HomeMy WebLinkAboutPermit Mechanical 1993-8-13
RESIDENTIAL
PERMIT APPLICATION
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Inspections: 726.3769
Ollice: 726.3759
LOCATION OF PROP9~.\D ~Fl,K: /~ I Q.n
ASSEssdRS MAP: _\~-' l / -:J tJ... IJf!
LOT:
BLOCK:
JO!UMBER Gf3mgs
SUBDIVISION:
TAX LOT:
mA.( Y. ')
OWNER:
-.rrd Q,/
V) Y' . PHONF'
STATE: lJJlp DJJrl
(\-.1 II
DESCRIBE WORK: ~\'l.D~\'c1. '" v_. \ (: \. Q Q\ t-;( ~.\ l ,m 0)
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NEW _ REMODEL _ ADDITION _ DEMOLISH - - OTHER
CITY:
CONTRACTOR'S NAME
ADDRESS
CONST,
CONTRACTOR'
,
"
ZIP:
EXPIRES
PHONE
GENERAL:
;LUMBING' , ,- n --Il-- 11 . f tC'Y\\la\; lo '~S,q<\ 9ABlfi7'-.,
",,"^",u\~~~11f\ 'F\"121dL\1~ {l~'4l10 \ Ia~Uo .ylimlt , <(, ~
'ELECTRICAL: G~tIl ~ ~ ) .U (j
. ~
QUAD AREA:
. OF BLDGS:
OCCY GROUP'
. OF STORIES: - ..-.
WATER HEATER:
_ OFFICE USE -
LAND USE:
. OF UNITS:
CONSTR. TYPE:
HEAT SOURCE:
RANGF'
FLOOO PLAIN'
ZONING CODE:_
. OF BDRMS:
SECONDARY HEAT:
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 Sile Inspection - To be made
alter excavation, but prior to
settIng forms.
o Underslab PlUmbing/Electrical I
Mechanical - prior 10 cover.
o
Footing - Aflor trenches are
excavated.
o
Masonry - Steel location, bond
beams, grouting.
o
Foundation - After forms are
erected but prior to concrete
placement.
o
Undorground Plumbing - Prior
to filling trench.
o
Underlloor Plumbing/Mechanical
_ Prior to Insulation or decking.
o Post and Beam - Prior to floor
Insulation or decking.
o Floor Insulation - prior to
decking,
o
Sanitary Sewer - Prior to rifling
trench.
o
Storm Sewer - Prior 10 filling
trench.
O Water Line - Prior to filling
trench.
. 0 Rough plumbino - Prior to
\ cover.
REQUIRED INSPECTIONS
o Rough Mechanical - 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.
o Drywall - Prior to taping,
o Wood Slove - After Installation.
o Insert - After fireplace approval
nnd Installatlon of unit.
o Curbcut & Approach - Artcr
- forms are erected but prIor to
placement of concrete.
o Sidewalk & Driveway - After
excavation Is complete. (orms
and sub.base matorlal In place.
o Fence - When completed.
o Street Trees - When all required
. trees arc planted.
o Final Plumbing - When all
plumbing work Is complete,
o Final Electrical - When all
electrical work Is complete.
~.7Final Mechanical - When all
/ ,- mechanical worl( 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
blocl<lng 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 - AHerall required
Inspections are approved and
porches, skirting, decks, and
venting havo been Installed.
Lot laces
.
Lot Type
Lot SQ, ltg,
I PL.
IN
Is
Inlorior
Lot coverage
Corner
Topography
Total height
Panhandle
Cui-dc-sac
W
E
.-- --'---
APPROVED:
BUILDING PERMIT
ITEM SQ, FT, X $ISQ, FT,
VALUE
Main
Garage
Carport
Total Value
Building Permit Fee
,;
Stale Surcharge
Total Fee
(A)
SYSTEMS DEVELOPMENT CHARGE (SDC)
, (B)
PLUMBING PERMIT
ITEM 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
Exhaust Hood
Vent Fan N'
Wood StovollnsortlFlrcplacc Unit
Dryer Vent
j,C":.'CGI
Mechanical Permit . \.),
Issuanco /0, ()()
/)C
Slate Surcharge )
Total Permit (D) r,-\)5,'7S
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk lt
Curbcut lt
Domolltion
i.
Slale Surcharge
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding eloctrlCal)cCJ5 ,'1'5
(A, B, C, D, and E Combined)
~
,
Setb,cks
HSE GAR ACC
IS THE 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.
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit is granted on the express condition 1113t the saId
construe.lion sh~lI, In all respects. conform to tho 'ordinance
adopted by the City 01 Springlield, Including the
Development Code, regulating the construction and use at
buildings, and may be suspended or revoked at any tlme
upon vlolalion, of any provision,s of said ordinances.
Plan Chock Fee:
Date Paid:
Receipl Number.
Received By:
Plans Reviewed By
Dale
Systems Development Charge is due on all undeveloped
properties within lhe City llmits which are being improved.
ADDITIONAL COMMENTS
By signature, I state and agree, that I have carefully cxa~inCd
the completed appllcalion and do hereby certi fy that all
Information hereon Is truc and correct, and I furthcr certify
that any and all work performed shall be done In accordance
wllh tho Ordinances of the City of Sprinyrield, and the Laws
of the Slate of Oregon pertaining to the work described
herein, and that NO OCCUPANCY will be made of any
structure wlllloul permission oJ the Building Safely Division.
I further certl fy Ihal only contractors and emproy?es who
are In complIance with ORS 701.055 will be used on this
project.
I further agree to ensure Ihal all required inspections are
requested at the proper time, that each address Is readable
from the slreel, tllal the permit card is located at the fror"\1
of the property, and the approved set of plans will remain
on the site at ~1I)}# ~t~;
Slgnalur~ kA/~~ /~ __-2
Dat~. 8--/3 -'7A/ (7
I \
VALIDATION: ~../ qa4 \
RECEIPT NUMBER -~ 1
DATE PAID ~. J~, Cj'\.~
AMOUNT RECSJ,llf.-Qj<90'. /)........"')
RECEIVED OY l :::::?\ VD )
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