HomeMy WebLinkAboutPermit Mechanical 1997-5-20
RESIDENTIAL
PERMIT APPLl9ATION
Inspections: 726.3769
Office: 726.3759
LOCATION OF PROPOSED WORK:
ASSESSORS MAP'
LOT'
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OWNER'
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CITY'
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SPRINGFIELD I .~I,..j , .
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JOB NUMBER 7' 7/J 77'/
225 Firth Street
Springfield, Oregon 97477
~ TAX LOT'
SUBDIVISION:
BLOCK:
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ADDRESS' ld-B W 'AV[)n.J 1?:,r, l.U V
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STATF'
DESCRIBE WORK: 'Jh'Lll7r).f1) qA-So Dlld-.
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NEW
REMODEL
I
OTHER
ADDITION
DEMOLISH
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PHONE:
71ft, -~fr8'R'
ZIP'
97'177
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I
ADDRESS
CONST,
CONTRACTOR #
EXPIRES '.~ PHONE
CONTRACTOR'S NAME
GENERAL'
PLUMBING:
MECHANICAL:.:)'-'v.. '^ L~ \..L.(L
ELECTRICAl'
QUAD AREA:
# OF BLDGS'
OCCY GROUP'
# OF STORIES:
WATER HEATER'
v
r
/o'fo,
- OFFICE USE -
LAND USE:
# OF UNITS:
CONSTR. TYPE:
HEAT SOURCE:
RANGF'
,~'i\-7~1?
FLOOD PLAIN'
ZONING CODE:_
. OF BDRMS:
SECONDARY HEAT:
SQUARE FOOTAGE:
~
To roquest 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
o Temporary Electric
O Slto Inspection - To be made
after excavation, but prior to
setting forms.
o
Under. lab Plumblngl Electrlcal/
Mechanical - Prior to cover.
o
Footing - After trenches are
excavated.
o Masonry - Steel locatlon, bond
beams, groutlng.
O Foundation - After forms 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 10' fllllng
trench.
D Storm Sewer - Prior to filling
trench.
D Water line - Prior 10 filling
trench.
D Rough Plumbing - Prior to
cover.
o Rough Mechanical ~ Prior to
cover.
o Rough Electrical - Prior to
CQver.
o
Electrical Service - Must be
approved to obtain permanent
electrical power.
o Fireplace - Prior to facing
materIals and framing Insp.
o Framing - Prior to c~ver.
o Wail/Ceiling Insulation:':" Prior to
cover.
o Drywall - Prior to laplng.
o Wood Stovo - After Installation.
o Insert - After fireplace approvel
and Installallon of unit.
o
Curbcut & Approach - After
forms are erected but prior to
placement at concreto.
o Sidewalk & DrlveW3\' - After
excavation Is compiete, forms
and sub.base material In place.
o Fence - When COii'pleled.
o Street Trees - When all required
trees are planted. , . . .
o Final Plumbing - When all
plumbing wc;>rl< Is complet.e.
D Final Electrical - When all
electrIcal worl< Is complete.
~:Inal Mechanical - When all
mechanical work Is complete.
o Final Building - When all
required Inspections have been
approved and building is
completed.
OOthsr
MOBILE HOME INSPECTIONS
o Blocking and Set.Up - When all
blocking Is complete.
o Plumbing Connections - When
home has been connected to
waler and sewer.
o
Electrical Connection - When
blocking, sel-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,
Inlerlor
lot Coverage
Corner
,
Panhandle
Topography
TOlal height
Cul-de-sac
I 'j
BUILDING PERMIT
ITEM SO, FT.
"
X $/SO. FT.
Main
Garage
Carport
Total Value
Bul/dlng Permit Fee
State Surcharge
Total Fee
(A)
~: '.
'.- :
'-:"" '~'.I'
", ;",,,,,.
,. ~ j ~ ~ ,i.. ~. .,: ';,'1;.
. , . ..i;" J: :"'l.i:i. '~:' .
Setbacks
I PL, 'HSE I GA"R/ ACC ,
I N I I I
I S I I I
W I
E
'1
VALUE
'.
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
PLUMBING PERMIT
ITEM
Fixtures
Residential Bath(s)
N'
Sanitary S,ewer
Water
FT.
FT,
Storm Sewer
FT.
MObile Home
Plumbing Permit
State Surcharge
Total Charge
(C)
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan
N'
Wood Slovellnsert/Flreplace Unit
[iI,~~~~l! J, tV/ii
6"& j=-;?J. /,ar~
Mechanical Permit ~/,{/J
Issuance
State Surcharge
,7J1-,fr
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
Stato Surcharge
Sidewalk
II
Curbcut
It
Demolition
State Surcharge
Total Miscellaneous Permits
(E)
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, 0, and E Combined)
FEE
, <::i",OO
d,ro
, B-o
/5".
/0.0-0
1,2.()
'7/.. . )...0
~U>
Ii.. IS THE PROPOSED WORK IN THE_
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
If yes, Ihls apptlcallon must be signed
and approved by Ihe Historical
Coordinator prior to permit Issuance.
APPROVED: .
. .: ,~ 'I.
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit ;s granted on the express condition that the said
construction shal" In all respects, conform 10 the Ordinance
adopted by Ihe City of Springfield, 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: :-.-? ~~E
~ _.~.=?
Date PaId: ~. .. ~__ .d-~ .
"-=-
Receipt Number:
Received By:
Plans Reviewed By
Date
Systems Development Charge Is due on al/ undeveloped
properlles within the City limits Which are being Improved.
ADDITIONAL COMMENTS
By signature, I atalo and agree, that I have carofully oxamlned
the compleled application and do hereby eartHy that all
Informal/on hereon Is true and correct, and I furthor certify
that any and all work performed shall be done In accordance
with the Ordlnancus 01 tho City of Sprlngfiold, and Ihe Laws
of the State of Oregon pertaining to Ihe work deacrlbad
heraln, nnd thaI NO OCCUPANCY wlfi ba mada of any
structure without permission of tha Building Safaty Dlvlalon,
I furthor eartHy that only contractors and omploYOOD who
ara In compliance with ORS 701.055 will be used on this
project.
I further agree to ensuro that all required Inspections are
requested at the proper time, that oach address Is readable
from Ihe slreet, that the parmll card Is locatad at Iho fronl
of the property, and tho approved set of plans will remain
on IhdiOItO al fi "~,r:onstructlon_
Signat e V4- ,
Date <) -?- - 7
VALIDATION:
RECEIPT NUMBER
DATE PAin,
AMOUNT RECEIVEn
RECEIVED BY
7_C;-8~r
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