HomeMy WebLinkAboutPermit Mechanical 1999-1-5
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LOCATION OF PROPOSED WORI(: B3D 'R IYeY HI \ \s Dr.
I7b33'f/7-
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
o lIice: 726.3759
ASSESSORS MAP:
LOT'
.
~PftlNCr=I(~Lp 12m
o LOCI(:
La..r.yv--LS.ha.Yo 0 Qmse.
ADDRESS' B=1() 1< lVPY Ud Is Dr.
CITY:~
OWNER:
-------.-
STATE: .-I)f(
DESCRIBE WORI<:
Jnsta.ll
NEW
REMODEL
PI-fONE
CONTRACTOR'S NAME
GENERAL:
. 1'100/1 7
JOB NUMOER f1 ~ot1J .
225 Firth Streel
Springfield, Oregoll 97477
TAX LOT'
/'2Ji!)tJ
SUElDIVISION:
PHON...
7.IP:J11.'frJ
(~<, HLYr\n U':... tI, Al~toou::
ADDITION
DEMOLISH
On-IEIl ____._.___
ADDRESS
CON ST.
CONTRACTOR'
PLUMBING:
MECHANICAL: CnmtDVt. 8DW.i~J1J ..5(.5kJl_
ELECTRICAL:
dJOt.IW
EXPII1ES
~~ 21-'1'1
1';.10 . D/fi)
- OFFICE UoSl;,. .
KI, ENTION:Oregon law requires you to
QUAD ATroTIC~. LAND USE: _._lo"o~rules adopted by 1ttl:!>6ce9Qnl\>llilitv
Notification Center. Those rules are set forth
. OF BLlffj,lt :-:::;r.:r;- ~II';~L [;;PIRE IFTHEWJA~NITS: :~ ~010thrdt.'?/tIICl~Ft~00t,,---
OCCY G!i\9ip!'lC'R~Z!i:[, b:~:~Er. TI :J&.PERMIT fER~m. TYPE: -9090. You may obtain COlOli@WCl3Mffi.Js!es bv
~ v camng the center. (Note: the telephone
. OF ST(!).ffil1:S:"'Mr~J:n 1"\E:l1~ AQA~lnONED Fe~AT SOUIlCE: '1""1berfgrthg Oregon 8!Jftl9N\3{lIi~ali\:ll{lT: ___..
WATER t17E~TER1 DAY PFRIOn RANCE: Center is l'800<~ft5~)fOOMCE: ..__._._.
To rcquc:.it a.n Inspecllon, you musl call 726.3769, TllJ~ Is .1 24 tlour recording. Alllnspccllon:;; rcqllc~tcd before 7:00 :un. will be
mL!.de Ihe snme worl<lng dilY, In:.pcctJons requested Mlcr 7:00 n.m. will be mnde the following worl< dny.
o Temporary Electric
D Site In:;.pcction - To bc mndc
allcr cxc[lvatlon, but prior 10
settinG IOOTl5.
o
Undcrslnb Plumbing I ElcclricnlJ
Mechanical - Prior to cover.
o
Footlno - Arter trenches .1ro
cxc41vntcd.
o Masonry - Steel locallon, bond
beam.::i, groutlng.
o
Foul1dntlon - After (arms are
erected but prior to concrete
placement.
o
Underground Plumbing - Prior
to lllllng trench.
o
Undcrfloor Plumblnul Mcchanicnl
- Prior to lnsulnllon or dcclcing.
o Post i1nd Ocam - Prlo; to (loor
Insulallon or dccI<lng,
o Floor Insulation - Prior 10
decldna.
o Sanilary Sewer - Prior to fll1inU
(rencll.
o Storm Sewer - Prior 10 filling
Irencll.
o Woler Line - Prior 10 lilliog
trencll.
o Rough PlumbillO - Prior \0
cover.
REQUIRED INSPECTIONS
o Rough Mechanicnl - Prior to
cover. .
o f1ou{lh Electric..1 - Prior to
cover.
o Electric.11 Servlcc - MlJSI be
approvecl to obl,iin pCl"fna.nr.nl
eleclrlca.l power,
o
Fircplnce - Prior 10 filclng
materials nnd frtHning Insp.
o
FramInG - Prlor to cover.
o Wallle'olling Insulation - Prlor to
cover.
D Dry...iall - Prior 10 1.1ping.
o Wood Stove - ^Jter In:;t<:llJil:ion.
o Inser! - After fireplace <1pprOval
and lnslnllatlon of unit.
o
Curbcllt f~ APIHO,ICh - Afler
forms arc erected blll prior 10
plilccmenl o( concn:ICl.
o Sidewalk e.. Drivew:l\, - Afler
exc<:Ivi1(iOIl is complele. torms
nneJ sul).base In.:l:<:rlill in place.
o Fence - Wilen completed.
o ~;Irool Tree:; - V.JIH::n all required
Irees ore planted.
o
Final Pllll11bing - When till
plllml)lng w~)(lc is complet,c.
D Fill,ll EleclticOlI - V....hcn all
eleclrica.l worl( is complete.
~J1~1 MeCh:lI~COI - When 011
lccllLlnical worl("I~; complete.
o Fin,al UllildillO - When <:III
required Inspections have been
approved ,:lnd building Is
completed.
o Olhcr
MOBILE HOME INSPECTIONS
o Olocl,ing nnd Set.Up - Wilen till
bl()cl<ln~l is complcte.
o Pllll11binu Conncctions - When
homl~ has been cOllllected to
Willer :IIH.I :icwer.
o
ElcctliG:1l Connoction - When
blor.ldnO. sel.up, <:Ind plumbing
111!;PCCllo(ls h,wc been approved
illltJ Ille home is connected to
lhe service panet.
I I Fin.,l - Arter all required
Inspections arc npproved and
porches, sl<Jrting, dccl<s, and
ventJn{] ha.ve been Installed.
Lot laces
Lot Type,
_ Inlerlor"
Lol sq',flg,
',.
Lot coverage
Corner
Topogrophy .
Panhandle
Tolal height
Cul.<Jc-s"c
BUILDING PERMIT
ITEM SO. FT. X $/SO, FT.
Main
Garngc
COlrpOr!
TOIOI Value
Oulltling pcrmi I Fcc
Stale Surcllargc
Total Fcc
(A)
ScllJ.1cl<3
.IS THE PHOI'OSED WOR1< iN T1iE .
""HISTORICAL DISTRICT, OR ON
THE HISTORtCAL REGISTER?
11 yes, Ihis appllcolion musl be signed
~nd ~pproved by the H1storlc~t
Coordinator prior \0 permll Issuance.
J::b.... HSE _GAR ACC
~---
_$_______
Y::f._._ __ ____
.L__
VALUE
"
(0)
SYSTEMS DEVELOPMENT CHARGE (SDC)
PLUMBING PERMIT
ITEM
Fixtures
nesldenli~1 8alh(")
N'
Sanitary S~wcr
"'J:
Water
FT,
Storm Sewer
FT.
Mobile Home
Plumbing Permit
State Surcl1C.HOC
Tolal Charge
(C).
MECHANICAL PERMIT
Furnace
Exhaust Hood
Venl Fan
N'
Wood Stovc/lnscrllFlrcplacc'Unil
Dryer Vent
A(e
Mechanical PCflni I
Issuance
Slate Surcl1:1I0c
Total Permit
(0)
MISCELLANEOUS PERMITS
Mobile Homo
State Issuance
Stale Surcharge
Sldewolk
II
Curbcul
II
DcmoJlllon
Slole Surcharge
Total Miscellaneous Permils (E)
TOTAL AMOUNT DUE (excluding eleclrical)
(A, 0, C, D, and E Combined)
FEE
&.6b
If: (jl?
B2.~ ()O
'fS /..7[_
Uz,o
APPROVED'
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit is 9 r,:u"l led on the express condition thai lI"lc said
construction 3h~ll, in .:Ill respecls, conform \0 (he Ordinance
~dopted by the City 01 SprinGfield, including the
Development Code, rcgul.:ltin'g the construction ;)nd use of
buildings, and milY be suspended or revol<ed not any IIrne
upon viol~lion of ;my provi5ions or said ordlnnnces.
Plan Checl< Fcc:
Dtltc Paid:
Receipt Nurnber:__,
Received By:
PIi1ns RcvTc~etl.-'l3y_._-------
Date
Syslems Developmenl Charge is due on all undeveloped
properties within tho Cily limits which arc being Improved,
ADDITIONAL,hOMMENTS
. ~t:z:rll"~-,&,~, f
I7IoLJ
\
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By signature, I stale and .10roe, that I h.:l:vO carefully examined
the completed npplication and do hereby certify that .:1/1
Informallon hereon i:; (rue .'1l1cl correct, .:Ind I further certify
thai ony and all VJork performed shall be done in occordance
with the Ordi/lj)ncu:J o( the; City of Spring(lcld. und the Laws
of lhe Slale of Oregon pertaining to (he worl< descrIbed
her0in, and lhal NO OCCUPAr-JCY will be made of any
::;tructure wilhoul perrnis::;iOIl of the BuildIng Safety Division.
J rurtl"lN certify 11"1 a t only contraclors ::lI1d employees who
arc in cornpli<lncc'wilh ORS 701.955 will be used on thIs
projecl.
r rurlhC'r ~gree to cn::;ure \hGt all required Inspections Grc
requeGled at the proper time, th~t eact, address Is rea.dable
(rom the street, Ih:1t the permit card Is localed at the fronl
o( the property,:m t e .1pprovcd sel of plnns will rcm:::tln
on Ule Gile al ;)11
Signature
D~le
moo '" '""~Oo'c,.
J.- 5-1....1
VALIDATION:
RECEII'T NUMOEfl .{}? 7-- '17/
1/~/1i
, , -, 1/ /Z;iJ /7
AMOUNT F1ECEIVl:D t...IJ"Io
# f-.Jov./'
DATE PAin
FiECEIVED 8Y