HomeMy WebLinkAboutPermit Mechanical 1993-5-27
LOCATION OF PROPOSED WORK' .r/Iff? g~:"'f?'2~ l!'Sy , ~F
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LOT: BLOCK: ,7SUBDIVISION'
OWNER' ,-\D5E;~\-\ ~D1\)E:.R PHON~' rtL/fl- qlPd.5
ADDRESS' \ \ ~ t1 'rZ I lilT' z.. kG Y
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RESIDENTIAL
PERMIT APPLICATION
.
SPRINGFIELD ,
Inspections: 726.3769
Office: 726.3759
RD'
CITY:
STATF'
01\
" S560
JOB NUMBER ~/~
225 Fifth Street
Springfield, Oregon 97477
ZIP:
Q'7418
DESCRIBE WORK: \I\)S i',\-\"\"
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NEW
REMODEL ..-'
OTHER
ADDITION
DEMOLISH
CONTRACTOR'S NAME
ADDRESS
CONST.
CONTRACTOR'
GENERA' .
PLUMBING:
MECHANICAL0~",. r\IJ..0~"'1 ~55 \,U. \~~ ~q'140d.
ELECTRICAl.
EXPi RES
PHONE
00'-1 (p 0
<ejf1'1/93 S~.9-8 101
QUAD AREA' S - OFFICE USE -
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.
REQUIRED INSPECTIONS
o Temporary Electric
o Rough Mechanical - Prior to
cover.
D Site Inspection - To be made
after excavation, but prior to
setting forms.
D Rough Electrical - Prior to
cover.
o
Underslab Plumbing/Electrical!
Mechanical - Prior to cover.
o Electrical Service - Must be
approved to obtain permanent
electrical power.
o Footing - After trenches are
excavated.
o Fireplace - Prior to facing
materials and framing Insp.
o
Masonry - Steel location, bond
beams, grouting.
o Framing - Prior to cover.
o
Foundation - After forms are
erected but prIor to concrete
placement.
o Wall I Ceiling Insulation -. Prior to
cover.
o
Underground Plumbing - Prior
to filling trench.
o Drywall - Prior to taping.
o
Underlloor Plumbing/Mechanical
_ Prior to insulation or decking.
o Wood Slave - After Installation.
o
Post and Beam - Prior to floor
insulation or decking.
o Insert - After fireplace approval
and installation of unit.
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 Sidewalk & Driveway - After
excavation Is complete, forms
and sub.base material in place.
o
Storm Sewer - Prior to filling
trench.
o
Water Line - PrIor to filling
trench.
o Fence - When completed.
o Rough Plumbing - Prior to
cove~ ~
o Street Trees - When all required
trees are planted.
o
Final Plumbing - When all
plumbing work Is complet.e.
D
Final Electrical - When all
electrical work is complete.
ill
Fi~l Me'chanical - When alt
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 sey.Jer.
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.
r,";/ "
. .
Lot faces Lot Type Setbacks IS THE PROPOSED WORK IN THE
" .. ~ I PL ACC I
Lot sq'. Itg. .......'- Interior HSE GAR HISTORICAL DISTRICT, OR ON
IN I THE HISTORICAL REGISTER?
Lot coverage Corner If yes, this application must be signed
Is I and approved by the Historical
Topography Panhandle ", Iw I Coordinator prior to permit issuance.
Total height Cui-dc-sac ~ ...: . ~) . ,
. ........ . IE I
API?ROVED:
BUILDING PERMIT
ITEM SO. FT. X $/SO. FT.
VALUE
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
Ma1n
This permit is granted on the express condition that the said
construction shall, in all respects, conform to the Ordinance
adopfed 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.
Garage
Carport
Plan Check Fee:
Date Paid:
Total Value
Receipt Number-
Building Permit Fee
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 Sewer
FT.
Water
FT.
Storm Sewer
FT.
Mobile Home
Plumbing Permit
State Surcharge
Total Charge
(C)
MECHANICAL PERMIT
?..:;>~:
Furnace
Total Permit
(D)
b~
/C>
.?~
25: 7S-
By s1gnature. I state and agree, that J have carefully examined
the completed application 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 Ordinanc!;!s 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 ?crlify that only contractors and employees who
are in compliance with ORS 701.055 will be used on this
project.
Exhaust Hood
Vent Fan
N'
Wood Stovellnsert/Flreplace Unit
Dryer Vent
Mechanical Permit
Issuance
State Surcharge
MISCELLANEOUS PERMITS
Mobile Home
I further agree to ensure that all required inspections are
rcquestedat the proper time, that each address is readable
from the street, that the permit card Is 109at d at the front
of the property, a d the approved set of pia s Will remain
on the site at al tlm dUring constructlo
Signature ,,~
State Issuance
State Surcharge
Sidewalk
II
Date
Curbcut
II
Demolition
State Surcharge
VALIDATION:
Total Miscellaneous Permits (E)
2t65>~
S"'- "2 ";::>.. 'Sl -:-0:.
AMOUNT RECEIVED :z ~ -:;>~
/2./'~ -
'/~
DATE PAID
RECEIPT NUMBER
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, 0, and E Combined)
RECEIVED BY
,