HomeMy WebLinkAboutPermit Mechanical 1992-11-24
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726,3769
Ollice: 726-3759
.
SPRINGFIELD
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LOCATION OF PROPOSED WORK:
,;;J/50
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'f.r~ ! Ii ltld t M: 97'D.7 STATE:
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ASSESSORS MAP:
LOT'
OWNER:
,,-f/; A""
ADDRESS:
CITY:
DESCRIBE WORK:
NEW
REMODEL
ADDITION
CONTRACTOR'S NAME
GENERAL:
PLUMBING:
MECHANICAL:
ELECTRICAl'
BLOCK'
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d 1.J.. c..h tr\.
Aut- /Ju~1
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OTHER
DEMOLISH
.
92/79/
JOB NUMBER
2.25 Fifth Street
. Springfield. Oregon 97477
TAX LOT:
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SUBDIVISION'
PHONE:
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ZIP: q 1.!tL.7
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ADDRESS
CONST.
CONTRACTOR'
EXPIRES
PHONE
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kL$7L
QUAD AREA:
. OF BLDGS:
OCCY GROUP'
. OF STORIES'
WATER HEATER'
- OFFICE USE -
LAND US~'
. OF UNITS'
CONSTR. TYPE:
HEAT SOURCE:
RANG~'
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To request an Inspection, you must call 726-3769. This Is a 24 hour recordIng. Alllnspectlons requested before 7:00 a.m. will be
made the sarno working day, Inspections requested after 7:00 a.m. will be made the following work day.i '.:
REQUIRED INSPECTIONS
o Temporary Electric
D SlIe Inspection - To be mado
afler excavation, but prior 10
. setting forms.
o Underslab Plumblng/Electrlcall
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 Undergraund Plumbing - Prlar
ta filling trench,
o Underlloor Plumblng/Mechanlcnl
_ Prior to Insulation or decking.
o Post and Beam - Prior to floor
Insulation or decking.
o Floor Insulation - Prior to
decking. _
(~ Sanitary Sewer - Prior to filling
trench, .
o Storm Sewer - PrIor to filling
trench. '
o Water Line - Prl.or to filling
trench.
o Raugh Plumbing - Prlar ta
cover. .
o Rough Mechanical - Prior to
cover.
D RouOh 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 Wail/Ceiling Insulatlan - Prlar to
cover.
o Drywall - Prior to taping.
o Wood Stove - After l~sta"at'l(m.
o Insert - After fireplace approval
and Installation of unit.
o Curbcul & Appraach - After
forms are erected but prior to
placement of concrete.
o Sidewalk & Driveway - After
excavation Is complete, forms
and sub.base material In place.
o Fence - When completed.
FLOOD PLAIN'
ZONING CODE:_
. OF BDRMS'
SECONDARY HEAT:
SQUARE FOOTAGE:
o Final Plumbing - When all
plumbing work Is campleto.
D Final Electrical - When all
electrical work Is complete.
IKI Final Mechanical - When all
mechanical work Is complete.
o Final Building - When all
required Inspections have been
epproved and building I.
completed,
o Other
MOBILE. HOME INSPECTIONS
. ~,. ..'.
o Blacking and Set.Up - When all
blacking Is camplete.
o Plumbing Connections - When
home has been connected to
water and sewer.
o Electrical Cannectian - When
blocking, set-up, and plumbing
Inspections have been approvod
and the home Is connected to
the servlce'panel,
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, O'Flnal':" After/all required
, . '. .' ,:~~ . ' ~_ Insp.~.otlon~::ar~ap:proved 'a'nd' ,1",
o Street ':Trees ...:.. 'When 'alj'''''eq.ulrea~''':;'~.. .~t,:)("t~h"es~:~~'irt~~~~Q~c:~_sl.ilnd : "
trees Bre planted. " ~ venting' nave 'tfee'nflnstalled:' ,
.
Lot. faces ~ -;' Lot Type:. ' ," Setbacks'.
,",.""'--':t" ,~." ":+:.:i' ,",;~"'. ',':lii'l ..' :~:"I -",'" , . '" I, I'
Lot'sg~fig,,~" ;:1 .:~: J~!rrF':'.' \ Jnteflb'f~-1.. i.,;jj ~P.L~;' HSE GAR' ACC
...'J:<IIi!N.N r'l "J..:'Jl'klti\""jI;l~._ ,."~,,:<, 1i!:}1itct::.;r.'3;r!"'i!I'r'''--;
-"1';'~ !,i/tl' 1"".h.AA,,s.,~." "'P.f 1~'" :iN~:;"'" .,"2(..!"t'ft
.L~t'~~=g.e1""'~ ",~l~j"ll+'- C rne '!' ";'" 'I:""';', .- :1~':~I""
I ~ .~,~' ~ ;1'1.'~"'Yil'" \.. ~~ ~ ~. . l1' Ii ';1
;:To?o~~i~hY"~ ;,:....:.:1 ~a~.,~~~lIE;" '- \::. .' , ,,,
Totalt'elght - . ~. Cul'de'sac I E'
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~ . THE ~ROeOSED 'ttORK,I~ TJ:lE,'
HISTORICAl/DISTRICT,lOR~ON i' i
THE'~~~tQ~~9~?'RE~I'~T~~~ '. '.\,
\I yes, this application mus! be signed .' ~
and ',;pprove'd bY' the Historical
. ,.
Coordinator prior to permit issuance,
APPROVED'
BUILDING PERMIT,
ITEM SO. FT:.. x. $/so. FT, = VALUE
BUILDING VALUE, PLAN CHECK
AND 'BUILDING PERMIT
Main
This permit Is granted on tile express condillon t11at ttlC said
constructlon shall, In all respects, conform to tt]e Ordinance
adopted by the Cily 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 Vatue
Receipt Number:
Building Permit Fee
State Surcharge
Received By:
Total Fee
'(A)
SYS'(EMSDEV:~.~qf?MENt~cB~u~'GE (SDC)
(Br
Plans Reviewed By
Dato
. >,' or.
~ystems Development Charge Is due on all undeveloped
properties within the City limits which are being Improved.
,r-...;": ;-
PLUM~ING~PERMrT' ..
ITEM'
. ~'-.
. 'ADDITIONAL COMMENTS
FEE
Fixtures
I'::
Residential Bath(s)
NO'~.
Storm Sewer
. FT,
FT,
FT,
Sanitary Sewer
Water
Mobile Home
Plumbing Permit
State Surcharge
Total Charge
(C)
MECHANICAL PERMIT
Furnace
Total Permit
(D)
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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 Stato 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 certHy that only contractors and employees who
are In compliance with ORS 701.055 will be used on this
proJec\.
Exhaust Hood
,,',
Vent Fan
N'
Wood StovellnsertlFlreplace'U~1t
, . .
Dryer Vent
Mechanical Permit
Issuance
State Surcharge
MISCELLANEOUS PERMITS
Mobile Home'
I further agree to ensure that all requlrod Inspections are
requested at the proper lime, that each address Is readable
from the stroot, tllat the permit card Is located at tho front
of the property, and lho approved set of plans will remain
on the slto at all '" during .constructlon.
Signature ~ d-!.....17
State Issuance
State Surcharge
Sidewalk
It
Date
/1- ~<Y-1::l-
Curbcut
It
Demolition
State Surcharge
VALIDATION:
Total Miscellaneous Permits . (E)
RECEIPT NUMBER ~e7Y
/ /- :? t,;'.9"L-
AMOUNT RECEIVED :2$ '7 ~
':::1/'~~
DATE PAin
',.1,0 ."lo.-t:"h...d., ..\.~~ 1
TOTAL AMOUNT'OUE'(excludlng electrical)
(A, B, C, D, and E Combined) " .
RECEIVED BY