HomeMy WebLinkAboutPermit Mechanical 1994-9-29
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
Office: 726.3759
LOCATION OF PROPOSED WORK'
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91; ~07
BLOCK'
JOB NUMBER
225cFlfth Street
Sprlng'f1eld, Oregon 97477
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SUBDIVISION:
PHONF'
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OWNER:
CITY'
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ZIP:_
DESCRIBE WORK'
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NEW
REMODEL
PHONE
ELECTRICAL:
ADDITION
DEMOLISH
OTHER
ADDRESS
CONS1:
CONTRACTOR'
- OFFICE USE _
LAND USE'
· OF UNITS:
CONSTR. TYPE:
HEAT SOURCE:
RANG'"
o Rough Mechanical"":' Prior to
cover.
D Rough -Electrical - Prior to
cover.
D Electrical ServIce - Must be
approved to obtain permanent
electrical power.
o Fireplace - Prior to facing
materials and framing Insp.
o Framing - Prior to cover.,
I
o Wall/Celllng InsJlatlon - Prior to
cover. .
o Drywall - Prior to taping.
D Wood Slovo - After Installation.
o Inaert - After fireplace approvol
and Installation of unit.
o Curbcul & Approach - After
forms are erected but prior to
placement of concrete.
D Sidewalk & Driveway - Aller
excavation Is complete, forms
and sub.base material In place.
D Fence - When CO,mPleted.
D Street Trees - When all required
trees are planted. . .
EXPIRES
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QUAD AREA'
· OF BLDG'"
OCCY GROUP'
· OF STORIES:
WATER HEATER'
"
FLOOD PLAIN:
ZONING COOE:_
. OF BDRMS'
SECONDARY HEAT:
SQUARE FOOTAGE:
To requesl an Inspection, you must call 726.3769. This 'S a 24 hour recording, All Inspections requested before 7:00 a,m. will be
made the same working day, Inspoctlons requested after 7:00 a.m. will bo made the following work day,
REQUIRED INSPECTIONS
o Temporary Electric
D Site Inepecllon - To be made
after excavation, but prior to
setting forms.
D Underalab PlumblnglElectrlcal1
Mechanical - Prior to cover.
o FOOling - After trenches are
excavated. : '
o Maaonry - Steel location, bond
,beams, groullng.
O Foundation - Aller forms are
, erected but prior to concrete
placament.
o Underground Plumbing - Prior
to filling trench.
O Underlloor PlumblnglMechanlcal
- Prior to Insulallon or decking.
D Post and Beam - Prior to"floor
Insulallon or decking.
D Floor Insulation - Prior to
decking.
D Sanitary Sower - Prior to filling
trench.
D Storm Sewer - PrIor to filling
trench.
D Water Line - Prior to filling
trench.
D Rough Ptumblng - Prior to
cover.
D Final Plumbing - When all
plumbing work Is complete.
, ,
o Final Eleclrlcal - Wohen all
electrical work Is complete. ~
~ Final Mechanical - When all
~mechanlcal work Is complete.
o Final Building - When all
required Inspections have been
approved and building Is
. _ completed. .
~ Other 4"ff- 1/A.Ji'i"
MOBILE HOME INSPECTIONS
o Blocking and Set.Up - Whe[1 all
blocking Is complete.
D Plumbing Connecllons - When
home has been connected to .
water and sewer.
D Eleclrlcal Connection - When
blocking, set.up, and plu"1bln9
Inspections have been approved
and the home Is connected to
the service panel.
D Final - After all required
Inspections are approved and
porches, skirting, decks, and
ventIng have been Installed.
Lot faces
Lot TYP~
Interior
Lot sq. Itg.
Lot coverage
Corner
Topography
Total' ~elght
Panhandle
Cul.de-sac
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IN
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BUILDING PERMIT
ITEM SQ. FT. X $/SQ, FT, - VALUE .
Main
Ga(age
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fee
(A)
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
PLUMBING PERMIT
ITEM
Fixtures
.
Resldenllal Bath(s) N'
Sanitary Sewer FT,
. Water FT,
Storm Sewer FT.
Mobile Home
Plumbing Permit'
,:~tateSurcharge
, Total Charge (C)
" " '" "
MECHANICAL PERMiT'
Furnace
Exhaust Hood
Vent Fan
NO.
Wood Stovellnsert/Flreplace Unit
Dryer Vent
,,//ff" 1-/;1).-5 ;,eM 1AJ5,-,::;q-
Mechanical Permit
lssuahce
State'Surcharge
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
It
It
Curbcul
Demollllon
State Surcharge
Total Miscellaneous Permits (El
TOTAL AMOUNT DUE (excluding eleclrlcal)
(A, B, C. D, and E Combined)
"
FEE
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Setbacks.
HSE GAR ACe' I
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.THE PROPOSED WORK,tN THE. .
HISTOI:IICAL DISTRICT, OR ON
....THE HISTORICAL REGISTER?
II yes, this appllcallon 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 Springlteld, 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:
Recel pt Number'
Received By:
Plans Reviewed By
Date
Systems Development Charge is due on all undeveloped
properties within the City limits wliich are being Improved,
ADDITIONAL COMMENTS
By signature, I stale and agree, that I have carefully examined
the completed appllcallon and do hereby cerllfy 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 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 thai 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 site at all tlm.. g d~g construction,
~nature _"I-
Date
VALIDATION:
RECEIPT NUMBER
DATE PAID
/4-901
9/21/)4'
2.L... .20
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AMOUNT RECElvcn
RECEIVED BY