HomeMy WebLinkAboutPermit Mechanical 1998-5-28
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
Office: 726,3759
-
SPRINGFIELD
lOCATION OF PROPOSED WORK' S b <00
1'7 O;)".;l. <6 1<-.
ASSESSORS MAP'
lOT:
OWNER:
ADDRESS:
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S ("\3D
Sb~
CITY'
DESCRIBE WORK' --C1\J+tl: \ \
NEW REMODEL
CONTRACTOR'S NAME
GENERAl'
PLUMBING:
MECHANICA' .
ELECTRICA' .
QUAD AREA'
. OF BLDGS:
OCCY GROUP:
· OF STORIES:
WATER HEATER:
tYD
BLOCK'
'^-, ; \JO"
H- t ,,1. be...." 'cs
e.l.
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JOB NUMBER.9<;(2) (!, i}-")
225'Filth Street
Sprlnglleld, Oregon 97477
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TAX lOT:
SUBDIVISION'
PHON~'
ZIP:
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STATF'
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ADDITION
DEMOLISH
ADDRESS
CONST.
CONTRACTOR'
.:,:,
REQUIRED INSPECTIONS
o Rough Mechanical - Prior to
cover.
o Rough Electrical - Prior to
cover.
o Electrical Service - Must be
approved to obtain permanent
Gleetrlcal 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 - Alter Installallon,
o Insert - After fireplace approval
and Installation of unit.
o Curb cut & Approach - After
forms are erected bul prior to
placement of concrete.
o Sidewalk & Driveway - After
excavation Is compiete, forms
and sub.base material In place.
o Fence - When completed.
o Stroet Trees - When all required
trees are planted.
EXPIRES
PHONE
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~~(.sh.(~(.J~'1.~M\~ 41ft) 01;'_(:<-
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\<> ~- ~. ">^ p.~ 2...S 1'lD l2...:l23 Jq8
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'~ ~~If~E USE -
~ /,~ '9 '7;
LAN~" . -'\ '<)..
~ (Sl*,-~
. OF UNIT~, 0'...... ~
Q ~\ .A
CONSm TYit}.. ~- ~,
'(\0 ''i' . ~
HEAT SOURCE: A\ -((I O~
u "h 0/-
RANGE:_ ~ 0-"
5: f f,J, If (l. .
a.'7 'i 7rrJ
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. AI/lnspecllons requested before 7:00 a,m. will be
made the same working day, Inspecttons requested afler 7:00 a.m. will be made the following work day.
o Temporary Electric
o Slto Inspection - To be made
after excavatlon, but prior to
setting forms.
o Underslab Plumblng/Electrlca"
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 Boom - Prior to floor
Insulation or decking.
o Floor Insulation - Prior to
decking.
o Sanitary Sewer - Prlor to filling
trench.
o Storm Sewer - Prior to filling
trench.
o Water line - Prior to filling
trench.
o Rough Plumbing - Prior to
cover.
o Final Plumbing - When all
plumbing work Is complete.
. ,
o Final Electrical - When all
electrical work Is complete.
~al Mechanical - When all
mechanical work Is complete.
o Final Building - When all
required Inspections have been
approved and building Is
completed.
o Other
MOBILE HOME INSPECTIONS
o Blocking and Set.Up - When all
blocking Is complete.
o Plumbing Connections - When
home has been con nee led to
water and sewer.
o Electrical Connecllon - When
blocking, set-up, and plumbing
Inspections have been approved
and the home Is connected to
the service panel.
o Final - After all required
Inspections are approved and
porches, skirting, decks, and
venting have been Installed.'
" ."'l\,;t:\:
Lot faces
Lot Type
Setb leks,
IS THE PROPOSED WORK IN THE.
HISTORICAL DISTRICT. OR ON
THE HISTORICAL REGISTER?
If yes, Ihls application must be signed
and approved by the Historical
. Coordinator prior to permit Issuance.
Lot sq. fig.
Interior
I P.L.
IN
/S
HSE GAR ACe' I
I
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BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
APPROVED:
Lot coverage
Corner
Panhandle \>.
Topography
Total height
Cul.de.sac
BUILDING PERMIT
ITEM
SO. FT.
X $/SO. FT. ~
VALUE
Garage
"
This permit Is granted on the express condition that the said
construction shall, In all respects, conform to the Ordinance
adopted by the City of Springfield, Including the
Development Code, regulating the construction and use of
buildings, and may be suspended or revoked at any time
upon violation of any provisions of said ordinances.
Main
Carport
Plan Check Fee.
Date Paid:
Total Value
Receipt Number'
Building Permit Fee
Received By:
\
Stale Surcharge
Total Fcc
(A)
Plans Reviewed By
Dale
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge Is due on all undeveloped
properties within the City limits which are being Improved.
PLUMBING PERMIT
ITEM
FEE
ADDITIONAL COMMENTS
\/~{'-'-o(.. :1'1:?13I~O
Fixtures
Residential Bath(s) N'
Sanitary S~wer
Water
FT.
Storm Sewer
FT.
......
/
-:el
.. .:J ....:..
L9Ct. ....
.s: r->{w<.e J
FT,
Mobile Home
Plumbing Permit
.~
:,
.. ~'"- -,,{J
"
State Surcharge
Total Charge
(C)
"
MECHANICAL PERMIT
Furnace
1
. .
By signature, I state and agree, tl)atl have carefully examined
the completed application and do, hereby cerllfy' th~l 'all,
"I'n,fqrmatlon hereon. Is true,and correct, and I further certify
Ihat any and all work performed shall be done In accordance
with the Ordinances of the Clly of Springfield, and the Laws
of the State of Oregon pertaining to the work described
herein, and Ihat NO OCCUPANCY, will be made of any
structure without permission of Ih0 Building Safety Division.
I further certify that only contractors and employees who
are In compliance wllh ORS 701.055 will be used on this
project.
Exhaust Hood
Vent Fan
NO
. ,
Wood Stovellnsert/Flreplace Unit
..
Dryer Vent
Tolal Permll
(D)
41<S,~
.$ \0 . --
...L1<:' T, 4t;
$~<O.~
Mechanical Permit
Issuance
State Surcharge
.'
Mobile Home
,.
I further agree to ensure that all requIred Inspections are
requesled at the proper lime, that each address Is readable
from the street, Ihatthe permit card Is localed at the fronl
of the properly, and the approved set of plans will remain
on the site at all time during construction.
MISCELLANEOUS PERMITS
State Issuance.
Sidewalk
fl
It
Date
~-
w~
Slale Surcharge
Signature
Curbcut
"
Oemollllon
, .
State Surcharge
VALIDATION:
RECEIPT NUMBER 3 07J ec/
DATE PAin S-..)..C{; - <=, <t
AMOUNTRECEIIIl ~~~.~
RECEIVED BY ~
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding cl~)
lA, B, C, 0, and E Combined) . ...