HomeMy WebLinkAboutPermit Mechanical 1994-4-25
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
Office: 726,3759
.. SPRINGFIELD
LOCATION OF PROPOSED 10 __52.2- ~ lILa# /1~.<:
ASSESSORS MAP: I fYB. ~) ,
LOT:
OWNER: tit/III
ADDRESS: ~5-2,.2 ~
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CITY:
DESCRIBE WORK'
~~~~
NEW
REMODEL
ADDITION
CONTRACTOR'S NAME
GENERA' .
PLUMBING:
STATE:
,or-
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tP/~
DEMOLISH
OTHER
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JOB NUMBER~""'057<<1
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225 Filth Street
Springfield. Oregon 97477
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TAX LOT:
()!3ro
SUBDIVISION'
PHONE:
74/ 7 2., 5'2.- <;.
ZIP:
9"?u71\
rf/,e# -
ADDRESS
CONST.
CONTRACTOR'
'PHONE
#1'1 ~ - UL J.J ml1hU #'~_
MECHANICAL: __1rttEY..t.~___2~'iI~,
ELECTRICA' . t,06 G
,~.5..6..'fI ~
EXPIRES
(Jz,j~OL
7t/6 '7&. V
- OFFICE USE -
QUAD AREA: LAND USE: FLOOD PLAIN:
. OF BLOGS:_ . 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 15 a 24 hour recording. All Inspections requested before 7:00 a.m. will be
made the same working day. Inspecttons requested after 7:00 a.m. will be made the following work day.
D Temporary Electric
D Site Inspection - To be made
after cxcavntion, but prior to
setting forms. .
D
Under_lab PlumblnglElectrlcal1
Mechanical - Prior to cover.
D
Footing - After trenches are
excavated.
D
Masonry - Stent location, bond
beams, grouting.
D
Foundation - After forms are
erected bu t prior to concrete
placement.
o
Underground Plumbing -' Prior
to filling trench.
D
Underlloor Plumbing/Mechanical
- Prior to Insulation or clecklna.
D Post and Beam ":,,,"".Prlor to floor
Insulation or decking.
D
Floor Insulation - Prior to
decking.
D Sanitary Sewer - Prior to filling
trench,
D Storm Sewer - Prior to filling
trench.
D Water Line - Prior tl? filling
trench. .
o Rough Plumbir:ao' - Prior to
cover.
\"
REQUIRED INSPECTIONS
~ Rough Mechanical - Prior to
~ cover.
D Rough Electrical - Prior to
cover.
..
......b
D Electrical Service - Must be
approved to obtain permanent
electrical power.
D
Fireplace - Prior to facing
materials and framing Insp.
o
Framing - Prior to cover.
.\ ~
D Wall/Ceiling Insulation - Prior to
cover.
D Drywall - Prior to .t~.Ping,
D Wood Slove - After Installation.
D Insert - After fireplace approval
and Installatlon of unIt.
o Curbcut & Approach - After
forms are erected but prior to
placement of concrete.
D Sidewalk & Driveway - After
excavation Is complete, forms
and sub-base material in place,
D Fence - When completed.
D
Street Trees - When all required
trees are planted.
D
Final Plumbing - When all
plumbing worl< Is complet.e.
D Final Electrical - When all
electrical work Is complete.
l\/( Final Mechanical - When all
~ mechanical work Is complete.
D Final Building - When all
required InspectIons have been
approved and building Is
completed.
~ Other c:$As b"'/lF
MOBILE HOME INSPECTIONS
, '
"
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D Blocking and Set.Up - When all
blocking I_ complete,
::l
D Plumbing Connections - When
home has been connected to
water and sewer.
': ,
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D Electrical Connection - When
blocking, set-up, and plumbing
inspections have been approved
and the home is connected to
the service panel.
:~ ':,
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D Final - After all required
Inspections are approved and
porches, skIrting, decks, and
venting have been installed,
; Lot faces
,
I " \,
I Lot sq. ltg.
I Lot coverage
"
I
, Topography
Total height
Lot Type.
Interior
Corner
Panhandle
Cul-de-sac
BUILDING PERMIT
ITEM sa. FT. x $/50. FT.
Main
Garage
Carport
Total Value
Building Permit Foe
State Surcharge
Total Fee
(A)
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
PLUMBING PERMIT
ITEM
Fixtures
Residential Bath(s)
N'
Sanitary Sewer
FT.
FT.
Water
Storm Sewer
FT.
Mobile Home
Plumbing Permit
State Surcharge
Total Charge
(C)
MECHANICAL PERMIT
Fu rnace
Exhaust Hood
Vent Fan
N'
Wood StovellnsertlFlreplace Unit
Dryer Vent
Mechanical Permit
Issuance
State Surcharge
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
ft
Curbcut
ft
Demolition
State Surcharge
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (oxcludlng eleclrlcal)
(A, B, C, 0, and E Combined)
.S THE PROPOSED WORK IN THE
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
If yes, this application must be signed
and approved by tile Historical
Coordin.ltor prior lo pOlrnl1 Issuimcc.
Sotbacks
I P.L. HSE GAR ACC I
IN]
_L_ ____ _._ ---
W
E~=~
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
VALUE
FEE
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2. 5", ,r
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APPROVED'
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 tho 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:
Dalo Paid:
Receipt Number'
Received By:
Plans Reviewed By
Date
Systems Development Charge is dy~~.on all .undeveloped
properties within the City ninits which are being improved.
. '
ADDITIONAL COMMENTS
By signature, I state and agree, that I have carefully ex?mincd
the completed application and do hereby cerlHy Ihal all
Information hereon is true and correct, and I further certify
that any and all work performc(J shall be done In accordance
Wltll the OrdinanGc~ of lhn City of Sprlnufit~ld. and the L<Jw~;
of the Slilte of OrcW1l1 perlninlnn 10 tile WOlI~ th::;crlbol!
herein, and thaI NO OCCUPANCY will 'be maue 01 any
structure without pCl'nli~;sion of the Buildiny Snfcty Division.
I further certify that only contractors and employees who
arc In compliance with ORS 701.055 will be used on tl1is
prolect.
I further agree to unsure that all required inspections arc
requested at the proper time, that each address is readable
from tho street, that tho permit card Is located ;It the front
of the property, and~1o approved set of plans will remain
on the site at allJti cs durinQ co~uction.
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VALlOATION:
RECEIPT NUMBER ) .?d~ ~
DATEPAIf1 1/20'(:."
AMOUNT RECElvr.n ~<),? r
RECEIVEO BY ___~ ~