HomeMy WebLinkAboutPermit Mechanical 1998-12-1
OWNER:'KlcK ~,-KtL-l-lf- \!,IDdn LI<
ADDRESS' 1'1 Lj.. SC()+-!-s b\e.n
,
CITY: c::,~rl
DESCRIBE WORI~: \-fpaJ- "V, Ln:iP
NEW REMODEL . /' ADDITION
RESIDENTIAL
PERMIT APPLICATION
Inspeclions: 726.3769
Office: 726.3759
LOCATION OF PROPOSED WORI(:
, '7 6 '3 '2. 7 1-1{
ASSESSORS MAP:
LOT'
CONTRACTOR'S NAME
GENERA' .
.
SPRINC'FIELp
BLOCI~:
STATE:
nQ
DEMOLiSH __. OTHEn
.
JOB NUMDEn
93 jtff ")
225 Fillh Slrcet
Springfield, Oregon 97.177
TAX LOT:
SUBDIVISION:
tJ5SiJO
PHONE: _1~lo
ZIP:~
ADDRESS
CONST.
CONTRACTOR'
PHONE
PLUMBING'
MECHANICAL:&mtDA- ~~1G\51 U'\N .')t.ls-\-~n
ELECTRICAl'
l,XPII1ES
004b()
h::.Ll-qq
11b-61CD
I 'reqUlre~ yuu w
ATTENTION:Oregon aw unity - OFFiCE USE _
5 adopted by the Oregon I
QUAD ,{'fll~ rule - . ~h--~ ''''''5 are 5'eWRl3tuSE: _._____ FLOOD PLAIN:
Notificaoonv,,'''o,,' -- hOAR 952-001-
, OF \l1-~~ oc;?nf.l1-001?throug f the r{lI@.ftJYNITS: ZONING CODE: ____
V may obtam copies 0 "'ICI<:.
OCCy@Il9tJPpu . '-NGte:.1hetelep~~STR. TYPE: ~f\ I 1';. . C"- rlDf!JIlRJi\lnRK
calling m.. """'0" , . Notification SHALL EXPlht: i1 ,,-
, OF ST9,B/liliedaLthe Or.egon .~tihty 344). HEAT SOURCE: __THISJlE.RMIT 1~W~~.If.I,\I1'y\$i~Qjl' ___..
genteri5 1-800.$~;.!-2 . AUTHORIZED UNDER ' ..,., ...nJ:l
WATER HEATER, RANGE. -- -OR I" ^\f}~WJiJil~.CWGl'I\GE: ..___
~m,uf:NCED ., "
-- "I'RIt1l'1.
To request an Inspectlon, you must call 726.3769, Tills Is;), 24 hour r,c~.qrdln'g!1^lriPn~pcctlon3 requeSled before 7;00 .1.m. will be
made Ihe some working diJY, [n:;pcCllon5 requested after 7:00 n.m. will be made Ihe (allowing WOt!( d.:lY.
D Tcmpornry Electric
D Silo In5pcction - To be m;::adc
after excavlltlon, but prior 10
selling lorms.
o
Underslab Plumbing I ElcctricnlJ
McchnnlClll - Prior (0 cover.
o
Footing - After trenches are
excavated.
o Masonry - Slee[ locntlon, bond
beams, groutlng.
D
FOUlldlltlon - Aher torms arc
crCClcd bul prior to concrele
placement.
o
Underground Plumbing - Prior
to Ulllng trench.
o
Underlloor Plumblllg/Mechanicnl
- Prior to Insulation or decldnQ.
o
Post nnd Beam - PrIor 10 floor
Insulation or dccldng.
o Floor Insulntion - Prior \0
decking.
o Sanitnry Sewer - Prior 10 filling
(rench.
o
Slonn Sower - Prior 10 1I[ling
trench.
o
Waler Line -', ~r[Or,'lo ri!ling
trench.
,
o Rough Plumbino.7"" Prior 10
cover. .
REQUIRED INSPECTIONS
o Rough Mecll<:lI1ical - Prior 10
CoVer.
D Rough Elcclricnl - Prior \0
cover.
o Electrical Service - Mllst be
approveel 10 obtain [JeflTlOnCnl
cleclrlco.l power.
o Flreplacc - Prlor 10 facing
malerlals and (raming Insp.
o Framing - Prior to cov~r.
o Wnll/C'clling lnsu/ntioll - Prior 10
cover.
o Drywnll - Prior to t.1.ping.
o Wood Stove - A(tar In5tal/:ttlon.
o Insert - After (lreplace approvel
and Installntlon of unll.
o
Clltbcut & Approl:lch - After
forms are etCcted blll prior 10
pl<lccmCnl Qf concrete.
o
Sidewalk & Drivcw:I\' - After
CXcDwllion is compJcte, forms
nnel sub.basc mn~crii'\/ [n plnee.
o Fence - WIlen compJeted.
o ~ltrool Trees - When nil required
trees arc plnnled.
o
Final Plllmbing - When all
plumtJlng worJ( is complct.c.
Fin;:ll Ouildin(J - Wllcn all
required ln5pectlons havc been
approved nnd buildIng Is
completed.
o Qlller
MOBILE HOME INSPECTIONS
o Olocking nnd Sel.Up - Wilen nli
bl()cl(ln~J i::> complete.
o PlumbillU Connections - When
home Il<lS been con/lected 10
wfllcr <"llltl seVl(:r.
o
ElcClli<::11 COllnection - When
bJocldllO, SO\.up, and plumbing
In~;pccllons 11:lVC !Jeen npproved
ill1(J the Ilome ir. connected to
tIle servIce panel.
o
Final - After ull requIred
In::>pcclJon::> are approved and
porches, sl(jrling, decl(s, and
venting have been Installed.
LOI laces
LOI TYP.
Interior'
LOI SQ. Ilg.
Lot coverage
Corner
Topography
Tolal 11elgl1l
P~nhandlc
Cul.(Jc.:.;ac
BUILDING PERMIT
ITEM SO, FT.
P.L.
Sctl).1clc; .
I H5E I GAR' ACC I
I '1
.5 THE PF10POSED WORI~ iN THE,
'''HISTORICAL DISTRICT, OR ON
THE HiSTORICAL REGISTER?
N
S
---
II ye5, this application must be signed
and approved by the Historical
Coordinator prior to permit Issuance.
.~-t--_-- -=
X $/SQ, FT. VALUE
Main
Garage
Carport
Tolal Value
Oul/ding Permit Fcc
Sll.llC Surcharge
Tolal Fcc
(^)
'.
SYSTEMS DEVELOPMENT CHARGE (SDC)
(El)
PLUMBING PERMIT
ITEM
Fixtures
Resldenllal Balll(S)
N'
Sanitary S~wcr
Water
FT.
FT,
Storm Sewer
FT.
MobIle Home
Plumbing Permit
State Surcl1ilroC
Total ChLlrgc
(C)
MECHANICAL PERMIT
FurnilCC
Exhaust Hood
Vent Fan
N'
Wood Slove/lnsert! Fireplace 'Unit
Dry'or Vent
(Uf~
Mcctw,nical Parmi I
Issuance
Slale Surcharoe
Tot",l Permit
(D)
MISCELLANEOUS PERMITS
Mobile Homo
Slale Issuance
State Surcharge
SidcWillk
II
Curbcut
It
Demolition
~Iatc Surch:ugc
TotiJl Miscellaneous Permils (E)
TOTAL AMOUNT DUE (excluding eiectric"l)
(A, B, C, D, and E Combined)
FEE
I s: pO
/(1./~
-~~IzI -
2.'- Ul
APPROVED:
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
Tlli:.; permit i:.; gmnted on the express condition thai the snld
con:;truclion shall, in all respects, conform to the Ordinance
ado pled by the City 01 Springfield, including the
Development Code. regulating the construction and use of
buildings, and m.JY be suspended or revolccd al any tlmo
upon violntion of any provisions of said ordinanccs.
Plan Check Fcc:
Dale Paid:
Receipt Number'
Received By:
fJlans ncv-ic~ed ..Oy-.--------
Dale
Syslems Development Charge is due on all undoveloped
properties within lhn City IimilS which arc being Improved.
ADDITIONAL COMMENTS
\
(
By slgnalure, I :;lale and agree, that I hayc carefully examined
tho completed application and do hereby certify that all
Information hereon i:.; true ane! correct, and I further certify
thai any and all work performed shall be done in accordance
with tile Ordin<lncu:.; of Ihe City o( Springfleld, arId the Laws
of the Slale of Oregon pertaining to the worle described
herein, and lhat NO OCCUPAhlCY will be made of any
structurc without permission of thc BuildIng Safely Division.
I furtllcr certify Itlal only contractors and employees who
arc in cornpliancc'wilh ORS 701.055 will be used on this
project.
..!
Ifurlllc:r-agree to cn~urc Ihat all required-inspections ore
reQuc:;led at the proper time, that each addrcss Is readablc
(rom the street, al lCpcrmlt card 15 localed at the front
of the propert ,:Jnd he ;:tpproved set or plans will remain
on the site all' s dur'ng conslr
(
i
Signature _
~
!/---d51f (j
Date
VAlID^TION:
d3zr'f('
121, /f1
AMOUNT flECEIVED _1;21. 2. P /
RECEIVED BY ---.--0 W~
RECEIPT NUMElE,l
DATE I'^ID