HomeMy WebLinkAboutPermit Mechanical 1993-2-8
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
Office: 726.3759
LOCATION OF PROPOSED WORK.
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)( ASSESSORS MAp.
LOT:
.
SPRINGFIELD
BLOC\<.
OWNER:
ADDRESS.
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S7S ('9./2..#/'Ie-,- h~
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CITY.
STATE:
,,-,/?
DESCRIBE WORK:
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NEW
REMODEL
ADDITION
DEMOLISH
OTHER
.
JOB NUMBER
9 S/J/ ~ ?-1
225 Fiflh Street
Springfield. Oregon 97477
TAX LOT:
SUBDIVISION:
14~!9()
PHONF.
7l/~- 3;;J.93
ZIp.
fl7477
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CON ST.
CONTRACTOR.S NAME ADDR9S JO~;t:;R . EXPI~~ PHONE
GENERAL. ~mtc:4rl;;A5,~.Il. .~WCl'~ ~t' IcY;? "L77'>-7v' n!...5P,Qn
PLUMBING. 776;;2./ /tl-3/-'T3 YJ"f/-9'~;>h
MECHANICAl.
ELECTRICAL.
f
- OFFICE USE -
OUAD AREA. LAND USE: FLOOD PLAIN.
. OF BLDGS. . 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 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.
o Temporary Electric
o
Site Inspection - To be made
after excavation, but prior to
setting forms.
o
Underslab Plumbing/Electrical I
Mechanical - Prior to cover.
o
Footing - After trenches are
excavated.
o
Masonry - Steel location, bond
beams, grouting.
o
Foundation - After (orms are
erected but prior to concrete
placement.
o
Underground Plumbing - Prior
to filling trench.
o
Underfloor 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 Sewer - Prior to filling
trench.
o Water Line - Prior to filling
trench.
o
Rough Plumbing - Prior to
cover.
REQUIRED INSPECTIONS
o Rough Mechanical - Prior to
cover.
D Rough Electrical - Prior to
cover.
o Electrical Service - Must be
approved to obtain permanent
electrical power.
o Fireplace - PrIor to (acing
materials and framing Insp.
o Framing - Prior to cover.
o Wall/Ceiling Insulation - Prior to
cover.
o Drywall - Prior t? taping.
o Wood Stove - After installation.
o Insert - After (1replace approval
and Installation of unit.
o
Curbcut & Approach - After
forms are erected but prior to
placement of concrete.
o Sidewalk & Driveway - After
excavation is complete, forms
and sub.base material in place.
o Fence - When completed.
o Street Trees - When all required
trees are planted.
o Final Plumbing - When all
plumbing work is complet.e.
D Final Electrical - When all
electrical work is complete.
rv1" Final Mechanical - When all
~mechanical work is complete.
o Final Building - When all
required Inspections have been
approved and building is
completed.
;zr Other -6A:':& 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
porches, skirting, decks, and
venting have been installed.
.
Lot faces Lot Type
Lot sq. ftg. Interior I P.L.
IN
Lot coverage Corner Is
Topography Panhandle Iw
Total height Cul-de.sac IE
BUILDING PERMIT
ITEM SO. FT. X $ISO. FT.
Main
Garage
Carport
Total Value
Building Permit Fee
State Surcharge.
Total Fee
VALUE
SYSTEMS DEVELOPMENT CHARGE (SDC)
(A)
(6)
PLUMBING PERMIT
ITEM FEE
Fixtures
Residential 6ath(s) N'
Sanitary Sewer FT.
Water FT.
Storm Sewer FT.
Mobile I'lome
Plumbing Permit
State Surcharge
Total Charge (C)
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan N'
Wood Stovellnsert/Flreplace Unit
Dryer Vent
,
h~ but: t.Ms ./aMT
Mechanical Permit. ;;n /.a.J.
Issuance
State Surcharge
Total Permit
Mobile Home
MISCELLANEOUS PERMITS
(D)
lC,dtJ
LDOP
7F
7_<;;".7F
State Issuance
State Surcharge
Sidewalk
ft
Curbcut
ft
Demolition
State Surcharge
Total Miscellaneous Permits (E)
?~.7J
TOTAL AMOUNT DUE (excluding electrical)
(A, 6, C, D, and E Combined)
Setbacks
HSE GAR ACC
. ~ THE PROPOSED WORK IN THE
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
If yes, this application must be signed
and approved by the Historical
Coordinator prior to permit Issuance.
\
APPROVED:,
BUILDING VALUE, 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 Springfield, including Ihe
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.
Pian 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
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 I further certify
that any and all work performed shail be done in accordance
with the Ordinances of the City of Springfield, and the Laws
of the State of Oregon pertaining 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, that the permit card Is located at the front
of the property, and the approved set of plans will remain
~::::u:~~m2;?ZZ.
Date ;2-?-93
VALIDATION:
RECEIPT NUMBER
7#0
2 -S? -'5'3
2~, /...r
AZJ~
1
DATE PAID
AMOUNT RECEIVED
RECEIVED BY