HomeMy WebLinkAboutPermit Mechanical 1996-5-20
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
Office: 726.3759
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A LA.//~A
LOCATION OF PROPOSED WORK' 7'?0 2-
ASSESSORS MAP' /~-c><,,~e>5"'?""<
OWNER: l?11'-Nt~ ~/?7
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DESCRIBE WORK:~":' ;0?~ h-P
LOT'
ADDRESS:
CITY'
NEW
REMODEL
~
BLOCK:
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. JOB NUMBER
5i("~.3?~
225 Fifth Street
Sprlnglleld, Oregon 97477
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. TAX LOT:
SUBDIVISION'
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PHONE:_ ""? Y/-7<;'7~
LIP ~ . ZIP'"""'3 ::> "'7:> ~
&y.~~ ;oA~A 9' h>AA~~::
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STATE: .
ADDITION
DEMOLISH
OTHER
ADDRESS
CONST,
CONTRACTOR'
EXPIRES -. PHONE
CONTRACTOR'S NAME
GENERAl'
PLUMBING:
MECHANICAL:~/":-"/"""'. ~ ~~;i:>';:> ~(.-"/
ELECTRICAL:
QUAD AREA:
. OF BLDGS'
OCCY GROUP'
· OF STORIES:
WATER HEATER:
,
~~~ ?"AoC2/ /c-~ ~ Y';'-6 %
- 1';;- r r ,
- OFFICE USE -
LAND USE:
. OF UNITS'
CONSTR. TYPE:
HEAT SOURCE:
RANGE: _
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, All Inspections requested belo,e 7:00 a.m, will be
made the same working day. Inspectlons requested after 7:00 a.m. will be made the following w?rk day.
REQUIRED INSPECTIONS
o Temporary Electric
o Site Inspection - To be mado
after excavation, but prior to
setting forms.
o Underslab Plumbing/Electrical I
Mechanical - Prior to cover.
o Footing - Atter 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. \
o Storm Sew.~r - Prior to filling
trench.
O~Water Line - Prior to fj~lIng
trench. .' .'_
o Rough Plumbing ~ Prior to
cove~ "
..., ...
[A Rough Mechanical - Prior to
cover, 4#'5
D 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 Insulallon - Prior to
cove~ . .
.)' "
o Drywall - Prior t~ !a~ln~..
o Wood Stove - After Install all on,
o Insert - After fireplace approval
and Installation of unIt.
o Curbcut & AI>proach - 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 Street Trees - ~ht!n all required
trees are planted.
o Final Plumbing - Whon 011
plumbing work Is complete.
. .
D Final Electrical - When all
electrical work Is complete.
n7l Final Mechanical - When all
~ 4;;cal ,?J#';~I~e,
o Final Building - When all
required Inspections have been
approved and building Is
completed.
~.
OOth.r
MOBILE HOME INSPECTIONS
o Blocking and Set,Up - When 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 - After all required
Inspections are approved and
porch os, sklrtfng, decks, and
venting have been Installed.
:
Lot T;:~
Lot faces
Lot sq," Itg,:
Interior
Lot coverage
Corner
Topography
Total height
Panhandle
Cul'de.sac
BUILDING PERMIT
ITEM SO. FT
X $/50. FT.
Main
,
Garage
Carport .
,-
Total Value
Building Permit Fee
Slale Surct1arge
Total Fee
(A)
I P.L.
IN
Is
Iw
- IE'
VALUE
"
. . - '" ........:
Setbacks
HSE GAR
, ,
SYS.TEMS DEVELOPME,I':lT.CHARG~ (SDC)
. "'... , . ~ '-- ;- -. ,-'. ... ,....
." (B)
PLUMBING PERMIT
ITEM
Fixtures
Residential Bath(s)
N'
Sanitary S~wer
Water
FT
FT.
Storm Sewer
FT.
Mobile Home
. Plumbing Permit
State Surcharge
Total Charge
(C)
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent ~a0-' .'
N'
Wood Stove/lnsert/Flreplace Unit
Dryer Vent ~
G~ h~5..::?
;J.-, , i .
Mechanical Perml t
Issuance
~
State Surcharge
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
fl
Curbcut
It
Demolition
State Surchalge
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Combined)
FEE
M/&;/' .
/"'i:4?
, .
/tJ? - ..,
: ~..,
;2(:; .24>
ro.:
_'5 THE PROPOSED WORK iN THE.
.HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
If yes, this application must be signed
and approved by th.e Historical
Coordinator prior to permit Issuance.
I,
,
ACC I
I
I
I.
I
I I}PPROVEP'
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit is granted onthe express conditlon that the said
construction shall, In all r.espects: coriform to the Ordinance
.adopted by the City of Springfield, Including the
Develop'ment Code,'regulating the construction and use of
buildings, and may be suspended or revoked at any time
upon violation of any provisions of'sald ordinances.
Plan. Check Fee:
Date Paid:
Receipt Number.
Received By:
Plans Reviewed By
Date
...Syst.ems De~eI9J?mcnt C~a~ge ls d~e on all undeveloped
properties ",Ithln tile City IImlts'whic'h are being Improved.
ADDITIONAL COMMENTS
By sIgnature, I state and agre~, 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
wilh Ihe 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 wi thout permission of the Building Safety DivisIon.
.1 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 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 the approved set of plans will remaIn
on the slle at all times. dur~ const,uctlon.
Signature~~~
,5-2b-?&
Date
VALIDATION:
RECEiPT NUMBER '<'t" 59&;;'
5'- 2.:::> - X
AMOUNT RECEIVEP ~. 7'"
RECEIVED BY /2~;;,-,.
... '/-
DATE PAID
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