HomeMy WebLinkAboutPermit Mechanical 1998-11-13
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LOCATION OF PROPOSED WOR/<' .;::)7/7 ~"'6<!-- <!r-GsT
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RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
Oftlce: 726.3759
ASSESSORS MAP'
LOT:
OWNER'
CITY'
.
SPRINGFIELD
BLOCK:
STAT~' ~>-
DESCRIBE WORK' c/ -7S;htI) /-r~ YV1'>tP
NEW
REMODEL
ADDITION
CONTRACTOR'S NAME
GENERAl'
PLUMBING:
MECHANICAl' /./""""" ~~/h\.
ELECTRIC! ' .
DEMOLISH
OTHER
..
JOB NUMBER
9~o 7'3-6
225 Filth Slreet
Sprlnglleld, Oregon 97477
TAX LOT'
O/JIS
SUBDIVISION'
PHONE: ....;2'2.1- 5J/9'7
ZIP: '1'7<171
ADDRESS
CON ST.
CONTRACTOR'
EXPIRES .~ PHONE
REQUIRED INSPECTIONS
o Rough Mechanical - Prior to
cover.
o Rough Electrical - Prior to
CQver.
o Eleclrlcal Service - Must be
approved to obta.ln permanent
electrical power.
o Fireplace - Prior to facing
materials and framing Insp.
o Framing - Prior to cover.
o Wall/Ceiling Insulation - Prior to
cove~ .
o Drywall - Prior to taping.
o Wood Stovo - After Installation.
o Insert - After fireplace approval
and Installation of unit.
o Curbcut & Approach - After
forms afe erected bUI prior to
placemont of concrete.
o Sidewalk & Driveway - Aller
excavation Is complete. forms
and sub.base material In place.
o Fence - VVhen completed.
o Street Treo5 - When all required
trees are planted.
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- OFFICE USE -
ATTENTION:Oregon law requirts you to
QIJAD AREk . J I '1 - Ut'I't LAND USE' "'-1-=
rOHow-rars.:. o.JUt-.H'd uy' 1'0 _1'O'~.....n II Y . - I~v r ,,~~
~O'lifiBlltbm;Center. Those rules are set fortit OF UNITS: - --' r <"'IALL EXP~m\fNJ:tl60'tlJ!ElK
in OAR 952-001-0010 through OAR 952-001- IHt::>n::nIVI' "" , ,
a~c::x GBOUP' ... . , 'he I "CONSTR. TYPE: -" '-"I-rl~-~ ''''DER THltl~EIEl~RrUSNm
005U. "loa may VULQIlI uVt-'I'OO VI , ru as uy /'\u II Vi II'-~'"" ...n,
. ~~/N;penter. (Note: the telephone HEAT SOURCE: ,,"'. ...n't'['" "81S ABA13eCONoA'"R'\BHEAT:
number for the Oregon Utility Notification vv"""-, ,. -- - ,
WATER H~1Il& is-t-6e: Y.J.: 2:-Mt. RANGE: _ \ ^,V 1 f'" I"I~ V prRIOI. SQUARE FOOTAGE:
FLOOD PLAIN:
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 aUer 7:00 a.m. will be made the following work day.
o Temporary Eleelrlc
o Site Inspecllon - To be made
after excavation, but prior to
seltlng 'orms.
o Underslab Plumblng/Electrlcall
Mechanical - Prior to cover.
o Footing - Aller Irenches are
excavated.
o Masonry - Steel location, bond
beams, grouting.
o Foundallon - Alter forms are
erecled but prior to concrete
placement
o Underground Plumbing - Prior
to filling trench.
o UnderfJoor Plumbing/Mechanical
- Prior to Insulation or decking.
o Post and 8eam - Prior to floor
Insulation or decking.
o Floor Insulation - Prior to
decking.
o Sanitary Sewer - Prior to filling
trench.
o Storm Sewer - Prior 10 filling
trench.
o Waler Line - Prior to filling
trench.
o Rough Plumbing - Prior to
cover.
o Final Plumbing - When all
plumbing w9rl< Is complet.e.
D Final Electrical - When all
electrical work Is complete.
o Final Mechanical - When all
mechanical work Is complete.
o Final BUfldlng - When all
required Inspections have been
approyed and building Is
completed.
o Other
MOBILE HOME INSPECTIONS
o Blocking and Set.Up - When all
blocking Is complete.
o Plumbing Connections - When
home has been connected to
waler 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
venllng have been Installed.
Lot faces
Lot lYP.
Lot sq. flg.
Interior
Lot coverage
Corner
Topography
Total hetght
Panhandle
Cul.de.sac
BUILDING PERI\,IflT'
'I
ITEM
so. FT.
X $/SO. FT.
Main
Garage
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fee
(A)
I P.L.
N
S
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'IS THE PROPOSED WORK IN THE.
. . HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
" yes, this application must be signed
and approyed by the Historical
Coordinator prior to permit Issuance.
Setbacks
HSE GAR Accl
I
I
E
W
--- --- -----
APPROVED:
VALUE
"
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 StovellnserllFlreplace Unit
Dr7;;;) ~w..-(J
I
Mechanical Permit
Issuance
State Surcharge
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
,
Sidewalk
fl
Curbcut
It
Demolition
State Surcharge
Total Miscellaneous Permlls (E)
TOTAL AMOUNT DUE (excluding electrical)
(A, B. C, 0, and E Combined)
FEE
I">. d 1/
If/., IIv
'f, hr
UlAJ
BUILDING VAUJE, PLAN CHECK
AND BUILDING PERMIT
This permll is granted on the express condition Ihatthe said
construction shall, In all respects, conform to the Ordinance
adopted by the City 01 Springfield, Including the
Development Code, regulating the construction and use of
buildings, and may be suspended or revoked at any lime
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
4
By signature, I slate and agree, that I have carefully examined
the completed application and do hereby cerllfy 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 described
herein, and that NO OCCUPANCY will be made of any
structure without permission of (he Building Safety Division_
I further certify that only contractors and employees who
are In compliance wllh ORS 701.055 will be used on this
project.
I further agree lo ensure that all required Inspections are
requested at the proper time, that each address Is readable
from lhe streel, that the permit card Is located at Ihe front
of the property, and the approved set of plans will remain
on the site at allollmr;;';} ~d' 'r
Slgnaturp ~ ~~ f.
Date :;;-/~~ ~9?/-
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VALIDATION:
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RECEIPT NUMBER
DATE PAID