HomeMy WebLinkAboutPermit Mechanical 1999-5-13
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RESIDENTIAL
PERMIT APPLICATION
. JOB NUMOEfl
170C l//
Inspections: 726.3769
Office: 726.3759.
225 Fillh Slreel
Springfield. Oregon 97477
ASSESSORS MAP:
TAX LOT:
0"0 7
LOT:
o LOCI<:
SUBDIVISION:
OWNER:J tZAhe,Ln~ tlid \i SON
ADDRESS: ''1 Dlc10 A4er S+, '
~ n lli}.}j el d
Hed ~LUnf2-S~m
PHONE:
'7410 - '7<6/~
CITY:'
STATE:
OR
ZIP: _ gW1
DESCRI~E WORI<:
NEW
REMODEL
ADDITION
DEMOLlSI-I'___ OTHEIl
CONTRACTOR'S NAME
GENERAL:
ADDRESS
CON ST.
CONTFIACTOR If
EXPlllES
PHONE
PLUMBING'.
MECHANICAL:l!.omrDf-h I1DW_J9SIDOkl S1 'I SU!ff J f)' D04toO _b:J!J!jq !7?lrDlCD
ELECTRICAl'
OCCY GROUP:
f~~~;~;~~~&~Uf~~~'aw requires you to . .
" Notif t' '/oJ Y the Oregon Utility
'LAj~ro~m'on Cent~r. Th.Q~!:U.Ies..are set ffik'Ao D PLAIN:
, 52~001-001 0 through OAR 952-nru "
II @f;39fNIll"au ll1ay obtain 'Co " " 'h . ':'Z:OJ'\JING CODE:
. ca"i~ th ,. ,,,110;:) VI l e rules by .
CbrwejlilJbEJlf~center:l~te: the telephonEr OF BDIlMS:
r' or fne-Ofugon Utility Notific t' .
HEAT SOUI(Qemtj:lriC!~S-44). a lO!JECONDAFlY HEAT: _____._.__
RANGE: --,- . SQUAn.r: FOOTAGE: '___'_"__
QUAD AREA:
/I OF SLOGS:
/I OF STORIES:
WATER HEATER:
To request an Inspection, you must call 72G-37G9, Tills Is il 2'l1lOUr recording. Alllnspeclions r'cquCSled before 7:00 a.m. will be
made the sallie worl<lno. day, Inspections requested aller i'.:OO a.m. will be made the fOllowln\J worl< day.
REQUIRED INSPECTIONS
D Temporary Electric
o
Rough McCl1ill1ic;11 - Prior 10
cover.
[J
Final Plull1bing - When all.
p/uml)ing w()rl< is complet.e:
o
Site Inspection - To be made
afler excavallon, bul prior to'
seltlng forms.
O Rouah Elcclricill - Prior '10
cover. .
f'inal Elccl,lical- V";llen all
electrical worl< iscamp/ele.
o
Underslilb Plumbing! Efectricill!
Mechilnlcill.- Prior'to cover,
o
Eleclricil! Ser.vlce, - MllSI be
approveello obtilin perrrwncnl
elec trl CLli p'ower,
(
Fin MechilniCill - When all
cclliJnical worl<ls complele.
o
Fool/no - Alter trenches arc
excava ted.'
o
Fireplace -Prior 10 lacing
malerlals iJnd framing Insp.
o
r-inal Ouilding - Wilen all
required inspections have been
approved and:,buileljng is
complcled.
o
Masonry - Sleel local/on, bond
beams, groul/n\].
o
Framlng .- Prior to COVer.
o
FoundatIon - Alter forms arc
erected but prior to concrete
placement.
o
Other
O Wall/C'elling In'slJliltioil ~ ,Prior to
cover.' . . '.<
o
Undergrourid Plumbing - Prior
to 1IIIIng trench.
o
DrY"'/illl- Prior lo laping.
o
Underlloor Plumblnul Mechanical
...:. Prior to Insulilllon or decl<in(J.
o 'Wood Stove - After ,In:;lallalion.
MOBILE HOME INSPECTIONS
o
Post ilnd Beam - Prior 10 Ilo'or
Insulalion or decl<lng.
Dlnsert - f\ller fireplace approvlll
and InSlalli1t1o'n o( unit. , .
o Olockillg al.ld .Set.Up - Wilen illl
blocl<inD I::; complete.
o
Floor Insulation - ,Prior to
decJ<ln(J.
:0
Cllrbclll l~ APJ.HOiICI1 - Al.ter
forms arc cree'led bul prior lo
pliJCCmenl of c:oncrrile.
o
Plllll1bill\J ConllectiOlls - Wilen
11Om(~ has been,connecled 10
waler i.lllll sewer.
o
Silnitary Sewer - Prior to lilling
Irencll.
o
WaleI' L111e
trench.
Prior to (illing
-0
Fellce - Wilen ,compleled.
o Elec'tliGill COllnection - Wilen
. IJlocl<inU, set.up, ilnd plumbing
In:;pcC:llons h.wc: been approved
ilnd the hOll1e is conneCted to
lhe service panel.
o
Storll1 Sewer - P,'ior 10 filling
trench.
o
Sidewalk & Driveway - Aftcr
CX'CilVilliotl is comple'le, leil'ms
aneJ sul).[);)se mi1~erinl in place:
o
Rough Plumbil.l(J - Prior tQ
cover.
o
~)lroot Trees - When all required
trees are planted.
I I Finill - Aller illl required '
. Inspections are approved and
porches, sldrling, decl<s, and
venting hove been Install'ed.
lot faces
Lot sq. rtg.
.',
Lot coverage"
Topography
Total height
BUILDING PERMIT
ITEM
so. FT.
Main
Garage
Carport
Tolal Value
Building Permit Fcc
Slate Surcharge
Total Fcc
Lol Type
Interior'
Corner
Panhandle
Cul.cJe.~ac
X $/50. FT.
(A)
SetIJ:1cl<s.
P.L.HSE GAR
N
s
. ACC I
I
1
'-$ THE PF10POSED WORI< iN THE .'
IISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
II yes, tllis application must be signed
and app-roved by the, Historical
Coordinator prior to permit issuance.
E
W
._--~.- --- ----
APPROVED:
VALUE
"
SYSTEMS DEVELOPMENT CHARGE (SDC)
; (8)
PLUMBING PERMIT
ITEM
Fixtures
Residential Oath(s)
Nn
Sanitary S!Jwer
Water
FT. ,
--\-
I:T.
Slorln Sewer
FT.
Mobile Home
Plumbing Permit
State Surcharge
Total C/large
MECHANICAL PERMIT
Furnace
Exhaust Hood
Ven I Fan
NO.
Wood Stove/lnserl/Flreplace'Unil
Dryer Vent
f!((/A.! f1 MI--__..~
Mechanical Permi t
Issuance
Stale SUrClliH\JC
Total Permit
(C)
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
Slate Surcllarge
Sldewall<
It
fl
Curbcut
Demoll lion
Stalc Surcharge
Total Miscellaneous Permits (El
FEE
./ S- rTD
JQ.';;-~_
'iJ~}2
TOTAL AMOUNT DUE (excluding electric"l)
(A, 0, C. 0, Clnd ECOll1bincd)
BUILDING 'VALUE,: PLAN CHECK
AND BUILDING PERMIT
'This permit is gran.teu on the express condition lhatllle said
construction shall, in all respects, conform to the Ordinance
adopted. by the City of Springfield, including the
Development Code, regulating the construction and use of
buildings, and may be suspended or revol<ed at any lime
upon viol;Jlion of Clny provisions of said ordinances.
. Plan Checl< F'ee:
Dale Paid:
Receipt NUlIlber:'__..__
ReceivC(] By:
--..---... ._._,_.~--.-.--
Plans Flcvieweu Oy
Date
Systems Development Charge is due on all und'eveloped
properties wilhin the City limits which arc being Improved.
ADDIT10NAL COM)VlENTS ;'
E.Ln 7f(..r c-rJJ,. ,#~ILM'
tieC,41J /.
\
(
Oy signature, I state anu agree, tholl ha,ve carefully cxomlned
the compleled application and do hereby certify that all
information hereon is true anel correct, and I further cerlify
that any and all worl< performed Sl1011 be done in accordance
with the Ordinances of the: City of Springfield, and lhe Laws
of the St,Jle of Oregon pertaining to the worl< described
herein, <Jnu fllal NO OCCUPAf-.JCY will DC made of any
structure wilho.ut permission of the Building Safety Division.
I furlllC:r certi fy 1I1at only contractors and employees who'
arc in compliance'with ORS 701.055 will bc used on this
project.
I further Llgrec to ensure 1I1Clt all required inspections arc
requested atlhe proper lime, Ihat cacll address Is readable'
f,~orn the street, III ,.-p:er.mlt card Is localed at the fronl
of the propert ,rJnd c approved sel of plans will remain
:"~~:~"~~I.: ~~",i' 9 C;;QLa
Date ;;; ',J' Cf{lUU
VALIDATION: .
RECEIPT NUMOEf.l 03 ~ ~.~
DATE PAID !)~I~~q
AMOUNT RECEIVr::D ,') I/J ~ --xu
F\[,CEIVED OV a...f51<ic.J. C{ i0