HomeMy WebLinkAboutPermit Mechanical 1996-4-8
RESiDENTIAL
PERMIT APPLICATION
Inspections: 726-3769
Office: 726.3759
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SPRINGFIELD
ASSESSORS MAP:
LOCATION OF PROPOSED WORK' ~;, t.-?
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OWNER: ,j-/~ 1J r_bo -' 7D0...u'
ADDRF"'" 2n~o Ar<i ~/'YA ct7
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DESCRIBE WORK: ~~ r~~"'-7 0./-P !!f.;-1-7~ /~ _ :::-',~;::~<E
LOT'
CITY:
NEW
REMODEL
CONTRACTOR'S NAME
GENERAL'
PLUMBING:
MECHANICAL:,A.tIt6,.~ uj v"
ELECTRICAL'
BLOCI"
STATE:
OR.
t/fA ;"'~M
JOB NUMBER '%:::s~R<y
r
225 Fifth Street
Springfield, Oregon 97477
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TAX LOT: ~~~
SUBDIVISION: ,
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PHONE:
7 <'r" ~
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ADDITION
DEMOLISH
OTHER
ZIP:
9 )C/77
ADDRESS
CONST,
CONTRACTOR'
EXPIRES ~, PHONE
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- OFFICE USE -
QUAD AREA' LAND USE' FLOOD PLAIN'
. OF BLDGS: . OF UNITS' ZONING CODE:_
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. This Is a 24 hour recording. All Inspections requested before 7:00 a.m. will be
made ,the sarna workIng day. Inspections requested after 7;00 8.m. will be made the followIng work day.
REQUIRED INSPECTIONS
o Temporary Electric
o Site Inspection - To be made
after excavation, but prior to
setting forms.
o Underslab Plumblng/ElectrlcaIJ
Mechanical - Prior to cover.
o Fooltng - 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.
o Post and Beam - Prior to floor
Insulation or deckIng,
o Floor Insulation - Prior to
decking,
o
Sanitary Sewer - Prior to filling
trench.
O Storm Sewer - Prior t'o filling
trench.
o Water Line - Prior to filling
trench.
D Rough Plumbing - Prior to
cover.
o Rough Mechanical - Prior to
'~~frN7
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 Wail/Ceiling Insulation - Prior to
cover.
o Drywall - Prior to. taping,
o Wood Slove - After Installation.
o Insert - After fireplace approv~1
and Installation of unit.
o Curbcul & Approach - After
forms are erected bllt prior to
placement of concrete.
o Sidewalk & Driveway - After
excavation Is complete, forms
and sub.base material In place.
o Fence - VVhen completed.
o Slreet Treos - When all required
trees are planted.
o Final Plumbing - When all
plumbing w9rl<; Is complet,e.
D Final Electrical - When all
electrical work is complete.
IA1 Final Mechanlca' - When all
mgs;hanlcal work Is complete.
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o Final Building - Wh'ln all
required Inspections have been
approved and building is
completed.
DOthcr
MOBILE HOME INSPECTIONS
o Blocking and Set.Up - Whon 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 c.onnected to
the servl,ce panel.
o Final - Arter all required
Inspections are approved and
porches, sklrtlng, decks, and
ventlog have been Installed.
\":' , ' ./"
'\' ,..-",... J.. Fe, "-' I.s THE PROPOSED WORK iN THE,
Lot faces Lot Typ Setbacks
J I P,L. HISTORICAL DISTRICT, OR ON
Lot sq. ftg, Interlor HSE GAR ACC
THE HISTORICAL REGISTER?
Lot coverage Corner N II yes, this application must be signed
S I and approved by the Historical
Topography Panhandle I Coordinator prior to permit issuance.
Total height Cul-de.sac W
E I APPROVED'
BUILDING PERMIT
ITEM SQ, FT, X $/SQ, FT, = VALUE
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
Garage
Carport
"
This permit is granted on the express conditIon that the said
constructlon shall, in all 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 revoked at any time
upon violation of any provisions of said ordlna.nces:
Main
Plan Check Fee'
Date Paid:
Total Value
Receipt Number
Building Permit Fcc
Received By:
State Surcharge
Total Fcc
(A)
Plans Reviewed By
Date
SYSTEMS DEVELOPMENT CHARGE (SDC)
- .
IB)
Systems Development Charge is due on all undeveloped
properties within the City limits which are being Improved.
PLUMBING PERMIT
ITEM
ADDITIONAL COMMENTS
FEE
Fixtures
Rcsldenllal Bath(s)
"I'
Sanitary S!3wer
Water
FT.
FT,
FT.
Storm Sewer
Mobile Home
Plumbing Permit
Stato Surcharge
Total Charge
(C)
MECHANICAL PERMIT
Furnace
/~- -=-
Mechanical Perml t
/71-0'"
/'1"':-
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By signature, I state and agree, that I have carefully examined
the completed application an'd 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 of Oregon pertaining to ,the work described
herein, and that NO OCCUPANCY will be made of any
structure wllhout perm,ission of the Building Safety Division.
I further certify that only contractors and employees who
arc In compliance with ORS 701.055 will be used on this
project.
Exhaust Hood
Ven~ Fan
N'
Wood Stovellnsert/Fireplace Unit
Dryer Vent
Issuance
~~
State Surcharge
Total PermIt
(D)
'2C~:? c>
I further agree lo ensuro that all required Inspections are
requested at the proper time, that each address,ls readable
from the street, that the permit card Is located at the front
of the property, and the approved set of plans will remain
o~ the site at al~~e5}'dUrl;r C~/ctlon.
Signature #~~~
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
It
Datp
q.J/ -9~
Curbcut
It
Demolition
State Surcharge
VALIDATION:
AMOUNT RECElv~n
RECEIPT NUMBER -'2 /~ /
4/-f?:.~~
~?e>
-0?/_~ -
Total Miscellaneous Permits IE)
DATE PAID
TOTAL AMOUNT DUE (excluding electrical)
lA, B, C, 0, and E Combined)
RECEIVED BY
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