HomeMy WebLinkAboutPermit Mechanical 1998-6-19
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
Oltice: 726.3759
.
SPAINCFIELP ....~ ....
.
JOB NUMBER
Cfro C(22.'
225 Firltl Street
Sprlnglleld, Oregon 97477
ASSESSORS MAP'
LOT'
/2 rat)
TAX LOT'
BLOCK:
SUBDIVISION:
OWNER:
ADDRESS:
CITY:
DILK :::ai1f'..
'1f30 RIVff J./.ill<; 7JnVf'-.
Spy I Yltj-hek:!
CONTRACTOR'S NAME
GENERAl'
PLUMBING'
MECHANICAL:e..omM(-!:. P"lbII.J IgSLl2lN...Sk.cJ.e. D
NOTICE: .
T.l:JIS-or-rt'llf-' LAND USE: _._
. _I,;, '''"ALL EXP
Alm../"n.~",,,, ~~16TJrfBWOR'~
-~... vlvDER TH~ ..,
OCCY GROUP: COMM~MCED OR IS ABAN~~!T~:
. OF STORIES: ~t-jy lBQnl\v peRIOD. HEI\'r"SO~8E: _____
WATER HEATER: RANGE: _
DESCRIBE WORK'
NEW
REMODEL
ELECTRICAL'
QUAD AREA:
. OF BLDGS:
.1
PHONF'
7Lf7-/4D1
STATE: -D.R
Cf14-1l
ZIP:
ADDITION
DEMOLISH
OTHER
ADDRESS
CONST.
CONTRACTOR'
PHONE
EXPIFlES
m4bD
b- 25? 41
iZ/::'-DICO
- OFFICE USE -
f'LOOD PLAIN'
ZONING CODE:_
. Of' BDRMS:
SECONDAFlY HEAT: __.....
SQUAnt' FOOTAGE: '''.._._.
To rOQuest an Inspection, you must call 726.3769. Tills Is a 24 hour recording. All Inspections requested before 7:00 a,m. will be
made the same working day, InspectIons requested o(tcr 7:00 a.m. will be mado the (ollowlng worl( day.
cgEO-OIR\=D INSPECTIONS .
o Temporary EloClrlc 0 Rough Nfcclumicnl - PrIor to 0 Finnl Plumbing - When 011
~:'" plumbing worl( Is complet.c.
o Sito Inspection - To be made I_I Rough Electricnl - Prior to D Finnl Elcct~cnl _ Wilen all
after excavation, bul prior to cover. clectru':al worl( is complete,
selling lorrns. ~ -------...(..
o Underslnb Plumblng/Elcctricnl1 0 Electrical Service - Mllslt6' 0 Finnl Mcchilni ill - When all
Mcchnnlcal - Prior to cover. approved to obtain pcnrlnr enl ITlcclw(\Ica orl< Is complete.
electrical power.
o
Fooling - After trenches arc
excavated.
o Masonry - Steel location, bond
beams, grouting.
o
Foundation - After forms arc
erected but prior to concrete
, placement.
o Underground Plumbing - Prior
to filling trench. .
o Underlloor Plumblng/Mcchnnlcnl
- PrIor to Insulatlon or decl<lng.
o Post nnd Bcam - Prior 10 floor
Insulation or decl(lng.
o Floor Insulation - Prior to
decking.
o Sanilmy Sewer - Prior (0 filling
trench.
D Slonn Sewer - Prior to (1Iling
trench.
o Wnler Line - PrIor to filling
trench.
o Rough PILimbino' - Pilor to
cover.
o Fireplace - Prior to facing
materIals and framing Insp.
Fln;:11 Ouilding - When all
required Inspections have been
approved and building Is
completed.
,
o
o
Frnmlng - Prior to cover.
OOt.her
Wall/e'olling Insulntion - Prior to
cover.
o Drywnll - Prior to taping.
MOBILE HOME INSPECTIONS
o Wood Stovc - After InstalJn:lon.
D Insert - After fireplace approvel
and Installation or unit.
o
[Hocking nnd Set.Up - WIlcn all
blocl(ln~) Is complete.
o Curbcut & Approi:Jch - Afler
forms are erected but [)rlor to
placement of concrct(~.
o Plumbing Connections - When
twme 110S been connected to
water {HH.l sewer.
o Sidewalk & DriVCW:I.... - After
oxcavnlion Is com[)lete. forms
and sub.b:lse materl,,1 In place.
o
Electrical COllncctlon - When
blocldnu. sel.up. and plumbing
Inspections IHWe been npproved
and Ihe tWine is connected to
the servIce panel.
D Fence - When completed.
o
Final - After all required
Inspections arc approved and
porclles, sldrting, c1ccl(s, and
venting htlve been Installed.
o Stroot Troos - When all required
trees arc planted.
Lot faces
Lot,s'c. ftg.
LOI Type
.
Interior'
Lot coverage
Corner
Topography
Total helghl
Panhandle
Cul.dc-sac
BUILDING PERMIT
ITEM
SO. FT.
x $/SO. FT.
Main
Garage
Carport
Tolal Value
Building Permit Fcc
Slate Surcharge
Total Fcc
(A)
..
i, IS THE PROPOSED WORK iN THE.
. "'HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
II yes. this application must be signed
and approved by the Historical
Coordinator prior to permit issuance.
SClbacl<s _
P.L. I HSE GAR I ACC
N
S
W
..L___ ___
. APPROVED:
VALUE
"
(B)
SYSTEMS DEVELOPMENT CHARGE (SDC)
PLUMBING PERMIT
ITEM
Fixtures
Rcsldcnllal 63111(5) NO
Sanitary S?WCr
Water
FT.
FT.
Storm Sower
FT.
MobIle Homo
Plumbing Pormll
Slate Surcharge
Total Charge
(C)
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan
N'
Wood Stovc/lnscrl/Flrcpl;)cc'Unil
Dryer Vont /J
flp",,/- rill"" tJ
I
Mechanical Parmi I
Issuance
Slale Surcharge
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Homo
Stale Issuance
Slale Surcharge
Sidewalk
II
Curbcul
II
Oomollllon
?Iale Surcharge
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (exclu(Jing eleclrical)
(A, B, C, D, and E Combined)
FEE
I~Oi)
jrJ. OJ
-~ 'tfT] t
u'.U
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit is gmntcd on the express condition thaI the said
construction shall, In all respects, conform to the Ordinance
adopled by the City 01 Springlleld, including the
Development Code, regulating the construction and use of
buildings, and may be suspended or revoked at any lime
upon violation of any provisions ot said ordinances.
Plan Check Fcc: _,
Dale Paid:
Receipt Number:
Received By:
Plans Rcvic~Cd '0-;'---"'----
Dale
\
Systems Dcvelopmcnl Charge Is due on all undeveloped
properties wllhln 1110 City limBs which arc being Improved.
ADDITIONAL COMMENTS
"
\
(
By signature, I state and agree. lhat I h3;.ve carefully examined
Iho completed appllcalion and do hereby eertHy that all
Informatlon hereon i:; true and correct, and I further certify
that any and all work performed shall be done in accordance
with the Ordlnancu5 of the City of Springfield, and the Laws
of lhe Slale of Oregon pertaining lo the work described
heroin, and that NO OCCUPANCY will be made of any
structure without permission of the Building Safely Division.
J furthor ccrli fy 01al only contractors and employees wh'o
arc In complio.ncc'witl, ORS 701.055 will be used on th15
proiect.
.
I further agree 10 ensure that all required Inspections are
reQue~tcd at Ihe proper lime, that each address Is readable
from the sire ,th tho permit card Is localed at tho front
of tho prop rly, a Ihe approved set of plans will remain
on the sit at 'mes d ln~ c/)syuctlon.
Slgnalur :/~06 fl.iJt.OA tI-&-
b-/tJ-'1?
Oat...
VALIDATION:
RECEIPT NUMBHl /); 0 l.{ ()&
fJl(f!'f~
'2/t. E2rO /J
aYW~
DATE PAID
AMOUNT RECEIVED
RECEIVED BY