HomeMy WebLinkAboutPermit Mechanical 1998-2-11
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RESIDENTIAL
PERMIT APPLICATION
Inspections: 726-3769
Office: 726.3759
LOCATION OF PROPOSED WORK:
ASSESSORS MAP:
lOT:
OWNEP' ~F'" ~jlJEI...JT'
ADORFoo, . '.2k5 Fae5y+H1A-
CITY' "5D1l''4b'E"ID
SPRINCFIELD
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JOB NUMBER
CflO IIi
225 Fifth Street
Springfield, Oregon 97477
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TAX lOT:
SUBOIVISION:
ADDRESS
CONST.
CONTRACTOR.
,ZJ."S ':-C#2,SV,H1A-
BLOCK:
STATF. C:(4..q;yJ
U
PHONS:'
'74/ -~a(3
ZIP:
C/74,2,
DESCRIBE WORK: 'N31AII~ OF A '3 '1'tt-) It1;q,- puMP Af,Jf) FU~ 1ZE.P1N.EMr=/Jr
NEW_ REMOOEL_ ADDlTlON_ DEMOLlSH__ oTHERJJPt\rACE.ltEATl,t..AQ S\IS~
~ J I .
. OF UNI~: IS,:
CON~ :,q~: ~ . OF BDRMS'
. OF STORIES: HEAT S~C~~ q~ SECONDARY HEAT:_
WATER HEATER: RANGE: ->}.~, DC;; SOUARE FOOTAGE:
V '''!, ~t .~
To request an Inspection, you must call ,726.3769. ThIs Is a 2.r~ -r~[dl~IY~ecllons requested berore 7:00 8.m. wIll be
mada tha sama wo,klng day,lnspecllons 'OQU~~~~;;';;OI~l~~~~~Wlng wo,k d~y
D Temporary Eloctrlc D Rough Mechanical - ~r~ ~~)ilnal PlumbIng - When 0."
cover. -~ <G>: ~mblng work Is complete.
~ ~~~ "tt.
o Rough Electrlcal- Prior tV~. .~ In8t'",4iIectrlctll _ When all
cover. .. ~ ~trlcal work Is complete.
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o Electrical Service _ Must ~ ~~Flna' Mechanical - When all
approved to obtain permanen\Q ~ mechanical work Is complete.
olectrlcal power. ~
CONTRACTOR'S NAME
GENERAl.
PLUMBING'
MECHANICAl:.~A1'E~;"'(
I
ELECTRICAL.
QUAD AREA-
. OF BLOGS.
OCCY GROUp.
D SHe InspecUon - To be-mado
aller excavation, but prior 10
setting 'orms.
D Underslab Plumblng/Electrlcall
MechanIcal - Prior to cover.
o Fooling - After trenches are
excavated.
D Masonry - Steel location, bond
beams, groullng. ' .
o Foundallon - After forms are
erected but prior to concrete
placement.
o Underground Plumbing - Prior
to filling trench.
o Underlloor Plumbing/Mechanical
- Prior to Insulation or decking.
o Post and Beam - Prior to floor
_ Insulation or decking.
o Floor Insulation - Prior to
decking.
o Sanitary Sewer - Prior to IIIlIng
trench.
D Storm Sewor - Prior to filling
trench.
o Waler line - Prior to filling
trench.
D Rough Plumbing - Prior to
cover.
(J.o.evt 4lz. OICX:>::J.1<;O
~/Vf'.) C(2... "114040
- OFFICE USE -
LAND use.
o Fireplace - Prior 10 facing
materials and framing Insp.
o Framing - Prior to cover.
o Wail/Ceiling InsulaUon - Prior to
. cover.
o Drywall - Prior to taping.
o Wood Slovo - Aller Installation.
o Inserl - Aller fireplace approval
and Installation o' unit.
o Curbcut & Approach - After
forms are erecled but prior to
placomont 01 concreto.
D Sidewalk & Driveway - Aller
excavation ts complete, forms
and sub.base mAterial In place.
o Fence - When completed.
D Streot Trees - When all rOQulred
trees are ptanted.
EXPIRES '.;. PHONE
<s/JoI4~
~-2-9'/D
FLOOD PLAIN.
ZONING CODE:
o Final Building - When all
required Inspecttons have been
approved and building Is
com pIe led.
o Other
MOBILE HOME INSPECTIONS
o Blocking and Sol.Up - When all
blocking Is complete.
o Plumbing ConnecUons - When
home has been connected 10
waler 3nd sewer.
o Electrical Connection - When
blocking, set.up, and plumbing
Inspections have been approved
and the home Is connected to
the service panel.
o Final - After all required
Inspections are approved and
porch os, skirting, decks, and
venting have been Installed.
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DINA DeVANEY
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ASSOCIATED 0
HEATING Br AIR CONDITIONING
p,O, BOX 412
EUGENE, OREGON 97440
Phone: (541) 683-2590
Fax: (541) 607-0287
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Lot faces
..
Interior
lot sq. fig.
Lol coverage
. Corner
Topography
Total height
Panhandle
Cul.de.sac
BUILDING PERMIT
ITEM
so. FT:
X SlSa, FT.
Main
Garage
CarpoT!
Total Value
Building Permit Fee
Stale Surcharge
Total Fcc
(AI
SYSTEMS DEVELOPMENT CHARGE (SDC)
(BI
PLUMBING PERMIT
ITEM
FlxlUres
Residential Balh(s)
N'
Sanitary S~wer
Water
FT,
FT.
Storm Sower
FT,
Moblle Home
Plumbing Permit
Stalo Surcharge
Tolal Charge
(C)
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan
N'
Wood Stovellnsert/Flreplace Unll
Dryer Vent
, ::Z:/'" ADM'"..,
Mechanical Pormlt
Issuance
Stale Surcharge
Total Permit
(01
MISCELLANEOUS PERMITS
Mobile Home
Slale Issuance
Slate Surcharge
Sidewalk
It
It
Curbcul
Domolltlon
Slale Surcharge
Total Miscellaneous Permils (E)
TOTAL AMOUNT DUE (excluding electrlcat)
(A, B, C. D, and E Combined)
Setbacks
I Pol. I HSE GAR
N I
I s I
I
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VALUE
FEE
joS. CO
.4<;)
JQ.oo
,IS
4f;;u".20
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Accl
I
I
.._E PROPOSED WORK IN THE.
RICAL DISTRICT, OR ON
T HISTORICAL REGISTER? ....D.C2-
If yes, this application must be signed
and approved by the Historical
Coordinator prior to permit Issuance.
APPROVED:
BUILDING Vl\uJE, PLAN CHECK
AND BUILDING PERMIT
This permit is granted on the express condition thai the sold
construction shall, In all respects, conform to Ihe Ordinance
adopted by the Clly 01 SprIngfield, Including the
Development Code, regulating the construe lion and use 01
buildIngs, and may be suspended or revoked at any lime
upon violation of any provisions 01 sold ordlnancos.
Plan Check Fee:
Date Paid:
Receipt Number.
ReceIved By:
Plans Reviewed ~y
Date
Systems Developmenl Charge ts due on all undeveloped
properties wHhln tho Clly limits which are belng-lmproved.
ADDITIONAL COMMENTS
By sIgnature. I stale and agree, thai I have carOfully examined
the compleled appllcallon and do hereby certify that all
Information hereon Is true and correcl, and I furlher certlly
that any and all work performed shall be done In accordance
with the Ordinances of lhe City of Sprlngfleld, and the Laws
of the Stale of Oregon perlatnlng 10 tho work described
. herein, Bnd that NO OCCUPANCY wl}1 be mcde of any
structure without permiSSion of Ihe BuildIng Safely Division.
1 furlher cerllfy thai only contractors and employees who
are In compliance with ORS 701.055 will be used on this
pro/ecl.
I further agree 10 ensure that al/ required Inspecllons are
requested at the proper time, thai each address Is readable
from the street, that the permit card Is localed at the Iront
of the property, and the approved set of plans will remain
on the slle at all limes during construction,
Slgnature~ '*.2.lI~
Oat. :if..(D)~
VALIDATION;
RECEIPT NUMBER 7/61 <i ~
DATE PAID '] - II - Cj (
AMOUNT RECEIV;'O -J:; J~)-/l
RECEIVED BY J/}vAJ