HomeMy WebLinkAboutPermit Mechanical 1999-12-23
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
Office: 726,3759
ASSESSORS MAP:
LOT'
.
SPRINGFIELD
OWNER' fYJ/yi;;' ;JA--A/y,.,V
ADDRESS:' 6310'9' /h/-d/S.n/'lllt- "
CITY: .5?a...rl{,;:::;~
NEW
REMODEL
STAT'" .
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JOB NUMBER
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225 Fifth Street
Springfield. Oregon 97477
TAX LOT:
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SUBDIVISION'
PHONF'
72~ -SZOk'
ZIP'
7/~7 P
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REQUIRED INSPECTIONS
~ Rough Mechanical - Prior to
6~~~:tt':caI6dt
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 Wail/Ceiling Insulation - Prior to
cover.
D Drywall - Prior to taping.
D Wood Stovo - After Installation.
D fnsert - Alter fireplace approval
, and Installation of unit.
o Curbellt & Approach - After
forms are erected but prior to
placemont of concrete.
D Sidewalk & Drlvew3Y - Alter
excavation Is compiete, forms
and .sub-base material In place.
D Fence - VVhen COiYlpteted.
D.Street Trees - When all required
trees arc planted.
CONST,
CONTRACTOR'SfiAME . AD~ESS CONTRACTOR'
GENERAl' /'+w,&:J-"C/1N ~4< 14/PLj4vCE S~/CC:-
.PLUMBING' tp(,9J~/I<T~' if 77& ZI
ADDITION
DEMOLISH
OTHER
MECHANICAl'
ELECTRICAl'
EXPIRES .0 PHONE
7~q~b;f ~
/O-~7_
- OFFICE USE -
OUAD AREA' LAND USE: _ FLOOD PLAIN'
. OF BLDGS' . OF UNITS' ZONING CODE:
OCCY GROUP: CONSTR. TYPE: . OF BDRMS'
. OF STORIES' HEAT SOURCE: SECONOARY HEAT:
WATER HEATER: RANG'" SOUARE 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 same working day, Inspections requested after 7:00 a.m. will be made the following work day.
/.
D Temporary Electric
D Site Inspection - To be made
after excavation, but prior to
setting forms.
D Underslab Plumblng/Electrlca"
MechanIcal - Prior to cover.
D Footing - Alter 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.
D Post and 8eam - Prior to floor
Insulation or decking.
D Floor Insulation - PrIor to
decking.
D Sanitary Sewer - Prior to filling
trench.
D Storm Sewer - Prior to mUng
trench.
D Water L1na - Prior to filling
trench. .
D Rough Plumbing - Prior to
cover.
L
D Flnat Plumbing - When all
plumbing work Is complete.
D FInal Electrical - When all
electrical work Is complete.
I'VI Final Mechanical - When all
LA-J mechanical work Is complete.
D Final Building - When all
required Inspections have been
approved and building is
completed.
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MOBILE HOME INSPECTIONS
D Blocking and Set-Up - When all
blocking Is complete. .'
D Plumbing Connections - 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.
o Final - Alter all required
Inspections are approved and
porches, skirting, decks, and
venting have been Installed..
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Setbacks.
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IS THE PROPOSED WORK tN THE. .
.h'HISTO!'iICAL DISTRICT. OR ON '
THE HISTORICAL REGISTER?
If yes. this application must be signed
and approved by the Historical
Coordinator prior to permit Issuance,
Lot faces
','
'.
lei Type
::' ..'
....','
"c'" " .~ 'l ; ~:.,; :~,?:N,~.~)' "
'.'
. Lot sq. Itg.
Interior
'Lot coverage
Corner
Topography
Total height
;
Panhandle'
Cul-de-sac
BUILDING PERr!IJ'T~i,.;,,:;j 't
ITEM sa. FT. x $/SO. FT. =
VALUE
, APPROVED'
BUILDIN'G "Auk PLAN CHECK
AND BUILDING PERMIT
Garage
"
This permit is granted on the express condition that the said
construction shall, In all respects, conform to the Ordin'ance
adopted by the City.ol Springfield, including the
Development Code. regulating the construction and use of
buildings, and may be suspended or revoked at any time
upon violation of any provisions of said ordinances.
Main
Carport
Plan Check Fee:
Date Paid:
Total Value
Building Permit Fee
Receipt Number'
State Surcharge
Received By:
Total Fee'
(A)
Plans Reviewed By
Date
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge Is due on all undeveloped
properties within tho City limits which are being Improved.
PLUMBING PERMIT
ITEM
ADDITIONAL COMMENTS
FEE
Fixtures
Residential Bath(s)
N'
Sanitary S~wer
Water
FT.
Storm Sewer
FT.
FT.
Mobile Home
Plumbing Permit
State Surcharge
Total Charge
(C)
MECHANICAL PERMIT
Furnace
Vent Fan
N'
By signature, I state and agree, that I have carefully examined
the completed application and do hereby certify that all
Information hereon Is true and correct, and I further certify
that any and all work performed shall be done In accordance
with the Ordlnanc~s of the City of Springfield, and the Laws
of the State of Oregon pertaining to the work described
herein, and that NO OCCUPANCY will be made of any
structure without permission of the Building Safety Division.
I further certify that only contractors and employees who
are In compliance with ORS 701.055 will be used on this
project.
Exhaust Hood
Wood Stovellnsert/Flreplace Unit
Dryer Vent
. Mechanical Permit' /$//. /&7.'p
Issuance " ~-~
State Surcharge 13 I : y!;-
Total Permit (0) ;;2.h, ~
State .Surcharge
Sidewalk
It
I further agree to ensure 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 t e approved set of plans will remain
on the site at all t1m 's dUfg construction.
Signature ~ /"fI
/ J- -:J '3-yf
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
Date
Curbcut
It.
Demolition
Slate Surcharge
VALIDATION:
Total Mlscellaneou~ Permits (E)
DATE PAID
RECEIPT NUMBER ~~ --s- 6 "'7
/'2 ~ L~' -'7"'5
""7 ~ , -?'c:::=>
~~~,
"C' ,
, I
.J
... TOTAL AMOUNT DIJE (excfudlng electrical)
* . . (A, B, C, D, and E Combined)
"\_.. .
AMOUNT RECEIVED
RECEIVED BY.