HomeMy WebLinkAboutPermit Mechanical 1999-11-17
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RESIDENTIAL
PERMIT APPLICATION
1'7/5"71
JOB NUMBER
Inspections: 726.3769
Office: 726.3759
225 Filth Street
Springfield, Oregon 97477
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LOCATION OF PROPOSED WORK: 3:J Ci~l.!0.:yc)p II
ASSESSORS MAP' / 7 /)~/'i 6/..,
06 fou
TAX LOT'
SUBDIVISION'
LOT'
BLOCK:
PHONE:&?') 592=;"044
OWNER:---f"CArJ ~ l.,Q.>1Io.. H>'flr"c L~
ADDR~""" PJ). Ro"l. ::0/
<,..[l--s',rJ.p
ZIP:_Cf{) -7t.J~
STATE: -LA
CITY:
DESCRIBE WORK: P-Ppl~"" /f:=j;"-""'fr) J/A?, ~/"A" (7
NEW REMODEL ADDITION DEMOLISH OTHER
CON ST.
CONTRACTOR'
CONTRACTOR'S NAME
ADDRESS
EXPIRES ..-:- PHONE
GENERAl'
PLUMBING'
MECHANICAL: W; ,~), 1 "'-'.r. I. I! MPfl/), 1 P,~. 110. '/lf7c>tu) )VJ7'10t./
ELECTRICAl' ATTEN110N:iJregv" ,dW I ~.3U:I~~!~I~;;~~..
1"3')~7) .. ~ I
(0-1./-<--
fJi) tj 4L/o 7
fnllnw rules aoopTea uy tllO .....,......;,:,-. '_~~ .....~.
Notification ce~tgb'1 ~;~;;~~~~o':R-QiiJ(::EIUSE -
in OAR 952-00 - . ,;., ~f th~ rules by
~~~n ,,~" ~<>" flbtaln CI?IIND USE'
vu~"V'.. - - . tel (Note:theteI81J1"iiJfii.'
calling the cen . . OF.rUNliTS'f;n<>tifln
numbertOlln~ Ore.go.I.' ;:,;~I:;; I ~;'
-::~.~ j<: '. -1>(1 CONSTR4TYPE: _
NOTICE: .
I HIS PERMrrS~~li;llii\FTHEWORK
,:,u 7; 13RIZED lm'N'iNGW~RMlT IS NOT
OOMMENCED~8lS~ONEDFOR
__IIMV1F\ODAYPm!9RDARY HEAT:
QUAD AREA:
. OF SLOGS:
OCCY GROUP:
. OF STORIES:
WATER HEATER'
HEAT SOURCE: _
RANG~'
SQUARE FOOTAGE: _
To request an Inspection, you must call 726-3769. This Is a 24 hour recording. AI/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.
REQUIRED INSPECTIONS
o Rough Mechanical - Prior to
cover.
o Temporary ElectrIc
o Final Plumbing - When all
plumbing w9rl< 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.
I"FJ ~nal Mechanical - When all
L/ r..echanlcal work Is complete.
o Underslab Plumblng/Electrlcall
Mechanlcel - Prior to cover.
o 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 - Steal location, bond
.beams, grouting.
o Framing - Prior to cover. .
o Other
o Foundation - After forms are
erected. but prior to concrete
placement.
o Wail/Ceiling Insulation - Prior to
cover.
o Underground PI4mblng - Prior
to filling trench.
o Drywall - Prior to taping.
MOBILE HOME INSPECTIONS
o Underlloor Plumbing/Mechanical
- Prior to Insulation or decking.
o Wood Stovo - After I~stallatlon.
o Blocking and Set.Up - When all
blocking Is complete.
o Posl and Baam - Prior to 1I00r
Insulation or decking.
o Insert - After fireplace approval
and Installation of unit.
o Plumbing Connections - When
home has been connected to
water ilnd sewer.
o Floor Insulation - Prior to
decking. .
o Curbcut & Approach - After
forms are (Irected but prior to
placemont of concrete.
o Sanitary Sewer - Prior to filling
IrenCh,
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 complotc, forms
and sub.base material In place.
o Storm Sewer - Prior to filling
trench.
o Fence. - \lVhen cOi....'pleted.
O Water Line - Prior to filling
trench. .
. ..", .
o Rough Plumblnll' - Prior to
cover.
.-- ~J
o Final - After all required
Inspections are approved and
porches, skirting, decks, and
venting have been Installed.
o Street Treos .:.... When all required
trees are plal)ted.
Lot sq. ftg.
Interior
.' ",' 'I 'j, ?'I~".
.~. !.." ~:""~l'.' '" -,'J),';i'i, ~t.'
...~': . -,. .' ';;".j:J,:'~
....
. . Setbacks .
I P.L. 'HSE' GAR 'Ace'1
1
Topography
Total height
.
Panhandle'
~_.
S
~S THE PROPOSED :ORK tN THE.
"'HISTO!;iICAL DISTRICT, OR ON
, THE HISTORICAL REGISTER?
If yes, this appliCation must be signed
and approved by the Historical
Coordinator prior to permit Issuance.
Lot faces
Lot ~p~
Lot coverage
Corner
Cul-de.sac
_V'J._ _
E
APPROVFn.
X $/SO. FT. -
VALUE
BUILDING VhUJE, PLAN CHECK
AND BUILDING PERMIT
BUILDING PERMIT'
ITEM SO. FT.
~
Garage
"
This permllls granted on Ihe express condlllon that Ihe said
construction shall, In all respects, conform to the Ordinance
adopted by the City, 01 Springfield, Including the
Development Code. regulallng the construe lion and usa 01
buildings, and may be suspended or revoked al any time
upon violation of any provisions of said ordinances.
Main
Carport
Plan Check Fee:
Date Paid:
Tolal Value
Building Permit Fee
Recelpl Number:
Received By:
State Surcharge
Tolal Fee
(A)
Plans Reviewed By
Date
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Developmenl Charge Is due on all undeveloped
properties within the City limits which are being Improved.
PLUMBING PERMIT
ITEM
ADDITIONAL COMMENTS
FEE
Fixtures
Residential Bath(s)
N'
Sanitary S~wer
Water
FT.
FT.
Storm Sewer
FT.
Mobile Home
Plumbing Permit
State Surcharge
Total Charge
(C)
MECHANICAL PERMIT
(,.O-v
Furnace
Total Permit
(D)
It;;. () u
/0. a J
I. S71
2L.5'U
By signature, I stale and agree. that I have carefully examined
lhe 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 Ordlnanc~s of Ihe City of Springfield, and the Laws
of the State of Oregon perlalnlng to the work described
herein. and thai 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 wllh ORS 701.055 will be used on this
project.
Exhaust Hood
Vent Fan
N'
Wood Stove/Insert/Fireplace Unit
Dr;;::;
Mechanical Permit
Issuance
State Surcharge
Sidewalk
ft
II
I further agree to ensure that all required Inspections are
requested at the proper time, that each address Is readable
Irom the street. that the permit card Is located at the front
01 the property, and the approved set of plans will remain
on the site at all times during cQnstructlon.
SlgnaIUre~~ ~H~
I'; 17 / '1'1
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Date
Curbcut
Demolition
State Surcharge
VALIDATION:
RECEIPT NUMBER () ) t. 2.. II
DATE PAIP I ( 1t7! <'1
AMOUNT RECEIVEDf~ ?" r-v/J
RECEIVED BY " {I Q a-.Y
TOlal Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, 0, and E Combined)