HomeMy WebLinkAboutPermit Mechanical 1993-10-6
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726-3769
Office: 726-3759
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SPRINGFIELD
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LOCATION OF PROPOSED WORK:~U/d;<>.A.J
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LOT:
OWNER:
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JOB NUMBER 93/~'2 ~
225 Fifth Street
Springfield, Oregon 97477
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TAX LOT. 1'Jr:? / r') /
SUBDIVISION.
PHONF.
7Y'Y-/~ Ye2
STAT".
ZIP:
97V77
DESCRIBE WORK: /.A/f7n11 f_Af Lt..;~ -P- 7'''''-~ QA~e /'dJh7 ~/.r//^:/, -rjl.r:l?-'
NEW REMODEL ADDITION DEMOLISH OTHER
CONTRACTOR'S NAME
~RAL:.hI.t// ~-
~t(BING:
MECHANICAl.
ELECTRICAl.
ADDRESS
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7
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CON ST.
CONTRACTOR' EXPIRES
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PHONE
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- 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. RANGF. SQUARE FOOTAGE:
To request an Inspection, you must call 726-3769. This 15 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 followinO work d~y,
D T4lmporary Electric
D Site Inspection - To be made
after excavation, but prior to
setting forms.
D Underslab Plumblng/Electrlcall
MechanIcal - Prior to cover.
D Footing - After trenches are
excavated.
D
Masonry - Steel location, bond
beams, grouting.
D Foundation - After forms are
erected but prior to concrete
placement.
D Underground Plumbing - Prior
to filling trench.
D Underfloor Plumbing/Mechanical
- Prior to Insulation or decking.
D Post and Beam - Prior to floor
Insulation or decking.
D Floor Insulation - Prior to
decking.
D Sanitary Sewer - Prior to filling
trench.
D Storm Sewer - Prior to filling
trench. .
. ,.....'
D Water Line - Prior to filling
trench. _. - . . .~
D Rough Plumbing"':';" I;'rior to
cover.
....; ~. '.
REQUIRED INSPECTIONS
D Rough Mechanical - Prior to
cover.
D Rough Electrical - Prior to
cover.
D ElectrIcal Service - Must be
approved to obtain permanent
electrical power.
D Fireplace - Prior to facing
materials and framing Insp.
o FramIng - Prior to cover.
D Wall/C'ellfng Insulation -:- Prior to
cover.
D
'.
Drywall - Prlo~ 10 taping.
~. . '--..
D Wood Stove - After I~stallatlon.
D Insert - After fireplace approval
and Installation of unit.
D Curbcut & Approach - After
. forms are erected but prior to
placement of concrete.
D Sidewalk & Driveway - After
excavation Is complete, forms
and sub-base material In place.
D Fence - When completed.
D Street Trees - When all required
trees are planted.
D Final Plumbing....:.. When all
plumbing work Is complete.
D Final Electrical - When all
electrical work Is complete.
"
'"
D
Final Mechanlcaf ~ When all
mechanical work Is complete.
D Final Building - When all
required Inspections have been
approved and building is
completed.
I?J Other 0.6< ~.z>~
MOBILE HOME INSPECTIONS
D Blocking and Set.Up - When all
blocking Is complete.
D Plumbing Connections - When
home has been connected to
water and sewer.
D Electrical Connection - When
blocking, set-up, and plumbing
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 Type
. .
:~~'.::
Interior
Lot sq. ftg:
Lot coverage
Corner
Topography
Panhandle
Total height.
_ ',Cul-de-sac \.
BUILDING PERMIT
ITEM SO. FT. X $/SO. FT.
Main
",
Garage
Carport
.
Selbacks
HSE GAR'ACCI
I
IS I: PROPOSED WORK IN THE
HISTORICAL DISTRICT, OR ON ~/'I\
THE HISTORICAL REGISTER?" ", v
If yes, this application must be signed
and approved by lhe Historical
Coordinator prior to permit issuance.
I P.L. '
IN
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,,:. ,.'~PPRClVE~:
VALUE
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
.1, . This permit is grar)ted on the express condillon that the said
construction shall,'in all respects, conform to the Ordinance
adopled by lhe 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.
, ., Plan Check Fee.
, , .,
, ,
Date Paid:
Total Value
Receipt Number:
Building Permit Fee Received By:
State Sur~harge
l
Total Fee (A) Plans Reviewed By Date
(B)
SYSTEMS DEVELOPMENT CHARGE (SDC)
Systems Development Charge Is due.on all undeveloped
properties within the City limits which are being Improved.
PLUMBING PERMIT
ITEM
Fixtures
Residential Bath(s)
N'
Sanitary Sewer
FT.
FT.
FT.
Water
Storm Sewer
Mobile Home
Plumbing Permit
State Surcharge
Total Charge
(C)
MECHANICAL PERMIJ..? "
Fu mace ~ L-v tF""'/;5': or-
Exhaust Hood
Vent Fan
N'
Wood Slove/lnserl/Fireplaca Unit
Dryer Vent
',.
)W//J'.
Mechanical Permit
Issuance
State Surcharge
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
ft
Curbcut
It
Demolition
State Surcharge
Total MIscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding elactrical)
(A, B, Co D, and E Combined)
FEE
ADDITIONAL COMMENTS
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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 shall be done in accordance
with the Ordinances of the City of Springfield, and t~e Laws
of the State of Oregon pertaining to the work described
herein, and thai 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
on the site at all times during construction.
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VALIDATION:
RECEIPT NUMBER
1.v>'7'''76
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DATE PAin
AMOUNT RECEIVED ~"'5"':;><;;---
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RECEIVED BY
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