HomeMy WebLinkAboutPermit Mechanical 1993-11-12
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726,3769
Office: 726,3759
.
SPRINGFIELD
WiL~
LOCATION OF PROPOSED WOR...' ?/~", .t,ff2/.....R~
ASSESSORS MAP' / )-~ ~-"2 ::>-/.<? ~
LOT:
~7-
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BLOCt<'
OWNER: . /'/~~~ ,;~C-~.&/
ADDRESS: . '5~~ b . .
CITY:
STAT'"
e_
JOB NUMBER ~ /7/9
225 Fifth Street
Springfield, Oregon 97477
4.2>~~ 2~9
TAX LOT' ~ ~o/'" ~p
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SUBDIVISION'
. PHONF'
? ::2 6 ~:x:;:::>
ZIP'
DESCRIBE WORK' /~.6' #--~'7,7/./~h/"f" ,~r~~ p!.l-./.....~~
NEW REMODEL ADDITION DEMOLISH OTHER
CONTRACTOR'S NAME
GENERA' '
PLUMBING:
MECHANICAl ,;?p...,...S P/_A_~
, ~'~/- -'/
ELECTRICA;' !//F b~ _. .
ADDRESS
CaNST,
CONTRACTOR'
PHONE
~~:>-IYlE:;>/ /~G/"Y/7?5"
~.=~Q"'"~ '"-'i? V-"',;>
;. . ,
EXPIRES
~~"'2~ 'g >h-6,,8~ ~
'/ /
'- OFFICE USE - '*
QUAD AREA: LAND USE: FLOOD PLAIN:
. OF BLDGS: . OF UNIT~' ZONING CODE:
OCCY GROUP: CONSTR. TYPE: . OF BDRMS:
. 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 8.m. will be made the following work day.
o Temporary Electric
D Site Inspection -'To be made
after excavation, but prior to
setting forms.
D Underslab Plumbing/Electrical/
Mechanical - Prior to cover.
D Footing - After trenches are
excavated.
D Masonry .:... Steel location, bond
beams, grouting.
D Foundation - After forms are
. erected but prior to concrete
placeme~t.
D Underground Plumbing - Prior
to filling trenoh,
D Underfloor Plumblng/Meohanlcal
-.Prlor to Insulation or decking.
D Post and Beam - Prior to floor
Insulation or decking.
D Floor Insulation - Prior to
decking,
D Sanitary Sewer - Prior to filling
trench.
D Storm Sewer - Prior to filling
trench. .
D Water Line - Prior to' filling
trench.
D Rough Plumbing - Prior to
cover.
REQUIRED INSPECTIONS
D Rough Mechanical - Prior to
cover. .
D Rough Electrical - Prior to
cover. . -
D Electrical Service - Must be
approved to obtain permanent
electrical power,
D Fireplace - PrIor to facing
materials and framing Insp.
D Framing - Prior to cover.
D Wail/Ceiling Insulation - Prior to
cover,
D Drywall - prlor~o taPI~g,
D Wood Stove - After l~stallat'lon.
D Insert - After f1repla.ce approval
and Installation of unit.
D Curbout & Approach - After
forms are erected but prIor to
placement of concrete.
D Sidewalk & Driveway - After
excavation Is complete, forms
and s.ub-base material In place.
D Fence - Whe.n completed.
o Street Trees - When .~ll required
trees are planted_ .
D Final Plumbing - When all
plumbing work Is complete,
D Final Electrical - When all
electrical work Is complete.
r:;A Final Mechanical - When all
~ mechanIcal work Is complete,
D Final Building - When all
required InspectIons have been
approved and building Is
completed.
DOther
MOBILE HOME INSPECTIONS
D Blocking and Sel,Up - When all
blocking Is complete,
D Plumbing Connections - When
home has been connected to
water and sewer,
D Electrical Connection - When
blocking, set-up, and plumbing
Inspections have been approved
and the home Is connected to
the service panel.
D Final - After all required
Inspections are approved and
porches, skirting, decks, and
venting have been Ins tarred.
. 1.,.I~E PROPOSED WORK IN THE
Lot faces Lot Type Setbacks
I PL. ACC I HISTORICAL DISTRICT, OR ON ,
Lot sq, ftg: "Interior' HSE GAR
IN I THE HISTORICAL REGISTER?
Lot coverage Corner Is I If 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 , L
.,'" . APPROVED:
BUILDING PERMIT
ITEM SQ, FT, X $/SQ, FT, - VALUE
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permlt!s granted on the expres~ 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.
Pian Check, Fee: , '"
Main
Garage
Carport
Date Paid:
Total Value
Receipt Number'
Building Permit Fee
State Surcharge
Total Fee
Received By:
(A)
Plans Reviewed By
Date
"
SYSTEMS',DEVELOPMENT CHA'RGE(SDC)'CC
"
(B)
PLUMBING PERMIT
ITEM
"
FIxtures
Residential Bath(s) N'
Sanitary Sewer FT.
Water . FT.
Storm Sewer . FT.
Mobile Home
Plumbing Permit
State Surcharge
Total Charge (C)
,:.Systems Development Charge Is due on' all undeveloped
properties within the City limits which are b~lng Improved,
ADDITIONAL COMMENTS
FEE
MECHANICAL PERMIT. "2 yc::e:>_ --
Furnace
Mechanical Permit
/l; 1/7'-
/.~~
A9~t!it!::>
,75-
?;!::'?S-
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 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
herein, 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.
Exhaust Hood
Vent Fan
N'
Wood StovellnsertlFlreplace Unit
Dryer Vent
Issuance
State Surcharge
Total Permit
(D)
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 looated at the front
of the property, and the approved set of plans will remain
on the site at times during co structlon.
~iit
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Slgnatur
Sidewalk
It
DatI'"
II-I&.- o;~
Curbcut
It
DemolitIon
State Surcharge
VALIDATION:
AMOUNT RECElven
RECEIPT NUMBER /t!> .$ '7 "2-
/h/2-9 ?
-;;<??;: ?cs-
d~
''''/
RECEIVED BY
Total Miscellaneous Permits (E)
DATE PAin
TOTAL AMOUNT DUE (exoludlng electrical)
(A, B, C, 0, and E Combined)