HomeMy WebLinkAboutPermit Mechanical 1993-11-18
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
Office: 726.3759
SPRINGFIELD
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LOCATION OF PROPOSED WOnK: __9 -,
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ASSESSORS MAp.
LOT:
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OWNER: &r/lc 5:r ,1!?.!fS/?/~
ADDnESS: .__95_ /M:f(R'i!E}>,7-----/.lc---a!'~
<; ..ge~_-_------- STATE: <tMZ-
CITY:
DEscnlBE WORK:
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NEW
REMODEL ;(....
ADDITION
CONTRACTOR.S NAME
GENERAl.
PLUMBING:
MECHANICAL:If1t:J.RI//!!'I' ., ~
ELECTRICAL. (! II S
QUAD AREA"
. OF BLDGS:
OCCY GROUP:
. OF STORIES:
WATER HEATER:
#/P
DEMOLISH
OTHER
JOB NUMBER
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225 Fifth Street
Springfield, Oregon 97477
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TAX LOT-
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SUBDIVISION.
PHONE. -'71/7
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ZIP:
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ADDRESS
CONST.
CONTRACTOR'
EXPIRES
PHONE
REQUIRED INSPECTIONS
~OU9h Mechanical - Prior to
r' Gover.
D Rough Electrical - Prior to
cover.
o Electrical Service - Must be
approved to obtain permanent
electrical power.
o Fireplace - Prior to facing
matarlals and framing Insp.
o Framing - Prior to cover.
o Wail/Ceiling Insulation - Prior to
cover.
D Drywall - Prior to taping.
D Wood Stove - After Installation.
. D Insert - Aflor (Ire place approval
aml Installation of unit. ,
o
Curbcut & Approach - After
forms are erected but prior to
placement of concrete.
.
1,1,,)('1;' h1A?"~1 d A
- OFFICE USE -
LAND USE:
. OF UNITS.
CONSTR. TYPE:
HEAT SOURCE:
RANGF.
S>6Jr~
&' J/#J,/9Y
7~ 7"77
7/!/ / :zz.Ir:.
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. AI/Inspections requested before 7:00 a.m. wltl be
made the snrne working day. Inspections requcsted 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 10
setting forms.
o
Underslab Plumblng/ElectrIcal/
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
placcment.
o
Underground Plumbing - Prior
to filling trench.
o
Underlloor Plumbing/Mechanical
_ Prior to insulation or decking.
[J
Post and 803m - Prior to floor
insulation or <Jecldng.
, 1 Floor Insulation - Prior to
deeklng.
o Sanitary Sewer - Prior to filling
trcnctl.
o Storm Sewer - Prior to filling
trench. .
o Water Line - Prior to filling
trench. .
o Rough Plumbing - Prior to
cove~ .
o Sidewalk & Driveway - After
excavation I:; complete, forms
and sub.base material In place.
D Fence - When completed.
o Street Trees - When all required ..
trees are planted.
o
Final Plumbing - When all
plumbing worl< Is complet.e.
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D Final Electrical - When all
electrical work is complete.
~Inal Mechanical - When all
L mechanleal work Iscomplate.
o Final Building - When all
required Inspections have been
approved and building is
completed.
o Other
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.
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o Electrical Connection - When
blocking, set-up, and plumbing
Inspections have been approved
and the home is connected to
the service panel.
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o Final - After all required
InspectIons are approved and
porches, skirting, decks, and
venting have been Installed.
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i Lot faces
,
"' Lot sq. Itg.
I
I Lot coverage
,
:1
Topography
Total height
.
Lot Type
Interior
Corner
Panhandle
Cul.de-sae
BUILDING PERMIT
ITEM SO. FT. X $/SO. FT.
Main
Garage
Carport
Total Value
Building permi I Fee
State Surcharge
Total Fcc
IA)
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
PLUMBING PERMIT
ITEM
Fixtures
Residential Bath(s) N'
Sanl tary Sewer FT.
Water FT.
Storm Sewer FT.
Mobile Home
Plumbing Permit
State Surcharge
Total Charge
(C)
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan
N'
Wood Stovellnsert/Flreplace Unit
Dryer Vent
Mechanical Permit
Issuance
State Surcharge
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
It
Curbcut
It
Demolition
State Surcharge
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrleal)
(A, B, C, 0, and E Combined)
..3 THE PROPOSED WORK IN THE
HISTORICAL DISTRICT. OR ON
THE HISTORICAL REGISTER?
I f yes. this appllcatlon must be signed
and approved by the Historical
Coordinator prior 10 permit issuance.
SClb"'l.cks
J~L. HSE GAR ACC
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VALUE
FEE
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APPROVED-
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit is granted on the express condition IIlat Ole said
construction s'hall, in all respects, conform 10 the Ordinance
adopted by the City 01 Springfield, ineluding the
Development Code, regulating the construction and use of
buildings, and may be suspended Qr revoked at any time
upon violation of any provisions of said ordinances.
Plan Check Fcc:
Date Paid;
Receipt NuIJlber:________
Received By:
Plans Heviewcd By
D~lc
Systems ,DeveloJ,JlIlcnt Cllarge .is duc on. ,?1~ l{ndcvclopcd
properties within the City limits whict! are being improved.
ADDITIONAL COMMENTS
By signature, I state and agree, that I have carefully ex?mined
the compleled application and do hereby certify 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 that NO OCCUPANCY will "be made of any
structure without permission of the Building Safely DivIsion,
I further certlfy that only conlractors 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 a~ [mes durin~stru.,.
Sign"lule-"~ -' 7 "/ ./'
Date /.1 - "/7~~
VALIDATION: ~f\ n
RECEIPT NUMBER. rJ\ I
DATE PAID Lt.j b.' _ . -~
AMOUNT REC~ ^" c!J~,~"'-.,
RECEIVED BY~ ./