HomeMy WebLinkAboutPermit Mechanical 1999-10-4
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RESIDENTIAL . 0;:;i':;:'~f.;;5,,,2. .,1:;
PERMIT APPLlCATIO~~r~w,.> l~'.
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LOCATION OF PROPOSED WORK. zj 31' s;-.., i C I ?-AQ \J u:. e.
ASSESSORS MAP.17f6-:l, :21 I ~ j .
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OWNER. '15
ADDRES":" 2.?3:!S.C'\eQ.;rvo..~ ..':
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Inspections: 726.3769
Office: 726.3759
LOT.
CITY.
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DESCRIBE WORK.
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ADDITION
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NEW REMODEL
CONTRACTOR'S NAME
GENERA' .
.PLUMBING:
MECHANICAL: A~
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DEMOLISH
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225 I'iflh Street.~ . .-'l?'. .
Springfield, Oreg.on 97477. .
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SUBDIVISION.
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9. 7'/77 .
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ADDRESNO'TICE: g~~e:WORI< ExpiRES .;'. PHONE.,
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.AllTHOR\ZEO_Ll~~~~ONEDFOR ."._.___~, ;,.,;
.COMMENCl:uu"I~.. " i.. !I'II. <);,<;.'0 Gr~I..
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- OFFICE USE -
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~reaop\<l!!AND'USF. 0....0
ATrENTiu".~ - ,. !\1eOregon UI"'1
- r..o. r\,I~" "rlDpted by. OF.I UNIT!".."" forth
IU~":". :" C nter.ThOS6Iu,\;':::- aO;?-001-
l\InllflcattOn e 0010thC0NSTR'I.'jYPE:: '_
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I _, _ '(." ",~obtaln cflEAl;hS0URc"~ne
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ailing the center. \ .,...' . NotificatIon
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To request an Inspeetlon, you must call 726.3769. This Is a 24 hour recording. All Inspections requested before 7:00 a.m. will be
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made the same working day. Inspections requested after 7:00 a.m. will be made the followIng work day, ,. _ ......, ~__
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REQUIRED!NSPECTI0NS
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. 0 Rough Mechanical ~ Prior to
~over. .
ELECTRICA' .
OUAD AREA:
. OF BLDGS:
OCCY GROUP:
. OF STORIES:
WATER HEATER:
o Te":,porary Electric
o Site Inspection - To be made-.
after excavation, but prior to
setting forms.
o Underslab Plumbing/Electrical!
Mechanical - Prior to cover. .
o =~~~~~~ed After..t~enChe~,~~~.,,', :i,
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o Masonry - Steei,locatlon..bond ",.
. beams, grouting." . '. ~ :
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o Foundation' - After' forms are
erected. but prior to concrete
placeme~t. i ,','
o Underground Plumbing - Prior
to filling trench. ..
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'-0 Roug.h.Electrlcal - Prloi.to
cover. ;
o Electrleal Service - Must be
. '..1 approved to obtain permanent
"'j elect.r,l.c~1 power,
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D'FJr~PI~ce - Prior to facing
materials and framing Insp.
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L=J.F~~.":,Ing '- P~lor to cover.
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Do Wail/Ceiling insulation - Prior to
, '.' ."Tcover." I,;;" t '
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o Drywall -;- PrIor to tap.!ng.
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.FLOOD PLAIN.
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ZONING CODE:.....!.L.:.
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~ OF BDRMS.
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SECONDARY HEAT:
SOUARE. Fo.OTAGE:
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II Final Plum,blng -, WhenJall)!r..ti;. .
/~Jblng wo,rl< Is cO~~~~~L, " :
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~rlcal,work IS'CO~~I'~Jt~, t; 1
Fin Mechanlcel -,..,\t>Ihen all,
chanlcal work Is complete.
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o F,ll)al Bull~l"g,,,",">>.'he!),~I! t
required 'Inspections 'have Deen
approved and building ,Is.
completed. _ . ..,..,
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o Other
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MOBILE ,HOME..INSPECTIONS
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O Underlloor Plumbing/Mechanical... .. .
- Prior to Insulation or decklng..f'; 0 WoodS.tovo - After Installation.
o Post and Beam - Prior :t.o floor
Insulation or decking. '
o Floor Insulation - Prior to .
deckl ng.
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't~=f Inseri - After fireplace approval
and Installation of unit. .
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o Curbcut & Approach - After
, forms are erected but prIor to
plac'emont of concrete.
o Sanitary Sewer - Prior to fililng .
treneh. :
, ... ~,. :;. .-.. 0 Sldawalk &. Driveway - After
O Storm Sewer ~ Prior to filling exc~vatlon Is..complete, f~rms
trench. . . . '. ..~n.d s~~.pase material I~_ plac.e.
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" 0 F~~ce:.- Whe~ cOfilpleted. .._ .. ...... u_..;_;-
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. '.... ,'.r '- Inspectlone.are,approved,and ,.c"""{o'l
-:'''''j Dis,!reehTree, S - When all requIred ' porches, Sklrtlng,'deo ~*o!>' and, ~"o , Iy~_'
. trees 8:re. plan.ted. . , I!:'.' ~.ventlng have ~een'ln~J~lJ~d!Afv.!~ ,. i;/
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O Waler Line - Prlqr to flllln.g
trench. ..:,.,
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D Rough Plumbing ::.:.:... Prior to
cover, .' -- r
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o Blocking and ~et.Up'- .When ali
blocking Is cOmpl~,!~..,...~~~..q' :..,r.:::;
o Plumbing Connectlons'~'When
home has been connected to
.. . water and sewer:--.......:..: ~In\.....:l~~l(:: .!
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D Electrical Connection - When
. blocking, set.up. and_plumblngl(i
In~pectlons have beeniapproved
and the home Is connected :tOi:.~
the service panel.. - ....C
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..,.:.'-"::0..1;"., Setback's". ,',.,."... .. ( S THE PROPOSED WORK IN THE.
.,. .. .,JiPL: HSE GAR .ACe' ....:HISTO~ICAL DISTRICT, OR ON
"'1"~;'1. .,. ... .THE HISTORtCAL REGISTER?
N ' . II yes, this application must be signed
hS\.-"'7 '" and approved by the Historical
Coordinator prior to permit Issuance.
lot faces
Lot Sq.jt~::
. Lot coverage
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.~:~,rr{terlor
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"... r....~,:l . Corner
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. panhandle'~
Topography
Total height
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Cul~de~sac
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BUILDING PER~IT~4~rii,~.
ITEM SO. FT. X $/SO. FT.
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VALUE
Main
Garage
Carport
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Total Value
.~, BuUalng Per'init Fee'
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State'Surcha'rge
'I
Tolal Fee
(A) ..
SYSTEMS DEVELOPMENT CHARGE (SDC).'
(B)
PLUMBING P.ERMIT
ITEM
FEE
Fixtures
Residential Bath(s)
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Sanltary'S~wer
FT.
Water
FT" ,.
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Storm Sewer
FT.,
Moblle.Home.
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Plumbing Permit
State Surcharge
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Total Charge
(C)
MECHANICAL p',ERMIT
Furnace
Exhaust Hood 1. .f ''-,','
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Vent Fan
N'
Wood Siovei';;s;,rtiFlreplack Unit
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Mechanical" Permit
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Issuance
State Surcharge
Total P.ermlt ~
(D)
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MISCELLANEOUS PERMITS
Mobile Home . I t~
State Issuance
State .Surcharge .'.
Sidewalk It
Curbcut ft
Demolition
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State Surcharge .,
,
Total Mlsc.~"aneous'P~rmlt" (E)
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\. TOTAL AMOUNT DUE <exeludlng electrical)
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.:",.. :.\:: /~:FoPR9VED:
BUILDiN'GV}i;L~E, PlAN CHECK
AND BUILDING PERMIT
This permit is granted on the express condition that the saId
constructlon shall, In all respects, conform to the Ordinance
adopted by the City. of Springfield, Including the
Development Code, regulating the construction and use of
oulldlngs, and may be suspended or revoked at any time
upon violation of any provisions of saId ordinances.
Plan Check Fee'
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Date Paid:
. Receipt Number:
R~celved By:
Plans .Revlewed By
Date
.' Systems .,o.evelopment Charge is due on all undeveloped
properties withIn the CIty limits which'are being improved.
ADDITIONAL COMMENTS
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By slgnatu~e, I state and agree, that ~ have carefully examined
the eompleted application and do hereby eertlfy that ali
Information hereon Is true and correct, and I further certify
that any and all work performed shall be dons in accordance
with the Ordinances of the City of Springfield, and the Laws
of 'the' State of Oregon perlalnlng to the work des,:rlbed
herein, and that NO OCCUPANCY will be made of any
structure without permission of the Building Safety Division.
I further ce:rtlfy that only contractors and employees who
are In c'om.pllance with ORS 701.055 will be used on this
project.
I further agree to ensure thai all required Inspections are
requested at the proper, t}me, that each address Is readable
from the street, that the permit card Is located at the front
of the property, and the approved set of plans will remain
on the site at all times during construction.
Signature
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Dale
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VAI.lljATION:
RECEIPT NUMBER () 1 f7 ) Lf
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DATE PAIr'
AMOUNT RECEIVED
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RECEIVED BY
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