HomeMy WebLinkAboutPermit Mechanical 1993-2-18
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SPRINGFIELD
RESIDENTIAL
PERMIT APPLICATION
JOB NUMBER CJ:2., ():)ol
225 Fifth Street
Springfield, Oregon 97477
Inspections: 726,3769
Office: 726-3759
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d'TAX LOT:
LOCATION OF PROPOSED WORK'
ASSESSORS MAP'
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SUBDIVISION'
BLOCK'
LOT'
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PHONE: ~9, J ~
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OWNER:
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ADDRESS:
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ZIP:
CITY:
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DESCRIBE WORK'
OTHER
DEMOLISH
ADDITION
REMODEL
NEW
CONST,
CONTRACTOR'
EXPIRES
PHONE
ADDRESS
CONTRACTOR'S NAME
GENERA' '
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PLUMBING:
MECHANICAL: ~/) f'A -;..J.
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Q A/'l " 1Ja.f-." ~LM-'a ~dJc;, i 7'TcJd-
ELECTRICAl'
- OFFtCE USE -
QUAD AREA: LAND USE: 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 Inspectton, 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, Inspectlons requested after 7:00 a,m. will be made the following work day.
REQUIRED INSPECTIONS
o Final Plumbing - When all
plumbing work is complete,
o Rough Mechanical - Prior to
cover.
o Temporary Electric
o Rough Electrical - Prior to
cover.
o Site Inspection - To be made
after excavation, but prior to
setting forms.
~inal Electrical - When all
electrical work is complete.
~inal Mechanical - When all
mechanical work is complete.
o UnderSlab Plumbing/Electricall
, . ...., Mechanical - Prior to cover,
o Electrical Service - Must be
approved to obtain permanent
electrical power,
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Footing - After trenches are
excavated.
o Final Building - When all
required Inspections have been
approved and building is
completed.
o Fireplace - Prior to facIng
materials and framing Insp,
o
Masonry - Steel location, bond
beams, grouting.
o Framing - Prior to cover.
o Other
o Foundation - After forms are
. 0" erected but prior to concrete
placement.
o WalllCciling Insulation - Prior to
cover.
o
tb
Underground Plumbing - Prior
to filling trench.
o 'Drywall - Prior to taping.
MOBILE HOME INSPECTIONS
Underlloor Plumbing I Mechanical
- Prior to insulation or decking,
o Wood Slove - After installation.
o Blocking and Set.Up - When all
blocking is complete.
o
Post and Beam - Prior to floor
insulation or decking,
o Insert - After fireplace approval
and Installation of unit.
o Plumbing Connections - When
home has been connected to
water and sewer.
o Floor Insulation - Prior to
decking,
o Curbcut & Approach - After
forms are erected but prior to
placement of concrete.
o Sanitary 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.
D Storm Sewer - Prior to filling
trench.
o
Fence - When completed.
o Water Line - Prior to filling
trench.
o Final - After all required
inspections are approved and
porches, skirting, decks, and
venting have been instarred.
o
o
Rough Plumbing - Prior to
cover.
Street Trees - When all required
trees are planted.
Lot faces
.
Lot Type
Lot sq. Itg.
Interior
Lot coverage
Corner
Topography
Panhandle
Total height
Cul-de-sac
BUILDING PERMIT
ITEM SQ, FT., X $/SQ, FT
Main
Garage
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fee
(A)
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
PLUMBING PERMIT
ITEM
Fixtures
Residential Bath(s)
N'
Sanitary Sewer
FT.,
FT,
Water
Storm Sewer
FT.
Mobile Home
Plumbing Permit
State Surcharge
Total Charge
(C)
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan
N'
Wood Stove/lnsert/Flreplace Unit
Dryer Vent
Mechanical Permit ~
Issuance
State Surcharge
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
It
Curbcut
It
Demolition
State Surcharge
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Combined)
" &HE PROPOSED WORK IN THE
HISTORICAL DISTRICT. OR ON
THE HISTORICAL REGISTER?
If yes, this application must be signed
and approved by the Historical
Coordinator prior to permit issuance.
Setb"cks
I P,L, HSE GAR ACC I
IN
Is
Iw
IE
VALUE
FEE
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InDD
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APPROVED:
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 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.
Pian Check Fee'
Date Paid:
Receipt Number.
Received By:
Plans Reviewed By
Date
Systems Development Charge is due on all undeveloped
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 applicatlon 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 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 GRS 701.055 will be used on ttlis
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 th~nnPrly ... pro d se ,()w remarn
on the site t me uri c r tlO.
I
Signatu J ~/,,>,/l ~
Date
VALIDATION:
RECEIPT NUMBER
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.$ :::.is,e:,
2A
DATE PAID
AMOUNT RECElv~n
RECEIVED BY