HomeMy WebLinkAboutPermit Mechanical 1997-5-7
RESIDENTIAL
PERMIT 1
SPRINGFIELD
LOCATION OF PROPOSED WORK 2J::?'f1
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LOT
OWNER
ADDRESS
CITY
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DESCRIBE WORK
NEW
REMODEL
CONTRACTOR'S NAME
GENERAl
PLUMBING
MECHANICAL
ELECTRICAL
JOy<, er
BLOCK
STATE
OVf>_
JOB NUMBER c\'10 \Oq 1-
225 Filttl Slreel
Sprlnglleld, Oregon 97477
TAX LOT
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SUBDIVISION
PHONE
7V.J-'1f?6Y::
ADDITION
DEMOLISH
OTHER
ZIP
9?'f'~8
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ADDRESS
CONST
CONTRACTOR'
PHONE
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I
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EXPIRES
'f 73'1(
VIJ/-2/0/
QUAD AREA
. OF BLDGS
OCCY GROUP
. OF STORIES
WATER HEATER
- OFFICE USE -
LAND USE
. OF UNITS
CONSTR TYPE
HEAT SOURCE
RANGE
FLOOD I'LAIN
ZONING CODE
. OF BDRMS
SECONDARY HEAT ____
SQUARf FOOTAGE
To request an Inspection, you must call 7263769 This is a 24 hour recording Alllnspecllons requested belore 700 a m will be
made the same working day, Inspectfons requested after 700 a m will be made the fOllowing work day
D Temporary Electric
D
Site Inspection - To be made
after excavation, but prior to
setting forms
D Underslab Plumblng/Electrlcall
Mechanical - Prior to cover
D Footing - After trenches are
excavated
D Masonry - Steel location, bond
beams, grouting
D Foundation - After forms are
erected but prior to concrete
placement
D Underground Plumbing - Prior
to filling trench
D Underfloor Plumbing/Mechanical
- Prior to Insulation or decking
D Post and Beam - Prior to floor
Insulation or decl<lng
o Floor Insulation - Prior to
decking
o Sanitary Sewer - Prior to filling
trench
o Storm Sewer - Pdor to filling
trench
o Water Line - Prior to fillIng
trench
o Rough Plumbing - Prior to
cover
REQUIRED INSPECTIONS
D Rough Mechanical - Prior to
cover
D Rough Electrical - Prior to
CQver
o Electncal Service - Must be
approved to obtain permanC'nt
electrIcal power
D Fireplace - Prior to facing
materials and framing Insp
D Framing - Prior to cover
D Wail/Ceiling Insulation - Prlor to
cover
D Drywall - Prior to taping
b Wood Stovo - After Installation
,,~
D Insert - After fIreplace approval
and Installation of unit
o Curbcut & Approdch - After
forms are erected but prior to
placement of concrele
D Sidewalk & Driveway - After
excavatIon Is complete forms
and sub base material In place
D Fence - When completed
D Streot Trees - When all required
trees are planted
D Final Plumbing - When all
plumbing worl< Is complete
D Final Electrical - When all
electrical worl< Is complete
jg} Final MechnnJcal - When all
mechanical worl< Is complete
D Final BUIlding - When all
required Inspections have been
approved and bUilding Is
completed
o Othor
MOBILE HOME INSPECTIONS
D Blockmg and Set Up - When all
bJocklna Is complete
D Plumbing Connections - When
home has been connected to
water and sewer
D Electrical Connection - When
blocking, set uP. and plumbing
inspecllons have been approved
and 1I1e home IS connected to
the servIce panel
D
Final - After all required
InspectIons are approved and
porches, skirting, decks, and
venting have been Installed
Lot Type Setbacks rHE PROPOSED WORK IN THE
Interior I PL IHSEIGARIACCI HISTORICAL DISTRICT, OR ON
IN I THE HISTORICAL REGISTER?
Corner II yes, thIs application must be sIgned
Panhandle Is I and approved by the Historical
Iw I CoordInator prior to permit Issuance
Cui de sac
IE I APPROVED
Lot faces
Lot sq fig
Lot coverage
Topography
Tolal height
BUILDING PERMIT
ITEM
SO FT
X $/SO FT
VALUE
Main
G aragc
Carport
Total Value
BUIlding Permit Fee
State Surcharge
Total Fcc
(A)
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
PLUMBING PERMIT
,
ITEM
FEE
Fixtures
Residential Bath(s) NQ
Sanitary Sewer FT
Water FT
Storm Sewer FT
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
(,~ C!c.L,
'I () Uv
I {)1J
&lo@
Issuance
State Surcharge -{ ~C?cJ
Total Permit (D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
fl
Curbcut
fl
Demoll tJ on
State Surcharge
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Combined)
r!Jln. W
BUILDING VALUE, 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 Spllngfleld, 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 thp 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 I~ 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 Stale 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 certl fy that only contractors and employees who
are In compliance wllh ORS 701055 will be used on this
prolect
I further agree to ensure that ail required InspectIons are
requested at the proper time, that each address Is readable
from the street, that the permit card 15 located at the front
of the properly, "nd the approved sel of plans will remain
~n he site at all ttme: during constructIon
Ig alure ~;;;;, .-?:::7~~
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VALIDATION l) " I
RECEIPT NUMBER (~ 5(p,0 \ _ '
DATE PAIr> S. '1 . C-f )
AMOUNT RECEI("J' . ~(~. 91)
RECEIVED BY t7\ ( !J rl.......J