HomeMy WebLinkAboutPermit Mechanical 1995-7-14
I. RESIDENTIAL . It
PERMIT APPLICATION
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Inspections: 726.3769
Office: 726.3759
ASSESSORS MAP'
LOCATION OF PROPOSED WORK: ~~ ~d!"" L-::;";~
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/7--.t:' "3-/>-=c:>
LOT
BLOCK:
JOB NUMBER
9-S-//~
225 Filth Street
Sprlnglleld, Oregon 97477
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. TAX LOT:
SUBDIVISION:
OWNER:
AOORESS:
CITY:
~"'1" " ,.., .r- ~ b:2J..-f'/:''-:'-~c::.. PHONE:
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"SP~ Z> STATE: ~./3'
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ZIP:
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OESCRIBE WORI< ;:l~/--{f!'''-~~~>:_~~-:-- /~../ ~~c..,.r:: ~~
NEW
IlEMODEL
ADDITION
OEMOLlSH
OTHER
CONTRACTOR'S NAME
EXPIIlES
ADDRESS
CONST,
CONTRACTOR"
PHONE
GENERAL:___.__.._.._ _~_' ~~? _
PLUMBING:~.?</.n"l;w;r:"5~~~~_ -'5,/'..o..,;.::=:- ~.??~ ?o/'/~
MECHANICAl'
ELECTRICAL:
QUAD AREA: .
N OF BLOGS:
OCCY GROUP: ____
N OF STORIES: _'_
WATER HEATER:
- OFFICE USE _
LAND USE:
. OF UNITS:
CONSTR. TYPE:
HEAT SOURCE:
RANGE: _
FLOOO PLAIN:
ZONING COOE:
. OF BDRMS:
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 sanJe working day, Inspectlons requested after 7:00 a.m. will be made the rol/owlng work day.
o
Tcmpor:lrY Electric
o
Site Inspection - To be mado
after excavfltlon, but prior to
selling forms.
o
Underslnb Plumbingl ElectricalJ
Mechanical - Prior 10 Cover.
o
Footing - After trenches are
excavated.
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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
Underfloor Plumbing/Mechanical
- PrIor to InsulatJon or decking.
o
Post and Bca~ - Prior to floor
Insulation or decl<lng.
o Floor Insulation - Prior to
dec,klng.
o Sanitary Sewer - Prior to filling
trench.
o Storm Sewer - Prior to filling
trench.
o
Water L1no - 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.
o Fram.lng - Prior to cover.
o WalllC'elllng Insuletlon - Prior to
cover.
o Orywall - Prior to taping.
o Wood Stovo - After Installation.
o Insert - After fireplace approv~1
and Installation of unit.
o
Curbcut & Approach - After
forms are erected but prior to
placement of Concrete.
o Sidewalk & Driveway - After
excavation Is compicte, forms
and sub.base materIal In place.
o Fence - When completed.
o Street Trees - When al/ required
trees Bre planted.
o Final Plumbing - When all
plumbIng w9rk Is comp/et.e.
o Final Electrical - When all
electrIcal work Is complete.
o Final Mechanical - When all
mechanIcal work Is complete.
o Final Building - When all
required Inspections have been
approved and building Is
completed.
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!:Xl Othor~ hLC::.#c
MOBILE HOME INSPECTIONS
o Blocking and Set. Up - When all
blocking Is complete.
o Plumbing Connections - When
home has been connected 10
waler and sewer.
o
Electrical Connection - When
brocklng, set.up, and plumbing
InspectIons have been approved
and Ihe home Is connected to
the service panel.
o
Final - After all required
Inspections are approved and
porches, skirting, decks, and
ventlng have been Installed.
Lot faces
Lot Type
Lot sQ. Itg.
Interior
Lot coverage
Corner
Topography
Total height
Panhandle
Cul.de.-sac
BUILDING PERMIT
ITEM SQ, FT. X $/SQ, FT,
Main
Garage
Carport
,
Total Value
Building Permit Fee
Slate Surcharge
TOlal Fee
(A)
SYSTEMS DEVELOPMENT CHARGE (SDC)
~PY' '-~. -
'd?~
;~ ,r ~~
":Z6. :? &>
(B)
PLUMBING PERMIT
ITEM
Fixtures
Resldenllal Bath(s) N'
SanItary Sewer. FT.
Water FT.
Storm Sewer FT.
Mobile Home
Plumbing Permit
Slate Surcharge
Total Charge
(C)
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan
N'
Wood Stove/Insert/Fireplace Unit
Oryer Vent
~~I/~)?~
Mechanical Permit
Issuance
State Surcharge
Total Permit
(0)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
II
Curbcut
It
Oemollllon
State Surcharge
Total Miscellaneous Permits (E)
TOTAL AMOUNT OUE (excluding electrical)
(A, B, C, 0, and E Combined)
Setbacks
HSE GAR ACC
.
I P.L.
IN
Is
W
E
VALUE
"
FEE
IS. PROPOSED WORK IN THE
.. HISTORICAL OISTRICT, OR ON
THE HISTORICAL REGISTER?
II yes, this application must be signed
and approved by the Historical
Coordinator prior \0 permit issuance.
t...
. APPROVED:
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit is granted on the express condition that the said
constructlon shalf,. In all respects, conform to Ule Ordinance
adopted by the City 01 Springfield, including the
OevelopinenrCodc, regu'lating the cOr)s;lruction and use of
buildings, and may be suspended or rcvol~cd at any time
upon vlolatlon of any provisions of said ordinances.
P.lan Chec.k Fee: ..~
Oate Paid:
Receipt Numbcl':__.__
Received By:
. .' Plans Reviewed By
Oate
Systems Development Charge Is due on all undeveloped
properties within tho City limits whicll are being improved.
ADDITIONAL COMMENTS
By signature, I state and agree, thallllave carelully examined
the completed appllcallon 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 01 the City 01 Springfield. and the Laws
of the State of Oregon pertaining to the work described
heroin, and that NO OCCUPANCY will be made of any
structure without permission of tile Building Safety DIvision.
I further certHy that only contractors and employees who
are In compliance with ORS 701.055 will be used on this
prolect.
I further agrae to t'nsure that all required Inspections are
requested at the proper time. that oach address Is readable
from the street, that the pormlt card Is located at the front
of the property. flnd lhe approved set of plans will remain
on the Sl~ al~1 timos ~lng construction.
Signature "\ 7,~.~1).. "0' . C,\~
Oate
o 7. -( Lf -"t 5
VALlOATlON:
RECEIPT NUMBER_
/k?~~
.
?-/C,I-q-s;-
OATE PAID
AMOUNT RECEIVED __ 2C:;;;- =<&>
RECEIVEO BY ~".-~- ,.
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