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HomeMy WebLinkAboutPermit Mechanical 1999-1-28 RESIDENTIAL PERMIT APPLICATION Inspeclions: 726.3769 Office: 726.3759 LOCATION OF PROPOSED WORI<' 11 03 2...& ASSESSORS MAP: LOT: V I n (lA", ADDRESS: U,., ~~I'11A rlv CITY:~ - 5pnlNcr=II~Lp am: Io~ :z:) I BLOCK: A;ICtlYlrYl\ ~rfiw.f'Drr.l WDD , OWNER' STATE: ._OR . JOB NUMBER qc; 0 I J,. "7 225 Fillll ~trccl Springfield. Orcgon 97.177 TAX LOT: SUBDIVISION: !YO (,,(17 PHON"' '74/-:/S'75 ZIP: QJL/-17 DESCRIBE WORI~: Ins+f1..I Ut~12ti.m~ ~V~.J......cm NEW REMODEL t/ ADDITION DEMOLISH On-IEIl CONTRACTOR'S NAME PHONE GENERAL: PLUMBING' ADDRESS CON ST. CONTRACTOR' MECHANICAL: ELECTRICAl' tomforf.. FIO!<LW;/ DOfLS}~11 DD4t{) EXPlllES k~?- Oft 1]210-0100 /1'V i il!:;~,: _ OFPICE USE _ QUAD AREA: THIS PE~;vII'r' ~HAll EXPIRE Lr:r.."FiilEl!l~e"'''._ AUTHOR" wnr, . OF BLDGS: .' 11.,:[, UNDER THIS PIiP0'rfTLlF.lliti$\T vUj\ljl",F~'Ct '1...," :,lo' t" 'ANDO""~o (""'" OCCY GROUP: " ._ . C0NSr-Rl TYPE:__ 'll,' ..,{f- ,-;, ,I, . OF STORIES: _'__ WATER HEATER: "I r t:N IIUN:Oregon law requires you to fO~I?w ~ules adopted by the Oregon Utility Notlf/callon CentfrL~tl9MIt!S-!lfe"8Ct-1 ~~ OA~ 952-001-Q.OW \t1lP~QAR 952-00;'.' -~CC-. .Iv.) may 06Pcll~ copies althe rulesby calling the cenleoi(NIlMHVlfu t^'~_~=- = numbe~or th~ <;?regon .WililY f'lP.it/;c~ii;n Jenter 'S"tr;lf6lY-3'3~:2344):~ -_..... SQUARE FOOTAGE: ..._._ HEAT SOURCE: ____ RANGE: ___ To request nn Inspecllon. you mUGI c~ll 726-3769. ThIs Is ::t 24 llour recordIng. AlllnspccUon::; reqlleslCd before 7:00 n.m. wIll be made the Silllle worl<lng dOlY. In:.pecllons requested ofter 7:00 <l.m. wlll be m~(je Ihe followlnn worl< dl.lY. o Tempor.:lry E;:lcctric o Site Inspection - To bc made aller exctlvatlon. bul prior (0 setting furms. o Undcrslnb Plumbing I Elcctricilll Mechanical - Prior to cover. o Footing - After trenches arc excavated. o Masonry - Steel locatlon. bond beams, groullng. o Foundnllon - Ailer 'arms arc erected but prior to concrete pl.acement. o Underground Plumbing - Prior 10 rlIllng Irencl.. o Underlloor Plumblng/Mechiln;cnl - Prior to InsulntJon or decl<ing. o Post ilnd Oeam - Prlor to floor Insulation or dccldng. o Floor Insul.lt;on - Prior 10 decl<lng. o S311ilnry Scwcr - Prior 10 filling Irenell. o Storm Scwcr - Pfior to fi/ling trencl.. O Woter Line - Prior to filling trench. D Rough Plumbing - Prior \0 cover. REQUIRED INSPECTIONS o Rough Mcchnnic;ll - Prior to cover. . o nough ElcclriCOlI - Prior 10 CQVer. o Elcctrical Servlcc - MllSI I)e approvecl to obtain perfl\.:IrlCnl electrlcol power. o Firepl<:ice - Prior to fnclng materials ~nd frilming Insp. o o Fr'<:iming - Prlor- to cover. W;J;II/C'clling i1'Slll'l(iOIl,- Prior 10 covcr. o Dr'y....i<ill - Prior to l:lping. o Wood Stove - Arter In:>tolln:ion. o In:iert - AflOr Ilrcpt<1CC approvel <1nd Installnllon o( unit. o ClIrbclIt &. API,lfO:ICh - Arter form::: .1re crOClcd but prior 10 placement of concrt:l(~. o Sidewillk & Drivcw:I\' - After cxcnviltion is complele. forlllS DncJ sul)-b:J.sC m~!~rJal In place. o Fcnce - WIlen completed. D ~;troot Tree:; - WIH.:n all required trees arc planted. o Fin:li Pllllllbing - When nil plumbing w~)rl( Is complel,c. o r-ilWI Elccttic;ll - Whcn ;111 C/'OOI wor;, 15 oor1lplele. ~!~~~,I_ Mechanicnl - When c11l "lCCl1~nical wOrl< 'l~ complete. o Fin,11 [Juilc.lillO - Wherl illl required Inspecllons h.lVe been approved and building Is cornplelvd. o Other MOBILE HOME INSPECTIONS o Olockillg nnd Set.Up - When 011 blocl<lnD I:; complctc. o Plulllbin~J Conncction:; - Wilen 11Om(~ hi.!:> been COlllleclcd 10 willcr ;111<.1 :>Cw<:r. o E;:lcctdc:11 COllllectlon - When ()locldIlD. :iCI.up. .:Ind plumbing In~;pccll()n:i h:wc been approved ilnd the hOllle if, connecled to the :iervicc p.l/lel. I I Finnl - After all required Inspectlon:j arc opprovcd and porches, sl<lrlinO, dccl<s, and venting have been Inslnlled. LOI (uces Lol Type _ Intenor' Lot sq. Itg. LOI coverago TopograpllY Tolal 110lgl11 Corner Panh,1nd/c Cu/.cJe.~ac BUILDING PERMIT ITEM SO. FT. X $/SO. FT. MaIn Gnrnge Carport Total Value Oul/ding Permit Fcc St~tc Surcl1arue Total Fcc (A) Sctl>ac!c; ~. ' THE Pll0POSED WORt< iN THE. ~ISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? II yes, Il1is application musl be signed and approved by the Historical Coordinator prior to permH issunnce. ~ HSE_ _GAR ACC ~----- ~~-_.- . -=I-j BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT VALUE " SYSTEMS DEVELOPMENT CHARGE (SDC) (0) PLUMBING PERMIT ITEM Fixtures Resldenlial 00111(5) N' Snnllary S~wer Waler FJ: ----.-- FT. Storm Sewer FT. Mobile Home Plumbing Pormit State SurclHuoc Total Cl1arge (e) MECHANICAL PERMIT Furnnce Exhnu5t Hood Vent Fan N' Wood Stove/ [nsert/Flreplace 'Unit DJIJI - ~--- Mechanlcill Permit IS5uance Slate SllrcharOI) Tot;)/ Permit (D) MISCELLANEOUS PERMITS Mobile Homo Stale Issuance Stale Surchnrgc SidcwOlll< II Curbcut II Demolition Slate Surcharge TOlol MIscellaneous Pcrmils (E) TOTAL AMOUNT DUE (excluding eleclrical) (A. O. C. D. ond E Combined) FEE _I')", C1 \J ( ~. O!J -lflJ ~ - APPROVED: This permit in gran led on tl1e express condilion lhot the s<lld construction :;hnll, in all respects, conform to the Ordinance adopted. by the Cil\' 01 Springlield, including the Development Code, regulOlting the construction and use or buildings, and milY be suspended or rcvol<ed al any time upon vio[iltion of i1ny provisions of snid ordinanccs. Plan Check Fcc: Date Pilid: Receipt Number; neceive(J By: - -.."--... .--.-----.-- PI.1r'lS Reviewed lJy Dote Systcms Devclopment Charge is due on a[1 undeveloped properties within the City limits whicll arc being Improved. ADDITIONAL COMMENTS (, ( By ::>10nature, I ::;tote and ooree, thai I h<l:ve carefully examined llle completed :Ippllc<llion 'and do hereby car!Hy th<lt n/l Information Ilereon i:.; true al1el t:orrec!, and I further certify thot ony and all worl< performed .:;hi:1l1 be done in accord<lnce with the Ordinollcus or the Ci ly of Springfleld, <lnd !he Laws of the Stf.lte or Oregon pertainIng \0 the worl( described hervin, and 11101 NO OCCUPANCY will be rnaclc of any structure without permission of 1I1e Buildlnu Sufely Division. I furltlcr cerli fy \l"tal only contractors ond employees who are in complianco'with ORS 701.055 will be used on thIs project. I further agree to cnGllfe Iho.l all required Inspections are rcqueGtcd atlhc proper time, that each addre~~ Is rendn-ble from lhe .:.lrcet, 1I1at tllC permIt card Is located at the front of the proper! , . )d the .:lpproved 5et of plans will remain ::"::~:;" ~~ ~;f"Z: 'd J-.~SUI9 Dole VALIDATION: RECEIPT NUM8EH rJ 3::2-7 ( 7 I - d-"6" - "l'" <tr :::J- (p . ';1-0 ~ DATE PAID AMOUNT RECEIVr-.D F1~CEIVED OY