HomeMy WebLinkAboutPermit Mechanical 1999-9-13
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726-3769
Office: 726-3759 I
.
LOCATION OF PROPOSED WORK' /~4~ L.t>....n< L.~.L)P'
ASSESSORS MAP' ) ';1 n ? z. 7 :2- 2--
LOT:
OWNER:
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.ADDRESS:
CITY'
DESCRIBE WORK'
NEW
REMODEL
BLOCK'
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STATE: .:.....0,....
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ADDITION
DEMOLISH
OTHER
.
JOB NUMBER 37'/2 ~
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225 Fifth Street
Springfield. Oregon 97477
TAX LOT:
SUBDIVISION'
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PHONF' 7~/o -;;UJ<I"1
ZIP'
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IrA
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ADDRESS
CONST.
CONTRACTOR'
EXPIRES '1:> PHONE
CONTRACTOR'S NAME
GENERA' .
PLUMBING:
MECHANICA" )"L"roL 4,.,h.-t/~ 7/)1- ACI-r- .,c
ELECTRICAl'
f<fll..'-j
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2 <f,-.F6.;1
- OFFICE USE -
QUAD AREA' LAND USE: FLOOD PLAIN'
. OF BLDGS: . OF UNIT"" ZONING CODE:
OCCY GROUP' CONSTR. TYPE: _ . OF BDRMS'
. OF STORIES: HEAT SOURCE: SECONOARY HEAT:
WATER HEATER' RANGF' SQUARE FOOTAGE:
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.
o Temporary Electric
o Site Inspection - To be made
after excavation, but prior to
setting forms.
o Underslab Plumblng/Electrlcall
Mechanical - Prior to cover.
o Footing - After trenches are
excavated.
o Masonry - Steel location, bond
.beams. groutl ng.
o Foundation - After forms are
erected but prior to concrete
placement.
o Underground PI~mblng - Prior
to filling trench.,
o Underfloor 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 filling
trench.
o Storm Sewer - Prior to filling
trench.
o Water Line - Prior to filling
trench.
o Rough Plumbing - Prior to
cover.
REQUIRED INSPECTIONS
~R~ugh Mechanical - Prior to
~over.
~ Rough Electrical - Prior to
~cover.
o Electrical Service - Must be
approved to obtain permanent
electrical power.
o Fireplace - Prior to facing
materials and framing Insp.
o Framing - Prior to cover.
o Wail/Ceiling Insulation - Prior to
cover.
o Drywall - Prior 10 taping.
o Wood Stovo - After Installation.
o Insert - After fireplace approvlll
and Installation of unit.
o Curbcut & Approach - After
forms are erected but prior to
placemont of concrete.
o Sidewalk & Driveway - Alter
excavation Is compicte, forms
and"sub.base material In place.
o Fence - When corrlpleted.
o Street Trees - When all required
trees are planted. '..
o Final Plumbing - When all
plumbing w9rl< Is complet.e.
IYf' Final Electrical - When all
~ electrical work Is complete.
~ Final Mechanical - When all
~echanlcal work Is complete.
o Final BUilding -. When all
required Inspections have been
approved and building 15
completed.
o Other
MOBILE HOME INSPECTIONS
o Blocking and Set-Up - When all
blocking Is complete.
o Plumbing Connections - When
home has been connected to
water and 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
porches, skirting. decks, and
venting have been Installed.
r"
,
Lot faces
,.
LIH sq. ftg.
Lot coverage
Topography
Total height
L~t'~y.
Interior
Corner
\
Panhandle .'
Cul.de~sac
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:. IS THEPROPO~:ED WORK tN THE. .
'-"HISTORICAL DISTRICT, OR ON
THE HisTORICAL REGISTER?
If yes, this application must be signed
and approved by the Historical
Coordinator prlot to permit Issuance.
'\.~ Setbacks.
h~L. HSE GAR ACe' I
N
S
Iw
IE
BUILDING PER~IT:'i.;; .t
ITEM sa. FT. x $/SO. FT. ~ VALUE
Main
Garage
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fee
(A)
"
SYSTEMS DEVELOPMENT CHARGE (SDC)
PLUMBING PERMIT
ITEM
Fixtures
Resldenllal Bath(s)
N'
Sanitary S!'wer
Water
FT.
FT.
FT.
Storm Sewer
Mobile Home
Plumbing Permit
State Surcharge
Total Charge
MECHANICAL PEflMIT
Furnaco /lft)l>.
Exhaust Hood
Vent Fan
N'
Wood Stovellnsert/Flreplace Unit
Dryer Vent
Mechanical Permit
(B)
(C)
Issuance
State Surcharge /,DJ":" r I7'J-
Total Permit (0)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
ft
Curbcul
ft
Demolition
State Surcharge
Tolal Miscellaneous Permits (E)
FEE
m/-tk
)f:'fTO
-.i.O . NJ
)J3-0
--2f.., is,O
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, 0, and E Combined) .
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APPROVED:
. ,
BUILDING VAuk PLAN OHECK
AND BUILDING PERMIT
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
oulldings, 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
Dat~
Systems Development Charge Is due on all undeveloped
properties within the City limits which are being Improved.
ADDITIONAL COMMENTS
~AVH(1?~ ?!I:o.r /' ~i~/7<L
~<; ,.-PA1?~iI~/~ or
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 tho 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 approved set of plans will remain
on the site at all ~:,e:;;ur~n. ~
Signature ?-?~~'-J ~ /
,."Q-/?( J C/
VALIDATION:
RECEIPT NUMBER
:?S-S-~7
Y/2A)' .
"/ / ro
20.
r~~
DATE PAID
AMOUNT RECEIVED
RECEIVED BY