HomeMy WebLinkAboutPermit Mechanical 2001-07-17SPEINGFIELD
Job# 01-00733-01
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Page 1 of 2
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225 North Fifth Street
Springfield, OR97477
Location Of Proposed Site: 1833 00012th St Spr
AssessorsMap#: 17032641
Lot: Block: Addition
Tax Lot#: 15000
Subdivision:
crrY oF SPRINGFTELD, OREGON
Owner: Anthony Cartwright
Address: 1833 12th Street
Scope Of Work: Mechanical
Phone Number:
City/State/Zip:
New
541-744-5930
Springfield, OR97477
Vatue: $O
lnstall gas line, water heater and range
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Office Use
-
Land Use:
Zoning Code:
Bedrooms:
Range:
# Of Buildings:
Occupancy Group:
Heat Source:
Sq. Footage:
To request an inspection call the 24 hour recording at726-3769. 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
working day.
Required !nspections
Mechanical
Rough Gas
Rough Mechanical
Gas Service
FinalGas
FinalMechanical
Construction Types:
Occupancy Groups
# Of Buildings:
# Of Bedrooms:
Handicap Access?
- Prior to cover.
-After line is installed and line has been connected to a minimum of one appliance. Pressure ter
-When all gas work is complete.
-When all mechanicalwork is complete.
# Of Stories: Height (feet):
Current Units: eroposed Units:
CensusCode:Doesnotapply 'I-"''
"'*Area (Sq. Feet)
Main:Accessory:Total:
MI4ENCED OR IS ABANDONED FOH
Y 1BO DAY PERIOD.
Fee Paid On Receipt# Value/Quantity Fee Amount
Mechanical
One to Four Outlets
Minimum Mechanical Permit
07t17t2001
07117t2001
6164
6164
$2.00
$13.00
1
Job Number: 01-00733-01
Office: 726-3759
lnspection Line: 726-3769
Job# 01-00733-01 Page2 of 2
Fee Paid On Receipt# Value/Quantity Fee Amount
Mechanical
Administrative Fee - Mechanical
Mechanical lssuance
State Surcharge - Mechanical
Total Mechanical
07117t2001
07t1712001
07117t2001
61 64
6164
61 64
Grand Total
By signature, I state and agree that I have carefully examined the completed application and do
hereby certify that all information herein 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. I further state that only contractors and employees who are in compliance with
this project. I further agree to ensure that all required inspections are
the project address is readable from the street.
Signature Date
ORS 701.055 will be used
$26.50
7 - t 7 'o\
$.45
$10.00
$1.0s
$26.50
,CITY
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AIAINf EI'IANCE
ADhittttSl RAt tON /ENGtt\tEE RING (503) 726 3753 f AX 903) 226 i6B9
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APPLICATIO!'I FOR A $ECOND DRIVEWAY / OVERWIDTI{ DRIVEWAY
DATE b
APPLICANT (PROPERTY OWNER)5
ADDRESS OF PROPERTY FOR DRIVEWAY tb st
APPLICAT{TS TEI-EPHONE NUI'48
Please skelch the proposed driv'ervay. lnclude the following applicable ilems: house or building. proposed
driveway. eristing driveway. and slreet names. lnclude dirnensions and measuremenls lo properly lines. road
intersections and bordering driveways. (See allachment {or an example.)
S< ^J{ o..cla& du'**ti
NLL NPPUCATTONS OUTSIDE TI{E CITY UIVIITS OF SPRINGFTELD TI{AT ARE TTITI.IIN TI.IE URBAN
GIiOWTI.( BOUI.IDARY REQUIRE N LANE COUNTY PERhIIT.
Nole: The City of Springfield will not granl a second driveway permil on an ArleriaJ or Colleclor Streel.
R{t
1. Properly typc: Single Fanrity Residence X Duplex O(her
2. The proposed driveway will take access fiorn wlrich slteet rg-\b
3. Tlro dislance {rorn tlre edge o( lhe driveway lo lho ncalest cottrcr (rneasutcd lo llre curb return) is
-$-g--0- r"et'
.(. The second driveway will give access fot g"rrgu- carPorl- side yard V. Other '
5. The distance from llyxgtroperty line lo lhe garage, carport. fence, wall. ol othet. lwlrere ltle velricle is
to be parked) is H leet.
6. Will tlre propbsed parting / slorage area creale a.vision obslruciion lo adjacent
lo any vehicular movemenl on a pubfic street? (See vision clearance attachmer
Prope o(
rrlrl
ApptientherebyagreesloinstallUrerequesteddrivewaytoCityofspring.r'€Ustandards.Tlreapplientfurtlrer
agrees lo have 6- o( concrete irr tJre sideuratk area (adjacent {o tlre driveway). and to pave the area behind the
back edge of ttre sidewelk, or driveway apron, witfi a minimum depth of 3- asphaltic concrete or 6- o( por{land
cement concrete. The area behind the sidewalk stratt be paved a minimum dl 18 feeL
The applicant agrees tJrat if he/she does not pave the area behind Ure sidewalk within 30 days o[ cutting the
curb opening, the City o( Springrfreld has (he authority to close the driveway access by removal o{ Ure curb cul.
A1 incurred cos6 shall be "sst*ed by Ure applient and ( unpaid, said cost slrall become a l'ten of the property'
trVhen {his application is approved by the City. the applicant musl oblain a curbcuudriveway perrnit from the
Public Works Department. Engineering Division.
Curbcul / Drivervav Permil Fee
a. On an improved street (exisling curb): SIO.OO plus S.15 Per lineat foot of cu(b cut.
b. On an unimproved street (no cutb): S12.O0
c. On currently unimproved streels that are under
PROPERTY OWNER'S SIGNATURE pArE ;-7 -f b
APPROVED B
C DIVISION
TRA 9.1
ATTACI{t'/tENT: Msion Clearance. Example #1
s12.00
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BUILDING PERI.4IT NO