HomeMy WebLinkAboutPermit Mechanical 1997-12-15
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
Office: 726.3759
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ASSESSORS MAP'
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ADDRESS'
CITY:
DESCRIBE WORK:
NEW
REMODEL
ADDITION
CONTRACTOR'S NAME
GENERAl'
,PWMBING'
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0""- "Vs
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BLOCK'
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STATE: '
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, DEMOLISH
OTHER
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'JOB NUMBER~/ 7 -4 ~,
225 Fifth Street
Springfield, Oregon 97477
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. TAX LOT'
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SUBDIVISION'
PHONE: ') '7'(,.- </,'S' "';2
ZIP'
ADDRESS
CONST.
CONTRACTOR #
EXPIRES ,0' PHONE
MECHANICAl'
ELECTRICAl'
.. .
d...,C.J'~<-ut., 'Prr,'.;J'
Vb b-, ')( 7075? /ic<~ OR"7 'y';/ /Z/y~~
,:? .yeA.)- lj')~-;
- OFFICE USE -
QUAD AREA' LAND US'" FLOOD PLAIN'
# OF BLDGS' # OF UNITS: ZONING CODE: "
OCCY GROUP' CONSTR. TYPE: . OF BDRMS'
1/ OF STORIES: HEAT SOURCE: SECONDARY HEAT:
WATER HEATER' RANG'" 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,
REQUIRED INSPECTIONS
o Temporary ~Iectrlc
o Site Inspection - To be mado
after excavation, but prior to
setting forms.
, ~
"
o Rough Mechanical -.:. Prior to
cover.
"0 Roug"h Electrical - Prior to
cover.
o UndersJab Plumblng/EJ.ectrlcal/ 0 Electrical Service - Must be
r..'Iechanlcal - prlor,_ t~"cove._r,.~~" ~,1. . approved to obtain permanent
~ . 1,- electrical power.
o Footing - After tren~he,s aree'; ",::, , ' ,
. excavated. " .'" ',; ;'.'.. 0 Fireplace - Prior to facing
. ". . c...., ""-. . materials and framing Insp.
o Masonry - Steel ,location, bond,/ - ../._ "'J" .
, :beams, grou~lng. . ')~<:,,(:,' ~ ~ (d'~.~.~~I~~.~ Prior to cover.
O '. . 10-"_ 'ti' /
Foundation - After, forms are ~ ':'.,' .: ):1-.1..1 ~.:'_.. '
erected but prior to concrete r:::-:-l Wail/Ceiling Insulation _ Prior to
placement. .L..:.!J cove'r . .
. ~"
%
o Underground Plumbing - Prior
to filling trench,
o Underlloor Plumbing/Mechanical
-.Prlor to Insulation or decking.
O Post and Boam - Prior to floor
Insulation or decking,
O Floor Insulation - Prior to
decking,
o Sanitary Sewer - Prior to IlIIlng
trench.
o Storm Sower - Prior to filling
trench.
o Water Line - Prior to filling
trench.
O Rough Plumbing - Prlor'to
cover.
o Drywall - Prior to taping,
o Wood Stovo - After Installation.
o Insert - After fireplace approval
and Installation of unit,
o 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.
.0 Fence - '"Vhen cOi...\pleted.
O.Street Trees - When all required
'trees are planted.
o Final Plumbing - When all '
plumbing Work Is complete"
o Final Electrical - When all
electr al work Is complete.
nul Mechanical - When all
mechanical work Is complete.
o Final Building - When all
required Inspections have been
approved and building Is
completed,
[~rOther CAe, ?;:EJt/.^_~' o.....?_
MOBILE HOME INSPECTIONS
"
o Blocking and Set.Up - When all
blocking Is complete. .
o Plumbing Connections - When
home has been connected to
water and sewer. -,-I
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 In-stalled) . ""'
~
Lot sq, ltg,
Interior
",.' \ (),,'i,,:;(,"'ii::~li..:~'!,I~k .
,:~~,~:.' :: . . . "~:. :;'I<!~}.'i\'>' ~ .."
,," Setbacks,.": i ~.IS THE PROPOSED WORK tN THE. '
h~L, I HSE GAR ACC'I""'HISTO!'iICAL DISTRICT, ORON I
I THE HISTORICAL REGISTER?
N I If yes, this application must be signed
S and approved by the Historical
I I . Coordinator prior to permit Issuance.
W I
lEi
\,' APPRC?,VEr,'
Lot faces
,,'
';'.'
~~t~p
Lot coverage
Corner
Topography
Total height
. !r
\
Panhandle '
Cul-de~sac
BUILDING PER~ITfl ';;!~ l
ITEM SQ, FT, X $/SQ, FT, _
VALUE
I
BUILDIN'G W!;L6E, PLAN CHECK
AND BUILDING PERMIT
"
~
!;,
Garage
"
This permit Is granted on the express condition that Ihe 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:
Tolal Value
Building Permit Fee
Receipt Number'
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)
N'
SanItary S~wer
Water
FT,
FT,
Storm Sewer
FT.
Mobile Home
Plumbing Permit
Slate Surcharge
Total Charge
(C)
Total Permit
(0)
$.,/<'
:It..! (J
.7-C;-t- ,4.s-
/::;/"',<30
-
c<(-~ ,
~~ "",0'\ .
By signature, I stale an'l:, '\ll~~~ft> I ~ve carefully examined
the completed ap~\I,~o?<.~d ~herebY certify that all
Information here~ ,t.&.~an~<cllrrect, and t further certify
that any and al~r~o~ shall be done In accordance
wlt~O~n~of~Clty of Springfield, and the Laws
p!.\.~~ ~~e1\,1$~2~,:rlainlng to the work described
~r:I~~n~~&<ij<O.Ji UPANCY will be made of any
s-\~ur~;~# p sslon of the Building Safety Division,
I fu~l'~fY~l;>ill only contractors and employees who
are rnA9~p~l;e with ORS 701,055 will be used on this
prolec'l:' ~
~ '
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan
N'
Wood Stove/lnsertlFlreplace Unit
Dryer Vent
r,:A<;~
~{P.fr-
Mechanical Permit
Issuance
State Surcharge
State Surcharge
Sidewalk
ft
ft
I further agree to ensure thai all required Inspections are
requested at the proper,tlme, 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 rematn
/he site at all times during construction.
(sSlgnature 11~5'": (~
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MISCELLANEOUS PERMITS
Mobile Home
State Issuance
Curbcut
I:,
Demolition
State Surcharge
VALIDATION:
RECEIPT NUMBER ~~-:l, II
DATE PAID I d -I S" - C) h
AMOUNT RECEIVED *...::J Co.. ~
RECEIVED BY ~u ')
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrical)
, (A, (3' C, D, and E Combined) .._.... '