HomeMy WebLinkAboutPermit Mechanical 1996-10-1
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726-3769 .~.
Office: 726-3759 ~..'I
LOCATION OF PROPOSED WORK: tSfLlo\ ~~.t()..
ASSESSORS MAP: \\t)'l~~ - t) -
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LOT:
OWNER:
CITY:
DESCRIBE WORK:
NEW
REMODEL
ADDITION
CONTRACTOR'S NAME
GENERAL:
PLUMBING: -
MECHANICAL:~U~\::\.~
ELECTRICAL: ~ - \
QUAD AREA:
/I OF BLDGS:
OCCY GROUP:
/I OF STORIES:
WATER HEATER:
SPRINGFIELD
.
.
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JOB NUMBER
(\ lo \n~S
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225 Fifth Street
Springfield, Oregon 97477
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TAX LOT: JJYL\lQ.
BLOCK:
SUBDIVISION:
-.
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PHONE: l'1\ctffil:\l!J
ZIP: ~~11-11
STATE: _
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DEMOL!;;; O~R
ADDRESS
CON ST.
CONTRACTOR /I
....
'....
PHONE
EXPIRES
~
\\.~.q~
- OFFICE USE -
LAND USE:_.
FLOOD PLAIN:
/I OF UNITS:
ZONING CODE:
CONSTR, TYPE:
/I OF BDRMS:
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.
D Temporary Electric
D
Site Inspection - To be made
after excavation, but prior to
seltlng forms.
o
Underslab Plumbing I Electrical/
Mech~nlcal - Prior to cover.
o
Footing - After trenches are
excavated.
o Masonry - Steel location, bond
beams, grouting.
D Foundation - After forms are
erected but prior to concrete
placement.
o Underground Plumbing - Prior
to filling trench.
o
Underfloor Plumbing I Mechanical
- Prior to Insulation or decking.
D
Post and Beam - Prior to floor
Insulation or decking.
o Floor Insulation - Prior to
decking.
o Sanitary Sewer - Prior to filling
trench.
o Storm Sewer - Prior to filling
trench.
o Water Line - Prior to filling
trench.
D Rough Plumbing - Prior to
cover.
REQUIRED INSPECTIONS
/ .
JTiAiough Mechanical - Prior to
l.(,...o6 cove r.
D Final Plumbing - When all
plumbing W9rl< Is complete.
D Rough Electrical - Prior to
cover.
D Final Electrical - When all
electrical work is complete.
o Electrical Service - Must be
approved to obtain permanent
electrical power.
~nal Mechanical - When all
mechanical work Is complete.
o Fireplace - Prior to facing
materials and framing Insp.
o Final Building - When all
required Inspections have been
approved and building is
completed.
o Framing -' Prior to cover.
o Other
D Wall/Celling Insulation - Prior to
cover.
o Drywall - Prior to taping.
MOBILE HOME INSPECTIONS
o Wood Stovo - After Inst?"atlon.
o Insert - After fireplace approval
and Installation of unit.
o Blocking and Set.Up - When all
blocking Is complete.
o
o
Plumbing Connections - When
home has been connected to
water and sewer.
Curbcut & Approach - After
forms are erected but prior to
placement of concrete.
o Sidewalk & Driveway - After
excavation Is complete, forms
and sub.base material In place.
o Electrical Connection - When
blocking, set-up, and plumbing
Inspections have been approved
and the home is connected to
the service panel.
o Fence - When completed.
o Street Trees - When all required
trees are planted.
o Final - After all required
Inspections are approved and
porches, skirting, decks, and
venting have been Installed.
.
. II', . I, .
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: i
Lot (aces Lot Type Setbacks \ IS THE PROPOSED WORK IN THE _
Lot SQ. (tg. Interior I P.L. HSE GAR ACC I HISTORICAL DISTRICT, OR ON
IN I THE HISTORICAL REGISTER?
Lot coverage Corner If yes, this application must be signed
Is I
and approved by the Historical
Topography Panhandle Iw I Coordinator prior to permit Issuance.
Total height Cul-de-sac
IE I
APPROVED:
ITEM
SQ. FT.
X $/8Q. FT. =
VALUE
. "t.
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
BUILDING PERMIT
Garage
.
.
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.
Main
Carport
Plan Check Fee'
Date Paid:
Total Value
Receipt Number'
Building Permit Fee
Received By:
State Surcharge
Total Fee
(A)
Plans Reviewed By
Date
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge Is due on all undeveloped
properties within the City limits which are being Improved.
PLUMBING PERMIT
ITEM
]
ADDITIONAL COMMENTS
FEE
Fixtures
Residential Bath(s)
NO
Sanitary S~wer
Water
FT.
FT.
Storm Sewer
FT,
Mobile Home
Plumbing Permit
State Surcharge
Total Charge
(C)
MECHANICAL PERMIT
Furnace
Issuance
State Surcharge-t
Total Permit
.
By signature, I state and agree, that I have carefully examined
the completed application and do hereby certHy 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 o( 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 o( the Building Safety Division.
I further certHy that only contractors and employees who
are In compliance with ORS 701.055 will be used on this
project.
Exhaust Hood
Vent Fan
NO
Wood StovellnsertlFlreplace Unit
~t
Mechanical Permit
(D)
dlaL~ t)
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
".
on the site at all ti'mes during const~uCYtJ
Kd. SI nature t:o./UI.t2 '27. Ko ~
. c;I;.
Date If) -I -9 t.,
. --
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
ft
Curbcut
ft
Demolition
State Surcharge
VALIDATION: '1')'j().
RECEIPT NUMBE~ r \~::rf--/
DATE PAID \\:)'" \ ()
RECEIVED BY ~~ ~\ -
Total Miscellaneous Permits (E)
.
TOTAL AMOUNT DUE (excluding electrical) ~
(A, B, C, D, and E Combined)