HomeMy WebLinkAboutPermit Mechanical 2000-1-5
OWNER: _I!JJ.jfJLD fi 77JtVlt MI / Ie;<
ADDRESS:' a 3t.fJ7RoDtVev ~I.
~(!,p f<.J () q h~,:" STATE: &.f? 7.IP: J17Lf:17
DESCRIBE WORK:_ltic;-JuJI GfIS 15tJJ<J0/1-(L i It/I<- (!onthhotJer d ./JJakY J-fe.ak.r
,
RESIDENTIAL
PERMIT APPLICATION
InspCClions: 72G.37GD
orrice: 726.3759
LOCATION OF PROPOSEO WORI<'
/7CJ3.
ASSESSORS MAP:
LOT'
CITY:
NEW
REMODEL
EXPII1ES
CONTRACTOR'S NAME
.
SPFlINCFIELP IlG'.i
L~
!IIi: ~VI
;/347 1?odnf1J &,
1
"?_ "7
/- '?
BLOCK:
ADDITION
DEMOLISH
.
JOB NUMUEI1 ...f!2/J- tJ Of':V t') -0 I '
225 Filth ~(rcct
Springfield, Oregon D7477
TAX LOT:
SUBDIVISION'
rJ 'Z ~ .... "'r/"l
PHONE:
741 -/) fX)L/-
OTHEI1
AODRESS
CONST.
CONTRACTOR'
PHONE
GENERAl'
PLUMBING: ...............
MECHANICAL:CDmfor-l- RON 1q5} DoN5/-., sleD
ELECTRICAL'
cJ(}-C},3lpg
L#o{)
J...---'
'lab-DIDO
9~() -Q)
fa .:17-01
QUAD AREA:
· OF BLDGS:
OCCY GROUP:
. OF STORIES: ____
WATER ~IEATEn:
- OFFICE USE -
LAND USE:
" OF UNITS:
CONSTIl. TYPE:
HEAT SOURCE: _____
RANGE: __
FLOOD PLAIN:
ZONING CODE: ____
. OF SDrlMS:
SECONOA1W l'IEAf: __.
SQUAnE FOOTACE: ..___._.
To roque:;t iln Inspection, YOu must call 72G.37G9. Till:; Is il 24 llour (cCcrolng. All Inzpcctlon:o rcqllc:;lcu before 7:00 .1.m. will be
mode the sanlC worl<lno dny. In:.pCCllons requested afler 7:00 n.m. will be mo1(Jo the followlnn worlt (/ilY.
o Temporary Elcclric
o Site In::pcction - To Dc mo.dc
n(tcr cXCuvOlllon, /Jul prior to
,:;olllng form::>,
o Undcrslnb Plumbing/Elcctricnl/
Mcchnnlcnl - Prior to CoYer,
o FootinG - Aflcr trcnche::; arc
excav.1ted.
o Masonry - Sleel location, bond
beams, grou linG.
o Found:lllon - Alter forms arc
erected but prior to concrete
placement.
o Underground Plumbing - Prior
to tilling trenell,
o
Undcrrloor PlumblnglMechanicnl
- Prior to Insulntlon or dccl<in.o.
o Po::t nnd OC.1m - Prior to floor
In:wlallon or dccl<lng,
o Floor In::.ul.ltion - Prior to
dccldnD.
o
S.1nHmy Sewer - Prior to (llling
trench.
-...-r-,:--:
o Storll.\t.~,;~~r_ - Ptli'or 10 fillinD
trc'!c!1.., I ~:, :-~
.. .. '-J ---:
-" '-' . . l .
o Wafc~ :g]n"ci, : ~ ;!?rlor 10 filling
tren~~;?,> ;~.
;ol'Tl _ ,._.
O Ro';gi'"PluIl\l~i;iO - Prior 10
coyer. --,' . ,-. .
REQUIRED INSPECTIONS
o Rough Mcch:lI1ic:ll - Prior to
CoVcr, .
o Rough Elcclricnl - Prior to
cover.
o
Electrical Service - MllSI be
<lpprovceJ to obtnin permanent
eleclrlciJ,1 power.
o
Firepl<1cc - Prior to filCln!]
materials o.nd (rurning Insp,
o
o
Framlno - PrIor to cover:
Wnll/C'clling In::;lllalion - Prior 10
Cover,
o Dryw.:111 - Prior to l.1pir;g.
o
Wood Stove - After InnlallnUon.
o In::;crt - After flreplllce approva.l
and lnslallnllon of unl\.
o Cllrbclll So Appro.Jell - After
forms ure erOCled b~ll prior 10
pl.1CL:lTICnl 0' conC((.:I(l.
o
Sidcwnlk & DriVCW;I\' - Afler
CXC.1VilIl011 J~ cOmplCle, (01'111:;
an(l Sul).bi1SC m~t(..r1i1J in pl;lCC,
o
Fence - \-VIlen complcted.
o
~'lrool Trec:; - Wilen all required
trees are planted.
o FirHll Plllll1bino - When all
plumbing W9rl( is camplel,e.
'fQ'( Finnl EICClfiCill - V....hen all
~lt'ctrical worl( I::; complele.
~(
Filln' Mechanic.:11 - When all
lIlcclwnlcal worl< "It. complete.
o Fin.11 OlJil(linU - WIlen all
. required In.:;pectJons have been
approved and buileJlng is
compleled.
DOl.hcr
MOBILE HOME INSPECTIONS
o Olocldng nnd Sel-Up - When all
bl()cldn~ll::; complctc.
o PllImbil1U Connection:> - When
hO/t1tJ hiJ:'; been Connccled to
Willer an(,1 :.:eW(lr.
o Elecldc;ll Connection - Wl1en
l)lochinu. ::;Cl.up. .:IncJ plumbing
In:;pccl/on::; lI.we been approveu
Hild tile 1l0ll1e j::; connected to
the :;crv/cc P~l/lcl.
o Finnl - Afler oil required
Inopec llano arc approved and
porches, sldrling, dccJ<s, and
venllng have been InSlalled.
Lot races
, LOI rye .
Interior'
LOI SQ. /lg.
Lot covcr~gg .
Corner
Topography
Tolol height
Panh:lndlc
Cul.(Je.s;lc
BUILDING PERMIT
ITEM' SO. FT. X $/50. FT.
Main
G:lmge
Carport
Tolal Value \
Oulldino Permit Fcc
Slate Surcharuc
TOlal ['ce
(A)
SYSTEMS DEVELOPMENT CHARGE (SDC)
(El),
PLUMBING PERMIT
ITEM
Fixture:;
Resldenlial Elolh(5)
N'
S<:mltary S~wer
Fl~_
FT,
Watcr
Storm Sewer
FT,
Mobile Home
PlumbIng Permll
Stnle Surchnr{JC
TOlol Chorge
(e),
MECHANICAL PERMIT
Furn~cc
Exhau5l Hood
Vent 1"='0."
N'
Wood Stovc/lnscrI/FlrCr>locc'Unil
Dryer Vent
tP~~_
Mcch<:mlcal Pcrmi t
1~~uJnco
Zlnte ~tIfclJ:\r!J~
/6i" t-,-Ir
Tatnl Pcrmll
(D)
MISCELLANEOUS PERMITS
Mobile HOnle
Stale Issunncc
SI~tc Surcharge
Sldew<:lll<
/I
CurbcUI
II
Demollilon
Stote Surch:Hge
Total Mlscellnncous Pcrmils (E)
Sctbacl(;; ,
.. IS THE PROPOSE;D WORI< IN THE; .
'''HISTORICAL DISTRICT, OR ON
THE; HISTORICAL RE;GISTER?
II yes, this oppllcolion must be signed
ond opproved by Ihe Historical
Coordinator prior 10 permit issuancc.
~ HSE GAR ACC
N
----
_5_._.__
,S__.
W
.---.- -- ----
APPROVE;D:
VALUE
"
['E;E
/11/" I
-
_,jH/Ji) _
-4c:;"~
L6.~__
--.L j~~_
~~
TOTAL AMOUNT DUE; (excluding electrical) 4,10
lA, 8, C, 0, ond E; COllllllned)
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit is gr.1nlcd on thc express condition 1I101111e snld
conslruction Sh.1J1, In.111 respects, conrorm to lhe Ordlnilncc
odopled 'by the Cily of Springfield, including the
Develor>ment Code, rC{1ulaling the construction <lnd use of
bulldir'gs, ;:md m.1Y be ~uspcndcd or revoked nt ()ny tIme
upon violotion or :lI1Y provision::; of :;3id ordinnnce:;.
Pl~n Checl< Fcc'
O:ltc Paid:
Receipt NlJlllbe,"
Reccived By:
PI.1ns Rcvicwcd-"Qy-._---_.
Datc
System::> Development Charge is due on 011 undeveloped
properties wilhln lhe City Iimil~ which :'lfC being Improved.
ADDITIONAL COMMENTS
"
(
8y signature, I olole and ogree, tholl hove corefully exomlned
the compleled nppllcnlion nnd do hereby eertHy thai nil
Information hereon I:; true :111<1 corrcct, and I further ccrtHy
thol nny and nil worl< performed choll be donc. in accord3ncc
with the Ordin<JI'ct:~ of the City of Springfield, ond the Ln.w:.:
of lhe Sl.1le of Oregon pertainIng 10 Ihe worl< described
herein, ond lh<::tt NO OCCUPAI-JCY will be /'nilde or nny
structure withoul permission of lhe Building S:.ltely Di~i5ion.
I further certify nlol only canlr.1ctors nnd employees who
ore In complioncc'wilh ORS 701.055 will be used on thIs
project.
I rurther agree Ie cn~u;"c 111a1 all required inspections ore
reQuested:.1t the proper limc, tll,)1 e41cl1 oddre5s Is rcadoblc
from the street, :It the permit cnrd 15 loenled nllhe (rant
of thc proper. .:m J lC .1pproved ~cl of pl~n~ will rem~ln
on the ~ite :JI 011 1m to duril !'l conslr II n.
(
VALIDATION:
:0
::J: -<
-< '=' ::0
:0:0
C':l::O-<Z
:r: m m CIJ
DC':).. **
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DCi1.. DO
ClJml-'zl-'
.J.: .
...........00
m <nO
...... ~~ ~- "0
.. vlOI'XlO
O. . O~
-:. r- ____.<"""";1-..
r..o-.I C1 Cl~ Cl
RECE;IPT NUMOE;H
DATE; PAID
AMOUNT RECEIVe.D ___
RE;CE;IVED OY __...____