HomeMy WebLinkAboutPermit Mechanical 1999-2-8
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RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
LOT'
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BLOCK'
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qqo/r"c:;
JOB NUMBER
TAX LO'!'
SUBDIVISION'
OWNER: mn rVI Vl '\- r00 YQp . ~\ Xl l..-l- PHONE: ~ 10 -l F{ 13
ADDR~2..~q~J1J 101_0) ~VP Y\l \fTr
CITY: '_ '\ lr\ "'~ ' dyc1. ) STATE: \..)Cf'Jr=rYl ZIP: C)rl4l\
DESCRIBE WORK'"\ ~ V \-\ I R
NEW REMODEL ADDITIJN,+ DEMOLISH OTHER
CONST.
CONTRACTOR'S NAME \ V \.' I ADDRESS S1RACTOR # EXPIRES '."
GENERAL~ \C\ VY\P.5...Y\ P ern VlCv~ V4t , lie::; L.ftll \V'f'V\r p, > L\ 1~C\ lo 3IB..l D I
PLUMBING' (J . , I
MECHANICAL:
PHONE
4l01-2/01
hTTI=t\ITI()f\I.nr~:Jnn 1~\AI rAqllirp!; vnlJ to
follow rules adopted by the Oregon Utility
NotlTlCatlon vemer. I no~e I U1t:t:) 1:11 t:f ~tU IVI U I
In,,, I"t:HNIII ::iHALL EXPIRE 11= 'tHE WORI< _ OFFICE USE~ UAH \:l::>~-UU1-VU '~mrv~YIl VMn "",,'w,-
. AUTHORlrD UNDER T 0090. You may obtain copies of the rules by
QUAD AREA: .:_ HIS (J!:f:lMIT IS N("tAND USE: ""lIlnO the centerRL~O: t1tfA1fi:1ephone
l,Uf\1JME~Il;'J) OR IS /:IJf,,'.;tJO'~ED FOR numberforthe.Ore~nl~tili~ Not.ification
# OF, BLDGS: I . # OF UNITS: . N .~G. G<l6:
""", " '. I '~I:" ,-"",terIS 1- If-3;jZ' ;}....7.-
OCCY GROUP' CONSTR. TYPE: # OF BDRMS'
f\'_c,-:.':"':\t=-
ELECT.ElI~LJ;::
# OF STORIES:
WATER HEATER'
HEAT SOURCE:
RANG~'
SECONDARY 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.
o Temporary Electric
o Site Inspection - To be mado
after excavation, but prior to
setting forms.
o Underslab Plumblng/Eleclrlca"
Mechanical - Prior to cover.
o Fooling - After trenehes are
excavated.
o Masonry - Steel location, bond
beams, grouting.
~ 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.
o Post and Beam - Prior to floor
Insulation or decking.
o Floor Insulation - Prlor to
decKing.
o Sanitary Sewer - Prior to 1II11ng
trench.
.0 Storm Sewer - Prior to filling
trench.
o Water Line - Prior to filling
trench.
o Rough Plumbing - Prior to
cover.
REQUIRED INSPECTIONS
o Rough Mechanical - Prior to
cover.
o Rough Electrical - Prior to
cover.
o Electrical Service - Must be
approved to obtai n permanent
electrical power.
o Fireplace - Prior to facing
materials and framing lnsp.
o Framing - Prior to cover.
o Wall/Celllng Insulation - Prior to
cover.
o Drywall - Prior to taping.
o Wood Stovo - After Installation.
o Insert - After fireplace approval
and Installation of unit.
o Curbcut & Approach - After
forms are erected but prior to
placement of concrete.
o Sidewalk & Driveway - After
excavation Is complete. forms
and sub.base material In place.
o Fence - Whon corr,pleted.
o Street Trees - When all required
trees are planted.
o Final Plumbing - When all
plumbing worK Is complete.
. .
D Final Electrical - When all
electrical work Is complete.
o Final Mechanical - When all
mechanical work Is complete.
o Final Building - When all
required Inspections have been
approved and bUilding Is
completed.
o Other
MOBILE HOME INSPECTIONS
o Blocking and Set.Up - When all
blockIng Is complete.
..1
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.
Lot faces
L~t ~yp"
Interior
Lot sQ. flg.
Lot coverage
Corner
Panhandle "
Topography
Total height
Cul.de.sac
BUILDING PERIi)lIT ,'I
ITEM sa, FT. x
'.
..
't
$/ sa. FT. ~
Main
Garage
Carport
Total Value
Building Permit Fee
Slate Surcharge
Total Fee
(A)
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
PLUMBING PERMIT
ITEM
Fixtures
Residential Bath(s)
N'
Sanitary S~wer
Water
FT.
FT.
Storm Sewer
FT.
Mobile Home
Plumbing Permit
State Surcharge
Total Charge
(C)
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan
N'
Wood Stovellnsert/Flreplace Unit
pryer Ven~ ~,j)
,7'VeCL-f-' ryp! rp
Mechanical Permit
Issuance
State Surcharge
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
It
Curbcut
fl
Demolition
State Surcharge
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Combined)
"
I PL.
IN
Is
W__
,E
VALUE
"
FEE
Z::' 0-0
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...., ~::~:~~.~";~ft:-;.;
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~S THE PROPOSED WORK IN THE,
....HiSTORiCAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
II yes, this application must be signed
and approved by the Historical.
Coordinator prior to permit issuance.
Setbacks,
HSE GAR ACC'
APPROVEf'>'
. ''I.., 'I
BUILDING VALtJE, 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, Ineludlng the
Development Code, regulating the construction and use of
oulldlngs, 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
.
By signature, I state 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 Ordlnancus of the City of Springfield, and the Laws
of the State of Oregon pertaining to tho 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
prolect.
I rurther agree (0 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 Pi'vP"Hty. and the approved set of plans will remain
on the site at all tlm';,s Jo/(79 construction.
Slgnaturp~;1~
6J-,r-7t1
Date (
.1
VALIDATION:
RECEIPT NUMB'lR ().s ;). i5D c;.,.
DATE PAID'? / f( / q 9
AMOUNT RE;EIVE~, ?-/~. ;:ro
RECEIVED BY n, /Yl/J.I'~"-~
-~.
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'SPRINGFIELD
DEVELOPMENT SERVICES DEPARTMENT
225 FIFTH STREET
SPRINGFIELD, OR 97477
(503) 726.3753
FAX (503) 726.3689
Marvin Rainy
1229 Sequoia Street
Springfield OR 97477
cA{()NY\ Sy~
4q3D& ~f)
4 April 1994
Dear Property Owner:
Recently an electrical permit was taken out in your name for the installation of
an alarm system located at 1229 Sequoia St., Springfield OR. The City of
Springfield requires all alarm users to obtain an alarm system license.
Springfield Ci ty Code Section 8-15-3 states in part that "no person shall be an
alarm user without obtaining a license". An alarm user is defined as "any
person or business who has control of an alarm installed on premises". The cost
for this license is a one-time fee of $40. I have enclosed a copy of the alarm
system code for your reference.
The alarm systems are licensed and regulated by the City in an effort "to reduce
false alarms to the City of Springfield Police Department caused by human error,
neglect, poor technological design, improper instruction or improper
installation." The owner information is utilized by our Police Department in
case the alarm is activated. In an emergency situation this information can be
vital and helps reduce response time considerably.
.
Please complete the enclosed application form and return it along with the $40
li cense fee to:
City of Springfield
Business Licensing
225 Fifth Street
Springfield OR 97477
,
If I may be of any assistance to you or if you have any questions, please call
me at 726-3735.
Sincerely,
Melanie Dawson
Business License Specialist
Enclosures
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