HomeMy WebLinkAboutPermit Mechanical 1996-5-20
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RESIDENTIAL
PERMIT APPLICATION
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JOB. NUMBER
Inspections: 72~.3769
Office: 726.3759
225 Fifth Street
Springfield, Oregon 97477
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LOCATION OF PROPOSED WORK:
ASSESSORS MAP:
LOT:
TAX LOT:
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BLOCK:
SUBDIVISION:
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OWNER'
ADDRESS:
CITY:
. PHONE:'? -::?r:::-6'6 "7"9
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ZIP: "59 ~::>?
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DESCRIBE WORK: /.v-?~?"~
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NEW
REMODEL
ADDITION
DEMOLISH
_ OTHER
CONST.
CONTRACTOR /I
CONTRACTOR'S NAME
ADDRESS
/
PHONE
EXPIRES
GENERAL:
PLUMBING: ,_
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MECHANICAL:./;~~~.it:=;/~'~~f? ""'j'/Y?fIe"... ~~-? Z~...'5"~ 7f/~-~//
ELECTRI~AL:
- OFFICE USE -
QUAD AREA:
/I OF BLDGS:
OCCY GROUP:
LAND USE:
# OF UNITS:
FLOOD PLAIN:
ZONING CODE:
/I OF BDRMS:
CONSTR. TYPE:
/I OF STORIES:
WATER HEATER:
. HEAT SOURCE:
RANGE:
. 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.
REQUIRED INSPECTIONS
D Temporary Electric
lE!RoU9h Mechanical -.:. Prior to
'cover.
~ .
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D Rough Electrical - Prior to
cover.
D Final Plumbing - When I all
plumbing work Is complete.
,
o Site Inspection - To be made
after excavation, but prior to
setting forms.
o Final Electrical - When all
electrical ~v?rk is complete.
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o Underslab Plumbing/Electrical!
Mechanical - Prior to cover.
rn Final Mechanical - When all
rri?h~~c?Ork Is comp~te.
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o Final Building - When all
required Inspections have been
approved and building is
completed.
o Electrical Service - Must be
approved to obtain permanent
electrical power.
o Footing - After trenches are
excavated.
D Fireplace - Prior to facing
. materials and framing Insp.
.' 0 Masonry - Steel location, bond
beams, grouting.
o Framing - Prior ~o cover.
o Other
o Foundation - After forms are
erected but prior to concrete
placement.
o Wall/Ceiling Insulation ~ Prior to
cover. . -. '.
o Underground Plumbing - Prior
to filling trench. .
o Drywall - prlor:t~o~i~Plri9:
MOBILE HOME INSPECTIONS
o Underfloor Plumbing/Mechanical
. - Prior to Insulation or decking.
o Wood Stove - After Installation.
D Blocking and Set-Up - When all
blocking is complete.
D Post and Beam - Prior to floor
Insulation or decking. .
D Insert - After fireplace approval
and Installation of unit.
o Floor Insulation - Prior to
decking.
o Plumbing Connections - When
home has been connected to
water and sewer.
o Curbcut& Approach - After
forms are erected but prior to
placement of concrete.
O SanitafY Sewer ~ Prior to filling
trench. '- !
o Electrical Connection - When
blocking, set.up, and plumbing
Inspections have been approved
and the home is connected to
the service panel.
o Sidewalk & Driveway"- After
excavation Is complete, forms
and sub-base material in place.
o Storm Se~~:r - Prior to filling
trench.
O Water Line - 'Prlor to'tilllng
trench. . '. _ . ,.
o Fence - When completed.
o Final - After all required
inspections are approved and
porches, skirting, decks, and
venting have been installed.
D Rough Plumbin'g - Prl9r to.
cover. . .
D Street Trees - When all required
trees are planted.
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Lot faces Lot Type'
Lot sq, Itg. Interior I P.L.
IN
Lot coverage Corner Is
Topography Panhandle \W
Total height Cul.de-sac ""'\ E
Setbacks IS THE PROPOSED WORK iN THE,
HSE GAR ACCqHISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
If yes, this application must be signed
and approved by the Historical
Coordinator prior to permit issuance.
I.
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BUILDING PERMIT ;
ITEM
sa. FT.
X $/SO. FT.
VALUE
Main
Garage
Carport
"
Total Value
Building Permit Fee '
State Surcharge
Total Fee
(A)
SYSTEMS DEVEL.QPMENT CHARGE (SDC),':.
. ' -"
, 1 ~ " "
(B)
PLUMBING PERMIT
ITEM
FEE
Fixtures
Residential Bath(s)
NO
Sanitary S~wer
Water
FT.
FT.
I
Storm Sewer
FT.
Mobile Home
Plumbing Permit
State Surcharge
Total Charge
(C)
MECHANICAL PERMIT
Furnace V/f<.v~
Exhaust Hood
77~
Vent Fan
NO
Wood Stove/lnsert/Flreplace Unit
Dryer Vent
Mechanical Permit
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Issuance
State Surcharge
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
It
Curbcut
It
Demolition
State Surcha1ge
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Combined)
APPROVED'
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BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT .
This permltJs granted on the e.xpresscondition that the said
construction shall, in 'all respects, conform to' the Ordinance
adOP.led by the_ City~,of Spr(ngfield, inciudlng the
. Devel6p'ment Code, regulating the construction and use of
buildings, and may be suspended or revoked at any time
upon violation of any'provision's of said ordinances.
-Plan Check Fee:
Date Paid:
Receipt Number'
Received By:
Plans Reviewed By
Date
. .Systems De:velopment Charge -is due 'on all undeveloped
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properties within 'the City limits which are being improved.
ADDITIONAL COMMENTS
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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 Ordlnanc~s 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
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S- 70.Qh
Date
VALIDATION:
RECEIPT,NUMBER ::21'6'0/
DATE PAID ~:?~-%:
AMOUNT RECEIVED 2.C:- :?d>
RECEIVED BY a~~ '"
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