HomeMy WebLinkAboutPermit Mechanical 1998-11-30
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RESIDENTIAL
PERMIT APPLICATION
JOB NUMBER . 98'1'fc' C.
Inspections: 726.3769
OUlce: 726.3759
225 Fifth Street
Springfield, Oregon 97477
L.jn 'I
LOCATION OF PROPOSED WORJ<'
17 D12? 34
O{.ooo
ASSESSORS MAP'
TAX LOT:
SUBDIVISION'
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LOT'
BLOCK:
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ADDRF"'" {-IMI /l1AJo/( r;~ 1/
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DESCRIBE WORK: IA/S,,,,, II
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OWNER:
pHONF'
tJlletrlSv-t.
Zlp:_97l..f77",- A
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CITY:
STAT':'
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OTHER
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Fit/1..",A'C I"-
NEW
REMODEL
ADDITION
DEMOLISH
CON ST.
CONTRACTOR .
CONTRACTOR'S NAME
GENERA' .
PLUMBING'
ADDRESS
EXPIRES .;:. PHONE
J./t;1f. V'/h ./- frtc.R
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Jp/r A/"'~&:;.t/ ~
10. J 1_""
77
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7'1?/t'Zl
MECHANICAl'
ELECTRICAL'
"'" - OFFICE USE -
ATTEN'nON:Oregon law requires you to
QUAQcJ\Jt\eNL'llll' .2QQptl?Q to,' tho O.egon LIItJA~D USE:
. o~\',t,if~pn Center. Those rules are setj9tl!1UNITS:
In 'tSA'A''902-UU1 ,UU1 U mrougn uAR 952-o'dl-
OCCOO9Jll.o.t:mJ m3Y gtlt3in ~9pillS-Of the rulWbl,ETR. TYPE:
. OF s%'~rnsthe center. (Note: the tel~~ho~AT SOURCE:
number lor me uregon utility rJotlflcaiiirn
WATER HEAT(;ijnt'i'r 11'1 !lon_"""-""44). RANGE:_
FLOOD PLAIN:
NOTICE: ZONING CODE:
THIS PERMIT SHALL..L=6J?I~~A1;;s':iE WORK
AUTHORIZED UNDE~ T~fQ, PI=F.l"IT 1(' 'lOT
SECONI)ARY HEAT:
GUMMENCED OR IS ARANnO~ll=n i:('\P
. P"RIO SQUARE FOOTAGE:
;:'1'1',' lUUU,,\Y. h D.
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.
REQUIRED INSPECTIONS
D Temporary Electric
D Rough Mechanical - Prior to
cover.
D Final Plumbing - When all
plumbing worl< Is complete.
. .
D Site Inspection - To be made
after excavation, but prior to
setting forms.
D Rough Electrical - Prior to
cover.
D Final Electrical - .When all
electrical work Is complete.
~nal Mechanical - When all
~~chanlcal work Is complete.
D Underslab Plumbing/Electrical/
Mechanlca! - Prior to cover.
D Electrical Service - Must be
approved to obtain permanent
electrical power.
D Footing - After trenches are
excavated.
D Final Building - When all
required Inspections have been
approved and building is
completed.
D Fireplace - Prior to facing
materials and framing Insp.
D Masonry - Steel location, bond
.beams. grouting.
D Foundation - After forms are
erected.but prior to concrete
placement.
D Framing - Prior to cover.
DOther
D Wail/Ceiling Insulation :- Prior to
cover.
D Underground Plumbing - Prior
to filling trench.
D Drywall - Prior to taping. :
MOBILE HOME INSPECTIONS
D Undarlloor Plumbing/Mechanical
- Prior to Insulation or decking.
D Wood Stove - After Installation.
o Blocking and Set.Up - When all
blocking Is complete.
D Post and Beam - Prior to floor
Insulation or decking.
o Insert - After fireplace approval
and Installation of unit.
D Floor Insulation - Prior to
decking.
o Plumbing Connections - When
home has been connected to
water and sewer,
o Curbcut & Approach - After
forms are erected but prior to
placemont of concrete.
o Sanitary Sewer - Prior to filling
trench.
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 compictc, forms
and sub.base material in place.
o Storm Sewer - Prior to filling
trench.
o Fence - VI/hen completed.
D Water Line - Prior to filling
trench. . .
o Final - After all required
Inspections are approved and
porches, skirting, decks, and
venting have been Installed.
o Rough Plumbing - Prior to
cover. , '
D Street Trees - When all required
trees are planted.
"I
Lot faces
Lot SQ. fig.
Lot coverage
Topography
Total height
BUILDING PERMIT 'j
ITEM .' sa. FT.
Main
Garage
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fee
L~t~.
Interior
Corner
Panhandle "
Cul-de-sac
';1 .,~
X $/SO. FT.
(A)
I P.L. HSE GAR ACC'
IN
Is
~--
',.
;';'"
VALUE
"
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
PLUMBING PERMIT
ITEM
Fixtures
Residential Bath(s)
Sanitary S~wer
Water
Storm Sewer
Mobile Home
Plumbing Permit
State Surcharge
Tolal Charge
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan
N'
FT.
FT.
FT.
(C)
Wood Stove/Insert/Fireplace Unit
N'
Dryer Vent
,1//
Mechanical Permit
Issuance
State Surcharge
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
Slate Surcharge
Sidewalk
fl
Curbcut
fl
Demolition
Slate Surcharge
Tolal Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Combined)
FEE
IUD
t.OD
/~,(}O
/oOU
-'tr hr
2(.. 2-tJ
~""'~"l:" :. ~.I ~
Setbacks.
~ ;'. -' t\J.., .
: f~1' ~ ,I' \'~ t . .
" :,"J'N,'''.~.
1 ,
.S THE PROPO~ED WORK 'IN THE.
.. ,
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
If yes, this application must be signed
and approved. by the Historical
Coordinator prior to permit Issuance,
I
--1
APPROVED:
,.
BUILDING VhLI!lE, PLAN CHECK
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
oulldlngs, 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 Rovlewed By
Date
Systems Development Charge Is duo on all undeveloped
properties wlfhln the City limits which are being Improved.
ADDITIONAL COMMENTS
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By signature, I state and agree. that J 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 Ihe 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
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 fronl
of the property, and the approved set of plans will remain
on the Site;;;;;.. ~ d'lriJ'g ~onstructlon. ~
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Slgnaturp ~ - ~ : t:d!" ~v L/ ~ '- - '-- ,..
Date L (- .3v- ~ Jl-
VALIDATION:
RECEIPT NUMBER
DATE PAin,
o~n..7o
11!7D!tj'~
2-(.2.0
~W~/
AMOUNT RECEIVED
RECEIVED BY