HomeMy WebLinkAboutPermit Mechanical 1994-6-12
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RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
Office: 726.3759
LOCATION OF PROPOSED WORt<.
ASSESSORS MAP:_/ftO 7..011,.)
LOT'
OWNER'
ADORES:'"
CITY'
97<t-2d'
n r: k. 64-- f IP (..hn/f) S yo' s f8-r
/
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BLOCK'
STATF'
0;<
DESCRIBE WORt<'
F IVS rn (j 4--ftO tV
NEW
REMODEL
CONTRAcrOR'S NAME
GENERA' '
PLUMBING:
ADDITION
DEMOLISH
OTHER
.
J~B NUMBER ~'r !J 7 or-
- -
225 Filth Street
Springfield, Oregon 97477
D,e~ liE.
_ TAX LOT:
SUBDIVISION'
()fJ 2-00
PHONE'
7'(-6-3/7'101( 7'{6-7(,7j
ZIP:
ADDRESS
CONST,
CONTRAcrOR #
EXPIRES ~ PHONE
MECHANICAl'
ELEcrRICAI .
1-IA~V61 r--Pl!tCE Lv.
I
0'- <.1/,!, IV VO OcT u.v....,.
AJ6.bJG' d/?, 97y.,,3
"
QUAD AREA'
# OF BLDGS:
OCCY GROUP:
# OF STORIES:
WATER HEATER:
- OFFICE USE -
OOlilOO1::
THIG~IElRMl$:SI::\All EXPIRE IF THE WORK
AtjWIilllCGMNDER THIS PERMIT IS NOT
CgMt-t~R IS ABANDONED FOR
AHXN&~DAY PERIOD.
77
lO-)/-1J"
7r-6'-r6,;l.(
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 before 7:00 a,m, will be
made the same working day, InspectIons requested after 7:00 8.m. will be made the followIng work day.
~t:UUI D INSPECTIONS
o Temporary Electric 0 Rough echanlcal - Prior to
c ,
D Site Inspection - To be made ough Electrical - Prior to
after excavation, but prior to cover.
setting forms.
o Underslab Plumblng/Electrlca"
Mechanical - Prior to cover.
o Footing - Alter 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
deckl ng,
o Sanitary Sewer - Prior to filling
trench.
o Storm Sewer - Prior to filling
trench.
o Waler Line - Prior to filling
trench. '
\
o Rough Plumbing - 'Prior, to
cover. 1
.\'.
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 Insulation - Prior to
cover.
o Drywall - Prior 10 taping,
o Wood Stovo - After Installation.
o Insert - After fireplace approval
and Installation of unit.
o Curbcut & Approach - After
forms are erected but prior to
placemont at concrete.
o Sidewalk & Driveway - After
excavation Is complete, forms
and sub.base material In place.
o Fence - When COi"(lpleted,
o Street Trees - When all required
trees are planted.
o Final Plumbing - When all
plumbing w9rk Is complet.e.
D Final Electrical - When all
electrical work Is complete.
echanlcal - When all
nlcal work Is complete.
U Final Building - When all
required Inspections have been
approved and building is
completed.
o Other
MOBILE HOME INSPECTIONS
o Blocking and Sel'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
porches. skirting, 'decks, and
venting have been Installed.
Setbacks,
I P.L. HSE GAR Acc'l
I N I
I S I
Lot faces
" .
Lot Type
'.~. .;, '....
Lot sq, ltg,
Interior
Lot coverage
Corner
Topography
\
Panhandle
" '
":. ',.....l.
.' '; ~~ :t;,~..i~~-).
,." .:'.~Hi:,'.:;:
,
. ' ~/..--'-
IS THE PROPOSED WORK IN THE,
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
If yes, lhls application must be signed
and approved by the Historical
Coordinator prior to permit issuance.
E
w
-- -- -----
APPROVED'
Total height
Cul-da-sac
BUILDING PERMIT 11
'~ 't
ITEM
SQ, FT,
X $/SQ, FT,
VALUE
Main
Garage
Carport
"
Total Value
Building Permit Fee
Stale Surcharge
Tolal Fee
(Al
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
PLUMBING PERMIT
ITEM
FEE
Fixtures
Residential Bath(s)
N'
.Jf;(,\.
-~, ..,
Sanitary S~wer
Water
FT,
FT,
. \: I: .;, ~':j,~~:J
,.,',,- ," "
!"l'} 1 \.' 1.
Storm Sewer
Mobile Home
FT.
Plumbing Permit
State Surcharge
Total Charge
(C)
MECHANICAL PERMIT
/~
Furnace
Exhaust Hood
Vent Fan
N'
Wood StovellnsertlFlreplace Unit
Dryer Vent
Mechanical Permit
/ _I:). 0 tI
Ii), 0 J
,Lif J. 7>
,
2/.,~
Issuance
State Surcharge
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
It
Curbcut
It
Demolition
Slate Surcharge
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrical)
lA, B, C, 0, and E Combined)
BUILDING 0\u1E, 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
adopled by the City of Springfield, Including the
Development Code, regulating the construction and use of
oulldlngs, 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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0\'"
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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 J further certify
that any and all work performed shall be done in accordance
with the Ordinances of the City of Springfield, and the Laws
of the Slale of Oregon pertaining to the work described
herein, and thai 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, that lhe permit card Is located at the front
of the property, and the approved set of plans will remain
on the site at~ "~imes'1 durl~corfStr'!~tlo~. ,/_--
m" - ('/'. JV'~ ~ ~
Signature 7~ Ii:. ~ ,
~ - (J..-'U"
Datp
VALIDATION:
RECEIPT NUMBER () '305 oLf
DATE PAID l ~f
AMOUNT RECEIVED I it',2r;;
RECEIVED BY tI/ tJ~