HomeMy WebLinkAboutPermit Mechanical 1998-3-30
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JOB NUMBER ~I? D .3 7_1
225 Fifth Street
Sprlnglleld. Oregon 97477
.
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726-3769
Office: 726.3759
LOCATION OF PROPOSED WORK'
17 0:;
1..-'2.-
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ASSESSORS MAP'
TAX LOT:
SUBDIVISION:
LOT' '
BLOCK'
!f
ZIP: -=aLl '\ '1
OWNER: \'\\'YO ~v-O'OfL .'
ADDRESS" '''''-:-PI='''' V"DHn:-..o V.r\
CITY" ~~\4. 0 . U
DESCRIBE WORK: (''719'"''
. PHONE:
Dr
STATE:
-b.,
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r ~~-+-.
r'7'\\ ~'^,.,
A\DDITIO~
'C,_..;,,~, 0
DEMOLISH
NEW
REMODEL
OTHER
CON ST.
CONTRACTOR'
CONTRACTOR'S NAME
GENERAl'
PLUMBINI"
ADDRESS
EXPIRES -. PHONE
~~lh(lIYt.Jc,,_'P' r?\"7'(}(J~";I0\~I-i... 2> ~"/-j{)\%\~J41 ,Fi
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- OFFIC~ ~ ~
LAND USE:......S, '%:' 0''%. ~
'1-. ~ v. ',,'
. OF UNITS: ~. ~ ~ ~..-\
'c& .;'" "~. ill
CONSTR. TYPE:~ ~. 0/, ~
'7).. v '''' "(('
HEAT SOURCE: .0 ~ <1<\ <<".
~. "tP -r~ ';()
WATER HEATER' RANGE: __ ~ % it ~ SQUARE FOOTAGE:
<J '?t v""" ~
'C.,! (\. ,.,
To requesl an Inspection, you must carl 726.3769. This Is a 24 hour rccordlng,~1 ~~ons requested before 7:00 8.m, will bo
made the same working day, Inspections requested after 7:00 8.m, will be ma~th~OI,%]ng work day.
. REQUIRED INSPECTlONS~ O't:> ~
o Temporary Electric 0 Rough Mochanlcal - Prior to 0 Final Plumbing - When all
cover, plumbing W9rl< Is complet.c.
1dG,-~Id.~
MECHANICAL:
ELECTRICAl'
QUAD ARE!>'
FLOOD PLAIN:
. OF BLDGS'
ZONING CODE:_
OCCY GROUP'
. OF BDRMS'
. OF STORIES:
SECONDARY HEAT:
O Site Inspoctlon - To be made
after excavation, but prior to
settIng forms,
D Rough Electrical - Prior to
cover.
o Final Electrical - When all
electrical work Is complete,
~ Mechanical - When all
mechanical work Is complete.
o Underslab Plumblng/Electrlcall
Mechanical - Prior to cover.
o ElectrIcal Service - Must be
approved to obtain permanent
electrical power.
o Footing - After trenches are
excavated.
o Final Building - Wh~n all
required Inspections have been
approved and building Is
completed.
o Fireplace - Prior to facing
materials and framing Insp.
o Masonry - Steel location, bond
beams, grouting,
o FramIng - Prior to cover.
OOthor
o Foundation - After forms are
erected but prior to concrete
placement.
o Wail/Ceiling Insulallon - Prior to
cover.
o Underground Plumbing - Prior
to filling trench.
o Drywall - Prior to taPing: ' \
MOBILE HOME INSPECTIONS
o Underlloor Plumbing/MechanIcal
- Prior to Insulation qr deckIng.
o Wood Stovo - After Installation,
o Blocking and Set.Up - When all
blocking Is complele,
o Post and Beam - Prior to floor
Insulation or decking.
o Insert - After fireplace approval
and Installation of unit.
o Floor Insulation - Prior to
deckl ng.
o Plumbing Connections - When
home has been connected to
water and sewer.
o Curbcut & Approach - After
forms are erected but prior 10
placement of concrete,
o Sanitary Sewer - Prior to filling
trench.
o Electrical Connection - When
blocking. set-up, and plumbing
Inspections have been approved
and the home Is connected to
the service panel.
o Sidewalk & Driveway - After
excavation Is complete. forms
and sub.base material In place,
, ,
o Storm Sewer - Prior to filling
trench. ..
.
O Waler Line - Prior to filling
trench,
D Fence - \Nhen completed,
o Final '- After all required
inspections are approved and
porches, skirting, decks, and
venting have been Installed.
D Rough Plumbing - Prior to
cover.
o Street TraDe - When all roqulred
trees are planted.
i '~ ,;"
Lot faces 'Lol TYP. Setbacks _S THE PROPOSED WORK iN THE.
I P.L. HSE GAR ACC I '..HISTORICAl DISTRICT, OR ON
lot sq. flg. Interior IN I .THE HISTORICAL REGISTER?
Lot coverage Corner Is I II yes, this application must be signed
and approved by the Historical
Topography Panhandle Iw I Coordinator prior to permit Issuance,
Total height Cul.de.sac
IE I APPROVED'
BUILDING PERMIT
ITEM sa. FT. x $/SO. FT.
VALUE
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
Garage
"
This permit 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. 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:
Total Value
Receipt Number'
Building Permit Fce
Received By:
Stale Surcharge
Total Fcc
(A)
Plans Reviewed By
Date
SYSTErJ!S 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
'Residential Bath(s)
N'
j
,
-:.t~
-, '
FIxtures
Sanitary S~wer
Water
FT.
FT.
.'
Storm Sewer
FT.
~-~)
Mobile Ho'."e
. "
. i ... -:-'" ~~
Plumbing Permit
Stato Surcharge
Total Charge
'.'
.-
~.
.-
, ..
(C)
MECHANICAL PERMIT
Furnace
State Surcharge
Total Permit
(D)
1'1<:;. ~
hID.
,7s:":-L\<;
~fJ..~,dV
By signature, I state and agree, that I have carefully examined
the completed application and do hereby certify that a/l
InformatIon hereon Is true and correct, and I further certify
that any and all work performed shall be done In accordance
with the Ordinancus of the City 01 Sprlnglil'.ld, a~d Ihe laws
of the State of Orcg~:m pertaining to the work described
herein, and that NO OCCUPANCY will be made 01 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.
Exhaust Hood
Vent Fan
N'
Wood Stovellnsert/Flreplace Unit
Dryer Vent
G-&.o P' ~ '5ok-
MechanIcal Permit
Issuance
State Surcharge
Sidewalk
It
I further agree to ensure that all required Inspectlons 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.'
Slgna~n~^,"\. D 10llAOf\--t-
DatD 3-~- '7 .f:
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
Curbcul
It
Demolition
Stale Surcharg~
VALIDATION:
RECEIPT NUMBER :J..q J-tS e::;
DATE PAl" "=3 .,. 36 - 9 'i;
AMOUNT RECEIVED ~fo. >0
RECEIVED BY ~
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrical)
lA, B, C, 0, and E Combined)