HomeMy WebLinkAboutPermit Mechanical 1995-10-30
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
Office: 726.3759
ASSESSORS MAP:
LOT:
.
SPRINGFIELD
BLOCI<"
,OWNER'
ADDRESS:
CITY'
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STATF'
DESCRIBE WORK:
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NEW
REMODEL
ADDITION
CONTRACTOR'S NAME
DEMOLISH
OTHER
.-
JOB NUMBER
~/?2/
.
ADDRESS
CON ST.
CONTRACTOR .
225 Filth Street
Springfield, Oregon 97477
TAX LOT:
~t7Q~
SUBDIVISION'
PHONE: ?2C-2 ~~V
ZIP'
~ ? 7""> ::>
"
'*
y~
EXPIRES
-,
PHONE
GENERA' .
PLUMBING'
MECHANICAL:~/'~./' ~'~_.~" - $6~..$~~7?6'.<'~4P?"f ~P9'-~~;
ELECTRICAL:
- OFFICE USE - i
QUAD AREA' LAND USE: FLOOD PLAIN: I
. OF BLDGS: . OF UNITS: ZONING CODE: _ .I
OCCY GROUP: CONSTR. TYPE: . OF BDRMS'
. OF STORIES: HEAT SOURCE: SECONDARY HEAT:
WATER HEATER: RANGE: SQUARE FOOTAGE: _
'To request an Inspection, you must call 726.3769. Ttlls Is a 24 hour recording. All Inspections requested before 7:00 a,m, wilt be
made the same working day. Inspections requested arter 7:00 a.m. will be made'the following work day.
D Temporary Electric
D Slto Inspoctlon - To be made
after excavation, but prior to
setting forms,
D Underslab Plumbing/Electrical I
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
placement.
D Underground Plumbing - Prior
to filling trench.
D Underlloor Plumbing/Mechanical
- Prior to Insulation or decking.
o Post and Beam - Prior to floor
Insulatlon or decking.,
"
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..
D Rough Plumbing. - Prior. to
cover.
REQUIRED INSPECTIONS
flTI Rough Mechanical ....:. Prior to
~ cover. . .
o 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 Wall/C'elllng Insulation - Prior to
cover.
D Drywall - Prior ~o taping. _
D Wood Stove --: After Installation.
D Insert - After fireplace approval
and Installation of unit.
'". .'
D Curbcut & Approach - After
forms are erected but prior to
placement of concrete.
D Sidewalk & Driveway - After
excavation Is complete, forms
and sub.base material In' place.
o Fence - When completed.
D Street Trees - When all required
trees are planted.
D Final Plumbing - When all
plumbing worl< Is complete.
, ,
D Final Electrical - When all
electrical work Is complete.
[Xl Final Mechanical - When all
mechanical work Is complete.
D Final Building - When all
required Inspections have been
approved and building Is
completed.
[Z] Olhor')~~'~1"" ~-" S-
~
MOBILE HOME INSPECTIONS
D Blocking end Sot.Up - When all
blocking Is complete.
o Plumbing Connoctions - 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 Installed.
Lot faces
~ot Type.
Setbacks
I P.L. I HSE GAR ACC I
I N I
Is
Iw I I
~I
'IS"THE PROPOSED WORK IN THE.
"HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
II yes, this application must be signed
and approved by the Historical
Coordinator prior to permit issuance.
LOl sQ. fig.
Interior
Lot coverage
Corner
Topography
Total height
Panhandle
Cul.de.sac
APPROVED:
BUILDING PERMIT
ITEM sa. FT. . X $/SO. FT. = VALUE
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
Main
Garage
"
This permit is granted on lhe express condition lhalthe said
construction shall, In all respects, conform to the Ordinance
adopled by lhc City, of Springfield, including the
Development Code, regulating the construction and use of
. buildings, and may be suspended or revoked at any tlme
upon violation of any provisions of said ordinances..
Carport
Plan Check Fee'
Total Value
Date Paid:
Building Permit Fee
State Surcharge
Recel pt Number:
Received By:
Total Fee
(A)
SYSTEMS DEVELOP_MENTC[-fARG~ (SDq
(B)
"
/,
Plans Reviewed By
Dale
PLUMBING PERMIT
ITEM
Systems Development Charge Is due on all undeveloped
'. , .
properties within the City limits which are being improved.
...,'
FEE
ADDITIONAL COMMENTS
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
Issuance
ft~
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By slgnature,l state and agree, that J have carefully examined
the compleled application and do hereby certHy 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 lhe City of Springfield, and lhe Laws
of Ihe Stale of Oregon pertaining to lhe work described
herein, and lhat NO. OCCUPANCY will be made of any
structure without permission of the Building Safely Division.
I further certify that only contractors and employees who
are In compliance with OAS 701.055 will be used on thIs
projecl.
Vent Fan
N'
Wood StovellnserllFI.replace Unit
Dryer Vent
01'7 ~~O ;~
Mechanical Permit
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 slreet, that the per'i'lt card Is located at the front
of the property, and lhe approved set of plans will remain
on the site at a/l times_ dU~ construction.
Signature a-~~
/c:J--:.3t9- ..9.,-
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
Stale Surcharge
Sidewalk
fl
Date
Curbcut
It
Demolition
State Surcharge
VALIDATION:
RECEIPT NUMBER /~pc:>
DATE PAID /d' -"3::s:.:::v 5
AMOUNT RECEIVEr> ::<6_::2.-
RECEIVED BY ,~~ .--
Tolal Miscellaneous Permits (E)
-
TOTAL:AMOUNT DUE (excluding elec\,rlcal)
(A, B, C, 0, and E Combined) .