HomeMy WebLinkAboutPermit Mechanical 1998-6-22
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726-3769
Office: 726,3759
.
SPRINGFIELD
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ASSESSORS MAP:
LOT'
OWNER:
ADDRESS'
CITY'
DESCRIBE WORK' -r;:;...h. IJ
NEW
REMODEL
ADDITION
CONTRACTOR'S NAME
GENERA' '
PLUMBING'
MECHANICAl'
M>,..~&.-..A,~
ELECTRICAL'
5 -br. .PC-'
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BLOCK:
STATE: _/).-
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DEMOLISH
OTHER
.
JOB NUMBER
98'0 7 Su
225 Filth Street
Sprlnglleld, Oregon 97477
TAX LOT:
SUBDIVISION:
o 3 i O(J
PHONF'
7~ -( Nt.,
ZIP: '77<,/77
ADDRESS
CONST,
CONTRACTOR'
EXPIRES ,~ PHONE
7tJl D<;.L4..r" St--/;:".
T<JI I. V
- OFFICE USE -
NOTICE.
. OF BLDGS: TIIKJ :'EmllT 3j-jML.~ EXPIRE WT~E~bRK
OCCY GROUP: --A1m-I8-"':;~-C J;,~R THIS P;OOi?1sTN'ot:
. OF STORIES: r.OI4MENCED on /0 ABANDt)~bo/CtfrCE:
WATER HEATERlI,NY 1An nAY PERIOD, RANGF'
QUAD AREA:
LAND US~'
~J7<;'JL71
:l ~ 2,rf,t:'
FLOOD PLAIN:
ZONING CODE:_
. OF BDRMS:
SECONDARY HEAT:
SQUARE FOOTAGE:
To request an Inspectlon, you must call 726-3769. This Is a 24 hour recording. All Inspections requested before 7:00 a.m. wilt be
made the same working day, Inspectlons requested after 7:00 a.m. will be made the following work day.
o Temporary Electric
o Site Inspection - To be made
after excavatlon, but prior to
setting forms.
o Underslab Plumbing/Electrical/
Mechanical - Prior to cover.
o Footing - After trenches are
excavated.
o Masonry - Steel location, bond
beams, grouting.
o Foundation - After forms are
erected but prior to concrete
placement.
o Underground Plumbing - Prior
to filling trench.
O UnderiloorPlumbing/Mechanlcal
_ PriOr to InsulatIon or decking.
o Post and Beam - Prior to floor
Insulation or decking.
o Floor Insulation - Prior to
decking. .
o Sanitary Sewer - PrIor to fIIUng
trench.
D 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 obtain permanent
electrical power.
o Fireplace - Prior to facing
materials and framing Insp.
D Framing - Prior to cover.
o Wail/Ceiling Insulation - Prior to
cover.
o Drywall - PrIor to tapl,ng.
o Wood Stovo - Atter Installation.
D Insert - After fireplace approvlll
and installation of unit.
o Curbcut & Approach - After
(arms arc erected but prior to
placement of concrete.
D Sidewalk & Driveway - After
excavation Is complete. forms
and sub.base material In place.
o Fence - When completed.
o Street Trees - When all required
trees are planted.
o
Final Plumbing - When all
plumbing w9rk Is complete.
o Final Electrical - When all
electrical work Is complete.
~al 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.
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.
L~t ~p. ,
Lot faces
Lot sq, flg, Interior
Lot coverage Corner
Topography Panhandle \
Total height Cul.de-sac
BUILDING PERMIT;
.~ 'f
ITEM
SQ, FT,
X $/SQ, FT.
Main
Garage
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fee
(A)
I PL.
IN
Is
VI'
----.
E
VALUE
"
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
PLUMBING PERMIT
ITEM
Fixtures
Residential Bath(s)
N'
Sanitary s~wer
Water
FT.
FT,
Storm Sewer
FT.
Mobile Horne
Plumbing Permit
State Surcharge
Total Charge
(C)
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan '\
N'
Wood Stovellnsert/Flreplace Unit
Dryer Vent
1Je,./ {J,.. 1>-(1
Mechanical Permit
Issuance
State Surcharge
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
Slate Issuance
State Surcharge
,
Sidewalk
fl
Curbcut
fl
Demolition
State Surcharge
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Combined)
FEE
/5.0 u
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'IS THE PROPOSED WORK iN THE ..
....HiSTORiCAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
Setbacks
HSEjGAR
I
Acc'l
I
I
I
_J
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
If yes. this application must be signed
and approved by the Historical
Coordinator prior to permit issuance.
APPROVED'
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 tile City limits which are being improved.
ADDITIONAL COMMENTS
"
By signature, I stale 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 witl be made of any
structure without permission of the Building Safety Division.
I further certlty that only contractors and employees who
are In compliance with OAS 701.055 will be used on this
project.
I further awee 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 times during c ruellon.
Signature ~4;
Date
/# -?y
VALIDATION: <f c(
RECEIPT NUMBER, i) 30 1.-
DATE PAID ~ h de; f
AMOUNT RECEIV~D ~~~}
RECEIVED BY Dlil;j:J