HomeMy WebLinkAboutPermit Mechanical 1999-7-12
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JOB NUMBER cte;!) ~ 5' 7
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SPRINGFIELD
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
Office: 726.3759
LOCATION OF PROPOSED WORY' I;:) Co -3 maj Y'\
ASSESSORS MAP' 17 () 3 ~ -;; 41
225 Fifth Street
Springfield, Oregon 97477
68700
TAX LOT'
SUBDIVISION'
LOT'
BLOCK'
OWNER' ~)r-,p - 51 JQ. II eu i h
ADORe"".' \~~_::l., fl'\l.LU',,\ ~e.,+
CITy:~~~+ie\C'J. ' STATE:
DESCRIBE WORK: f!...er d'lfj~ f }'lor.! ~~ r i~.
NEW REMODEL ADDITION U DEMOLISH
7L!(p-(,..,?-'ri \
PHONE:
DR,
ZIP.' CJ747'7
Ai
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.,e;.v-
...
OTHER
CONST.
CONTRACTOR'
CONTRACTOR'S NAME
ADDRESS
EXPIRES ,'" PHONE
GENERAl'
PLUMBING:
MECHANICAL: rf'afSbcill~ I-bhr:) L1\ 10 ()l~~. ~O(~ 80
ELECTRIC." .
?-l1-7lfl.f~
- OFFICE USE -
QUAD AREA'
LAND USE:
· OF UNITS:
FLOOD PLAIN'
. OF SLOGS:
ZONING CODE:
OCCY GROUP:
CONSTR. TYPE: . OF BDRMS'
HEAT souRct,lOrlCE: SECONDARY HEAT:
THIS PERMITSHALl EXPIRE l~n.lI:.ldlrm'L .
S<JLlPtHI'.'I'i(Jl(\)TAGE. _
AU I HURIZED UNDERTHI!=: Pj:~MITIQ ~I~
To request an inspection, you must call 726.3769, This is a ~~gj!illilfl$A1ilAN~ted before 7:00 a.m. will be
made the same working day, Inspections requested afler ~OOlWl'J'1DEPlleo!he following work day.
REQUIRED INSPECTIONS
. OF STORIES:
WATER HEATER:
RANGF'
D Temporary Electric
o Rough Mechanical - PrIor to
cover.
o Final Plumbing - When all
plumbing work Is complete.
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o Site Inspection - To be mado
after excavation, but prIor to
setting forms.
o Rough Electrical - Prior to D Final Electrical _ When all
..,cover., , . UII"laWreqUlresyout(! electrical work Is complete.
AI ft:l\ll .UN.VI">! e on Utility
'n'low ful.'b adopted by the Or 9 I"
Q.,I;!~~!r!C.!lJJ.~!i'!!lJcel;';'Mu.~t']J~reset CEj Final Mechanical - When all
IlliiliJlapproved to obtain perm'anenR 952-0v' mechanical work Is complete.
in OJlolect,lc'al)i><lwe'r:' "\;-Pi~s 01 the rules by .
0090 You may o~t~I~~ote' thetelephomn Final Building _ When all
DEF.lrepliice~e!1pilor to facing Notilicati6rr' required Inspections have been
nUlw~!.~rJ~I.s~!and:framl.ng;I',;'S'~) approved and bulld!ng Is
Center is 1-800-332-2344. (92m pie ';ll' .
o Framing - Prior to Cover. &41 ~
, ther_ ~
o Wail/Ceiling Insulation - Prlor'to I
cover.
o Underslab Plumbing/Electrical/
Mechanical - Prior to cover.
o Footing - After trenches are
excavated.
o Masonry - Steel location, bond
beams, grouting.
o Foundation - After forms are
erected.but prior to concrete
placement.
o Underground Plumbing - Prior
to flfllng trench.
o Drywall - Prior 10 taping.
MOBILE HOME INSPECTIONS
o Undertloor Plumblng1Mechanlcal
- Prior to Insulation or decking.
o Wood Slovo - After Installation.
o Post and Beam - Prior to floor
Insulation or decking.
o Blocking and Set. Up - When all
blocking Is complete.
o Insert - After fireplace approvel
and Installation of unit.
o 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 ot 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 complete, forms
and sub-base material In place.
o Storm Sewer - PrIor to mUng
trench.
o Waler Line - Prior to filling
trench.
o Fence - VVhen COIYlpleted.
o Final - After all required
Inspections are approved and
porchos, skirting, decks, and
venting have been Installed.
....0 Rough Plumbing ....;.. ~rlor to
, cover.
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D Street Tree& - When all required
trees are planted.
......
',.' It'; :...,: '~
'.'
LOl Type . Setbacks
Interior P.L HSE GAR ACC
Corner N
Panhandle ,. Is I I
I~ I
Cul-de.sac W I
I ----
E
Lot faces
Lot SQ. fig.
Lot coverage
Topography
Total height
BUILDING PERMIT
ITEM SO. FT.
.'f
X S/SO. FT. _
VALUE
Main
Garage
"
Carport
Total Value
Building Permit Fee
Slate Surcharge
Total Fee
(A)
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
PLUMBING PERMIT
ITEM
FEE
Fixtures
Residential Bath(s)
N'
Sanitary S~wer
Water
FT.
Storm Sewer
FT.
FT.
Mobile Home
(..J
Plumbing Permit
State Surcharge
Total Charge
(C)
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan
N'
Wood StovellnsertlFlreplace Unit
Dryer Vent
~~
Mechanical Permit
l'f.oC:;
/000
//J(. 7r=
']..b.)?)
Issuance
State Surcharge
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk fI
Curbcut ft
Demolition
State Surcharge
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrical)
(A, B. C. 0, and E Combined)
"._THE PROPOSED WORK tN THE.
_TOI;lICAL DISTRICT, OR ON
THE HISlORICAL REGISTER?
II yes, this application must be signed
and approved by the Historical
Coordinator prior to permit issuance.
APPROVED'
h .,
BUILDING VALUE, 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
buildings, 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
Date
Systems Development Charge Is due on all undeveloped
properties within the City limits which are being Improved.
ADDITIONAL COMMENTS
"
\In) (/-0
(fI' 7q). C1)
.
By signature, I stato 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 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 further agree to ensure that all required Inspections are
requested at the proper time, that each address 15 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 times during construction.
Signature/I!: A(/'r~
Date -;y Ye;;7
I~
VALIDATION: y
RECEIPT NUMBER 03Lf7"i
DATE PAID 7/(2-/1 I'
AMOUNT RECEIVED ~ 2t. !YjJ
RECEIVED BY d t./ ~