HomeMy WebLinkAboutPermit Mechanical 1992-11-24
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726-3769
Office: 726.3759
.
SPRINGFIELD
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LOCATION OF PROP971D~OJiK' 2/~n
ASSESSORS MAP: I' I U. "'\~ ') l()
LOT'
L !4-1/;--4
sf?
BLOCK'
OWNER: mp5,
ADDRESS: OlltfO
s,t1;e 1=-0
~P?CcJC
,.(.RVI-/9- SR.
8"7
CITY-
DESCRIBE WORK' ZuST797/
NEW REMODEL
CONTRACTOR'S NAME
GENERA' '
PLUMBING:
MECHANICAL: ;JIfRv~ t'So/)
ELECTRIC! ' .
QUAD AREA"
. OF BLDGS:
OCCY GROUP'
. OF STORIES:
WATER HEATER'
STATF' (()-
ADDITION
#69-7" 7Z-",,~
l' DEMOLISH
.
q~ 101C\
OTHER
JOB NUMBER
225 Fifth Street
Springfield, Oregon 97477
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TAX LOT: ut4Q)
SUBDIVISION'
PHONF'
726 819/
ZIP'
)1? '/? ?
1
'*
ADDRESS
CON ST.
CONTRACTOR'
PHONE
EXPIRES
4168t/ 111t9r,1/;t/;4 .~~ 0:J/;l6/92- 7-p,6 76 7?
/
- OFFICE USE -
LAND USE: FLOOD PLAIN'
. OF UNITS- ZONING CODE:
CONSTR. TYPE: . OF BDRMS'
HEAT SOURCE: SECONDARY HEAT:
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 tho same working day. Inspections requested after 7:00 a.m. will be made the following work day.
o Temporary Electric
D Site Inspection - To be made
after excavation, but prior to
setting forms.
o Underslab Plumbing/Electrical/
Mechanical - Prior to cover.
o Footing - After trenches are
excavated.
o Masonry - Steel location, bond
beams, grouting.
D Foundation - After forms are
erected but prior to concrete
placement.
o Underground Plumbing - Prior
to filling trench.
O Underlloor Plumbing/Mechanical
- Prior to Insulation or decking.
1 .__~
i ,-
o Post and Beam - Prlo.r to floor
Insulation or decking.
. (.f-.....:-
o Floor Insulation - Prior to
decking, .
o Sanitary Sewer - Prior to filling
trench.
o Storm Sewer - Prior to filling
trench.
o Water Line - Prior to fillIng
trench.
o Rough Plumbing - Prior to
cover.
REQUIRED INSPECTIONS
~ Rough Mechanical - Prior to
cover.
Rough Eloctrlcal - Prior to
cover.
D Electrical Service - Must be
approved to obtaI n permanent
electrical power.
D Fireplace - Prior to facing
materials and framing Insp.
o FramIng - Prior to cover.
o Wail/Ceiling Insulation - Prior to
cover.
.
o Drywall - Prior to'taplng.
\0 Wood Stove - After I~sta"atlon.
II
o Insert - After fireplace approvlSl
and Installation of unit.
o Curbcut & Approach - 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.
o Street Trees - When all required
trees are planted. .
o Final Plumbing - When all
plumbing w~)fk Is complet.c.
D Final Electrical - When all
electrical work Is complete.
~Inal Mechanical - When all
{ mechanical work Is complete.
o Final Building - When all
required Inspections have been
approved and building Is
completed.
OOthe'
MOBILE HOME INSPECTIONS
o Blocking and Set-Up - When all
blocking 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 - After all required
Inspections are approved and
porches, skirting, decks. and
venting have been Installed.
. ,";}. '
Lot faces
Lot TYP.
Interior
Lot SQ. fig,
Lot coverage
Corner
Topography
Total height
Panhandle
Cul.de.sac
BUILDING PERMIT
ITEM sa. FT. x $/50. FT.
Main
.'
Garage
Carport
Total Val ue
Building Permit Fee
State Surcharge
Total Fee
(A)
,,<"~.t, ""> " _ 'I ,t.. ~'.'\\.
~,},.tt.,. P\,~';"'~"'!...i$'-ir~j"'~; t. I' I
'." . :t, rO'"i..
Setb~cks '. .IS THE PROPOSED WORK IN THE
HSE GAR ACC I ' HISTORICAL DISTRICT, OR ON
I THE HISTORICAL REGISTER?
I
I
" I
I P.L.
IN
Is
Iw
IE
VALUE
"
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
PLUMBING PERMIT
ITEM
Fixtures
Residential Balh(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 StovellnsertlFlreplace Unit
Dryer Vent
Mechanical Permit
Issuance
State Surcharge
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
It
Curbcut
It
Demolition
State Surcharge
FEE
is,u.?
tU.V
~
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrical) ~y. '~
(A, B, C, D, and E Combined) ~, _
If yes, this application must be signed
and approved by the Historical
Coordinator prior to permit Issuance.
APPROVED'
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit is granted on the express condition thaUhe said
construction shall, in ail 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, reyok~d at any time
upon violation of any provisions of said ordinances.
PlanChe,ck Fee'
Date Paid:
Recel pt Number.
Received By:
Plans Reviewed By
Date
Systems Development Charge Is due on all undeveloped
.. "\" ',r
p'rope"rtles within the City limits whichare being improved.
ADDITIONAL COMMENTS
By signature, I state and agree, that I have carefully examined
the completed application and do hereby certl fy 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.
I further agree to ensure that all required inspections are
requested at th proper time, that each address is readable
from the stre that th vHIII( card Is located at the front
of the prop . nd the ~~:~~:ll plans will remain
te I all limes rIa!r II' (tlon,
ature ~'
l'I/21/Qv-
VALIDATION: t-._/'L\ ~O''JI
RECEIPT NUMBER Tr~ I)
::T:U:~DR~EIV ~3:~~~.<n
RECEIVED '/)~ /
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