HomeMy WebLinkAboutPermit Mechanical 1993-10-13
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
Office: 726.3759
LOCATION OF PROPOSED WORK:
ASSESSORS MAP:
LOT:
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SPRINGFIELD
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BLOCK:
OWNER:
ADDRESS.
CITY.
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DESCRIBE WORK:
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NEW
REMODEL
ADDITION
CONTRACTOR'S NAME
GENERAl.
PLUMBING.
MECHANICAl.
()wIU eV'
ELECTRICA' .
QUAD AREA.
. OF BLDGS.
OCCY GROUP:
. OF STORIES.
WATER HEATER.
STATE:
(1)1\.e,
.
JOB NUMBER 93/5(';:, f
225 Fifth Street
Springfield, Oregon 97477
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TAX LOT:
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SUBDIVISION:
PHONE -'1-2 (g ~ 1<; ~7
ZIP:
9? y 7'7
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DEMOLISH
OTHER
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ADDRESS
CON ST.
CONTRACTOR'
EXPIRES
PHONE
- OFFICE USE -
LAND USE:
. OF UNITS.
CONSTR. TYPE:
HEAT SOURCE:
RANGE:
1
FLOOD PLAIN.
ZONING CODE:_
. OF BDRMS:
SECONDARY HEAT:
SQUARE FOOTAGE:
To request an inspectIon, you must call 726-3769. ThIs Is a 24 hour recording. All inspectlons 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.
o Temporary Electric
D Site Inspection - To be made
after excavation, but prior to
settIng forms.
o
Underslab Plumbin9/Electrical/
Mechanical - Prior to cover.
o
Footing - After trenches are
excavated.
o
Masonry - Steel location, bond
beams, grouting.
o
Foundation - After forms are
erected but prior to concrete
placement.
D
Underground Plumbing - Prior
to filling trench.
D
Underlloor Plumbing/Mechanical
- Prior to Insulation or decking.
o Post and Beam - Prior to floor
Insulation or decking.
o Floor Insulation - Prior to
decking.
o Sanitary Sewer - Prior to filling
trenctl.
o Storm Sewer - Prior to filling
trench.
D Water Line - Prior to filling
trench.
o Rough Plumbing - Prior to
cover. .
REQUIRED INSPECTIONS
~ Rough Mechanical - Prior to 0
~cover I/'Iei. 4A'S FA IAJstk.T
D Rough Electrical - Prior to
cover.
o Electrical Service - Must be
approved to obtain pcrm<1nent
electrical power.
o
Fireplace - Prior to facing
materials and framing Insp.
o
Framing - Prior to cover.
o Wall/Ceiling Insulation - Prior to
cover.
D Drywall - Prior to taping.
o wo~~ Slove - After installation.
D Inserl - After fireplace approval
and Installation of unit.
o Curbcut & Approach - Arter
forms are erected but prior 10
placement of concrete.
o Sidewalk & Driveway - After
excavation Is complete, forms
and sub-base material in place.
o Fence - When completed.
o Street Trees - When all required
trees are planted. .
Final Plumbing - When alt
plumbing work is complete.
D Final Eleclrical - When all
electrical work is complete.
~Final Mechanical - When all
~mechanical work Is complete.
o
Final Building - When all
required Inspections have been
approved and building is
completed.
19f Other ~AC; J.I}J ~
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MOBILE HOME INSPECTIONS
o Blocking and Set-Up - When all
blocking is complete.
D Plumbing Connections - When
home has been connected to
water and sewe'r.
o Electrical Connection - When
blocking, set-up. and plumbing
inspections have been approved
and the home is connected to
the service panel.
o
Final - After all required
Inspections are approved and
porches, skirting, decks, and
venting have been installed.
Lot faces Lot Type . Setbacks AE PROPOSED WORK IN THE
Lot SQ. ftg. Interior I P.L HSE GAR ACC I HISTORICAL DISTRICT. OR ON
IN I THE HISTORICAL REGISTER?
Lot coverage Corner II yes, this application must be signed
Topography Panhandle S I and approved by the His torlcal
I Coordinator prior to permit issuance.
Total height Cul-de.sac W
L____j APPROVED.
BUILDING PERMIT
ITEM SO. FT. X $/SO. FT.
VALUE
Main
Garage
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fee
(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
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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)
-Mg
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit is gran!ed on the express condition thai the said
construction shall, in all respects, conform to tho Ordinance
adopted by the City 01 Springfield, including the
Development Code, regulating the construction and use of
buildings, and may be suspended or revoked at a:.ny time
upon violation of any provisions of said ordinances.
Plan ~heck Fee'
Date Paid:
Receipt Number'
Received By:
Plans Reviewed By
Date
Systems Development Charge Is due 'on all undeveloped
properties within Ule 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 is true and correct, and I furl her certify
that any and all work performed shall be done in accordance
Witil the Ordinancl:s 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 or any
structure willlout permission of the Building Safely DivisIon.
I further certify thai only contractors and employees who
arc In compliance with QAS 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
on the site at all times during construction.
)<signa1Ure ~ ~
I f~
Datp
VALIDATION:
RECEIPT NUMBER
DATE PAIP
AMOUNT RECEIVED
RECEIVED BY
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