HomeMy WebLinkAboutPermit Mechanical 1998-2-17
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JOB NUMB~R q~ (i,;) () (.0
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SPRINGFIELD
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
Office: 726.3759
225 Fifth Street
Springfield, Oregon 97477
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LOCATION OF PROPOSED WORK'
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ASSESSORS MAP'
TAX LOT'
SUBDIVISION'
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BLOCK'
LOT:
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OWNER'
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ADDRESS'
CITY: S.fYlIN;_E-, ~Lo(_
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ZIP'
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DESCRIBE WORK' a-
NEW v" REMODEL
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ADDITION
DEMOLISH OTHER
CONST.
CONTRACTOR .
CONTRACTOR'S NAME
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ADDRESS
EXPIRES .,", PHONE
GENERA' .
PLUMBING'
MECHANICA' .
ELECTRICAl'
- OFFICE USE -
QUAD AREA' LAND US". FLOOD PLAIN'
. OF BLDGS: . OF UNITS' ZONING CODE:_
OCCY GROUP' CONSTR. TYPE: . OF BDRMS:
. OF STORIES' HEAT SOURCE: SECONDARY HEAT:
WATER HEATER' RANGF' SQUARE 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.
REQUIRED INSPECTIONS
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O Rou\!ll MechlinlcJl - Prior to
cove(.) t;), 'iJ> ~
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o Ro1!~ti?lle~trl~1 ~Prlor to
cOYJar. (") ~\ ~
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o Elecilic~~s.i6lcl::- Must be
apprO:Y!,..d(J9 <3l.1a~ permanent
electrlgal.poWl!r. '-'
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o Flreptace ~p~r ~ facing
materials a,O f~l~ Insp.
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o Framing - M1,~ ~ver,
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o Wafl/Celllng InSUIiID9~ Prior to
cover. ;...\
~blng - When all
"'plumbing work Is complete.
. .
o Temporary Electric
o Site Inspection - To be made
after excavation, but prior to
setting forms.
o Final Electrical - When all
electrical work Is complete.
~al Mechanical - When all
mechanical work Is complete.
o Underslab Plumblng/Electrlcal/
Mechanical - Prior to cover.
o Footing - After trenches are
excavated.
o Final Building - When all
required Inspections have been
approved and building is
completed.
o Masonry - Steel location, bond
beams. grouting.
o Other
o Foundation - After forms are
erected but prior to concrete
placement.
o Undorground Plumbing - Prior
to filling trench;
o Drywall - Prior to taping.
MOBILE HOME INSPECTIONS
o Underfloor Plumbing/Mechanical
- Prior to Insulation or decking.
o Wood Stove - Alter 'nstallatlon.
o Blocking and Set.Up - When all
blocking Is complete.
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o Plumbing Connections - When
home has been connected to
water and sewer.
o Post and Beam - Prior to floor
Insulation or decking.
o Insert - After fireplace approval
and Installation of unit.
o Floor Insulation - Prior to
decking.
o Curbcut & Approach - Alter
forms are erected bul prior to
placement of concrete.
o Sanitary Sewer - Prior to filling
trench.
o Electrical Connection - When
blocking, set.up, and plumbing
Inspections have been approved
and the home Is connected to
the service panel.
o Sidewalk & Driveway - After
excavation Is complete, forms
and sub.base material In place.
o Storm Sewer - Prior to filling
trench.
o Fence - When completed.
o Water Line - Prior to filling
trench.
o Final - After all required
Inspections are approved and
porches, skirting, decks, and
venting have been Installed.
o Rough Plumbing - Prior to
cover.
o Street Trees - When all required
trees are planted.
..
i. IS THE PROPOSED WORK IN THE.
HISTOI;lICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
If yes, this application must be signed
and approved by the Historical
. Coordinator prior to permit Issuance.
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Lot faces Setbacks.
Lot sq, flg. Interior I p.L. HSE GAR Acc'l
IN I
Lot coverage Corner
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Topography Panhandle' I I
Total height Cul.de.sac ,;-t-,- I
BUILDING PERMIT'~ ~ .~
ITEM SO. FT, X $/SO. FT, = VALUE
Main
Garage
"
Carport
Tolal Value
Building Permit Fee
State Surcharge
Total Fee
(A)
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
PLUMBING PERMIT
ITEM
FEE
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 Fan
N'
Wood StovellnsertlFlreplace Unit
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.,
Dryer Vent
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Mechanical Permit
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Issuance
State Surcharge
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
fl
Curbcul
fl
Demolition
State Surcharge
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, 0, and E Combined)
APPROVED'
BUILDING "Auk PLAN CHECK
AND BUILDING PERMIT
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 Sprlngfleld, 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
Date
Systems Development Charge Is due on all undeveloped
properties within the City limits which are being Improved.
ADDITIONAL COMMENTS
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By signature, I stale 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 perlalnlng 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.
I further agree to ensure that all requIred Inspections are
requested at the proper time, that each address Is readable
from the street, th~t the pormlt card Is located at the front
of the property, and the approved set of plans will remain
on the site (/~" times durin
)(Slgnatur
)< Date
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VALIDATION:
RECEIPT NUMBER2~ KG {,,;
DATE PAIr> ,d.-I 7 - '1 ~
AMOUNT RECEIVEr> {" ~'")-';, ,;}_O
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RECEIVED BY