HomeMy WebLinkAboutPermit Mechanical 1994-9-1
LI?/5
RESIDENTIAL
PERMIT APPLICATION
Inspections: '726.3769
Office: 726.3759
LOCATION OF PROPOSED WORK'
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LOT'
OWNER'
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CONTRACTOR'S NAME
GENERA" '
PLUMBING'
.1. MECHANICA' .
ELECTRICA' '
04.) uF-Yi!.
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91135/
3~76
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STATE: o...~r
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BLOCK'
~Yr'Q
DEMOLISH
OTHER
JOB NUMBER
225 Fifth Street
Springfield, Or
TAX LOT:
SUBDIVISION:
PHONE: ~I, - 7c./7~
ZIP:
97-(/77
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ADDRESS: ?3R 98 J-Io.,'f',..,/., /V)
CITY:')D.r 1 V{ 0 rt 2 Ir..P
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'DESCRIBE WORK: 'IJ/U ...,,;,.:.y-/V1 ./QQ.5
NEW ,/ REMODEL ADDITION
ADDRESS'
CON ST.
CONTRACTOR .
PHONE
EXPIRES
- OFFICE USE -
QUAD ARE..., LAND USF' FLOOD PLAIN:
. OF BLDGS' . OF UNIT'" 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 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. ~III be made the following work day.
REQUIRED INSPECTIONS
K?(RoU9h MechanIcal ~ Prior to
~ cover.
o TemporarY Electric
o Site Inspection - To be made
after excavation, but prior to
setting forms.
o Underslab PlumbIng/Electrical/
Mechanical - Prior to cover.
o Fooling - 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 - Prior to filling
trench.
o Storm Sewer - Prior to tilling
trench.
o Water Line -" Prior to filling
trench. . .
o Rough Plumbing - Prior to
cover. _
o 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 Wail/Ceiling Insulation - Prior to
cover.
o Drywall - Prior to taping,
o Wood Stove - After 'nstallatlon.
o Insert - After fireplace approval
and Installation of unit.
o Curbcut & Approach - After
forms afe erected but prior to
placement of concrete.
o Sidewalk & Driveway - After
excavatIon Is complete. forms
and sub-base material In place.
D Fen~e - When ~ompreted.
o Street Trees - Wnen all req\,lred
trees are planted. .
D Final Plumbing - When all
plumbing work Is complete,
. ,
D Final Electrical - When all
electrical work Is complete. C
D Final Mechanical - When all
mechanical work Is complete.
D Final Building - When all
required Inspections have been
approved and building Is
completed,
J8;lOther 'UH=, L/J )~
MOBILE HOME INSPECTIONS
o Blocking and Set,Up - Whep all
blocking Is complete.
D PlumbIng Connections - When
home has been connected to .
water and sewer.
o Electrical Connection - When
blocking, set,up, and plurl)blng
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
L~t ~ype .
Lot sq, flg,
Interior
Lot coverage
Corner
Topography
Total Ilelght
Panhandle
Cul-de.sac
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,
'l- THE PROPOSED WORK IN THE, -
'-HISTO~ICAL DISTRICT, OR ON '
THE HISTORICAL REGISTER?
If yes, this application must be signed
and approved by the Historical
. Coordinator prior to permit Issuance.
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IN
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Setbacks -
I HSE GAR I ACe' I
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BUILDING PERMIT
ITEM SQ, FT, X $/SQ, FT, - VALUE
Main
Ga<age
Carport
Total Value
Building Permit Fee
State Surcharge
Tolal Fee
(A)
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
PLUMBING PERMIT
ITEM
Flx~ures
Residential Balh(s) N'
Sanitary Sewer FT.
Water FT,
Storm Sewer FT.
Mobile Home
Plumbing Permit
Stat,:. Surcharge
Total Charge
(C)
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan
N'
Wood Stove/lnserllFlreplace Unit
Dryer Vent
u.t1 !/,m=. "!..I) Jf r' 4# /,uSb<(
MechanIcal Permit
~. \. .
Issuance
State'Surcharge
Total Permit
(0)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
II
Curbcut
II
Demolition
State Surcharge
Tolal Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, 0, and E Combined)
"
FEE
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/ c; /TO
/CJ~
,7)
,1,- -
0/ AO
;?-(,., 20
APPRov"n,
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 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:
Receipt Number'
Received By:
Plans Reviewed By
Date
Systems Developme,1}1 Charge Is-due on all undeveloped
properties within the City limits which are being Improved,
ADDITIONAL COMMENTS
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 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 that only contractors and employees who
are in compliance wflh 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 sl/d/e/~~;??:,
)&atu~~~ ~_
Date /<::;:pp 9J
, / "
VALIDATION:
RECEIPT NUMBER
DATE PAID
AMOUNT RECEIVEr>
RECEIVED BY
/4,S-6S-
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~ :.20
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