HomeMy WebLinkAboutPermit Mechanical 1999-7-12
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SPRINGFIELD
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JOB NUMBER 79lf1 ~ 7
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RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
Office: 726.3759
225 Fifth Street
Springfield, Oregon 97477
LOCATION OF PROPOSED WORK: _""'-"'~ ~p .mflAt-
ASSESSORS MAP: /7 b ~ 341 ?
Uh\/
/
co 50 0
TAX LOT:
LOT'
BLOCK'
SUBDIVISION:
OWNER: LorK.y_ 6n'X.A. )r1
ADORE""" ,s-:.a::;g '7d.(AP mol"1"'t- tJ..bJ./
CITY' -:; ori (\.fi eJ t1I U St-TC' '
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'r}';) ~ -O(ofu
PHONE:
tc)~
OJ 74'7 '7
ZIP:
DESCRIBE WORK:~&41 U -D(o~~ _ Or1rf
~~.~ "l'f-lPI/ (M"~
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OTHER
NEW
REMODEL
ADDITION
DEMOLISH
CONST.
CONTRACTOR .
CONTRACTOR'S NAME
ADDRESS
EXPIRES '::" PHONE
GENERA' '
PLUMBIN'"
MECHANICAL:.fi:]a(ShiUlls I-b:trll&l ~IJD O/!J:rl1t?/LJ:r/-. #<-~CjD
ELECTRICA' . ~ V I ;fJt2ld
?Cf7 -I2/' 7'lqs-
- OFFICE USE - aRK
~1i\&'&;_ p.U:.E"P\RE\FlHE~N01FLOOD PLAIN:
~1Se~myYt>J"'I,",C:Ri\-I\SPER~~~J'\R ZONING CODE:
OR\l.l:U 1 - {>.NOUN""" rv
~~ T.Y.P!bI'\Q\!';!>S . OF BDRMS:
I r:-flMMI;!ilvt:V-
H'!:'A'fSQl.i~PFR\OO. SECONDARY HEAT:
p..N'< '\tiU
RANGF' SQUARE FOOTAGE:
QUAD AREA'
. OF BLDGS:
OCCY GROUP'
. OF STORIES:
WATER HEATER'
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TO request an Inspection. you must call 726.3769. This Is a 24 hour recording. All Inspections requested before 7:00 a,m,
made the same workIng day. Inspections requested after 7:00 a.m. wllb9Et;IfT\"a4de the following work day.
, ", rAOU\1 . ,~..\\h/
- REQUI FtEID\'1 N\ SBECliI0NS,\\'I
' F.M\\V"'~' cltl~\ '" ' -teSe\IV1
o Temporary Electric 1'-11 GlllE.ROUgh'lMechanlcal\e=~{.\or'to.001. 0 Final Plumbing _ When all
10\\0\" cover:el. \I'V~-llg\'lOp. "'~\es b~ plumbing wprk Is complete.
Notilicat~~~~O~':001 0 t\'l;Or:\ies 01 tne III One
D Site Inspection - To be mado. op..E~T'Rough..)Ehictrlc'1l -:-rP-rt6r.ftSn . n
after excavatlon, but prior to ,0 90 lvlcover. tel ~NO\e~."..1;; Not\l\ca\\O
selling forms, 00 '. gt\'le cen . On llt\\l\~ )
ca\\ln . I tl'le aleg 0 "32-2344 .
O _l.-.anO .. p.O "v
Underslab Plumblng/Electrlcel/ nlP""l' ~~!'.9!.rtc.1 Service _ Must be
Mechanical - Prior to COVer. L...J approved to obtain permanent
electrical power.
will be
D Final Electrical - When all
electrical work Is complete.
o Final Mechanical - When all
mechanical ,work Is complete.
o Footing - After trenches are
excavated.
o Final Building - When all
required Inspections have been
approved and building Is
completed.
~therCA5
o Fireplace - Prior to facing
materials and framing Insp.
o Masonry - Steel location, bond
beams, grouting.
o Framing - Prior to cover.
.
IJM1I
I I
D Foundation - After forms are
erected.but- prior to concrete
placemont.
o Wail/Ceiling Insulation - Prior to
cover.
o Underground Plumbing - Prior
to filling trench.
o Drywall - Prior to taping., '
MOBILE HOME INSPECTIONS
O Underlloor Plumbing/Mechanical' ,
- Prior to Insulation or deckIng. 0 Wood Stovo - Aftar Installatlon.
o Post and Beam - Prior to floor @
Insulation or decking. nsert - After fireplace approval
and Installation of unit.
o Floor Insulation - Prior to
decking,
o Blocking and Set.Up - When all
blocking Is complete.
o Plumbing Connections - When
home has been con nected to
water and sewer.
o Curbcut & Approach - After
forms are erected bllt prIor to
placemont of concrete.
o Sanitary Sewer - Prior to filling
trench.
o Electrical Connection - When
blocking, set.up. and plumbing
Inspections have been approved
and the home Is connected to
the service panel.
o Sidewalk & Driveway - After
excavation Is comploto, forms
and sub.base material In place.
D Storm Sewer - Prior to tilling
trench.
O Water Line - Prior to filling
trench. \ .
o Fence - When C01Y'Ipleted.
o Final - After all required
Inspections are approved and
porches, skirting, decks, and
venting have been Installed.
o Rough Plumbing - Prior to
cover. \,
o Street Tree. - Whon all required
trees are planted.
. .,,;' ".
. '",.
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Lot (aces
LoI Type .
Interior
Setbacks
I P.L I HSE GAR ACC
I N I
I S I I I
W I I
~.L=-_-=
..AHE PROPOSED WORK tN THE,
"ORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
If yes, this application must be signed
and approved by the Historical
Coordinator prior to permit Issuance.
Lot sq, ftg.
lot coverage
Corner
Topography
Total height
\.
Panhandle
Cul.de.sac
APPROVED'
BUILDING PERMIT
ITEM SO, FT.
Of
X S/SO. FT. _
VALUE
. .., 'I
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
Garage
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This permit Is granted on the express condition that the 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 revoked at any time
upon violation of any provisions of said ordinances.
Main
Carport
Plan Check Fee:
Date Paid:
Total Value
Building Permit Fee
Receipt Number:
State Surcharge
Received By:
Total Fee
(A)
Plans Reviewed By
Date
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge Is, du.e on all undeveloped
properties within the City limits which are being Improved.
PLUMBING PERMIT
ITEM
ADDITIONAL COMMENTS
FEE
Fixtures
Residenllal Bath(s) N'
Sanitary S~wer
Water
FT.
FT.
l)(A 11~ - # 31(~2r>.EQ
Storm Sewer
FT.
Mobile Home
PlumbIng Permit
State Surcharge
Total Charge
(C)
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan N'
Wood Stove~~rePlace Unit
Dryer Vent
(;A-5 ~/
, ,
Mechanical Permit
J<"_()O
10. ()r>
/.~ }If"
2-&. n>
By sIgnature, I state and agree, that I have carefully examined
the completed eppllcatlon and do hereby certify that all
Information hereon Is true and correct, and I further certify
that any and all work performed shall be done In accordance
with the Ordinances of lhe City of Springfield, and the Laws
of the State of Oregon perlalnlng to the work described
herein, and that NO OCCUPANCY will be made of any
structure without permission of the Building Safety Division.
I further certify that only contractors and employees WhO
are In compliance with ORS 701.055 will be used on this
proJect.
Issuance
State Surcharge
Total Permit
(0)
I further agree to ensure that all required Inspections are
requested at the proper tlme, 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 :i times during construction.
Signature //J,rt',~ ~~
//r7--/~
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MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
fI
Date
Curbcut
fl
Demolition
State Surcharge
VALIDATION:
RECEIPT NUMBER l) 5l{17 7
DATE PAIf' 7/(2-/'1 r .
AMOUNT RECEIVED -LJ 2' r- oj
RECEIVED BY ~ CJ~
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrical)
(A. B, C, D. and E Combined)