HomeMy WebLinkAboutPermit Mechanical 1999-7-8
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726-3769
Office: 726.3759
ASSESSORS MAP'
LOT'
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BLOCK: .
OWNER'
ADDRESS'
CITY'
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DESCRIBE WORt<.
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NEW
REMODEL
CONTRACTOR'S NAME
GENERA' .
PLUMBING:
MECHANICA" I:nA-f 6i
ELECTRICA' .
QUAD AREA'
. OF BLDGS:
OCCY GROUP:
. OF STORIES:
WATER HEATER:
1/ CJ1-;VO;V
STATF'
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JOB NUMBER 970<12. s-:
225 Fifth Street
Springfield, Oregon 97477
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TAX LOT: 0<-; t:/\ ()
SUBDIVISION'
PHON'"
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ADDITION
DEMOLISH
OTHER
ZIP: Cf7'r'7,i
,
ADDRESS
CONST.
CONTRACTOR'
EXPIRES .", PHONE
o Electrical Service - Must be
approved to obtain permanent
elect~lcal power.
o Fireplace - Prior to facing
materials and framing Insp.
o Framing - Prior to cov~r.
o Wafl/Celllng Insulation - Prior to
cover.
o Drywall - Prior to taping.
o Wood Stovo - After Installation.
D Inserl - After f1rep~8ce approvel,
and Installation of unit.
o Curbcut & Ar1proach - After
form. ar. crootod bUI prior to
placement of concrete.
o Sidewalk & Driveway - After
excavation Is complete. forms
and "sub-base material In place.
o Fence - When corllpleted.
D Street Trees - When all required
trees are planted.
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-4cOF.F.ICeEuS"EiWtec' by t.,E' ure"ul UlI:"l.,
. Notification Cenier. ThoSl iJ,at.o!E ,~' I ~?r~, ,
LAND USE'=-~~ ~", ""1rlth""lgr, OA~FLOODq'[AIN:
111\:;;-\['-......... ....... - - b
. OF UN0090. You may obtain copies 01 ~hio'~:~~ 60DE:
calling the center. (1\l0l1:!: the tek,"'''v.'u
CONSTR. TYP.E;._, - . 'h' ".M;"" I IIi lily l\lo-\'.f6/f.lSDRMS'
nUITILJIJI lVi' .... _'\ -;;1-
HEAT SOURCE: Center is l-ROO-~32-2:'l44~'ECONI)ARY HEAT:
SQUARE FOOTAGE:
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.
. ~ p.c.\~et:l~ INSPECTIONS
o Tempora~Q;t~YrIC~\"I'5~N.-I-C.)<.?1 ~~~l,ll?~r9.c~anlcal - p,lor to
1\-115 ?c.PI D \.lI'-lDC.?' 1\-1\ DOI'-IE.mO?
o Slta Inspep.u;Th\Q.~~l'I(!)\itlipJ3P.\'oID Rough Electrical - Prior to
after excavailacnn:sai\p;fdr tQ...\OO. cover.
. setting torIOI.lN"':"D/I.'1I'E\-\
1:>..1'-1'1 ~ OV
o Underslab Plumblng/Electrlcall
MechanIcal - Prior to cover.
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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 filling trench.
o Underlloor Plumbing/Mechanical
- Prior to Insulation or decking.
D Poot and Beam - Prior to floor
InSUlation or deckIng.
, .
. ~\'
, 0 Floor Insulallon - Prior to
deckl ng.
o Sanitary Sewer - Prior to filling
trench.
o Storm Sewer - Prior to filling
trench.
o Water Llna - Prior to filling
trench.
D Rough Plumblng,- PrIor to
cover.
RANGE:
o Final Plumbing - When nil
plumbing worl< Is completc.
- .
/':'\
.D Final Electrical - When all
electrical work Is complete.
L Final Mechanical _ When all
\..bj......mechanlcal work Is complete.
o Final Building - When all
required Inspections have been
approved and building is
completed.
DOlher
MOBILE HOME INSPECTIONS
o Blocking and Set.Up - When ell
blocking Is com~lote.
o Plumbing Connootlonl - When
home has been connected to
. wat.r mnd lower.
o Electrical Connoctlon - When
blocking, set-up. and plumbing
Inspections have been approved
and the home Is connecled to
the service panel.
o Final - After all required
Inspections are approved and
porches, skirting, decks, and
venting have been Installed.
r
.
Lot faces
Lot Type
Lot sq. flg.
Interior
Lot coverage
Corner
Panhandle \
Topography
Total height
Cul.de-sac
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. -:"" .tJ:J:..:l.,-
Setbacks .
HSE GAR ACC'
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----
,E
BUILDING PER~IT 'II 'f,t
ITEiM sa. FT. x $/so. FT. - VALUE
Main
Garage
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fee
(A)
"
(B)
SYSTEMS DEVELOPMENT CHARGE (SDC)
PLUMBING PERMIT
ITEM
Fixtures
Residential Bath(s)
N'
Sanitary S~wer
Water
FT.
FT.
Storm Sewer
FT.
Mobile Home
Plumbing Permit
Stato Surcharge
Total Charge
(e)
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan
N'
Wood StovellnserllFlreplace Unit
Dryer Vent
IieJfJ~
Mechanical Permit
Issuance
State Surcharge
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
II
Curbcut
II
Demolition
Slate Surcharge
Total Miscellaneous Permits (E)
"
TOTAL AMOUNT DUE (excluding electrical)
fA, B, C. 0, and E Combined)
FEE
/f',u:J
10. ())
I. (0
)..t[ 'fl;
,
.~S THE PROPOS'ED WORK IN THE.
'-HISTOI'lICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
If yes, this application must be signed
and approved by the Historical.
Coordinator prior to permit Issuance.
APPROVED:
BUILDlN'G VAL(JE, PLAN CHECK
AND BUILDING PERMIT
This permit is granted on tho express condition that the saId
construction shall, In all respects, conform to the Ordlnllnce
adopted by the City of Sprlngfl~'ld, Including t~e
Dovelopment 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:
Recel pt 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
By signature, I state and agree, that I have carofully examined
the completed application and do he,eby 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
plOject.
I further agree to ensuro 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 front
of the property, and the approved set of plans will remain
on the site at all times during construction.
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VALIDATION:
RECEIPT NUMBER 0 }; Cf ntf
DATE PAID 7( 8 11
AMOUNT RECEIVED~6 f""9J
RECEIVED BY, ;')/ ~
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