HomeMy WebLinkAboutPermit Mechanical 2000-11-20 (2)
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SPRINGFIELD
RESIDENTIAL
PERMIT APPLICATION
Inspecllons:'726-3769
Office: 726.3759
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JOB NUMBER C> 1f,9'l.{-o/
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<221 0 ~fi/;..
225 Firth Street
Springfield, Oregon 97477
LOCATION OF PROPOSED WORK:
ASSESSORS MAP'
TAX LOT'
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LOT'
BLOCK: '
SUBDIVISION:
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OW~E~:~r"e" '(.(Yta. ~
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DESCRI~ORK: J h~tzLU---h're.qld A 2. ~
NEW (\_1 REMODEL ADDITION' . DEMOLISH
-(Lf7-~~
PHONE:
STATE: -& ~
Gfl'-f})
ZIP:
OTHER
CON ST.
CONTRACTOR N
CONTRACTOR'S NAME
ADDRESS
EXPIRES '." PHONE
GENERA' .
.PLUMBING:
MECHANICAL:
7}y,F~ If(po 6&/
'1~-oICD
"'j
ELECTRICA' .'
- OFFICE USE -
QUAD AREA' LAND USE: FLOOD PLAIN'
N OF BLDGS' N OF UNITS' ZONING CODE:
OCCY GROUP' CONSTR. TYPE: . OF BDRMS:
Ii OF' STORIES: HEAT SOURCE: SECONLlARY HEAT:
WATER HEATER' RANGF' 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.worklng day, Inspections requested aller 7:00 a.m. will be made the following work day.
REQUIRED INSPECTIONS
o Temporary Electric
o Rough Mechanical - PrIor to
cover.
o Final Plumbing - When all
plumbing work Is complet.e.
.0 Site Inspoctlon - To be mado
after excavation, but prior to
setting forms.
o Rough Electrical - Prior to
cover.
D Final Electrical - When all
electrical work Is complete.
o Underslab Plumblng/Electrlcal1
Mechanical - Prior to cover.
o Final Mechanical - When all
mechanical work I~ complete.
o Electrical Servlco - Must be
approved to obtai n permanent
electrical power.
O Fooling -' Afti>r trenches are
excavated: ' " .
o Final BUilding - When all
required Inspections have been
approved and building Is
compleled.
o Fireplace - Prior to facing
materials and framing Insp.
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o Masonry - Steel ,location, bond
. .beams, grO~~lng...
O Foundallon'':'' After forms are
erected. but. prior to concrete
placement.
o Framing - Prior to cover.
o Other
O Wail/Ceiling Insulation - Prior to
co...er.
o Underground Plumbing - Prior
to filling trench.
o Drywall - Prior to taping.
MOBilE HOME INSPECTIONS
O Underlloor Plumblng/Machanlcal
. -.Prlor to Insulation or decking.
O posi and B'eam - Prior to floor
Insulallon or. decking. , " .
o Wood ,Stovo - After Installation.
o Blocking and Set. Up - When all
blocking Is complete.
....
o Insert - After. flreplace approval
and Installallon of unit.
O Floor Insulallon - Prior to
decking.
o Plumbing Connoctlons - When
home has been connected to
water .'ind sewer;'
n "
o CurbclIt & Approach - After
forms are erected but prior to
placement of. concrete.
O' Sanitary Sewer - Prior to filling
trench.
o Electrical Connection - When
blocking, sel.up, and plumbing
Inspections have been approved
and the home Is connected to
the service panel.
o Sidewalk & Drlvewav - Afler
. excavation Is complete, forms
and'sub-base'materlal In place,
- "".
o Storm Sewer':" Prior to mllng
lrench.
o Fence - \Nhen completed.
O Water Line - Prior to filling
trench.
o Final - After all required
InspectIons are approved and
,porches, skirting, decks, and
venting have been Installed.
o Street Troes - WhlJn all required
trees are planted,
O Rough PlumbIng - Prior to
cover.
,
, {
Lot faces
.
Lot sq. Ilg.
Lot Type
Interior
Lot coverage
Corner
Topography
"
Panhandle .
Total height
Cul-de-sac
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Setbacks.
I P.L. 'HSE GAR I Acc'l
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'i IS THE PROPOSED WORK IN THE. .
....HISro"lICAL OISTRICr, OR'ON '
THE HISTORICAL REGISTER?
If yes, this appllOatlon must be signed
and approved by the Historical
Coordinator prior \0 permit Issuance,
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APPR9VF=.....
BUILDING PERMIT'
ITEM SQ. FT.
t
"
X $/SQ. FT. =
Main
Garage
Carport
Total Value
Bul/dlng Permit Fee
State Surcharge
Total Fee
(A)
VALUE
BUILDING VAU!JE, PLAN CHECK
AND BUILDING PERMIT - ,
. '.....,
"
This permit Is granted on the express condition that the said
construction shall. In all respOCls,'conform to the Ordinance
adopted bY"thc City' ,ofSprlnglleld, Including. the
Dovelopment Code, regulating the construction arid '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 (SDC)
(B)
PLUMBING PERMIT
ITEM
Fixtures
Resldenllal Bath(s)
N'
Sanitary S~wer
Water
FT.
FT.
Slorm Sewer
FT.
Mobile Home
Plumbing Permit
State Surcharge
Total Charge
(C)
,
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan
N'
Wood Stovellnsert/Flreplace Unit
Dryer Vent
~I Permit ~ ~
Issuance
State Surcharge
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
ft
It
Curbcut
Demolition
State Surcharge
Total Miscellaneous Permits (E)
~'.
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Combined)
Systems Developmcnt Charge Is.due on all undevelo'ped
properties wllhln lhe City limits whlch'are being Improved.
ADDITIONAL COMMENTS
FEE
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By slgnalure,j state and agree, that I have carefully examined
the' completed application and do hereby'cartlly that all
Information hereon Is true and corre~t, and I further certify
. ',' - ';,'\1,",,'
that any and all work performed shall be done In accordance
with the Ordinanc~s of the City of Springfield, and the Laws
of the Slate of Oregon pertaining to'tho work' described
herein, and that NO OCCUPANCY;"vlil: boO made of any
structure wllhout permission of IheBulldlng Saf~ty. Division.
I furlher certify that only contractors and' employees who
are In compllanco with ORS 701.055 will be used on this
project.
I further agree to ensure that all re.qul'r~d' 'I~spectlons are
rOQues ted at the proper. time, ~ha~ ea~rql~dre.s~ Is rea~able
from the stre that the permit card Is'located at the front
of the prope ty. and the ap oved set of plans will remain
on the site t times d rln construction. .)
Signature P (J. ,'. .
.Date
VALIDATION:
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RECEIPT NUMBER 3 'is:] I
//2.60-2)
,AMOUNT RECEIVEr> 26~
RECEIVED BY _- '0::::.;;::
DATE PAID