panel.
o Final - After all required
Inspections are approved and
porches, skirting, decks, and
ventIng have been Installed.
, .,' ~;: \;(;~.~', .
. .
l~l ~y.
Lot faces Setbacks IS THE PROPOSED WORK iN THE.
I PL ACC I .. HISTORICAL DISTRICT, OR ON
lot sq. fig. Interior HSE GAR
IN I THE HISTORICAL REGISTER?
Lot coverage Corner If yes, this application must be signed
Is I and approved by the Historical
Topography Panhandle ~~~- --1' Coordinator prior to permit issuance.
Total height CuI-dc-sac -
APPROVED:
X $/sa. FT. ~
VALUE
". .,
BUILDING VALliE, PLAN CHECK
AND BUILDING PERMIT
BUILDING PERMIT'
ITEM sa. FT.
';1
"
~
Garage
Carport
"
This permit Is granted on the express condition that the ssld
cOnstruction shall, In all respects, confom\ to' the Ordinance
adopted by the City of Springfield, I 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
Plan Check F~e:
Date Paid:
Total Value
Receipt Numb"''''
Building Permit Fee
Received By:
State Surcharge
Total Fec
(A)
Plans Reviewed By
Date
SYSTEMS DEVELOPMENT CHARGE (SDC)
, .,. .
(B)
Systerrs Developmenl Charge Is due o{l all undeveloped
properties within the City limits which are being Improved.
PLUMBING PERMIT
ITEM
FEE
ADDITIONAL COMMENTS
Fa R.. f-lC'N.<;') (lO()T)!lrT 09 Y<'''
UJAR.R.f-rJ q \..)111' 1-< Lint"
-::?:l 5 .~() C-,n Q1." FA..-1>1 Ad Ff I)
c~ p/l ( 1/9 /Jillrf I () R q....:J..Si 7 7
Fixtures
Residential Bath(s)
N'
Sanitary S~wer
Water
FT.
FT.
FT.
v.>hof\.o,~ ..5J.../J- 747- 79/1
Storm Sewer
Mobile Home
Plumbing Permit
State Surcharge
Total Charge
(e)
MECHANICAL PERMIT
Furnace
Vent Fan
N'
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 State of Oregon pertaining to the work described
herein, and that NO OCCUPANCY will be made of any
structure wHhout permission of the Building Safety Division.
I further certify that only contractors and employees who
are in compliance with OAS 701.055 will be used on this
project.
Exhaust Hood
Wood Stove/lnsert/Flreplace Unit
Dryer Vent
Mechanical Permit
Issuance
State Surcharge
Total Permit
(D)
.;l./o,.l.O
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 permit card Is located at the front
of the property, and the approved set 01 plans will remain
on the site at all times during construction.
Signature '\)n t'Yl \-\ () VY1 10 +-'U' \
Date 1 0 - \ 5, Q K-
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
Stale Surcharge
Sidewalk
It
Curbcut
fl
Demolition
State Surcharge
VALIDATION: ~ nq
RECEIPT NUMBER I / t.9
DATE PAID Ii /2r /.q s<
~ - /)( O/'. Co
AMOUNT REC . .c.. () '. 'LI }
RECEIVED B 1/ )() ) -
'I -
Tolal Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Combined)