HomeMy WebLinkAboutPermit Mechanical 1996-4-8
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
Office: 726.3759
.
SPRINGFIELD
LOCATION OF PROPOSED WORi<' -:2"~b:?
ASSESSORS MAP' / '? 'c;:> -:::r -'2 ?~ /'2
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OWNER' ;p!.a.~K ;?""'I/v1
ADDRESS: Lt) b L A..r1x.. ll"'cf'
&1/7/A":v..~ rft.,..1::f STATE: I.)~ ZIP: 97 Y77
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NEW ~~DEL ~DDITION DEMOLISH OTHER
LOT:
CITY:
CONTRACTOR'S NAME
GENERAl'
PLUMBING'
BLOCK:
,
.-13&''''1,/>
JOB NUMBER q-~7"'R:==<5
225 Fi flh Strcet
Sprlngllcld, Oregon 97477
.
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SUBDIVISION'
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PHONE: '7 '1'7- 9"0 /..2
ADDRESS
CON ST.
CONTRACTOR'
EXPIRES " PHONE
MECHANICAL'
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ELECTRICA" '
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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 Inspectlon, you must call 726-3769. This Is a 24 hour recordIng. AlIlnspecllons requested before 7:00 a.m. will be
made the 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 Plumblng/Electrica"
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 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.
D Storm &ewer - Prior to filling
trench.
O Water Line - Prior to filling
trench.
o Rough Plumbing - Prior to
cover.
REQUIRED INSPECTIONS
rvl Roug~ Mechanical - Prior to
LA-J cove~ . ~
47~/~//0
r;;;J Rough Electrical - Prior to
L,...::!.J 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 Stovo - After Installation.
o Inserl ...:. After fireplace approval
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 work Is complete.
, ,
~ Final Electrical - When all
~ electrical work Is complete.
CZJ Final Mechanical - When all
~Ical work Is complete.
.~V~
o Final Building - Whe.n all
required Inspections have been
approved and building Is
completed.
o Other
MOBILE HOME INSPECTIONS
o Blocking and Set. Up - Whcn 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 -,Aftcr all rcqulrcd
Inspections are approved and
porches, skirting, decks, and
ventiog have been Installed.
Lot faces
~-,
,,} "'1 <~ <) .
_ Lot Type
Lot sq, ft~,',
Lot coverage
Interior
Corner
Topography
Total height
Panhandle
Cul.de.sac
BUILDING PERMIT
ITEM
SQ, FT,
X $/ SQ, FT,
Main
Garage
Carport
Total Value
Building P~rmit Foe
State Surcharge
Tolal Fcc
(Al
l/~
'.;,.' ,
"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.
I P.L.
IN
Is
Iw
IE .
Setbacks
HSE GAR Accl
I
I
I.
I
VALUE
"
(B)
SYSTEMS DEVELOPMENT CHARGE (SDC)
.
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PLUMBING PERMIT
ITEM
Fixtures
Residential Bath(s)
"I'
Sanitary S~wer
Water
FT,
Storm Sewer
FT,
FT,
Mobile Home
Plumbing Permit
State Surcharge
Total Charge
(C)
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan
N'
Wood Stovellnsert/Flreplace Unll
Dryer Vent
Mechanical Permit
Issuance
State Surcharge
Tolal Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
It
Curbcut
It
Demolition
State Surchargf!
Total Miscellaneous Permits
(E)
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, 0, and E Combined)
FEE
~ (c:'a e='
APPROVED:
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit isgranted on the express condition that the said
construction 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 ordinances.
Plan Check Fee:
Date Paid:
Receipt Number'
Received By: ,
Plans Reviewed By
Dale
Systems Development Charge is due on all undeveloped
properties within the City limits which are being Improved.
ADDITIONAL COMMENTS
,-,I
By signature, I state and agree, that I have carofully 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 State of Oregon pertaining to the work described
herein, and thai 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 ensuro that all required Inspections are.
requested at the proper time, that each address Is readable
from the street, that the permit card Is located at the front
of the property, and the approved set of plans will remain
on the site at all tlm:s d~rlng ~ns~~lon. _
Slgnalure .d.JJ~~
~---c:P -~g
Dato
VALIDATION:
RECEIPT NUMBER .::</~ /'
DATE PAIr> ij-Jf? 9,::::;-
AMOUNT RECEIVEP
RECEIVED BY
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