HomeMy WebLinkAboutPermit Mechanical 1999-9-21
ASSESSORS MAP:
LOT:
RESIDENTIAL
, PERMIT APPLICATION
Inspections: 726.3769
Office: 726-3759 I
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SPRINGFIELD
LOCATION OF PROPOSED WORK:
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BLOCK:
OWNER!:. .
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STATE:
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ADDRE'SS:' ,
CITY:
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JOB NUMBER 3~ /2.$2
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225 Fifth Street
Springfield. Oregon 97477
TAX LOT: &:J '3~ ,:;> ~
SUBDIVISION:
PHONE:
7~7- o~/-/"7
ZIP' 9?Y??
DESCRIBE WORK .~/l,/p"e ,.k(Jh;;-, ,~~~"r" /",~g PU'UJ.ay), Ar>~
NEW REMODEL ADDITION' D~ISH ' OTHER
ADDRESS'
CONST,
CONTRACTOR #
EXPIRES ,1." PHONE
CONTRACTOR:S NAME
, GENERAL:
,PLUMBING:
MECHANICAL; /h>~ 4/'1A>"t)~ 7~l L)S'L.~
ELECTRICA: .~-..,~ ~~I"Y_
LC"f',L~ ~ - -{ ~
'if l/ I '-'I
- OFFICE USE -
QUAD AREA:
LAND USE'
# OF BLDGS'
# OF l,IN1TS:
CONSTR, TYPE:
OCCY GROUP:
# OF STORIES:
WATER HEATER:
HEAT SOURCE: '
RANGE: __
tip.!)
)
olf~ ?-f3 i
FLOOD PLAIN:
ZONING CODE:
# OF BDRMS:
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 '1:00 a.m. will be made the following work day,
REQU IRED I NSP ECTlO NS
o Temporary Electric
o Rough Mechanical -;- Prior to
,cove~ '
0' Site Inspection - To be made
after excavation, but prior to
setting forms,
o Rough'Electrical -,. Prior to
cover.
o Underslab Plumbing/ Electrical!
Mechanical - Prior to cover.
o Electrical Service - Must be
approved to obtain permanent
electrical power. ,
o Footing - After trenches are
excavated.
o Fireplace - Prior to facing
materials and framing Insp.
o Masonry - Steel location, bond
beams, grouting, '
'D Framing - Prlor!o co~er.
" . - .~"," ~,.,
, ,
o Foundation - After forms are
" , erected but prior to 'concrete
placement- '
D Wall/Ceiling Insulatlon.~-:-:- Prior to
cove~ ",
" ..:~_ {''':'''' .t:,..'
<1, ',<
D Drywall- prlo~ '~; ~ap~n,g, ,
'.. . '." ~ '" ~
" , <j,J,': ",
o Underground Plumbing - Prior
to filling trench.'
D Underlloor Plumbing/ Mechanicai
- Prior to Insulation or decking.
D Wc;>od Stovo - After Installation.
o Post and Beam - Prior to floor
Insulation or decking,
o Insert - After fireplace approval
and Installation of unit.
o Floor Insulation - Prior to
decking. "
DCurbcLlt & Approach - After
" forms are erected but prior to'
placement of concrete,
o Sanitary Sewer - Prior to filling
trench. '
o Storm Sewer '- Prior to filling
trench. '
o Sidewall< & Driveway - After
excavation Is complete, forms
and sub-base'material in place,
,0 Water Line -::: Prior 'to filling,
trench, ' ". "", " " '
o Fence'- When cori\pleted,
o Rough Plu';';bing .~. ~rlor to
cover, '
o Street Trees - When all required
" trees are planted. '
o Final Plumbing - When all
',plumbing w9rl< Is complete.
rl7I Final Electrical - When all
~ electrical work Is complete.
11?1 Final Mechanical - When all
J.L.:.l 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 ~et-Up - When all
blocking 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, sklrtlng"decks, and
venting have been Installed,
,
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Lot faces
'-
Lot Type
Lot sq. ftg.
Lot coverage
Topography
Total height
BUILDING PERrtlJlT !tj,
ITEM SQ, FT,
'f~ ';~
X $/SQ, FT,
Main
Garage
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fee
(A)
~~. 1,
.t,.~ :1
, ,
"',, , ' '" 1:' ,,: i;:,~:~;if.~:~ '
~ ~-, :~
'( .EPROPOSED WORK IN THE.
HISTORICAL DISTRICT, OR ON
THE HISTORICAl REGISTER?
If yes, this application must be signed
and approved by the Historical
Coordinator prior to permit issuance.
Setbacks '
HSE GAR ACC
VALUE
"
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Interior I p.L.
Corner N
\> S
Panhandle '
Cul-de-sac W
E
PLUMBING PERMIT
ITEM
Fixtures
Residential Bath{s)
N'
Sanitary S~wer
FT,
Water
FT,
Storm Sewer
FT.
Mobile Home
Plumbing Permit
State Surcharge
Total Charge
(C)
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan
NO
Wood StovellnsertlFlreplace Unit
Dryer Vent
Mechanical Permit
Issuance
~~
State Surcharge
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
ft
Curbcut
ft
Demolition
State Surcharge
Total Miscellaneous Permits (E)
"
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Combined) ,
FEE
1-!5'. ~I?
,~
/,G?
7-/.4~
- ~'7
:2,6 · :S'~
APPROVED:
BUILDING VA'LdE,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, including the
Development Code, regulating the construction and 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 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 Ordinances of the City of Springfield, and the Laws
of the State of Oregon pertaining to the 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
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
Date
VALIDATION:
RECEIPT NUMBER ~e;-~2. J
, . '
DATE PAID q ...~/.~
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AMOUNT RECEIVED ~ _ 53?
RECEIVED BY ~/~.
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