HomeMy WebLinkAboutPermit Mechanical 1999-10-5
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RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
Office: 726.3759
LOCATION OF PROPOSED WORK' _';-3/.s- L~
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ADDITION DEMOLISH
LOT'
OWNER'
ADORES'"
CITY:
DESCRIBE WORK:
NEW
REMODEL
CONTRACTOR'S NAME
GENERAl'
PLUMBING:
MECHANICAL: J1la..~.11 IS
ELECTRICAl'
QUAD AREA:
. OF BLDGS:
OCCY GROUP'
. OF STORIES:
WATER HEATER:
BLOCK'
STATE: .
nL
.
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JOB NUMBER
225 Fifth Street
Springfield, Oregon 97477
TAX LOT:
OSro7J
SUBDIVISION:
PHONE:
q~~-u79
ZIP'
97Lf7'i[.
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~ Rough Mochanlcal - Prior to
~ cover.
~ Rough Electrical - Prior to
~ cover. .
o Electrlca' Service - Must be
approved to obtain permanent
electrlcel power,
o Fireplace - Prior to facing
materials and framl.ng Insp.
o Framing - Prior to cover.
'.
OTHER
ADDRESS
CONST.
CONTRACTOR .
..:":,
LfIID Olymp-iC
- OFFICE USE -
LAND USE:
· OF UNITS:
CONSTR. TYPE:
HEAT SOURCE:
RANGE: _
EXPIRES
PHONE
spEc{
~Sl70 ?47-7Yl.JS-
FLOOD PLAIN:
ZONING CODE:
. OF BDRMS:
SECONDARY HEAT:
SQUARE FOOTAGE: _
'. ..~. . . ",' '. ,~ ... .~ . . " --'. - - ,
To request an, Inspection, you must call 726.3769. This Is a 24 hour recording, Alllnspedlons requested belole 7:00 a.m. will be
made the sa~e(.w~!:.~~n,~'~.a~.. I?~pectlo~s req~e,stedt~t~er 7:00 a.m. will be made the (ollowlng work day.
',. ". , REQUIRED INSPECTIONS
o Temporary Eloctrlc
O Slto Inspection - To be mado
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.
o Foundation - After forms are
erected,but prior to concrete
placemont.
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
deckl ng.
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
cove~ .
,.
o Wall/C'efllng Insulation - Prlor.to
cover.
o Drywall - P,lor to taping,
o Wood Stove - After Installation,
o Inoert - Alter fireplace apprOVal
and Installation of unit.
o Curbcut & Approach - After
forms are erected but prior to
placomont of concrete,
o Slde'walk & Driveway - After
excavation Is compioto, forms
and sub-base material In place.
o Fence - When completed.
o Stroet Trees - Whan all roqulred
trees are planted.
o Final Plumbing - When all
plumbing wc;>rk Is camplet,e.
~Flnal Electrical - When all'
~Iectrlcal work Is complete.
'tx1" Final Mechanical - When all
~echanlcal work Is complete.
o Final Building - When all
required Inspections have been
approved and building Is
completed,
.'. ....
"
o Other
p'. ,
, >
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
.Inspectlons have been approved
and the home Is connected to
the service panel.
o Final - After all required
Inspections are approved and
porchos, skirting, decks, and
venting have been Installed.
Lot faces
Lot Type .
Interior
Lot sq. ltg, \ '-
.. . " \ , "
Lot coverage
Corner
Topography
Total height
,.
Panhandle
Cul.de,sac
BUILDING PERMIT
ITEM SO. FT.
"/
X S/SO. FT. _
Main
Garage
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fee
(A)
I RL
IN
Is
Iw
IE
VALUE
"
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
PLUMBING PERMIT
ITEM
Fixtures
Residential Bath(s) N~
Sanitary S~wer
Water
FT.
FT.
Storm Sewer
FT.
Mobile Home
Plumbing Permit
State Surcharge
Tolal Charge
(C)
MECHANICAL PERMIT
,~~.
Furnace
Exhaust Hood
Vent Fan
N'
/
Wood Stovellnsert/Flreplace Unit
Dryer Vent
6A$ hu'c
MeChanical Permit
Issuance
State Surcharge
;.or -r.~J'
Total Permit
(0)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
It
Curbcut
It
Demolition
State Surcharge
Tolal Miscellaneous Permits (E)
TOTAL AMOUNT DUE (e,cludlng electrical)
(A, B, C, 0, and E Combined)
FEE
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,
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ft;;'~
/0.6-0
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I.E 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.
Setbacks
HSE GAR Acc'l
I
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I
I
APPROVED:
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BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit Is granted on the ox press condition that the said
construction shall, In all respects, conform to the Ordinance
adopted by the Clly 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.
Plan Check Fee:
Date Paid:
Recel pt Number'
Received By:
Plans Reviewed By
Date
Systems Developmenl Charge Is due on all undeveloped
properties within tho City limits which are being Imploved.
ADDITIONAL COMMENTS
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By signature, I state and agree, that I have carefully examined
the completed appllcetlon 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 01 Orogon perlalnlng to tho work described
herein, and thai NO OCCUPANCY will be made of any
structure without permission of the Building Safety Division.
I further certify thai only contractors and employees who
are In compliance wllh ORS 701.055 will be used on this
project.
I further agree to ensure that all required Inspections are
requested at the proper time, that each address Is readable
from ttie street, that the pormlt card Is located at the fronl
of the properly, and the approved set of plans will remain
on the slle at all times durl~ conO/ctlon,
Signature ' ~'..<-4ll ,&1/1
Date
VALIDATION:
RECEIPT NUMBER
DATE PAID
AMOUNT RECEIVED
RECEIVED BY
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