HomeMy WebLinkAboutPermit Mechanical 1995-8-21
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RESIDENTIAL
PERMIT APPLICATION
Inspections: 726,3769
Office: 726.3759
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LOCATION OF PROPOSED WORK: /08B'
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ASSESSORS MAP'
LOT'
BLOCI<'
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JOB NUMBER
q~r'l~
225 Flflh Stroei
Springlleld, Oregon 97477
TAX LOT:
SUBDIVISION:
o\\rn.
,
PHONF'
OWNER' 'i:Av/D _luL(~,,,^
ADDRESS: ' /08A ('alE" u-.\A'j
CITY: ~'i?,NI...FiELi\
STATF'
olC
_ ZIP:
Cf7L/ 78
DESCRIBE WORI"
{V/2NAcE
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ADDITION V DEMOLISH OTHER
NEW
REMODEL
Etk;~7/;Vb.
CONTRACTOR'S NAME ADDRESS
GENERA" dfl'lE /l;n7/mZr mid Ale. J
CONST.
CONTRACTOR' EXPIRES
85262 ~~hJL VL" rb. , Rq/61!
;
PHONE
3-'1S" 26'$'/j
PLUMBING:
MECHANICA"
ELECTRICAL:l~,. ~o1\G
To request an Inspection, you must call 726'3769, Tills Is a 24 hour recording, All Ins pee lions requested before 7:00 a,m, will be
made the same working day, Inspections requested after 7:00 a.m. will be made tho (ollowlng work day.
~ ~~~~ :~~h:~C~IP E~~~?t~S
( cover.
D Rough Elec(r~cal - Prior to
cover. '
D Tcmpornry Electric
D Slto Inspection - To be mado
after excavation, but prior to
selling forms.
D
Undarslab Plumbing I Electricall
Mechanical - Prior to cover.
D Footing - After trenches are
excavated.
o Masonry - Steel locatIon, bond
beams, grouttng.
D
Foundation - Afler torms are
erected bUI prIor to concrete
placement.
D
Underground Plumbing - Prior
to fllllnQ trench,
o Underlloor Plumbing/Mechanical
- Prior 10 Insulation or decking.
D
Post and Boa~ - Prior to floor
Insulation or decking.
o
Floor Insulation - Prior to
decking,
D
Sanitary Sewer - Prior to filling
trench.
D
Storm Sewer - PrIor to filling
trench.
o
Water Llna - Prior to flliing
trench.
o Rough Plumbing - Prior to
cover.
D Electrical Service - Must be
approved to obtain permanent
electrical power.
o Fireplace - Prior to facIng
materials and framinglnsp,
o Fram.lng - Prior to cover.
D Wail/Ceiling Insulation - Prior to
cover. ,
D Drywall - Prior to taping,
o Wood Stovo - After Installation.
o Insert - Atter fireplace approvel
and Installation of unit.
o
Curbcut & Approach - After
forms are erected but prior to
placemont at concrete.
D Sldawalk & Driveway - After
excavation Is complete, forms
and sub-base material In place.
o
Fence - When completed.
D
Street Troes - When all requIred
trees are planted.
D
Final Plumbing - When all
plumbing w9rl< Is complet.e.
D
Final Electrical - When all
electrical work Is complete.
~Flnal Mochanlcal - When all
--r- mechanical work Is complete.
D Final Building - When all
required Inspections have been
approved and building Is
completod.
DOthor
MOBILE HOME INSPECTIONS
o Blocking and Sot.Up - When all
blocking Is complete.
o Plumbing Connoctlons - When
homo has been connected to
water and sewer.
D
Electrical Connoctlon - When
blocking, set.up, and plumbIng
Inspectlons have been approved
and the homo Is connected to
the service panel.
D Final - After all required
Inspections are approved and
porches, skIrting, decks, and
venting havo been Installed.
--
Lot Iflcas
Lot sq, ltg,
Lot Type.
Inlerlor
Loot coverage
Corner
Topography
Total height
Panhandle
Cul,de,sac
BUILDING PERMIT
ITEM SQ, FT X $/SQ, FT.
Main
Garage
Carport
Tolal Value
Building Permit Fee
Slale Surcharge
Tolal Fee
(A)
Setbacks
I P.L HSE GAR ACC I
IN
Is
Iw
IE
~S THE PROPOSED WORK IN THE
'''HISTORICAL DISTRtCT, OR ON
THE HISTORICAL REGISTER?
II yes, this application must be signed
and approved by the Historical
....} Coordinator prior to permit issuance.
VALUE
"
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
PLUMBING PERMIT
ITEM
Fixtures
Resldenllal Balh(s) N'
Sanitary Sewer FT,
Water FT,
Slorm Sewer FT,
Mobile Home
Plumbing Permit
State Surcharge
Total Charge
(C)
MECHANICAL PERMIT
Furnaco
Exhaust Hood
Van t Fan
N'
Wood StovellnsertlFlreplace Unit
Dryer Vent
Mechanical Permit
Issuance
State Surcharge t 3O.tJ
Total Permit (D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
Stale Surcharge
Sidewalk
fl
Curbcut
It
Demolition
State Surcharge
Total Mlsceilaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrical)
(A, B. C, D. and E Combined)
FEE
ISf.V
Ln.oo
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~O ' ()()
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APPROVED:
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit is granted on the express condition thallhe said
constructIon shall,ln all respects, conform to tt"le Ordinance
adopted by the City 01 Springliel,l, including the
Development Code, regulating the co()~truction and use of
buildings, and may be suspended or revoked at any time
upon violation of any provisions of said ordinances.
Plan Check Fee:
Dale Paid:
Receipt Number:__.
Received By:
Plans Rcvlowed-"8y.--------
Dale
Syslems Developmenl C~arge Is due on all undeveloped
propertIes within tho 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 further certHy
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 Orogon pertaining to the work described
herein. and Ihal NO OCCUPANCY will be mado of any
structure without permission of the Building Safely Division.
J further certify that only contractors and employees who
are In compliance with ORS 701.055 will be used on this
project.
I further agree (0 ensure that all required Inspections are
reQueste at the proper time, that each address Is readable
from the s reet, that the permit card Is located at the front
t~rop rty, and Iho approved set of plans will remain
"he site t all times tt-construction,
atu~ ~~~~
Date
VALIDATION: <1-1 \
RECEIPT NUMBER \ 0 \ 1
DATE PAID If, 4-f~
AMOUNT RECE~~J
RECEIVED BY \ '""X1 ,;Y" ~)
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