HomeMy WebLinkAboutPermit Mechanical 1999-3-9
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LOCATION OF PROPOSED WORI<: _J()41 D.J J I VI!} 1+
17_6~1 ~/
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726,3769
Office: 726.3759
ASSESSORS MAP:
LOT:
.
SPFlINCFIELP J:IJDS
BLOC/(:
CITY:
DESCR/BE WORI<:
NEW
.
JOB NUMBER Cfio ') I t,
225 Filth Slreel
SpI/1101l,,/(I, OleOOI1 07.177
TAX LOT:
OS)Ot}
SUBDIVISION:
PHONE:_ 741o-l2.9~
7./ P: _CjJ':ElJ
DEMOLISH __.
onlEn
PHONE
CONTRACTOR'S NAME
ADDRESS
CONST.
CONTRACTOR'
GENERA' '
PLUMBING'
MECHANICALl.D~v.f. PlDw... #11'//1'';9 /95/ l>>llLlif
ELECTRICAl'
ExrlllES
tJllL/.IdJ
b.~ZI!19 7?h-DI{j)
OUAD AREA'
. OF BLDGS:
OCCY GROUP:
. OF STORIES: _.__
WATER HEATER:
- OFr-/CE USE _
LAND USE: _,_
N OF UNITS:
CONSTR, TYPE:
HEAT sounCE: _____
RANGE: __
FLOOD PLA/N:
ZON/NG CODE: ___
If OF DOHMS:
SECONOAFlY HEAT: ___"
SOUARE FOOTAGE: "._._._
To rcquC~H an Inspectlon, you must c~11l 72G.37G8, ThIs Is Ol 24 tlOur recordlnn. AJllnspccl/ons rCllllC$tccJ before 7:00 n.m. will be
made the same worl(lng d.1Y. In:;pcction!;i rcquc5tcd o.tter 7:00 a.m. will be mndc (he followlnu warl< day.
/~~~/~ :~~':'~C~/P E~~;~~,~ S
~~~~vcr. .
D Tcmpornry ~Icclric
D
Site In:;pcclion - To be mndc
Mlar excavation, but prior to
::Jell/no forlT\5.
D Undcrslnb Plumbing/Electricnll
Mechnnlcal - Prior to caver.
D Footing - Afler lrenche:::. J.re
exc~lValed.
o Masonry - Steel IDeation, bond
beams, groullng.
D
Foundnllon - After (arms Clre
erected but prior to concrete
p'nccmcnl.
o Underground Plumbino - PrIor
to rllllno trench. .
D
Underlloor Plumbing I Mech:micnl
- Prior to (nsulatJan or dec!(inQ.
D
Po:>t <lnd OC<lm - Prior 10 floor
Insulation ar decldno.
o Floor Inslllntion - Prior to
decldno.
D
SClnitnry Sewer - Prior 10 filling
trench.
D
Storm Sewer - Pfior 10 fillinQ
trench.
o
WCller Line - Prior 10 filling
trench.
o
Rough PlumbinG - Prior lo
cover.
o Rough Electric..1 - Prior to
cover.
o Electrical Service - MllSI be
approvee] to Obl.1in perrn:J.ncnl
eleclrlcal power.'
o Flrepl<lcc - PrIor to facing
mJ.lerlals and framing Insp.
o Fr.l/lllno -. Prlor to Cover.
D Wnll/C'cllinO Insulntion - Prior 10
Cover.
D Dry.....'nll - Prior 10 I,'ping.
D
Wood Stove - After Ifl::otall,l:ion.
o In!>erl - After tlreplacc approval
and InstZlllntlon of vnl!.
D
Curbcut & Appro:'Jcl1 - Aftor
forms arc '.'reeled but prior to
placement of COl1cruh.:.
D
Sidewnlk lo Drivew:l\, - Afler
cxcnviltion is completc. (orlll:;
oneJ sut).bn!>c ma~t'rlill in pl,ICC.
D Fence - WIlen completed.
o ~ltroot Tree:. - When all requIred
trees ore planted.
o
Fin.1I Plul110ing - When nil
plllmblno W9rlt Is complct,c.
o Finnl E1ecllic;ll - When ill!
electrical wOrl( is complete.
@ (
Fit I Mechnllicill - Wllcn all
ccilLlnical worl~ I~; completc.
o Fin"l ULJildill{J - WIlcn .111
rcquired In!>pecllons hLlve been
approved tlnd building Is
compleled.
o Ot,her
MOBILE HOME INSPECTIONS
o Olocking nntl Sel.Up - When L111
bl()cl(ln~l I!> complcte.
o Plull\bill\) Connections - When
11O/TH~ hiJ:j been connecled to
Willer ;\l1tl :;evlt:r.
o
ElcClfic;ll Connection - When
blor.ltiIlO. :;e!.up. nnd plumbing
In:;peClltln:; have been opproved
imd Ihe 110ll1C is connected to
111(: :..:ervice p~lncl.
I I FinO'll - Arler all required
l/wpeclion3 .He approved and
porches, sldrllng, dccl<.s, and
venting hnve been Ins/ailed,
~-
i ~:: ::~CI:g.
I LOI coverage
Topography
ToloI helglll
Lol Type.
Interior'
Corner
Panh'-JIldlc
Cul.dc'~~c
BUILDING PERMIT
ITEM SO. FT. X !o/SO. FT.
Main
Garage
Carpor!
Tolol Volue
Building Permit Fcc
SI~IC Surcharge
TOlnl rec
(A)
Sct\)m:I(:) .
.J:b.... HSE I_GAR
N
ACC I
I
'.' S THE PROPOSED WORI< iN THE,
./ISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
II yes, Ihis oppllcollon must be signed
end opproved by Ihe H1slorlcol
Coordinator prior to permit l:;su<lncc.
_5_.__ ____
.'!L._ __ ____
E
----..
VALUE
"
SYSTEMS DEVELOPMENT CHARGE (SDC)
PLUMBING PERMIT
ITEM
FIXlures
Resldenilol Both(s)
N'
Sanitary s~wcr
Water
1''1'.
FT.
Storm Sower
FT.
Mobile Home
Plumbing Permit
Stale Surcharoe
TOlol CllOrge
MECHANICAL PERMIT
Furnace
Exhousl Hood
Venl Fan
N'
Wood Stovc/lnscrl/Flrcplo.cc'Unil
p;;;J-nllffr.
--~---
Mechanical Permil
Issuance
St~tc Surch~IIUc
Total ParmI!
(B)
(e).
Mobile Homo
MISCELLANEOUS PERMITS
(D)
State Issuance
Stale Surcharge
Sldcwall<
"
Curbcul
II
Demoll lion
Slole Surchnrge
Talal MIscellaneous Permits (E)
TOTAL AMOUNT DUE (exclu(llnO eleclric"l)
(A. 0, C. 0, ~nd E Combined)
FEE
/5r(jIJ
jt!.. (} II _
t.f1L!L
2-~ U>
APPROVED:
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
Thi:::; permit is g(onlcd on the express condition lhallhc said
con:;lruc!ion 311011, in 011 respects, conform to the OrdlnLlncc
odopled by Ihe City 01 Springlield, including the
Development Code. rcgul<1ling the conslructi6n <1nd use of
buildings, <3nd may be suspended or rcvol<cd at any time
upon viol<ltion 01 Llny provi:;ionG of s<lid ordlnnnccs.
Plan Cllccl< Fcc:
0:110 PiJicJ:
Rccel pi Number;
Received By:
PJ.1ns f-lcvTc-wcci-'t3y-.-'---'--
DOle
Syslems Development Charge is due on all undeveloped
properties within Ihe City"limits which ore beIng Improved.
ADDITIONAL COMMENTS
elffJ/"'f'lk.:,lflLiJj... I-
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By signature, I :;talc and agree, thai I hayc carefully examined
the completed :Ippllclllion and do hereby eartHy Ih<11 ,j,1I
Information hereon is Irue :1ncl t:orrccl, and I further certify
thal any and nO work performed ~h.111 be done in <1ccordancc
wilh the Ordlnancu:.i of the City of Spring(leld, .md the Laws
of the St.1{e of Oregon perlainlng to the worl< described
her0in. ;Jnd lllal NO OCCUPAI-JCY will be rna<lc or any
Glructure without pcrrniG:jion of the BuildIng Safely Division.
I further certify II"1JI only contr.1ctors and employecs who
arc in compliancc'wi1l1 ORS 701.055 wIll be used on this
proiecl.
I further o.gree to cn~ur 111at all required Inspections arc
rcqucGtcd at the pr Lime. that Doeh oddrcss Is readable
from tho Glroet, II . I tt permit C.1rd Is Icealed at the fronl
of 1110 pro perl 1C .:lpproved ~;ct of pl;)n:; will remaIn
on tile olle, 011' 0 durl. ~~n~ru'llon.
tJ/).r>Alu
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VALIDATION:
O~>p9 2-
::./f/q~
'2~ t-d
cJ/tJ;;J
RECEIPT NUMDEfl
DATE PAIr>
AMOUNT RECEIVf:D
FIECEIVED OY