HomeMy WebLinkAboutPermit Mechanical 1992-11-3
OWNER ,~\=\fOJ\ ~C\- ( LX\r\l_V \tl~~HONE l4!-.J,~'{1 V
ADDRESS r\~ 6 v, 0 0 (0.1 'n K.l ~ \ 1J\, Ii\
CITY ~? t)- f\V~ ~ -' - - - STATE -lH^ . ZIP q "i:t !7
DESCRIBE WORK \ L;V\D \ J r A II n() f. D c:::\ d. ~~
NEW REMO~EL~ AD~I~;N . DEMOLISH OTHER
CONST
CONTRACTOR #
RESIDENTIAL
PERMIT APPLICATION
Inspections 7263769
Office 7263759
LOT
CONTRACTOR'S NAME
SPRINGFIELD
BLOCK
ADDnESS
GENERAL
PLUMBING AlA. -
MECHANICAI\ ()'{ _, h t W fl-i~O
ELECTnlCAL \\
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JOB NUMBER -9~ I ~2{)
225 Fifth Street
Springfield, Oregon 97477
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TAX LOT _CJ?y;;)O[.J
SUBDIVISION
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EXPIRES
PHONE
croll \(),~l q3
-140-[ (07,.-1
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.~R\\)\u - OFFICE USE -
QUAD AREA LAND USE FLOOD PLAIN
. OF BLDGS . OF UNITS ZONING CODE
OCCY GROUP CONSTR TYPE . OF BDRMS
" OF STORIES HEAT SOURCE SECONDARY HEAT
WATEn HEATER nANGF SQUARE FOOTAGE
To request an Inspection, you must call 7263769 This Is a 24 hour recording All InspectIons requested before 700 am
macle the same working day, Inspections reQlIe~ted after 700 a m will be made the following work day
~QUIRED INSPECTIONS
ough Mechanical - Prior to
cover
o Rough Electrical - Prior to
cover
o Temporary Electric
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Site Inspection - To be made
after excavation but pnor to
settinG forms
o
Underslab Plumbmg! Electrical/
Mechanical - Prior to cover
o
Footing - After trenches are
excavatod
o
Masonry - Steel lo('atlon, l)ond
beams, grouting
o
Foundation - After forms cue
erected but prior to concrete
placement
o
Underground Plumbmg - Prior
to fIlling trench
o
Underfloor Plumbing/Mechanical
- Prior to In~ulation or decking
o
Post and Beam - PrIor to floor
insulatlon 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 10
cover
o
Electrical Service - Must be
approved to obtain permanent
electrical power
o Fireplace - PrIor to facing
materials and framing Insp
o Framing - Prior 10 cover
o Wail/Ceiling Insulation - PrIor to
cover
o Drywall - Prior 10 taping
D Wood Stove - After Installation
o Insert - After fireplace approval
and Installation of unit
o Curbcut & Approach - After
forms are erected but prior to
placement of concrete
o Sidewalk & Driveway - After
excavatIon Is complete, forms
and sub base material In place
o Fence - When completed
o Street Trees - When all required .
trees are planted
will be
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Final Plumbing - When all
plumbing work Is complete
o Final electrical - When all
electrIcal work Is complete
~Inal Mechanical - When all
I mechanical work Is complete
o Final Building - When all
required Inspections have been
approved and bUilding Is
completed
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o Other
MOBILE HOME INSPECTIONS
o Blocking and Set Up - When all
blockIng Is complete
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o Plumbing Connections - When
home has been connected to
water and sewer
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o Electr'c~l Co;mectJon - When
blocking, set up, and plumbing
Inspections have been approved
and the home Is connected to
the servIce panel
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d' Final - After all required
Inspections are approved and
. 'porches, skirting, decks, and
venting have' been Installed, '
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<! .. Setbacks f
~ :W't?~I'Hs'E'Wd~'Rl'IAcci
~~i~~~~~* 1'fi:~lf,l;fA:'t~~~II~I~:"
?' w" liL.opcove ~ 9 -,' nr:: - r
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t, (,h~~,h'f:ln.i ~ f.1 , . S~~~flj.~'" .}.;.:~ f'l~J" I,
f'Topograp ~ ~." P.anhandle1' '- I ~ ... ..
"ij, 1.,1 ;)",~<: ",,>t '-, '- ,-' \ 'l~'..;:<,.;}.... I' I
"'j\,I"~?r-~J'<"a:1~t.."-\ ..1' !t' ltl'-~'l' {~l'i,}'~'''ii~ t., 'h- J JW J
Total~helghtph~' :\!~~.t~<':-..!:.'~Cu~de sac' ..., 1LL ---.J
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, :BUIL'DINGNALUE, P.L'AN CHECK
~'AJI!D",BUILDING P~~)Y.IIT
'This permit IS glanted on the express condItion that the said
construction shall, 1,1 all respects, conform to tile Ordinance
adopted by tile City 01 ',Springfield, Includ,ng the
Development Code, regulating the constructIon and use of
buildings, and may be suspended' or~revoked at 'any time
uRon violation of any provisions of said ordmantces
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Plan Check Foe
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'~BUIL:'DING"'PERMIJ:"~"'" 1\"~~i>"J' ".1, ,
Ii, , ,~~I\:1in"lfr ...rt~~!'l..w.,.Il" I'
.....,.'1.'l,~:::..fl'~~,.\...-.....,.~'>'- :." t '....I._.~ ~I
ITEMc:I"'" iiv",."SQ ..FTW" X ,,.$/SQi'FT ,=
, l"," ~(..,. ,"'~ ~ ",lR,.... ~rif.~
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VALUE
Main
. .
,
Garage
Carport
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Total Value-
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BUilding Permit Fee
State'Surcharge
TotalrFee - ..,;v, " "', '>-\ r-t /' ti'c-(A),c J.
SY~i~~~1ijtY~~'Rg~~Jil'T},~~~:G F~(~~C)
";,,~~\,,,t, ~~ r >~ $~:,$ 1 ~ ') . ' $ I ,
, ~~\,.\ t) t' ~~ " ,~ ',"'~'(B)
P.L.U,M BI N G"'7P E'R M iT' ~~~:".
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ITEM" , ~ ~ ,,~
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FEE
Fixtures
Residential Bath(s)
NO
San I tary Sewer
FT
FT
FT
Water
Storm Sewer
Mobile Home
I
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Plumbing Permit
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Stat~ ?l!rchdrge
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Total'l'Charge
(C)
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MECHANICAL PERMIT'
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Furnace
.-
Exhaust Hood
,
Vent Fan
NO
Wood Stove/Insert/Fireplace Unit
,-
Dryer Vent
Mechanical Permit
f~CO
/)00
~ (l~
cl'5 TJS
I&suance
State Surcllarge
Total Permit,
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(D) ,
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MISCELLANEOUS' PERMITS
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MobIle Home~ t I ~ r ~ f ~7l" -.,
~,r:, n I'ltt ..,' ) . I
State'lssuance
State Surcharge
, ,
Sidewalk
ft
Curbcut
It
Demolition
,
State Surcharge
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Total MlscellaneoustPermltsi~~r;~ ,t(E)ti ~e. .
t ~~~.;~~.'T~'" '\..I CV)<:::;
TOTAL ~Mou'N'T~~UE"'(~;;CI~dln~ ~(;~t'rlcai) Q, _)~
(A, B/' C,""O, a~nd E Combined) ',~~:~-t~, ~ .. (
I;~ '_"
'1,1 ^' 1,
w.t. ~ _Co <I ..~ ..t\
" ~ fHE p,ROP,OSED,WORK,'N THE ),,~C'q i1\i'
, . I IIISTo'R',cAL~ DISTRlci'oFijON ,', ~jtill~ ,
~ Hr~~f:~lr t.,' l:Jr'\l!i':I.t~ w' 't I ,.,t-f '~(;l\!l.y C>'"{;
.; I ,THE'.I;lISTORICA!?'REGIS-rER?, ' ''''II, [<!'.
t. !~Jij <'~iJ;'hii ~.tif,~iii}.h'\fr;f>i~"~1~~/;:I\'..I "I'.,"('{r.~.;; 1
!I I '1fIYe~,1.t\;l~~Pp'!I~~\I,!?>~\I'1lJ~t't;>.~;Slgned.~~~~1
I andl approved~:t!'qy .,'Jtl18 ~~Hlstorlcal \>. <.~
Coordinator pnor to permit Issuance 1
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Date Paid
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Receipt Numbel
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 dnd agree, Hlat I have carefully examined
the completed ap~llcatlon and do hereby conlfy that all
Information llereon Is true and correct, and I furtl1er certify
that any and all work performed shall be done In accordance
with the Ordinances of tho City of Springfield, and the LdWS
of the Stale of Oregon peltafnlng to the work described
herein, and thai NO OCCUPANCY Will be Il1dde of any
structure Wltlloul petrllt.;>slon of Il1e Building Safety DIVision
I further certify that only contractors dnd employees wt1Q
are In corn~llanc..e WIth ORS 701055 will be used on thiS
project
I furtt1er dgree to ensure that all requIred !nspectlons are
requested at tile proper tHn7, that each address IS readable
from the street, that the permit card Is located at the front
of the property, il~thP approved set of plans Will r~rn n
on the site at all In e~ dUring CbAs-Qcllon ,--"
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S,gnatu0/ ~M.~ ~ ~ L:-7,
Dale J" /;-3-o;x..
VALIDATION \ n\ J ~A_
RECEIPT NUMBEP \J!\.J.IUJ\
D~T~ PAID~ {13~, /
AMOU~T nE~'V __-=- _ ~S ~ r=F
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RECEIVED El ---iL.. 1_ <- ~ /