HomeMy WebLinkAboutPermit Mechanical 1993-4-16
RESIDENTIAL
PERMIT APPLICATION
.
Inspections: 726-3769
Office: 726-3759
SPRINGFIELD
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LOCATION OF PROPOSED WORK: 722
ASSESSORS MAP: /?--Z::>~ -'34-/2.
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DESCRIBE WORK: 4:;4-:-J:fA?"
STATE: ~-
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ADDITION DEMOLISH OTHER
LOT:
OWNER.
ADDRESS:
CITY:
NEW
REMODEL
CONTRACTOR'S NAME
GENERA' .
PLUMBING'
MECHANICAL: ~
ELECTRICAl.
BLOCK:
.
JOB NUMBER
'9?'~/
225 Fiflh Street
Springfield, Oregon 97477
TAX LOT:
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SUBDIVISION.
PHON".
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ZIP'
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ADDRESS
CON ST.
CONTRACTOR'
EXPIRES
PHONE
REQUIRED INSPECTIONS
o Rough Me~hanical - 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 Framing - Prior to cover.
o Wall/Ceiling Insulation - Prior to
cover.
D Drywall - Prior to laping.
D Wood Stove - After Installation.
o Insert - Afler fireplace approval
and installation of unit.
o
Curbcut & Approach - After
forms arc erected but prior to
placement of concrete.
- OFFICE 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 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.
o Temporary Electric
o Site Inspection - To be made
after excavation, but prior to
setting forms.
o
Underslab PlumbingJ ElectricalJ
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.
o Underground Plumbing - Prior
to filling trench.
o
Underfloor Plumblngl Mechanical
_ Prior to insulatlon or decking.
o Post and Beam - Prior to floor
insulation or decking.
o Floor Insulation - Prior to
decking.
o Sanitary Sewer - Prior to filling
trench.
o Storm Sewer - Prior to filling
trench.
o Water line - PrIor t~ filling
trench.
o Rough Plumbing- - Prier to
cove~ ~
,
o Sidewalk & Driveway - After
excavation is complete. forms
i'!nd sub-base material in place.
o Fence - When completed.
o Street Trees - When all required
trees arc plant,ed.
o
Final Plumbing - When 'all
plumbing work is complet.e.
o Final Electrical - 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.
o Other
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.
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
lot sq. Itg.
Interior
Lot coverage
Corner
Topography
Total height
Panhandle
Cul.de-sac
BUILDING PERMIT
ITEM
so. FT.
X $/SO. FT.
Main
Garage
Carport
Total Vaiue
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/insertl Fireplace Unit
G;;t,If?~4 ~
Mechanical Permit ~/'jl.
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, 0, and E Combined)
.
I
I
~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.
Setbacks
I P.L HSE GAR ACC I
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VALUE
FEE
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APPROVED.
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
Tnis perma 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, regura:ing the construction and use of
buildings, and may be suspended or revoked at any time
upon violation of any provisions of said ordinances.
- . Plan. 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 arc being improved.
ADDITIONAL COMMENTS
By signature, I state and agree, that I have carefully examined
the completed applicalion 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
t,erein, 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 ORS 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~mes during co tion.
Signature ~I_ II ~
4-/6 -7 <:
Oat....
VALIDATION:
RECEIPT NUMBER f2'/~
DATE PAID <y~.&37
AMOUNT RECEIVED ~~ ~
RECEIVED BY ~-, ...- .
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