HomeMy WebLinkAboutPermit Mechanical 1999-3-30
Mar-22-99 04:0BP
P.03
.
Joe NUMBER 910 'fl.o
.
.. \1
RESiDENTIAL
PERMIT' APPLICATION
Inspections: 726-3169
Olflce: 726-3159
22S Fifth Street
Springfield, Oregon 97477
LOCATION OF PROPOSED WORK' 72. 'I
/703341'1.-.
IJ6(;0
TAX LOT'
ASSESSORS MAP'
l.O'I'
BLOCK:
SUBOIVISION:
00,,(/-,+ 1/
AOOIll!S!l: ,77-- <(
<LJ~ r; ~rl
) I
fILa 1 Lot.
1:/1/ ffll Ih II
PHONF'
OWNER:
ZIP: "1- ~ 77
STAT",I?/l
CITY'
DESCRIBE WORK:~ vr A II 0. il tJ1l.j~~~f1 "3 J-kJT (J )A-~ LU
NEW REMODEL ADDITION DEMOLISH ___ OTHER
CON ST.
CONTRACTOR'S NAME ADDRESS CONTRACTOR' E.xPI RES ::- PHONE
GENERAL: -L9!df\ ~ O~ ~j[. <~::J 8 ~q 9'
PLUMBING:B1 J ~~ Ut~ ,~CVl '/In~
MECHANICAL! III , StlDlo t1 s o f'y? j! Ai It.~ /I
------~
ELECTRICAl' f+{_ C\.~Uflo..t'\ '" a h s~ 3 ';)hQ e E.r:: jlJ-J-q9
r.. .. I' -I',...
- OFFICE.uee -
LAND USE: 'r:R~~IT SHAll EXPIRE IFlfd5ob')p.i!AIN: __...__
I \ -,-" , '~!nc:'" TLIIS pi=
. OF UNITS: , .". .1 , , . .,. -R/:;!8"NIN'a-:BoDE:_
CONSTR, TYPE: '-.. ;ANDONEi:'&~f'BDRMS:
fllH HICJ (11\, I'lgl'lIQg,
HEAT SOURCE: ___.___." SECONllARy HEAT:
QUAD AREA:
. OF BLOGS:
OCCY GROUP:
. OF STORIES:
WATER HEATER'
RANGE: _
SQUARE FOOTAGE:
To request an Inspection, you must call 726.3769. This Is a 24 hourAqg'l!dlng, All Inspections requested before 7:00 a,m will be
made tM same wOl'1<lng day, Inspections requested after 7:00 a,rtl)IY6'1I 1,'j,1 iQ/'dQM.followlng work day,
N W rU/~ . ~;JUn laW r
RE UIRED INSPEmi~~~Ple th eoqUiresYOUIO
In OAR Q",~ enter, h reOon I J,' ,
h Mochll,!/~ y,'PtlOf)l\iq.OO 0 " ~~I~'Plumt;'lilv- When all
ove '. aU may b . II gfl'J.llll I~O:<Wq!i1t1T Complete,
Callmg Ih 0 I . VA 952 0
n, e cenle PIes of If. - 01.
R gh EI.clrleftrl!!boElr~r!Re r, (Nmtf.lQa ~lfIH~tee"- When all
ver. Cent ,Oregon'util; ele~ 0l,llhbl<Y8,k'ls complala.
er,S 1'80~. 2 OlifiCatiOn
O Electrlc.1 Servlca - Must be a~ n'1.\ M..chonlcal - WMn oil
Approvod to obt~ln permRI"lP.:nt echanlcal work Is cOmprBh!
olectrleal power.
o Temporary Electrle
o SUe 'nopacUon - To be mado
Arter excavation, bUI prlor to
aett/no forme.
o lInderolab Plumbing/Electrical I
Mechanical - Prior to cover.
o Footing - After trenches are
G'JCc::avated.
D Final Building - Wnen all
reQuired Inej)eCtlans have be-on
approved end building is
completed.
D Flrept~ce ~ Prior to facing
materials and fl'arnlng Insp.
o Meoonry - Steel location, bond
beams, grouting,
o FramIng - Prior to cover.
OOth..r
o Foundntlan - Arter forms are
er8ct.,d.but- prior to concrete
place mont,
o Wail/Ceiling Insulation - Prior 10
cover.
o lIndergroul)JS.Plumblng - Prior
to filling trench,
o Drywall - Prior to laplng.
MOBILE HOME INSPECTIONS
o Underlloor Plumblng/Mechanlca'
- Prior to Insulation Or decking.
o Wood StOVQ - Aftar In5tal/ntlon.
o Blocking end Set,Up - When .11
1:)10cklng Is complete.
o Po.., and Beam - Prior 10 floOt
Insulation or deeklng,
o Insert - Allor flrf1plaee approval
and lnstallntlon of unit.
o Floor InSl.IllIllon - Prior to
deet<lng,
o Plumbing Conn&ctlon$ - When
homo hc1S been connected to
water and seWQr'.
o Curbcut & Appropch - Af!~r
forms ara c.:roctod Olll prior to
placomont "f concrele.
o Sanitary Sewer - Prtor to tilling
trench.
D EleC:lrlca' Connoctlon - When
blocking, 8At'UJ). and plumbIng
Jnspecrlons havo been approved
and the home 15 connoctod to
the service panel,
o Sidewall, & Crlvcw,v - After
excavation Is eOmplGIO. forms
and sub.base m~.tcrla' In place,
o Storm Sewer - Prior to mllng
tl'et'tch.
o Fonee - When r:OI'I~pletcd.
o Water Line - Prior 10 filling
trench.
o Flnol - After all required
IMpoetlons are approved and
porchos, akirtlng, decks, and
venting nave been Installed.
o Rough Plumbing - P,lor to
cover.
o SIreot Troos -. WI"H!fn air required
trees are planted.
Mar-22-99 04:0BP
..~. ..
.
'.
Lot (ace5
Lol Typo
lot sq ltg,
Interior
LOI coverage
Corner
Topography
Panhandle
Total IU;llght
Gul.de-~~"
BUILDING PERMIT
ITEM SO, FT,
X tISO. FT, -
Main
Gar.go
C~Hport
Total ValulJ
BUilding Permit F'ee
Stdle S'Jr~harge
T{lI~JI ,:CC
.
.'
.
P.04
Setbacks
P.l. HSE I GAR Ace
J:!._ __.1--
I
IS THE PROPOSED WORK IN THE '.
HISTORICAL OISTFlICT,'OR ON
THE HISTORICAL. REGISTER?
II yes, this application must be signed
."d approved by tho Historical
Coordinator prior to permH Issuance.
I
kLJ~-= =---1
LL__L,_; _._
s
~
VALUE
"
IA)
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
PLUMBING PERMIT
IT~M
Fixtures
._...L___
Residential Balh(s)
N'
Sa.nltary S~wer
1'1:
~----...~.~_.,.-
Water
fI
FT.
Sto'''' Sewer
Mobile Home
Plumbing Permit
State Surcharge
Tolar Charge
(C)
MECHANICAL PERMIT
t:utnucu
Ext)autH Hoou
Vent Fan
N'
Wood StovellnsertlFlreplace Unll
D'y~r Vent
Mechanical Pel mlt
1~l;Ouance
St3te StHCh.J.rgc
,otal Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
SlalO SurCharge
SldoWD.lk
II
Curbcut
II
Demolition
State Surcharge
Total Mlscellaneou~ Permits tE)
TOTAL AMOUN, DUE (e~eluolng electrical)
lA, 6, C. D, and E Combined)
FEIU,
15,~.
JS:~
l{(IJ~
~
/6. b
I ~ tsL:l
In. 00
04~J . ~S
~,90
I APPROVED:
. " H"
BUILDING VALliE, PLAN CHECK
AND BUILDING PERMIT
This pem1it is grC:l.nted on tho oxpress condItion that 'he said
construction shall, In all respects. conform to the Ordinance
adopted by tho City 01 Springfield, Including tho
Oovolopment Code, regulating the construction and use of
Oulldings. Qr'!cJ may be suspended or revoked at any lime
upon vlolatlon or any prQvluio"u of saId .~(dlnaneQs.
Plan Check Feo:
Date Paid:
RII;IC~I~1 Numbor:
Rocei....ed By:
Plans Rcvfewed"By--" .~~_._.
Date
Syslems Development CharQ8 Is due on all undevelopod
properties within tl10 City limits which are being ImprOVed,
ADDITIONAL COMMENTS
~jj_.C;,;;',':J ~ tNM~ 11
~ add( frdV'A-1 6'z.t-'Z.~
~ ~..UUI ~ ,/f.,L'ft. (,.J
(
"" '-ENTIO
fOIl^.\. N:oro:>_
N . 'U1es ~-"'dW
. (~!.ificatioo~OPted bv t~~Uires ~OIJ ,^
~~;;;~;52'00 l-~j ~ ~~se rU/;~ :~~~ ~tility
--"''',ay b """'"t'''uughO ..)....l'On
Calling th 0 tain c' "11'1952 n
.....-wf1 ~",:::I .....3Flt OD'I:l~ ~~ .On..
"'I/oerforth ' t:f, (Note' th a, 'lie rUles b
~ e Ofl'ln~ .,' e te/or"_ Y
._..._n. ':'b'llerisl ~zr.ullurYN ..-~"C'
-800_:~.,') __ ottt,cati^~
-,J""'t~).
By slgnatura, I st~le and agree, that t have carefully examJned
tho completed eppllcatlon and dO hereby'certUy that aU
Information hereon Is Irue and correct, and I lurtner certlly
that any and all work performed shall be done In accordance
wllh the Ordinances of tho City of SprlngflQld. and the Laws
of the Stato of Oregon perlalnlng to tho work closcrlbed
he,eln, and thai NO OCCUPANCY will be made of any
stru.:::ture wi thou! pol;!rlni~:sion or the BuildIng Safety DJvlslon.
I lurther cortlfy t11at only contractors and employees who
aro In complianc~ wllh ORS 701,055 will ba used on this
ptOjl;lr,;;L
I further agree to ensure that all requIred Inspectlons are
reQu6stec;l lie proper t1m€.. that oach address I. readable
'rom the slreOl, that :M f>mmlt card Is located at the front
of the property, end tile approved alll ot plens w)lI remain
On 'ho el~ aH time. durIng oonstructlon.
Slgnatu,( J.. Q S ~ ~.c
,
Oat,. -3 - (> Cs:. -qq
VALIDATION:
tJ~3~/'1
DAT~ PAID '?/ 3d I'll .
AMOUNT RECeiVED - _f;,'!,Jo
RECEIVED6Y k w~
RECEIPT NUMBER