HomeMy WebLinkAboutPermit Mechanical 1992-8-27 (3)
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ADDRESS' 2--5- J 2--N r -7-- '7 i7
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RESIDENTIAL
PERMIT APPLICATION
Inspcctions: 726,3769
Officc: 720-3759
LOT-
OWNER:
CITY:
OESCRIBE WORK'
NEW
REMODEL __ ADDITION
.
SPRINGFIELD
.
qZllq~
BLOCK'
JOB NUMBER
225 Firth Street
Springfield, Oregon 97477
4-,..
(\_~~',rr)
TAX LOT:
SUBDIVISION:
PHONE:
746 - N,-~?
C)~
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q'74-)>P
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DEMOLISH
OTHER
ZIP:
EXPIRES
$-(tJ -q <
-~
PHONE
CONST,
CONTRACTOR'1fAME ADDjSS fA CONTRACTOR'
GEN ERAL ---:-l.t'LIc--JlgJlJJ!@tJ-------- rJ61k~YfRk {,O f..J {,
I'LUMBINGl8eM(!jg ~[/I~0ft--_..---
MECHANICAL: -6~~7'g"'t? -fj
ELECTRICAL:__'f!II-(//1L<ff~ f!.t1rCr)O.s
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- OFFICE USE -
QUAD AREA: LAND US~' FLOOD PLAIN'
. OF BLDGS' . OF UNITS' ZONING CODE:_
OCCY GROUP: CONSTR, TYPE: . OF BDRMS-
, OF STORIES' HEAT SOURCE: SECONDARY HEAT:
WATER HEATER: RANGE: SQUARE FOOTAGE:
To request an Inspection, you must c?1I 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.
D Tcmpor<lrY Electric
o Site Inspection - To be made
after excavation, but prior 10
setting forms.
o
Undcrslab Plumbing! Electricall
Mechanical - Prior to cover.
o
Footing - Afler trenches are
cxcavalC(J.
o
Masonry - Steel location, l)omJ
beams, grouting.
o
Foundation - Aftcr forms are
erected but prior to concrete
placement.
o
Underground Plumbing - Prior
to tilling trench.
o
Underlloor Plumbing/Mechanical
_ Prior to insulation or decking.
o
Post and Beam - Prior to (foor
insulation or decking.
o
Floor Insulation - Prior to
decking.
[J
Sanitary Sewer - Prior to filling
trenctl.
o
Storm Sewer - Prior to filling
trencll.
o Water Line - Prior to filling
trench.
Ft:J Rough Plumbing - Prior to
~ver.
REQUIRED INSPECTIONS
~ 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.
~ Frnming - Prior to cover.
o Wall/Ceiling Insulation - Prior to
cover.
~ Drywall - PrIor to tapi.ng.
o Wood Stove - After installation.
o Insert - After fireplace approval
and installation of unit.
o Curbcut & Approach - After
forms arc erected but prior 10
pl<lcemen! ot concrete.
o Sidewalk & Driveway - After
excavation is complete, forms
and slIb.base material In place.
o Fence - Wilen completed.
o Street Trees - When all requIred
trees are planted.
r\71 Final Plumbing - When all
~PIUmbing worl( Is complet.e.
o Final Electrical - When all
electrIcal work is complete.
1"\11 Final Mechanical - When all
~ mechanical work is complete.
~ Final Building - When all
required Inspections hove been
approved and building Is
completed.
DOthcr
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 - WIlen
blocking, set-up, an(J 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
Lot Type.---
Interior
Lot sq, ltg,
Lot covcragc
Corner
Topography
Total 11Cight
Panhandle
Cut-de.sac
BUILDING PERMIT
ITEM SQ. FT, X $/SQ, FT,
Main
Garage
Carport
Total Valuc
Building Permit Fcc
St;lte Surcharge
Total Fee
(A)
Setbacks __
...fb... HSE GAR ACC
N
------
.IS THE PROPOSED WORK IN THE
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
~---
W
E -==1
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
VALUE
3~
,,1R.5:?
1.'13
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
PLUMBING PERMIT
ITEM
3
Fixtures
Residential Bath(s)
N'
Sanitary Sewer
FT,
Water
FT.
FT.
Storm Sewer
Mobile Home
Plumbing Permit
State Surcharge
Total Charge
(C)
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan
N'
Wood Stove/Insert/Fireplace Unit
Dryer Vent
Mechanical Permit
Issuance
State Surcharge
Total Permit
(0)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
It
Curbcut
It
Demoll lion
State Surcharge
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Combined)
FEE
::::C;,OO
3?~O
J ..s0
~( , .5e>
IS.OO
jS,OO
_1./1. 00
Ie;
2.5 .7S
i!i((? 'X
If yes, this application must be signed
and approved by tile Historical
Coordinator prior to permit issuance.
APPROVED:
Tllis permit is wnnted on tllC express condition that tile said
construction ~,llall, in all respects, conform to Ole Oldinance
adopted uy the City of Springficld, including the
Development Code, regulating the construction and use of
buildings, and may be suspended or revoked ilt any time
lJpon violation of any provisions of said ordinances.
Plan Check Fcc: .
Date Paid:
Receipt Number.
Received By:
Plans Reviewed By
Dale
Systems Development Cllarge is due on all undeveloped
properties within tile City limits which are being improved.
ADDITIONAL COMMENTS
By signnlllre, I stnle and agreu, that I have cnrcfully ex?mined
tile completed application and do hereby certHy that all
Information Ilereon is true and correct, and I further certify
that any and all worK performed shall be done in accordance
with lhe 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 WiltlOUt permission of the Building Safely Division.
I further certify ttlat only contractors and employees who
are In compliance Wittl ORS 701.055 will be used on this
project.
I further agree to ensure that all ulred insp ctions arc
. requested at the proper time, t teach add res is readable
from the slreet, that the penn t card Is locale at the front
of the proper ,and the appr ved set of pia 5 will remain
all tillle~ durin conslructio.
I
-
VALIDATION:
RECEIPT NUMEJER [PO 47
DATE PAIr> ;?, 2-7 - 9?
AMOUNT RECEIV"f' C(7.-ro5J
r:~
RECEIVED EJY