HomeMy WebLinkAboutPermit Mechanical 1999-9-27
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RESIDENTIAL . )'< , ,;,\". ,'"
PERMIT APPLICATIONf8;fJ
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Inspections: 726.3769
Office: 726.3759
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LOCATION OF PROPOSED WORI<'
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ASSESSORS MAP'
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OWNER: ::::}rA ,,",,,oS ~A\...\~'i~ '<;6I'Ao-\.""\
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DESCRIBE WORK, 't~lt' 0 'AAA.:.t ~. F\Ah ~'LJ Dn ('. '\) h 1',7"_.) f
NEW REMODEL . 'ADDITION ." DEMOLISH OTHER
CITY:
CONTRACTOR'S NAME
GENERA' .
,PLUMBING:
MECHANICAl'
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"'.; 225f;ifth Street.- ri~"
Springfield, Oregon 97477
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PHONE:.3:..!:1 Ll- 5;, I (,1
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ZIP,
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ADDRESS'
CONST.
CONTRACTOR #
EXPIRES .e, PHONE.
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~ No." ,
r. IC~ LAND USE:
I"f'Sp", . , , .
~'i- r;;;AMJ:rs.'L' # OF UNIT'"
. 'V'I"fO rfAL '. .
COM,. 'AllE;[)U/Il'D L6~ :Q'PE:
lV/t::NC6 'ERTi"':""fI:!~ Oil:
A^,v.~. DORIS HWJ8~Ct;~'"
. "u VA y p~"., ABANf),..::fT/lII/r,S N<O""
. r;;;>1'0'D RA~c.""-
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ELECTRICAl'
QUAD AREA,
# OF BLDGS:
OCCY GROUP:
# OF STORIES,
WATER HEATER:'
- OFFICE USE -
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jJr;ii..~I~i;o [J crit
AI fENT'(..)I\J......-...-...:.. .'
fOllOW rules adopted -.. ~"u''''',< tVI "L.
~otilication Cenler 1 by, ~11~ Oregan Ur "]1
mi(F.l<:l0Q~bAI~iJ-. hOSe '1,IIS<>l:"e sel :>rt
0090 v"" ~_'::..,vr~Il'1fOl'a;10AI,.S52.,Ol
;;::ONING'1"CODE:tA,n "...",...>,,).)1--... ,
C,ulmg tile center 1'-- -. ...~ .ule.b]
nU'10F->IBDRMS:c, . (1\ ote, the le/etlhrm"
'-~ ,.;:::::'''. ~"'!-IO'l utility I~olit;calh
SECONDARY!HEAT''-,-''~r. ,.,.".. .n
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SQUARE. FO.oTAGE, .: .,,,1'
To request an Inspecllon, you must call 726.3769. This Is a 24 hour recording. All Inspecllons requested before 7,00 a.m. will be
made the same working day, Inspecllons requested after 7:00 a.m. will be made the following work day., ." _ ....-
. . REQUIRED 'INSPECTIONS '.. '. . .'. ,', ",wi,.,.,,,,
D Temporary Electric
D Site Inspection - To be mado"
after excavation, but prior to
setting forms.
o Underslab Plumblngl Electrlcall
MechanIcal - Prior to cover. .
D Footing - After trenches,are "-
excavated. . . " ," .\'
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D Masonry - Steel.locallon,.bond
, ,beams. groutlng"f .....
o Foundation - After forms"are
erected. but prior to 'concrete
placement. .!. 'J I','
D Underground Plumbing - Prior
to filling trench. .
D Rough Mechanical"":' Prior to D Final Plumbing - When'alp!r-'"
cover. . plumbing W9rk Is complete.
"0 ~~:e~hEle~trical - Prior to 6'=I~;irl~:19~i~~! ;s~~$~fi~' :.'
tf-1Vlnal Mechanical - .When all
C::;:=VmeChanlcal work Is complete.'
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D Final BUlldlng.- When all,
required 'Inspections have'been
approved end bulldlng.ls..
completed. ~ 'h, .
o Electrical Service - Must be
, . approved to obtain permanent
electr,lcal power.
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D Fireplace - Prior to facing
materlal~ and framing Insp.
o 'Fran:-Ing - Prior to cover.
..,.,;:. .,,:1' \ . D Other
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, D)\Ialll9~il,!ng Irsulation - Prior to
. cover.' . t .
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D Drywall -:- Prior to taping.
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D Underlloor Plumbing/Mechanical" ,. ..' ,'" ."'"
-.Prlor to Insulation or. decking. ./', D WoodS.tova - After Installnllon.
o Post and 8eam - Prior to floor
Insulation or decking. .
D Floor Insulation - Prior to '
decking.
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D Inser. - After fireplace approvel
end Installation of unit.
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D Curbcu. & Approach - After
forms are erected but prior to
placement of ~oncrete.
D Sanitary Sewer - Prior to filling,
trench, . .
. . , .' ....0 Sidewalk & Drlvewsy - After
D Storm Sewer - Prior to filling excavation Is complete, forms
trench. . an.d sub-base material In place.
D Water Line - Prior to filling
trench. , '
D Rough Plumbing - Prior to
cover. . .. ,
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o F~~ce~--:- Wh,:n con:pleted,
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""OiS~fee~-.Trees -When all required
trees 8:re planted, '
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MOBILE HOMEJNSPECTIONS
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D Blocking and ~et.Up ..:. When all
blocking Is compl~l~',~.l.l" >, . j~,!~'
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D Plumbing Connectlons'~'Wtien
. home has been conneqted to, ,
I water and sewen--,-.. ..-t ~IU\.'" ,.'11.
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D Elecfrlcal Connection - When
blocking, set.up. and plumbing .~
In~pectlons have been ,approved
and the home Is connected ',to'~,~~
the service panel.' ";:
D Flnal.- A(t~( ~!' re.qu.lr~d.. '. 'v'
. <<"J h:u?pectJons are approved and ..:..
.' porches, skirting, decks, and
. .' ,venting have:~een'ln'~talledlA'lu.l.
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Loi faces. ":'-1.::::.. ,lOt 1Ype . ,.,""'~<~~~' Setbacks",'."'''.';,? " . ( THE PROPOSED WORK tN THE.
"" , '. . ,y ":', ..' :;' :dlp'~ HSE IGAR .ACe\! . ''''HISTORICAL DISTRICT, OR ON .
Lot Sq.)tg.,\ '" ,_.."f.' 1j',~,\A:,... '"Interior SAt,"I"H"'" ." . ..",. '51 "THE HISTORICAL REGISTER?
. Lot coverage r::...:..l:;".:-:,\ ;",i,~ ..Corner ,/,:::, N.-l<. ". . :,:';':'1 II yes, ,this application must be signed
TOPOgraPh?t":~'QI:'( .::.,i,;i"'panhandle V:l,s'.:~...: ,;:;:;, .b~~rd~:~~~vp~~or ~r p~~~1t ~~s~~~~:~1
Total height
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Cul.de'sac
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BUILDINGPER1IIT ,~.;~~g~' ~i. };!
'ITEM .' SQ, FT: x S'SQ. FT. _
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VALUE
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Main
Garage
Carport
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Total Value
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Bullalng Perm,t Fee,
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State Surcharge
Total Fee ' . ",
(A)
SYSTEMS 'bEVELOPMENT~ CHARGE (SDC)
(B)
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.. PLUMBING P.ERMIT
ITEM
FEE
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,
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Fixtures
Residential Bath(s) N'
Sanitary' S~w~r
.. FT..
Water
''I..''. lJ FT.. /,
Storm Sewer ,
FT.
Moblle'Home'
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Plumbing Permit
State Surcharge ....
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Total Charge
(C)
MECHANICAL. PvERMir
Furnace
Exhaust Hood". ';:":"1'.:. ..",i-'
I '.:{j1!~)..1 IIi ;" .t., ;~
Vent Fan
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Wood Stovellnsert/Flreplace Unit
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Dryer Vent " . q,''''
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Mechanlcat'peimlt
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Issuance
State Surcharge
Tot.al.P,er'!'!h';:';ill .nu, ,(D)
MISCELLANEOUS PERMITS
~oblle, .t7fo_m7\~; H\;' ; 'm \. .':~F>
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State Issuance"
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Stat~ .Surcharg~,.... ....,..'.., Ill,"
I 1'\0 J' .:;,~ ft'-;, ,'.." '~r
Sld.mali< -, . ,It
Curbcut
It
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Demolition. j,~ '1 _'..:.~
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State Surcharge..,. "'....'
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TotaI'Mlscel.I.,!~e()~s;'P~rmlt~.., (E)
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\ I :",!9TAl ~JVI.5?U,NT,Pl!E(eXCIUdln,g electrical)
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BUILDffJ'G.Vl'tjgER'LAN CHECK
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AND' BUILDING PERMIT
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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
tlulldlngs, and may be suspended or revoked at any time
upon violation of any provisions of said ordinances.
Plan Check Fee:
gate Paid,
Rec'elpt 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- COMME~IS ,_, .
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By signature, I state and agree, that I have carefully examined
the compl~ted application and do hereby certify that all
Info.rmatlon hereon Is true and correct, and I further certify
that any a.nd 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
hereln.,and that NO OCCUPANCY will be made of any
structure without permission of the Building Safety Division.
I ,further c~rtlfy that only contractors and employees who
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are'ln coin'pllance with ORS 701.055 will be used on this
proJect.
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I furth.e~ agree to ensure that all required Inspections are
requested at the prop~r.t.l.me. ~ha~ each address Is readable
froin the street, that the permit card Is located at the front
of the prop~ and the approved s lans will remain
on the sltr~~~~ Ing construction.
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VALIDATION,
,RECEIPT NUMBER
DATE PAlO '
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0/(2.1/9'1
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M.,OUN.T:RECEIVE[l
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, ,RECE\yED'BY"".'"