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Home My WebLink AboutPermit Mechanical 2001-4-6 " RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Oltice: 726.3759 ' LOT: . SPRINGFIELD ~ JOB NUMBERO I O(J 3570 225 Filth Street Springfield. Oregon 97477 ~ \ t n G\/'-Y'\\ 1')~~9.111 ~ 0;)401:; SUBDIVISION: OWNER: '})",\,(\ ('1\ C' \).. ~\ l" PHONE: ...:-J '-I -. - ij29 ~ ADDRESS: "::) ~C\ ~";Y:\['.o. '(\ \}-,. \ \. "" ~ \ \ 'lA. CITY' <::"rVd,^\s;..\,~ \r\ .. STATE: f'A<. ZIP: 0\ 11<\ \ I "'- DESCRIBEWORK:~~\\ '::L~", ~I\.\- \,~^^.'\ ~ 'tA.\~lA,,,A.\\_QA.~~. NEW REMODEL ADDITION ,. /"'IDEMOLlSH OTHER 'v\nVV\..b ~ - BLOCK: " CONST. CONTRACTOR' .~ ADDRESS EXPIRES PHONE CONTRACTOR'S NAME GENERA' . PLUMBING' MECHANICALMP'Mt> ~ o,,,^D.+. \-\~.'1Dl~l>.V" S\G\.~\.^ 0 (\'1'-\0'- 'it..,4 \\0'-\ N?..1 <'J I (""'LI~I..\""_ 21\:."1\$; ELECTRICAl' . ".. - OFFICE USE -IOTICE: . . __ " ... N QUAD AREA'.. . , '. ". - ~ILAND ,USE: _ ... ----J1ITSHAFL00DI'PI:A:IN'I-'c:,^,nQI( .'Vd..,.l.. '..'_ .1, Iv l\I~.;j;' Inl.:Jrl;;;.nl L-J..i-'" .1_1. . . . OF B~o-(iS!~~IIU:. ,.",.., ..,', J:a:'.w .~'dF:UNITS' :.~-:-: :,::::ZEO UNIZONfNG:60"DE~ITIS NOT ;\1 OAR ~Ot<-llUH)U I U Ii ,rolJgllul-\A ,152-00 ,- .", ^ '> ^ "...."''''''0 FOR OCCY GROUP:' . . . . . h CONSTR. TYPE: r-.-"r..\t.rC:~ICEOOR'.OF'BDRMS'- VVvV. I"",~ """".\ .J:_r~'1 I'J..J::'~ .,1t ,clUld::'UjI - . OF sTOFirE'S'lC .11< ~dn.~. ."'" n. tele~HEAT"SOURCE: ANY 180 OAY PEPiR'20NLlARY HEAT: nU.lIbt:.:f ,l)." ~(I. .. :,:1' ,\!oti1ir,:)tinn WATER HEATER:,-... _4). RANGE:_ 1"'\. ._." SQUARE FOOTAGE: To request an Inspection, you must call 726-3769. This Is a 24 hour recording. All Inspections requested before 7:00 3.m. will be made the same working day. Inspections requested after "1:00 a,m. will be made the followln_9 work day. o Temporary Eloctrlc o Site Inspoctlon - To be made after excavation, but prior to setting forms. o Underslab Plumblngl Electrlcall Mechanical - Prior to cover. o Footing - After trenches are excavated. o Masonry - Steel locatlon, bond beams, grouting. o Foundation - After forms are erected but prior to concrete placement. o Undorground Plumbing - Prior to filling trench. o Underlloor Plumblng/Mechanlcai - Prior to Insulation or decking. o Post and Boam ~ Prior to floor Insulation or decking. '.. o Floor Insutatlon - Prior to decking. o Sanitary Sewer - Prior to IlIlIng trench. o Storm Sewer - Prior to filling trench. o Water line - Prior to filling trench. o Rough Plumbing - PrIor to cover. REQUIRED INSPECTIONS d ROjJgh Mechanical - Prior to ~ver. o Rough Electrical - Prior to cover. o Electrical Servlco - Must be approved to obtain permanent electrical power. o Fireplace - Prior 10 facing materials and framing Insp. o Framing - Prior to,cover. o Wall/C'elllng Insulation - Prior to cover. o Drywall - Prior to taping. o Wood Stovo - After Install all on. o Insert - After fireplace approvlll and Installation 01 unit. o Curbcul & Approach - After forms are erected but prior to placement of concrete. o Sldewall< & Driveway - After excavatIon Is compietc, forms and sub.basc material In place. o Fence - \-Vhen cOl"l'tpleted. o Street Trees - When all required trees are planted. o Final Plumbing - When all plumbIng W~HI< Is complet,c. o Final Electrical - Wilen all electrical work Is complete. ~eChanlcal - When all mechanIcal work Is complete. o Final Building -.When all required Inspections have been approvod and building Is completed. DOlher MOBILE HOME INSPECTIONS o Blocking Dnd Sel.Up - When all blocklnQ Is complete. o Plumbing Connections - When home has been connected to water and sewer. o Electrical Connection - When blocking, set.up. and plumbing Inspections have been approved and the home Is connected to the service panel. o Final - After all required Inspections are approved and porches, skirting, decks, and venting have been Installed. ,." I , ~ Lot facos Lot Type Lot sq. flg. Interior Lot coverage Corner Panhandle; Topography Total height Cul.dc-sac BUILDING PERMIT.i ;; t ITEM SO. FT. X $/so. FT. Main Garage Carport Tolal Value Building Permit Fee Slate Surcharge Total Fcc (A) .' laE PROPOSED WORK iN !E .~ "HISTO~ICAL DtSTRICf, OR ON THE HISTORICAL REGISTER? ~., .',' :.' "'j !;' ,t'1 f,'/~~l ..,' .;'. .'f;J.:'~ Setbacks. I P.L. I HSE I GAR I ACe' I I 1 I -;-:= =-. _ __J BUILDING VALtJE, PLAN CHECK AND BUILDING PERMIT ~-, If yes, this application must be signed and approved by the Historical CoordInator prior to permit Issuance. S w APPROVED' VALUE This permit is granted on the express condition that the said construcllon shall, In all respects, conform to the Ordinance adopted by the Clty.of Springfield, Including the Dovelopment Code, regulating the constructlon and use of buildings, and may be suspended or revoked at any time upon violation of any provisions of said ordinances. " Plan Check Fcc' Date Paid: Receipt Number' Received By: Plans Reviewed By Date SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Development Charge Is due on all undeveloped properties within the City limits which are being Improved. PLUMBING PERMIT ITEM Fixtures Residential Bath(s) N' Sanitary S~wer Water FT. FT. Storm Sewer FT. Mobile !'fome Plumbing Permit State Surcharge Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan N' Wood Stove/lnserl/Flreplace Unit Dryer Vent Mechanical Permit Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance Stale Surcharge Sidewalk It Curbcul It Demolition State Surcharge Total Miscellaneous Permits, (E) ., TOTAL AMOUNT DUE (excluding electrical) (A. B, C. D, and E Combined) ADDITIONAL COMMENTS FEE By signature, I state and agree, that I have carefully examined the completed application and do hereby certl fy 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 perlalnlng to the work des~rlbed herein. and that NO OCCUPANCY will be made of any structure without permission of the Building Safety Division. I further certify that o,!ly contractors and employees who arc 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 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 tlmes during consllU_9tlon. Signature Mjd~~ '") ~L-~,L;"~ ~-- I' -~' ~ . Datp VALIDATION: RECEIPT NUMBER D :3: -i -i 0 ::u DD ::u -i Z rr1 IT1 (0 (")--# D '::'~o (0 f'..J:::Dj-l. HC,JWOO rr1~__a-.Q ~-; :2::d'N,p. a en. CHD C"~tr--:l'O:->:- ~ DATE PAIP AMOUNT RECEIVED RECEIVED BY . :\ . City Of Springfield Development Services Community Services Division Building Safety I Job# 01-00337-01 .' Location Of Proposed Site: 3998 Franklin Blvd Spr Assessors Map#: 17033442 Lot: Block: Addition: Owner: Brad Curtis 3998 Franklin Blvd Phone Number: City/State/Zip: Eugene, OR 97116 New Value: $0 Address: Scope Of Work: Mechanical Contractor Type Mechanical Contr Contractor Home Comfort Heating & Air Condit" Po Box 24205. Eugene, OR 97402 Registration # 84164 Fee Paid On Receipt# Mechanical 04/06/2001 4868 04/06/2001 4868 04/06/2001 4868 04/06/2001 4868 Minimum Mechanical Permit Administrative Fee - Mechanical Mechanical Issuance State Surcharge - Mechanical Total Mechanical Grand Total Required Inspections Scheduled Inspection Inspector Date Date Mechanical Rough Mechanical Final Mechanical :nd Of Report . Tax Lot #: 02400 Subdivision: Expiration Date 6/25/2001 Value/Quantity Result Comments Pending Pending Page 1 of 1 Phone 541-345-2838 Fee Amount 1 $15.00 $.45 $10.00 $1.05 $26.50 $26.50