HomeMy WebLinkAboutPermit Mechanical 1993-8-10
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
Office: 726.3759
LOCATION OF PROPOSED WORK:
ASSESSORS MAP'
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LOT:
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SPRINGFIELD
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BLOCK'
OWNER:
ADDRESS:
CITY:
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DESCRIBE WORK: ~ PUA'A;ld:f'Ji!:.
,
REMODEL ~DDITION
NEW
CONTRACTOR'S NAME
GENERA' .
PLUMBING'
MECHANICAl'
ELECTRICAl'
/,)/A/A ,/VC
....
OTHER
.
JOB NUMBER q~~r:z~'?,
,
225 Fifth Slreet
Springfield. Oregon 97477
P.A.
TAX LOT'
SUBDIVISION'
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,
~:.
PHONE:
74133/9
ZIP:_9797')
ADDRESS
CON ST.
CONTRACTOR'
EXPIRES
PHONE
- OFFICE USE -
QUAD 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/Electrlcal1
Mechanical - Prior to cover.
o Footing - After 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 - prio'; to filling
trench.
o Storm Sewer - Prior to fitllng
trench.
o Water Line -' Prior to filling
trench.
,
o Rough Plumbing - Prior to
cover.
REQUIRED INSPECTIONS
'C'/(Rough Mechanical - Prior to
~ cover.
~ 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 Wall/Ceiling Insulation:"" Prior to
cover. .
o Drywall - Prior to-ta~in~.
o Wood Stove - After Installation.
o Insert - After fireplace approval
and Installatlon 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,c.
IX]' Final Electrical - When all
# --..!ectrlcal work is complete.
"f}:((Final Mechanical - When air
? ...echanical work Is complet~.
o Final Building - When all
required inspections have been
approved and building Is
completed.
~Other
U'AS 1..M1E=;
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.
. .
L2t..f?.2es Lot Type Setbacks IS THE PROPOSEO WORK IN THE
---;-
Interior I P.L. HSE GAR ACC I HISTORICAL DISTRICT. OR ON
Lot sq. ftg. IN I THE HISTORICAL REGISTER?
Lot coverage Corner If yes, this application must be signed
Is I and approved by the Historical
Topography Panha~dle il~ ,\ I C<?ordinator prior to permit issuance.
. r,
Total height Cul.de-sac
. IE I ,. ..
APPROVED:'
BUILDING PERMIT
ITEM \ sa. FT. . X $(SO. FT. VALUE
Main
, -:.
Garage .
I '
Carport
"
Total Val ue
Building Permit Fee
State Surcharge
Total Fee (A)
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 the
Development Code, regulating th.e.c-o(1struction and use of
buildings. and may be suspended or revoked at any time
upon violatlon of any provisions of said ordinances.
, ....-t,
Plan Check Fee'
<
.'
Date Paid:
Receipt Number'
Received By:
Plans Reviewed By
Date
SYSTEMS DEVELOPMENT CHARGE (SDC)
-" . .
Systems Development Gharge Is due on all undeveloped
properties within the City limits which are being improved.
(B)
PLUMBING PERMIT
ITEM
Fixtures
Resldenlial Bath(s) N'
Sanitary Sewer FT.
Water FT.
Storm Sewer FT.
Mobile Home
Plumbfng Permit
State Surcharge
Total Charge (C) , /
,
MECHANICAL PERMIT
Furnace /'
Exhaust Hood
ADDITIONAL COMMENTS
FEE
"
./
~ t:7"O
Mechanical Permit
,/'??/N
260
./. C)' Ifo
/n OCl
/'7.s-
By signature, I state and agree. that I have carefully examined
the completed application and do hereby certHy 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 Ordinances of the City of Springfield, and the Laws
of the State of Oregon pertaining to the work described
herein. and (ha( 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 CRS 701.055 will be used on this
project.
Vent Fan
N'
Wood Stove/Insert/Fireplace Unit
Dryer Vent
./.A< L //1 ') i;-
Issuance
State Surcharge
Total Permit
(D)
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
~:~::":l":~r 7J7t;.."
Date.A - If - q3
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
It
Curbcut
ft
Demolition
State Surcharge
VALIDATION:
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C. D. and E Combined)
2C;: 7S
C)<g qd.
. ,
.9~~/~.s
AMOUNT RECEIVEf'l /~/')/' 2.,
~-
DATE PAIf'l
RECEIPT NUMBER
Total Miscellaneous Permits (E)
RECEIVED BY