HomeMy WebLinkAboutPermit Mechanical 1998-5-29
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JOB NUMBER qiO~6.H I
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726,3769
Office: 726.3759
LOCATION OF PROPOSED WORK' 5(J C; k (? I 'I
ASSESSORS MAP' / 7 t1 ~ '~ S)- 1
225 Fifth Street
Springfield. Oregon 97477
tJ C, I'M l>
TAX LOT:
SUBDIVIStON'
LOT:
BLOCK:
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<;;0 1. k~lr - .
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/
PHONE:_ '7'...{(:.,- (7) r!
OWNER:
ADDRESS'
CITY'
STATE: _I) ~
ZIP: _'77l/~ J
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c...i-v1j~
) IJ 7a-"q\.. L.
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DESCRIBE WORK'
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REMODEL
NEW
ADDITION
DEMOLISH
OTHER
CON ST. !:"'f'{S, ?It'1l~
CONTRACTOR · EXPIRES '" I>t-fONE
7'.{) fS9
CONTRACTOR'S NAME n
GENERAl' 1-/e.oo{~"-e.A
PLUMBING:
ADDRES1
, <:-.1.,' NU....'t
I
NOTICE:
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORI7Fn IINn~1:) T.MII1 Pl!~MIT I: fie;,;,
- OFFICE USE GOMMENCED OR IS ABANDONED FOR
LAND USE: ANY lAO nllY PERlfltP.OD PLAIN'
JO
MECHANICA' '
ELECTRICA"
QUAD AREA'
. OF BLDGS:
OCCY GROUP:
. OF STORIES:
WATER HEATER:
. OF UNITS:
CONSTR. TYPE:
ZONING CODE:_
. OF BDRMS:
HEAT SOURCE:
SECONDARY HEAT:
SQUARE FOOTAGE:
RANG~'
To request an Inspection, you must call 726-3769. This Is a 24 hour recording. All Inspections requested before 7:00 a.m. will be
made the same working day. Inspections requested after 7:00 a.m. will be made the following work day. .
~'~IRED INSPECTIONS
~, II.,..... R' gh Mechanical - Prior to
~ over.
o Temporary Electric
o Final Plumbing - When all
plumbing work Is complet,e.
D Site Inspection - To be mado
after excavation, but prior to
setting forms.
D Rough Electrical - Prior to
cover.
D Final Electrical - When all
electrical work Is complete.
~ Fln..1.echanlcal - When all
~h~.~lcal work Is complete.
D Underslab Plumbing/Electrical/
Mechanical - Prior to cover.
D Electrical Service - Must be
approved to obtain permanent
electrical power.
o Footing - After trenches are
excavated.
o Final Building - When all
required Inspections have been
approved and building is
completed,
o Fireplace - Prior to facing
materials and framing Insp.
o Masonry - Steel location, bond
beams, grouting,
O . (
Framing - Prior to. cover.
o Other
o Foundation - After forms are
erected but prior to concrete
placement.
o Wall/C'olllng Insulatlon.-.Prlor to
cover.
J ' .\
.,
o Underground Plumbing - Prior
to filling trench.
o Drywall - Prior lot~pl~g.
MOBILE HOME INSPECTIONS
o Underlloor Plumbing/Mechanical
- Prior to Insulation or decking.
o Wood Stovo - After Installation.
. '
o Post and Beam - Prior to floor
Insulation or decking. \ \ '.
I '
. ,
'.. -".. . " ".
o F'loor Insulation ~ .Prlor to. . !
decking, "
o Blocking and Set.Up - When all
blocking Is complete.
D Insert - After fireplace approvel
and Installation of unit.
o Plumbing Connections - When
home has been connected to
water and sewer.
CJ Curbcut & Approach - After
'. forms are erected but prior "to
placement of concrete.
o Sanitary Sewer - Prior to filling
trench.
o Electrical Connection - When
blocking, set,up, and plumbing
Inspecllons have been approved
and the home Is connected to
the service panel,
o Sidewalk & Drlvew3Y - After
excavation Is complete, forms
and sub-base material In place.
D Storm Sewer - Prior to HIring
trench. .
\ '
o Waler Line - Prior to filling
trench. ; . \ .
o Fence - When COi'11pleted.
o Final - After all required
Inspections are approved and
porches, skirting, decks, and
venting have been Installed.
o Rough Plumbl~g .:.. Prior to
cover. . .,:.,. .',
o Street Trees - Wh~n all required
trees are planted.
r:..
Lot faces
\'.\.
Lot sq. f.tg, ~
- "'..
Lot coverage
Topography
Total height
L~t ~y_
InlerJor
Corner
Panhandle 10'
Cul-de,sac
BUILDING PER"IVlIT "1 '~ '~
ITEM SO. FT, X $/SO, FT,
Main
Garage
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fee
(A)
'".
, ,
. .;,t ~"..". ....,.:::\:,i~:~}\~."..
.....!;I.',..J
I P.L.
IN
Is
W
---
,E
VALUE
"
SYSTEMS DEVELOPMENT CH~RGE'(~DC)
'. ,(B)
, I,
"j "
,'".,-, .j.. ....
PLUMBI~G P,~R,Mq:", ,''-i;,',\'"I'':,: ';',',:1
ITEM ,',J.I" It'., .
. ''1 ,'.' ,",,_ ,:_:",'..~ FEE
"/- .. I \". I ~ \~ \ I . to .' "
(, 1.... '. .. .'t..
Fixtures
Resldenllal Bath(s) N'
Sanitary S~wer FT
Water FT,
Storm Sewer FT
Mobile Home
Plumbing Permit
State Surcharge
Total Charge (C)
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan
N'
Wood Stovellnsert/Flreplace Unit
Dryer Vent
C4-S f), fU I <)Tol/~
" I
Mechanical Permit
Issuance
State Surcharge
Total Permll
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
,
Sidewalk
It
Curbcut
It
Demolition
State Surcharge
Total Miscellaneous Permits (E)
(D)
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C. 0, and E Combined)
il..
.. ~ .
IS: r)U
10, rJv
,7( l '15
it. l-rJ
Setbacks,
HSE GAR Acc'1
I
I
--1
..
i, IS THE PROPOSED WORK IN THE,
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
If yes. this appllcallon must be signed
and' approved by the Historical
Coordinator prior to permit Issuance.
APPROVED:
BUILDING VMjjE, 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 Cily,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.
.'
Plan Check Fee:
Date Paid:
Receipt Number'
Received By:
"
Plans Reviewed By
Date
Systems Development Charge Is due on all undeveloped
properties within the City limits which are being Improved.
ADDITIONAL COMMENTS
"
By signature, I state and agree, that I have carefully examined
the completed application 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 the City of Springfield, and the Laws
of the State of Oregon pertaining 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.
I further agree to ensure that all required Inspections are
requested at the proper time, that each address Is readable
from the street, that the permit card is located at the front
of the property, and the app:roved et of plans will remain
on the site at Imes d g co structlont1
Slgnatu . A .-, ,~f. -<V' /
Date L; I?
- U' "I
VALIDATION:
RECEIPT NUMBER 6'30() 7 3
s/;r/7~
A~OUNT RECEIVED 2? Z () /l
at tJa.Y
DATE PAID
RECEIVED BY